Crash of a Pilatus PC-12/47 in Solemont: 4 killed

Date & Time: Aug 24, 2012 at 1800 LT
Type of aircraft:
Operator:
Registration:
HB-FPZ
Flight Phase:
Survivors:
No
Schedule:
Antwerp - Saanen (Gstaad)
MSN:
702
YOM:
2006
Location:
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
4
Captain / Total flying hours:
5971
Captain / Total hours on type:
1785.00
Circumstances:
The pilot took off from Anvers (Belgium) at around 14 h 40 bound for Saanen (Switzerland) where he was supposed to drop off his three passengers. The flight was performed in IFR then VFR, at a cruise altitude of 26,000 ft. After about 1 h 15 min of flight, still under IFR, the Geneva controller cleared the pilot to descend towards FL 210 and to fly towards Saanen with a view to an approach. A short time later, the radar data showed that the aeroplane deviated from the planned trajectory. Following a question from the controller, the pilot said he had an autopilot problem. The controller then asked the pilot to follow heading 165°, which the pilot read back, then asked him ‘‘are you okay, okay for the safety, it’s good for you? ‘‘. The pilot answered that he had a ‘‘big problem’’. The radar data show tight turns on descent. During these manœuvres, in reply to a request from the controller, the pilot said that he was in ‘‘total IMC’’. During this communication, the aeroplane‘s overspeed warning could be heard. The aeroplane was then descending at 15,500 ft/min. About ten seconds later, it was climbing at 15,500 ft/min. The right wing broke off about twenty seconds later. The indicated airspeed was then 274 kt and the altitude was 12,750 ft. The wreckage was found in woods in the commune of Solemont (25). A piece of the right wing was found about 2.5 km from the main wreckage. Some debris, all from the right wing, was found on a south-west/north-east axis. The aeroplane part that was furthest away was found 10 km from the main site. The aircraft disintegrated on impact and all four occupants were killed.
Probable cause:
The in-flight failure of the right wing was due to exceeding the aeroplane’s structural limits (ultimate loads) during loss of control by the pilot. In the absence of any flight recorders, the investigation was not able to determine the causes of this loss of control. It is possible that it may have been induced by a loss of situational awareness by the pilot at the controls of an aeroplane affected by an icing phenomenon. This phenomenon may have affected the aeroplane’s wings or an area around the roll control.
Final Report:

Crash of a Pilatus PC-6/B2-H2 Turbo Porter off Granville

Date & Time: Aug 18, 2012 at 1855 LT
Operator:
Registration:
F-GMJG
Survivors:
Yes
Schedule:
Granville - Granville
MSN:
659
YOM:
1967
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Aircraft flight hours:
13300
Circumstances:
The single engine aircraft departed Granville-Bréville Aerodrome on a local skydiving mission. After all skydivers left the aircraft, the pilot reduced his altitude to return to his base. On final approach to runway 07, the aircraft went out of control and crashed in the sea, few dozen metres offshore. A sailor went quickly to the scene and evacuated the pilot who was slightly injured while the aircraft sank by a depth of 5-6 metres. The wreckage was recovered and pulled on the beach a day later. The aircraft was damaged beyond repair.

Crash of a Gulfstream GIV in Le Castellet: 3 killed

Date & Time: Jul 13, 2012 at 1518 LT
Type of aircraft:
Operator:
Registration:
N823GA
Flight Type:
Survivors:
No
Schedule:
Nice - Le Castellet
MSN:
1005
YOM:
1987
Flight number:
UJT823
Country:
Region:
Crew on board:
3
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
3
Captain / Total flying hours:
22129
Captain / Total hours on type:
690.00
Copilot / Total flying hours:
1350
Copilot / Total hours on type:
556
Aircraft flight hours:
12210
Aircraft flight cycles:
5393
Circumstances:
The crew, consisting of a Captain and a co-pilot, took off at around 6 h 00 for a flight between Athens and Istanbul Sabiha Gokcen (Turkey). A cabin aid was also on board the aeroplane. The crew then made the journey between Istanbul and Nice (06) with three passengers. After dropping them off in Nice, the aeroplane took off at 12 h 56 for a flight to Le Castellet aerodrome in order to park the airplane for several days, the parking area at Nice being full. The Captain, in the left seat, was Pilot Monitoring (PM). The copilot, in the right seat, was Pilot Flying (PF). Flights were operated according to US regulation 14 CFR Part 135 (special rules applicable for the operation of flights on demand). The flight leg was short and the cruise, carried out at FL160, lasted about 5 minutes. At the destination, the crew was cleared to perform a visual approach to runway 13. The autopilot and the auto-throttle were disengaged, the gear was down and the flaps in the landing position. The GND SPOILER UNARM message, indicating nonarming of the ground spoilers, was displayed on the EICAS and the associated single chime aural warning was triggered. This message remained displayed on the EICAS until the end of the flight since the crew forgot to arm the ground spoilers during the approach. At a height of 25 ft, while the aircraft was flying over the runway threshold slightly below the theoretical descent path, a SINK RATE warning was triggered. The PF corrected the flight path and the touchdown of the main landing gear took place 15 metres after the touchdown zone - that’s to say 365 metres from the threshold - and slightly left of the centre line of runway 13(3). The ground spoilers, not armed, did not automatically deploy. The crew braked and actuated the deployment of the thrust reversers, which did not deploy completely(4). The hydraulic pressure available at brake level slightly increased. The deceleration of the aeroplane was slow. Four seconds after touchdown, a MASTER WARNING was triggered. A second MASTER WARNING(5) was generated five seconds later. The nose landing gear touched down for the first time 785 metres beyond the threshold before the aeroplane’s pitch attitude increased again, causing a loss of contact of the nose gear with the ground. The aircraft crossed the runway centre line to the right, the crew correcting this by a slight input on the rudder pedals to the left. They applied a strong nose-down input and the nose gear touched down on the runway a second time, 1,050 metres beyond the threshold. The speed brakes were then manually actuated by the crew with an input on the speed brake control, which then deployed the panels. Maximum thrust from the thrust reversers was reached one second later(6). The aircraft at this time was 655 metres from the runway end and its path began to curve to the left. In response to this deviation, the crew made a sharp input on the right rudder pedal, to the stop, and an input on the right brake, but failed to correct the trajectory. The aeroplane, skidding to the right(7), ran off the runway to the left 385 metres from the runway end at a ground speed of approximately 95 knots. It struck a runway edge light, the PAPI of runway 31, a metal fence then trees and caught fire instantly. An aerodrome firefighter responded quickly onsite but did not succeed in bringing the fire under control. The occupants were unable to evacuate the aircraft.
Probable cause:
Forgetting to arm the ground spoilers delayed the deployment of the thrust reversers despite their selection. Several MASTER WARNING alarms were triggered and the deceleration was low. The crew then responded by applying a strong nose-down input in order to make sure that the aeroplane stayed in contact with the ground, resulting in unusually high load for a brief moment on the nose gear. After that, the nose gear wheels deviated to the left as a result of a left input on the tiller or a failure in the steering system. It was not possible to establish a formal link between the high load on the nose gear and this possible failure. The crew was then unable to avoid the runway excursion at high speed and the collision with trees. The aerodrome fire-fighter, alone at the time of the intervention, was unable to bring the fire under control after the impact. Although located outside of the runway safety
area on either side of the runway centre line, as provided for by the regulations, the presence of rocks and trees near the runway contributed to the consequences of the accident.
The accident was caused by the combination of the following factors:
- The ground spoilers were not armed during the approach,
- A lack of a complete check of the items with the ‘‘before landing’’ checklist, and more generally the UJT crews’ failure to systematically perform the checklists as a challenge and response to ensure the safety of the flight,
- Procedures and ergonomics of the aeroplane that were not conducive to monitoring the extension of the ground spoilers during the landing,
- A possible left input on the tiller or a failure of the nose gear steering system having caused its orientation to the left to values greater than those that can be commanded using the rudder pedals, without generating any warning,
- A lack of crew training in the ‘‘Uncommanded Nose Wheel Steering’’ procedure, provided to face uncommanded orientations of the nose gear,
- An introduction of this new procedure that was not subject to a clear assessment by Gulfstream or the FAA,
- Failures in updating the documentation of the manufacturer and the operator,
- Monitoring by the FAA that failed to detect both the absence of any updates of this documentation and the operating procedure for carrying out checklists by the operator.
Final Report:

Crash of a Cessna 208B Grand Caravan in Lézignan-Corbières

Date & Time: May 25, 2012 at 1710 LT
Type of aircraft:
Operator:
Registration:
D-FAAF
Survivors:
Yes
Schedule:
Lézignan-Corbières - Lézignan-Corbières
MSN:
208B-1125
YOM:
2005
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
1900
Captain / Total hours on type:
850.00
Circumstances:
The single engine aircraft departed Lézignan-Corbières Airport at 1650LT with a pilot and several skydivers on board. At 10,500 feet, all skydivers jumped out and the pilot reduced his altitude to return to his base. On final approach to runway 08, at a height of 700 feet and at a speed of 90 knots, the pilot slightly increased the engine power to maintain the glide and then reduced again the power. At this time, the engine stopped and the propeller auto-feathered. Unable to reach the runway, the pilot attempted an emergency landing in a vineyard located some 800 meters short of runway 08, to the right of its extended centerline. While the pilot was uninjured, the aircraft was damaged beyond repair.
Probable cause:
Investigation were unable to determine the cause of the turbine failure on final approach. Sufficient fuel (about 500 pounds) was still present in the tanks and all analysis of the engine, fuel supply control system and the fuel pump did not reveal any anomalies.
Final Report:

Crash of a Piper PA-42-720 Cheyenne III off Grand Case: 4 killed

Date & Time: May 5, 2012 at 0240 LT
Type of aircraft:
Registration:
F-GXES
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Grand Case - Fort-de-France
MSN:
42-8001043
YOM:
1980
Flight number:
TIF520
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
4
Captain / Total flying hours:
3950
Captain / Total hours on type:
513.00
Aircraft flight hours:
7593
Aircraft flight cycles:
7830
Circumstances:
The twin engine aircraft was engaged in an ambulance flight between Grand Case and Fort-de-France and was carrying a pilot, a nurse, a doctor and a patient, a Greek citizen in honeymoon in Saint Martin who suffered a heart attack. He normally should be transferred to Fort-de-France from Saint Martin-Princess Juliana Airport with another Operator but the aircraft suffered technical problem prior to departure and the patient was transferred to Grand Case Airport. Piper PA-42 left Grand Case-L'Espérance runway 12 at 02H39. One minute later, during initial climb, it lost height and crashed into the Caribbean Sea, some three NM off the airport, off Tintamarre Island. Around 1000LT in the morning, a wheel and some others debris were found floating in water and no trace of the four occupants was found. They were later considered as deceased.
Probable cause:
The French BEA said in its final report that no technical anomaly to affect significantly the performance of the airplane or its pitch control could be demonstrated. It appears that the pilot had consumed alcohol before the flight and was awake since 0630LT and did not sleep over 20 hours, which could affect his capabilities. In conclusion, the investigation did not determine the cause of the accident, but the following factors may have contributed:
- aircraft's operation with one pilot only,
- absence of regulation does not allow the Civil Aviation Authority to ensure the adequacy of the operational objectives of an operator and its capacity to maintain its activity. This failure could not ensure that the pilot was able to conduct the flight.
- the presence of a flight recorder would probably help to understand the circumstances of the accident with more precision. Important data failed to the investigation, which was not able to identify all possible measures to avoid a similar accident in the future.
Final Report:

Crash of a Socata TBM-700 in Cuers

Date & Time: Feb 10, 2012 at 1715 LT
Type of aircraft:
Operator:
Registration:
D-FALF
Flight Type:
Survivors:
Yes
Schedule:
Maribo – Cuers
MSN:
157
YOM:
1999
Location:
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
8000
Captain / Total hours on type:
6000.00
Circumstances:
The pilot took off at around 14 h 45 from Maribo aerodrome (Denmark) bound for Cuers. He filed an IFR flight plan that he cancelled(2) at 17 h 15 near the St Tropez VOR (83). He explained that he had overflown the installations at Cuers at 1,500 ft and started an aerodrome circuit via the north for runway 11. He was visual with the ground and noted the presence of snow showers. He reckoned that these conditions made it possible to continue the approach. At about 600 ft, he went into a snow shower. At about 400 ft, he noticed that the horizontal visibility was zero and that he had lost all external visual references. He tried to make a go-around but didn’t feel any increase in engine power. At about 200 ft, he saw that he was to the right of the runway and decided to make an emergency landing. The aeroplane struck the ground on the right side of the runway. It slid for 150 metres and swung around before stopping. All three occupants escaped with minor injuries and the aircraft was damaged beyond repair.
Probable cause:
The accident was linked to the pilot’s to continue his approach under VFR, even though the meteorological conditions made it impossible. Coming out of an area of thick snowfall at 200 ft, he was unable to control the bank angle or the flight path of the aeroplane. The investigation was unable to determine if this bank angle was linked to inadequate control during an attempt to go around without external visual references(3) or a late attempt to reach the centre of the runway. Overconfidence in his abilities to pass through a snow shower, as well as a determination to land, may have contributed to the accident.
Final Report:

Crash of a Socata TBM-700 in Lyon: 1 killed

Date & Time: Nov 9, 2011 at 0912 LT
Type of aircraft:
Operator:
Registration:
N228CX
Flight Type:
Survivors:
No
Schedule:
Toussus-le-Noble - Lyon
MSN:
84
YOM:
1993
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
2000
Circumstances:
The pilot departed Toussus-le-Noble Airport at 0810LT on an IFR flight to Lyon. After contacting ATC, the pilot was vectored for a LOC DME approach to runway 16 at Lyon-Bron Airport. He reported being established on localizer at 0907LT, then was transferred to the tower and was cleared to land. At 0910LT, he reported he was initiating a go-around procedure and was instructed to climb to 3,000 feet maintaining a straight-in path. ATC requested twice the pilot to confirm the approach interruption but he failed to respond. A few moments later, the pilot reported 'Now, I'm not good at all'. The airplane crashed in a retention basin located 1,500 meters short of runway 16 threshold, bursting into flames. The aircraft was destroyed and the pilot, sole on board, was killed.
Probable cause:
Loss of control while approaching at a speed close to stall speed in clouds without any external visual references, in a phase of flight where the pilot encountered difficulties. Investigations were unable to determine the exact cause of the loss of control and the reason why the pilot was unable to regain control.
Final Report: