Crash of a Piper PA-46-350P Malibu Mirage in Wilkes-Barre

Date & Time: Dec 15, 1993 at 1745 LT
Operator:
Registration:
N92GP
Flight Type:
Survivors:
Yes
Schedule:
Leesburg - Bedford
MSN:
46-22120
YOM:
1991
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
675
Captain / Total hours on type:
175.00
Aircraft flight hours:
206
Circumstances:
While cruising at FL240, the pilot observed the engine oil pressure gradually decrease from the normal to the caution range and a drop in manifold pressure. He requested and received vectors for a precautionary landing at an airport short of his destination. During the descent, the oil pressure continued to drop to zero and engine power was lost. He was able to locate the airport underneath the overcast, but loss of engine power prevented him from reaching the runway. The airplane impacted trees 1,200 feet from the airport. The 6 engine cylinder assemblies were changed 7 hours prior to the accident. Examination of the engine and turbochargers did not reveal the source of the oil loss.
Probable cause:
The loss of engine oil for undetermined reasons and the subsequent engine failure, resulting in a forced landing and collision with trees.
Final Report:

Crash of an IAI-1124 Westwind II in Santa Ana: 5 killed

Date & Time: Dec 15, 1993 at 1733 LT
Type of aircraft:
Operator:
Registration:
N309CK
Survivors:
No
Schedule:
La Verne - Santa Ana
MSN:
350
YOM:
1991
Crew on board:
2
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
5
Captain / Total flying hours:
8228
Captain / Total hours on type:
756.00
Aircraft flight hours:
3027
Circumstances:
A Beech liner, Boeing 757 and Israel Westwind (WW) were vectored for landings on runway 19R. The 757 and WW were sequenced for visual approaches behind the Beech. Before being cleared for visual approach, the WW was closing 3.5 miles from the 757 on a converging course. The 757 and WW crews were told to slow to 150 knots. The 757 slowed below 150 knots and was high on final approach with a 5.6° descent. The WW continued to converge to about 2.1 miles behind the 757 on a 3° approach. ATC did not specifically advise, and was not required by ATC handbook to advise, the WW pilots that they were behind a Boeing 757. Captain discussed possible wake turbulence, flew ILS 1 dot high, noted closeness to the 757 and indicated there should be no problem. While descending thru approximately 1,100 feet msl, the WW encountered wake turbulence from the 757, rolled into a steep descent and crashed. The crew lacked specific wake turbulence training. Chlorpheniramine (common over-the-counter anti-histamine; not approved for flying) detected in pilot's lung tissue (0.094 ug/ml).
Probable cause:
The pilot-in-command's failure to maintain adequate separation behind the Boeing 757 and/or remain above its flight path during the approach, which resulted in an encounter with wake vortices from the 757. Factors related to the accident were: an inadequacy in the ATC procedure related to visual approaches and VFR operations behind heavier airplanes, and the resultant lack of information to the Westwind pilots for them to determine the relative flight path of their airplane with respect to the boeing 757's flight path.
Final Report:

Crash of a Mitsubishi MU-300 Diamond IA in Goodland: 3 killed

Date & Time: Dec 15, 1993 at 1305 LT
Type of aircraft:
Registration:
N710MB
Survivors:
No
Schedule:
Scott City - Goodland
MSN:
78
YOM:
1984
Location:
Crew on board:
2
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
3
Captain / Total flying hours:
17365
Captain / Total hours on type:
80.00
Aircraft flight hours:
2593
Circumstances:
The flight was cleared for the ILS approach to runway 30. The flying pilot was the pilot-in-command. According to the cockpit voice recorder transcripts, the flying pilot had difficulty making a stabilized approach. During the initial descent the airplane entered an overspeed condition and the airplane flew through the localizer. During his attempt to re-establish the airplane on the localizer, the pilot allowed the airspeed to decrease to the point where the prestall 'stick-shaker' activated. The stick shaker continued until the airplane departed controlled flight and impacted terrain. No evidence of any preimpact mechanical anomalies were discovered during the investigation. All three occupants were killed.
Probable cause:
The pilot-in-command's inadvertent stall of the airplane. A factor associated with the accident is the pilot-in-command's poor ifr procedures.
Final Report:

Crash of a Piper PA-46-310P Malibu in Pine Island

Date & Time: Dec 7, 1993 at 1530 LT
Registration:
N4391C
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Pine Island – Kendall-Tamiami
MSN:
46-8508053
YOM:
1985
Crew on board:
1
Crew fatalities:
Pax on board:
4
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
3700
Captain / Total hours on type:
125.00
Circumstances:
The pilot stated that he was attempting a takeoff on a 2,700 foot sod runway and hit a soft spot which decreased his groundspeed by 15 to 20 miles per hour. He continued the takeoff attempt and struck trees at the end of the runway. The airplane fell to the ground and burst into flames.
Probable cause:
The failure of the pilot-in-command to abort the takeoff. A contributing factor was the soft condition of the runway surface.
Final Report:

Crash of a Piper PA-31T Cheyenne II in Norwich: 2 killed

Date & Time: Dec 2, 1993 at 1341 LT
Type of aircraft:
Operator:
Registration:
N515WB
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Easton - Des Moines - Hayward
MSN:
31-7720023
YOM:
1977
Location:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
5200
Captain / Total hours on type:
3.00
Aircraft flight hours:
6685
Circumstances:
En route at FL240, the plane entered a left spiraling descent and subsequently experienced an inflight break-up at 7,000 feet with separation of outboard wings, tail sections and internal vinyl from the nose baggage door. There was no distress call. Witnesses heard the engines and an explosive sound, then they saw the plane in a spin, trailed by falling debris. Debris was strewn over a distance of about 3.5 miles. Light weight pieces including vinyl from the baggage door, wing skin, and tail skin pieces were among the 1st debris on the wreckage path. Tail sections were found about 2.5 miles from the main wreckage with evidence of overload failure; pieces of the wings were found with evidence of downward/overload separation. No preexisting airframe failure was found that would have led to loss of control, inflight breakup, loss of pressurization or hypoxia. The plane was inactive for about 2 years before being purchased 2 months before accident. Last annual inspection was on 6/8/92. Icing was forecast from 9,000 feet to 17,000 feet msl; turbulence was forecast below 8,000 feet msl. Both occupants were killed.
Probable cause:
the pilot's loss of aircraft control for an unknown reason, and subsequent flight that exceeded the design stress limits of the airplane, which resulted in an in-flight airframe breakup.
Final Report:

Crash of a BAe 3101 Jetstream 31 in Hibbing: 18 killed

Date & Time: Dec 1, 1993 at 1950 LT
Type of aircraft:
Operator:
Registration:
N334PX
Survivors:
No
Schedule:
Minneapolis - Hibbing
MSN:
706
YOM:
1986
Flight number:
NW5719
Crew on board:
2
Crew fatalities:
Pax on board:
16
Pax fatalities:
Other fatalities:
Total fatalities:
18
Captain / Total flying hours:
7852
Captain / Total hours on type:
2266.00
Copilot / Total flying hours:
2019
Copilot / Total hours on type:
65
Aircraft flight hours:
17156
Aircraft flight cycles:
21593
Circumstances:
While on a localizer back course approach the airplane collided with trees and the terrain approximately 3 miles from the runway threshold. The captain delayed the start of the descent that subsequently required an excessive descent rate to reach the FAF and MDH. The captain's actions led to distractions during critical phases of the approach. The flightcrew lost altitude awareness and allowed the airplane to descend below mandatory level off points. The captain's record raised questions about his airmanship and behavior that suggested a lack of crew coordination during flight operations, including intimidation of first officers. Company management did not address these matters adequately. The airline's flight operations management failed to implement provisions to adequately oversee the training of their flight crews and the operation of their aircraft. FAA guidance to their inspectors concerning implementation of ops bulletins is inadequate and has failed to transmit valuable safety information as intended to airlines. The aircraft was totally destroyed and all 18 occupants were killed.
Probable cause:
The captain's actions that led to a breakdown in crew coordination and the loss of altitude awareness by the flight crew during an unstabilized approach in night instrument meteorological conditions. Contributing to the accident were: the failure of the company management to adequately address the previously identified deficiencies in airmanship and crew resource management of the captain; the failure of the company to identify and correct a widespread, unapproved practice during instrument approach procedures; and the Federal Aviation Administration's inadequate surveillance and oversight of the air carrier.
Final Report:

Crash of a Cessna T303 Crusader in Rogers: 2 killed

Date & Time: Nov 25, 1993 at 1804 LT
Type of aircraft:
Registration:
N2297C
Flight Type:
Survivors:
No
Schedule:
Arlington - Rogers
MSN:
303-00093
YOM:
1982
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
1786
Captain / Total hours on type:
907.00
Aircraft flight hours:
1450
Circumstances:
The instrument rated private pilot departed on a night ifr cross country flight into forecasted icing conditions. During the approach at his destination airport, the pilot requested lower altitude to attempt to breakout from the weather. After being assigned 3,100 feet and obtaining a clearance for the ILS approach, the pilot cancelled ifr during descent and proceeded visually for the airport. The aircraft operated in an area of reported freezing rain and ice pellets, with fog and drizzle. Control was lost during the turn from base to final approach. Both occupants were killed.
Probable cause:
The pilot's continued flight into known adverse weather conditions, and the ensuing inadvertent stall. Factors were the icing conditions, the fog, the drizzle, the dark night light conditions, and the pilot's disregard for the forecasted weather conditions.
Final Report:

Crash of a Piper PA-46-310P Malibu in Mountain Home: 1 killed

Date & Time: Nov 22, 1993 at 0111 LT
Registration:
N84PM
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Twin Falls - Boise
MSN:
46-8408004
YOM:
1984
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
1915
Captain / Total hours on type:
457.00
Circumstances:
The pilot had been charged with 'lewd and lascivious conduct with a minor.' He was jailed on Friday and released on bond on Saturday. During a meeting with a friend in the pilot's car on Sunday evening, he was drinking beer. The friend said the pilot made comments referring to intentionally crashing the aircraft and that 'he didn't want to die, but didn't know of any other way.' He had a gun in the car and told the friend 'don't call the police or I'll kill myself sooner.' The pilot departed Twin Falls at about 2230 on Sunday night in his PA-46. He flew to Boise, ID (via Ely, NV) before turning back toward Twin Falls. After passing over Boise, intermittent radio contact was made between the airplane and approach control. Radar vectors and descent were issued. Radar contact was lost during descent and pilot announced descending thru 11,000 feet; 38 seconds later, he reported at 6,000 feet. Ground impact was at 4,650 feet. Toxicology tests of the pilot's lung and muscle tissue showed an alcohol level of 175 & 117 mg/dl (0.175% & 0.117%). No preimpact failure of the aircraft was found.
Probable cause:
The pilot's intentional suicide and impairment from consumption of alcohol.
Final Report:

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

Date & Time: Nov 12, 1993 at 0629 LT
Registration:
N27687
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Orlando - Tampa
MSN:
31-7852107
YOM:
1978
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
2465
Aircraft flight hours:
8393
Circumstances:
Cargo was not weighed and weight and balance calculations were not performed. The airplane was about 321 pounds over gross. While taxiing, a witness reported seeing black smoke trailing the left engine which had been worked on the night before the accident. Two cylinders were worked on and a fuel injector nozzle was cleaned. The climb after takeoff was 'low and slow' during which the airplane rolled left, pitched nose down, and impacted the ground coming to rest adjacent to a house. Examination of each engine revealed no evidence of internal mechanical failure or malfunction. Heat damage precluded testing of the magnetos, turbocharger components, and fuel servos of each engine. Examination of each propeller revealed no evidence of preimpact failure or malfunction. The fuel nozzles from the left engine were examined which revealed that they were blocked in various places due to contaminants. After the accident the faa performed a focused inspection of the operator revealing that the cargo was not being weighed, the chief pilot of the company was in name only, and load manifests were not being kept by the company. The pilot, sole on board, was killed.
Probable cause:
In flight loss of control for failure of the pilot-in-command to maintain vmc shortly after takeoff. Contributing to the accident was partial loss of engine power from the left engine due to partial blockage of several of the fuel injector nozzles. Also contributing to the accident was weight and balance exceeded by the pilot-in-command and inadequate surveillance by the company and by the FAA.
Final Report:

Crash of a De Havilland DHC-3 Otter off Thorne Bay

Date & Time: Nov 10, 1993
Type of aircraft:
Registration:
N98AT
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Thorne Bay - Ketchikan
MSN:
181
YOM:
1956
Crew on board:
1
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
The single engine airplane was returning to its base in Ketchikan following maintenance in Thorne Bay. Shortly after takeoff, while climbing, the engine lost power, forcing the pilot to attempt an emergency landing. While landing on water, a control wire snapped, causing the airplane to nose down in the water, coming to rest upside down. All three occupants were rescued by coastguard 20 minutes later and the aircraft sank.
Probable cause:
Loss of engine power on climb out for unknown reasons.