Crash of a Cessna 421B Golden Eagle II near Tooele: 2 killed

Date & Time: Nov 16, 1988 at 0110 LT
Operator:
Registration:
N222BL
Flight Phase:
Survivors:
No
Site:
Schedule:
Saint George - Salt Lake City
MSN:
421B-0824
YOM:
1974
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
6375
Aircraft flight hours:
2774
Circumstances:
The flight departed St. George, UT, at 0100 mst enroute to Salt Lake City (SLC). A flight plan was not filed. The weather forecast was for IMC with mountain tops obscured. The pilot requested flight following from SLC center and proceeded on the airways until about 40 miles south of SLC where radar contact was lost. Upon loss of radar contact, the controller asked the pilot what his altitude was. The pilot replied that he was at 10,500 feet. That was the last contact with the flight. After repeated attempts to reestablish contact, it was determined that the aircraft had gone down. A search was begun and the wreckage was found 30 miles southwest of SLC at the 9,500 feet level of a mountain. Both occupants were killed.
Probable cause:
Occurrence #1: in flight collision with terrain/water
Phase of operation: cruise - normal
Findings
1. (f) light condition - dark night
2. (f) weather condition - snow
3. (f) weather condition - low ceiling
4. (f) terrain condition - mountainous/hilly
5. (c) in-flight planning/decision - improper - pilot in command
6. (c) became lost/disoriented - inadvertent - pilot in command
7. (c) proper altitude - not maintained - pilot in command
8. (c) flight into known adverse weather - attempted - pilot in command
Final Report:

Crash of a Cessna 207 Skywagon near Monoghan: 1 killed

Date & Time: Nov 5, 1988 at 2110 LT
Registration:
N91036
Flight Phase:
Flight Type:
Survivors:
No
Site:
Schedule:
Endicott - Thomasville
MSN:
207-0026
YOM:
1969
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
16000
Aircraft flight hours:
6100
Circumstances:
Evidence indicates that the airplane flew straight into the side of a 1,320 feet mountain at the 1,280 feet level. The recommended minimum flight altitude for this designated mountainous area, at night, is 3,500 feet. There was no evidence of any mechanical problems. The pilot, sole on board, was killed.
Probable cause:
Occurrence #1: in flight collision with terrain/water
Phase of operation: cruise
Findings
1. (f) terrain condition - mountainous/hilly
2. (c) in-flight planning/decision - poor - pilot in command
3. (f) light condition - dark night
4. (c) altitude - inadequate - pilot in command
Final Report:

Crash of a Beechcraft 65 Queen Air in Elko: 2 killed

Date & Time: Nov 2, 1988 at 1453 LT
Type of aircraft:
Registration:
N9AG
Flight Type:
Survivors:
No
Schedule:
Elko - Farmington
MSN:
LC-51
YOM:
1960
Location:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
884
Captain / Total hours on type:
103.00
Aircraft flight hours:
8945
Circumstances:
Approximately 10 minutes after takeoff, the pilot stated he was returning to land due to a problem. On final the aircraft rolled inverted and descended nose down into a residence. Engine examination revealed a failed supercharger intermediate drive shaft gear resulting in loss of supercharger on the right engine. The aircraft was approximately 300 lbs over max gross weight. The landing gear was down and the flaps were extended approx 20°. The left throttle was found in the full forward (high power) position. The right prop control was in full decrease rpm, high pitch and the right engine magneto switches were off. Witnesses had observed the aircraft descend to below traffic pattern altitude. At approx 200 feet agl a loud engine noise was heard and the slow flying aircraft pitched up, rolled right and descended vertically about 1/2 mile from the airport. The pilot had not declared an emergency or defined his problem. The pilot's last recorded flight in the Beech 65 was in February 1988. There was no record of a check-out or flight training in the aircraft. Both occupants were killed.
Probable cause:
Occurrence #1: loss of engine power (partial) - mech failure/malf
Phase of operation: climb - to cruise
Findings
1. (f) accessory drive assy, drive gear - worn
2. (f) exhaust system, turbocharger - failure, total
----------
Occurrence #2: loss of control - in flight
Phase of operation: approach - vfr pattern - final approach
Findings
3. (f) weather condition - gusts
4. (c) in-flight planning/decision - inadequate - pilot in command
5. (c) airspeed (vmc) - not maintained - pilot in command
6. (f) inadequate training (emergency procedure(s)) - pilot in command
7. (f) lack of recent experience in type of aircraft - pilot in command
8. (f) aircraft weight and balance - exceeded - company/operator management
----------
Occurrence #3: in flight collision with object
Phase of operation: descent - uncontrolled
Findings
9. Object - residence
Final Report:

Crash of a Rockwell 1121 Jet Commander near Latrobe: 3 killed

Date & Time: Nov 2, 1988 at 1013 LT
Operator:
Registration:
N44
Flight Type:
Survivors:
No
Schedule:
Pittsburgh - Latrobe
MSN:
1121-130
YOM:
1969
Crew on board:
3
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
3
Captain / Total flying hours:
16957
Captain / Total hours on type:
4428.00
Aircraft flight hours:
10519
Circumstances:
Aircraft entered an area of forecast moderate icing. Ice detection system had been intermittently inoperative. The aircraft entered holding in icing conditions while checking flight inspection equipment. Evidence indicated crew noted ice accretion, activated surface de-ice system, ice broke loose and entered engine intakes. Both engines flamed out. During emergency descent crew initially re-starts, but neither engine would sustain power. Crew requested vectors to more distant airport. Both pilots were seen drinking previous night. Copilot had recently lost drivers license for dui. Captain had decided to retire that day. Copilot had worked in flight ops 3 days in 8 weeks and had limited training in flight inspection. Both pilots had personal stresses which may have influenced performance. Captain's contaminated thoracic blood revealed 0.057% alcohol. Putrefaction would accentuated for part of alcohol level. Copilot had trace alcohol in urine only. Both engines showed compressor fod consistent with ice ingestion. No other aircraft system or engine malfunction found.
Probable cause:
Failure of the pilot in command to observe the rapid accretion of ice on the airplane due to his attention being diverted.
Occurrence #1: in flight encounter with weather
Phase of operation: maneuvering - holding (ifr)
Findings
1. (f) weather condition - icing conditions
2. (c) ice/frost removal from aircraft - delayed - pilot in command
3. (f) inattentive - pilot in command
4. (f) psychological condition - pilot in command
5. (f) psychological condition - copilot/second pilot
6. (f) inadequate initial training - copilot/second pilot
7. Inadequate surveillance, insufficient staff - faa (organization)
----------
Occurrence #2: loss of engine power (total) - nonmechanical
Phase of operation: maneuvering - holding (ifr)
Findings
8. (f) fuselage - ice
9. Ice/frost removal from aircraft - performed
10. (c) compressor assembly, blade - foreign object damage
----------
Occurrence #3: in flight collision with terrain/water
Phase of operation: descent - emergency
Findings
11. Object - tree(s)
Final Report:

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

Date & Time: Nov 2, 1988 at 0302 LT
Registration:
N60819
Flight Type:
Survivors:
No
Schedule:
Baton Rouge – Conroe
MSN:
61-0759-8062149
YOM:
1980
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
2887
Captain / Total hours on type:
190.00
Aircraft flight hours:
3202
Circumstances:
The aircraft collided with power lines and trees while on final approach. The reported weather immediately following the accident was an indefinite ceiling zero, sky obscured, and visibility 1/16 of a mile in fog. No preimpact failures or malfunctions of the aircraft were found. The pilot had diverted from his intended destination due to fog. The pilot, sole on board, was killed.
Probable cause:
Pilot's decision to fly the approach visually with outside reference to the lights and inadvertently descending below the decision height off the proper glide path.
Occurrence #1: in flight collision with object
Phase of operation: approach - faf/outer marker to threshold (ifr)
Findings
1. (f) weather condition - fog
2. (f) weather condition - obscuration
3. (c) in-flight planning/decision - poor - pilot in command
4. (c) decision height - below - pilot in command
5. (c) proper glidepath - not maintained - pilot in command
6. (f) object - wire, transmission
7. (f) object - tree(s)
Final Report:

Crash of a Cessna 421A Golden Eagle I in Cabazon: 1 killed

Date & Time: Nov 1, 1988 at 1613 LT
Type of aircraft:
Operator:
Registration:
N3385Q
Survivors:
No
Schedule:
Torrance - Tucson
MSN:
421A-0115
YOM:
1968
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
7000
Aircraft flight hours:
2293
Circumstances:
The pilot contacted the arsa controller for advisories after losing power on the right engine over an air force base. The controller advised the pilot that his position was near a civilian airport with limited maintenance facilities and an air force base. The pilot advised that he desired to continue to a larger civilian airport along his route where he could obtain service. The pilot then informed the controller that he could barley see the ground and that he was unable to maintain altitude due to the propeller not feathering. The aircraft overflew a small civilian airport and the pilot told the unicom operator that he would attempt to land on an interstate highway. The aircraft overflew the highway and impacted an electrical transmission line and collided with a residence. Post accident inspection revealed the right engine #3 cylinder head fractured allowing the head to displace outward 3/8 inch. Fracture resulted from fatigue at threaded area between head and cylinder. The propeller governor operated normally during functional testing after the accident. The pilot, sole on board, was killed.
Probable cause:
The pilot's poor decision and misjudgement of distance. The separation of the cylinder, failure of the propeller to feather, and impact with wires and a residence were factors in the accident.
Occurrence #1: loss of engine power (total) - nonmechanical
Phase of operation: cruise - normal
Findings
1. (c) engine assembly, cylinder - fatigue
2. (c) engine assembly, cylinder - separation
3. (f) propeller feathering - not possible - pilot in command
4. (f) reason for occurrence undetermined
----------
Occurrence #2: forced landing
Phase of operation: descent - emergency
Findings
5. (c) in-flight planning/decision - poor - pilot in command
6. (f) overconfidence in aircraft's ability - pilot in command
7. Distance - misjudged - pilot in command
----------
Occurrence #3: in flight collision with object
Phase of operation: descent - emergency
Findings
8. (f) object - wire, transmission
9. (f) object - residence
----------
Occurrence #4: in flight collision with object
Phase of operation: descent - emergency.
Final Report:

Crash of a Piper PA-31P-350 Mojave in Redlands: 2 killed

Date & Time: Oct 26, 1988 at 1900 LT
Type of aircraft:
Registration:
N79HW
Survivors:
No
Schedule:
Imperial - Redlands
MSN:
31-8414021
YOM:
1984
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
550
Captain / Total hours on type:
200.00
Aircraft flight hours:
660
Circumstances:
The airport is next to Norton AFB. The weather on the dark moonless night was 1 mile visibility in fog and haze. The pilot completed an ILS to a low approach at Norton and received a special VFR clearance to proceed to Redlands. The circling MDA for Norton is 1,700 feet msl. Norton AFB elevation is 1,100 feet msl, and the Redlands Airport elevation is 1,572 feet msl. The circling MDA for Norton is 138 feet above the Redlands Airport elevation. The recorded radar data showed that the flight descended to 1,800 feet on the ILS, then the mode C varied between 1,700 and 1,600 feet. The last radar return was about 1 mile from the Redlands Airport at 1,600 feet msl. A witness on the airport saw the aircraft fly over runway 08 in a south to north direction, 'low and fast.' The witness heard the crash sounds immediately thereafter. Evidence at the accident site revealed the aircraft left wing contacted the ground in a 42° left bank in a slight nose down attitude. Few ground reference lights exist in the area and the pilot had minimum total night time. Both occupants were killed.
Probable cause:
The pilot's inadvertent selection of an inappropriate altitude for the attempted night special VFR circle to land maneuver. Contributing to the accident was the dark night, restricted visibilities and lack of ground reference lights. Also contributing to the accident was the pilot's limited total night experience.
Occurrence #1: in flight collision with terrain/water
Phase of operation: circling (ifr)
Findings
1. (f) weather condition - fog
2. (c) proper altitude - not maintained - pilot in command
3. Visual/aural perception - pilot in command
4. (f) light condition - dark night
5. (f) lack of total experience in type operation - pilot in command
6. (f) in-flight planning/decision - poor - pilot in command
7. (f) planned approach - inadequate - pilot in command
Final Report:

Crash of a Beechcraft 60 Duke in Norwood

Date & Time: Oct 26, 1988 at 1200 LT
Type of aircraft:
Registration:
N8PX
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Norwood – West Bow
MSN:
P-436
YOM:
1977
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
4800
Captain / Total hours on type:
120.00
Aircraft flight hours:
1400
Circumstances:
The pilot had just climbed to 2,500 feet when the right engine started to sputter. When he placed the fuel selector in crossfeed, both engines quit. The pilot elected to land in a field leading to substantial damage to the nose, wings, and tail section of the aircraft. A post crash inspection of fuel system revealed no fuel in the tanks or the fuel metering units for either engine. The pilot stated after the accident that the last time he refueled the aircraft was several weeks before and that it had been flown several times since its last refueling.
Probable cause:
Occurrence #1: loss of engine power (total) - nonmechanical
Phase of operation: climb
Findings
1. All engines
2. (c) fluid, fuel - exhaustion
3. (c) aircraft preflight - inadequate - pilot in command
4. (c) refueling - not performed - pilot in command
----------
Occurrence #2: forced landing
Phase of operation: descent - emergency
----------
Occurrence #3: in flight collision with terrain/water
Phase of operation: landing - flare/touchdown
Findings
5. Object - tree(s)
6. Wheels up landing - performed - pilot in command
Final Report:

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

Date & Time: Oct 20, 1988 at 1530 LT
Registration:
N6069U
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Salt Lake City - Salt Lake City
MSN:
61-0675-7963317
YOM:
1979
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
12150
Circumstances:
The pilot departed Salt Lake City on a pleasure flight to Bear Lake to overfly a home that he owned. Witnesses near the accident site stated they saw the aircraft circle over the house and then depart the area over a ridge of mountains. The aircraft turned out over the lake and was in straight and level flight shortly before it descended at a steep angle into the water. The autopsy performed on the pilot revealed coronary arteriosclerosis. The assistant medical examiner stated in the autopsy report the pilot 'may have been rendered incapacitated by an acute cardiac arrhythmia.'
Probable cause:
Occurrence #1: loss of control - in flight
Phase of operation: cruise
Findings
1. (c) incapacitation (other cardiovascular) - pilot in command
----------
Occurrence #2: in flight collision with terrain/water
Phase of operation: descent - uncontrolled
Final Report:

Crash of a Piper PA-31-310 Navajo in Edinburg

Date & Time: Oct 16, 1988 at 1635 LT
Type of aircraft:
Registration:
N91BB
Flight Phase:
Survivors:
Yes
Schedule:
McAllen - Houston
MSN:
31-141
YOM:
1968
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
6
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
2925
Captain / Total hours on type:
195.00
Aircraft flight hours:
6373
Circumstances:
Aircraft experienced a double engine failure. Pilot stated that immediately after the left engine failed, in climb to cruise, the aircraft rolled left, the stall warning activated, and the aircraft entered a left spiral. The right engine failed during the two-turn spiral. Pilot's attempts to restart the engines were unsuccessful. Pilot subsequently made a successful gear up emergency landing on a road, however, the aircraft was destroyed by post-crash fire. Investigation revealed that both engine fuel systems were contaminated with water and dissolved solids. Aircraft had just been refueled at a foreign airport. All seven occupants were uninjured.
Probable cause:
Occurrence #1: loss of engine power (total) - nonmechanical
Phase of operation: climb - to cruise
Findings
1. 1 engine
2. (c) fluid, fuel - contamination
3. (c) fluid, fuel - water
4. (c) maintenance, service of aircraft/equipment - improper - fbo personnel
----------
Occurrence #2: loss of control - in flight
Phase of operation: climb - to cruise
Findings
5. (c) airspeed (vmc) - not maintained - pilot in command
6. Spiral - uncontrolled
----------
Occurrence #3: loss of engine power (total) - nonmechanical
Phase of operation: descent - uncontrolled
Findings
7. All engines
8. (c) fluid, fuel - contamination
9. (c) fluid, fuel - water
----------
Occurrence #4: forced landing
Phase of operation: descent - emergency
----------
Occurrence #5: in flight collision with terrain/water
Phase of operation: landing - roll
Findings
10. Wheels up landing - performed - pilot in command
Final Report: