Crash of a Cessna 421B Golden Eagle II in Greensburg: 5 killed

Date & Time: Nov 6, 1993 at 0851 LT
Registration:
N41010
Survivors:
No
Schedule:
Pontiac - Greensburg
MSN:
421B-0569
YOM:
1974
Crew on board:
1
Crew fatalities:
Pax on board:
4
Pax fatalities:
Other fatalities:
Total fatalities:
5
Captain / Total flying hours:
2900
Captain / Total hours on type:
225.00
Aircraft flight hours:
2600
Circumstances:
The pilot reported ice accretion en route to his destination and subsequently requested, and received a lower altitude from ATC. The flight was issued a clearance for a VOR-A approach to the Greensburg Airport, and was observed by a witness north of the airport to fly for a short period down runway 18 about seven feet above the runway. The witness then observed the airplane began to climb and fly off in a southerly direction. Other witnesses saw the airplane flying in the vicinity of the airport beneath an overcast ceiling estimated between 300 feet and 1,000 feet AGL. One witness, located about two miles south of the airport, saw the airplane turn sharply left, drop nose low, recover, drop nose low, and then descend from sight behind trees. Investigators and rescue personnel discovered a large amount of ice debris along the flight path and outside the fire ring at the crash site.
Probable cause:
An inadvertent stall by the pilot in command. Factors associated with the accident are the icing conditions and low ceilings.
Final Report:

Crash of a Beechcraft 300 Super King Air on Mt Knob: 3 killed

Date & Time: Oct 26, 1993 at 1552 LT
Operator:
Registration:
N82
Flight Phase:
Flight Type:
Survivors:
No
Site:
Schedule:
Atlantic City - Winchester - Newport News
MSN:
FF-17
YOM:
1988
Crew on board:
3
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
3
Captain / Total flying hours:
6700
Captain / Total hours on type:
2000.00
Aircraft flight hours:
3353
Circumstances:
The airplane departed Winchester Regional Airport under VFR mode and was completing a routine point-to-point flight to Newport News/Williamsburg International Airport (PHF), Virginia after conducting a flight inspection of the ILS at Winchester Regional Airport. After takeoff, while flying at an altitude of 2,000 feet, the crew requested permission to climb but this was denied by ATC due to traffic. Awaiting an IFR clearance, the aircraft struck the slope of Mt Knob located about 30 miles southwest from Winchester Airport. All three occupants were killed.
Probable cause:
Failure of the pilot-in-command to ensure that the airplane remained in visual meteorological conditions over mountainous terrain, and the failure of Federal Aviation Administration executives and managers responsible for the FAA flying program to:
(1) establish effective and accountable leadership and oversight of flying operations;
(2) establish minimum mission and operational performance standards;
(3) recognize and address performance-related problems among the organization's pilots; and
(4) remove from flight operations duty pilots who were not performing to standards.
Final Report:

Crash of a Cessna 207A Stationair 7-II near Kenai: 1 killed

Date & Time: Oct 16, 1993 at 0630 LT
Operator:
Registration:
N208SC
Flight Phase:
Flight Type:
Survivors:
No
Site:
Schedule:
Kenai - Homer
MSN:
207-0445
YOM:
1978
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
1487
Captain / Total hours on type:
175.00
Aircraft flight hours:
9067
Circumstances:
The pilot reportedly flew a route along the power lines between Kenai and Homer. The flight took place on a dark moonless night over rising terrain. The accident site was located 200 yards east of the power lines. Radar data shows the airplane in the area of the crash site at a steady state heading, airspeed, and level altitude. This flight marked the first time that the pilot did not complete a company flight plan. On his off days, the pilot got 9-11 hours of sleep. His wife said he was not a morning person. The pilot had commented to her that when away from home, the quality of his sleep was poor. On the day of the accident, the pilot was awake at 0340 for the 0500 departure; he had about 6 hours of sleep.
Probable cause:
The pilot's failure to maintain adequate altitude for terrain clearance. Factors which contributed to the accident were: the pilot's lack of usual sleep, the night light condition and hilly terrain.
Final Report:

Crash of a Piper PA-31-310 Navajo off Hilo

Date & Time: Oct 13, 1993 at 1414 LT
Type of aircraft:
Registration:
N7079J
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Christmas Island - Hilo
MSN:
31-663
YOM:
1970
Location:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
3500
Captain / Total hours on type:
100.00
Aircraft flight hours:
4356
Circumstances:
During an oceanic ferry flight, the right engine developed magneto problems which resulted in only residual power being available. The pic increased the power on the remaining left engine, but it soon overheated. The pic elected to ditch the airplane into the pacific ocean. Both crewmembers were successfully rescued.
Probable cause:
Failure of the right engine's magnetos for undetermined reasons and the resulting overtemperature of the remaining left engine.
Final Report:

Crash of a Douglas C-54G-15-DO Skymaster in Point Lay

Date & Time: Oct 8, 1993 at 1735 LT
Type of aircraft:
Operator:
Registration:
N811E
Flight Type:
Survivors:
Yes
Schedule:
Fairbanks - Point Lay
MSN:
36080
YOM:
1945
Crew on board:
2
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
20000
Captain / Total hours on type:
2400.00
Aircraft flight hours:
28585
Circumstances:
The captain stated there were no runway condition reports and a local contact stated the runway was in good condition. They landed and the braking action was nil. The captain maneuvered the airplane to a dry patch of dirt on the left side of the runway. When the main gear rolled onto the dry patch the airplane veered sharply to the left and departed the runway. Both crewmembers stated a go around was not possible. According to landing performance charts, the minimum landing runway length was 4,500 feet on a dry hard surface runway. The actual runway length was 3,500 feet.
Probable cause:
The pilot-in-command's failure to perform proper preflight planning by not computing the required landing runway length.
Final Report:

Crash of a Piper PA-31P Pressurized Navajo in San Antonio: 1 killed

Date & Time: Sep 27, 1993 at 1723 LT
Type of aircraft:
Registration:
N891SP
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
San Antonio - San Antonio
MSN:
31-7300145
YOM:
1973
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
1668
Captain / Total hours on type:
12.00
Aircraft flight hours:
6374
Circumstances:
During takeoff roll, the left engine began to emit black smoke. The tower informed the pilot, who did not respond, and continued his takeoff. After becoming airborne, the aircraft was observed to level off then enter a left turn and impact the ground approximately 2 miles west of the airport. Examination of the engine provided no evidence of malfunction. Review of available pilot records indicated the pilot had 12 hours in type.
Probable cause:
Failure by the pilot-in-command to maintain VMC following takeoff. Factors were: partial loss of power to one engine for undetermined reason, and lack of total experience in aircraft type.
Final Report:

Crash of a Rockwell Grand Commander 690A in Lansing: 2 killed

Date & Time: Sep 27, 1993 at 1123 LT
Registration:
N242TC
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Lansing - Battle Creek
MSN:
690-11219
YOM:
1974
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
8790
Aircraft flight hours:
4373
Circumstances:
The airplane departed in IMC conditions on an IFR flight plan. Shortly after takeoff the pilot told the departure controller he had '...a problem.' The airplane's flight path was a series of left hand turns while performing descents and ascents. Reports of engine sounds varied from high rpm to low rpm. Many witnesses reported the airplane descending out of, and climbing into, clouds. The airplane was observed in a 45° angle descent, right wing low, as it collided with trees and the ground. The on-scene investigation found an intermittent electric gyro system inverter, a broken filament on the inverter power 'out' light bulb, electrically powered gyro's rotors did not have rotational damage, and a vacuum powered attitude indicator rotor with rotational damage. The pilot's toxicology report stated 45 mg/dl of ethanol detected in his muscle tissue.
Probable cause:
The pilot-in-command not maintaining aircraft control during the intermittent operation of the electrically operated attitude gyro. Factor's associated with this accident are an fluctuating (intermittent) electrical system inverter and the pilot-in-command not performing remedial action by using the vacuum powered attitude gyro and other flight instruments once the airplane was making a series of climbs, descents, and heading changes.
Final Report:

