Crash of a Piper PA-46-350P Malibu Mirage in Bakersfield: 2 killed

Date & Time: Feb 6, 1990 at 1548 LT
Operator:
Registration:
N8888M
Flight Phase:
Survivors:
No
Schedule:
Porterville – Redlands
MSN:
46-22091
YOM:
1989
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
8155
Captain / Total hours on type:
51.00
Aircraft flight hours:
62
Circumstances:
Before takeoff, pilot was advised of IFR conditions along 1st part of route, with flight predictions for occasional moderate turbulences below 15,000 feet and mixed icing from freezing level (6,000 feet) to 18,000 feet. He filed IFR flight plan with cruise altitude of 11,000 feet. During departure, pilot was cleared to climb to 9,000 feet and told to expect clearance to 11,000 feet 5 minutes later. Radar data showed aircraft climbed at about 1,500 feet/minute and 100 knots, slowing slightly above 8,000 feet. At abt 9,000 feet, aircraft started to level and accelerate. It then climbed momentarily, deviated laterally from course and entered steep descent. Inflight breakup occurred and wreckage was scattered over 4,100 feet area. Trajectory study showed breakup occurred between 4,500 feet and 6,500 feet as aircraft was in steep descent in excess of 266 knots. Metallurgical examination of wings and stabilizers revealed features typical of overstress separation; no pre-existing cracks or defects were found. The aircraft was recently purchased. Pilot's son indicated principal problem was 'twenty year leap in technology' from previously owned PA-24, that pilot had difficulty with avionics and flight director/autopilot, and that he lacked detail training in autopilot emergencies. Both occupants were killed.
Probable cause:
The pilot's failure to activate the pitot heat before flying at and above the freezing level in instrument meteorological conditions (IMC), followed by his improper response to erroneous airspeed indications that resulted from blockage of the pitot tube by atmospheric icing. Contributing to the accident was spatial disorientation of the pilot.
Final Report:

Crash of a Cessna 402B in Baker: 1 killed

Date & Time: Feb 5, 1990 at 1130 LT
Type of aircraft:
Registration:
N50GP
Flight Phase:
Flight Type:
Survivors:
No
Site:
Schedule:
Pendleton - Baker
MSN:
402B-1088
YOM:
1976
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
3800
Captain / Total hours on type:
51.00
Aircraft flight hours:
9672
Circumstances:
During a scheduled cargo flight, the pilot diverted from the normal route and travelled through mountainous terrain. The radar plot indicated that the airplane was in a gradual climbing left turn when the collision occurred. The weather in the area at the time of the accident reported snow showers in the mountainous area. The pilot, sole on board, was killed.
Probable cause:
Pilot displayed poor inflight planning by selecting to fly into known adverse weather conditions. The pilot did not maintain an adequate visual lookout when operating in snow shower conditions and collided into the terrain.
Final Report:

Crash of a Rockwell Sabreliner 40R in Detroit

Date & Time: Feb 3, 1990 at 1540 LT
Type of aircraft:
Registration:
N50CD
Flight Type:
Survivors:
Yes
Schedule:
Tampa - Detroit
MSN:
282-42
YOM:
1965
Crew on board:
2
Crew fatalities:
Pax on board:
4
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
The aircraft was completing a flight from Tampa to Detroit on behalf of the Detroit City Police. After landing on runway 15 at Coleman A. Young Airport, the airplane encountered difficulties to stop within the remaining distance, overran and came to rest. All six occupants escaped uninjured while the aircraft was damaged beyond repair.

Crash of a Cessna 425 Conquest I in Augusta

Date & Time: Jan 31, 1990 at 1415 LT
Type of aircraft:
Operator:
Registration:
N6846D
Survivors:
Yes
Schedule:
Columbia - Augusta
MSN:
425-0078
YOM:
1981
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
2788
Captain / Total hours on type:
308.00
Aircraft flight hours:
1392
Circumstances:
The pilot detected an unacceptable sink rate on short final approach and initiated a go-around. After applying power and retracting the landing gear, the left wing dropped and struck the runway. The aircraft then ground looped and came to rest with substantial damage. The pilot escaped uninjured while the aircraft was damaged beyond repair.
Probable cause:
Failure of the pilot to maintain control of the aircraft during the go-around. A factor related to the accident was: the pilot's delay in initiating the go-around.
Final Report:

Crash of a Hawker-Siddeley HS.125-3B in Columbia: 1 killed

Date & Time: Jan 30, 1990 at 2205 LT
Type of aircraft:
Operator:
Registration:
G-OBOB
Survivors:
Yes
Schedule:
Crossville - Olathe
MSN:
25069
YOM:
1966
Crew on board:
2
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
1525
Captain / Total hours on type:
400.00
Aircraft flight hours:
8720
Circumstances:
The aircraft was en route at 31,000 feet, when the low pressure fuel filter warning light illuminated. The pilot diverted toward Columbia, MO, but before reaching Columbia, both engines lost power. Subsequently, the aircraft crashed about 2 miles east of the airport. An investigation revealed the fuel was contaminated with water. The fuel filter deicing system was operational, but a post-accident examination revealed the deicing tank was empty. This was the 2nd flight since the deice tank had been serviced. The manufacturer's info indicated the supply tank should have provided about 3 to 4 hours of filter deicing operation. One of the pilots was killed.
Probable cause:
Inadequate preflight by the pilot(s), water contamination of the fuel, low level of deice fluid (methanol) in the deice tank, and subsequent ice blockage of the fuel filters. Darkness was a related factor.
Final Report:

Crash of a Cessna 208B Grand Caravan in Burlington: 2 killed

Date & Time: Jan 29, 1990 at 2100 LT
Type of aircraft:
Operator:
Registration:
N4688B
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Burlington - Albany
MSN:
208B-0169
YOM:
1989
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
3110
Captain / Total hours on type:
270.00
Aircraft flight hours:
371
Circumstances:
The pilot failed to deice the wings prior to the takeoff and overloaded the airplane by 360 lbs structurally and 1,100 lbs for flight in icing conditions. There was moderate snow falling at the time of takeoff. The takeoff roll was described as long and a witness saw the wings rocking from side to side after takeoff. The airplane struck trees one mile off the end of the runway, crashed and burned. Post accident investigation found snow contamination on the top of one wing that did not burn and the top of the horizontal stabilizers and elevators. No discrepancies were found with the engine or airframe. Both occupants were killed.
Probable cause:
The failure of the pilot to de-ice the airplane prior to departure, and his decision to make the takeoff at a weight that exceeded both the maximum structural takeoff weight and the reduced takeoff weight allowed for icing conditions resulting in an inadvertent stall.
Final Report:

Crash of a Cessna 208B Super Cargomaster in Plattsburgh: 1 killed

Date & Time: Jan 29, 1990 at 2033 LT
Type of aircraft:
Operator:
Registration:
N854FE
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Plattsburgh - Syracuse
MSN:
208B-0172
YOM:
1989
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
4999
Captain / Total hours on type:
1482.00
Aircraft flight hours:
390
Circumstances:
The Cessna 208B made a takeoff with light wet snow falling, at night. The airplane reached an altitude of 700 feet agl prior to making a steep descent, striking trees and impacting inverted. Radar data showed the aircraft lift off point and initial climb rate approached that shown in the flight manual for short field technique. Two other Cessna 208's preceded the accident aircraft from the same airport, one 13 minutes prior and the other 3 minutes prior. Radar data showed they climbed at a slower rate. The accident airplane had come from a hangar and was not deiced prior to departure. A pilot flying a identical airplane with a similar load commented that his climb rate was lower than normal. Another pilot commented that this was the first wet snow of the year and it was sticking to his engine cowling. The pilot, sole on board, was killed.
Probable cause:
Loss of control inflight after the airplane stalled during climbout. The stall resulted from a loss of lift due to a contaminated wing surface. Contributing to the accident was the failure of the pilot to de-ice the aircraft prior to departure.
Final Report:

Crash of a Boeing 707-321B in Cove Neck: 73 killed

Date & Time: Jan 25, 1990 at 2134 LT
Type of aircraft:
Operator:
Registration:
HK-2016
Survivors:
Yes
Schedule:
Bogotá – Medellín – New York
MSN:
19276/592
YOM:
1967
Flight number:
AV052
Crew on board:
9
Crew fatalities:
Pax on board:
149
Pax fatalities:
Other fatalities:
Total fatalities:
73
Captain / Total flying hours:
16787
Captain / Total hours on type:
1534.00
Copilot / Total flying hours:
1837
Copilot / Total hours on type:
64
Aircraft flight hours:
61764
Circumstances:
Avianca flight 052 (AV052), a Boeing 707-321B with Colombian registration HK-2016, crashed in a wooded residential area in Cove Neck, Long Island, NY. AV052 was a scheduled international passenger flight from Bogotá, Colombia, to New York-JFK Intl Airport, NY, with an intermediate stop at Jose Maria Cordova Airport, near Medellín, Columbia. Of the 158 persons aboard, 73 were fatally injured. Because of poor weather conditions in the northeastern part of the United States, the flightcrew was placed in holding 3 times by ATC for a total of about 1 hour and 17 minutes. During the 3rd period of holding, the flightcrew reported that the aircraft could not hold longer than 5 minutes, that it was running out of fuel, and that it could not reach its alternate airport, Boston-Logan Intl. Subsequently, the flightcrew executed a missed approach to JFK Intl Airport. While trying to return to the airport, the aircraft experienced a loss of power to all 4 engines and crashed approximately 21 miles northeast of JFK Airport.
Probable cause:
The failure of the flightcrew to adequately manage the airplane's fuel load, and their failure to communicate an emergency fuel situation to air traffic control before fuel exhaustion occurred. Contributing to the accident was the flightcrew's failure to use an airline operational control dispatch system to assist them during the international flight into a high-density airport in poor weather. Also contributing to the accident was inadequate traffic flow management by the faa and the lack of standardized understandable terminology for pilots and controllers for minimum and emergency fuel states. The safety board also determines that windshear, crew fatigue and stress were factors that led to the unsuccessful completion of the first approach and thus contributed to the accident.
Final Report:

Crash of a Gulfstream GII in Little Rock: 7 killed

Date & Time: Jan 19, 1990 at 1710 LT
Type of aircraft:
Operator:
Registration:
N46TE
Survivors:
No
Schedule:
Longview - Little Rock
MSN:
243
YOM:
1979
Crew on board:
2
Crew fatalities:
Pax on board:
5
Pax fatalities:
Other fatalities:
Total fatalities:
7
Captain / Total flying hours:
20000
Captain / Total hours on type:
160.00
Copilot / Total flying hours:
20000
Copilot / Total hours on type:
160
Aircraft flight hours:
5812
Circumstances:
During arrival, heavy rain showers were reported west of airport. At the airport, the weather was about 200 feet obscured with fog and drizzle, wnd was easterly at 5 to 7 knots. The pilots intended to land on runway 22, but after being told the wind was gusting to 27 knots, they elected to land on runway 04. The actual wind was not gusty. The erroneous gust indication was from a malfunction of the LLWAS. On final approach for an ILS runway 04 approach, the flight was advised the wind was from 030° at 5 knots and the RVR was 1,800 feet. Minimum RVR for the approach was 2,400 feet. The crew acknowledged; 22 seconds later, the ELT activated as the aircraft touched down 1,600 feet short of runway 04 and hit approach lighting system, railroad tracks and a fence. Investigations revealed the aircraft descended thru windshear. While maneuvering onto final approach; ground speed varied between 320 and 190 knots as aircraft was maneuvered thru tailwind to headwind near faf. CVR data verified a delay in descent from 4,000 feet to 1,900 feet before reaching faf and that the gear warning horn sounded before extension of gear and speed brakes. There was evidence of low engine rpm during impact, but no preimpact mechanical problem was found. Each pilot had over 10,000 hours of flight time, but only about 160 hours each in jet aircraft. All seven occupants were killed.
Probable cause:
Failure of the pilot-in-command to follow IFR procedures (maintain an ILS glide path or initiate a missed approach) during an ifr arrival to the airport. Factors related to the accident were:
- Unfavorable weather conditions,
- An erroneous wind indication from the low level windshear alert system (LLWAS), which resulted in an inaccurate weather (wind) observation, and
- Failure of the pilots to take adequate remedial action.
Final Report:

Crash of a Beechcraft A100 King Air in Atlanta: 1 killed

Date & Time: Jan 18, 1990 at 1904 LT
Type of aircraft:
Operator:
Registration:
N44UE
Flight Type:
Survivors:
Yes
Schedule:
Atlanta - Atlanta
MSN:
B-140
YOM:
1973
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
1653
Circumstances:
During arrival at night, Beechcraft A100 (King Air, N44UE) was cleared for an ILS runway 26R approach behind Continental flight 9687, then Eastern Airline (EA) flight 111 (Boeing 727, N8867E) was cleared for the same approach behind the King Air. After landing, flight 9687 had a radio problem and the tower controller had difficulty communicating with flight 9687. Meanwhile, the King Air landed and its crew had moved the aircraft to the right side of the runway near taxiway Delta (the primary taxiway for general aviation aircraft). The turnoff for taxiway Delta was about 3,800 feet from the approach end of runway 26R. Before the King Air was clear of the runway, EA111 landed and converged on the King Air. The crew of EA111 did not see the King Air until moments before the accident. The captain tried to avoid a collision, but the Boeing's right wing struck the King Air, shearing the top of its fuselage and cockpit. Some of the King Air's strobe/beacon lights were inoperative, though they most likely would have been extinguished for the IMC approach. The local controller did not issue a traffic advisory to EA111 with the landing clearance. One of the pilot on board the King Air was killed while the second was seriously injured.
Probable cause:
1) Failure of the Federal Aviation Administration to provide air traffic control procedures that adequately take into consideration human performance factors such as those which resulted in the failure of the north local controller to detect the developing conflict between N44UE and EA111, and
2) the failure of the north local controller to ensure the separation of arriving aircraft which were using the same runway.
Contributing to the accident was the failure of the north local controller to follow the prescribed procedure of issuing appropriate traffic information to EA111, and failure of the north final controller and the radar monitor controller to issue timely speed reductions to maintain adequate separation between aircraft on final approach.
Final Report: