Crash of a Piper PA-31-350 Navajo Chieftain off Molokai: 8 killed

Date & Time: Dec 23, 1987 at 1853 LT
Operator:
Registration:
N712AN
Flight Phase:
Survivors:
No
Site:
Schedule:
Honolulu – Molokai
MSN:
31-7652151
YOM:
1976
Flight number:
PV082
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
7
Pax fatalities:
Other fatalities:
Total fatalities:
8
Captain / Total flying hours:
2987
Captain / Total hours on type:
617.00
Aircraft flight hours:
6516
Circumstances:
The flight was to be flown across a 22 mile channel between islands on an overcast night with no moon and no ground reference lights. The aircraft disappeared from radar and, after extensive searches, could not be found. A three dimensional flight track was reconstructed using recorded radar data. The data indicated that in the last 60 seconds the aircraft slowed from 170 to 95 knots, gained 500 feet in altitude, and turned left 190° before abruptly disappearing from radar. Flight tests indicated that the movements of the aircraft in the last 60 seconds of the flight were consistent with a loss of the left engine, without compensation by the pilot. The operator's training program did not provide for night or instrument flight conditions. The last documented instrument time for the pilot was 15 months prior during a checkride. The pilot flew sporadic night flights. The pilot had previously flown during the day and was on his thirteenth hour of duty. The wreckage and all eight occupants were never found. However it is believed it crashed about 13 miles northwest of Maunaloa, on Molokai Island.
Probable cause:
Occurrence #1: loss of engine power
Phase of operation: cruise - normal
Findings
1. (f) 1 engine - undetermined
----------
Occurrence #2: loss of control - in flight
Phase of operation: cruise - normal
Findings
2. (f) light condition - dark night
3. (c) aircraft control - not maintained - pilot in command
4. (f) spatial disorientation - pilot in command
5. (c) airspeed (vmc) - not maintained - pilot in command
6. (f) fatigue (flight and ground schedule) - pilot in command
7. (f) lack of recent instrument time - pilot in command
8. (f) inadequate training - company/operator management
9. (c) stall/spin - inadvertent - pilot in command
----------
Occurrence #3: in flight collision with terrain/water
Phase of operation: descent - uncontrolled
Final Report:

Crash of a Piper PA-31-350 Navajo Chieftain in Kenai: 6 killed

Date & Time: Dec 23, 1987 at 0611 LT
Operator:
Registration:
N496SC
Flight Phase:
Survivors:
Yes
Schedule:
Kenai - Anchorage
MSN:
31-7752077
YOM:
1977
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
7
Pax fatalities:
Other fatalities:
Total fatalities:
6
Captain / Total flying hours:
14500
Circumstances:
The pilot had just departed the runway when he reported to the flight service station that he had engine problems. The aircraft was observed by witnesses to be about 300 feet on a descending downwind. The pilot stated that he was circling for runway 01. Surviving passengers described the engines as running rough and uneven. The investigation revealed that the aircraft's weight was more than the pilot had calculated and the CofG was 3.4 inches further aft than was calculated. However, the weight and CofG were within limits. Examination of the engine disclosed that the right engine had an extensive cylinder head crack, a partially disconnected intake pipe, and was capable of producing 55% of rated power. The left engine had seven severely worn cam lobes. The rudder trim was deflected full left at impact. The evidence indicated that the pilot had retarded the throttle for the left engine and was using only the right engine to sustain flight. Exam of company checklist usage revealed several different improper versions. The pilot and five passengers were killed. Two others passengers and two people on the ground were injured.
Probable cause:
Occurrence #1: loss of engine power (partial) - mech failure/malf
Phase of operation: takeoff - initial climb
Findings
1. 1 engine - failure, partial
2. (c) engine assembly, cylinder - failure,total
3. (c) engine assembly, cylinder - fatigue
4. (f) induction air control, intake manifold - separation
----------
Occurrence #2: loss of engine power
Phase of operation: maneuvering
Findings
5. (f) 1 engine - failure, partial
6. (f) engine assembly, camshaft - worn
7. (f) maintenance, 100-hour inspection - inadequate - company maintenance personnel
8. (c) emergency procedure - improper - pilot in command
9. (c) throttle/power control - improper use of - pilot in command
----------
Occurrence #3: forced landing
Phase of operation: descent - emergency
----------
Occurrence #4: in flight collision with terrain/water
Phase of operation: descent - emergency
Findings
10. (f) trim setting - improper - pilot in command
11. Lowering of flaps - performed
12. Object - tree(s)
13. Object - residence
Final Report:

Crash of a Cessna 402C in Chadron: 2 killed

Date & Time: Dec 22, 1987 at 2057 LT
Type of aircraft:
Operator:
Registration:
N105GP
Survivors:
Yes
Schedule:
Alliance - Chadron
MSN:
402C-0642
YOM:
1982
Crew on board:
2
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
6865
Captain / Total hours on type:
169.00
Aircraft flight hours:
8229
Circumstances:
The aircraft was on a flight to Chadron via Chadron VOR. About 30 miles south-southeast of the VOR, the pilot requested and was cleared to fly direct to Ackme IAF for an NDB runway 02 approach. The aircraft continued toward the VOR which was in the same general direction, but 11.9 miles south of Ackme. The NDB was at the airport. Ackme IAF was 9 miles southwest of the airport on a bearing of 227° and defined by an intersection with the 356° radial of the VOR. About 3 to 4 miles southeast of the VOR, radar service was transmitted and frequency change was made. Subsequently, the aircraft struck trees on a ridge and crashed. Initial impact occurred in wings level flight at approximately 4,480 feet on a direct route between the VOR and Ackme IAF. An investigation revealed that after the frequency change, the aircraft continued to the VOR, then maneuvered as if the pilot was flying the NDB approach, but was using the VOR as the IAF. Radar data showed contact was lost after a procedure turn was made and the aircraft was outbound about 6 miles northeast of the VOR. The crash site, however, was about 3 miles west-southwest of where radar contact was last recorded. The weather at Chadron was in part: 500 feet overcast, 1.5 mile visibility with light snow and fog. No preimpact part failure/malfunction was found. The passenger was seriously injured and both pilots were killed.
Probable cause:
Occurrence #1: in flight collision with object
Phase of operation: approach
Findings
1. (f) light condition - dark night
2. (f) weather condition - low ceiling
3. (f) weather condition - fog
4. (f) weather condition - snow
5. (c) ifr procedure - improper - pilot in command
6. Planned approach - discontinued
7. (c) proper altitude - not maintained - pilot in command
8. (f) terrain condition - high terrain
9. (f) object - tree(s)
Final Report:

Crash of a Swearingen SA226TC Metro II in Washington-Dulles

Date & Time: Dec 18, 1987 at 1936 LT
Type of aircraft:
Operator:
Registration:
N23AZ
Survivors:
Yes
Schedule:
Newark - Washington DC
MSN:
TC-260
YOM:
1978
Crew on board:
2
Crew fatalities:
Pax on board:
6
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
7200
Captain / Total hours on type:
400.00
Aircraft flight hours:
12820
Circumstances:
The aircraft had descended through a cloud layer enroute for the scheduled landing at IAD and according to the crew had picked up some trace rime ice on its wing surfaces. Although pitot and sas (stall avoidance system) heat were used the captain elected not to use engine inlet anti-ice. Just inside the outer marker the left engine lost power followed shortly by the right engine. The captain was able to set the aircraft down in an open field where the gear collapsed during the landing roll. The engines were successfully run-up at the Garrett facility. The flight manual contains a warning and a note stating that engine heat and continuous ignition must be used after leaving icing conditions until the pilot is confident that any significant residual ice will not be ingested into the engines. Ice was found lying beneath the right wing which matched the curvature of the leading edge of the wing. A round conical shaped piece of ice was found along the wreckage path which matched the nose of the propeller spinner.
Probable cause:
Occurrence #1: loss of engine power (total) - nonmechanical
Phase of operation: approach - faf/outer marker to threshold (ifr)
Findings
1. All engines
2. (f) weather condition - icing conditions
3. (c) in-flight planning/decision - improper - pilot in command
4. (c) anti-ice/deice system - not used - pilot in command
5. (c) inadequate initial training - check pilot
6. (c) inadequate certification/approval, airman - company/operator mgmt
7. (f) wing, skin - ice
----------
----------
Occurrence #3: gear collapsed
Phase of operation: landing - flare/touchdown
Findings
8. (f) terrain condition - open field
9. (f) terrain condition - downhill
10. (f) light condition - dark night
Final Report:

Crash of a BAe 3101 Jetstream 31 in Joplin

Date & Time: Dec 14, 1987 at 1358 LT
Type of aircraft:
Operator:
Registration:
N331PX
Survivors:
Yes
Schedule:
Memphis - Joplin
MSN:
700
YOM:
1986
Location:
Crew on board:
2
Crew fatalities:
Pax on board:
6
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
4864
Captain / Total hours on type:
414.00
Aircraft flight hours:
3470
Circumstances:
The captain stated that he had planned the approach at a higher-than-normal airspeed and altitude due to a reported low level windshear. At 400 feet agl the aircraft entered a light downdraft but the crew corrected the descent profile with power. At 200 feet agl the aircraft suddenly, according to the captain, pitched down before impacting the runway. Witnesses stated that the aircraft pitched down on short final, leveled off, then slammed onto the runway on all wheels. It then bounced, pitched down again and impacted the runway nose-first. A subsequent inspection, operational test, and teardown of the airplane's stall protection system found it to be functioning satisfactorily. The two powerplants also tested within normal parameters.
Probable cause:
Occurrence #1: loss of control - in flight
Phase of operation: approach - faf/outer marker to threshold (ifr)
Findings
1. (c) planned approach - improper - pilot in command
2. (c) compensation for wind conditions - inadequate - pilot in command
----------
Occurrence #2: hard landing
Phase of operation: landing - flare/touchdown
Findings
3. (c) flare - improper - pilot in command
4. Weather condition - windshear
5. Aborted landing - not performed - pilot in command
6. (f) recovery from bounced landing - improper - pilot in command
----------
Occurrence #3: complete gear collapsed
Phase of operation: landing - roll
Findings
7. (f) terrain condition - berm
Final Report:

Crash of a Cessna 421A Golden Eagle II in Hilton Head: 2 killed

Date & Time: Dec 10, 1987 at 2230 LT
Type of aircraft:
Registration:
N777RC
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Hilton Head - Cookeville
MSN:
421A-0149
YOM:
1968
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
4970
Captain / Total hours on type:
162.00
Circumstances:
Aircraft departed coastal airport at night with 400 feet partial obscuration in patchy fog. Ground witnesses who heard aircraft depicted a circling flight path to the right after takeoff. Engine, propellers and turbo teardowns demonstrated both engines were operating at high power and no evidence was found of a pre-impact malfunction. Aircraft never appeared on radar and no communication was attempted after takeoff. Review of pilot records showed atypically low total instrument flight hours. Pic was cleared to maintain runway heading after takeoff and climb to 2,000 feet. Both occupants were killed.
Probable cause:
Occurrence #1: loss of control - in flight
Phase of operation: takeoff - initial climb
Findings
1. (f) weather condition - fog
2. (f) light condition - dark night
3. (c) climb - not performed - pilot in command
4. (c) spatial disorientation - pilot in command
----------
Occurrence #2: in flight collision with terrain/water
Phase of operation: descent - uncontrolled
Final Report:

Crash of a Cessna 207A Skywagon near Ambler: 1 killed

Date & Time: Dec 10, 1987 at 2100 LT
Operator:
Registration:
N9979M
Flight Phase:
Flight Type:
Survivors:
No
Site:
Schedule:
Kotzebue - Shungnak
MSN:
207-0773
YOM:
1984
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
446
Captain / Total hours on type:
60.00
Aircraft flight hours:
1536
Circumstances:
The pilot of the air taxi cargo flight was operating at night in marginal VFR conditions when the aircraft struck rising terrain. The aircraft was found the next day at approximately 1000 ast, some 15 miles off the intended route. The pilot was unconscious and suffering from hypothermia and other injuries. He was taken to a hospital, but died later that day. An investigation revealed the aircraft struck the south side of Bismark mountain at approximately 2,100 feet msl while in level flight. Another pilot, who was flying in the area about 2-1/2 hours after the accident, reported that classic white-out conditions existed with moderate snow fall and ice crystals reducing forward visibility to less than 1/2 mile. The pilot (of N9979M) had been recently hired by Bering Air and had only about 23 hours of known flight time in the general area. At the time of employment, he indicated he had approximately 1,536 hours of flight time; however, only 446 hours of flight time was verified by his logbook and other sources. Minimum flight time to act as a pic in the air taxi operation was 500 hours.
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) procedures/directives - not followed
3. (f) lack of total experience - pilot in command
4. (f) inadequate substantiation process - company/operator mgmt
5. (f) light condition - dark night
6. (f) weather condition - obscuration
7. (f) weather condition - ice fog
8. (f) weather condition - snow
9. (f) weather condition - whiteout
10. (c) vfr flight into imc - continued - pilot in command
----------
Occurrence #2: in flight collision with terrain/water
Phase of operation: cruise
Findings
11. (c) became lost/disoriented - inadvertent - pilot in command
12. (f) terrain condition - high terrain
13. (c) proper altitude - not maintained - pilot in command
14. (f) lack of familiarity with geographic area - pilot in command
15. (f) lack of total experience in type operation - pilot in command
Final Report:

Crash of a Cessna 402B in Anchorage

Date & Time: Dec 9, 1987 at 1558 LT
Type of aircraft:
Operator:
Registration:
N969JW
Survivors:
Yes
Schedule:
Valdez - Anchorage
MSN:
402B-0328
YOM:
1972
Flight number:
8F304
Crew on board:
1
Crew fatalities:
Pax on board:
4
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
11495
Captain / Total hours on type:
1225.00
Aircraft flight hours:
5301
Circumstances:
During arrival in heavy traffic, Reeve flight 726 (Boeing 727) and Wilburs flight 304 (Cessna 402B, N969JW) received radar advisories for visual approaches to runways 06L and 06R, respectively. Subsequently, both flights were cleared to land. At 1555:04, the local tower controller transmitted that the wind at the approach end of runway 06R was from 340° at 9 knots and the midfield wind was 330° at 7 knots. At approximately 1557, flight 726 landed on runway 06L. Approximately 69 seconds later, as flight 304 was crossing the threshold (thr) of runway 06R at about 100 feet agl, the aircraft encountered wake turbulences (w/t) and rolled sharply to the right, byd 90°. The pilot corrected with aileron and power, but the aircraft lost altitude and hit the ground before recovery. The wind during the 1601 weather observation was 020° at 5 kts. Runway centerlines were 700 feet apart, threshold of runway 06L was 4,600 feet byd the threshold of runway 06R. The approach control did not advise either flight of the other's position, nor did the tower controller give a w/t advisory to flight 304. Calculations showed vortices could have drifted from runway 06L to runway 06R in as little as 28 seconds. FAA handbook addressed w/t advisory for parallel runway options with less than 2,500 feet separation, but did not address offset thresholds. All five occupants were injured.
Probable cause:
Occurrence #1: vortex turbulence encountered
Phase of operation: approach - vfr pattern - final approach
Findings
1. (f) light condition - dusk
2. (f) atc clearance - improper - atc personnel (dep/apch)
3. (f) unsafe/hazardous condition warning - not issued - atc personnel (lcl/gnd/clnc)
4. Condition(s)/step(s) insufficiently defined - faa (other/organization)
5. (c) in-flight planning/decision - improper - pilot in command
----------
Occurrence #2: in flight collision with terrain/water
Phase of operation: approach - vfr pattern - final approach
Final Report:

Crash of a Lockheed 18 LodeStar in Dallas

Date & Time: Dec 7, 1987 at 1729 LT
Type of aircraft:
Registration:
N400NY
Flight Type:
Survivors:
Yes
Schedule:
San Antonio - Dallas
MSN:
18-2379
YOM:
1943
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
11500
Captain / Total hours on type:
782.00
Aircraft flight hours:
8735
Circumstances:
The right engine of the aircraft failed three times in flight. After the last failure near the middle marker the pilot feathered the propeller. The aircraft collided with power lines and the ground about 400 yards short of runway 31 at the Redbird Airport. The right fuel selector was positioned to the left rear tank and the left selector was positioned to the off position. The left wing tanks were intact and empty. Both engines had failed due to fuel exhaustion. Two airports were overflown that were adequate for landing and that had fuel available. This was the co-pilot's first flight.
Probable cause:
Occurrence #1: loss of engine power (total) - nonmechanical
Phase of operation: approach - faf/outer marker to threshold (ifr)
Findings
1. (c) fluid, fuel - exhaustion
2. (f) preflight planning/preparation - inadequate - pilot in command
3. (c) fuel consumption calculations - improper - pilot in command
4. (c) refueling - not obtained - pilot in command
5. (f) in-flight planning/decision - poor - pilot in command
----------
Occurrence #2: forced landing
Phase of operation: descent - emergency
----------
Occurrence #3: in flight collision with object
Phase of operation: descent - emergency
Findings
6. (f) object - wire, transmission
----------
Occurrence #4: in flight collision with terrain/water
Phase of operation: descent - uncontrolled
Findings
7. (f) terrain condition - rough/uneven
Final Report:

Crash of a Mitsubishi MU-2B-20 Marquise in White Plains

Date & Time: Dec 7, 1987 at 1725 LT
Type of aircraft:
Registration:
N866Q
Survivors:
Yes
Schedule:
Concord - White Plains
MSN:
121
YOM:
1968
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
5525
Captain / Total hours on type:
1695.00
Aircraft flight hours:
5526
Circumstances:
The cross country business flight was uneventful from Concord, New Hampshire to white Plains, New York under clear sky. During final approach, the pilot extended the gear but did not notice that the circuit breaker had opened and the gear was not lowered. The aircraft landed gear up and the gear doors partially open. The gear warning horn did not operate. The pilot stated that he failed to check for 3 green lights.
Probable cause:
Occurrence #1: gear not extended
Phase of operation: landing
Findings
1. (c) landing gear, normal retraction/extension assembly - inoperative
2. (c) gear extension - not attained - pilot in command
3. Landing gear, gear warning system - inoperative
4. (c) electrical system, circuit breaker - popped/tripped
5. (f) checklist - not followed - pilot in command
Final Report: