Crash of a Swearingen SA227AC Metro III in Raleigh: 12 killed

Date & Time: Feb 19, 1988 at 2127 LT
Type of aircraft:
Operator:
Registration:
N622AV
Flight Phase:
Survivors:
No
Schedule:
Raleigh - Richmond
MSN:
AC-622
YOM:
1985
Flight number:
CE3378
Crew on board:
2
Crew fatalities:
Pax on board:
10
Pax fatalities:
Other fatalities:
Total fatalities:
12
Captain / Total flying hours:
3426
Captain / Total hours on type:
1836.00
Copilot / Total flying hours:
2080
Copilot / Total hours on type:
450
Aircraft flight hours:
4222
Circumstances:
The aircraft departed during low ceiling, low visibility, and night conditions. Shortly after takeoff the aircraft impacted a reservoir. Analysis of radar data indicated the aircraft was in a 45° descending turn. Examination of the aircraft trim system showed that the aircraft was trimmed for level flight. There was no voice or flight data recorder on board. A review of ATC communications indicated that the captain was communicating with ATC allowing the first officer to accomplish the flying duties. Examination of the wreckage revealed no indications of powerplant or system failures. However, there was evidence that the sas warning light was illuminated, the sas switch was in the off position, and no sas system malfunction could be found. Witnesses stated that before the flight the captain had complained of illness but he decided to report for duty. Company records showed instances of substandard performance by the first officer. The investigation found company oversight of training, operations, and inadequate faa supervision. All 12 occupants were killed.
Probable cause:
The National Transportation Safety Board determines that the probable cause of this accident was a failure of the flight crew to maintain a proper flightpath. Contributing to the accident were the ineffective management and supervision of flight crew training and flight operations, and ineffective FAA surveillance of AVAir.
Final Report:

Crash of a Rockwell Grand Commander 680 in El Paso: 3 killed

Date & Time: Feb 19, 1988 at 0958 LT
Operator:
Registration:
N634SA
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
El Paso - Palm Springs
MSN:
680-0509-179
YOM:
1957
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
3
Captain / Total flying hours:
3012
Captain / Total hours on type:
95.00
Circumstances:
The non-instrument rated, non multi-engine rated pilot, whose medical had expired, lost control of the aircraft during an IFR flight in instrument meteorological conditions. The aircraft crashed and burned. The pilot was attempting to return and land after he reported a landing gear problem. It could not be determined what landing gear malfunction existed.
Probable cause:
Occurrence #1: airframe/component/system failure/malfunction
Phase of operation: cruise - normal
Findings
1. (f) landing gear - undetermined
----------
Occurrence #2: loss of control - in flight
Phase of operation: maneuvering
Findings
2. (f) weather condition - low ceiling
3. (f) weather condition - fog
4. (c) planning/decision - poor - pilot in command
5. (c) airspeed - not maintained - pilot in command
6. (c) stall - inadvertent - pilot in command
7. (f) lack of total instrument time - pilot in command
----------
Occurrence #3: in flight collision with terrain/water
Phase of operation: descent - uncontrolled
Findings
8. Terrain condition - roadway/highway
Final Report:

Crash of a Cessna 425 Conquest in Sanford: 1 killed

Date & Time: Feb 11, 1988 at 2212 LT
Type of aircraft:
Registration:
N6771Y
Survivors:
Yes
Schedule:
Atlanta - Sanford
MSN:
425-0019
YOM:
1981
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
8750
Aircraft flight hours:
2269
Circumstances:
The flight was cleared for a night ILS approach and advised that tower at destination had closed. Tower had reported at closing that fog was forming and the flight was advised of the fog. The aircraft was located on a remote part of the airport the next morning. The ELT had activated but the signal was weak due to crash damage. Passenger said they never saw runway lights, only taxi lights, and that pilot attempted to perform a go-around. Gear was retracted and aircraft hit level grassy area in a near level attitude. The pilot was not wearing a shoulder harness. The pax crouched in the aisle next to the pilot, helping him find the runway, not wearing restraining belts. No published approach plate for ILS procedure for that runway was found in aircraft. Toxicological report revealed pilot had 3 mcg/ml dextromethorphan, an ingredient found in over counter cold remedies. According to report, levels of that substance in blood greater than 0.1 mcg/ml was sufficient to cause drowsiness.
Probable cause:
Occurrence #1: in flight collision with terrain/water
Phase of operation: missed approach (ifr)
Findings
1. (f) weather condition - fog
2. (c) decision height - disregarded - pilot in command
3. (f) light condition - night
4. Meteorological services - not operating
5. (c) missed approach - improper - pilot in command
6. Control tower - not operating
7. (c) gear retraction - premature - pilot in command
8. (c) in-flight planning/decision - poor - pilot in command
9. (f) impairment (drugs) - pilot in command
10. Shoulder harness - not used - pilot in command
Final Report:

Crash of a Boeing B-52G-105-BW Stratofortress at Castle AFB

Date & Time: Feb 11, 1988
Type of aircraft:
Operator:
Registration:
58-0219
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Castle - Castle
MSN:
464287
YOM:
1958
Crew on board:
0
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
The crew was engaged in a training flight out of Castle AFB. During the takeoff roll, the decision to abort was taken for unknown reasons. Unable to stop within the remaining distance, the aircraft overran and came to rest. All crew members escaped uninjured while the aircraft was damaged beyond repair.

Crash of a BAe 3101 Jetstream 31 in Springfield: 3 killed

Date & Time: Feb 9, 1988 at 1500 LT
Type of aircraft:
Operator:
Registration:
N823JS
Flight Type:
Survivors:
No
Schedule:
Dayton - Springfield
MSN:
623
YOM:
1983
Crew on board:
3
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
3
Captain / Total flying hours:
8670
Captain / Total hours on type:
1030.00
Aircraft flight hours:
8219
Circumstances:
A company designated instructor and two f/o trainees were conducting a far 135 training flight. The third approach was terminated with a go-around initiated over the runway threshold at about 50 feet. After climbing to about 150 feet, the aircraft was observed to oscillate in yaw, followed by pitch, and then roll to the right. The aircraft impacted in a near-vertical descent attitude. The investigation revealed that the right engine was operating, but at reduced power. The left engine was at full power. There was no indication of aircraft system malfunction or failure. Company pilots indicated that the captain had a history of demeaning cockpit behavior and roughness with students. The f/o, was small in stature and had 100 hours of multi-engine time and no turboprop time. Company pilots reported the f/o trainee was consistently behind the aircraft in prior flights. Examination of the aircraft revealed the flaps in the retracted position contrary to aircraft handbook. Company pilots further indicated the captain had history of requiring low altitude 1-engine go arounds and delaying offers of assistance to students. All three crew members were killed.
Probable cause:
Occurrence #1: loss of control - in flight
Phase of operation: go-around (vfr)
Findings
1. (f) emergency procedure - simulated - pilot in command (cfi)
2. (c) go-around - delayed - pilot in command (cfi)
3. (c) aircraft control - not maintained - dual student
4. (f) lack of total experience in type of aircraft - dual student
5. Lack of familiarity with aircraft - dual student
6. Excessive workload (task overload) - dual student
7. (f) remedial action - delayed - pilot in command (cfi)
8. (c) supervision - inadequate - pilot in command (cfi)
----------
Occurrence #2: in flight collision with terrain/water
Phase of operation: descent - uncontrolled
Final Report:

Crash of a Cessna 421A Golden Eagle I in Helena: 3 killed

Date & Time: Feb 3, 1988 at 2000 LT
Type of aircraft:
Registration:
N517S
Survivors:
No
Schedule:
Missoula - Helena
MSN:
421A-0002
YOM:
1967
Location:
Crew on board:
2
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
3
Captain / Total flying hours:
4900
Captain / Total hours on type:
119.00
Aircraft flight hours:
4758
Circumstances:
This accident occurred during a night, ILS approach to runway 27 in IMC. The aircraft collided with a mountain 12 nm east-southeast of the airport while turning inbound to intercept the localizer course. Investigation revealed that one VOR receiver was set on the destination ILS frequency, the second VOR was set on an en route VOR 51 nm west of the destination airport, and the DME radio, a separate transceiver, was set on the destination DME transmitter. The frequencies of the en route VOR and the destination VOR were 117.1 and 117.7, respectively. The outbound course for the ILS approach procedure was 088° and the accident site was located on the 088 radial of the en route VOR. Investigation also revealed that the pic was occupying the right front seat and an experienced pilot who was not current in this aircraft was occupying the left seat. The second VOR receiver control head was located in the lower right portion of the instrument panel, in a location where the selected frequency was difficult to read. All three occupants were killed.
Probable cause:
Occurrence #1: in flight collision with terrain/water
Phase of operation: approach - iaf to faf/outer marker (ifr)
Findings
1. Terrain condition - mountainous/hilly
2. (f) light condition - dark night
3. (c) ifr procedure - improper - pilot in command
4. (c) navigation receiver - improper use of - pilot in command
Final Report:

Crash of a Convair CV-580 in Durango

Date & Time: Feb 2, 1988 at 2032 LT
Type of aircraft:
Operator:
Registration:
N5808
Survivors:
Yes
Schedule:
Denver - Durango
MSN:
348
YOM:
1966
Crew on board:
3
Crew fatalities:
Pax on board:
38
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
7342
Captain / Total hours on type:
2858.00
Aircraft flight hours:
53781
Circumstances:
After making an IFR approach, the pilot made a go-around because he was blinded by the reflection of the landing/taxi lights against the falling snow. The pilot landed the aircraft after the second approach. The pilot said he sensed the aircraft drifting to the left and he tried to correct, but it collided with a snow bank. The investigation disclosed no evidence of aircraft hydroplaning or skidding. Airport management elected to delay plowing the runway for fear of it freezing over. Passengers claimed there was 2-3 inches of snow on top of a 3/4- inch layer of slush. Further investigation revealed that the runway lights were of various intensities because some unapproved light bulbs of different amperage were used. The runway was not equipped with centerline lighting. The painted white centerline stripe was covered by snow and slush.
Probable cause:
Occurrence #1: on ground/water collision with object
Phase of operation: landing - roll
Findings
1. (f) airport facilities, runway marking - foreign substance covered
2. (c) airport snow removal - inadequate - airport personnel
3. (f) airport facilities, runway/landing area condition - snow covered
4. (f) airport facilities, runway/landing area condition - slush covered
5. (c) proper alignment - not maintained - pilot in command
6. Terrain condition - snowbank
7. (f) airport facilities, centerline lights - unavailable
8. (f) airport facilities, runway edge lights - unapproved
9. (f) light condition - dark night
Final Report:

Crash of a Dassault Falcon 20D in Wheeling

Date & Time: Feb 1, 1988 at 1703 LT
Type of aircraft:
Operator:
Registration:
N287W
Survivors:
Yes
Schedule:
Akron - Wheeling
MSN:
194
YOM:
1969
Crew on board:
2
Crew fatalities:
Pax on board:
7
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
8175
Captain / Total hours on type:
2816.00
Aircraft flight hours:
7163
Circumstances:
The aircraft landed after an ILS approach to runway 03. According to the pilot shortly after touchdown he saw deer ahead on the runway. Before he could take evasive action the aircraft struck two deer. Afterwards brake pressure was lost. The pilot steered the aircraft onto grass off the right side of the runway to avoid going past the runway end and down a hill. Examination of the aircraft revealed that the deer were struck with the left main gear, fracturing a hydraulic brake line. All nine occupants escaped uninjured.
Probable cause:
Occurrence #1: on ground/water collision with object
Phase of operation: landing - roll
Findings
1. (f) weather condition - fog
2. (c) object - animal(s)
3. (c) clearance - not possible
----------
Occurrence #2: nose gear collapsed
Phase of operation: landing - roll
Findings
4. (c) landing gear, normal brake system - disabled
5. Brakes (normal) - unavailable
6. Landing gear, nose gear assembly - overload
Final Report:

Crash of a Cessna 411 in Venetie: 1 killed

Date & Time: Jan 27, 1988 at 0947 LT
Type of aircraft:
Registration:
N235UV
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Venice - West Palm Beach
MSN:
411-0052
YOM:
1965
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
1500
Circumstances:
Witnesses stated that the aircraft was climbing and just after takeoff, the left wing dropped, the aircraft then leveled off, climbed approximately 75 more feet. The aircraft then abruptly turned hard left and went straight in, striking a wall surrounding a swimming pool, burst into flames and was consumed by post crash fire. Examination of the left engine revealed evidence that suggests that water was ingested into the cylinders prior to impact. The pilot, sole on board, was killed.
Probable cause:
Occurrence #1: loss of engine power (partial) - nonmechanical
Phase of operation: takeoff - initial climb
Findings
1. (c) 1 engine - failure, partial
2. (f) propeller feathering - not performed - pilot in command
3. (c) fluid, fuel - water
----------
Occurrence #2: loss of control - in flight
Phase of operation: takeoff - initial climb
Findings
4. (c) airspeed (vmc) - not maintained - pilot in command
----------
Occurrence #3: in flight collision with terrain/water
Phase of operation: descent - uncontrolled
Final Report:

Crash of a Rockwell Aero Commander 500B in Garden City: 1 killed

Date & Time: Jan 19, 1988 at 1946 LT
Registration:
N611CA
Flight Type:
Survivors:
No
Schedule:
Garden City - Wichita
MSN:
500-0922-7
YOM:
1960
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
2125
Captain / Total hours on type:
58.00
Aircraft flight hours:
6713
Circumstances:
The aircraft departed Garden City under extremely poor weather conditions. More than half way to Dodge City, the pilot reported engine problems to Kansas City (ARTCC). Vectors were provided to the Dodge City Airport, but the pilot did not maintain assigned headings. The aircraft headed back towards Garden City to attempt an instrument approach. Radar vectors were provided for the localizer approach. Radar indicated that the aircraft did not become stabilized on the approach. There was a significant loss of ground speed as the pilot was attempting to get established on the localizer. Radar contact was lost about 2 miles from the airport at a speed approaching stall speed for this aircraft. The aircraft crashed about 2 miles short and to the right of course. The aircraft impacted in a vertical nose down attitude on heading which indicated a turn away from the airport. The left prop was found in the feather position. No mechanical problem was discovered. The right engine appeared to be producing full power at impact. The pilot, sole on board, was killed.
Probable cause:
Occurrence #1: loss of engine power (partial) - nonmechanical
Phase of operation: cruise - normal
Findings
1. 1 engine
2. (c) powerplant - undetermined
3. Propeller feathering - performed - pilot in command
4. (f) light condition - dark night
----------
Occurrence #2: loss of control - in flight
Phase of operation: approach - faf/outer marker to threshold (ifr)
Findings
5. (f) proper alignment - not maintained - pilot in command
6. (f) missed approach - not performed - pilot in command
7. (c) airspeed (vmc) - 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
Findings
9. Terrain condition - frozen
10. (f) lack of total experience in type of aircraft - pilot in command
Final Report: