Crash of a Piper PA-42-720 Cheyenne III in Charlotte: 2 killed

Date & Time: Jun 28, 1985 at 0148 LT
Type of aircraft:
Registration:
N542TW
Flight Type:
Survivors:
No
Schedule:
Teterboro - Charlotte
MSN:
42-8001052
YOM:
1980
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
9000
Captain / Total hours on type:
1000.00
Aircraft flight hours:
1516
Circumstances:
The aircraft collided with a tree and a pole short of the runway during a night VFR approach to land. The pilot changed from runway 18 to 36 during the approach. He was seen low and fast on downwind which ended in a steep descending turn to ground contact. The tower had overied the pilot during the initial approach because of his speed and high altitude. The pilot replied that he would be down and requested a change of runway. The wind was reported as from 150° at 7 knots. Both occupants were killed.
Probable cause:
Occurrence #1: in flight collision with object
Phase of operation: approach - vfr pattern - base leg/base to final
Findings
1. (f) light condition - dark night
2. (c) in-flight planning/decision - poor - pilot in command
3. (c) overconfidence in personal ability - pilot in command
4. (f) object - utility pole
5. (c) vfr procedures - poor - pilot in command
6. (c) ostentatious display - pilot in command
7. (c) planned approach - poor - pilot in command
8. (c) overconfidence in personal ability - pilot in command
9. (c) judgment - poor - pilot in command
10. (c) ostentatious display - pilot in command
11. (c) proper altitude - not maintained - pilot in command
12. (c) overconfidence in personal ability - pilot in command
13. (c) proper descent rate - exceeded - pilot in command
14. (c) ostentatious display - pilot in command
15. (c) maneuver - improper - pilot in command
Final Report:

Crash of a Beechcraft E18 in Birmingham: 1 killed

Date & Time: Jun 20, 1985 at 2101 LT
Type of aircraft:
Operator:
Registration:
N19T
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Birmingham - Atlanta
MSN:
BA-147
YOM:
1956
Flight number:
ABX74
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
10600
Captain / Total hours on type:
5000.00
Aircraft flight hours:
10936
Circumstances:
At 2045 the military flight, Dixie 06, contacted Birmingham approach and obtained clearance for a low approach followed by a full-stop landing on runway 05. At 2053, Dixie 06 reported a 4 mile final for a low approach to the local controller. At 2054:19, the local controller cleared ABX74, N19T, '...taxi position and hold five.' ABX74 was awaiting takeoff instructions on runway 05 when the collision occurred. Investigation revealed the local controller forgot ABX74. She became preoccupied with other traffic using runway 36. The local controller termed the traffic as busier than normal for a night operation. At the time of the accident, the tower was staffed with two air traffic controllers and an air traffic assistant. No supervisor or coordinator was available in the cab to detect controller overload and offer assistance. The pilot, sole on board, was killed. The military aircraft involved in the collision was a USAF Douglas RF-4C Phantom II registered 64-1032 with two pilots on board. They escaped uninjured.
Probable cause:
Occurrence #1: on ground/water collision with object
Phase of operation: standing - engine(s) operating
Findings
1. (c) identification of aircraft visually - not performed - atc personnel (lcl/gnd/clnc)
2. (c) diverted attention - atc personnel (lcl/gnd/clnc)
3. (c) visual separation - not maintained - atc personnel (lcl/gnd/clnc)
4. (c) mental performance overload - atc personnel (lcl/gnd/clnc)
5. (c) atc clearance - improper - atc personnel (lcl/gnd/clnc)
6. (c) supervision - inadequate - atc personnel (supervisor)
----------
Occurrence #2: fire
Phase of operation: other
Final Report:

Crash of a Grumman G-44 Widgeon in Dillingham

Date & Time: Jun 20, 1985 at 1045 LT
Type of aircraft:
Registration:
N176MS
Survivors:
Yes
Schedule:
Anchorage - Dillingham
MSN:
1324
YOM:
1943
Crew on board:
1
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
13000
Captain / Total hours on type:
400.00
Aircraft flight hours:
6830
Circumstances:
The amphibious aircraft crashed as the pilot was landing on glassy water at the inlet of Nerka Lake. Subsequently, it sank and came to rest inverted in clear water on the bottom of wood river with the gear retracted and the flaps extended. Moderate rain was falling when the pilot was landing. All three occupants escaped with minor injuries.
Probable cause:
Occurrence #1: hard landing
Phase of operation: landing - flare/touchdown
Findings
1. (f) weather condition - rain
2. (f) terrain condition - water,glassy
3. (c) altitude - misjudged - pilot in command
4. (c) flare - improper - pilot in command
----------
Occurrence #2: nose over
Phase of operation: landing
Final Report:

Crash of a Swearingen SA26AT Merlin IIB in Rocksprings: 1 killed

Date & Time: Jun 19, 1985 at 1510 LT
Type of aircraft:
Operator:
Registration:
N199TA
Flight Phase:
Survivors:
No
Schedule:
Del Rio - McGregory
MSN:
T26-110
YOM:
1968
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
4843
Captain / Total hours on type:
66.00
Circumstances:
As the aircraft was climbing thru 14,800 feet for 19,000 feet, the pilot reported a rapid decompression. Two minutes later, he reported that he has lost the tail. Aircraft impacted in an inverted flat spin and the tail and a section of empennage were found about 3/4 mile away from main wreckage. Investigation revealed that a skin seam had split open along a 54' span in an area where 2 pieces of 'l' shaped channel had been riveted together to form a stringer. Normally the stringer would be made using a single piece of 't' shaped channel. The non-standard stringer had been fabricated during repairs made on the aircraft following a gear up landing 7 years prior to this accident. Analysis revealed that the rivets holding the 'l' channels together and failed in fatigue due to tensile cyclic loading whenever the aircraft was pressurized. Aircraft had a history of pressurization problems following the repair that was not properly performed or inspected. The pi1lot, sole on board, was killed.
Probable cause:
Occurrence #1: decompression
Phase of operation: climb - to cruise
Findings
1. (c) fuselage - decompression
2. (c) fuselage, skin - separation
3. (c) fuselage, stringer - fatigue
4. (c) maintenance, major repair - improper - other maintenance personnel
5. (f) facility, inadequate design (standard/requirement) - other maintenance personnel
6. (c) fuselage, stringer - previous damage
7. (c) maintenance, inspection - not performed - other maintenance personnel
8. (f) facility, inadequate design (standard/requirement) - faa (other/organization)
----------
Occurrence #2: airframe/component/system failure/malfunction
Phase of operation: descent - emergency
Findings
9. (c) fuselage - separation
----------
Occurrence #3: loss of control - in flight
Phase of operation: descent - uncontrolled
----------
Occurrence #4: in flight collision with terrain/water
Phase of operation: descent - uncontrolled
Final Report:

Crash of a Convair VT-29B in Trenton

Date & Time: Jun 19, 1985 at 0702 LT
Type of aircraft:
Operator:
Registration:
N155PA
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Trenton - Detroit
MSN:
322
YOM:
1953
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
7000
Captain / Total hours on type:
2500.00
Aircraft flight hours:
16900
Circumstances:
The copilot begun takeoff with 2,700 rpm and 52 to 53.5' of manifold pressure (mp). Water injection was not used although 12 gallons was available. At 150 to 250 feet agl, the left engine lost power and the left propeller auto feathered. The captain took control and took action to verify left engine feathering. Neither pilot moved any of the other engine controls. A turn was initiated to return to the airport, but the aircraft began losing speed and altitude. Subsequently, it crash landed in a partly wooded area short of an open field and burned until firefighting personnel arrived. The impeller was demolished by fire, but evidence of debris from the impeller was found in the left engine intake and on top of its #3 and # 11 piston. The company's stated policy was to use water (wet takeoff), except when precluded by mechanical malfunction or lack of additional fluid; however, 4 dissimilar power charts were found in the aircraft. Takeoff weight was 38,670 lbs. Performance manual showed aircraft capable of 420 fpm climb with 12° of flaps, one prop feathered, landing gear up, dry power (no water). Max power setting was 2,700 rpm and 56' mp for dry takeoff; 2,800 rpm and 59.5' mp for wet takeoff. Both pilots were seriously injured.
Probable cause:
Occurrence #1: loss of engine power (partial) - mech failure/malf
Phase of operation: takeoff - initial climb
Findings
1. (c) eng assembly, blower/impeller/integral supercharger - failure, total
2. Propeller feathering - performed
----------
Occurrence #2: forced landing
Phase of operation: maneuvering - turn to landing area (emergency)
Findings
3. (c) throttle/power control - improper use of - pilot in command
4. (f) information unclear - company/operator management
----------
Occurrence #3: in flight collision with terrain/water
Phase of operation: maneuvering - turn to landing area (emergency)
Findings
5. (f) object - tree(s)
6. (f) terrain condition - rough/uneven
Final Report:

Crash of a Cessna 402B in Bailey: 8 killed

Date & Time: Jun 17, 1985 at 1715 LT
Type of aircraft:
Registration:
N100HK
Flight Phase:
Survivors:
No
Site:
Schedule:
Broomfield - Monte Vista
MSN:
402B-0409
YOM:
1973
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
7
Pax fatalities:
Other fatalities:
Total fatalities:
8
Captain / Total flying hours:
3000
Circumstances:
Ground witnesses observed the aircraft enter low clouds going south, then emerge from clouds going went. Aircraft collided with mountain in wings-level and powered attitude. Mountains were reported to be obscured by clouds and fog. All eight occupants were killed.
Probable cause:
Occurrence #1: in flight encounter with weather
Phase of operation: cruise - normal
Findings
1. (f) weather condition - clouds
2. (c) flight into known adverse weather - initiated - pilot in command
3. (f) weather condition - obscuration
4. (c) in-flight planning/decision - improper - pilot in command
5. (f) weather condition - fog
6. (c) vfr flight into imc - continued - pilot in command
7. (c) clearance - inadequate - pilot in command
----------
Occurrence #2: in flight collision with object
Phase of operation: cruise - normal
Findings
8. (f) object - tree(s)
----------
Occurrence #3: in flight collision with terrain/water
Phase of operation: cruise - normal
Findings
9. (f) terrain condition - mountainous/hilly
Final Report:

Crash of a Rockwell 1121 Jet Commander in Van Nuys

Date & Time: Jun 11, 1985 at 0731 LT
Registration:
N69GT
Flight Type:
Survivors:
Yes
Schedule:
Tucson – Van Nuys
MSN:
1121-044
YOM:
1966
Crew on board:
2
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
5000
Captain / Total hours on type:
90.00
Circumstances:
The pilot, executing an ILS approach, observed a primary hydraulic pressure drop and declared his intent to land without the use of flaps, speed brakes, reversers or nose wheel steering. The aircraft ran off the end of the runway during landing, traveled approximately 1,300 feet and came to rest on a golf course after striking two vehicles and a chain link fence. Post accident investigation revealed 0.8 quarts of hydraulic fluid (skydrol) in the reservoir. Reservoir capacity is 1.28 u.s. gallon. The pilot stated he pumped the brakes on approach to build pressure in the emergency brake system. The pilot announced he had no braked after touchdown. The Jet Commander 1121 operator's manual cautions against this practice. A functional check of the thrust reversers by on-scene investigators produced two complete cycles of operation. Two persons located in a ground vehicle were injured during the overrun landing.
Probable cause:
Occurrence #1: overrun
Phase of operation: landing - roll
Findings
1. (f) hydraulic system, reservoir - low level
2. (f) brakes (normal) - not possible - other maintenance personnel
3. (c) brakes (emergency) - improper use of - pilot in command
4. (c) improper use of procedure - pilot in command
5. (c) reversers - not used - pilot in command
6. (f) aircraft preflight - not performed - pilot in command
Final Report:

Crash of a Beechcraft 200 Super King Air in Montgomery: 2 killed

Date & Time: Jun 9, 1985 at 0230 LT
Registration:
N148CP
Flight Type:
Survivors:
No
Schedule:
Baltimore – Teterboro – Montgomery
MSN:
BB-129
YOM:
1976
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
7500
Circumstances:
Pilot filed IFR for two flight legs; Baltimore, MD to Teterboro, NJ and Teterboro to Montgomery, NY (Orange County Airport). The pilot received a preflight weather briefing and was advised that the forecast for Stewart, NY, about 10 miles from Montgomery was sky partially obscured 4,000 feet, 500 feet scattered and 4 miles in fog. While enroute to Teterboro, at 0134 hrs, the pilot radioed Stewart airport and was advised of weather there as sky partially obscured with 4 miles in fog and haze. The aircraft landed at Teterboro at 0152 hours and departed VFR at 0200 hours. At 0211 hours the pilot radioed another aircraft and in part stated that he was at Orange County Airport and was attempting to land, however the weather was going down. At 0211 hours the pilot radioed Stewart and was advised that weather there was the same as reported at 0134 hours. The pilot acknowledged. There was no further transmission from the pilot. At 0215 hours a witness near the accident site heard a crash. He reported weather as 400 feet in fog. The aircraft crashed two miles south of runway 03. The landing gear and flaps were down. Examination of the aircraft did not disclose evidence of malfunction. Both occupants were killed.
Probable cause:
Occurrence #1: in flight encounter with weather
Phase of operation: approach
Findings
1. (f) weather condition - fog
2. (c) vfr flight into imc - performed - pilot in command
----------
Occurrence #2: in flight collision with terrain/water
Phase of operation: approach
Findings
3. (f) object - tree(s)
4. (c) clearance - not maintained - pilot in command
Final Report:

Crash of a Beechcraft E18S off Cleveland: 1 killed

Date & Time: Jun 6, 1985 at 0015 LT
Type of aircraft:
Operator:
Registration:
C-FFLC
Flight Type:
Survivors:
No
Schedule:
Oshawa - Cleveland
MSN:
BA-365
YOM:
1958
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
5131
Captain / Total hours on type:
340.00
Aircraft flight hours:
4756
Circumstances:
The flight departed and proceeded en route without incident. Radar and radio contact was maintained until the flight proceeded over Lake Erie. The flight did not arrive at its destination. The aircraft is presumed to have crashed in Lake Erie. One identifiable 3 feet x 4 feet section of floor panel was located. Two smaller pieces of wreckage were also found which may have been portions of C-FFLC.
Probable cause:
Occurrence #1: missing aircraft
Phase of operation: unknown
Findings
1. (c) reason for occurrence undetermined
Final Report:

Crash of a Grumman G-159 Gulfstream I in Nashville: 2 killed

Date & Time: May 31, 1985 at 2300 LT
Type of aircraft:
Registration:
N181TG
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Nashville - Indianapolis
MSN:
181
YOM:
1967
Flight number:
GNL115
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
2300
Captain / Total hours on type:
877.00
Aircraft flight hours:
1363
Circumstances:
The aircraft was being operated as general aviation flight 115 and was departing on a routine night flight. During takeoff/initial climb, the left engine lost power. The flight crew attempted to control the climb-out, but following the application of water-methanol, the pilot lost directional control. Subsequently, the aircraft banked to the left, entered a descent and impacted between the parallel runway. An investigation disclosed that the left propeller's blade angle was 21°. No preimpact system malfunction or failure was found. The cockpit voice recording indicated that the flight crew did not complete all of the items on the before taxi/takeoff checklist. One of the items (presumably not completed) was a check of the h.p. cock levers. The checklist required that the h.p. cock levers be in 'cruise lockout' for takeoff. The left h.p. cock lever was found between the 'fuel off' and 'feather' positions. Movement to this position would have deactivated the auto-feather sys and shut down the left engine. Both pilots were killed.
Probable cause:
Occurrence #1: loss of engine power (total) - nonmechanical
Phase of operation: takeoff - initial climb
Findings
1. (f) light condition - night
2. (c) preflight planning/preparation - inadequate - pilot in command
3. (c) checklist - not followed
4. (c) powerplant controls - improper use of - pilot in command
5. (c) fluid, fuel - starvation
----------
Occurrence #2: loss of control - in flight
Phase of operation: takeoff - initial climb
Findings
6. (c) emergency procedure - improper - pilot in command
7. (c) propeller feathering - not performed - pilot in command
8. (c) remedial action - not attained - copilot/second pilot
9. (c) airspeed (vmc) - not maintained - pilot in command
10. Directional control - not possible
11. Descent - uncontrolled
----------
Occurrence #3: in flight collision with terrain/water
Phase of operation: takeoff
Findings
12. Terrain condition - ground
Final Report: