Crash of a Cessna 650 Citation VII in Istanbul

Date & Time: Sep 21, 2017 at 2116 LT
Type of aircraft:
Operator:
Registration:
TC-KON
Survivors:
Yes
Schedule:
Istanbul - Ercan
MSN:
650-7084
YOM:
1998
Country:
Region:
Crew on board:
3
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
The aircraft departed Atatürk Airport in Istanbul at 2105LT bound for Ercan with a crew of three and one passenger on board. Shortly after takeoff, an unexpected situation forced the crew to return for an emergency landing. After touchdown on runway 35L, the twin engine aircraft went out of control, veered off runway, struck a concrete drainage ditch and came to rest, broken in two and bursting into flames. All four occupants evacuated safely while the aircraft was destroyed by a post crash fire.

Crash of a Learjet 25D off Naiguatá: 5 killed

Date & Time: Aug 19, 2017 at 0016 LT
Type of aircraft:
Operator:
Registration:
YV3191
Flight Phase:
Survivors:
No
Schedule:
Maiquetía – Barcelona
MSN:
25-368
YOM:
1984
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
5
Circumstances:
The airplane departed Maiquetía-Símon Bolívar Airport at 0011LT for a 35 minutes flight to Barcelona. About five minutes after takeoff, while cruising at an altitude of 23,000 feet, the aircraft went out of control and plunged into the sea few km off Naiguatá, State of Vargas. It appeared the aircraft disintegrated on impact and few debris were found the following morning floating on water. All five occupants were killed.

Crash of a Pilatus PC-6/B2-H4 Turbo Porter near Wamena: 5 killed

Date & Time: Jul 5, 2017 at 1110 LT
Operator:
Registration:
PK-RCX
Flight Phase:
Survivors:
No
Site:
Schedule:
Wamena – Derakma
MSN:
922
YOM:
1998
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
5
Circumstances:
The single engine aircraft departed Wamena Airport at 1100LT with three passengers, two pilots and 508 kg of various goods. About 10 minutes later, the airplane struck the slope of a mountain at an altitude of 2,300 metres. It was scheduled to arrive at Derakma at 1125LT. The wreckage was found a day later by the crew of a helicopter. All five occupants were killed. At the time of the accident, VMC conditions prevailed.

Crash of an Antonov AN-32B in Tarapacá

Date & Time: Jun 11, 2017 at 1712 LT
Type of aircraft:
Operator:
Registration:
HK-4833
Survivors:
Yes
Schedule:
La Pedrera – Tarapacá
MSN:
34 04
YOM:
1993
Country:
Crew on board:
5
Crew fatalities:
Pax on board:
40
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
8400
Captain / Total hours on type:
1475.00
Copilot / Total flying hours:
1560
Copilot / Total hours on type:
426
Aircraft flight hours:
3409
Aircraft flight cycles:
3182
Circumstances:
Following an unventful charter flight from La Pedrera, the crew initiated the approach to Tarapacá Airfield. Just after touchdown on runway 25, the aircraft went out of control and veered off runway to the right. While contacting soft ground, the airplane rolled for few dozen metres and became stuck in mud. All 45 occupants evacuated safely and the aircraft was damaged beyond repair.
Probable cause:
The following findings were identified:
- Inappropriate decision by the aircraft operator to rush the aircraft's initial route to an aerodrome unknown to the company, not appropriate to the type of aircraft and not authorised in its Operating Specifications, without at least a proper risk assessment.
- Inadequate crew decision to accept and decide to proceed to an unknown aerodrome, without due knowledge of its characteristics, without prior experience or training in aerodrome operation and without at least a risk assessment.
- A side runway excursion, from 24 metres from the threshold of runway 25, as a result of a probable unstabilised approach resulting in an off-axis landing.
Contributing factors:
- Inefficient planning and supervision of operations by the aircraft operator, by scheduling the operation to an unknown airfield.
- Failure of the company to comply with the contents of the Dispatch Manual and General Operations Manual, in relation to the procedures that must be complied with before operating new routes, new airports or special airports, in aspects such as route analysis, runway analysis, risk management and crew requirements.
- Ignorance of the Tarapacá runway by the crew.
Final Report:

Crash of a Let L-410UVP-E9 in Yei

Date & Time: Apr 1, 2017 at 1030 LT
Type of aircraft:
Operator:
Registration:
5X-EIV
Flight Phase:
Survivors:
Yes
Schedule:
Yei - Arua
MSN:
96 26 32
YOM:
1996
Flight number:
H7360
Country:
Region:
Crew on board:
3
Crew fatalities:
Pax on board:
17
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
During the takeoff roll, at a relative high speed, the pilot-in-command rejected takeoff and initiated an emergency braking procedure, apparently following an engine problem. The twin engine aircraft deviated to the left and veered off runway. While contacting soft ground, the nose gear collapsed and the airplane came to rest in the bush. All 20 occupants were rescued, among them both pilots were slightly injured.

Crash of a Quest Kodiak 100 in Moretecocha

Date & Time: Mar 29, 2017 at 1100 LT
Type of aircraft:
Operator:
Registration:
HC-CRF
Flight Phase:
Survivors:
Yes
Schedule:
Moretecocha – Shell Mera
MSN:
100-0116
YOM:
2014
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
6
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
Shortly after takeoff from Moretecocha Airfield, while climbing in poor weather conditions, the single engine airplane impacted trees and crashed in a river bed. All seven occupants were injured and the aircraft was destroyed.

Crash of a Britten Norman BN-2A-3 Islander near Mutare: 6 killed

Date & Time: Mar 27, 2017 at 0815 LT
Type of aircraft:
Operator:
Registration:
C9-AOV
Survivors:
No
Site:
Schedule:
Beira - Mutare - Harare
MSN:
624
YOM:
1970
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
4
Pax fatalities:
Other fatalities:
Total fatalities:
6
Circumstances:
The twin engine aircraft was performing a charter flight from Beira to Harare with an intermediate stop in Mutare on behalf of the Mozambican company Cornelder. Ten minutes before its ETA in Mutare Airport, while descending to the altitude of 5,200 feet, the crew encountered marginal weather conditions when the aircraft hit obstacles and crashed on the slope of a mountain located in the Vumba Botanical Reserve. The wreckage was found 23 km southeast from the airport. It appears that a passenger survived but later died from his injuries. Among the passengers were Adelino Mesquita, brother of the Minister of Transport and Communications of the Republic of Mozambique.
Probable cause:
Controlled flight into terrain.

Crash of a McDonnell Douglas MD-83 in Detroit

Date & Time: Mar 8, 2017 at 1452 LT
Type of aircraft:
Operator:
Registration:
N786TW
Flight Phase:
Survivors:
Yes
Schedule:
Detroit - Washington DC
MSN:
53123/1987
YOM:
1992
Flight number:
7Z9363
Crew on board:
6
Crew fatalities:
Pax on board:
110
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
15518
Captain / Total hours on type:
8495.00
Copilot / Total flying hours:
9660
Copilot / Total hours on type:
2462
Aircraft flight hours:
41008
Aircraft flight cycles:
39472
Circumstances:
A McDonnell Douglas MD-83, registration N786TW, suffered a runway excursion following an aborted takeoff from runway 23L at Detroit-Willow Run Airport, Michigan, USA. The aircraft had been chartered by the University of Michigan Basketball team for a flight to a game in Washington, DC. The flight crew prepared for take-off and calculated V-speeds (V1, VR, V2) using "Normal Thrust Takeoff", a 10 kts headwind, and a take-off weight of 146,600 lbs. The V-speeds for this configuration were 139 kts, 142 kts, and 150 kts, respectively. However, the flight crew chose to increase VR to 150 kts to allow for more control during take-off in the presence of windshear. During takeoff roll, at 14:51:56 (about 3,000 ft down the runway) and about 138 kts of airspeed, the control column was pulled back slightly from a non-dimensional value of -7 to -5.52. The airplane’s left elevator followed the control input and moved from a position of -15° trailing edge down to -13° trailing edge down. The right elevator did not change and stayed at approximately -16° trailing edge down. At 14:52:01 a large control column input was made (151 kts and 4100 ft down the runway) to a non-dimensional 18.5 and the left elevator moves to a position near 15° trailing edge up. After 14:52:05 the right elevator moves to -13° trailing edge down, but no more. The airplane does not respond in pitch and does not rotate. The captain decided to abort the takeoff. The maximum ground speed was 163 kts (173 kts airspeed) and the airplane began to decelerate as soon as the brakes were applied at 14:52:08. Spoilers were deployed at 14:52:10 and thrust reversers were deployed between 14:52:13 and 14:52:15. The aircraft could not be stopped on the runway. The airplane’s ground speed was 100 kts when it left the paved surface. The aircraft overran the end of the runway, damaged approach lights, went through the perimeter fence and crossed Tyler Road. It came to rest on grassy terrain, 345 meters past the end of the runway, with the rear fuselage across a ditch. The nose landing gear had collapsed. Runway 23L is a 7543 ft long runway.
Probable cause:
The NTSB determines that the probable cause of this accident was the jammed condition of the airplane’s right elevator, which resulted from exposure to localized, dynamic wind while the airplane was parked and rendered the airplane unable to rotate during takeoff. Contributing to the accident were (1) the effect of a large structure on the gusting surface wind at the airplane’s parked location, which led to turbulent gust loads on the right elevator sufficient to jam it, even though the horizontal surface wind speed was below the certification design limit and maintenance inspection criteria for the airplane, and (2) the lack of a means to enable the flight crew to detect a jammed elevator during preflight checks for the Boeing MD-83 airplane. Contributing to the survivability of the accident was the captain’s timely and appropriate decision to reject the takeoff, the check airman’s disciplined adherence to standard operating procedures after the captain called for the rejected takeoff, and the dimensionally compliant runway safety area where the overrun occurred.
Final Report:

Crash of a Beechcraft B200 Super King Air in Melbourne: 5 killed

Date & Time: Feb 21, 2017 at 0858 LT
Registration:
VH-ZCR
Flight Phase:
Survivors:
No
Site:
Schedule:
Melbourne - King Island
MSN:
BB-1544
YOM:
1996
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
4
Pax fatalities:
Other fatalities:
Total fatalities:
5
Captain / Total flying hours:
7681
Captain / Total hours on type:
2400.00
Aircraft flight hours:
6997
Circumstances:
On 21 February 2017, the pilot of a Beechcraft B200 King Air aircraft, registered VH-ZCR (ZCR), and operated by Corporate & Leisure Aviation, was conducting a charter passenger flight from Essendon Airport, Victoria to King Island, Tasmania. There were four passengers on board. ZCR had been removed from a hangar and parked on the apron the previous afternoon in preparation for the flight. The pilot was first seen on the apron at about 0706 Eastern Daylight-saving Time. Closed-circuit television recorded the pilot walking around the aircraft and entering the cabin, consistent with conducting a pre-flight inspection of the aircraft. At about 0712, the pilot entered ZCR’s maintenance provider’s hangar. A member of staff working in the hangar reported that the pilot had a conversation with him that was unrelated to the accident flight. The pilot exited the hangar about 0715 and had a conversation with another member of staff who reported that their conversation was also unrelated to the accident flight. The pilot then returned to ZCR, and over the next 4 minutes he was observed walking around the aircraft. The pilot went into the cabin and re-appeared with an undistinguishable item. The pilot then walked around the aircraft one more time before re-entering the cabin and closing the air stair cabin door. At about 0729, the right engine was started and, shortly after, the left engine was started. Airservices Australia (Airservices) audio recordings indicated that, at 0736, the pilot requested a clearance from Essendon air traffic control (ATC) to reposition ZCR to the southern end of the passenger terminal. ATC provided the clearance and the pilot commenced taxiing to the terminal. At the terminal, ZCR was refueled and the pilot was observed on CCTV to walk around the aircraft, stopping at the left and right engines before entering the cabin. The pilot was then observed to leave the aircraft and wait for the passengers at the terminal. The passengers arrived at the terminal at 0841 and were escorted by the pilot directly to the aircraft. At 0849, the left engine was started and, shortly after, the right engine was started. At 0853, the pilot requested a taxi clearance for King Island, with five persons onboard, under the instrument flight rules. ATC instructed the pilot to taxi to holding point 'TANGO' for runway 17, and provided an airways clearance for the aircraft to King Island with a visual departure. The pilot read back the clearance. Airservices Automatic Dependent Surveillance Broadcast (ADS-B) data (refer to section titled Air traffic services information - Automatic Dependent Surveillance Broadcast data) indicated that, at 0854, ZCR was taxied from the terminal directly to the holding point. The aircraft did not enter the designated engine run-up bay positioned near holding point TANGO. At 0855, while holding at TANGO, the pilot requested a transponder code. The controller replied that he did not have one to issue yet. Two minutes later the pilot contacted ATC and stated that he was ready and waiting for a transponder code. The controller responded with the transponder code and a clearance to lineup on runway 17. At 0858, ATC cleared ZCR for take-off on runway 17 with departure instructions to turn right onto a heading of 200°. The pilot read back the instruction and commenced the takeoff roll. The aircraft’s take-off roll along runway 17 was longer than expected. Witnesses familiar with the aircraft type observed a noticeable yaw to the left after the aircraft became airborne. The aircraft entered a relatively shallow climb and the landing gear remained down. The shallow climb was followed by a substantial left sideslip, while maintaining a roll attitude of less than 10° to the left. Airservices ADS-B data indicated the aircraft reached a maximum height of approximately 160 ft above ground level while tracking in an arc to the left of the runway centreline. The aircraft’s track began diverging to the left of the runway centreline before rotation and the divergence increased as the flight progressed. Following the sustained left sideslip, the aircraft began to descend and at 0858:48 the pilot transmitted on the Essendon Tower frequency repeating the word ‘MAYDAY’ seven times in rapid succession. Approximately 10 seconds after the aircraft became airborne, and 2 seconds after the transmission was completed, the aircraft collided with the roof of a building in the Essendon Airport Bulla Road Precinct - Retail Outlet Centre (outlet centre), coming to rest in a loading area at the rear of the building. CCTV footage from a camera positioned at the rear of the building showed the final part of the accident sequence with post-impact fire evident; about 2 minutes later, first responders arrived onsite. At about 0905 and 0908 respectively, Victoria Police and the Metropolitan Fire Brigade arrived. The pilot and passengers were fatally injured and the aircraft was destroyed. There was significant structural, fire and water damage to the building. Additionally, two people on the ground received minor injuries and a number of parked vehicles were damaged.
Probable cause:
From the evidence available, the following findings are made with respect to the collision with terrain involving Beechcraft B200 King Air, registered VH-ZCR that occurred at Essendon Airport, Victoria on 21 February 2017. These findings should not be read as apportioning blame or liability to any particular organisation or individual.

Contributing factors:
- The aircraft's rudder trim was likely in the full nose-left position at the commencement of the take-off.
- The aircraft's full nose-left rudder trim setting was not detected by the pilot prior to take-off.
- Following a longer than expected ground roll, the pilot took-off with full left rudder trim selected. This configuration adversely affected the aircraft's climb performance and controllability, resulting in a collision with terrain.

Other factors that increased risk:
- The flight check system approval process did not identify that the incorrect checklist was nominated in the operator’s procedures manual and it did not ensure the required checks, related to the use of the cockpit voice recorder, were incorporated.
- The aircraft's cockpit voice recorder did not record the accident flight, resulting in a valuable source of safety related information not being available.
- The aircraft's maximum take-off weight was likely exceeded by about 240 kilograms.
- Two of the four buildings within the Bulla Road Precinct Retail Outlet Centre exceeded the obstacle limitation surface (OLS) for Essendon Airport, however, the OLS for the departure runway was not infringed and VH-ZCR did not collide with those buildings.

Other findings:
- The presence of the building struck by the aircraft was unlikely to have increased the severity of the outcome of this accident.
- Both of the aircraft’s engines were likely to have been producing high power at impact.
Final Report:

Crash of a BAe 125-800B in São Paulo

Date & Time: Feb 9, 2017 at 2211 LT
Type of aircraft:
Operator:
Registration:
PT-OTC
Survivors:
Yes
Schedule:
Brasília – São Paulo
MSN:
258194
YOM:
1991
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
The airplane departed Brasilía-Presidente Juscelino Kubitschek Airport in the evening on a charter flight to São Paulo-Congonhas, carrying two pilots and one passenger, the Senator Aécio Neves da Cunha. During the takeoff roll, a tire on one of the main landing gear failed. The crew continued the flight, informed ATC about his situation and preferred to divert to São Paulo-Guarulhos Airport that offered longer runway for an emergency landing. After touchdown by night, the aircraft deviated to the right then veered off runway. The left main gear collapsed and the aircraft came to rest in a grassy area. All three occupants evacuated safely and the aircraft was damaged beyond repair.