Crash of a Swearingen SA226T Merlin III in Santa Fe: 4 killed

Date & Time: May 25, 1993 at 2114 LT
Type of aircraft:
Registration:
N241DT
Flight Type:
Survivors:
No
Schedule:
Albuquerque - Santa Fe
MSN:
T-242
YOM:
1973
Crew on board:
3
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
4
Captain / Total flying hours:
7125
Captain / Total hours on type:
3550.00
Aircraft flight hours:
3677
Circumstances:
The purpose of the training flight was to conduct part 135 checkrides for a pilot-in-command and a second-in-command upon completion of the crew's training. The checkride was being observed by an FAA inspector seated in the cabin. After completing an ILS approach to runway 02, the flight was cleared to circle to land on runway 15. The airplane was observed overflying runway 15 and lined up for runway 20. The tower advised the pilot that he was lined up for runway 20, and was given the option to land on either runway 15 or runway 20. The pilot opted for runway 15 and was cleared to a right downwind. The airplane impacted a hill at the 6,870-feet level near the crest, approximately 5 miles west of the airport. The published circling MDA for the ILS runway 02 approach is 6,860 feet. The airport is located about 9 miles from the city, and several local pilots reported a total lack of visual reference in that segment. All four occupants were killed.
Probable cause:
The pilot's poorly planned circling approach, and his failure to maintain an adequate altitude. Factors which contributed to the accident were: the dark night and a lack of visual reference.
Final Report:

Crash of a Beechcraft C18S in North Branch: 1 killed

Date & Time: May 22, 1993 at 1300 LT
Type of aircraft:
Operator:
Registration:
N67E
Flight Type:
Survivors:
Yes
Schedule:
North Branch - North Branch
MSN:
6252
YOM:
1944
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
4000
Captain / Total hours on type:
500.00
Circumstances:
The flight originated at 1235. The pilot performed two fly-by passes for the dedication of a nearby mall. The pilot radioed for clearance to land at the private airport which he owned. He was given clearance to land and told the wind was from the south at 20 knots. The pilot landed on runway 09. During landing roll, the airplane was seen to nose over. The cockpit, cabin, and left wing of the airplane were consumed by fire. The passenger escaped through the over-wing emergency exit on the right side of the cabin. He stated the pilot was lying near the rear door and would not respond to stimulus. The investigation revealed two skid marks in the grass which terminated at the airplane wreckage. The mark made by the right main landing gear was 750 feet long. The skid mark made by the left main landing gear was 560 feet long. The passenger was seriously injured and the pilot was killed.
Probable cause:
Excessive use of brakes by the pilot-in-command.
Final Report:

Crash of a Cessna 207A Stationair 7 near Holy Cross

Date & Time: May 6, 1993 at 1530 LT
Operator:
Registration:
N70364
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Shageluk - Aniak
MSN:
207-0550
YOM:
1979
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
5395
Captain / Total hours on type:
1470.00
Aircraft flight hours:
7801
Circumstances:
The pilot reported that while in cruise flight looking at birds out the left side cockpit window he observed peripherally a 'white flash' fill the right side of the forward wind screen followed immediately by an audible 'thump'. The airplane began an uncontrollable descent and yaw to the right. The engine continued to run smoothly. Advancing the engine power controls had no noticeable effect on his ability to arrest the descent. The NTSB investigator in charge visited the accident site. No evidence was found of a bird strike. The accident site was surrounded by tall (white) birch trees. The pilot stated that he was not sure what he struck and that it could have been a tree.
Probable cause:
The failure of the pilot in command to maintain the proper altitude. The trees were a factor in the accident.
Final Report:

Crash of a Beechcraft E18S in Lone Rock: 1 killed

Date & Time: May 4, 1993 at 0140 LT
Type of aircraft:
Operator:
Registration:
N80CB
Flight Type:
Survivors:
No
Schedule:
Aurora - Minneapolis
MSN:
BA-257
YOM:
1957
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
4492
Captain / Total hours on type:
310.00
Aircraft flight hours:
15027
Circumstances:
The pilot of a twin-engine cargo airplane shut down the left engine and feathered the propeller due to a loss of engine oil. The FAA ARTCC handling the flight vectored the airplane toward a VOR. Due to the airplane's altitude and distance from the center's radar, the pilot of the airplane had to perform a full instrument approach procedure. The airplane maintained its enroute assigned altitude until passing the VOR outbound. Ntap readouts show the airplane descending throughout the procedure turn and inbound leg of the approach. The airplane's last radar contact was 300 feet below the inbound altitude for the approach while outside the final approach fix. The airplane collided with trees and terrain approximately 2 1/4 miles from the airport. The VOR is 5.5 miles from the airport. The on-scene investigation revealed the left engine's propeller had been feathered, its number nine cylinder mounting studs on the engine's case were crushed downward or were broken off at the case's surface, and the landing gear had been extended. The pilot, sole on board, was killed.
Probable cause:
The National Transportation Safety Board determines the probable cause(s) of this accident to be: was a pre-mature extension of the landing gear by the pilot which resulted in the inability of
the pilot to maintain the minimum descent altitude. Factors related to the accident were the loose cylinder and loss of oil.
Final Report:

Crash of a Dornier DO.28A-1 in Paradise

Date & Time: May 2, 1993 at 1250 LT
Type of aircraft:
Operator:
Registration:
N12828
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Susanville - Susanville
MSN:
3023
YOM:
1961
Crew on board:
1
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
18570
Captain / Total hours on type:
54.00
Aircraft flight hours:
3625
Circumstances:
The pilot reported that about 20 minutes into the flight, the left engine lost power. He turned the left firewall mounted electric boost pump on and selected left aux tank. The left engine regained power. He selected the right engine to right aux tank. After 20-30 seconds both engines quit. He was unable to restart either engine and landed the airplane in heavy brush at about 40 knots. The faa reported the pilot stated that he mismanaged the fuel, and waited too long to switch tanks.
Probable cause:
The poor in flight fuel consumption calculations by the pilot and the pilot's in flight decision not to switch fuel tanks which caused the total failure of both of the airplane's engines. Factors relating to this accident were fuel starvation and the high vegetation in the emergency landing area.
Final Report:

Crash of a Beechcraft 65-A90 King Air in Mount Ida: 2 killed

Date & Time: May 1, 1993 at 0637 LT
Type of aircraft:
Registration:
N530N
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Mount Ida - Huntington
MSN:
LJ-141
YOM:
1966
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
3100
Captain / Total hours on type:
650.00
Aircraft flight hours:
8660
Circumstances:
Approximately 7 minutes after takeoff, the airplane collided with terrain approximately 3 miles from the departure airport. The accident site was 1,100 feet msl; the highest terrain in the area is 1,400 feet msl. The departure airport elevation is 643 feet msl. According to witnesses, the airplane disappeared into clouds at approximately 200 feet following takeoff, and that the hills to the southeast were obscured by clouds. The pilot had about 4 hours sleep the night before the accident flight. Both occupants were killed.
Probable cause:
The pilot's failure to establish an adequate climb rate. Factors in the accident were: pilot fatigue from lack of sleep, and the weather conditions.
Final Report:

Crash of an Embraer EMB-120RT Brasília in Pine Bluff

Date & Time: Apr 29, 1993 at 1555 LT
Type of aircraft:
Operator:
Registration:
N24706
Flight Phase:
Survivors:
Yes
Schedule:
Little Rock - Houston
MSN:
120-093
YOM:
1988
Flight number:
CA2733
Crew on board:
3
Crew fatalities:
Pax on board:
27
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
3600
Captain / Total hours on type:
2600.00
Copilot / Total flying hours:
3300
Copilot / Total hours on type:
700
Aircraft flight hours:
10398
Circumstances:
In climb, captain (pic) increased pitch, when flight attendant (f/a) entered cockpit and suggested faster climb, so she could begin cabin service. Autoflight was set in pitch and heading modes, contrary to company policy. Pic and f/a had non- pertinent conversation for 4.5 min, while 1st officer (f/o) was making log entries. Airplane stalled in IMC at 17,400 feet. Initial recovery was at 6,700 feet after f/o lower gear, then due to improper recovery, 2nd stall occurred and recovery was at 5,500 feet. Left propeller shed 3 blades, left engine cowling separated, left engine was shut down in descent. Level flight could not be maintained and forced landing was made at closed airport. Pic overshot final turn due to controllability problems and landed fast with 1,880 feet of wet runway remaining. Airplane hydroplaned off runway and was further damaged. Crew got limited sleep during 3 day trip, though rest periods available. Freezing level near 11,500 feet, clouds tops to 21,000 feet with potential for icing to 19,000 feet. No pre-accident malfunction was found.
Probable cause:
The captain's failure to maintain professional cockpit discipline, his consequent inattention to flight instruments and ice accretion, and his selection of an improper autoflight vertical mode, all of which led to an aerodynamic stall, loss of control, and a forced landing. Factors contributing to the accident were: poor crew discipline, including flightcrew coordination before the stall and the flightcrew's inappropriate actions to recover from the loss of control. Also contributing to the accident was fatigue induced by the flightcrew's failure to properly manage provided rest periods.
Final Report:

Crash of a Cessna 421B Golden Eagle II in Chesterfield: 2 killed

Date & Time: Apr 29, 1993 at 1400 LT
Registration:
N4939M
Flight Type:
Survivors:
No
Schedule:
Chesterfield - Chesterfield
MSN:
421B-0632
YOM:
1974
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
5850
Aircraft flight hours:
3726
Circumstances:
Two foreign pilots took off VFR to remain in the vicinity of an airport on the outskirts of a metropolitan area. No record was found to show the airplane had been fueled either before or after the preceding flight. The flight crew contacted an area approach control and requested an ILS approach to test their ILS equipment without specifying an airport. Approach control issued and the flight crew accepted vectors to another airport for which the pilots had no approach plate or airport information. Vectors took the airplane about 25 miles from the departure airport. The flight crew requested to proceed back to the departure airport. A short time later, the flight crew declared an emergency due to low fuel, then radar contact was lost. Witnesses at a landfill heard an intermittent sound from the engine(s). The airplane came into their view with one engine running, then the engine sound ceased. They indicated the airplane went out of control and crashed, but one engine accelerated just before impact. A small fire was confined to the left wing. Both occupants were killed.
Probable cause:
Improper planning/decision by the pilot, which resulted in fuel exhaustion, due to an inadequate supply of fuel, and the pilot's failure to maintain control of the airplane during approach to an emergency landing. A related factor was: failure of the pilot to refuel the airplane before flight.
Final Report:

Crash of a Beechcraft C99 Airliner near Shelton: 2 killed

Date & Time: Apr 28, 1993 at 2350 LT
Type of aircraft:
Operator:
Registration:
N115GP
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Grand Island - Grand Island
MSN:
U-228
YOM:
1986
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
5611
Captain / Total hours on type:
2200.00
Copilot / Total flying hours:
1666
Copilot / Total hours on type:
44
Aircraft flight hours:
6962
Circumstances:
The flight was a part 135 six-month proficiency check for the pilot in the left seat. Both pilots were check airmen for the commuter air carrier. The flight took off at 2343 after cessation of company revenue operations. The cockpit voice recorder recorded conversation of both pilots discussing aerobatics. The pilot in the left seat started to describe the performance of a prohibited maneuver (apparently a barrel roll). The recording ended before description of the maneuver was completed. The airplane impacted in a nose level attitude with the left wing slightly down. There was evidence the maneuver was performed at an altitude insufficient to assure recovery of the airplane. A filled out grade sheet for the flight being flown was found in the check airman's mailbox. Both pilots were killed.
Probable cause:
The deliberate disregard for the federal aviation regulations, gp express procedures, and prudent concern for safety by the two pilots in their decision to execute an aerobatic maneuver during a scheduled check ride flight, and the failure of gp express management to establish and maintain a commitment to instill professionalism in their pilots consistent with the highest levels of safety necessary for an airline operating scheduled passenger service.
Final Report:

Crash of a Cessna 414A Chancellor in Statesboro: 1 killed

Date & Time: Apr 27, 1993 at 2003 LT
Type of aircraft:
Registration:
N47WD
Flight Type:
Survivors:
Yes
Schedule:
Hilton Head – Statesboro
MSN:
414A-0235
YOM:
1979
Crew on board:
1
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
4650
Circumstances:
A student pilot in American AA-1A, N9317L, was on an approach to land on runway 05 of the uncontrolled airport, as a commercial pilot in Cessna 414A, N47WD, was on an approach to land on runway 14. The two runways intersected near their approach ends. The two aircraft collided as they were about to touch down at dusk over the intersection. Witnesses on the ground stated that they observed lights on the Cessna, but did not observe any lights on the American. Witnesses in other aircraft in the area stated that they heard the pilot of the american announcing his position in the traffic pattern and landing intentions, but did not hear the pilot of the Cessna on the Unicom frequency. The pilot of the Cessna stated that he announced his intention to land on runway 14 over Unicom frequency 123.0. The published Unicom frequency for the Statesboro Airport was 122.8.
Probable cause:
Inadequate visual lookout by the pilots of both aircraft. Factors related to the accident were: failure of the pilot of N9317L to illuminate his aircraft navigation lights, and improper radio communications by the pilot of N47WD by selecting the wrong unicom frequency to monitor and announce his landing intentions and position.
Final Report: