Crash of a Swearingen SA227AC Metro III in Durango: 9 killed

Date & Time: Jan 19, 1988 at 1920 LT
Type of aircraft:
Operator:
Registration:
N68TC
Survivors:
Yes
Schedule:
Denver - Durango
MSN:
AC-457
YOM:
1981
Flight number:
VJ2286
Crew on board:
2
Crew fatalities:
Pax on board:
15
Pax fatalities:
Other fatalities:
Total fatalities:
9
Captain / Total flying hours:
4184
Captain / Total hours on type:
3028.00
Copilot / Total flying hours:
8500
Copilot / Total hours on type:
305
Aircraft flight hours:
11895
Circumstances:
The aircraft was operating as Continental Express flight 2286. During the approach in IFR conditions, the aircraft went below the minimum descent altitude then struck the terrain at 7,180 feet msl. Examination of the aircraft did not disclose any pre-impact failures or system malfunctions. The evidence indicated that the copilot was flying the airplane during the approach. Evaluation of the radar data showed an excessive rate of descent before the collision with terrain. Postmortem toxicological examination showed that the captain had used cocaine prior to this flight. The safety board concluded that this use had adversely affected his ability to monitor the unstabilized approach flown by the copilot. Records of both crewmembers revealed prior traffic violations and accidents, and, in the case of the captain, a previous aircraft accident. Evaluation of the weather conditions indicated that a 10 to 15 knot tailwind condition existed throughout the approach.
Probable cause:
The first officer's flying and the captain's ineffective monitoring of an unstabilized approach, which resulted in a descent below the published descent profile. Contributing to the accident was the captain's performance resulting from his use of cocaine before the accident.
Final Report:

Crash of a De Havilland DHC-6 Twin Otter 200 in Charlotte

Date & Time: Jan 19, 1988 at 1913 LT
Operator:
Registration:
N996SA
Flight Type:
Survivors:
Yes
Schedule:
Erie - Charlotte
MSN:
159
YOM:
1968
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
8900
Captain / Total hours on type:
320.00
Circumstances:
During the final approach on the instrument landing system, the pilot descended below the glidepath. The aircraft collided with a tree and struck the ground short of the runway threshold. The pilot was seriously injured.
Probable cause:
Occurrence #1: in flight collision with object
Phase of operation: approach - faf/outer marker to threshold (ifr)
Findings
1. Object - tree(s)
2. (c) ifr procedure - not followed - pilot in command
3. (f) weather condition - below approach/landing minimums
Final Report:

Crash of a Piper PA-31T-620 Cheyenne II in Saint Louis: 1 killed

Date & Time: Jan 18, 1988 at 1903 LT
Type of aircraft:
Registration:
N200RS
Survivors:
Yes
Schedule:
Alexander City – Saint Louis – Quincy
MSN:
31-7520011
YOM:
1975
Crew on board:
1
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
14000
Circumstances:
The passenger said that the approach appeared normal until the pilot turned on the landing lights while in the overcast. Seconds after, the aircraft impacted trees, careening out of control, and snapping power lines; then striking a house roof before coming to rest on the ground. The airplane began to burn as it went through the power lines. The weather at the time was at or above IFR landing minimums. The flight had been in a holding pattern for forty five minutes prior to commencing the approach. All of the aircraft's systems and powerplants, as well as the FAA approach facilities, were determined to be in working order. The pilot was killed and all three passengers were seriously injured.
Probable cause:
The National Transportation Safety Board determines the probable cause(s) of this accident to be:
Proper glide path not maintained by p.i.c., decision height not identified By the pic, missed approach not performed by the pic. Turning on lights in overcast.
Findings
Occurrence #1: undershoot
Phase of operation: approach - faf/outer marker to threshold (ifr)
Findings
1. (f) weather condition - obscuration
2. (f) weather condition - fog
3. (f) weather condition - rain
4. (c) proper glidepath - not maintained - pilot in command
5. (c) ifr procedure - not followed - pilot in command
6. (c) decision height - not identified - pilot in command
7. (f) visual/aural perception - pilot in command
----------
Occurrence #2: in flight collision with object
Phase of operation: approach - faf/outer marker to threshold (ifr)
Findings
8. (f) object - tree(s)
9. (f) object - wire, transmission
10. (f) object - residence
----------
Occurrence #3: in flight collision with terrain/water
Phase of operation: approach - faf/outer marker to threshold (ifr)
Final Report:

Crash of a Hawker-Siddeley HS.125-600A in Houston: 1 killed

Date & Time: Jan 18, 1988 at 1010 LT
Type of aircraft:
Operator:
Registration:
XA-KUT
Survivors:
Yes
Schedule:
Laredo - Houston
MSN:
256028
YOM:
1974
Crew on board:
2
Crew fatalities:
Pax on board:
6
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
10000
Captain / Total hours on type:
4000.00
Aircraft flight hours:
2812
Circumstances:
Before takeoff, a pilot of XA-KUT was briefed that the Houston Hobby (HOU) weather was IFR with '. . . Indefinite ceiling zero sky obscured visibility's 1/16 of a mile and fog . . .' He was also advised IFR conditions were forecast until 0900 cst, gradually improving to marginal VFR by 1100 cst with 1,000 feet broken, 5 miles visibility and fog. The flight took off at 0900 cst. At HOU, arrival was delayed due to weather. The crew requested an ILS approach, with intentions of diverting if a missed approach was made. The RVR was variable. After being cleared for an ILS runway 04 approach, the pilot was advised the RVR had dropped to 1,400 feet. After changing to tower frequency, the flight was cleared to land and was told again the RVR was 1,400 feet. When the aircraft was on final approach, the pilots were advised of a low altitude alert. However, the aircraft continued below the decision height (dh), hit a 70 feet power line (approximately 6,500 feet short of the runway) and crashed. No preimpact malfunction of the aircraft or its systems was found. The ILS was flight checked, but only a minor discrepancy (concerning the outer marker width) was noted. The dh was 200 feet agl, minimum RVR for the approach was 2,400 feet. The copilot was killed and seven other occupants were injured, three seriously.
Probable cause:
Occurrence #1: in flight collision with object
Phase of operation: approach - faf/outer marker to threshold (ifr)
Findings
1. Weather condition - low ceiling
2. Weather condition - fog
3. Weather condition - obscuration
4. (f) weather condition - below approach/landing minimums
5. (c) ifr procedure - improper - pilot in command
6. (c) decision height - not identified - pilot in command
7. (f) object - wire, transmission
----------
Occurrence #2: in flight collision with terrain/water
Phase of operation: descent - uncontrolled
Final Report:

Crash of a Cessna T303 Crusader near Englewood: 2 killed

Date & Time: Jan 11, 1988 at 2010 LT
Type of aircraft:
Registration:
N9565T
Flight Phase:
Survivors:
No
Site:
Schedule:
Englewood - El Paso
MSN:
303-00027
YOM:
1981
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
4550
Captain / Total hours on type:
42.00
Aircraft flight hours:
1070
Circumstances:
The pilot obtained two weather briefings and filed an IFR flight plan to El Paso, TX. He was not instrument rated. The aircraft departed Englewood at 1959 and disappeared from radar at 2010. The crash site was 11- 1/2 miles southeast of the Kiowa vortac and 36 miles southeast of Englewood. Radar showed a 15-miles wide band of snow showers southeast of the Kiowa vortac. Ground witnesses reported blizzard conditions. Pilot medical certificate stated, 'not valid for night flight or by color control.' Pilot autopsy also disclosed 'myxomatous alteration of the mitral valve, consistent with mitral valve prolapse (floppy mitral valve).' Both occupants were killed.
Probable cause:
Occurrence #1: in flight encounter with weather
Phase of operation: cruise - normal
Findings
1. (f) light condition - dark night
2. (c) flight into known adverse weather - initiated - pilot in command
3. (f) self-induced pressure - pilot in command
4. (f) lack of total instrument time - pilot in command
5. (f) weather condition - high wind
6. (f) weather condition - gusts
7. (f) weather condition - snow
8. (f) weather condition - obscuration
9. (f) weather condition - turbulence
----------
Occurrence #2: loss of control - in flight
Phase of operation: maneuvering
Findings
10. (c) spatial disorientation - pilot in command
----------
Occurrence #3: in flight collision with terrain/water
Phase of operation: descent - uncontrolled
Findings
11. Terrain condition - snow covered
Final Report:

Crash of a Swearingen SA226T Merlin IIIB in Pontiac: 3 killed

Date & Time: Jan 10, 1988 at 1017 LT
Registration:
N800AW
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Pontiac - Pontiac
MSN:
T-403
YOM:
1981
Crew on board:
3
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
3
Captain / Total flying hours:
22000
Aircraft flight hours:
1515
Circumstances:
Aircraft was scheduled for an instructional flight. During the weather briefing, the CFI told the FSS specialist that the flight would include engine out practice. Witness statements indicate that the aircraft rolled sharply to the right and nosed down after attaining about 100 feet of altitude during the climb after takeoff. The aircraft struck the ground left prop and left wing tip first, in an inverted flight attitude. During the post accident investigation, the right engine power lever was subjected to lab exam and it was found that the lower aft part of the lift gate detent was worn. This created a ramping effect between the rounded edge of the lift gate and the flight idle stop. A worn lift gate detent would allow the power lever to inadvertently be moved into the beta range, causing asymmetrical drag and degraded airplane performance, particularly in critical phases of flight. All three occupants were killed.
Probable cause:
Occurrence #1: loss of engine power (total) - mech failure/malf
Phase of operation: takeoff - initial climb
Findings
1. 1 engine
2. (f) emergency procedure - simulated - pilot in command (cfi)
3. (c) throttle/power lever - worn
4. (c) propeller system/accessories, reversing system - deployed inadvertently
----------
Occurrence #2: loss of control - in flight
Phase of operation: takeoff - initial climb
----------
Occurrence #3: in flight collision with terrain/water
Phase of operation: descent - uncontrolled
Final Report:

Crash of a Learjet 36 in Monroe: 2 killed

Date & Time: Jan 8, 1988 at 0519 LT
Type of aircraft:
Operator:
Registration:
N79SF
Flight Type:
Survivors:
No
Schedule:
Memphis - Monroe
MSN:
36-041
YOM:
1978
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
3355
Captain / Total hours on type:
528.00
Copilot / Total hours on type:
8
Aircraft flight hours:
3039
Circumstances:
The crew was executing the ILS approach and had turned back inbound on the procedure turn to the outer marker when the copilot stated they were 5.9 DME in a calm voice with no indication of a problem. Impact with the ground occurred at about 5.9 DME, approximately 10 statute miles from the airport, while the aircraft was in a slight nose up, slight right wing down attitude, with a high vertical rate of descent, and a high forward speed. The aircraft was demolished. No evidence of a pre-impact failure or malfunction of the aircraft or its systems could be found. The copilot was not rated in the aircraft and had logged a total of 7.9 hours of jet time in his personal logbook.
Probable cause:
Occurrence #1: in flight collision with terrain/water
Phase of operation: approach - iaf to faf/outer marker (ifr)
Findings
1. (c) descent - excessive - pilot in command
2. (f) inattentive - pilot in command
3. (c) level off - not performed - pilot in command
4. (f) lack of total experience in type of aircraft - copilot/second pilot
Final Report:

Crash of a Cessna 414A Chancellor in Midland: 1 killed

Date & Time: Jan 4, 1988 at 0949 LT
Type of aircraft:
Operator:
Registration:
N6576C
Flight Phase:
Survivors:
No
Schedule:
Midland - Roswell
MSN:
414A-0018
YOM:
1978
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
11000
Captain / Total hours on type:
34.00
Aircraft flight hours:
2952
Circumstances:
The aircraft collided with power lines and the ground shortly after takeoff during instrument conditions. The only evidence of a malfunction or failure which was found was the gyro for the pilot's attitude indicator which had no indication of rotation at impact. The previous pilot stated that he normally pulled the ac circuit breaker after landing, that the breaker supplied voltage to the pilot's attitude indicator, and that he told the new pilot of this procedure which was not on the aircraft's checklist. This was the new pilot's first instrument flight in this aircraft. The accident occurred in a residential area.
Probable cause:
Occurrence #1: loss of control - in flight
Phase of operation: climb
Findings
1. (c) flight/nav instruments,attitude gyro - disconnected
2. (c) attitude indicator - not corrected - pilot in command
3. (c) spatial disorientation - pilot in command
4. (f) weather condition - fog
5. (f) weather condition - low ceiling
6. (c) preflight planning/preparation - inadequate - pilot in command
----------
Occurrence #2: in flight collision with terrain/water
Phase of operation: descent - uncontrolled
Findings
7. Terrain condition - residential area
8. Object - wire, transmission
Final Report:

Crash of a Swearingen SA26AT Merlin IIB in Telluride

Date & Time: Dec 29, 1987 at 1707 LT
Type of aircraft:
Operator:
Registration:
N4468M
Flight Type:
Survivors:
Yes
Schedule:
Brenham – Telluride
MSN:
T26-119
YOM:
1969
Crew on board:
1
Crew fatalities:
Pax on board:
5
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
3344
Captain / Total hours on type:
200.00
Circumstances:
During a visual approach, the pilot said he encountered 2,000 fpm downdrafts. The pilot stated he added power and executed a normal approach at 120 knots, compensating for downdrafts/crosswinds. After touchdown, the pilot said he did not get a beta light on the right engine. He stated he brought the power levers 'behind the gate into reverse.' The aircraft drifted left. The pilot said he corrected with brakes and nosewheel steering. He applied takeoff power and the aircraft veered right, and ran off the right side of the runway. The aircraft collided with a dirt bank and then trees. Three tire skid marks were observed on the right side of the runway. A pilot-witness said winds were gusting 22-25 knots, variable from 130-220°. He said the aircraft landed fast and long. Examination of the engines and props revealed no evidence of malfunction. The engine manufacturer recommends prop reverse not be used on icy runway or when beta light on one engine does not illuminate. The aircraft manufacturer advises that nosewheel steering should not be used at speeds below 40 knots. All six occupants were injured, two seriously.
Probable cause:
Occurrence #1: loss of control - on ground/water
Phase of operation: landing - roll
Findings
1. (f) weather condition - crosswind
2. (f) weather condition - gusts
3. (f) planned approach - improper - pilot in command
4. (f) airspeed - excessive - pilot in command
5. (c) reversers - improper use of - pilot in command
6. (c) nosewheel steering - improper use of - pilot in command
7. (c) directional control - not maintained - pilot in command
8. (f) aborted landing - delayed - pilot in command
----------
Occurrence #2: on ground/water encounter with terrain/water
Phase of operation: landing - roll
Findings
9. Terrain condition - dirt bank/rising embankment
10. Object - tree(s)
Final Report:

Crash of a Douglas DC-9-31 in Pensacola

Date & Time: Dec 28, 1987 at 2339 LT
Type of aircraft:
Operator:
Registration:
N8948E
Survivors:
Yes
Schedule:
Richmond – Atlanta – Pensacola
MSN:
47184/274
YOM:
1968
Flight number:
EA573
Crew on board:
4
Crew fatalities:
Pax on board:
103
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
13246
Captain / Total hours on type:
4397.00
Aircraft flight hours:
55645
Circumstances:
Eastern flight 573 contacted approach control at 2323 cst, was advised to expect an ILS runway 16 approach and was vectored around weather. At 2330, the controller advised the ILS glide slope (g/s) had gone into 'alarm' but the loc appeared normal. At 2333, the wind shifted to 310° at 7 knots. Since the bc approach to runway 34 was notamed as inop, the crew continued to runway 16, using 50° of flaps. At 2334, they told the controller, 'if you don't get the g/s up, we'll do a... loc approach.' They reported receiving the g/s, but were advised the g/s was still in alarm. The aircraft broke out of clouds in rain at 900 feet; light turbulence was encountered on final approach. At about 1 mile out, the f/o noted the aircraft was high and advised the captain. The captain pushed the nose over and reduced power, increasing speed and rate of descent. Requested altitude callouts were not made. F/O advised captain to flare, but flare was inadequate. The aircraft touched down hard and the fuselage failed between stations 813 and 756. Aircraft was stopped with the tail resting on the runway. Four passengers received minor injuries during evacuation. Weather study showed a moderate to strong (vip level 2 to 3) weather echo over the approach end of runway 16.
Probable cause:
The captain's failure to maintain a proper descent rate on final approach or to execute a missed approach, which caused the airplane to contact the runway with a sink rate exceeding the airplane's design limitations. Contributing to the cause of the accident was the failure of the captain and first officer to make required altitude callouts and to properly monitor the flight instruments during the approach.
Final Report: