Crash of a Boeing 727-231 on Mt Weather: 92 killed

Date & Time:
Type of aircraft:
Operator:
Registration:
N54328
Survivors:
No
Site:
Schedule:
Indianapolis - Columbus - Washington DC
MSN:
20306/791
YOM:
1970
Flight number:
TW514
Crew on board:
7
Crew fatalities:
Pax on board:
85
Pax fatalities:
Other fatalities:
Total fatalities:
92
Captain / Total flying hours:
3765
Captain / Total hours on type:
2899.00
Copilot / Total flying hours:
6205
Copilot / Total hours on type:
1160
Aircraft flight hours:
11997
Circumstances:
Trans World Airlines Flight TW514 was a regularly scheduled flight from Indianapolis, IN (IND), to Washington-National Airport, DC (DCA), with an intermediate stop at Columbus-Port Columbus International Airport, OH (CMH). Flight 514 departed Indianapolis at 08:53 EST and arrived in Columbus at 09:32. The Boeing 727 departed Columbus at 10:24, eleven minutes late. There were 85 passengers and 7 flight crew members aboard the aircraft when it departed Columbus. At 10:36, the Cleveland Air Route Traffic Control Center (ARTCC) informed the crew of Flight 514 that no landings were being made at Washington National Airport because of high crosswinds, and that flights destined for that airport were either being held or being diverted to Dulles International Airport (IAD). At 10:38, the captain of Flight 514 communicated with the dispatcher in New York and advised him of the information he had received. The dispatcher, with the captain's concurrence, subsequently amended Flight 514's release to allow the flight to proceed to Dulles. At 10:42, Cleveland ARTCC cleared Flight 514 to Dulles Airport via the Front Royal VOR, and to maintain FL290. One minute later, the controller cleared the flight to descend to FL230 and to cross a point 40 miles west of Front Royal at that altitude. Control of the flight was then transferred to the Washington ARTCC and communications were established with that facility at 10:48. In the meantime, the flightcrew discussed the instrument approach to runway 12, the navigational aids, and the runways at Dulles, and the captain turned the flight controls over to the first officer. When radio communications were established with Washington ARTCC, the controller affirmed that he knew the flight was proceeding to Dulles. Following this contact, the crew discussed the various routings they might receive to conduct a VOR/DME approach to runway 12 at Dulles. At 10:51, the Washington ARTCC controller requested the flight's heading. After being told that the flight was on a heading of 100 degrees, the controller cleared the crew to change to a heading of 090°, to intercept the 300° radial of the Armel VOR, to cross a point 25 miles northwest of Armel to maintain 8,000 feet, "...and the 300° radial will be for a VOR approach to runway 12 at Dulles." He gave the crew an altimeter setting of 29.74 for Dulles. The crew acknowledged this clearance. The pilots again discussed the VOR/DME approach At 10:55, the landing preliminary checklist was read by the flight engineer and the other crewmembers responded to the calls. A reference speed of 127 kts was calculated and set on the airspeed indicator reference pointers. The altimeters were set at 29.74. The crew then again discussed items on the instrument approach chart including the Round Hill intersection, the final approach fix, the visual approach slope indicator and runway lights, and the airport diagram. At 10:59, the captain commented that the flight was descending from 11,000 feet to 8,000 feet. He then asked the controller if there were any weather obstructions between the flight and the airport. The controller replied that he did not see any significant weather along the route. The captain replied that the crew also did not see any weather on the aircraft weather radar. At 11:01, the controller cleared the flight to descend to and maintain 7,000 feet and to contact Dulles approach control. Twenty-six seconds later, the captain initiated a conversation with Dulles approach control and reported that the aircraft was descending from 10,000 feet to maintain 7,000 feet. He also reported having received the information "Charlie" transmitted on the ATIS broadcast. The controller replied with a clearance to proceed inbound to Armel and to expect a VOR/DME approach to runway 12. The controller then informed the crew that ATIS information Delta was current and read the data to them. The crew determined that the difference between information Charlie and Delta was the altimeter setting which was given in Delta as 29.70. There was no information on the CVR to indicate that the pilots reset their altimeters from 29.74. At 11:04, the flight reported it was level at 7,000 feet. Five seconds after receiving that report, the controller said, "TWA 514, you're cleared for a VOR/DME approach to runway 12." This clearance was acknowledged by the captain. The CVR recorded the sound of the landing gear warning horn followed by a comment from the captain that "Eighteen hundred is the bottom." The first officer then said, "Start down." The flight engineer said, "We're out here quite a ways. I better turn the heat down." At 11:05:06, the captain reviewed the field elevation, the minimum descent altitude, and the final approach fix and discussed the reason that no time to the missed approach point was published. At 11:06:15, the first officer commented that, "I hate the altitude jumping around. Then he commented that the instrument panel was bouncing around. At 11:06:15, the captain said, "We have a discrepancy in our VOR's, a little but not much." He continued, "Fly yours, not mine." At 11:06:27, the captain discussed the last reported ceiling and minimum descent altitude. concluded, "...should break out." At 11:06:42, the first officer said, "Gives you a headache after a while, watching this jumping around like that." At 11:07:27, he said, "...you can feel that wind down here now." A few seconds later, the captain said, "You know, according to this dumb sheet it says thirtyfour hundred to Round Hill --- is our minimum altitude." The flight engineer then asked where the captain saw that and the captain replied, "Well, here. Round Hill is eleven and a half DME." The first officer said, "Well, but ---" and the captain replied, "When he clears you, that means you can go to your ---" An unidentified voice said, "Initial approach, and another unidentified voice said, "Yeah!" Then the captain said "Initial approach altitude." The flight engineer then said, "We're out a --- twenty-eight for eighteen." An unidentified voice said, "Right, and someone said, "One to go." At 11:08:14, the flight engineer said, "Dark in here," and the first officer stated, "And bumpy too." At 11:08:25, the sound of an altitude alert horn was recorded. The captain said, "I had ground contact a minute ago," and the first officer replied, "Yeah, I did too." At 11:08:29, the first officer said, "...power on this.... " The captain said "Yeah --- you got a high sink rate." "Yeah," the first officer replied. An unidentified voice said, "We're going uphill, " and the flight engineer replied, "We're right there, we're on course." Two voices responded, "Yeah!" The captain then said, "You ought to see ground outside in just a minute -- Hang in there boy." The flight engineer said, "We're getting seasick." At 1108:57, the altitude alert sounded. Then the first officer said, "Boy, it was --- wanted to go right down through there, man," to which an unidentified voice replied, "Yeah!" Then the first officer said, "Must have had a # of a downdraft." At 1109:14, the radio altimeter warning horn sounded and stopped. The first officer said, "Boy!" At 11:09:20, the captain said, "Get some power on." The radio altimeter warning horn sounded again and stopped. At 11:09:22, the sound of impact was recorded. After the aircraft left 7,000 feet, the descent was continuous with little rate variation until the indicated altitude was about 1,750 feet. increased about 150 feet over a 15-second period and then decreased about 200 feet during a 20-second period. The recorded altitude remained about 1,750 feet until the airplane impacted the west slope of Mount Weather, Virginia, about 25 nmi from Dulles, at an elevation of about 1,670 feet (509 m). The aircraft was totally destroyed by impact forces and a post crash fire and all 92 occupants were killed.
Probable cause:
The National Transportation Safety Board determines that the probable cause of the accident was the crew's decision to descend to 1,800 feet before the aircraft had reached the approach segment where that minimum altitude applied result of inadequacies and lack of clarity in the air traffic control procedures which led to a misunderstanding on the part of the pilots and of the controllers regarding each other's responsibilities during operations in terminal areas under instrument meteorological conditions. Nevertheless, the examination of the plan view of the approach chart should have disclosed to the captain that a minimum altitude of 1,800 feet was not a safe altitude.
The following contributing factors were reported:
- The failure of the FAA to take timely action to resolve the confusion and misinterpretation of air traffic terminology although the Agency had been aware of the problem for several years,
- The issuance of the approach clearance when the flight was 44 miles from the airport on an unpublished route without clearly defined minimum altitudes,
- Inadequate depiction of altitude restrictions on the profile view of the approach chart for the VOR/DME approach to runway 12 at Dulles International Airport.
Final Report:

Crash of a Beechcraft D18S in Santa Ana: 3 killed

Date & Time:
Type of aircraft:
Operator:
Registration:
N2085D
Survivors:
No
Schedule:
Phoenix - Santa Ana
MSN:
A-958
YOM:
1953
Crew on board:
1
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
3
Captain / Total flying hours:
1098
Captain / Total hours on type:
28.00
Circumstances:
The pilot initiated the descent to Santa Ana-John Wayne Airport by night and poor weather conditions with a limited visibility due to rain showers. On final, the airplane was too low, struck the ground and crashed in flames in Tustin, few miles from the runway threshold. The aircraft was destroyed and all three occupants were killed.
Probable cause:
Improper operation on part of the pilot who descended below the published minimum altitude. The following contributing factors were reported:
- Low ceiling,
- Rain,
- High obstructions,
- The glide slope receiver was reported inoperative since one week prior to the accident.
Final Report:

Crash of a De Havilland DHC-2 Beaver in Hoonah: 4 killed

Date & Time:
Type of aircraft:
Registration:
N9770Z
Flight Phase:
Survivors:
No
Schedule:
Juneau - Tenakee
MSN:
376
YOM:
1952
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
4
Captain / Total flying hours:
2864
Captain / Total hours on type:
300.00
Circumstances:
En route from Juneau to Tenakee, the pilot encountered bad weather conditions with low clouds and heavy snow falls. While cruising at low height under VFR mode, the seaplane crashed into the bay off Hoonah and sank. All four occupants were killed.
Probable cause:
Improper in-flight decisions as the pilot continued VFR flight into adverse weather conditions. The following contributing factors were reported:
- Low ceiling and snow.
Final Report:

Crash of a Rockwell Grand Commander 690A in Kingston: 1 killed

Date & Time:
Operator:
Registration:
N40MP
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Phoenix - Butte
MSN:
690-11116
YOM:
1973
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
2754
Captain / Total hours on type:
200.00
Circumstances:
While cruising by night at an altitude of 17,500 feet on a ferry flight from Phoenix to Butte, the twin engine airplane collided with a USAF General Dynamics F-111A Aardvark registered 67-0055. Following the collision, both aircraft entered a dive and crashed in flames near Kingston. The pilot of the Commander was killed while both military pilots were seriously injured.
Probable cause:
The collision occurred by night when the aircraft was not under radar contact with no control. It is understood that the F-111 crew had a rendezvous with the crew of a USAF Boeing KC-135 refueling plane for a night exercise but he mistook the Commander that was struck from the rear with a 0-10° angle.
Final Report:

Crash of a Rockwell Aero Commander 560 near Bicknell: 2 killed

Date & Time:
Registration:
N867G
Flight Phase:
Survivors:
No
Site:
Schedule:
Milford - Grand Junction
MSN:
560-228
YOM:
1955
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
900
Captain / Total hours on type:
200.00
Circumstances:
En route from Milford (Utah) to Grand Junction, Colorado, the pilot encountered poor weather conditions with limited visibility due to clouds, snow falls and icing conditions. In cruising altitude, he lost control of the airplane that entered a dive and crashed in mountainous terrain located near Bicknell. The wreckage was found nine days later on November 11. Both occupants have been killed.
Probable cause:
Loss of control after the pilot continued VFR flight into adverse weather conditions. The following contributing factors were reported:
- Improper in-flight decisions or planning,
- Ice-propeller,
- Airframe ice,
- Low ceiling,
- Snow, blowing snow,
- Icing conditions, including sleet and/or freezing rain,
- Attempted flight in known icing conditions,
- Aircraft had no airframe-prop ice protection.
Final Report:

Crash of a Lockheed L-382B-14C Hercules in Old Man’s Camp: 4 killed

Date & Time:
Type of aircraft:
Registration:
N102AK
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Fairbanks - Bettles - Dietrich Camp
MSN:
4234
YOM:
1967
Crew on board:
4
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
4
Captain / Total flying hours:
9000
Captain / Total hours on type:
6200.00
Circumstances:
While flying to Bettles Airport by night and moderate turbulences, the airplane went out of control and crashed in an isolated area located in Old Man's Camp, about 31 miles southeast of Bettles Airport. The aircraft was totally destroyed and all four crew members were killed. They were completing a cargo flight from Fairbanks to Dietrich Camp with an intermediate stop in Bettles, carrying a load of 6,800 gallons of fuel.
Probable cause:
In-flight airframe failure following inadequate maintenance and inspection. The following contributing factors were reported:
- Engine structure,
- Separation in flight,
- Fatigue-fastener holes in lower hat section,
- Skin panels, n°3 engine compressor diffuser case,
- Right wing separated.
Final Report:

Crash of a Piper PA-31-310 Navajo in Altus: 2 killed

Date & Time:
Type of aircraft:
Operator:
Registration:
N979L
Survivors:
Yes
Schedule:
Dallas - Lawton - Altus
MSN:
31-459
YOM:
1969
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
3080
Captain / Total hours on type:
103.00
Circumstances:
While descending to Altus Airport, the pilot encountered poor weather conditions with fog, low ceiling and rain showers. While approaching at an insufficient altitude, the airplane struck the ground and crashed few miles from the runway threshold. Two passengers were killed while two other occupants, among them the pilot, were injured.
Probable cause:
Controlled collision with ground on final approach following improper IFR operation. The following contributing factors were reported:
- Instruments misread or failed to read,
- Poorly planned approach,
- Fog,
- Low ceiling,
- Rain,
- ATC failed to provide radar vectoring as requested,
- Pilot descended below MDA.
Final Report:

Crash of a Cessna 414 Chancellor in Jackson

Date & Time:
Type of aircraft:
Registration:
N414HC
Flight Phase:
Survivors:
Yes
Schedule:
Jackson - Plymouth
MSN:
414-0418
YOM:
1973
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
10235
Captain / Total hours on type:
600.00
Circumstances:
After takeoff from Jackson-Reynolds Field, the twin engine airplane encountered difficulties to gain height. It stalled then crashed near the runway end. The pilot was injured and the aircraft was damaged beyond repair.
Probable cause:
Inadequate preflight preparation on part of the pilot who failed to clean the aircraft prior to departure. The following contributing factors were reported:
- Failed to abort takeoff,
- Airframe ice,
- Ice on windshield,
- All upper surfaces of aircraft covered with approximately 1/4 inch - 3/8 inches of frozen snow,
- Hit ground nose high and left wing low.
Final Report:

Crash of a De Havilland DHC-2 Beaver in Kasaan: 5 killed

Date & Time:
Type of aircraft:
Operator:
Registration:
N129WA
Flight Phase:
Survivors:
Yes
Site:
Schedule:
Kasaan - Coffman Cove
MSN:
1004
YOM:
1956
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
6
Pax fatalities:
Other fatalities:
Total fatalities:
5
Captain / Total flying hours:
6275
Captain / Total hours on type:
4000.00
Circumstances:
The single engine airplane departed Kasaan in adverse weather conditions. After takeoff, it entered local fog when it struck tree tops and crashed on a hilly terrain. The pilot and a passenger were injured while five other occupants were killed.
Probable cause:
The pilot initiated flight in adverse weather conditions. The following contributing factors were reported:
- High obstructions,
- Fog,
- Visibility 1/4 mile or less,
- Entered local fog conditions shortly after takeoff.
Final Report:

Crash of a Beechcraft H18 in Iron Mountain: 1 killed

Date & Time:
Type of aircraft:
Operator:
Registration:
N72FA
Flight Type:
Survivors:
No
Schedule:
Lansing - Iron Mountain
MSN:
BA-631
YOM:
1962
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
12345
Captain / Total hours on type:
4000.00
Circumstances:
During a night approach to Iron Mountain Airport, the pilot descended below the MDA when the twin engine airplane struck tree tops and crashed in a wooded area located few hundred yards short of runway threshold. The aircraft was destroyed and the pilot, sole on board, was killed.
Probable cause:
Collision with trees on a night approach following improper IFR operation. The following contributing factors were reported:
- Instruments misread or failed to read,
- High obstructions,
- Descended below clearance limit of 3,000 feet.
Final Report: