Ground accident of a Beechcraft 200C Super King Air in Madisonville

Date & Time: Jun 24, 1987 at 1215 LT
Registration:
N617MS
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Madisonville - Marion
MSN:
BL-35
YOM:
1981
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
11875
Captain / Total hours on type:
2310.00
Aircraft flight hours:
2940
Circumstances:
The aircraft struck a 2-feet high Avgas pump while the pilot was taxiing around another aircraft that was parked. The nose gear collapsed and a small fire resulted. The pilot and passenger evacuated the aircraft. Line personnel were unable to extinguish the fire with hand-held extinguishers. The aircraft was subsequently engulfed by the fire and was destroyed. A large dry chemical fire extinguisher was located next to the pump at the time, but line personnel were unable to get to it due to the fire. The black top around the pump had recently been resurfaced and no safety markings, lights or barricades were in place around the pump (except for the large fire extinguisher). The pump was originally located next to the ramp edge, but subsequent expansion of the ramp left the pump surrounded by pavement.
Probable cause:
Occurrence #1: on ground/water collision with object
Phase of operation: taxi - to takeoff
Findings
1. (f) airport facilities, obstruction marking - inadequate
2. (f) other airport/runway maintenance - inadequate - airport personnel
3. (f) object - airport facility
4. (c) visual lookout - inadequate - pilot in command
----------
Occurrence #2: nose gear collapsed
Phase of operation: taxi - to takeoff
Findings
5. Landing gear, nose gear - overload
----------
Occurrence #3: fire
Phase of operation: standing
Final Report:

Crash of a Rockwell Grand Commander 690A in Hilliard: 2 killed

Date & Time: Jun 24, 1987 at 0235 LT
Operator:
Registration:
N57169
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Jacksonville - Atlanta
MSN:
690-11203
YOM:
1974
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
6129
Captain / Total hours on type:
170.00
Aircraft flight hours:
6970
Circumstances:
Radar data indicated the aircraft climbed normally to 9,200 feet at which time some maneuver was performed with the aircraft. The aircraft then entered a near vertical dive and the last radar hit was at 6,900 feet. Examination of the aircraft revealed it experienced an inflight structural breakup and there was no evidence to indicate prebreakup failure or malfunction of the aircraft structure, flight controls, engines, engine mounts, autopilot, or systems. The operator reported one employee overheard the pilot and passenger talk about rolling the aircraft prior to departure, and two company employees reported being onboard when the pilot had rolled it on prior occasions. One of these was at night. Both occupants were killed.
Probable cause:
Occurrence #1: abrupt maneuver
Phase of operation: climb - to cruise
Findings
1. (c) aerobatics - performed - pilot in command
2. (c) overconfidence in personal ability - pilot in command
----------
Occurrence #2: loss of control - in flight
Phase of operation: maneuvering
Findings
3. (c) directional control - not maintained - pilot in command
4. (c) altitude - not maintained - pilot in command
5. Light condition - dark night
----------
Occurrence #3: airframe/component/system failure/malfunction
Phase of operation: descent - uncontrolled
Findings
6. (c) design stress limits of aircraft - exceeded - pilot in command
----------
Occurrence #4: in flight collision with terrain/water
Phase of operation: descent - uncontrolled
Final Report:

Crash of a Beechcraft B200 Super King Air in Jasper

Date & Time: Jun 23, 1987 at 0619 LT
Registration:
N859DD
Survivors:
Yes
Schedule:
Birmingham - Jasper - Allentown
MSN:
BB-859
YOM:
1981
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
11000
Captain / Total hours on type:
2000.00
Aircraft flight hours:
2966
Circumstances:
The pilot obtained a weather briefing for his proposed flight from Birmingham, AL to Jasper, AL to Allentown, PA. He did not file a flight plan for the 35 mile flight from Birmingham to Jasper, however, he did file a flight plan for the proposed flight from Jasper to Allentown. He stated that he 'felt like he got a little slow and the tail stalled' during his VFR landing approach at Jasper. The aircraft contacted the ground at the east end of the east-west runway on a northerly track. The aircraft continued on the northerly track for 288 feet before colliding with trees. The aircraft was destroyed by the post crash fire. Witnesses reported fog in the area and the pilot reported that he had encountered patches of fog on the flight from Birmingham.
Probable cause:
Occurrence #1: in flight collision with terrain/water
Phase of operation: approach
Findings
1. (f) weather condition - fog
2. (f) light condition - dawn
3. (c) proper alignment - not attained - pilot in command
4. (c) airspeed - not maintained - pilot in command
5. (c) stall - inadvertent - pilot in command
6. (f) go-around - not performed - pilot in command
----------
Occurrence #2: in flight collision with object
Phase of operation: approach
Findings
7. (f) object - tree(s)
Final Report:

Crash of a Rockwell Grand Commander 690 in Bridgeport: 2 killed

Date & Time: Jun 21, 1987 at 0133 LT
Operator:
Registration:
N662DM
Flight Type:
Survivors:
No
Schedule:
Reno - Bridgeport
MSN:
690-11015
YOM:
1972
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
9521
Captain / Total hours on type:
34.00
Aircraft flight hours:
5234
Circumstances:
The flight conditions for the air ambulance trip consisted of a clear, moonless, dark night and the destination airport was in a mountain valley with the only ground reference lights the town adjacent to the airport. Witnesses saw the aircraft overfly the town and airport at pattern altitude then head out over the lake north of the airport. About 1 mile from the runway, the aircraft was seen to suddenly pitch up, roll inverted and dive straight down into the lake (Bridgeport Reservoir). The aircraft was heading away from the only ground reference lights and was over a reflective body of water near the base turn point when the accident occurred. Witnesses heard increased eng/prop noise before impact. Wreckage revealed evidence of power at impact. The shifts for the pilots in the operation consisted of 4 days on, 2 days off, with alternating day and night shifts. The pilot was on the 4th night of the current shift cycle and was also giving flight instruction during the days. Both occupants, a pilot and a nurse, were killed.
Probable cause:
Occurrence #1: loss of control - in flight
Phase of operation: approach - vfr pattern - base leg/base to final
Findings
1. (f) light condition - dark night
2. (f) visual lookout - inadequate - pilot in command
3. (c) flight controls - inadvertent use - pilot in command
4. (c) proper altitude - not maintained - pilot in command
5. (c) visual/aural perception - pilot in command
6. (c) spatial disorientation - pilot in command
7. (f) fatigue (circadian rhythm) - pilot in command
8. (f) fatigue (flight and ground schedule) - pilot in command
9. (f) insuff standards/requirements, operation/operator - company/operator mgmt
----------
Occurrence #2: in flight collision with terrain/water
Phase of operation: descent - uncontrolled
Findings
10. (f) descent - uncontrolled - pilot in command
Final Report:

Crash of a Mitsubishi MU-2B-60 Marquise near Coral Springs: 1 killed

Date & Time: Jun 18, 1987 at 1730 LT
Type of aircraft:
Registration:
N184MA
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Fort Lauderdale - Fort Lauderdale
MSN:
218
YOM:
1972
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
8400
Circumstances:
The pilot reported to ground personnel at Fort Lauderdale that he was experiencing an avionics problem and the passenger entry door was sprung the day before when it was slammed; however, the pilot elected to depart. The aircraft wreckage was located on June 19 in the Everglades near Coral Springs, Florida. The aircraft impacted in a nose low attitude. Wreckage was scattered over an area 211 feet long by 55 feet wide. Investigation revealed no preimpact mechanical malfunctions/failures. The pilot, sole on board, was killed.
Probable cause:
Occurrence #1: loss of control - in flight
Phase of operation: unknown
Findings
1. (c) flight controls - improper use of - pilot in command
2. Operation with known deficiencies in equipment - performed - pilot in command
----------
Occurrence #2: in flight collision with terrain/water
Phase of operation: descent - uncontrolled
Final Report:

Ground accident of a Boeing 727-90C in Anchorage

Date & Time: Jun 9, 1987 at 0855 LT
Type of aircraft:
Operator:
Registration:
N766AS
Flight Phase:
Survivors:
Yes
MSN:
19728
YOM:
1968
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Aircraft flight hours:
49937
Circumstances:
The mechanic in charge of taxiing the Boeing 727 allowed an unauthorized avionics technician to occupy the pilot seat. They inadvertently deactivated the brake pressurization system and struck a passenger jetway at the terminal gate. An ensuing fire destroyed the airplane and a company ground vehicle and extensively damaged the jetway. The terminal gate was also damaged. A total of 11 persons were injured.
Probable cause:
Occurrence #1: on ground/water collision with object
Phase of operation: taxi
Findings
1. Object - airport facility
2. (c) brakes (normal) - inadvertent deactivation - company maintenance personnel
3. (f) planning/decision - inadequate - company maintenance personnel
4. (c) checklist - not used - company maintenance personnel
----------
Occurrence #2: fire
Phase of operation: other
Final Report:

Crash of a De Havilland DHC-2 Beaver in Sedro-Woolley

Date & Time: Jun 8, 1987 at 1203 LT
Type of aircraft:
Registration:
N64384
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Sedro-Woolley - Renton
MSN:
622
YOM:
1954
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
24000
Captain / Total hours on type:
127.00
Aircraft flight hours:
16008
Circumstances:
Shortly after takeoff a loss of power occurred and the aircraft struck trees in flight. Less than 1/2 fuel was available in all three fuel tanks. The fuel selector valve was tested and found that the selections plate was indexed off center for all selections due to wear. In the takeoff attitude unporting occurred allowing air to be drawn into the system. The pilot escaped with minor injuries.
Probable cause:
Occurrence #1: loss of engine power (partial) - mech failure/malf
Phase of operation: takeoff - initial climb
Findings
1. (c) fuel system, selector/valve - worn
2. (c) fluid, fuel - starvation
----------
Occurrence #2: forced landing
Phase of operation: descent - emergency
----------
Occurrence #3: in flight collision with terrain/water
Phase of operation: descent
Findings
3. (f) terrain condition - high obstruction(s)
4. (c) clearance - not possible
Final Report:

Crash of a Beechcraft B60 Duke in Wall

Date & Time: May 27, 1987 at 0851 LT
Type of aircraft:
Operator:
Registration:
N4314W
Flight Phase:
Survivors:
Yes
Schedule:
San Angelo – San Antonio
MSN:
P-264
YOM:
1974
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
2553
Captain / Total hours on type:
250.00
Aircraft flight hours:
2645
Circumstances:
Aircraft was destroyed during an attempted off airport emergency landing following a dual engine failure while leveling off at cruise flight. Pilot stated that left engine, then right engine surged and quit as he was leveling off at 9,000 feet msl. At the time of the engine failures the fuel totalizer was reading 60 gallons, but the aircraft fuel gauges were reading empty. Pilot broke out of overcast at 3,500 msl (about 1,200 feet agl) and was unable to find a suitable clear area to land before committing to an emergency landing in trees. Gear was down, flaps were up and neither engine was feathered at impact. Pilot stated that he knew he was out of gas when both engines quit and that he did not attempt an air start. Both occupants were seriously injured.
Probable cause:
Occurrence #1: loss of engine power (total) - nonmechanical
Phase of operation: cruise - normal
Findings
1. (c) fluid,fuel - exhaustion
2. (c) refueling - disregarded - pilot in command
3. (c) fuel consumption calculations - not performed - pilot in command
4. (c) complacency - pilot in command
----------
Occurrence #2: forced landing
Phase of operation: descent - emergency
Findings
5. Weather condition - low ceiling
6. Emergency procedure - not performed - pilot in command
7. Propeller feathering - not performed - pilot in command
----------
Occurrence #3: in flight collision with object
Phase of operation: landing - flare/touchdown
Findings
8. (f) object - tree(s)
9. (f) terrain condition - high obstruction(s)
10. (f) terrain condition - none suitable
Final Report:

Crash of a Cessna 402C off Palm Beach: 1 killed

Date & Time: May 27, 1987
Type of aircraft:
Operator:
Registration:
N2652B
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Palm Beach - Marsh Harbour
MSN:
402C-0345
YOM:
1980
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
16740
Captain / Total hours on type:
165.00
Aircraft flight hours:
9151
Circumstances:
On 5/27/87 at about 0915 edt, the pilot departed Palm Beach-Intl Airport (PBI) on a flight to Marsh Harbour, Great Abaco Island, Bahamas. When the aircraft did not arrive at the destination, a search was initiated. The aircraft was not found and was presumed to have been destroyed. The pilot was presumed to have been fatally injured. Radar data revealed that the aircraft had departed toward Marsh Harbour, but the last contact with the flight was approximately 12 miles east of PBI. An aircraft was seen flying eastbound over the destination airport at about the time of the estimated arrival time. Also, another pilot thought she heard a radio transmission from the missing aircraft when the pilot reported in the vicinity of Grand Bahama Island.
Probable cause:
Occurrence #1: missing aircraft
Phase of operation: unknown
Findings
1. (c) reason for occurrence undetermined
Final Report:

Crash of a BAe 3101 Jetstream 31 in New Orleans

Date & Time: May 26, 1987 at 1645 LT
Type of aircraft:
Operator:
Registration:
N331CY
Flight Phase:
Survivors:
Yes
Schedule:
New Orleans - Valparaiso
MSN:
742
YOM:
1987
Flight number:
CO962
Crew on board:
2
Crew fatalities:
Pax on board:
9
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
7500
Captain / Total hours on type:
60.00
Copilot / Total flying hours:
3000
Copilot / Total hours on type:
18
Aircraft flight hours:
147
Circumstances:
Taxi clearance was received at 16:35 and the flight left gate 14B for runway 19. The airplane was cleared for takeoff at 16:44. Shortly after lifting off, at 200 feet above the ground, the engine torque gauges began to fluctuate erratically and the plane began to yaw back and forth. The captain believed the TTL (Torque Temperature Limiting) system may have been bypassing fuel to the engines (a situation that could occur when power levers are advanced too far forward). He then slightly decreased the power settings which resulted in even greater torque oscillations and greater yawing. The captain believed both engines were malfunctioning for some unknown reason and landed back on runway 19, because a 90° turn for runway 28 seemed impossible. The aircraft overran the runway, struck a 6 feet high chain link fence, struck a concrete barrier and skidded across the Route 61 highway before coming to rest on a parking lot.
Probable cause:
A breakdown of the flight crew coordination which resulted in their failure to comply with the Before Takeoff Checklist and advance the RPM levers to the high RPM position, and the flight crew's failure to diagnose and remedy engine oscillations on initial climbout. Contributing to the flight crew's failure to advance the RPM levers before take off was the fact that both crew members had limited experience in the BAe-3101 and extensive recent experience in other aircraft which use RPM control lever procedures that are different from the BAe-3101."
Final Report: