Crash of a BAe 125-3A in Houston

Date & Time: Aug 13, 1989 at 1750 LT
Type of aircraft:
Operator:
Registration:
N66HA
Flight Type:
Survivors:
Yes
Schedule:
Savannah - Houston
MSN:
25126
YOM:
1967
Crew on board:
2
Crew fatalities:
Pax on board:
6
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
5180
Captain / Total hours on type:
10.00
Aircraft flight hours:
3966
Circumstances:
During landing, upon nose wheel contact with the runway, directional control was lost and the aircraft exited the runway hard surface and crossed a ditch collapsing the nose gear. The crew stated that full left rudder and differential braking would not stop the right drift, and that the aircraft was in grass uncontrollable by the time the steering tiller was reached. The nose wheel steering system was extensively damaged by the impact sequence when the nose wheel well aft bulkhead was forced into the steering assembly. The pilot stated that if he had been 'spring loaded to the tiller' that he could have possibly kept the aircraft off the grass.
Probable cause:
Failure of the nose wheel steering system for undetermined reasons, and the pilot-in-command's hesitation reaching for the nose wheel steering tiller. A contributing factor was his lack of experience in a DH-125.
Final Report:

Crash of a Cessna 207 Skywagon near Tanana

Date & Time: Aug 11, 1989 at 1130 LT
Operator:
Registration:
N6370H
Flight Phase:
Survivors:
Yes
Site:
Schedule:
Fairbanks - Huslia
MSN:
207-0497
YOM:
1979
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
2000
Captain / Total hours on type:
4.00
Aircraft flight hours:
6680
Circumstances:
The airplane collided with a mountain at the 2,936 foot level. At the time of the accident the weather was 500 obscured, visibility two miles, with fog. The airplane was on a company vfr flight plan. The airplane was substantially damaged. The pilot was seriously injured, and the passenger received minor injuries.
Probable cause:
Pilot-in-command's improper inflight planning and decisions. He flew into weather that was known to be adverse, and the environmental conditions adversely affected his ability to safely complete the flight.
Final Report:

Crash of a Lockheed C-130H Hercules at Fort Bragg AFB: 1 killed

Date & Time: Aug 9, 1989 at 1900 LT
Type of aircraft:
Operator:
Registration:
74-1681
Flight Type:
Survivors:
Yes
Schedule:
Fort Bragg AFB - Fort Bragg AFB
MSN:
4654
YOM:
1976
Flight number:
USAF681
Crew on board:
7
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Circumstances:
The four engine aircraft was engaged in a training mission at Fort Bragg AFB. While dropping a M551 Sheridan tank over the Sicily Drop Zone, the tank go stuck with the parachute cables. The airplane became unstable, stalled and crashed. Six crew members were injured while a seventh occupant was killed.

Crash of a Piper PA-61 Aerostar (Ted Smith 601) in Ramona: 1 killed

Date & Time: Aug 8, 1989 at 0520 LT
Registration:
N6067Z
Flight Phase:
Survivors:
No
Schedule:
Ramona – Salt Lake City
MSN:
61-0661-7963308
YOM:
1979
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
1843
Captain / Total hours on type:
222.00
Aircraft flight hours:
878
Circumstances:
The instrument rated pilot took off from his home, uncontrolled airport, for a flight under visual flight rules to a distant airport. A ground witness stated that instrument meteorological conditions existed at the airport of departure at the time of the takeoff. The pilot inadvertently entered instrument meteorological conditions, began an uncontrolled descent, and collided with the terrain. The pilot, sole on board, was killed.
Probable cause:
The pilot's VFR flight in instrument meteorological conditions (IMC) and spatial disorientation, which resulted in an inadvertent descent into the ground. Factors related to the accident were: darkness, low ceiling, and the pilot's lack of a preflight weather briefing.
Final Report:

Crash of a Cessna 402C near Nome: 1 killed

Date & Time: Aug 7, 1989 at 1230 LT
Type of aircraft:
Operator:
Registration:
N12333
Survivors:
No
Site:
Schedule:
Wales - Nome
MSN:
402C-0806
YOM:
1984
Flight number:
XY2401
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
3247
Captain / Total hours on type:
312.00
Aircraft flight hours:
5644
Circumstances:
During arrival, Ryan Air flight 2401 (Cessna 402, N12333) contacted Nome FSS and reported 15 miles west of Nome. The pilot was advised the weather at Nome was below basic VFR. The pilot requested a special VFR clearance. He was advised to remain in VFR conditions outside the control zone and to standby for a clearance. Later, when FSS personnel tried to contact flight 2401 to issue the clearance, there was no reply from the pilot. Subsequently, a search was initiated for the aircraft. Four days later, it was found where it had crashed at about 450 feet msl on the east edge of Sledge Island, approximately 18 miles west of Nome. An exam of the wreckage revealed the aircraft had crashed into rising terrain, while in level flight on a heading of about 250°. No preimpact mechanical problem was evident. The 1300 adt weather at Nome was in part: 400 feet overcast, visibility 2 miles with rain and fog, wind from 120° at 12 knots.
Probable cause:
Continued VFR flight into instrument meteorological conditions (IMC) by the pilot, and his improper in-flight planning/decision. The weather and terrain conditions were considered to be contributing factors.
Final Report:

Crash of a Convair CV-600 in Augusta

Date & Time: Aug 4, 1989 at 1830 LT
Type of aircraft:
Registration:
N94253
Flight Type:
Survivors:
Yes
Schedule:
Bangor - Buffalo
MSN:
114
YOM:
1953
Location:
Crew on board:
3
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
3100
Captain / Total hours on type:
800.00
Circumstances:
Diverted to Augusta after encountering deteriorating weather. Lost inverters, compass system during ILS, executed go-around. Second approach made visual to landing. Props would not enter fine pitch, braking not effective. Pilot steered airplane off runway down embankment. All three occupants escaped uninjured.
Probable cause:
The failure of the propeller control system for undetermined reasons during a precautionary landing after encountering deteriorating weather conditions during a VFR ferry flight. Contributing factors were: the adverse weather conditions, inadequate preflight, a failure of the electrical system for unknown reasons, and the pilot's intentional ground loop.
Final Report:

Crash of a Beechcraft 70 Queen Air in Albany: 6 killed

Date & Time: Aug 2, 1989 at 1516 LT
Type of aircraft:
Registration:
N11TP
Flight Phase:
Survivors:
No
Schedule:
Albany - Akron
MSN:
LB-12
YOM:
1969
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
5
Pax fatalities:
Other fatalities:
Total fatalities:
6
Captain / Total flying hours:
5000
Aircraft flight hours:
4310
Circumstances:
During takeoff, the aircraft rolled abruptly to the right after lift-off. Subsequently, the right wingtip struck the surface, then the aircraft cartwheeled and crashed. The fuselage was destroyed by a post-crash fire. An exam of the engines revealed that the right engine supercharger intermediate drive gear shaft had become worn and one of its gear teeth had failed from fatigue. There was evidence that an out-of-mesh condition occurred, which resulted in a partial loss of engine power during takeoff. Also, the aircraft was estimated to be 679 lbs over its max certified gross weight. Density alt was calculated to be about 2,000 feet. All six occupants were killed.
Probable cause:
The fatigue failure of the supercharger intermediate drive gear shaft (gear tooth), which resulted in a partial loss of power, and the pilot's initiation of lift-off before reaching VMC airspeed. Factors related to the accident were: the worn intermediate drive gear shaft, the pilot's operation of the aircraft above its maximum certified gross weight limit, and the high density altitude.
Final Report:

Crash of a Travel Air 4000 in Lodi

Date & Time: Jul 25, 1989 at 0715 LT
Type of aircraft:
Operator:
Registration:
N1592
Flight Phase:
Survivors:
Yes
Schedule:
Lodi - Lodi
MSN:
288
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
8000
Captain / Total hours on type:
1300.00
Aircraft flight hours:
6413
Circumstances:
According to the operator of the spray operation, the pilot became distracted, when he was watching the grower drive out of the field he had sprayed. While he was watching the vehicle, he inadvertently allowed the aircraft to collide with power lines. There was no reported mechanical malfunction.
Probable cause:
The failure of the pilot to see and avoid power lines, while distracted by a moving vehicle on the ground.
Final Report:

Crash of a Douglas DC-10-10 in Sioux City: 111 killed

Date & Time: Jul 19, 1989 at 1600 LT
Type of aircraft:
Operator:
Registration:
N1819U
Survivors:
Yes
Schedule:
Denver - Chicago - Philadelphia
MSN:
46618
YOM:
1971
Flight number:
UA232
Crew on board:
11
Crew fatalities:
Pax on board:
285
Pax fatalities:
Other fatalities:
Total fatalities:
111
Captain / Total flying hours:
29967
Captain / Total hours on type:
7190.00
Copilot / Total flying hours:
20000
Copilot / Total hours on type:
665
Aircraft flight hours:
43401
Aircraft flight cycles:
16997
Circumstances:
United Flight 232 departed Denver-Stapleton International Airport, Colorado, USA at 14:09 CDT for a domestic flight to Chicago-O'Hare, Illinois and Philadelphia, Pennsylvania. There were 285 passengers and 11 crew members on board. The takeoff and the en route climb to the planned cruising altitude of FL370 were uneventful. The first officer was the flying pilot. About 1 hour and 7 minutes after takeoff, at 15:16, the flightcrew heard a loud bang or an explosion, followed by vibration and a shuddering of the airframe. After checking the engine instruments, the flightcrew determined that the No. 2 aft (tail-mounted) engine had failed. The captain called for the engine shutdown checklist. While performing the engine shutdown checklist, the flight engineer observed that the airplane's normal systems hydraulic pressure and quantity gauges indicated zero. The first officer advised that he could not control the airplane as it entered a right descending turn. The captain took control of the airplane and confirmed that it did not respond to flight control inputs. The captain reduced thrust on the No. 1 engine, and the airplane began to roll to a wings-level attitude. The flightcrew deployed the air driven generator (ADG), which powers the No. 1 auxiliary hydraulic pump, and the hydraulic pump was selected "on." This action did not restore hydraulic power. At 15:20, the flightcrew radioed the Minneapolis Air Route Traffic Control Center (ARTCC) and requested emergency assistance and vectors to the nearest airport. Initially, Des Moines International Airport was suggested by ARTCC. At 15:22, the air traffic controller informed the flightcrew that they were proceeding in the direction of Sioux City; the controller asked the flightcrew if they would prefer to go to Sioux City. The flightcrew responded, "affirmative." They were then given vectors to the Sioux Gateway Airport (SUX) at Sioux City, Iowa. A UAL DC-10 training check airman, who was off duty and seated in a first class passenger seat, volunteered his assistance and was invited to the cockpit at about 15:29. At the request of the captain, the check airman entered the passenger cabin and performed a visual inspection of the airplane's wings. Upon his return, he reported that the inboard ailerons were slightly up, not damaged, and that the spoilers were locked down. There was no movement of the primary flight control surfaces. The captain then directed the check airman to take control of the throttles to free the captain and first officer to manipulate the flight controls. The check airman attempted to use engine power to control pitch and roll. He said that the airplane had a continuous tendency to turn right, making it difficult to maintain a stable pitch attitude. He also advised that the No. 1 and No. 3 engine thrust levers could not be used symmetrically, so he used two hands to manipulate the two throttles. About 15:42, the flight engineer was sent to the passenger cabin to inspect the empennage visually. Upon his return, he reported that he observed damage to the right and left horizontal stabilizers. Fuel was jettisoned to the level of the automatic system cutoff, leaving 33,500 pounds. About 11 minutes before landing, the landing gear was extended by means of the alternate gear extension procedure. The flightcrew said that they made visual contact with the airport about 9 miles out. ATC had intended for flight 232 to attempt to land on runway 31, which was 8,999 feet long. However, ATC advised that the airplane was on approach to runway 22, which was closed, and that the length of this runway was 6,600 feet. Given the airplane's position and the difficulty in making left turns, the captain elected to continue the approach to runway 22 rather than to attempt maneuvering to runway 31. The check airman said that he believed the airplane was lined up and on a normal glidepath to the field. The flaps and slats remained retracted. During the final approach, the captain recalled getting a high sink rate alarm from the ground proximity warning system (GPWS). In the last 20 seconds before touchdown, the airspeed averaged 215 KIAS, and the sink rate was 1,620 feet per minute. Smooth oscillations in pitch and roll continued until just before touchdown when the right wing dropped rapidly. The captain stated that about 100 feet above the ground the nose of the airplane began to pitch downward. He also felt the right wing drop down about the same time. Both the captain and the first officer called for reduced power on short final approach. The check airman said that based on experience with no flap/no slat approaches he knew that power would have to be used to control the airplane's descent. He used the first officer's airspeed indicator and visual cues to determine the flightpath and the need for power changes. He thought that the airplane was fairly well aligned with the runway during the latter stages of the approach and that they would reach the runway. Soon thereafter, he observed that the airplane was positioned to the left of the desired landing area and descending at a high rate. He also observed that the right wing began to drop. He continued to manipulate the No. 1 and No. 3 engine throttles until the airplane contacted the ground. He said that no steady application of power was used on the approach and that the power was constantly changing. He believed that he added power just before contacting the ground. The airplane touched down on the threshold slightly to the left of the centerline on runway 22 at 16:00. First ground contact was made by the right wing tip followed by the right main landing gear. The airplane skidded to the right of the runway and rolled to an inverted position. Witnesses observed the airplane ignite and cartwheel, coming to rest after crossing runway 17/35. Firefighting and rescue operations began immediately, but the airplane was destroyed by impact and fire. The accident resulted in 111 fatal, 47 serious, and 125 minor injuries. The remaining 13 occupants were not injured.
Probable cause:
Inadequate consideration given to human factors limitations in the inspection and quality control procedures used by United Airlines' engine overhaul facility which resulted in the failure to detect a fatigue crack originating from a previously undetected metallurgical defect located in a critical area of the stage 1 fan disk that was manufactured by General Electric Aircraft Engines. The subsequent catastrophic disintegration of the disk resulted in the liberation of debris in a pattern of distribution and with energy levels that exceeded the level of protection provided by design features of the hydraulic systems that operate the DC-10's flight controls.
Final Report:

Crash of a Beechcraft E18S in Baltimore: 2 killed

Date & Time: Jul 19, 1989 at 0717 LT
Type of aircraft:
Registration:
N138JR
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Baltimore - Winchester
MSN:
BA-41
YOM:
1955
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
11715
Captain / Total hours on type:
6000.00
Aircraft flight hours:
12290
Circumstances:
Shortly after departing from runway 15L at the Baltimore-Washington Intl Airport, the pilot transmitted that he had an emergency consisting of a fire under his side panel. He reported he was going to circle and land. According to witnesses, flames and smoke were in the cockpit area. The aircraft started a gradual descent during a left turn. Subsequently, it crashed into a house. An examination of the wreckage did not reveal the origin of the fire; however, a CB radio was found with evidence that it may have been wired to the aircraft electrical system. The owners stated that the CB was not installed in the aircraft prior to the pilot's use of the plane on that flight. The pilot, sole on board, was killed.
Probable cause:
A fire that erupted in the cockpit of the aircraft (under a side panel). Related factors were: smoke and fumes in the cockpit which reduced the pilot's visual perception and ability to see.
Final Report: