Crash of a De Havilland DHC-2 Beaver in Kodiak

Date & Time: Jul 13, 1989 at 1415 LT
Type of aircraft:
Registration:
N5354G
Survivors:
Yes
Site:
Schedule:
Akhiok - Kodiak
MSN:
881
YOM:
1956
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
5
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
9862
Captain / Total hours on type:
949.00
Aircraft flight hours:
8136
Circumstances:
The airplane crashed at the 1,800 foot level of a mountain pass, near Kodiak, Alaska. The airplane was substantially damaged and the pilot and one passenger were seriously injured and four passengers received minor injuries. At the time of the accident the pass was reported closed due to IFR weather conditions.
Probable cause:
Pilot-in-command's continued VFR flight into known IFR flight conditions, resulting in a collision with rising terrain.
Final Report:

Crash of a Dassault Falcon 20DC in Cartersville: 2 killed

Date & Time: Jun 29, 1989 at 0004 LT
Type of aircraft:
Operator:
Registration:
N125CA
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Cartersville - Montgomery
MSN:
208
YOM:
1970
Flight number:
PHX125
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
7940
Captain / Total hours on type:
770.00
Aircraft flight hours:
13547
Circumstances:
The crew arrived at the airport about 20 minutes before the planned midnight takeoff time, after the pilot-in-command had spent the day moving furniture. A night watchman noted that the preflight inspection and takeoff roll to rotation/lift-off was normal. There was no post-takeoff radio call to either unicom or ATC, although the crew had filed an IFR flight plan. After taking off from runway 36, the aircraft crashed about 1.8 mile north of the runway. The wreckage was found after interruption of electrical power to a nearby city. Initial impact was with trees, while in a shallow/left/descending turn. An area of trees about 1/2 mile long was damaged by impact and fire. Before coming to rest, the aircraft hit a powerline support tower. There was evidence the aircraft was traveling at about 260 knots, when it crashed. No preimpact part failure or malfunction was found that would have resulted in the accident. Both pilots were killed.
Probable cause:
Failure of the pilot-in-command (pic) to assure that the aircraft maintained a climb profile after takeoff. Factors related to the accident were: dark night, the crew's lack of visual perception at night, the pic's lack of rest (fatigue), and the copilot's failure to attain remedial action.
Final Report:

Crash of a Douglas C-47A-65-DL off Petersburg

Date & Time: Jun 26, 1989 at 1105 LT
Registration:
N8042X
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Petersburg - Ketchikan
MSN:
19041
YOM:
1943
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
9500
Captain / Total hours on type:
4000.00
Aircraft flight hours:
10762
Circumstances:
Immediately after takeoff at 200-300 feet agl, a portion of fabric separated from the right aileron. While maneuvering the aircraft the pilot's control wheel became free, and he elected to ditch using full rudder and differential power. Examination of the pilot's control wheel aileron control chain revealed that the chain failed due to overload. The right seat was occupied by a mechanic employed by the operator and held a private pilot certificate with single and multi engine rating. He stated that he suggested to the pilot that his controls were functioning normally, but the pilot disagreed and proceeded to ditch the aircraft. Examination of the right control yoke revealed aileron movement in the correct direction.
Probable cause:
The pilot's improper decision to ditch the aircraft when it could have been flown back to the airport using the right seat controls. Contributing factor(s) was: the failure and separation of a portion of the right aileron fabric, and the pilot's excessive force applied to the control wheel which resulted in overstressing the aileron control chain.
Final Report:

Crash of a Piper PA-61 Aerostar (Ted Smith 601) in Lithia Springs: 3 killed

Date & Time: Jun 21, 1989 at 0823 LT
Registration:
N83AT
Flight Phase:
Survivors:
No
Schedule:
Atlanta – Memphis
MSN:
61-0296-074
YOM:
1976
Crew on board:
1
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
3
Captain / Total flying hours:
10000
Aircraft flight hours:
1454
Circumstances:
Eleven minutes after departure the pilot reported smoke and a right engine problem, then said 'going down'. Right wing and engine assemblies separated in flight. Fire damage vicinity of right engine left turbocharger; tailpipe assembly had separated. Heavy smoke and heat damage between right wing forward and aft wing spars. Tailpipe had failed in fatigue near flange where attached to turbocharger exhaust port. Evidence of non-uniformly seated gasket between flanges. Also, right engine lower left engine mount deteriorated; significant portion of rubber missing. Piper sb #818 (ad87-07-09) accomplished 5/21/88; requires removal and inspection of exhaust system for cracks and reinstallation with new flange gaskets.
Probable cause:
Inflight engine/wing fire due to a failure of the right engine's left exhaust tailpipe. The exhaust tailpipe failed in fatigue as a result of fluctuating stresses induced by a deteriorated engine mount in conjunction with unevenly distributed clamping loads caused by an improperly seated gasket.
Final Report:

Crash of a Beechcraft B60 Duke in Gaston: 4 killed

Date & Time: Jun 20, 1989 at 1642 LT
Type of aircraft:
Registration:
N78TW
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Gastonia – Fort Pierce
MSN:
P-445
YOM:
1977
Crew on board:
1
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
4
Captain / Total flying hours:
1290
Captain / Total hours on type:
26.00
Aircraft flight hours:
1669
Circumstances:
After obtaining a weather briefing in which he was informed of thunderstorms and current sigmets for his intended route of flight, the pilot elected to depart his home airport on a personal flight. At the time of departure, witnesses indicated the presence of thunderstorms adjacent to the airport. After trying to obtain his IFR clearance from charlotte, the pilot was issued his IFR clearance when approaching Columbia, SC. The pilot had deviated around at least one thunderstorm while approaching Columbia. The pilot had been cleared to climb to his requested altitude of 17,000 feet and had reached 16,400 when the radar return was observed to indicate a descent and then was lost. Witnesses on the ground reported seeing the airplane exit the clouds in flames. The evidence indicated that the horizontal tail had separated followed by the wings and other components of the airplane. No evidence of separation due to structural weakening from heating was found. All four occupants were killed.
Probable cause:
The pilot exercised questionable judgement in initiating a flight into an area of known thunderstorms. Further, either deliberately or inadvertently entered a thunderstorm and overstressed the airframe structure resulting in an inflight separation of the aerodynamic surfaces.
Final Report:

Crash of a Cessna 421A Golden Eagle I in Eloy

Date & Time: Jun 17, 1989 at 1500 LT
Type of aircraft:
Registration:
N421S
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Eloy – Sedona
MSN:
421A-0063
YOM:
1968
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
25169
Captain / Total hours on type:
700.00
Aircraft flight hours:
5070
Circumstances:
The left engine lost power just after takeoff. With the gear and flaps retracted and the left propeller feathered, the airplane would climb slightly. As it passed over green fields, the airplane started a descent. The airplane touched down in a cotton field and the left tip tank burst into flames as it touched the ground. The airplane was consumed by fire. Engine teardown revealed the number three exhaust valve failed. Elevation of the accident was 1,600 feet mst, OAT was 114° F. Density altitude was approximately 5,600 feet.
Probable cause:
Failure of the number three exhaust valve on the left engine. A major factor was the high density altitude where the airplane would not operate on single engine.
Final Report:

Crash of a Beechcraft H18 in Waipio Valley: 11 killed

Date & Time: Jun 11, 1989 at 1330 LT
Type of aircraft:
Operator:
Registration:
N34AP
Flight Phase:
Survivors:
No
Site:
Schedule:
Hilo - Kahului
MSN:
BA-746
YOM:
1967
Flight number:
YR021
Crew on board:
1
Crew fatalities:
Pax on board:
10
Pax fatalities:
Other fatalities:
Total fatalities:
11
Captain / Total flying hours:
3500
Captain / Total hours on type:
305.00
Aircraft flight hours:
19864
Circumstances:
Scenic Air Tours flight 21 (Beech H18, N34AP) was on an air taxi, sightseeing flight from Hilo to Kahului, HI. The pilot took off at approximately 1300 hst. After takeoff, flight 21 proceeded northwest along the coastline at an altitude of about 2,000 feet. The aircraft subsequently crashed in a scenic canyon area near a waterfall in Waipio Valley, approximately 50 miles northeast of Hilo. Impact occurred at an elevation of about 2,800 feet, approximately 600 to 900 feet below the rim. No preimpact mechanical problem of the aircraft or engines was found. A passenger, who was on a previous sightseeing flight, reported the pilot had maneuvered below the rim of a canyon. Company officials reported that flying below rims of canyons was against company policy; however, the operations manual did not contain any guidance or cautions about such operations. All 11 occupants were killed.
Probable cause:
The pilot's improper in-flight planning/decision to maneuver with insufficient altitude over or in a a canyon area. Factors related to the accident were: the terrain conditions and Scenic Air Tour's lack of specific direction to its pilots concerning safety procedures for sightseeing flights.
Final Report:

Crash of a Beechcraft B60 Duke in Moorhead

Date & Time: Jun 1, 1989 at 1139 LT
Type of aircraft:
Operator:
Registration:
N5AN
Flight Type:
Survivors:
Yes
MSN:
P-542
YOM:
1980
Crew on board:
1
Crew fatalities:
Pax on board:
2
Pax fatalities:
Total fatalities:
0
Captain / Total flying hours:
650
Circumstances:
The aircraft made a hard landing, ran off the right side of the runway and collided with the terrain. Subsequently, the plane erupted in flames and was destroyed, but the pilot and passengers were not injured.
Probable cause:
Improper flare by the pilot during the landing, and his failure to maintain directional control of the aircraft.
Final Report:

Crash of a Beechcraft E90 King Air in Tuba City

Date & Time: May 31, 1989 at 2215 LT
Type of aircraft:
Operator:
Registration:
N987GM
Flight Type:
Survivors:
Yes
Schedule:
Flagstaff - Tuba City
MSN:
LW-98
YOM:
1974
Crew on board:
1
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
4445
Captain / Total hours on type:
260.00
Aircraft flight hours:
5344
Circumstances:
The pilot stated that 15 minutes prior to arrival he notified the hospital and asked them to check the runway. As he entered downwind security advised him of animals on the runway so he circled until they called back stating it was clear. Just as the airplane was touching down, two horses began to cross the runway. The pilot attempted to go-around; however, the airplane contacted both animals and the pilot elected to abort the go-around. The left main landing gear collapsed and the airplane slid to a stop. A post crash fire ignited and was extinguished shortly thereafter. The landing was being made during dark night conditions.
Probable cause:
Ground personnel did not properly clear the runway of animals prior to reporting to the pilot that it was clear to land.
Final Report:

Crash of a Piper PA-46-310P Malibu in Bristol: 3 killed

Date & Time: May 31, 1989 at 1606 LT
Operator:
Registration:
N9114B
Flight Phase:
Survivors:
No
Schedule:
Tullahoma – Kalamazoo
MSN:
46-8408046
YOM:
1984
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
3
Captain / Total flying hours:
1619
Captain / Total hours on type:
17.00
Aircraft flight hours:
705
Circumstances:
After being cleared to descend to 12,000 feet and to deviate around a 'big cell', the aircraft entered an area of level two and three thunderstorms. Subsequently, an in-flight breakup occurred and wreckage was scattered over a four mile area. During the breakup, the right wing and empennage separated from the aircraft. The left wing and spar also failed at the same location as the right wing, but the left wing remained with the fuselage. No pre-accident failure, malfunction or metal fatigue of the aircraft was found drg the investigation. All three occupants were killed.
Probable cause:
Continued flight by the pilot into known adverse weather and his exceeding the design stress limits of the aircraft, which resulted in failure of the wing spars and separation of the right wing and empennage (stabilizers). Contributing factors were: continued flight by the pilot above the maneuvering speed (va), his lack of familiarity with the make and model of aircraft, and thunderstorms.
Final Report: