Crash of a De Havilland DHC-6 Vista Liner 300 in Grand Canyon: 10 killed

Date & Time: Sep 27, 1989 at 0953 LT
Operator:
Registration:
N75GC
Survivors:
Yes
Schedule:
Grand Canyon - Grand Canyon
MSN:
439
YOM:
1974
Flight number:
YR05
Crew on board:
2
Crew fatalities:
Pax on board:
19
Pax fatalities:
Other fatalities:
Total fatalities:
10
Captain / Total flying hours:
4120
Captain / Total hours on type:
2610.00
Copilot / Total flying hours:
1309
Copilot / Total hours on type:
339
Aircraft flight hours:
11180
Circumstances:
Grand Canyon Airlines flight 5 (De Havilland DHC-6, N75GC) departed Grand Canyon National Park Airport on a local part 135, sightseeing flight. After returning from a normal trip, the flight was cleared to land on runway 21. Observers reported the approach to the airport was normal, but the aircraft traveled about 1,000 feet down the runway at an altitude of about 5 feet before touchdown. Reportedly, it bounced and traveled another 1,000 feet before touching down again. The aircraft then veered to the right and the flight crew initiated a go around (aborted landing). The aircraft climbed in a nose high altitude to about 150 feet to 200 feet agl, then it rolled to the left and crashed onto a wooded hill about 120 feet left of the runway. A power line was severed during impact, which interrupted electrical power to the airport and delayed emergency response to the crash. Surviving passengers reported the right seat pilot was flying the aircraft, while the left seat pilot narrated the tour; but after a hard touchdown, the left seat pilot took control of the aircraft and applied full power for a go-around. A scrape mark was found where the right wingtip scraped the runway during the 2nd touchdown. Both pilots and eight passengers were killed while 11 other passengers were injured, nine of them seriously.
Probable cause:
Improper pilot techniques and crew coordination during the landing attempt, bounce, and attempted go-around.
Final Report:

Crash of a Boeing 737-401 in New York: 2 killed

Date & Time: Sep 20, 1989 at 2321 LT
Type of aircraft:
Operator:
Registration:
N416US
Flight Phase:
Survivors:
Yes
Schedule:
New York - Charlotte
MSN:
23884
YOM:
1988
Flight number:
US5050
Crew on board:
6
Crew fatalities:
Pax on board:
57
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
5525
Captain / Total hours on type:
140.00
Copilot / Total flying hours:
3287
Copilot / Total hours on type:
8
Aircraft flight hours:
2235
Aircraft flight cycles:
1730
Circumstances:
A USAir Boeing 737-401, registration N416US, was scheduled to depart from Baltimore/Washington (BWI) as flight 1846 at 15:10, but air traffic inbound to New York-LaGuardia (LGA) delayed the takeoff until 19:35. Holding on the taxiway at BWI for 1.5 hours required the flight to return to the terminal area for fuel. The Boeing 737-400 left BWI uneventfully and arrived at LGA's Gate 15 at 20:40. Weather and air traffic in the LGA terminal area had caused cancellations and delayed most flights for several hours. The USAir dispatcher decided to cancel the Norfolk leg of Flight 1846, unload the passengers, and send the flight to Charlotte (CLT) without passengers. Several minutes later, the dispatcher told the captain that his airplane would not be flown empty but would carry passengers to Charlotte as USAir flight 5050. This seemed to upset the captain. He expressed concern for the passengers because more delays would cause him and the first officer to exceed crew duty time limitations before the end of the trip. While passengers were boarding, the captain visited USAir's ground movement control tower to ask about how decisions were made about flights and passengers. The captain returned to the cockpit as the last of the passengers were boarding, and the entry door was closed. After the jetway was retracted, the passenger service representative told the captain through the open cockpit window that he wanted to open the door again to board more passengers. The captain refused, and flight 5050 left Gate 15 at 22:52. The 737 taxied out to runway 31. Two minutes after push-back, the ground controller told the crew to hold short of taxiway Golf Golf. However, the captain failed to hold short of that taxiway and received modified taxi instructions from the ground controller at 22:56. The captain then briefed takeoff speeds as V1: 125 knots, VR: 128 knots, and V2: 139 knots. The first officer was to be the flying pilot. He was conducting his first non supervised line takeoff in a Boeing 737. About 2 minutes later, the first officer announced "stabilizer and trim" as part of the before-takeoff checklist. The captain responded with "set" and then corrected himself by saying: "Stabilizer trim, I forgot the answer. Set for takeoff." Flight 5050 was cleared into position to hold at the end of the runway at 23:18:26 and received takeoff clearance at 23:20:05. The first officer pressed the autothrottle disengage and then pressed the TO/GA button, but noted no throttle movement. He then advanced the throttles manually to a "rough" takeoff-power setting. The captain then said: "Okay, that's the wrong button pushed" and 9 seconds later said: "All right, I'll set your power." During the takeoff roll the airplane began tracking to the left. The captain initially used the nosewheel steering tiller to maintain directional control. About 18 seconds after beginning the roll a "bang" was heard followed shortly by a loud rumble, which was due to the cocked nosewheel as a result of using the nosewheel steering during the takeoff roll. At 23:20:53, the captain said "got the steering." The captain later testified that he had said, "You've got the steering." The first officer testified that he thought the captain had said: "I've got the steering." When the first officer heard the captain, he said "Watch it then" and began releasing force on the right rudder pedal but kept his hands on the yoke in anticipation of the V1 and rotation callouts. At 23:20:58.1, the captain said: "Let's take it back then" which he later testified meant that he was aborting the takeoff. According to the captain, he rejected the takeoff because of the continuing left drift and the rumbling noise. He used differential braking and nose wheel steering to return toward the centerline and stop. The throttle levers were brought back to their idle stops at 23:20:58.4. The indicated airspeed at that time was 130 knots. Increasing engine sound indicating employment of reverse thrust was heard on the CVR almost 9 seconds after the abort maneuver began. The airplane did not stop on the runway but crossed the end of the runway at 34 knots ground speed. The aircraft dropped onto the wooden approach light pier, which collapsed causing the aircraft break in three and drop into 7-12 m deep East River. The accident was not survivable for the occupants of seats 21A and 21B because of the massive upward crush of the cabin floor.
Probable cause:
The captain's failure to exercise his command authority in a timely manner to reject the take-off or take sufficient control to continue the take-off, which was initiated with a mistrimmed rudder. Also causal was the captain's failure to detect the mistrimmed rudder before the take-off was attempted. Board member Jim Burnett filed the following concurring and dissenting statement: "Although I concur with the probable cause as adopted as far as it goes, I would have added the following as a contributing factor: Contributing to the cause of the accident was the failure of USAir to provide an adequately experienced and seasoned flight crew.
Final Report:

Ground explosion of a Boeing KC-135E Stratotanker at Eielson AFB: 2 killed

Date & Time: Sep 20, 1989 at 1500 LT
Type of aircraft:
Operator:
Registration:
57-1481
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Eielson - Eielson
MSN:
17552
YOM:
1958
Crew on board:
7
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
2
Circumstances:
Following an uneventful refueling mission, the crew returned to Eielson AFB. After landing, the aircraft was parked on the apron and when the crew shut down the engine, an explosion occurred. The aircraft was totally destroyed by fire and two crew members were killed while five others were rescued.
Probable cause:
It was determined that a fuel pump overheated, causing an explosion after contacting fuel vapor.

Crash of a Beechcraft 100 King Air in Houston

Date & Time: Sep 16, 1989 at 0855 LT
Type of aircraft:
Operator:
Registration:
N204AJ
Flight Type:
Survivors:
Yes
Schedule:
New Orleans - Houston
MSN:
B-10
YOM:
1970
Crew on board:
1
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
2787
Captain / Total hours on type:
48.00
Aircraft flight hours:
7351
Circumstances:
The airplane was on a positioning flight and had two passengers along for the ride. The airplane was on base leg when the left engine sputtered. The pilot turned on the secondary boost pump and the engine operated normally until both engines flamed out. During the forced landing in a residential area, the airplane hit a powerline, trees, a house, a fireplug, a tree and a van, then another house. There was no smell of fuel in the entire area, and no usable fuel in the fuel system. All three occupants were seriously injured.
Probable cause:
The inadequate preflight planning preparation & the improper inflight planning/decision by the pic when he failed to refuel the aircraft which resulted in a total loss of power in both engines.
Final Report:

Crash of a Beechcraft 100 King Air in Mayfield: 6 killed

Date & Time: Sep 15, 1989 at 2110 LT
Type of aircraft:
Operator:
Registration:
N887PE
Survivors:
No
Schedule:
Orlando - Mayfield
MSN:
B-49
YOM:
1970
Crew on board:
1
Crew fatalities:
Pax on board:
5
Pax fatalities:
Other fatalities:
Total fatalities:
6
Captain / Total flying hours:
8000
Captain / Total hours on type:
400.00
Aircraft flight hours:
9386
Circumstances:
During arrival, the flight was issued the current Paducah altimeter setting. The pilot requested vectors for an approach to runway 18, but the ARTCC controller (ctlr) could not accommodate the request. The pilot was cleared for a VOR/DME-a approach. MDA for the approach was 1,080 feet msl (600 feet agl). At 2108 cdt, the flight changed to the FBO frequency. FBO personnel observed the aircraft fly over the airport and advised that it was too low. One of the pilots replied that they would be 'staying under the clouds.' The pilots had planned to land on runway 36, but reported they lost sight of the runway and would change to runway 18. Subsequently, the aircraft collided with a tree about 1 mile north-northeast of the airport, while on a westerly heading (approximately position of base leg for a VFR pattern). The aircraft came to rest about 700 feet west of the tree and was destroyed by impact and fire. No preimpact part failure/malfunction of the aircraft was found. Approximately 30 miles west at Paducah, the weather was in part: 200 feet scattered, 900 feet overcast visibility 3 miles with rain and fog, wind from 360° at 7 knots. The airport manager estimated there was a 200 feet ceiling at the airport. All six occupants were killed.
Probable cause:
Failure of the pilot to follow ifr procedures and maintain the minimum descent altitude (MDA). Factors related to the accident were: darkness, the adverse weather conditions, and the tree.
Final Report:

Crash of a Piper PA-31T-620 Cheyenne II in Louisville: 3 killed

Date & Time: Sep 15, 1989 at 1336 LT
Type of aircraft:
Registration:
N63XL
Flight Type:
Survivors:
No
Schedule:
Broomfield - Louisville
MSN:
31-8166037
YOM:
1981
Crew on board:
1
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
6
Captain / Total flying hours:
27000
Captain / Total hours on type:
3500.00
Aircraft flight hours:
996
Circumstances:
The pilot and two mechanics were on a maintenance test flight. As the aircraft was on a straight-in approach to runway 11 from the west, the pilot was advised of traffic ahead and told to slow his speed as much as possible. The pilot acknowledged. About 15 seconds later, the controller told the pilot (of N63XL) to make a 360° turn to the left for spacing. Shortly hereafter, witnesses observed the aircraft enter a steep bank (turn), then go into a steep spiraling, nose down, descent and crash. No preimpact mechanical malfunction or failure of the aircraft or engines was found. All three occupants were killed.
Probable cause:
Failure of the pilot to maintain adequate airspeed, while maneuvering for spacing in the traffic pattern, which resulted in an inadvertent stall at low altitude.
Final Report:

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

Date & Time: Sep 15, 1989 at 0652 LT
Operator:
Registration:
N70PE
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Ontario - Santa Barbara
MSN:
31-8052137
YOM:
1980
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
1916
Aircraft flight hours:
3118
Circumstances:
The propeller separated from the right engine during the initial climb. Examination of the wreckage revealed the propeller hub fracture resulted in one of the three propeller blades detaching from the hub. The rest of the propeller hub then separated striking the right front of the fuselage. Oil was spread across the aircraft nose and windshield. The fuselage right side damage increased aerodynamic drag. Witnesses reported the engine cowling was torn. The aircraft entered a right turn and dive. It impacted the ground in a near inverted attitude. Metallurgical examination of the failed prop hub revealed metal fatigue emanating from the threaded hole for the grease fitting. The threads had been deformed by shot peening, resulting in increased stress concentrations at the threads. The pilot, sole on board, was killed.
Probable cause:
Failure of the right propeller hub due to metal fatigue which resulted in catastrophic separation of the propeller. Contributing to the accident was damage done to the aircraft airframe in flight by the separating propeller making the aircraft uncontrollable.
Final Report:

Crash of a Rockwell Grand Commander 680FLP in Kona: 1 killed

Date & Time: Sep 10, 1989 at 1518 LT
Registration:
N22LR
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Kona - Honolulu
MSN:
680-1503-18
YOM:
1965
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
203
Captain / Total hours on type:
23.00
Aircraft flight hours:
4790
Circumstances:
As the aircraft was departing from runway 17, smoke was observed coming from the right engine. The pilot confirmed a loss of power and made a right turn back toward the runway, then reported he had 'lost both engines.' The aircraft was extensively damaged during a landing on rough, rocky terrain about 1/4 mile southwest of the runway threshold. Investigation revealed the aircraft had just changed ownership. During pre-purchase inspection in Florida, metal particles were found in the oil screens of both engines. Oil was changed and flushed, but metal particles were found after another engine run. In May 1989, the right engine was replaced with an engine from another aircraft. The aircraft was flown to Oakland, CA, where it was painted and new interior was installed. A local mechanic noted metal particles in both eng oil screens and recommended oil analysis, but ferrying pilot refused. After flight to Hawaii, no oil stain noted on fuselage before flight on 9/9/89. Exam of wreckage revealed both engines failed from detonation. Heavy oil streaks found behind right engine, some streaks of oil found behind left engine. Right engine crankshaft/rod bearing surface was 0.010' under standard, but rod bearings were standard size. While the passenger was seriously injured, the pilot was killed.
Probable cause:
Inadequate maintenance, and operation by the pilot with known deficiencies in the aircraft. Factors related to the accident were: excessive wear in both engines, improper use of powerplant controls by the pilot, subsequent overtemperature/detonation in both engines, improper emergency procedures by the pilot (including premature gear extension and/or failure to properly reduce drag on the aircraft after loss of engine power), and the pilot's lack of experience in multi engine and this make and model of aircraft.
Final Report:

Crash of a Piper PA-31-350 Navajo Chieftain in Lynchburg: 5 killed

Date & Time: Aug 28, 1989 at 0045 LT
Registration:
N234J
Survivors:
No
Schedule:
Salisbury - Lynchburg
MSN:
31-7952021
YOM:
1979
Crew on board:
2
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
5
Captain / Total flying hours:
1345
Captain / Total hours on type:
190.00
Circumstances:
The pilot unsuccessfully tried twice to land on runway 03. He did a visual approach and then an ILS approach. The pilot and witnesses reported foggy conditions at the airport. The pilot flew the ILS approach as a third attempt to land when the crash occurred. Radar data showed the aircraft descended to 1,100 feet msl on the approach, about 1/2 mile from the runway. The published decision height was 1,118 feet. The radar data indicated the aircraft passed east of the runway threshold at an altitude of 1,000 feet msl. The next and last radar data shows the aircraft about 2,300 feet beyond and 400 feet east of the runway. The investigation revealed the aircraft struck trees east of the runway and then crashed in a cornfield. An examination did not disclose evidence of a malfunction. The landing gear was retracted and the flaps were extended 10°. All five occupants were killed.
Probable cause:
Pilot's failure to maintain clearance from obstructions because of improper ifr operation. Contributing to the accident was descent below decision height, delay in initiating the missed approach, and fog conditions.
Final Report:

Crash of a Beechcraft C90 King Air in Gold Beach: 3 killed

Date & Time: Aug 21, 1989 at 1250 LT
Type of aircraft:
Operator:
Registration:
N25ST
Survivors:
No
Schedule:
Medford - Gold Beach
MSN:
LJ-507
YOM:
1971
Crew on board:
3
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
3
Captain / Total flying hours:
4082
Aircraft flight hours:
6663
Circumstances:
Witnesses heard the airplane circle twice before the approach. A fog bank had just rolled into the area and visibility was reduced to approximately one mile with the bases at 200 to 300 feet. The airplane was observed emerging from the fog in a steep left turn and descending rapidly; right of center line, on a one mile final. The left bank angle increased to near 90° when the nose dipped down and the airplane collided with a parked vehicle 150 feet right of centerline and 50 feet short of the runway. Unicom not manned. No radio in ambulance on ground. Basic weather data shown from north bend, 60 miles north. All three pilots were killed.
Probable cause:
The pilot's failure to initiate a go-around after emerging from a fog bank on a short final which resulted in inadequate airspeed and a stall. Contributing to the accident was the pilot's poor judgement in attempting the vfr approach in imc conditions.
Final Report: