Ground accident of a Boeing 737-2T5 at Hoedspruit AFB

Date & Time: Jan 10, 2011 at 2050 LT
Type of aircraft:
Operator:
Registration:
ZS-SGX
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Hoedspruit - Johannesburg
MSN:
22396/730
YOM:
1981
Country:
Region:
Crew on board:
3
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
26512
Copilot / Total flying hours:
1300
Copilot / Total hours on type:
1100
Aircraft flight hours:
70094
Circumstances:
The aircraft was flown on a non-scheduled charter flight from O. R. Tambo International Airport to Hoedspruit military aerodrome, where it landed safely and all 97 passengers disembarked. The crew then prepared to return to O. R. Tambo International Airport with no passengers on board. Whilst taxiing to the cleared holding point for takeoff, the pilot switched off the landing lights to avoid blinding an approaching aircraft. As a result, he overshot the turning point in the darkness and found himself at the end of the taxiway with insufficient space to turn around. According to him, he decided to manoeuvre the aircraft out of the "dead end" by turning into the last taxiway, which led to military hangars, and then reversing the aircraft to carry out a 180° turn. This was to be done without external guidance. Whilst reversing the aircraft, the pilot failed to stop it in time, the main wheels rolled off the edge of the taxiway and the aircraft slipped down a steep embankment, coming to rest with the nose-wheel still on the taxiway. The aeroplane was substantially damaged, but no-one was injured.
Probable cause:
Inappropriate decision by the captain to reverse the aircraft at night without external guidance.
Final Report:

Crash of a Swearingen SA226TC Metro II in Lanseria

Date & Time: Jun 13, 2010 at 1100 LT
Type of aircraft:
Operator:
Registration:
ZS-ZOC
Survivors:
Yes
Schedule:
Lanseria – Polokwane
MSN:
TC-293
YOM:
1979
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
13
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
6900
Captain / Total hours on type:
400.00
Copilot / Total flying hours:
1630
Copilot / Total hours on type:
35
Aircraft flight hours:
27532
Aircraft flight cycles:
27353
Circumstances:
Two flight crew members accompanied by thirteen passengers departed from FALA to FAPP. The flight was uneventful until during the approach to land on Runway 05 at FAPP. The flight crew selected landing gear down and observed a red light which indicate undercarriage unsafe. The flight crew reported the situation to FAPP Air Traffic Control (ATC). FAPP ATC gave instruction to do a missed approach at low level fly-past. The intention was to conduct a visual inspection of the undercarriage to determine its condition. The ATC observed that the left main gear had not extended. FAPP ATC gave an instruction to the flight crew, to hold over the beacon (BHV), where they could attempt to extend the gear by means of normal and emergency procedure. The flight crew was not successful and undercarriage remained retracted. The flight crew returned to FALA with the intention to carry out an emergency landing. FALA ATC give instructions to the flight crew to hold over the beacon (LIV), to again attempt the normal and emergency undercarriage extension procedures. But jet again; the flight crew was unsuccessful to lower the left main gear. ATC then instructed that the aircraft should execute the emergency landing on Runway 24R. During short finals overhead the threshold, prior to touchdown, the flight crew shut down both engines, feathered the propellers and switched off all the electronics. The aircraft landed and came to a gradual stop on its lower fuselage on the centreline of the runway.
Probable cause:
The pilot executed a belly “wheels up” emergency landing after the left main landing gear failed to extend.
Contributory Factors:
The new tyres installed on the main landing gear wheels were not in compliance with the instructions of the Fairchild Service Letter 226-SN-131.
Final Report:

Crash of an Embraer 135 in George

Date & Time: Dec 7, 2009 at 1101 LT
Type of aircraft:
Operator:
Registration:
ZS-SJW
Survivors:
Yes
Schedule:
Cape Town - George
MSN:
145-423
YOM:
2001
Flight number:
SA8625
Country:
Region:
Crew on board:
3
Crew fatalities:
Pax on board:
32
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
11973
Captain / Total hours on type:
2905.00
Copilot / Total flying hours:
2336
Copilot / Total hours on type:
864
Aircraft flight hours:
21291
Aircraft flight cycles:
17003
Circumstances:
Flight SA8625 departed from Cape Town International Airport on a domestic scheduled flight to George Airport (FAGG) with three crew members and 32 passengers on board. The weather at FAGG was overcast with light rain, and the aircraft was cleared for an instrument landing system approach for runway 11. It touched down between the third and fourth landing marker. According to the air traffic controller, the landing itself appeared normal, but the aircraft did not vacate the runway to the left as it should have. Instead, it veered to the right, overran the runway and rolled on past the ILS localiser. Realising that something was wrong, he activated the crash alarm. The cockpit crew did not broadcast any messages to indicate that they were experiencing a problem. The aircraft collided with eleven approach lights before bursting through the aerodrome perimeter fence and coming to rest in a nose-down attitude on the R404 public road. Several motorists stopped and helped the passengers, who evacuated the aircraft through the service door (right front) and left mid-fuselage emergency exit. The aerodrome fire and rescue personnel arrived within minutes and assisted with the evacuation of the cockpit crew, who were trapped in the cockpit. Ten occupants were admitted to a local hospital for a check-up and released after a few hours. No serious injuries were reported.
Probable cause:
The crew were unable to decelerate the aircraft to a safe stop due to ineffective braking of the aircraft on a wet runway surface, resulting in an overrun.
Contributory factors:
- The aircraft crossed the runway threshold at 50 ft AGL at 143 KIAS, which was 15 kt above the calculated VREF speed.
- Although the aircraft initially touched down within the touchdown zone the transition back into air mode of 1.5 seconds followed by a 4 second delay in applying the brakes after the aircraft remained in permanent ground mode should be considered as a significant contributory factor to this accident as it was imperative to decelerate the aircraft as soon as possible.
- Two of the four main tyres displayed limited to no tyre tread. This was considered to have degraded the displacement of water from the tyre footprint, which had a significant effect on the braking effectiveness of the aircraft during the landing rollout on the wet runway surface.
Several non-compliance procedures were not followed.
Final Report:

Crash of a Bae 4121 Jetstream 41 in Durban: 1 killed

Date & Time: Sep 24, 2009 at 0757 LT
Type of aircraft:
Operator:
Registration:
ZS-NRM
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Durban - Pietermaritzburg
MSN:
41069
YOM:
1995
Flight number:
LNK911
Country:
Region:
Crew on board:
3
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
2956
Captain / Total hours on type:
751.00
Copilot / Total flying hours:
2002
Copilot / Total hours on type:
1027
Aircraft flight hours:
27429
Circumstances:
During the take-off roll, the cockpit crew of another airliner observed smoke pouring from the right engine of ZS-NRM. They were shocked, yet reluctant to tell the crew of ZS-NRM to abort the take-off as they felt that they might be blamed had the abort gone wrong. Instead, the witnessing pilots enquired from the tower whether the aircraft was aware of the smoke. By the time the ATC responded, the aircraft was already in the air, but with its landing gear not yet retracted. Another aircraft lining up at the holding point informed ZS-NRM that their undercarriage was still extended, and the captain of ZS-NRM then transmitted (instead of using the intercom) an instruction to his co-pilot to raise the gear. During this transmission, the sound of what was possibly a warning sound could be heard in the background. The aircraft became airborne and climbed to approximately 500 ft above mean sea level before losing altitude and making a forced landing on a small field in the Merebank residential area, about 1,4 km from the end of the runway. During the forced landing, a member of the public was struck by the wing of the aircraft and the three crew members were seriously injured in the accident. The captain subsequently died from his injuries.
Probable cause:
Engine failure after takeoff followed by inappropriate crew response, resulting in the loss of both lateral and directional control, the misidentification of the failed engine, and subsequent shutdown of the remaining serviceable engine.
Contributing factors:
- Separation of the second-stage turbine seal plate rim;
- Failure of the captain and first officer to implement any crew resource management procedures as prescribed in the operator’s training manual;
- The crew’s failure to follow the correct after take-off engine failure procedures as prescribed in the aircraft’s flight manual.
Final Report:

Crash of a Cessna 208B Grand Caravan in Nyala Lodge

Date & Time: Nov 1, 2008 at 1100 LT
Type of aircraft:
Registration:
ZS-PCM
Flight Phase:
Survivors:
Yes
Schedule:
Pretoria - Nyala Lodge
MSN:
208B-0851
YOM:
2000
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
5
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
1371
Captain / Total hours on type:
390.00
Aircraft flight hours:
2659
Circumstances:
On 1 November 2008 the pilot, accompanied by 5 passengers, departed from Wonderboom aerodrome to Njala Lodge in the Limpopo Province on a chartered flight. The coordinates used by the pilot were insufficient for the purpose and resulted in him landing on an incorrect aerodrome. During the take-off from the incorrect runway, the pilot apparently failed to do a proper assessment of the wind conditions and the result was an aborted take-off as the aircraft failed to gain height. During the landing following the aborted take-off, the aircraft collided with a huge rock, a telephone pole and the associated telephone wires and a 4 ft wire fence. The aircraft sustained substantial damage during the accident sequence and stopped a mere 5 metres from high tension wires across the dirt road.
Probable cause:
The pilot failed to carry out a proper assessment of the wind conditions. The aircraft failed to gain height as a result of a possible down draft and collided with obstacles on the ground after landing. The pilot failed to maintain directional control after take-off, resulting in a landing on the left side of the runway after aborting the take-off.
Final Report:

Crash of a Britten-Norman BN-2A-26 near Barberton: 9 killed

Date & Time: Oct 5, 2008 at 1538 LT
Type of aircraft:
Operator:
Registration:
ZS-OSD
Flight Phase:
Flight Type:
Survivors:
No
Site:
Schedule:
Inhambane - Nelspruit - Bloemfontein
MSN:
461
YOM:
1975
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
8
Pax fatalities:
Other fatalities:
Total fatalities:
9
Captain / Total flying hours:
275
Captain / Total hours on type:
9.00
Circumstances:
The purpose of the flight was to spend a week in Mozambique during the school holidays following the 3rd term. The regular pilot of the aircraft was unable to undertake the journey due to an injured leg, so a replacement pilot was trained over a three-day period to fly two families to Mozambique. The pilot, together with four adults accompanied by four children, departed New Tempe aerodrome (FATP) on the 27th of September 2008. The first leg of the journey would see the aircraft fly from New Tempe aerodrome (FATP) to Kruger Mpumalanga International Airport (FAKN). After a brief stop at Kruger Mpumalanga International Airport (FAKN) for customs formalities, the aircraft then proceeded to Inhambane (FQIN) in Mozambique. On the 5th of October 2008, the aircraft was refuelled with 200 litres of fuel at Inhambane (FQIN) in Mozambique for the return leg of the journey. The return leg of the journey would see the aircraft fly from Inhambane (FQIN) in Mozambique to Kruger Mpumalanga International Airport (FAKN) for customs formalities and refuelling. 326 litres of fuel was uplifted at Kruger Mpumalanga International Airport (FAKN). The pilot filed a visual flight rules (VFR) flight plan with the ATC at Kruger Mpumalanga International Airport (FAKN) for the flight to New Tempe aerodrome (FATP) on the day of the accident. The aircraft departed Kruger Mpumalanga International Airport (FAKN) at 1317Z for the final leg of the flight to New Tempe aerodrome (FATP). Approximately 20 minutes after take-off from FAKN, a witness observed the aircraft flying at an altitude of approximately 1,000 feet AGL with the wings level in a southerly direction, overhead the farm, in the direction of the mountains. The witness noted that the aircraft was flying much lower than aircraft would normally fly when they flew over the farm. Thick mist covered approximately one third (1/3) of the top of the mountain at the time. The witness then lost sight of the aircraft and approximately two minutes later he heard an explosion. The witness immediately notified the Kruger Mpumalanga Airport authorities that an aircraft may have been involved in an accident. A search and rescue operation was initiated after the appropriate authorities had been informed. The search and rescue operation that consisted of air and ground searches were hampered by adverse weather conditions in the area from where the witness had heard the explosion emanating. The wreckage was located the following day during the air search operation, approximately 170 feet below the mountain top, where the aircraft had impacted with terrain. The aircraft had ploughed through a pine tree plantation, and was destroyed in the impact sequence and by the post-impact fire that had erupted. All the occupants on board the aircraft were fatally injured in the accident.
Probable cause:
The pilot encountered adverse weather (IMC) conditions en route during a VFR flight, which resulted in controlled flight into terrain (CFIT) near the top of the mountain.
Final Report:

Crash of A Piper PA-31-350 in Winterveld

Date & Time: May 7, 2008
Registration:
ZS-KKR
Flight Type:
Survivors:
Yes
MSN:
31-8052183
YOM:
1980
Country:
Region:
Crew on board:
0
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
After landing in Winterveld, the aircraft (a Panther III version) hit a rock on the ground. On impact, the right main gear was torn off. The aircraft veered to the right and came to rest with its right wing severely damaged. Nobody was injured but the aircraft was damaged beyond repair.
Probable cause:
Hit a rock on the ground after landing.

Crash of a Britten-Norman BN-2B-27 Islander in Durban

Date & Time: Aug 21, 2005 at 1300 LT
Type of aircraft:
Operator:
Registration:
ZS-PCJ
Survivors:
Yes
Site:
Schedule:
Manzengwenya – Durban
MSN:
869
YOM:
1978
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
5
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
950
Captain / Total hours on type:
6.00
Aircraft flight hours:
7670
Circumstances:
The pilot accompanied by five passengers took off from Manzengwenya Aerodrome on a chartered flight to Virginia Aerodrome, (FAVG). The pilot reported that although it was drizzling, visibility was good. He reported his position to the FAVG Air Traffic Controller and requested joining instructions to FAVG. The ATC cleared the pilot to land on Runway 05. When he was on short finals, the tower noticed that the aircraft was drifting away from the runway centerline and called the pilot. The pilot stated that he is experiencing an engine problems and he is initiating a go around. The aircraft turned out to the left and away from the runway centerline, and the pilot allowed the aircraft to continue flying over the nearby “M4” highway and then towards a residential area. The aircraft then impacted the roof of a private residential property, (house) with its left wing first and the nose section. It came to rest in a tail high and inverted position. Although the wreckage was still fairly intact, both the aircraft and the residential property were extensively damaged. The aircraft’s left wing failed outboard of the engine on impact. The nose of the aircraft as well as the cabin instrumentation area was crushed towards the front seated passengers. Both main wing spars, the nose wheel, the engine mounts, the propellers, and the fuselage were also damaged. The aircraft had a valid Certificate of Airworthiness which was issued on 17 September 2004 with an expiry date of 16 September 2005. The last Mandatory Periodic Inspection was certified on 03 September 2004 at 7594.2 airframe hours and he aircraft had accumulated a further 75.8 hours since the last MPI was certified. The aircraft was recovered to an Approved AMO for further investigation. Both flight and engine controls were found satisfactory. Ground run test were conducted with both engines still installed to the aircraft, and both engines performed satisfactorily during these performance tests. The Aircraft Maintenance Organisation was audited in the last two years and the last audit was on 01 July 2005.
Probable cause:
The pilot employed a incorrect go-around technique and took inappropriate actions during the emergency situation, which aggravated the situation.
Contributory Factors:
- Prevalent carburettor icing probability conditions for any power setting.
- Lack of experience of the pilot on the aircraft type.
Final Report:

Crash of a Piper PA-60 Aerostar (Ted Smith 600) near Cornelia: 5 killed

Date & Time: Jan 18, 2005 at 1655 LT
Operator:
Registration:
N7478S
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Pretoria – Harrismith
MSN:
60-0041-090
YOM:
1970
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
4
Pax fatalities:
Other fatalities:
Total fatalities:
5
Captain / Total flying hours:
5929
Circumstances:
On 18 January 2005 at approximately 1340Z, the pilot accompanied by 4 passengers, took off on a private flight from FAWB (Wonderboom Aerodrome) to FAHS (Harrismith aerodrome). However, the pilot advised the FAWB ATC (Wonderboom Air Traffic Controller) that the intended destination was Springs via Delmas. Sometime after 1455Z the aircraft impacted the ground at a high descent rate and high forward speed on a heading of 260˚M in a 15˚ nose-down and 30˚ right-wing low attitude, whilst the nose of the aircraft was facing in a direction of 211˚M, near Cornelia. Partly cloudy weather conditions, with isolated thundershowers prevailed at the time of the accident. Although there were no eyewitnesses to the accident, local inhabitants reported a severe storm in the vicinity of the accident site at the estimated time of the accident. The five occupants were fatally injured and the aircraft destroyed on impact.
Probable cause:
The pilot may have lost control of the aircraft due to adverse weather conditions and entered a spiral whilst descending for landing at Harrismith. According to the official weather report, the most likely weather conditions at the place of the accident were partly cloudy with isolated thundershowers. Although there were no eyewitnesses to the accident, local inhabitants reported a severe storm in the vicinity of the accident site at the estimated time of the accident.
Final Report:

Crash of a Swearingen SA227AC Metro III in George

Date & Time: Sep 10, 2004 at 0545 LT
Type of aircraft:
Registration:
ZS-OLS
Flight Type:
Survivors:
Yes
Schedule:
Bloemfontein – George
MSN:
AC-748B
YOM:
1989
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
2465
Captain / Total hours on type:
657.00
Aircraft flight hours:
8760
Circumstances:
The aircraft was on a Domestic Charter flight (IFR) from Bloemfontein Aerodrome to George Aerodrome when the crew elected to execute an ILS approach for landing onto Runway 11. At 1,000 feet from the threshold of Runway 11 with the undercarriage selected down and at full flaps for landing at an IAS of 120kt when he advised the copilot that was the flying pilot at the time, to continue visually with the approach for Runway 11. Shortly thereafter they heard a loud impact sound and the right hand engine failed. The aircraft suddenly yawed and banked severely to the right and the flying pilot commented that they had experienced a bird strike on the right hand engine. The pilot-in-command immediately took over the controls and attempted to arrest the yaw to the right but the aircraft kept yawing to the right. He then made a blind transmission on frequency 118.9 MHz and called for a go-around. The co-pilot then selected full power on both engines retracted the undercarriage, whilst the pilot-in-command feathered the right-hand propeller. According to the pilot-in-command, the aircraft continued to yaw to the right and with the stall aural warning sounding with a loss of altitude, he pulled the left-hand engine stop and feather control and was committed to execute a forced landing on a cattle farm The pilot-in-command stated that aircraft was approximately just outside the boundary fence. Both wings collided with the gum poles of a telephone and wire fence causing extensive damage to the wings and fuselage under-surface. Both occupants sustained no injuries.
Probable cause:
The aircraft encountered a bird strike on the right-hand engine prior to landing at George Aerodrome. It appears that the cockpit crew did not apply the correct procedures for a go-around when the aircraft yawed Severely to the right. The aircraft failed to climb and a forced landing was executed on a cattle farm.
Final Report: