Crash of a BAe 3101 Jetstream 31 in Pasco: 6 killed

Date & Time: Dec 26, 1989 at 2230 LT
Type of aircraft:
Operator:
Registration:
N410UE
Survivors:
No
Schedule:
Spokane – Yakima – Pasco
MSN:
776
YOM:
1987
Flight number:
UA2415
Crew on board:
2
Crew fatalities:
Pax on board:
4
Pax fatalities:
Other fatalities:
Total fatalities:
6
Captain / Total flying hours:
6600
Captain / Total hours on type:
670.00
Copilot / Total flying hours:
2792
Copilot / Total hours on type:
213
Aircraft flight hours:
4972
Aircraft flight cycles:
7168
Circumstances:
During arrival for an ILS runway 21R approach, the aircraft encountered icing conditions for about 9-1/2 minutes. As the aircraft was vectored for the approach, the Seattle ARTCC controller used an expanded radar range and did not provide precise positioning of the aircraft to the final approach course. The flight crew attempted to continue on a steep, unstabilized approach for a landing. Recorded radar data showed that the aircraft was well to the right of the ILS course line and well above the glide slope as it passed the outer marker/final approach fix (faf). It did not intercept the localizer course until it was about 1.5 mile inside the faf. Also, it was still well above the ILS glide slope were recorded altitude data was lost when the aircraft was abt 2.5 miles from the airport. The tower had closed, but the controller saw the aircraft in a higher than normal rate of descent in a wings level attitude. Before reaching the runway, the aircraft nosed over and crashed in a steep descent. There was evidence that ice had accumulated on the airframe, including the horizontal stabilizers, which may have resulted in a tail plane stall. All six occupants were killed.
Probable cause:
The flightcrew's decision to continue an unstabilized instrument landing system (ILS) approach that led to a stall, most likely of the horizontal stabilizer, and loss of control at low altitude. Contributing to the accident was the air traffic controller's improper vectors that positioned the airplane inside the outer marker while it was still well above the glideslope. Contributing to the stall and loss of control was the accumulation of airframe ice that degraded the aerodynamic performance of the airplane.
Final Report:

Crash of a Piper PA-31T3-T1040 Cheyenne III in Homer: 1 killed

Date & Time: Dec 22, 1989 at 1810 LT
Type of aircraft:
Operator:
Registration:
N302SC
Flight Type:
Survivors:
No
Schedule:
Kenai - Homer
MSN:
31-8275004
YOM:
1982
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
2500
Captain / Total hours on type:
40.00
Aircraft flight hours:
9266
Circumstances:
The aircraft was on an IFR flight from Kenai to the Beluga Airport. The airport did not have an instrument approach procedure, a co-located navaid or a co-located intersection or fix. Reportedly, pilots would routinely file IFR for the route, fly outbound from Kenai for 34.5 miles, then atmt visibility acquisition of the airport. On this flight, ARTCC cleared the pilot to fly direct to the airport at an altitude of 2,000 feet. Before reaching the airport, the pilot acknowledged receipt of a clearance to cruise at 2,000 feet and to report cancellation of IFR, then there was no further communication between ARTCC and the flight. Mode C radar data showed the aircraft descended to 600 feet as it was approaching about 5 miles south of the Beluga Airport. Subsequently, the aircraft flew past the uncontrolled airport and crashed into trees about 8 miles northwest of the airport. Marks on the trees showed the aircraft was in a right descending turn on an easterly heading, when it crashed. Elevation of the crash site was 560 feet. Minimum safe (IFR) altitude for the Beluga Airport area was 2,000 feet. There were indications that the destination weather was below VFR conditions. No preimpact mechanical problem was found that would have resulted in the accident. The pilot, sole on board, was killed.
Probable cause:
Failure of the pilot to maintain proper altitude. Darkness and adverse weather conditions were related factors.
Final Report:

Crash of a Piper PA-60 Aerostar (Ted Smith 602P) in Frenchtown: 1 killed

Date & Time: Dec 21, 1989 at 1035 LT
Registration:
N6894Y
Flight Phase:
Survivors:
No
Schedule:
Teterboro – Reading
MSN:
62-0909-8165036
YOM:
1981
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
2061
Captain / Total hours on type:
312.00
Circumstances:
On January 16, 1989, Machen nacelle mounted induction air intercoolers were installed on N6894Y. On December 14, 1989, an annual inspection was performed, and a Machen superstar i-680 kit was installed. On December 21, 1989, N6894Y was at 6,000 feet when the pilot reported a problem with the right engine. The pilot reported a fire in the right engine. A couple of minutes later, he radioed he could not shut down the right engine. At 1034:37 the pilot advised his 'right engine just tore off' and that he was 'in a spin heading down.' The exhaust tailpipe of the left turbocharger on the right engine was found to have separated. Metallurgical examination revealed the tailpipe failed due to fatigue cracking. Records showed that part I of piper service bulletin 920 (engine tailpipe inspection) had been completed, while part II (addition of fire detection system) had not been accomplished due to the lack of available kits. The pilot, sole on board, was killed.
Probable cause:
The inadequate maintenance and inspection of the turbocharger tailpipe exhaust stack on the right engine by the mechanic(s). The failure of the tailpipe permitted heat from the exhaust to weaken the main spar of the right wing resulting in a catastrophic failure.
Final Report:

Crash of a Piper PA-31-350 Navajo Chieftain near Cairo: 6 killed

Date & Time: Dec 15, 1989 at 1738 LT
Operator:
Registration:
N45CH
Flight Phase:
Survivors:
No
Site:
Schedule:
Glens Falls - Montgomery
MSN:
31-7852002
YOM:
1978
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
5
Pax fatalities:
Other fatalities:
Total fatalities:
6
Captain / Total flying hours:
3500
Captain / Total hours on type:
100.00
Aircraft flight hours:
2500
Circumstances:
During a preflight weather briefing, the instrument rated pilot was told by the AFSS specialist that marginal VFR and IFR conditions would prevail along the route of flight. The pilot did not file a flight plan. The airplane was last depicted on radar at 2,500 feet msl and heading towards high terrain. A NY state trooper leaving his office about the time the accident occurred stated snow was falling very hard and visibility was low. The state trooper's office was about 5 miles from the crash site. The airplane hit a 3,400 foot mountain at an elevation of 2,500 feet. The airplane was missing 4 days and was found by the crew of a NY state police helicopter. All six occupants were killed.
Probable cause:
The pilot's decision to fly into the known adverse weather and his failure to select an altitude that would provide terrain clearance. Factors were: the adverse weather and the pilot's disregard for the forecasted conditions.
Final Report:

Crash of a Beechcraft F90 King Air in Ruidoso: 2 killed

Date & Time: Dec 2, 1989 at 1435 LT
Type of aircraft:
Operator:
Registration:
N9PU
Flight Type:
Survivors:
No
Schedule:
Carlsbad - Ruidoso
MSN:
LA-57
YOM:
1980
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
569
Captain / Total hours on type:
92.00
Aircraft flight hours:
921
Circumstances:
Witnesses heard the airplane circling in the vicinity of the NDB. Other witnesses saw the airplane exit the cloud base in a near-vertical dive and impact the ground approximately one mile east and 1/2 mile north of the NDB. Both occupants were killed.
Probable cause:
Loss of control due to pilot disorientation while conducting a non precision instrument approach. Contributing to the accident was the pilot's lack of instrument and multi engine experience, and the existing adverse weather.
Final Report:

Crash of a Casa 212 Aviocar 200 off Patuxent River NAS: 5 killed

Date & Time: Dec 1, 1989 at 0930 LT
Type of aircraft:
Operator:
Registration:
N296CA
Flight Type:
Survivors:
No
Schedule:
Fort Belvoir - Patuxent River
MSN:
296
YOM:
1983
Crew on board:
5
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
5
Circumstances:
Following an uneventful flight from Davison AAF (Fort Belvoir), the aircraft was approaching Patuxent River NAS when, at a height of about 800 feet, the aircraft entered an uncontrolled descent and crashed in the Chesapeake Bay. The wreckage sank by a depth of 45 feet and was found less than 100 yards offshore. All five crew members were killed. The aircraft was operated by the US Army Intelligence and Security Command (INSCOM) and carried both civil N296CA and military 88-0321 registrations.
Probable cause:
It was determined that the crew mistakenly selected beta range on the propellers on final approach at an altitude of 800 feet, causing the aircraft to enter an uncontrolled descent.

Crash of a Piper PA-61 Aerostar (Ted Smith 601) in Orlando: 2 killed

Date & Time: Nov 30, 1989 at 2115 LT
Registration:
N6079H
Flight Phase:
Survivors:
No
Schedule:
Orlando – Marathon
MSN:
61-0734-8063358
YOM:
1980
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
3750
Aircraft flight hours:
962
Circumstances:
The pilot was cleared for takeoff on an IFR flight. After takeoff, the pilot did not contact departure control. A search was initiated and the aircraft was found near the departure end of runway 07. There was evidence the aircraft had impacted in a left wing down, nose low attitude. No preimpact part failure or malfunction of the aircraft was found. Both occupants were killed.
Probable cause:
Loss of aircraft control during takeoff for an unknown reason which resulted in a collision with the ground.
Final Report:

Crash of a Britten-Norman BN-2A Islander off Block Island: 8 killed

Date & Time: Nov 28, 1989 at 1825 LT
Type of aircraft:
Operator:
Registration:
N127JL
Flight Phase:
Survivors:
No
Schedule:
Block Island - Westerly
MSN:
69
YOM:
1969
Crew on board:
1
Crew fatalities:
Pax on board:
7
Pax fatalities:
Other fatalities:
Total fatalities:
8
Captain / Total flying hours:
2800
Circumstances:
On dark (moonless) night, non schedule domestic passenger flight departed Block Island for Westerly, RI, with 7 passengers and 2 dogs. It crashed along route in Block Island Sound, 3 to 5 miles northwest of island (an area lacking visibility reference on SFC). Later, main wreckage was found in 130 feet of water. Additional wreckage and bodies of pilot, 3 passengers and 2 dogs were found. Aircraft was badly damaged during impact (left wing separated outbound of left engine, extensive damage to forward part of aircraft), but no preimpact part failure/malfunction was found. Commercial/instructor rated pilot was part time employee. He was on medication for lyme disease, but no physiological problem was found that would have resulted in accident. At approximately 1720 est, there was a pirep of a broken cloud layer at 10,000 feet. Another pilot, who was flying at about the same time, reported scattered clouds above 10,000 feet, over 10 miles visibility, wind westerly at 15 to 25 mph and light to moderate turbulences. Sigmet (golf 4) warned of moderate occasional severe turbulences below 6,000 feet and potential of low level windshear. Accident occurred along bird migratory route. There had been no recent FAA inspection of base, ramp, cockpit (en route check), ground/flight training program, crew/dispatch/trip record. All eight occupants were killed.
Probable cause:
The aircraft crashed for an undetermined reason, during an overwater flight on a dark (moonless) night under a cloud layer. A sigmet was in effect warning of moderate to occasionally severe turbulence below 6,000 feet and the potential of low level wind shear.
Final Report:

Crash of a Cessna 421B Golden Eagle II in Chesapeake

Date & Time: Nov 28, 1989 at 1815 LT
Registration:
N3359Q
Survivors:
Yes
Schedule:
Washington - Chesapeake
MSN:
421B-0243
YOM:
1972
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
10800
Captain / Total hours on type:
35.00
Aircraft flight hours:
3760
Circumstances:
The pilot returned to the airport at dusk and made a visual approach to runway 23. He reported that as the aircraft was descending thru 350 feet msl on final approach, it was aligned with the runway, the airspeed was 105 knots and the flaps were extended 25°. However, the aircraft hit trees and crashed about 1/8 mile short of the runway. No mechanical malfunction was reported. The airport elevation was 20 feet. Both occupants were slightly injured.
Probable cause:
The pilot misjudged distance and altitude to the runway, while on final approach to land. The light condition at dusk was a related factor.
Final Report:

Crash of a Piper PA-46P-350 Malibu Mirage in Des Moines

Date & Time: Nov 27, 1989 at 1726 LT
Registration:
N919S
Survivors:
Yes
Schedule:
Omaha - Des Moines
MSN:
46-22076
YOM:
1989
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
2278
Captain / Total hours on type:
832.00
Aircraft flight hours:
65
Circumstances:
The aircraft was on an ILS approach at dusk in IMC and icing conditions with the alternate air on. According to the pilot, he had just descended below an overcast, on final approach, when the engine lost power and would not respond to throttle application. A forced landing was made in a wooded area short of the runway and the aircraft was extensively damaged. During an exam of the engine, the turbocharger and wastegate transition pipes were found separated at the flange. Carbonaceous residue was found in the area of separation, but no heat damage was noted. The gasket, bolts, washers and self-locking nuts (for holding the pipes together) were not found. Later, the engine ran successfully during an operational check. During the investigation, 3 similar cases of pipe separation were identified, which involved another aircraft; these resulted in only partial losses of power. The right front seat passenger reported seeing a trace of ice on the wings as the aircraft was descending thru clouds. The pitot heat, stall warning heat, and ice light switch were fnd in the 'off' position. At 1650 cst, the temperature and dew point at the surface were 36° and 35° respectively. All three occupants were seriously injured.
Probable cause:
Loss of engine power for undetermined reason(s). The light conditions (dusk) and trees in in the emergency landing area were considered to be contributing factors.
Final Report: