Crash of a Cessna 414 Chancellor in Rutland: 1 killed

Date & Time: Aug 24, 1984 at 1050 LT
Type of aircraft:
Operator:
Registration:
N18SM
Flight Type:
Survivors:
No
Site:
Schedule:
Worcester - Rutland
MSN:
414-0548
YOM:
1974
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
7010
Captain / Total hours on type:
1800.00
Aircraft flight hours:
1852
Circumstances:
The pilot was executing a second attempt for an instrument approach to runway 19, following a missed approach on the first attempt. The pilot last reported over the iaf, 9 miles north of the airport. The aircraft collided with a mountain at an elevation of 1,700 feet and 5 miles south of the airport. The wreckage was oriented on a 190° magnetic heading and near the extended centerline of runway 19. The mda for the approach is 1,680 feet msl. The map is a climbing right turn to 5,000 feet direct to the iaf. The airport is surrounded by mountains. The landing gear and flaps were found extended. Examination of the aircraft disclosed on evidence of malfunction. Both occupants were killed.
Probable cause:
Occurrence #1: in flight collision with terrain/water
Phase of operation: approach
Findings
1. (f) weather condition - low ceiling
2. (f) terrain condition - high terrain
3. (f) terrain condition - mountainous/hilly
4. (c) ifr procedure - not followed - pilot in command
5. (c) missed approach - not performed - pilot in command
Final Report:

Crash of a Rockwell Aero Commander 520 in Goliad

Date & Time: Aug 24, 1984
Operator:
Registration:
N4183B
Flight Type:
Survivors:
Yes
MSN:
520-90
YOM:
1953
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
The aircraft was found abandoned. Wreckage scene indicates collision with trees prior to collision with terrain. Aircraft suspected of being used for illegal cargo operations. The pilot was not found.
Probable cause:
Occurrence #1: in flight collision with terrain/water
Phase of operation: unknown
Findings
1. (c) reason for occurrence undetermined
Final Report:

Crash of a Piper PA-46-310P Malibu in Vero Beach

Date & Time: Aug 20, 1984 at 1400 LT
Operator:
Registration:
N4371Y
Flight Type:
Survivors:
Yes
Schedule:
Vero Beach - Vero Beach
MSN:
46-8408082
YOM:
1984
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
2694
Captain / Total hours on type:
137.00
Aircraft flight hours:
1
Circumstances:
On post-production test flight, pilot noted symptoms of uncommanded lean mixture and turned to return for landing. En route to airport, engine lost power completely. On base leg for forced landing (off airport) fire broke out in engine area and burned through hydraulic line causing gear to extend. Due to increased glide angle, planned flight path would not clear obstruction (Draw Bridge). When the pilot maneuvered to avoid the obstacle, the aircraft stalled, mushed and collided with a boat dock. Investigation revealed a loose fuel line fitting. The pilot, sole on board, was seriously injured.
Probable cause:
Occurrence #1: loss of engine power (partial) - mech failure/malf
Phase of operation: cruise
Findings
1. (c) fuel system, line fitting - loose
2. (c) maintenance, installation - improper - production/design personnel
----------
Occurrence #2: loss of engine power (total) - mech failure/malf
Phase of operation: maneuvering - turn to landing area (emergency)
----------
Occurrence #3: forced landing
Phase of operation: descent - emergency
----------
Occurrence #4: fire
Phase of operation: maneuvering - turn to landing area (emergency)
Findings
3. (c) fuel system, line fitting - leak
4. Fluid, fuel - fire
----------
Occurrence #5: in flight collision with terrain/water
Phase of operation: descent
Findings
5. (f) landing gear, normal retraction/extension assembly - burned
6. (f) landing gear - deployed inadvertently
7. Proper descent rate - not possible - pilot in command
8. (f) terrain condition - high obstruction(s)
9. (f) maneuver - attempted - pilot in command
10. (f) terrain condition - none suitable
11. Stall/mush - inadvertent
Final Report:

Crash of a Piper PA-46-310P Malibu in Richmond: 1 killed

Date & Time: Aug 13, 1984 at 0745 LT
Operator:
Registration:
N4323G
Flight Type:
Survivors:
No
Schedule:
Westerly - Keene
MSN:
46-8408020
YOM:
1984
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
3097
Aircraft flight hours:
117
Circumstances:
The pilot was flying inbound for the ILS runway 02 approach via the Gardner VOR transition. While on the transition, the aircraft descended below the 4,000 feet msl minimum altitude to 2,600 feet msl. The pilot was alerted by ATC. He responded that his chart read 3,000 feet. The aircraft then climbed above 2,700 feet, but descended again (to 1,500 feet msl) until about 2 miles outside the outer marker. The minimum published altitude to intercept the glide slope was 2,600 feet and the recommended (glide slope) altitude for crossing the outer marker was 2,548 feet. Before reaching the outer marker, the aircraft made an abrupt turn to the southwest, entered a steep descent and crashed in a wooded area. An exam of the aircraft did not disclose any evidence of a malfunction. A flight inspection of the nav aids disclosed satisfactory operation. A post mortem exam was inconclusive to possible physical impairment. The procedure turn altitude for the approach was 3,000 feet, but the Gardner transition did not require a procedure turn. The pilot, sole on board, was killed.
Probable cause:
Occurrence #1: loss of control - in flight
Phase of operation: approach - iaf to faf/outer marker (ifr)
Findings
1. (c) ifr procedure - not followed - pilot in command
2. (c) directional control - not maintained - pilot in command
3. (c) proper altitude - not maintained - pilot in command
----------
Occurrence #2: in flight collision with terrain/water
Phase of operation: approach
Final Report:

Crash of a Douglas C-47A-20-DK in Memphis: 3 killed

Date & Time: Aug 11, 1984 at 0101 LT
Registration:
N70003
Flight Type:
Survivors:
No
Schedule:
Memphis - Chicago
MSN:
12938
YOM:
1944
Crew on board:
2
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
3
Aircraft flight hours:
11247
Circumstances:
Moments after the DC-3 took off, the tower controller noted the left engine was torching and asked the flight if it was 'having a problem.' The crew replied 'affirmative,' then the controller cleared the flight to land on any runway. The aircraft began turning left at the end of the runway and continued turning at low altitude until it struck utility poles and crashed thru a warehouse roof about 2 miles from the airport. A witness reported the aircraft was at an altitude of approximately 100 to 150 feet agl, the left propeller was feathered and the right engine was at full power. An exam of the left engine disclosed the #14 cylinder was missing a spark plug from the front spark plug hole. The spark plug lead and 'b' nut were attached to the ignition harness, but no plug was attached to the lead. The spark plug hole and b-nut threads were undamaged. A white deposit was found inside the cylinder spark plug threads and outside the cylinder, adjacent to the hole. The deposit was identified to contain high concentrations of lead and bromine, most likely formed from exhaust gases and fuel during cylinder operation. A company mechanic reportedly worked on the plugs on the previous day. The aircraft was destroyed and all three occupants were killed.
Probable cause:
Occurrence #1: loss of engine power (partial) - mech failure/malf
Phase of operation: takeoff - initial climb
Findings
1. (f) ignition system, spark plug - loose
2. (f) maintenance - improper - company maintenance personnel
3. (f) ignition system, spark plug - separation
4. Propeller feathering - performed - pilot in command
----------
Occurrence #2: loss of control - in flight
Phase of operation: takeoff
Findings
5. (c) reason for occurrence undetermined
6. Airspeed - not maintained
7. Directional control - not maintained
8. Climb - not possible
----------
Occurrence #3: in flight collision with object
Phase of operation: takeoff
Findings
9. (f) light condition - dark night
10. (f) object - utility pole
11. (f) object - building (nonresidential)
Final Report:

Crash of a Cessna 421C Golden Eagle III in Kennesaw: 4 killed

Date & Time: Aug 8, 1984 at 0732 LT
Operator:
Registration:
N98457
Flight Phase:
Survivors:
No
MSN:
421C-0050
YOM:
1976
Crew on board:
1
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
4
Captain / Total flying hours:
869
Captain / Total hours on type:
11.00
Circumstances:
According to witnesses, the aircraft entered clouds at low altitude during the initial climb after takeoff. They reported that the aircraft then turned sharply back toward the airport and descended below the clouds. It rolled out in the direction of the crash site with the wings rocking. One witness said the aircraft 'turned over 2 or 3 times' before it crashed. No preimpact part failure or malfunction was evident. All four occupants were killed.
Probable cause:
Occurrence #1: in flight encounter with weather
Phase of operation: takeoff - initial climb
Findings
1. (c) preflight planning/preparation - inadequate - pilot in command
2. (f) weather condition - low ceiling
3. (f) weather condition - fog
4. (c) vfr flight into imc - inadvertent - pilot in command
----------
Occurrence #2: loss of control - in flight
Phase of operation: maneuvering - turn to reverse direction
Findings
5. Maneuver - initiated - pilot in command
6. (c) airspeed - not maintained - pilot in command
7. Stall/spin - uncontrolled - 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 near Petros: 2 killed

Date & Time: Aug 2, 1984 at 1400 LT
Operator:
Registration:
N27948
Flight Phase:
Flight Type:
Survivors:
No
Site:
Schedule:
Fort Lauderdale - Cincinnati
MSN:
31-7952059
YOM:
1979
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
1100
Circumstances:
The flight departed Fort Lauderdale, FL, on 8-2-84 at approximately 0815 edt for Cincinnati, OH. The aircraft wreckage was found on 11-17-84 on an up slope of big Fodderstack Mountain. The aircraft had contacted a 25 feet tall tree located 200 feet west of the main wreckage. The only known radio contact was recalled by the Monroe County airport manager who stated the pilot radioed to exchange the day's greeting. Exact weather at the accident site could not be determined. However, the airport manager recalled the high terrain being obscured with poor visibility. Both occupants were killed.
Probable cause:
Occurrence #1: in flight encounter with weather
Phase of operation: cruise - normal
Findings
1. (f) weather condition - low ceiling
2. (c) vfr flight into imc - continued - pilot in command
3. (f) lack of total instrument time - pilot in command
----------
Occurrence #2: in flight collision with object
Phase of operation: cruise - normal
Findings
4. (c) clearance - not maintained - pilot in command
5. (f) terrain condition - mountainous/hilly
6. Object - tree(s)
Final Report:

Crash of a Cessna 421C Golden Eagle III in Fort Lupton: 3 killed

Date & Time: Aug 1, 1984 at 1635 LT
Operator:
Registration:
N6231G
Flight Phase:
Survivors:
No
Schedule:
Amarillo - Casper
MSN:
421C-0262
YOM:
1977
Crew on board:
1
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
3
Captain / Total flying hours:
4000
Aircraft flight hours:
23799
Circumstances:
During a preflight weather briefing, the pilot was advised of thunderstorms and intense rain showers on the route of flight. However, he filed an IFR flight plan and took off. During flight, the ATC controller advised the pilot of a level 6 cell ahead and noted that he had no report on its top. The pilot reported that he was 'not showing anything' on his radar. Attempts were made to deviate. Approximately 20 minutes later, the pilot reported the aircraft was encountering icing conditions and was losing altitude. After another 1 min and 38 seconds, he reported 'we're going in.' Subsequently, an in-flight breakup occurred. The wreckage was found scattered over a 1/2 mile area. An exam revealed that the outboard wing panels had failed in flight. Witnesses reported seeing either smoke or fire in flight before the aircraft crashed. Evidence of an electrical discharge was found on the outboard portion of the right wing. However, the pilot had not mentioned any encounter with lightning on this flight. No evidence of metal fatigue was found. All three occupants were killed.
Probable cause:
Occurrence #1: in flight encounter with weather
Phase of operation: cruise - normal
Findings
1. (c) flight into known adverse weather - continued - pilot in command
2. (f) weather condition - clouds
3. (f) weather condition - thunderstorm
4. (f) weather condition - rain
5. (f) weather condition - icing conditions
6. (c) wing - ice
----------
Occurrence #2: loss of control - in flight
Phase of operation: cruise
Findings
7. (c) in-flight planning/decision - improper - pilot in command
8. (c) stall - inadvertent - pilot in command
----------
Occurrence #3: airframe/component/system failure/malfunction
Phase of operation: descent - uncontrolled
Findings
9. (c) design stress limits of aircraft - exceeded - pilot in command
10. Wing - overload
11. Fuel system, tank - overload
----------
Occurrence #4: fire/explosion
Phase of operation: descent - uncontrolled
----------
Occurrence #5: in flight collision with terrain/water
Phase of operation: descent - uncontrolled
Final Report:

Crash of a Learjet 25B in Waterville

Date & Time: Jul 28, 1984 at 1545 LT
Type of aircraft:
Operator:
Registration:
N1JR
Flight Phase:
Survivors:
Yes
Schedule:
Waterville - White Plains
MSN:
25-188
YOM:
1975
Crew on board:
2
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
10440
Captain / Total hours on type:
375.00
Aircraft flight hours:
3168
Circumstances:
During preflight preparation for departure from a short field the pilot failed to remove the Pitot tube covers. On takeoff roll, the stall warning light began to flicker. Pilot noted airspeed was not registering but did not consider this unusual in the early part of a takeoff roll. Pilot turned left stall warning switch off, then back on, warning light remained on. Pilot then initiated abort procedures, using full reverse thrust and brakes. The aircraft overran runway by about 100 feet and down a rough embankment which separated the landing gear.
Probable cause:
Occurrence #1: overrun
Phase of operation: takeoff - roll/run
Findings
1. (c) aircraft preflight - inadequate - pilot in command
2. Pitot/static system - blocked (total)
3. (f) airspeed indicator - disregarded - pilot in command
4. Warning system (other) - engaged
5. (c) remedial action - delayed - pilot in command
6. Aborted takeoff - performed - pilot in command
----------
Occurrence #2: complete gear collapsed
Phase of operation: takeoff
Findings
7. (f) terrain condition - downhill
8. (f) terrain condition - rough/uneven
9. Landing gear - overload
Final Report:

Crash of a De Havilland DHC-2 Beaver in Ketchikan: 2 killed

Date & Time: Jul 26, 1984 at 1200 LT
Type of aircraft:
Operator:
Registration:
N4787C
Survivors:
Yes
Site:
Schedule:
Yes Bay - Ketchikan
MSN:
1330
YOM:
1959
Crew on board:
1
Crew fatalities:
Pax on board:
6
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
3586
Captain / Total hours on type:
1510.00
Circumstances:
The pilot flew into a canyon with a climb-out gradient in excess of the aircraft capability and collided with the upsloping terrain. The pilot said he had hit a downdraft and turned away from the rising terrain just as collision occurred. Surviving passengers do not recall any turbulence or sinking sensation before the crash. The pilot did not report any turbulence or downdrafts anywhere except at the accident site. Two passengers were killed.
Probable cause:
Occurrence #1: in flight collision with terrain/water
Phase of operation: maneuvering
Findings
1. (f) terrain condition - mountainous/hilly
2. (c) in-flight planning/decision - improper - pilot in command
3. (f) aircraft performance, climb capability - exceeded
4. (c) clearance - inadequate - pilot in command
5. (c) proper climb rate - not possible - pilot in command
Final Report: