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Crash of a Beechcraft 60 Duke in Destin: 4 killed

Date & Time: Aug 30, 2018 at 1030 LT
Type of aircraft:
Registration:
N1876L
Flight Type:
Survivors:
No
Schedule:
Toledo - Destin
MSN:
P-386
YOM:
1976
Crew on board:
1
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
4
Captain / Total flying hours:
2427
Captain / Total hours on type:
100.00
Aircraft flight hours:
4167
Circumstances:
The commercial pilot and three passengers departed on a cross-country flight in a twin-engine airplane. As the flight neared the destination airport, the pilot canceled his instrument flight rules (IFR) clearance. The approach controller transferred the flight to the tower controller, and the pilot reported to the tower controller that the airplane was about 2 miles from the airport. However, the approach controller contacted the tower controller to report that the airplane was 200 ft over a nearby joint military airport at the time. GPS data revealed that, when pilot reported that the airplane was 2 miles from the destination airport, the airplane's actual location was about 10 miles from the destination airport and 2 miles from the joint military airport. The airplane impacted a remote wooded area about 8 miles northwest of the destination airport. At the time of the accident, thunderstorm cells were in the area. A review of the weather information revealed that the pilot's view of the airport was likely obscured because the airplane was in an area of light precipitation, restricting the pilot's visibility. A review of airport information noted that the IFR approach course for the destination airport passes over the joint military airport. The Federal Aviation Administration chart supplement for the destination airport noted the airport's proximity to the other airport. However, it is likely that the pilot mistook the other airport for the destination airport due to reduced visibility because of weather. The accident circumstances were consistent with controlled flight into terrain. The ethanol detected in the pilot's blood specimens but not in his urine specimens was consistent with postmortem bacteria production. The carbon monoxide and cyanide detected in the pilot's blood specimens were consistent with inhalation after the postimpact fire.
Probable cause:
The pilot's controlled flight into terrain after misidentifying the destination airport during a period of restricted visibility due to weather.
Final Report:

Crash of a Cessna 425 Conquest I in Harbor Springs

Date & Time: Jan 12, 2007 at 1830 LT
Type of aircraft:
Registration:
N425TN
Flight Type:
Survivors:
Yes
Schedule:
Toledo - Harbor Springs
MSN:
425-0196
YOM:
1984
Crew on board:
1
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
1991
Captain / Total hours on type:
60.00
Aircraft flight hours:
2345
Circumstances:
The pilot reported that during cruise descent the airplane accumulated about 1/2-to 3/4-inch of rime ice between 8,000 and 6,000 feet. During the approach, the pilot noted that a majority of the ice had dissipated off the leading edge of both wings, although there was still trace ice on the aft-portion of the wing deice boots. The pilot maintained an additional 20 knots during final approach due to gusting winds from the north-northwest. He anticipated there would be turbulence caused by the surrounding topography and the buildings on the north side of the airport. While on short final for runway 28, the pilot maintained approximately 121 knots indicated airspeed (KIAS) and selected flaps 30-degrees. He used differential engine power to assist staying on the extended centerline until the airplane crossed the runway threshold. After crossing the threshold, the pilot began a landing flare and the airspeed slowed toward red line (92 KIAS). Shortly before touchdown, the airplane "abruptly pitched up and was pushed over to the left" and flight control inputs were "only marginally effective" in keeping the wings level. The airplane drifted off the left side of the runway and began a "violent shuddering." According to the pilot, flight control inputs "produced no change in aircraft heading, or altitude." The pilot advanced the engine throttles for a go-around as the left wing impacted the terrain. The airplane cartwheeled and subsequently caught fire. No pre-impact anomalies were noted with the airplane's flight control systems and deice control valves during a postaccident examination. No ice shapes were located on the ground leading up to the main wreckage. The reported surface wind was approximately 4 knots from the north-northwest.
Probable cause:
The pilot's failure to maintain aircraft control and adequate airspeed during landing flare. Contributing to the accident was the aerodynamic stall/mush encountered at a low altitude.
Final Report:

Crash of a Short 360-300 in Oshawa

Date & Time: Dec 16, 2004 at 2001 LT
Type of aircraft:
Operator:
Registration:
N748CC
Flight Type:
Survivors:
Yes
Schedule:
Toledo – Oshawa
MSN:
3748
YOM:
1988
Flight number:
SNC2917
Location:
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
5300
Captain / Total hours on type:
1000.00
Copilot / Total flying hours:
800
Copilot / Total hours on type:
400
Circumstances:
Air Cargo Carriers, Inc. Flight SNC2917, a Short Brothers SD3-60 aircraft (registration N748CC, serial number SH3748), was on a charter cargo flight from Toledo, Ohio, USA, to Oshawa, Ontario, with two pilots on board. The crew conducted an instrument flight rules approach to Oshawa Municipal Airport in night instrument meteorological conditions. At approximately 2000 eastern standard time, the aircraft landed on Runway 30, which was snow-covered. During the landing roll, the pilot flying noted poor braking action and observed the runway end lights approaching. He rejected the landing and conducted a go-around procedure. The aircraft became airborne, but it started to descend as it flew over lower terrain, striking an airport boundary fence. It continued until it struck rising terrain and then a line of forestation, where it came to an abrupt stop. The flight crew exited the aircraft and waited for rescue personnel to render assistance. The aircraft was substantially damaged, and both pilots sustained serious injuries. There was no post-crash fire.
Probable cause:
Findings as to Causes and Contributing Factors:
1. The crew planned and executed a landing on a runway that did not provide the required landing distance.
2. The flight crew most likely did not reference the Aircraft Flight Manual performance chart “Effect of a Slippery Surface on Landing Distance Required” to determine that landing the aircraft on the 4000-foot, snow-covered runway with flap-15 was inappropriate.
3. After landing long on the snow-covered runway and applying full reverse thrust, the captain attempted a go-around. He rotated the aircraft to a take-off attitude and the aircraft became airborne in ground effect at a slower-than-normal speed.
4. The aircraft had insufficient power and airspeed to climb and remained in ground effect until striking the airport perimeter fence, rising terrain, and a line of large cedar trees.
5. The flight crew conducted a flap-15 approach, based on company advice in accordance with an All Operator Message (AOM) issued by the aircraft manufacturer to not use flap-30. This AOM was superseded on 20 October 2004 by AOM No. SD006/04, which cancelled any potential flap-setting prohibition.
Other Finding:
1. The flight crew members were not advised that the potential Airworthiness Directive announced in the original AOM was not going into effect and that the use of flap-30 was acceptable, as relayed in the follow-up AOM.
Final Report:

Crash of a MBB HFB-320 Hansa Jet in Chesterfield: 2 killed

Date & Time: Nov 30, 2004 at 1956 LT
Type of aircraft:
Operator:
Registration:
N604GA
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Chesterfield – Toledo
MSN:
1037
YOM:
1969
Flight number:
GAE604
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
11500
Captain / Total hours on type:
2500.00
Copilot / Total flying hours:
10377
Aircraft flight hours:
6875
Circumstances:
The Hansa 320, a corporate turbojet airplane departed runway 26L at night on a maintenance ferry flight at 1954 central standard time, and was destroyed when it impacted a river two miles west of the departure airport. Radar track data indicated that the airplane climbed to about 900 feet msl at about 180 knots before it began losing altitude and impacted the river. The current weather was: winds 270 degrees at 13 knots gusting to 19 knots, visibility 7 miles, light rain, 1,000 feet scattered ceiling, 1,800 feet broken, 2,400 feet overcast, temperature 2 degrees Celsius (C), dew point 2 degrees C, altimeter 29.90. The FAA had issued the pilot a Special Flight Permit for the flight. The limitations listed in the flight permit included the following limitations: Limitation number 6 stipulated, "IFR in VMC conditions approved, provided all equipment required for IFR flight is operational and certified iaw 14 CFR Part 91.413. If this equipment is NOT certified and operational, then VFR in VMC conditions ONLY." The ferry permit listed, "Additional Limitations: Engine power assurance runs, compass swing, and functional check of avionics equipment must be performed, and appropriate maintenance entries in the aircraft log prior to departure." The pilot was informed that none of the additional limitations had been performed prior to takeoff. The pilot had aborted a previous takeoff at about 1830 due to no airspeed indications. At the request of the pilot, maintenance personnel disconnected the lines to the pitot tubes and blew out the tubes, but no leak check, as required by FAR 91.411, was performed prior to the accident flight. The pilot performed a high-speed taxi to test the airspeed indicators prior to takeoff. The copilot did not have any ground school or flight time in a Hansa 320. The second-in-command requirements stated in FAR 61.55 9 (f) (1), required that the flight be conducted under day VFR or day IFR. The Toxicology report for the pilot indicated that 0.106 (ug/ml, ug/g) Diphenhydramine was detected in the blood. Diphenhydramine is an antihistamine commonly used in over-the-counter cold/allergy preparations. In therapeutic doses, the medication commonly results in drowsiness, and has measurable effects on performance of complex cognitive and motor tasks (e.g. flying an aircraft). The pilot's currency in the Hansa 320 expired on November 30, 2004, the day of the accident. He would be required to have an FAA checkride in a Hansa 320 to be a pilot-in-command (PIC) after November 30th. Engine teardown inspections revealed that both engines were developing power at the time of impact. The inspection of the elevator trim system revealed that the elevator trim cables were improperly installed when they were replaced to comply with an Airworthiness Directive (AD) 224-01-11. The maintenance manager who inspected the installation of the elevator trim cables did not perform an operational check of the elevator trim tabs. The maintenance manager signed the aircraft log stating the "Aircraft is approved for one time ferry flight from SUS to TOL," although all stipulations of the ferry permit had not been met, and that a leak check of the pitot-static system had not been performed after the pitot tubes had been blown out.
Probable cause:
The maintenance facility failed to properly install and inspect the elevator trim system resulting in the reversed elevator trim condition and the pilot's failure to maintain clearance with the terrain. Contributing factors included the dark night and low ceiling.
Final Report:

Crash of a Rockwell Grand Commander 690A in Cadillac: 2 killed

Date & Time: Oct 9, 1985 at 2050 LT
Operator:
Registration:
N254PW
Survivors:
No
Schedule:
Toledo - Cadillac
MSN:
690-11275
YOM:
1975
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
5762
Aircraft flight hours:
6678
Circumstances:
The aircraft was cleared for an NDB approach to Cadillac. The weather was 300 feet overcast, one mile visibility. Shortly after cancelling IFR the aircraft crashed on the opposite side of the airport from the approach end of the runway. The pilot activated runway lights were never turned on during the approach. It was a newly commissioned system not yet on approach plates. They were on a notam. An ntap revealed that the aircraft was following the rnav final approach course rather than the NDB final approach course. In addition, a lighted christmas tree farm was located adjacent to the airport. Lastly, no evidence of mechanical malfunction could be found in the wreckage. Both occupants were killed.
Probable cause:
Occurrence #1: in flight collision with object
Phase of operation: maneuvering
Findings
1. (f) weather condition - low ceiling
2. (c) preflight planning/preparation - inadequate - pilot in command
3. (f) improper use of procedure - pilot in command
4. (f) weather condition - rain
5. (c) notams - not obtained - pilot in command
6. (f) psychological condition - pilot in command
7. (f) light condition - dark night
8. (c) proper altitude - not maintained - pilot in command
9. (f) complacency - pilot in command
10. (f) airport facilities, runway end ident lights (reil) - not operating
11. (c) missed approach - not performed - pilot in command
12. (f) overconfidence in personal ability - pilot in command
13. (f) airport facilities, runway edge lights - not operating
14. (f) object - tree(s)
----------
Occurrence #2: in flight collision with terrain/water
Phase of operation: descent - uncontrolled
Findings
15. (f) remedial action - not possible - pilot in command
Final Report:

Crash of a Cessna 421B Golden Eagle II in Johnson City: 2 killed

Date & Time: Apr 2, 1985 at 1646 LT
Registration:
N5407J
Flight Phase:
Survivors:
No
Schedule:
Johnson City - Toledo
MSN:
421B-0955
YOM:
1975
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
1350
Captain / Total hours on type:
780.00
Aircraft flight hours:
1930
Circumstances:
After a heavy snow shower passed over the airport, the accident aircraft attempted a departure. Immediately after takeoff the pilot transmitted that he was coming back to land. The aircraft crashed shortly thereafter, one mile southwest of the airport. Ground witnesses observed the aircraft use nearly all of the 4,999 feet runway and gradually descend out of sight prior to the crash. A Cessna Conquest had departed the same runway moments prior to the accident aircraft and experienced directional control problems due to slush on the runway and airframe icing on their aircraft. Both pilots were killed.
Probable cause:
Occurrence #1: on ground/water encounter with weather
Phase of operation: taxi - to takeoff
Findings
1. (f) weather condition - snow
2. (f) weather condition - temperature extremes
----------
Occurrence #2: on ground/water encounter with weather
Phase of operation: takeoff - roll/run
Findings
3. (f) airport facilities, runway/landing area condition - slush covered
4. (f) ice/frost removal from aircraft - not performed - pilot in command
5. (c) overconfidence in aircraft's ability - pilot in command
6. (c) aborted takeoff - not performed - pilot in command
----------
Occurrence #3: in flight collision with terrain/water
Phase of operation: takeoff - initial climb
Findings
7. Planning/decision - improper - pilot in command
8. (c) overconfidence in aircraft's ability - pilot in command
Final Report:

Crash of a Piper PA-60 Aerostar (Ted Smith 600) in Bunnell: 2 killed

Date & Time: Oct 28, 1975 at 0934 LT
Registration:
N90390
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
West Palm Beach – Toledo
MSN:
60-0233-097
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
515
Captain / Total hours on type:
29.00
Circumstances:
En route from West Palm Beach to Toledo, OH, the pilot encountered poor weather conditions with thunderstorm activity and turbulences. While cruising in clouds, he lost control of the airplane that entered a dive and crashed in a huge explosion in Bunnell. The aircraft was destroyed and both occupants were killed.
Probable cause:
Loss of control and uncontrolled descent due to improper in-flight decisions and after the pilot suffered a spatial disorientation. The following contributing factors were reported:
- Attempted operation beyond experience/ability level,
- Turbulences associated with clouds and thunderstorms,
- Thunderstorm activity,
- Rain,
- Suspect window or windshield failure during uncontrolled descent.
Final Report:

Crash of a Beechcraft A90 King Air off Racine: 5 killed

Date & Time: May 1, 1972 at 0728 LT
Type of aircraft:
Operator:
Registration:
N295X
Survivors:
No
Schedule:
Toledo - Racine
MSN:
LJ-244
YOM:
1967
Crew on board:
2
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
5
Captain / Total flying hours:
22668
Captain / Total hours on type:
2858.00
Circumstances:
The approach to Racine-Horlick Airport was completed in poor weather conditions. On final, the twin engine airplane struck the water surface and crashed into Lake Michigan. The aircraft was lost and all five occupants were killed. At the time of the accident, the visibility was limited to 1/4 mile with 700 feet overcast, 100-200 feet overcast at airport.
Probable cause:
Improper IFR operation on part of the crew. The following factors were reported:
- Low ceiling and fog,
- Limited visibility.
Final Report:

Crash of a Convair CV-580 near Marseilles: 38 killed

Date & Time: Mar 5, 1967 at 2007 LT
Type of aircraft:
Operator:
Registration:
N73130
Flight Phase:
Survivors:
No
Schedule:
Chicago – Lafayette – Cincinnati – Columbus – Toledo – Detroit
MSN:
23
YOM:
1952
Flight number:
LK527
Location:
Crew on board:
3
Crew fatalities:
Pax on board:
35
Pax fatalities:
Other fatalities:
Total fatalities:
38
Captain / Total flying hours:
22425
Captain / Total hours on type:
403.00
Copilot / Total flying hours:
4166
Copilot / Total hours on type:
250
Aircraft flight hours:
16216
Circumstances:
While descending to Toledo Airport and flying at an altitude of 7,000 feet, all four propeller blades on the right engine detached simultaneously. The blade number two penetrated the fuselage, causing a sudden cabin decompression. The pilot lost control of the airplane that entered a dive and eventually crashed in an open field located two miles southeast of Marseilles, Ohio. The aircraft was totally destroyed and none of the 38 occupants survived the crash.
Probable cause:
Failure of the right propeller due to the omission of the torque piston nitriding process during manufacture, and the failure of manufacturing quality control to detect the omission.
The following findings were reported:
- Loads on the torque cylinder caused by the failed torque piston of the n° 3 blade of the right propeller exceeded the finite fatigue of the cylinder and it failed in fatigue,
- The loss of oil pressure in the right propeller due to the failed torque cylinder caused the propeller pitch to decrease at a rate which exceeded the propeller pitch lock capability,
- The right propeller oversped, causing the blades to separate in overstress,
- The n°2 propeller blade of the right propeller penetrated the fuselage, destroying the structural integrity to the extent that together with the force of a right yaw attending the propeller separation, the fuselage failed along the line of the propeller penetrations,
- The torque piston n°3 blade had not been nitrided to surface hardening of the helical splines during the manufacture,
- The omission of the nitriding process was not detected by inspection,
- The omission of the nitriding process was associated with the movement of 10 torque pistons from the normal production flow to the Allison laboratory and return to the production process,
- The Allison quality control system lacked the accountability necessary to assure the requisite quality of the individual parts,
- The metal contamination oil check to isolate defective torque piston did not serve the intended purpose,
- Allison underestimated the seriousness of the defective torque piston problem.
Final Report:

Crash of a Douglas R4D-6 near Toledo: 5 killed

Date & Time: Jan 23, 1949
Operator:
Registration:
17263
Flight Phase:
Flight Type:
Survivors:
Yes
Site:
MSN:
14193/25638
YOM:
1944
Location:
Crew on board:
6
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
5
Circumstances:
While flying in poor weather conditions, the twin engine aircraft hit a hill and crashed. A crew member was injured while five others were killed.