Crash of a Learjet 25D on Mt Rowe: 7 killed

Date & Time: Sep 5, 1993 at 1715 LT
Type of aircraft:
Registration:
N999BH
Flight Phase:
Flight Type:
Survivors:
No
Site:
Schedule:
Houston - Santa Fe
MSN:
25-318
YOM:
1980
Crew on board:
2
Crew fatalities:
Pax on board:
5
Pax fatalities:
Other fatalities:
Total fatalities:
7
Captain / Total flying hours:
17000
Captain / Total hours on type:
4000.00
Aircraft flight hours:
4973
Circumstances:
While descending to his destination the pilot in command (pic) canceled his IFR clearance and declined VFR flight following. Witnesses observed the aircraft maneuvering at low altitude in the area where the accident occurred, approximately 25 miles from the destination airport. The aircraft impacted rising terrain at 7,300 feet msl. Toxicological testing revealed that the pic and two passengers had cocaine and alcohol in tissue samples. At an unknown time the pic left the cockpit. Based on cockpit voice recorder analysis, he was called back to the cockpit approximately 11 minutes prior to the accident by the copilot. The copilot had no previous Lear experience. Toxicological test results indicated that the pic 'used cocaine in the very recent past, probably while in-flight' and concluded that he 'was impaired by multiple drug use of cocaine and alcohol.' The investigation did not reveal any structural or system failure or malfunction. All seven occupants were killed.
Probable cause:
Physical impairment of the pilot in command from alcohol and drugs. A factor was the first officer's lack of experience in the Learjet.
Final Report:

Crash of a Piper PA-46-350P Malibu Mirage in Block Island

Date & Time: Sep 5, 1993 at 1108 LT
Operator:
Registration:
N46DK
Flight Type:
Survivors:
Yes
Schedule:
Manchester - Block Island
MSN:
46-22010
YOM:
1989
Crew on board:
1
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
4100
Captain / Total hours on type:
700.00
Aircraft flight hours:
998
Circumstances:
During an approach to land, the pilot made S-turns to allow for proper spacing from a preceding airplane. On short final, he decided to go around because the runway was still not clear. However, he reported there was a lack of response concerning the power, so he decided to land as originally planned. The pilot tried to align the airplane with the runway centerline, but its right wing and landing gear struck the ground, and the right landing gear collapsed. The airplane skidded off the right side of the runway. During the accident sequence, the outward portion of the right wing was torn away from the airplane and a fuel line was ruptured. A ground fire erupted and burned through the right side of the airplane's structure and right wing. No preimpact part failure or malfunction was reported.
Probable cause:
Improper in-flight planning/decision by the pilot, and his failure to attain proper runway alignment.
Final Report:

Crash of a De Havilland DHC-2 Beaver in Iliamna: 3 killed

Date & Time: Aug 31, 1993 at 1105 LT
Type of aircraft:
Operator:
Registration:
N64273
Flight Phase:
Survivors:
Yes
Schedule:
Iliamna - Stayhok River
MSN:
897
YOM:
1956
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
5
Pax fatalities:
Other fatalities:
Total fatalities:
3
Captain / Total flying hours:
1100
Captain / Total hours on type:
900.00
Aircraft flight hours:
5518
Circumstances:
While maneuvering at low altitude to observe moose, the airplane stalled into the ground. The lodge's senior pilot stated that the lodge had no recurrent training program. Three passengers were killed while three other occupants including the pilot were seriously injured.
Probable cause:
The pilot's failure to maintain airspeed resulting in an inadvertent stall. A factor in the accident was the inadequate recurrent training of the pilot by the operator/management.
Final Report: