Crash of a Rockwell Grand Commander 680FL in Soda Springs: 2 killed

Date & Time: Apr 8, 1988 at 2125 LT
Operator:
Registration:
N291NC
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Billings - Salt Lake City
MSN:
680-1461-86
YOM:
1964
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
5013
Captain / Total hours on type:
50.00
Aircraft flight hours:
11873
Circumstances:
While en route on a night IFR cargo flight, the pilot requested and was cleared for a descent from an IFR cruise altitude of 16,000 feet to proceed VFR-on-top. The last transmission from the aircraft was at 2106 when the pilot acknowledged that he was familiar with the terrain along the route. At 2121:51 mdt, radar contact was lost after the aircraft made an approximately 360° left turn and descended thru 13,800 feet. Shortly after that, the controller tried to call the pilot to inform him that radar contact was lost, but was unable to make radio contact. Later, wreckage of the aircraft was found where it had crashed about 2 miles southwest of were radar contact was lost. The wreckage was scattered over an area of more than one mile. An investigation revealed the left wing and right horizontal stabilizer had separated upward from overload. No pre-accident fatigue or part failure/malfunction was found. Weather reports and pireps indicated moderate turbulences and towering cumulus clouds in the area. Approximately 60 miles west at Pocatello, ID, snow showers were reported; 2 to 3 inches of snow fell on the wreckage overnight. Both pilots were killed.
Probable cause:
Occurrence #1: airframe/component/system failure/malfunction
Phase of operation: descent
Findings
1. (f) light condition - dark night
2. (f) weather condition - snow
3. (f) weather condition - thunderstorm
4. (f) weather condition - turbulence
5. (c) design stress limits of aircraft - exceeded - pilot in command
6. Wing - overload
7. Wing - separation
8. Horizontal stabilizer surface - overload
9. Horizontal stabilizer surface - separation
----------
Occurrence #2: in flight collision with terrain/water
Phase of operation: descent - uncontrolled
Final Report:

Crash of a Piper PA-31-325 Navajo C/R in West Seneca

Date & Time: Apr 8, 1988 at 0230 LT
Type of aircraft:
Operator:
Registration:
N59845
Flight Type:
Survivors:
Yes
Schedule:
Buffalo - Jamestown
MSN:
31-7612054
YOM:
1976
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
3050
Captain / Total hours on type:
410.00
Aircraft flight hours:
2040
Circumstances:
The flight departed Buffalo under IFR conditions to Jamestown, New York. Several approaches were made to land but due to the weather conditions, the pilot elected to return to Buffalo still under IFR. During initial contact with control tower, the pilot advised them that he was low on fuel and requested direct flight to Buffalo. About 5 miles south-southwest of Buffalo both engines quit and the pilot advised that he was not going to make it. At this time the flight was issued emergency vector to Buffalo, but the aircraft crashed adjacent to route 400 in West Seneca, New York.
Probable cause:
Loss of power due to fuel starvation. Contributing factor was adverse weather conditions.
Occurrence #1: loss of engine power
Phase of operation: approach
Findings
1. Weather condition - low ceiling
2. (c) preflight planning/preparation - inaccurate - pilot in command
3. Fluid, fuel - exhaustion
----------
Occurrence #2: forced landing
Phase of operation: descent - emergency
----------
Occurrence #3: in flight collision with terrain/water
Phase of operation: landing
Final Report:

Crash of a Cessna 207 Skywagon near Hardwick: 1 killed

Date & Time: Apr 4, 1988 at 1820 LT
Registration:
N207CA
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Sioux Falls - Crystal
MSN:
207-0097
YOM:
1969
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
8000
Captain / Total hours on type:
260.00
Aircraft flight hours:
12000
Circumstances:
Witnesses observed the aircraft for approximately 8 minutes in erratic diving, climbing, and steep-turning maneuvers which culminated in a 12° descent to the ground. The sound of the engine was heard throughout the sequence and other evidence indicated engine power at impact. The aircraft struck trees, a farm building, farm equipment, and a vehicle, then burst into flames. The wreckage was strewn along a 320 feet path. No evidence of flight control malfunction was found. The pilot claimed an upset stomach before the flight. The pilot's speech was slurred in radio transmissions. The pilot did not respond to the last radio call from Sioux Falls tower. No emergency or distress calls were received from the pilot. The postmortem examination of the pilot did not identify specific impairment but was limited due to the severity of the impact and fire damage.
Probable cause:
Occurrence #1: in flight collision with terrain/water
Phase of operation: maneuvering
Findings
1. (c) maneuver - improper - pilot in command
2. (c) aircraft control - not maintained - pilot in command
3. (f) physical impairment - pilot in command
4. Object - tree(s)
5. Object - building(nonresidential)
6. Object - vehicle
Final Report:

Crash of a Piper PA-31-325 Navajo C/R in Orinda: 5 killed

Date & Time: Apr 3, 1988 at 1906 LT
Type of aircraft:
Registration:
N6ET
Flight Phase:
Flight Type:
Survivors:
No
Site:
Schedule:
Redding - San Jose
MSN:
31-7612012
YOM:
1976
Crew on board:
1
Crew fatalities:
Pax on board:
4
Pax fatalities:
Other fatalities:
Total fatalities:
5
Captain / Total flying hours:
6500
Circumstances:
Before the accident, witnesses observed the aircraft circling in a valley beneath a low cloud layer and below the surrounding hilltops. They estimated the ceiling was 400 feet obscured. Two witnesses said the aircraft entered clouds before it crashed. A 3rd witness, who was a pilot, said the aircraft was at a very low altitude when it approached rising/mountainous terrain; he said the aircraft then entered a steep climbing turn and stalled after making two complete turns. Impact occurred in a nose low, left wing down attitude. No preimpact mechanical problem was found. The FAA had issued the pilot a special 3rd class medical certificate after he had quintuple heart bypass surgery. He was reported to have gotten 'quite angry' before the flight, when 2 passengers were late. A pathologist believed the pilot's death may have been due to arteriosclerotic heart disease; however, this was not verified. The pilot did not have an instrument rating and no record of a preflight weather briefing was found. All five occupants were killed.
Probable cause:
Occurrence #1: in flight encounter with weather
Phase of operation: cruise
Findings
1. (f) preflight planning/preparation - inadequate - pilot in command
2. (f) terrain condition - mountainous/hilly
3. (f) weather condition - low ceiling
4. (f) weather condition - fog
5. (f) vfr flight into imc - continued - pilot in command
----------
Occurrence #2: loss of control - in flight
Phase of operation: maneuvering
Findings
6. Maneuver - initiated
7. (c) airspeed - not maintained - pilot in command
8. (c) stall - inadvertent - pilot in command
----------
Occurrence #3: in flight collision with terrain/water
Phase of operation: descent - uncontrolled
Final Report:

Crash of a Beechcraft H18 in Kansas City: 1 killed

Date & Time: Apr 1, 1988 at 0750 LT
Type of aircraft:
Operator:
Registration:
N989B
Flight Type:
Survivors:
No
Schedule:
Cincinnati – Kansas City – Wichita
MSN:
BA-632
YOM:
1962
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
2140
Captain / Total hours on type:
274.00
Aircraft flight hours:
8443
Circumstances:
The cargo flight departed Cincinnati en route to Wichita, KS with an intermediate stop at Kansas City Downtown Airport. The flight progressed normally to a VOR runway 03 instrument approach, circling to runway 01. The pic had been cleared to commence the approach. Tower personnel subsequently advised the pic of a low altitude alert, to which the pic responded he had ground contact. The pic subsequently declared a missed approach, then said, 'I got it all right,' and he requested a 360° turn and landing on runway 01. Witnesses observed the aircraft approach from the west at a low altitude. Then, while over airport property, the aircraft turned sharply. The left wing dropped quickly as the aircraft banked nearly 90°. The aircraft impacted the ramp area 400 feet right of runway 01, in front of a fixed base operator and burst into flames. The aircraft slid about 200 feet before coming to a stop. The company chief pilot stated that the pic was deficient in VOR approaches. The pilot, sole on board, was killed.
Probable cause:
Occurrence #1: abrupt maneuver
Phase of operation: circling (ifr)
Findings
1. (f) minimum descent altitude - below - pilot in command
2. (c) ifr procedure - improper - pilot in command
3. (c) maneuver - improper - pilot in command
4. (c) stall - inadvertent - pilot in command
5. (f) inadequate training - company/operator management
6. (f) missed approach - not performed - pilot in command
----------
Occurrence #2: in flight collision with terrain/water
Phase of operation: descent - uncontrolled
Final Report:

Crash of a Cessna 421A Golden Eagle I in Albuquerque: 2 killed

Date & Time: Mar 25, 1988 at 1801 LT
Type of aircraft:
Registration:
C-GVDG
Survivors:
No
Schedule:
Kansas City - Albuquerque
MSN:
421A-0067
YOM:
1968
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
2180
Captain / Total hours on type:
91.00
Circumstances:
The pilot and one passenger were on a business trip in the US from canada. The pilot had the aircraft fuel tanks 'topped off' prior to departure from Kansas City. The flight plan indicated 3 hours 30 min enroute to Albuquerque with 5 hours 30 min of fuel on board. Strong enroute winds and turbulence were forecast along the route of flight. The actual flight was 4.4 hrs. The aircraft crashed while turning from base leg to final at the Albuquerque Intl Airport. Examination of the wreckage revealed no evidence of fuel in or around the aircraft. The manufacturer recommends using the main tanks for 90 minutes before switching to any aux tank to prevent venting of return fuel overboard. Vented fuel will diminish fuel supply. Both occupants were killed.
Probable cause:
Occurrence #1: loss of engine power (partial) - nonmechanical
Phase of operation: approach - vfr pattern - base leg/base to final
Findings
1. (c) fuel system - not understood - pilot in command
2. (c) fluid, fuel - exhaustion
3. (c) fuel dumped - inadvertent - pilot in command
4. (f) weather condition - unfavorable wind
----------
Occurrence #2: loss of control - in flight
Phase of operation: descent - uncontrolled
Findings
5. (c) stall/spin - inadvertent - pilot in command
Final Report:

Crash of a BAe 3101 Jetstream 31 in Dallas

Date & Time: Mar 25, 1988 at 0830 LT
Type of aircraft:
Operator:
Registration:
N411AE
Flight Type:
Survivors:
Yes
Schedule:
Wichita Falls - Dallas
MSN:
671
YOM:
1985
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
4841
Captain / Total hours on type:
2100.00
Aircraft flight hours:
4475
Circumstances:
The copilot was flying the aircraft as it was being ferried after minor maintenance. As they were in a descent and were approaching the destination airport, the captain noted a left engine torque fluctuation of 20% to 30% and elected to secure the engine, although no yawing was noticed. During shutdown, the left propeller did not feather and drag increased until the aircraft would not sustain level flight. An attempted restart of the left engine was unsuccessful, so the captain tried to feather it again. However, the left propeller still did not feather. Subsequently, the pilots were forced to land in an open field on uneven terrain and the aircraft was damaged. An extensive investigation was made, but no cause could be found for the torque fluctuation, nor could the condition be duplicated, however, the investigation did note that the air and ground procedures for engine shutdown were similar. A variation in the ground shutdown procedures allowed for engagement of the start latches.
Probable cause:
Airplane's encounter with rought terrain during an attempted forced landing. The forced landing was necessitated after the captain used improper procedures to shutdown the left engine in flight following an unexplained torque fluctuation.
Final Report:

Crash of a Beechcraft E18S in Detroit: 3 killed

Date & Time: Mar 10, 1988 at 0026 LT
Type of aircraft:
Registration:
N900WP
Flight Phase:
Flight Type:
Survivors:
No
Site:
Schedule:
Detroit - Fort Wayne
MSN:
BA-298
YOM:
1957
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
3
Captain / Total flying hours:
1764
Captain / Total hours on type:
375.00
Circumstances:
The flight was an air taxi cargo flight carrying truck parts. After takeoff, the tower asked the pilot if he was in difficulty and the pilot replied 'roger' and requested a change of flight plan. The aircraft was seen flying erratically just above the tree tops. The aircraft descended almost vertically into a residential area. The rear of one home was ignited by the impact and 2 occupants of the house were fatally burned. Post accident investigation revealed no engine malfunction but there were discrepancies in the load manifest and the aircraft weight and balance. Before takeoff a company employee watched the pilot secure the cargo with ropes nets and clips but did not help because he 'didn't know what the pilot was doing. 'Impact' damage precluded determination of the original placement and security of the cargo and any possible shifting prior to impact. The net weight on the cargo manifest did not include the weight of the trays to hold the parts. This was an omission of 150 lbs. Company personnel said no weight and balance information was left with them when the aircraft departed.
Probable cause:
Occurrence #1: loss of control - in flight
Phase of operation: takeoff - initial climb
Findings
1. (f) dispatch procedures - inadequate - company/operator management
2. (c) aircraft weight and balance - not performed - pilot in command
3. (c) aircraft weight and balance - improper
4. (c) aircraft performance, climb capability - inadequate
5. (c) aircraft control - not maintained - pilot in command
6. (f) supervision - poor - company/operator management
Final Report:

Crash of a Beechcraft E18 in Vienna: 2 killed

Date & Time: Mar 3, 1988 at 2205 LT
Type of aircraft:
Registration:
N45A
Flight Type:
Survivors:
No
Schedule:
Springfield - Rolla
MSN:
BA-101
YOM:
1955
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
5000
Captain / Total hours on type:
360.00
Aircraft flight hours:
8971
Circumstances:
The pilot received a weather briefing before starting a night cargo operation in known icing conditions. Before the flight, a line serviceman noticed ice on the aircraft's wings and suggested its removal, but the pilot declined. Approximately 45 minutes after takeoff, the pilot reported to ARTCC that a de-ice boot had 'blown' and he was having difficulty controlling the aircraft. He said the boot was 'going back and forth' and that full right aileron was required to keep the wings level. Also, he reported a continuous loss of altitude and said that full right aileron would not keep the aircraft from turning to the left. Subsequently, the aircraft crashed on descending terrain while in a slightly nose down, left wing low attitude. Much of the aircraft (including much of the left wing) was demolished by impact and fire. Prop slash marks indicated the engines were providing power. Maintenance records had no information of replacement, repair or modification of the de-ice boots in the previous 10 years. The pilot's wife indicated he had previously been pressured to fly aircraft with discrepancies. Sigmets golf 3 and 4 warned of occasional severe mixed icing in clouds and precipitations. Both occupants were killed.
Probable cause:
Occurrence #1: airframe/component/system failure/malfunction
Phase of operation: cruise - normal
Findings
1. (f) anti-ice/deice system,wing
2. (f) maintenance, inspection - inadequate - company maintenance personnel
3. (c) wing - ice
4. Ice/frost removal from aircraft - not performed - pilot in command
5. (f) weather condition - icing conditions
6. (f) flight into known adverse weather - performed - pilot in command
7. (f) company-induced pressure - company/operator management
8. (c) anti-ice/deice system, wing - failure, total
----------
Occurrence #2: forced landing
Phase of operation: descent - emergency
----------
Occurrence #3: in flight collision with terrain/water
Phase of operation: descent
Findings
9. (f) light condition - dark night
10. (f) weather condition - low ceiling
11. (f) weather condition - fog
12. Terrain condition - mountainous/hilly
Final Report:

Crash of a Piper PA-31-325 Navajo C/R in Atlantic City: 3 killed

Date & Time: Feb 19, 1988 at 2202 LT
Type of aircraft:
Registration:
N27400
Survivors:
No
Schedule:
Norwood - Atlantic City
MSN:
31-7712093
YOM:
1977
Crew on board:
2
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
3
Captain / Total flying hours:
1115
Captain / Total hours on type:
135.00
Aircraft flight hours:
2909
Circumstances:
The aircraft disappeared from radar at approximately 1 mile final on a night ILS runway 13 approach. Radar data indicated that the aircraft completed almost 180° of turn prior to disappearing. The aircraft crashed in a heavily wooded area. No evidence of a preexisting failure on the engines or airframe was found. When the flying history of the pilot was examined, the hours presented on his resume exceeded his log book and his log book hours could not be totally verified. The copilot did not have an instrument rating. The pilot that preceded the accident aircraft on the approach said he experienced moderate turbulence, windshear and that the approach lights were very distracting. The pilot had received a weather briefing which included wind shear and moderate turbulence. All three occupants were killed.
Probable cause:
Occurrence #1: loss of control - in flight
Phase of operation: approach - faf/outer marker to threshold (ifr)
Findings
1. (f) weather condition - fog
2. (f) weather condition - windshear
3. (f) weather condition - turbulence
4. (c) compensation for wind conditions - inadequate - pilot in command
5. (c) ifr procedure - improper - pilot in command
6. (f) spatial disorientation - pilot in command
7. (f) lack of total instrument time - copilot/second pilot
8. (f) inadequate surveillance of operation - company/operator mgmt
----------
Occurrence #2: in flight collision with terrain/water
Phase of operation: descent - uncontrolled
Findings
9. Object - tree(s)
Final Report: