Crash of a BAe 3101 Jetstream 31 in Beckley

Date & Time: Jan 30, 1991 at 2355 LT
Type of aircraft:
Operator:
Registration:
N167PC
Survivors:
Yes
Schedule:
Charlotte - Beckley
MSN:
710
YOM:
1986
Crew on board:
2
Crew fatalities:
Pax on board:
17
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
5000
Captain / Total hours on type:
3400.00
Aircraft flight hours:
8841
Circumstances:
Aircraft was dispatched with inoperative airframe deice system, tho an operational deice system was required for flight in known icing conditions. During descent to land, aircraft encountered light icing conditions. Capt believed aircraft could 'handle it' and continued descent. As he began ILS final approach, he noted significant increase of ice accumulation and used higher than normal approach speed. As full (50°) flaps were set, aircraft began buffet and pitched nose down. Capt corrected with full back pressure on control column, but aircraft landed hard, gear collapsed and aircraft slid about 3,600 feet to a stop. No preimpact mechanical anomaly was found, except for inoperative deice system. Investigation revealed pilots had received printout of weather from company computer system with surface observation and terminal forecast, but no area forecast (FA). Pilots and ground personnel were not aware that FA was available at company weather terminal. FA forecasted light and occasional moderate rime and mixed icing in clouds and precipitation above freezing level. Weather deteriorated, but pilots did not require inflight weather info or pireps. Flight mnl noted tailplane ice may cause nose down trim change with flap extension. There was evidence of tail plane stall, lack of company training in cold weather operations, deficiencies in use of deicing systems, and lack of FAA surveillance.
Probable cause:
Flight into known adverse weather conditions by the pilot, which resulted in ice accumulation on the aircraft and subsequent loss of aircraft control (tail plane stall) as the flaps were fully extended. Factors related to the accident were: the pilot's inadequate use of the preflight briefing service, inadequate training provided to the pilots by company/management personnel, inadequate surveillance by the faa, and icing conditions.
Final Report:

Crash of a Beechcraft U-21D Ute at Yakima-Vagabond AAF

Date & Time: Jan 17, 1991
Type of aircraft:
Operator:
Registration:
67-18121
Flight Type:
Survivors:
Yes
Schedule:
Yakima - Yakima
MSN:
LM-117
YOM:
1967
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
The crew was completing a local training mission at Yakima-Vagabond AAF. On final approach, the crew shut down the left engine to simulate a failure when the aircraft rolled to the left, lost height and crashed about 500 yards short of runway threshold. Both pilots were injured.

Crash of a Beechcraft 200 Super King Air in Vichy

Date & Time: Jan 11, 1991 at 2030 LT
Registration:
N200MR
Flight Type:
Survivors:
Yes
Schedule:
Saint Louis - Vichy
MSN:
BB-219
YOM:
1977
Crew on board:
2
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
7667
Captain / Total hours on type:
258.00
Aircraft flight hours:
1596
Circumstances:
While executing a VOR approach, on a dark, foggy night, depth perception and ground contact were lost when the landing lights were turned on short final. A hard landing resulted, before corrective action became effective, resulting in wing spar, engine mounting support and propeller damage. The runway, and entire airport was covered with about 3 inches of mirror smooth ice, causing considerable glare. All four occupants escaped uninjured.
Probable cause:
A restricted visual outlook and go-around was not performed by the pilot. Factors related to the accident were a dark night, fog and glare, ice covered runway and whiteout conditions.
Final Report:

Crash of a Beechcraft F90 King Air in Nacogdoches

Date & Time: Jan 11, 1991 at 1040 LT
Type of aircraft:
Operator:
Registration:
N311DS
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Nacogdoches - Addison
MSN:
LA-41
YOM:
1980
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
6689
Captain / Total hours on type:
56.00
Aircraft flight hours:
3262
Circumstances:
The pilot reported that shortly after lifting off, the airplane began decelerating slowly. He thought the throttles had retarded; however, all of the engine instruments indicated takeoff power. Realizing that he could not return to the airport, the pilot selected a forced landing area and aimed the airplane between two trees. Investigation revealed that both props were at or near feather pitch angles at impact and being driven under power. Both engines had been changed immediately prior to the flight and both ground idle stops had been adjusted after the engine change with the left engine being slaved to the right. The system operated off of a squat switch on the right gear. Misriging of the right engine would be reflected in the left and allow oil pressure to be vented from the domes, which in turn would allow the propeller cylinder springs to drive the props toward feather as the right strut extended during takeoff. The pilot, sole on board, was seriously injured.
Probable cause:
The loss of thrust due to the propeller's feathering on liftoff as a result of improper adjustments made during an engine change. A factor was the lack of suitable terrain to which the pilot could execute a forced landing.
Final Report:

Crash of a Cessna 421B Golden Eagle II in Muskogee: 6 killed

Date & Time: Jan 5, 1991 at 2043 LT
Registration:
N421H
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Muskogee - Albuquerque
MSN:
421B-0516
YOM:
1973
Crew on board:
1
Crew fatalities:
Pax on board:
5
Pax fatalities:
Other fatalities:
Total fatalities:
6
Captain / Total flying hours:
1820
Captain / Total hours on type:
684.00
Aircraft flight hours:
2580
Circumstances:
A pilot (whose instrument currency could not be determined) took off at night in IMC. Shortly after takeoff, the aircraft crashed about 1.5 mile from the departure end of the runway. There was evidence that it impacted in an 85° right bank, nose down attitude at high speed. No preimpact part failure was found during the investigation; however, during a pre-purchase inspection on 10/16/90, several discrepancies were noted. These included an inop flight director, an autopilot malfunction and a misrigged flight control system that allowed the control wheel to indicate a left turn when the aircraft was in level flight. There was no record of these being repaired. Records showed the pitot-static system was last tested on 3/24/88. The pilot was taking sine-aid and tylenol for a chronic sinus infection. Although tox checks indicated the presence of 50.7 ug/ml of pseudoephedrine and 36.4 ug/ml of acetaminophen in the pilot's urine, none was found in his blood. The sinus cond could have affected the pilot's balance and equilibrium. All six occupants were killed.
Probable cause:
The pilot's failure to maintain control of the aircraft, due to spatial disorientation. Factors related to the accident were: darkness, adverse weather conditions, and the pilot's physical impairment from the chronic sinus infection.
Final Report:

Crash of a Cessna 208 Caravan I in False Pass: 1 killed

Date & Time: Dec 21, 1990 at 1220 LT
Type of aircraft:
Operator:
Registration:
N9444F
Flight Type:
Survivors:
No
Schedule:
Cold Bay - False Pass
MSN:
208-0104
YOM:
1986
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
11000
Captain / Total hours on type:
323.00
Aircraft flight hours:
1787
Circumstances:
The flight departed Cold Bay for the approximately 15 minutes flight to False Pass. There are no weather reporting facilities at False Pass. Cold Bay weather was 4,500 feet overcast, light rain and fog; forecast called for frequent ceilings below 1,000 feet. Wreckage located between two mountains. False Pass weather estimated 400 feet overcast, 2-3 miles in rain and fog, winds 25-30 knots. Fishing boat captain in area estimated winds down the mountain at 60 mph or greater.
Probable cause:
The pilot's improper decision to continue flight into an area of mountainous terrain and adverse weather conditions. The terrain and weather were factors.
Final Report:

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

Date & Time: Dec 18, 1990 at 1130 LT
Registration:
N4082H
Flight Type:
Survivors:
No
Site:
Schedule:
Rock Springs - Evanston
MSN:
31-8152087
YOM:
1981
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
2001
Captain / Total hours on type:
671.00
Circumstances:
The air taxi cargo pilot crashed on a mountainside, about 7 miles from the airport, while on a VOR/DME instrument approach. Variable low ceilings and visibility had prevailed on the day of the accident. The pilot had had the flu for the preceding 2 weeks and was still taking medication. Sole on board, he was killed.
Probable cause:
The pilot's premature descent. Contributing to the accident was the pilot's fatigue and poor weather.
Final Report:

Crash of a Douglas DC-9-14 in Detroit: 8 killed

Date & Time: Dec 3, 1990 at 1345 LT
Type of aircraft:
Operator:
Registration:
N3313L
Flight Phase:
Survivors:
Yes
Schedule:
Detroit - Pittsburgh
MSN:
45708
YOM:
1966
Flight number:
NW1482
Crew on board:
4
Crew fatalities:
Pax on board:
40
Pax fatalities:
Other fatalities:
Total fatalities:
8
Captain / Total flying hours:
23000
Captain / Total hours on type:
4000.00
Copilot / Total flying hours:
4500
Aircraft flight hours:
62253
Circumstances:
On December 3, 1990, at 1345 est, Northwest flight 1482, a DC-9 (N3313L), and Northwest flight 299, a Boeing 727 (N278US), collided near the intersection of runway 09/27 and 03C/21C in dense fog at Detriot-Metropolitan-Wayne County Airport, MI. At the time of the collision, the B-727 was on its takeoff roll, and the DC-9 had just taxied onto the active runway. The B-727 was substantially damaged, and the DC-9 was destroyed. Seven of the 40 passengers and 1 crew member aboard the DC-9 received fatal injuries. None of the 146 passengers and 8 crewmembers aboard the B-727 were injured.
Probable cause:
Lack of proper crew coordination, including virtual reversal of roles by the DC-9 pilots, which led to their failure to stop taxiing and alert ground controller of their positional uncertainty in a timely manner before and after intruding onto the active runway. Contributing to cause of accident were:
- Deficiencies in ATC services provided by Detroit tower, including failure of ground control to take timely action to alert local controller to possible runway incursion, inadequate visibility observation, failure to use progressive taxi instructions low-visibility conditions, and issuance of inappropriate and confusing taxi instructions compounded by inadequate backup supervision for level of experience of staff on duty;
- Deficiencies in surface markings, signage and lighting at airport and failure of FAA surveillance to detect or correct any of these deficiencies;
- Failure of Northwest Airlines to provide adequate cockpit resource management training to line aircrews. Contributing to fatalities was inoperability of DC-9 internal tailcone release mechanism. Contributing to number and severity of injuries was failure of crew of DC-9 to properly execute the passenger evacuation.
Final Report:

Crash of a Rockwell Grand Commander 690A in Ryderwood: 5 killed

Date & Time: Nov 30, 1990 at 1841 LT
Operator:
Registration:
N400N
Flight Type:
Survivors:
Yes
Site:
Schedule:
Nanaimo - Kelso
MSN:
690-11156
YOM:
1974
Crew on board:
1
Crew fatalities:
Pax on board:
5
Pax fatalities:
Other fatalities:
Total fatalities:
5
Captain / Total flying hours:
11714
Captain / Total hours on type:
2647.00
Circumstances:
As the flight was approaching the destination, at night, the pilot obtained vectors for a descent over mountainous terrain. During the approach, he cancelled the IFR flight plan and the aircraft descended below radar coverage. Subsequently, the aircraft crashed in mountainous terrain, northwest of the destination airport. Impact occurred in a wooded area at an elevation of about 2,700 feet. The ELT did not activate during the accident. A search was initiated on 12/1/90, but the aircraft and surviving passenger were not found until the next day. The Canadian ATP pilot and other four passengers were fatally injured. After initial impact with trees, the main portion of the fuselage traveled about 1,000 feet before coming to rest. No preimpact mechanical problem was found.
Probable cause:
The pilot's improper inflight planning and failure to maintain proper altitude in mountainous terrain at night.
Final Report:

Crash of a Piper PA-31-310 Navajo in Enumclaw

Date & Time: Nov 29, 1990 at 1110 LT
Type of aircraft:
Registration:
N13UW
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Provo - Everett
MSN:
31-512
YOM:
1969
Crew on board:
1
Crew fatalities:
Pax on board:
4
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
638
Captain / Total hours on type:
559.00
Circumstances:
During a cross country flight, the pilot failed to plan for the effects of known adverse weather, including strong winds aloft and mountain wave activity. The pilot overflew several possible fuel stops, continuing on toward the destination until the fuel was exhausted. The airplane collided with heavily wooded terrain after the loss of power to both engines.
Probable cause:
Fuel exhaustion due to inadequate preflight planning and preparations, and poor inflight planning and decisions. The pilot elected to fly into known adverse weather conditions, and did not calculate fuel consumption for the planned flight.
Final Report: