Crash of a Douglas DC-6BF in Nuiqsut

Date & Time: Sep 25, 2001 at 1609 LT
Type of aircraft:
Operator:
Registration:
N867TA
Flight Type:
Survivors:
Yes
Schedule:
Deadhorse - Nuiqsut
MSN:
45202
YOM:
1957
Flight number:
NAC690
Location:
Crew on board:
3
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
22000
Captain / Total hours on type:
14000.00
Copilot / Total flying hours:
6100
Copilot / Total hours on type:
3000
Aircraft flight hours:
7754
Circumstances:
The crew was conducting a GPS instrument approach in a Douglas DC-6B airplane under IFR conditions. Both pilots were certificated and type-rated in the Douglas DC-6B airplane. The first pilot, seated in the right seat, was one of the company's senior check airman, and possessed a right seat dependency endorsement. The second pilot, seated in the left seat, had less experience in the DC-6B airplane. It had been previously agreed that the second pilot would fly the leg of the flight on which the accident occurred. The first pilot reported that light snow showers were present, with visibility reported at 4 miles. During final approach as the airplane passed over the airstrip threshold, a higher than normal sink rate was encountered. He said that the initial touchdown was "firm," but was thought to be within acceptable tolerances. Just after touchdown, the left wing broke free from the airplane at the wing to fuselage attach point. The airplane veered to the left, continued off the left side of the 5,000 feet long by 75 feet runway, down an embankment, and came to rest in an area of wet, tundra covered terrain. A postcrash fire heavily damaging the center section of the fuselage. The cockpit voice recorder (CVR) revealed that as the airplane progressed along the approach, the first pilot says: "You're only one mile from it....Take it on down ah three." As the airplane passes over the runway threshold, the first pilot says: "Keep that, keep that (expletive) power off.... Just push forward on the nose." The sound of impact is heard 4 seconds later. The minimum descent altitude (MDA) for the approach is 400 feet msl (383 feet agl). A contract weather observer reported lower ceilings, with about 1 mile visibility, over the approach end of the runway at the same time as the accident.
Probable cause:
The flightcrew's continued use of an unstabilized GPS approach. Factors associated with the accident were low ceilings, and the inadequate coordination between the crew.
Final Report:

Crash of a Piper PA-31-350 Navajo Chieftain near Pagosa Springs: 2 killed

Date & Time: Sep 24, 2001 at 0904 LT
Operator:
Registration:
N161RB
Flight Phase:
Flight Type:
Survivors:
No
Site:
Schedule:
Alamosa – Durango
MSN:
31-7952097
YOM:
1979
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
1962
Captain / Total hours on type:
614.00
Copilot / Total flying hours:
468
Copilot / Total hours on type:
208
Aircraft flight hours:
9022
Circumstances:
The airplane was on a non-scheduled cargo flight which was projected to fly an approximate 240 degree course for 92 nm. The accident site was located on a heavily forested steep mountain side, 15 to 16 nm north of the airplane's projected course. The debris field began at an east-west ridge line, and progressed for 300 feet on a 010 degree track to the downed airplane. Examination of the airframe and engines revealed no evidence of preimpact discrepancies. The accident site was in an area where the Fall color of the aspens was at its peak. Additionally, it was an area where elk were sometimes observed.
Probable cause:
The flight crews' intentional low altitude flight, and failure to maintain obstacle clearance.
Final Report:

Crash of a Boeing 757-222 in Shanksville: 45 killed

Date & Time: Sep 11, 2001 at 1030 LT
Type of aircraft:
Operator:
Registration:
N591UA
Flight Phase:
Survivors:
No
Schedule:
Newark - San Francisco
MSN:
28142
YOM:
1996
Flight number:
UA093
Crew on board:
7
Crew fatalities:
Pax on board:
38
Pax fatalities:
Other fatalities:
Total fatalities:
45
Aircraft flight hours:
18435
Aircraft flight cycles:
6968
Circumstances:
The Boeing 757 departed Newark Airport at 0847LT on a regular schedule service to San Francisco, carrying 37 passengers and a crew of seven. Few minutes later, the aircraft was hijacked by terrorists who modified the flight path and apparently attempted to fly over Washington DC. At 1030LT, the aircraft crashed in an open field located about 4 km north of Shanksville. The aircraft disintegrated on impact and all 45 occupants were killed. The terrorist attacks of September 11, 2001 are under the jurisdiction of the Federal Bureau of Investigation. The Safety Board provided requested technical assistance to the FBI, and this material generated by the NTSB is under the control of the FBI. The Safety Board does not plan to issue a report or open a public docket.
Probable cause:
The Safety Board did not determine the probable cause and does not plan to issue a report or open a public docket. The terrorist attacks of September 11, 2001 are under the jurisdiction of the Federal Bureau of Investigation. The Safety Board provided requested technical assistance to the FBI, and any material generated by the NTSB is under the control of the FBI.

Crash of a Boeing 757-223 in Washington DC: 64 killed

Date & Time: Sep 11, 2001 at 0945 LT
Type of aircraft:
Operator:
Registration:
N644AA
Flight Phase:
Survivors:
No
Site:
Schedule:
Washington - Los Angeles
MSN:
24602
YOM:
1991
Flight number:
AA077
Crew on board:
6
Crew fatalities:
Pax on board:
58
Pax fatalities:
Other fatalities:
Total fatalities:
64
Aircraft flight hours:
33432
Aircraft flight cycles:
11789
Circumstances:
The Boeing 757 departed Washington-Dulles Airport at 0810LT on a regular schedule service to Los Angeles, carrying 58 passengers and a crew of six. Few minutes later, the aircraft was hijacked by terrorists who modified the flight path and flew direct over Washington DC. At 0945LT, the aircraft crashed on the southwest side of the Pentagon building. The aircraft disintegrated on impact and all 64 occupants were killed. The terrorist attacks of September 11, 2001 are under the jurisdiction of the Federal Bureau of Investigation. The Safety Board provided requested technical assistance to the FBI, and this material generated by the NTSB is under the control of the FBI. The Safety Board does not plan to issue a report or open a public docket.
Probable cause:
The Safety Board did not determine the probable cause and does not plan to issue a report or open a public docket. The terrorist attacks of September 11, 2001 are under the jurisdiction of the Federal Bureau of Investigation. The Safety Board provided requested technical assistance to the FBI, and any material generated by the NTSB is under the control of the FBI.
Final Report:

Crash of a Boeing 767-222 in New York: 65 killed

Date & Time: Sep 11, 2001 at 0903 LT
Type of aircraft:
Operator:
Registration:
N612UA
Flight Phase:
Survivors:
No
Site:
Schedule:
Boston - Los Angeles
MSN:
21873
YOM:
1983
Flight number:
UA175
Crew on board:
9
Crew fatalities:
Pax on board:
56
Pax fatalities:
Other fatalities:
Total fatalities:
65
Aircraft flight hours:
66647
Aircraft flight cycles:
17569
Circumstances:
The Boeing 767 departed Boston-Logan Airport at 0814LT on a regular schedule service to Los Angeles, carrying 56 passengers and a crew of nine. Few minutes later, the aircraft was hijacked by terrorists who modified the flight path and flew direct over New York. At 0903LT, the aircraft struck the South Tower of the World Trade Center, between 78th and 84th floor. The aircraft disintegrated on impact and all 65 occupants were killed. The tower later collapsed. The terrorist attacks of September 11, 2001 are under the jurisdiction of the Federal Bureau of Investigation. The Safety Board provided requested technical assistance to the FBI, and this material generated by the NTSB is under the control of the FBI. The Safety Board does not plan to issue a report or open a public docket.
Probable cause:
The Safety Board did not determine the probable cause and does not plan to issue a report or open a public docket. The terrorist attacks of September 11, 2001 are under the jurisdiction of the Federal Bureau of Investigation. The Safety Board provided requested technical assistance to the FBI, and any material generated by the NTSB is under the control of the FBI.
Final Report:

Crash of a Boeing 767-223ER in New York: 92 killed

Date & Time: Sep 11, 2001 at 0845 LT
Type of aircraft:
Operator:
Registration:
N334AA
Flight Phase:
Survivors:
No
Site:
Schedule:
Boston - Los Angeles
MSN:
22332
YOM:
1987
Flight number:
AA011
Crew on board:
11
Crew fatalities:
Pax on board:
81
Pax fatalities:
Other fatalities:
Total fatalities:
92
Aircraft flight hours:
58350
Aircraft flight cycles:
11789
Circumstances:
The Boeing 767 departed Boston-Logan at 0759LT on a regular schedule service to Los Angeles, carrying 81 passengers and a crew of 11. Few minutes later, the aircraft was hijacked by terrorists who modified the flight path and flew direct over New York. At 0845LT, the aircraft struck the North Tower of the World Trade Center, between 94th and 99th floor. The aircraft disintegrated on impact and all 92 occupants were killed. The tower later collapsed. The terrorist attacks of September 11, 2001 are under the jurisdiction of the Federal Bureau of Investigation. The Safety Board provided requested technical assistance to the FBI, and this material generated by the NTSB is under the control of the FBI. The Safety Board does not plan to issue a report or open a public docket.
Probable cause:
The Safety Board did not determine the probable cause and does not plan to issue a report or open a public docket. The terrorist attacks of September 11, 2001 are under the jurisdiction of the Federal Bureau of Investigation. The Safety Board provided requested technical assistance to the FBI, and any material generated by the NTSB is under the control of the FBI.
Final Report:

Crash of a Piper PA-31-350 Navajo Chieftain in Reading: 1 killed

Date & Time: Sep 5, 2001 at 1313 LT
Operator:
Registration:
N8PK
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Reading – Montgomery
MSN:
31-8152141
YOM:
1981
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
3230
Captain / Total hours on type:
20.00
Aircraft flight hours:
6204
Circumstances:
After takeoff, the pilot reported "an engine problem," but did not elaborate. A witness on the ground saw that the left engine was trailing smoke, but the engine was still operating, and did not sound like it was "missing". When asked by the tower controller if he required assistance, the pilot answered "no". The controller cleared the pilot for left traffic to a landing, and provided the current weather. There were no further transmissions from the pilot. Smoothed radar tracking data revealed that the airplane turned toward a left downwind, and leveled off at 1,400 feet msl (about 1,050 feet agl) and 156 knots. During the next 14 seconds, the airplane descended to 1,100 feet and increased airspeed to 173 knots. Then radar contact was lost. Witnesses observed the airplane variously in a right snap roll and a left wingover, followed by a sharp dive to the ground. The airplane had just undergone maintenance. During maintenance, unused oil was found in the left engine cowling, which the pilot admitted he had previously spilled. Following maintenance, the pilot was observed adding 3 additional quarts of oil to the left engine. The engine oil dipsticks were calibrated on both sides, with each side pertaining to the oil level in a specific engine. The side for the right engine was calibrated to read 1 3/4 quarts lower than the left engine. The airplane's wreckage was fragmented. No evidence of mechanical defect was found, nor was there any evidence of an extreme out-of-trim condition. There was also no evidence of engine failure, detonation, or pre-impact failure. The pilot held an airline transport pilot certificate. He reported 3,210 hours of flight time to the operator, and had recently been cleared to fly the airplane on 14 CFR Part 91 flights. The flight to the maintenance facility was the pilot's first solo flight in the airplane. An autopsy of the pilot revealed the presence of a prostate adenocarcinoma; however, according to his physician, the pilot was unaware of it.
Probable cause:
The pilot's loss of control for undetermined reasons, which resulted in a high speed dive to the ground.
Final Report:

Crash of a De Havilland DHC-4 Caribou in Port Alsworth

Date & Time: Aug 29, 2001 at 1900 LT
Type of aircraft:
Operator:
Registration:
N2225C
Flight Type:
Survivors:
Yes
Schedule:
Iliamna - Port Alsworth
MSN:
215
YOM:
1964
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
6200
Captain / Total hours on type:
559.00
Copilot / Total flying hours:
10000
Circumstances:
The captain and the first officer were landing a short takeoff and landing (STOL) cargo airplane on a private, dirt and gravel surface runway. The airplane was configured for landing with 40 degrees of flaps. During the landing approach, variations in indicated airspeed and ground speed indicated windshear conditions. About 100 to 200 feet above the ground, the airplane encountered a downdraft and began to drift to the right of the runway centerline. The captain said she increased engine power and applied full left aileron and rudder, but could not gain directional or pitch control of the airplane. The right wing struck trees, short of the runway threshold, increasing the airplane's right yaw. The captain said that as the airplane neared the ground, she pulled the engine throttles off. The airplane struck the ground with the right main landing gear and right front portion of the fuselage. The airplane then pivoted to the right, 180 degrees from the approach heading. The owner of the airport reported that wind conditions from the east may produce downdrafts in the area of runway 05. He indicated that at the time of the accident, the wind was blowing from the east about 15 knots. The first officer reported the captain appeared to be attempting to maintain a stabilized approach angle by varying the pitch attitude of the airplane. A review of company training literature revealed that the airplane is especially sensitive to slight wind shear, and wind gusts as low as 5 knots when operating at low airspeeds. Pilots are cautioned that when flying the aircraft at low speeds, a large application of the aileron control may be required to maintain wings level. During gusty wind conditions, the threshold airspeed should be increased by one-half the gust factor, and any lateral displacement should be corrected rapidly. If a wing is allowed to drop beyond corrective action of full aileron, power should be increased immediately to regain level flight.
Probable cause:
The captain's failure to maintain the proper glidepath, and improper short field landing procedures. Factors in the accident were a downdraft, and the captain's inadequate evaluation of the weather conditions.
Final Report:

Crash of a Dassault Falcon 20C in Detroit

Date & Time: Aug 28, 2001 at 1805 LT
Type of aircraft:
Operator:
Registration:
N617GA
Flight Type:
Survivors:
Yes
Schedule:
Detroit – Rockford
MSN:
88
YOM:
1967
Flight number:
GAE617
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
24000
Captain / Total hours on type:
900.00
Copilot / Total flying hours:
5700
Copilot / Total hours on type:
200
Aircraft flight hours:
13282
Circumstances:
The airplane sustained substantial damage on impact with terrain and objects after traveling off the end of the runway during a main wheels up landing. The captain reported that prior to takeoff, he closed the cargo door and the copilot confirmed the door light was out. After takeoff at an altitude of about 600 feet, the cockpit door popped open and the crew noticed the cargo door was open. The captain elected to return to land. The captain reported he requested repeatedly for gear and flaps extension, but the copilot was late in doing so and it "caused us to overshoot the runway centerline." The copilot then began calling for a go around/missed approach at which time he raised the gear and the retracted some of the flaps. The copilot reported the captain continued to descend toward the runway and overshot the runway centerline to the right. The copilot reported that at this time he lowered the gear. The nose gear extended prior to touchdown, however the main gear did not. The airplane touched down approximately 1/2 way down the runway and traveled off the end. A witness reported noticing that the exterior door latch was not down as the airplane taxied to the runway.
Probable cause:
The wheels up landing performed by the flightcrew during the emergency landing and improper aircraft preflight by the pilot in command. Factors were the unsecured cargo door, the cemetery fence, and the lack of crew coordination during the flight.
Final Report:

Crash of a Grumman S-2E Tracker in Hopland: 1 killed

Date & Time: Aug 27, 2001 at 1840 LT
Type of aircraft:
Operator:
Registration:
N450DF
Flight Phase:
Flight Type:
Survivors:
No
Site:
Schedule:
Ukiah - Ukiah
MSN:
421
YOM:
1954
Flight number:
Tanker 87
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
4639
Captain / Total hours on type:
1294.00
Aircraft flight hours:
10354
Circumstances:
During an aerial fire suppression mission for the California Department of Forestry (CDF), two Grumman TS-2A airplanes, operating as Tanker 92 (N442DF) and Tanker 87 (N450DF), collided in flight while in a holding pattern awaiting a retardant drop assignment on the fire. All of the airplanes fighting the fire were TS-2A's, painted in identical paint schemes. The Air Tactical Group Supervisor (AirTac) was orbiting clockwise 1,000 feet above the tankers, who were in a counterclockwise orbit at 3,000 feet mean sea level (msl). The pilots of both aircraft involved in the collision had previously made several drops on the fire. Records from the Air Tac show that Tankers 86, 91, and 92 were in orbit, and investigation found that Tanker 87 was inbound to enter the orbit after reloading at a nearby airport base. AirTac would write down the tanker numbers as they made their 3-minutes-out call, and usually ordered their drops in the same order as their check-in. The AirTac's log recorded the sequence 86, 91, 21, and 92. The log did not contain an entry for Tanker 87. Other pilots on frequency did not recall hearing Tanker 87 check in. Based on clock codes with 12-o'clock being north, the tankers were in the following approximate positions of the orbit when the collision occurred. Tanker 92 was at the 2-o'clock position; Tanker 86 was turning in at the 5-o'clock position; and Tanker 91 was in the 7-o'clock position. The AirTac's log indicated that Tanker 92 was going to move up in sequence and follow Tanker 86 in order to drop immediately after him. Post accident examination determined that Tanker 92's flaps were down, indicating that the pilot had configured the airplane for a drop. Tanker 92 swung out of the orbit wide (in an area where ground witnesses had not seen tankers all day) to move behind Tanker 86, and the pilot would likely have been focusing on Tanker 86 out of his left side window. Tanker 87 was on line direct to the center of the fire on a path that witnesses had not observed tankers use that day. Reconstruction of the positions of the airplanes disclosed that Tankers 86 and 91 would have been directly in front of Tanker 87, and Tanker 92 would have been wide to his left. Ground witnesses said that Tanker 87 had cleared a ridgeline just prior to the collision, and this ridgeline could have masked both collision aircraft from the visual perspective of the respective pilots. The right propeller, engine, and cockpit of Tanker 92 contacted and separated the empennage of Tanker 87. The propeller chop was about 47 degrees counterclockwise to the longitudinal axis of Tanker 87 as viewed from the top. The collision appeared to have occurred about 2,500 feet, which was below orbit altitude. CDF had no standard operating manual, no established reporting or entry point for the holding orbits, and a tanker could enter any point of the orbit from any direction. While no standardized procedures were encoded in an operating manual, a CDF training syllabus noted that a tanker was not to enter an orbit until establishing positive radio contact with the AirTac. The entering tanker would approach 1,000 feet below AirTac's altitude and stay in a left orbit that was similar to a salad bowl, high and wide enough to see and clear all other tankers until locating the tanker that it was to follow, then adjust speed and altitude to fall in behind the preceding airplane.
Probable cause:
The failure of both pilots to maintain an adequate visual lookout. The failure of the pilot in Tanker 87 to comply with suggested procedures regarding positive radio contact and orbit entry was a factor.
Final Report: