Crash of a Cessna 207 Skywagon in Kotzebue

Date & Time: Apr 17, 1996 at 1253 LT
Operator:
Registration:
N6282H
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Kotzebue - Selawik
MSN:
207-0465
YOM:
1978
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
1815
Captain / Total hours on type:
175.00
Aircraft flight hours:
15367
Circumstances:
The pilot was departing a remote airport to begin a VFR cargo flight. The departure path took the airplane over ice covered terrain. The airport was considered to be below basic VFR conditions with light snow and fog, and the visual conditions in the area were considered to be 'flat' with the visibility from 2 to 3 miles. The pilot received a special VFR clearance out of the control zone by a flight service station specialist. After departure, witnesses observed the airplane climb to an estimated 500 feet above the ground and turn to the right. Shortly thereafter, the airplane banked to the right about 90 degrees, then descended to the ground in a wing and nose low attitude. A postaccident inspection of the airframe and engine did not reveal any mechanical malfunction.
Probable cause:
Failure of the pilot to maintain sufficient altitude/clearance above terrain, after becoming spatially disoriented, while maneuvering after takeoff. Factors relating to the accident were: fog, snow, partial obscuration, 'flat' conditions of light, and the lack of a distinct horizon over ice/snow covered terrain.
Final Report:

Crash of a Mitsubishi MU-2B-20 Marquise in Batesville

Date & Time: Apr 7, 1996 at 1155 LT
Type of aircraft:
Registration:
N310MA
Flight Type:
Survivors:
Yes
Schedule:
Montgomery - Batesville
MSN:
167
YOM:
1969
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
1400
Captain / Total hours on type:
89.00
Aircraft flight hours:
5400
Circumstances:
The pilot reported that loss of power occurred in both engines after he entered the traffic pattern for a full stop landing. The airplane collided with trees during an emergency landing in a cotton field near the airport. Subsequent review of the aircraft maintenance logs disclosed that Mitsubishi MU-2 Service Bulletin (SB) 130A had not been accomplished on this airplane. According to the manufacturer, an inadvertent failure or the improper installation of a filler cap after refueling may cause an air pressure differential between the center and outboard portions of the main integral fuel tank. Air leakage from the filler cap may result in failure of the fuel transfer system to move fuel from the outboard tank section to the center tank section. To eliminate this possible malfunction, the operator was to remove vent check valves from the bulkhead between the tanks in accordance with SB 130A. The operator's maintenance policies required that, company jet and turbo propeller aircraft be maintained under a maintenance program in accordance with FAR Parts 135.415, 135.417, 135.423, 135.443, and a corporate flight management approved aircraft inspection program (AAIP). The maintenance inspection program also included compliance with manufacturers' service bulletins and service letters.
Probable cause:
An anomaly in the fuel system that allowed a pressure differential to occur between the center and outer portions of the main integral fuel tank, which in turn resulted in fuel starvation of both engines. A factor relating to the accident was: failure of company maintenance personnel to remove fuel system vent check valves as recommended by Mitsubishi MU-2 Service Bulletin 130A.
Final Report:

Crash of a Douglas DC-9-32 in Houston

Date & Time: Feb 19, 1996 at 0904 LT
Type of aircraft:
Operator:
Registration:
N10556
Survivors:
Yes
Schedule:
Washington DC - Houston
MSN:
47423
YOM:
1970
Flight number:
CO1943
Crew on board:
5
Crew fatalities:
Pax on board:
82
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
17500
Captain / Total hours on type:
5000.00
Copilot / Total flying hours:
2200
Copilot / Total hours on type:
575
Aircraft flight hours:
63132
Aircraft flight cycles:
58913
Circumstances:
The airplane landed wheels up and slid 6,850 feet before coming to rest in grass about 140 feet left of the runway centerline. The cabin began to fill with smoke, and the airplane was evacuated. Investigation showed that because the captain had omitted the 'Hydraulics' item on the in-range checklist and the first officer failed to detect the the error, hydraulic pressure was not available to lower the landing gear and deploy the flaps. Both the captain and the first officer recognized that the flaps had not extended after the flaps were selected to 15°. The pilots then failed to perform the landing checklist and to detect the numerous cues alerting them to the status of the landing gear because of their focus on coping with the flap extension problem and the high level of workload as a result of the rapid sequence of events in the final minute of flight. The first officer attempted to communicate his concern about the excessive speed of the approach to the captain. There were deficiencies in Continental Airlines' (COA) oversight of its pilots and the principal operations inspector's oversight of COA. COA was aware of inconsistencies in flightcrew adherence to standard operating procedures within the airline; however, corrective actions taken before the accident had not resolved this problem.
Probable cause:
The captain's decision to continue the approach contrary to Continental Airlines (COA) standard operating procedures that mandate a go-around when an approach is unstabilized below 500 feet or a ground proximity warning system alert continues below 200 feet above field elevation. The following factors contributed to the accident:
(1) the flightcrew's failure to properly complete the in-range checklist, which resulted in a lack of hydraulic pressure to lower the landing gear and deploy the flaps;
(2) the flightcrew's failure to perform the landing checklist and confirm that the landing gear was extended;
(3) the inadequate remedial actions by COA to ensure adherence to standard operating procedures; and
(4) the Federal Aviation Administration's inadequate oversight of COA to ensure adherence to standard operating procedures.
Final Report:

Crash of a Cessna 402B near Estacada: 1 killed

Date & Time: Feb 16, 1996 at 0746 LT
Type of aircraft:
Registration:
N5198J
Flight Phase:
Flight Type:
Survivors:
No
Site:
Schedule:
Troutdale - Redmond
MSN:
402B-0885
YOM:
1975
Flight number:
WCC1420
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
4600
Captain / Total hours on type:
1600.00
Aircraft flight hours:
10024
Circumstances:
Shortly after reaching a cruising altitude of 9,500 feet, the aircraft's course was observed on radar to change from southeasterly to southwesterly. Its average ground speed decreased from 170 knots to 108 knots during this track change. The pilot called ATC with his call sign, and about five seconds later, an unintelligible, one-second-long transmission was heard. At that same time, radar information showed the aircraft at 8,800 feet. Radar and radio contact were lost shortly thereafter. Three days later, wreckage was found where the aircraft had crashed. The crash site was 1,820 feet above sea level and 1/2 mile south-southwest of its last observed radar position; the aircraft's average descent angle from the 8,800-foot-altitude position to the crash site was about 51 degrees. The aircraft was extensively damaged during impact. No damage was noted on tall trees that surrounded the accident site. Also, no preimpact mechanical malfunction or failure of the aircraft or engines was found, and no pre-accident impairment of the pilot was found.
Probable cause:
Loss of aircraft control for undetermined reason(s).
Final Report: