Crash of a Beechcraft 65-A80 Queen Air in Meseta del Guenguel: 10 killed

Date & Time: May 16, 2005 at 1326 LT
Type of aircraft:
Operator:
Registration:
CC-CFS
Flight Phase:
Survivors:
No
Schedule:
Coihaique – Balmaceda – Chile Chico
MSN:
LD-220
YOM:
1965
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
9
Pax fatalities:
Other fatalities:
Total fatalities:
10
Captain / Total flying hours:
2609
Captain / Total hours on type:
1235.00
Circumstances:
The twin engine aircraft was completing a charter flight from Coyhaique to Chile Chico with an intermediate stop in Balmaceda where six additional passengers boarded. The airplane departed Balmaceda Airport runway 27 at 1310LT for the second leg to Chile Chico. About 16 minutes into the flight, while cruising in marginal weather conditions, radar contact was lost after the airplane crashed in an uninhabited area. The wreckage was found in the late afternoon in Meseta del Guenguel. The aircraft was totally destroyed and all 10 occupants were killed.
Probable cause:
It is believed that the accident was the consequence of a loss of control following an excessive accumulation of ice on the airplane.
Final Report:

Crash of a Britten-Norman BN-2A-26 Islander in Moss Town

Date & Time: May 16, 2005 at 1230 LT
Type of aircraft:
Operator:
Registration:
C6-ASA
Survivors:
Yes
Schedule:
Freeport – South Bimini – Moss Town
MSN:
599
YOM:
1970
Location:
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
6000
Aircraft flight hours:
16711
Circumstances:
On May 16, 2005 about 1230EST (1845Z), a Britten Norman Islander aircraft, registration C6-ASA crashed approximately 3nm northeast of the Moss Town International Airport. The Pilot reported, “about 35 minutes south of Nassau International Airport [MYNN] I noticed that my ground speed was very low. I continued with my flight to MYEF because I should have had 1 hour and 30 minutes of fuel. About 10 miles from MYEF my right engine quit then 2 minutes later my left engine quit. I then look a suitable place to land three miles from the airport.” The one (1) pilot and two (2) passengers received no serious injuries. The aircraft was destroyed from impact sustained as it contacted the trees. The accident flight originated from Freeport, Grand Bahama, Bahamas to Moss Town, Exuma, Bahamas with an intermediate stop in South Bimini, Bahamas. Visual Flight Rules Conditions existed at the time of the accident. The aircraft was operated by Flamingo Air Limited, a Bahamian Air Operator Certificate holder. Flamingo Air Limited operated as a Commuter, Unscheduled / On Demand Operator in commercial air transport. Flamingo Air Limited operated under the provision of the Bahamas Aviation Safety Regulations (BASR 2001). Its aircraft are maintained under the provision of Bahamas Aviation Safety Regulations (BASR 2001). The aircraft had flown a total of 2 flights including the accident flight. The pilot flew both flights [the same pilot later flew the accident flight]. The pilot reported no problems with the aircraft prior to the accident. There were no open MEL items. There were no open (uncorrected) mechanical irregularities written in the Technical and Journey Log. On May 15, 2005 the pilot uplifted a total of 130 gallons of fuel, which is the maximum capacity for this aircraft. Prior to the accident flight, the aircraft completed two flights, MYAM to MYGF [flown on May 15, 2005] which lasted 45 minutes and MYGF to MYBS [flown on May 16, 2005] which lasted 30 minutes. No fuel was uplifted prior to the next flight which was MYBS to MYEF, the accident flight [flown on May 16, 2005]. During post accident interviews, the pilot confirmed that he had not noticed anything unusual about the airplane. The pilot later surmised that he had simply run out of fuel.
Probable cause:
The Flight Standards Inspectorate determined that the probable cause of this accident as Fuel Exhaustion. The Pilot could not calculate the fuel for the intended journey. The Pilot used poor judgment when he elected to continue on to Moss Town International Airport rather than returning back to Nassau International Airport when he first experienced the problem.
Final Report:

Crash of a Piper PA-31-350 Navajo Chieftain in Córdoba: 6 killed

Date & Time: May 8, 2005 at 1926 LT
Registration:
LV-LXO
Survivors:
Yes
Schedule:
San Juan – Córdoba
MSN:
31-7552076
YOM:
1975
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
7
Pax fatalities:
Other fatalities:
Total fatalities:
6
Captain / Total flying hours:
5914
Captain / Total hours on type:
240.00
Copilot / Total flying hours:
485
Copilot / Total hours on type:
24
Circumstances:
The twin engine aircraft was completing a charter flight from San Juan to Córdoba with seven passengers and two pilots on board. On approach to Córdoba-Ambrosio Taravella Airport by night, the crew encountered limited visibility due to poor weather conditions. The aircraft descended below the glide and collided with the inner marker antenna located about 700 metres short of runway 18 and crashed. Both pilots and four passengers were killed while three other passengers were seriously injured. Among those killed were the Argentinian racer Nicolas Vuyovich and Gustavo Ramonda, Director of the Toyota Corolla Racing Team who just won a race at the San Juan's autodrome.
Probable cause:
During a night approach in IMC conditions, the aircraft collided with the antenna of the inner marker after the crew descended below the MDA and deviated from the approach pattern. The following contributing factors were identified:
- The adverse weather conditions probably produced an optical illusion among the crew,
- The crew had only little training in instrument flights,
- Wrong altimeter setting,
- Absence of crew resources management,
- Poor crew coordination.
Final Report:

Crash of an Antonov AN-24RV in Varandey: 28 killed

Date & Time: Mar 16, 2005 at 1353 LT
Type of aircraft:
Registration:
RA-46489
Survivors:
Yes
Schedule:
Ufa - Perm - Usinsk - Varandey - Naryan Mar
MSN:
2 73 081 07
YOM:
1972
Flight number:
RL9288
Country:
Region:
Crew on board:
7
Crew fatalities:
Pax on board:
45
Pax fatalities:
Other fatalities:
Total fatalities:
28
Captain / Total flying hours:
14221
Captain / Total hours on type:
9833.00
Copilot / Total flying hours:
517
Copilot / Total hours on type:
60
Circumstances:
The aircraft was completing a charter flight from Ufa to Naryan Mar with intermediate stops in Perm, Usinsk and Varandey under contract of Naryanmarneftyegaz, a sister company of Lukoil. On final approach under VFR mode in good weather conditions, at a speed of 170 km/h, the aircraft stalled, causing the left wing to struck a sand dune (3 metres high). The aircraft crashed 4,217 metres short of runway, bursting into flames. The captain, the navigator and 26 passengers were killed while 24 other people were injured. The aircraft was totally destroyed by impact forces and a post crash fire. OAT was -24° C. at the time of the accident and the visibility was good.
Probable cause:
The accident was the consequence of an aerodynamic stall that occurred on short final at low height due to the combination of the following factors: the aircraft was in a critical angle of attack and its speed was insufficient because both engines run at low regime for a period of more than 20 seconds. Possible errors in the reading of certain instruments such as the speed indicator and the angle of attack indicator remain a contributing factor.

Crash of a Mitsubishi MU-2B-26A Marquise in Blythe

Date & Time: Mar 11, 2005 at 1720 LT
Type of aircraft:
Registration:
N333WF
Survivors:
Yes
Schedule:
Banning – Blythe
MSN:
387
YOM:
1978
Crew on board:
1
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
3900
Captain / Total hours on type:
942.00
Circumstances:
The pilot failed to lower the landing gear prior to touching down on the runway. The pilot said that during the approach into the airport, the flaps would not lock into the 20-degree extended position. The pilot decided to execute a no-flap landing and referred to the emergency checklist. The checklist advised the pilot to extend the landing gear; however, the pilot skimmed over the information thinking that the gear was already down and locked, and focused on the stabilized approach into the airport. The airplane touched down with the gear in the retracted position. No mechanical malfunctions were noted with the landing gear system on the airplane and a ground test run of the flaps did not reproduce the failure encountered during flight.
Probable cause:
The pilot's failure to lower the landing gear prior to landing. A factor to the accident was the pilot's diverted attention due to the flap system anomaly.
Final Report:

Crash of a De Havilland DHC-2 Beaver off Quadra Island: 5 killed

Date & Time: Feb 28, 2005 at 1916 LT
Type of aircraft:
Operator:
Registration:
C-GAQW
Flight Phase:
Survivors:
No
Schedule:
Campbell River – Frances Bay – Knight’s Inlet – Frances Bay – Campbell River
MSN:
1353
YOM:
1959
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
4
Pax fatalities:
Other fatalities:
Total fatalities:
5
Circumstances:
The single engine aircraft departed Campbell River on a night flight to Knight's Inlet with four passengers and one pilot on board. As it failed to arrive at destination, SAR operations were initiated by RCAF & RCMP but no trace of the airplane and its occupants was found. On 15 of July 2005, the wreckage was found at a depth of 260 metres of Quadra Island by the families of the victims. TSB did not proceed to any investigations for this occurrence.

Crash of a Rockwell Shrike Commander 500S in San Juan

Date & Time: Feb 28, 2005 at 1120 LT
Operator:
Registration:
N97VB
Flight Phase:
Survivors:
Yes
Schedule:
San Juan – Tortola
MSN:
500-3233
YOM:
1975
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
6
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
1038
Captain / Total hours on type:
282.00
Aircraft flight hours:
6943
Circumstances:
The non-Spanish speaking commercial pilot was preparing for a Title 14, CFR Part 135 on-demand charter flight in a twin-engine airplane with gasoline engines. A non-English speaking fuel truck operator inadvertently serviced the accident airplane with 120 gallons of Jet-A turbine fuel. In the pilot's written statement he reported that just after takeoff, with six passengers aboard, both engines began to lose power, and the airplane subsequently descended and collided with tree-covered terrain at the departure end of the runway. An on-site examination of the fuel vender's Jet-A fuel truck disclosed that the dispensing nozzle installed on the truck was the same nozzle as a typical gasoline nozzle. An examination of the accident airplane's fuel caps and fueling ports disclosed that the accident airplane was equipped with round, fuel tank inlet restrictors, that would prevent fueling from a jet fuel nozzle of the appropriate size, but the fueling ports were not placarded with the required statement indicating that only gasoline (av-gas) should be used.
Probable cause:
The fuel truck operator's improper refueling of a gasoline engine powered airplane with jet (turbine) fuel, and the pilot's inadequate preflight, which resulted in a loss of power in both engines and subsequent collision with trees. Factors associated with the accident were the unclear communications between the Spanish-speaking fuel truck operator and the English speaking pilot, and the uel truck operator's lack of familiarity with the accident airplane's fueling requirements. An additional factor was the absence of the required placards adjacent to the fuel filler caps indicating that only gasoline (av-gas) should be used.
Final Report:

Crash of a De Havilland DHC-6 Twin Otter 300 in Bimin: 2 killed

Date & Time: Feb 22, 2005 at 1343 LT
Operator:
Registration:
P2-MFQ
Survivors:
Yes
Schedule:
Tabubil - Bimin
MSN:
174
YOM:
1968
Region:
Crew on board:
3
Crew fatalities:
Pax on board:
10
Pax fatalities:
Other fatalities:
Total fatalities:
2
Circumstances:
On approach to Bimin-Wobagen Airport runway 30, the twin engine aircraft lost height and crashed in a wooded area. Both pilots (New Zealand citizens) were killed instantly and all 11 other occupants were injured, some seriously. They walk away to the village to find help and receive care. The aircraft has a single 11/29 grass/dirt runway located at an altitude of 1,767 metres and offer a 10° slope. Runway 29 is for landing only and runway 11 for takeoff only.

Crash of a BAe 125-600B in Bromont

Date & Time: Feb 21, 2005 at 1818 LT
Type of aircraft:
Operator:
Registration:
N21SA
Survivors:
Yes
Schedule:
Montreal - Bromont
MSN:
256006
YOM:
1973
Location:
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
4
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
5000
Captain / Total hours on type:
550.00
Copilot / Total flying hours:
1700
Copilot / Total hours on type:
100
Circumstances:
The aircraft, operated by Scott Aviation, with two crew members and four passengers on board, took off from Montréal, Quebec, at 1756 eastern standard time, for a night instrument flight rules flight to Bromont, Quebec. Upon approaching Bromont, the co-pilot activated the lighting system and contacted the approach UNICOM (private advisory service). The flight crew was advised that the runway edge lights were out of order. However, the approach lights and the visual approach slope indicator did turn on. The flight crew executed the approach, and the aircraft touched down at 1818 eastern standard time, 300 feet to the left of Runway 05L and 1800 feet beyond the threshold. It continued on its course for a distance of approximately 1800 feet before coming to a stop in a ditch. The crew tried to stop the engines, but the left engine did not stop. The co-pilot entered the cabin to direct the evacuation. One of the passengers tried to open the emergency exit door, but was unsuccessful. All of the aircraft’s occupants exited through the main entrance door. Both pilots and one passenger sustained serious injuries, and the three remaining passengers received minor injuries. The aircraft suffered major damage.
Probable cause:
Findings as to Causes and Contributing Factors:
1. The flight crew attempted a night landing in the absence of runway edge lights. The aircraft touched down 300 feet to the left of Runway 05L and 1800 feet beyond the threshold.
2. The runway was not closed for night use despite the absence of runway edge lights. Nothing required it to be closed.
3. Poor flight planning, non-compliance with regulations and standard operating procedures (SOPs), and the lack of communications between the two pilots reveal a lack of airmanship on the part of the crew, which contributed to the accident.
Findings as to Risk:
1. Because they had not been given a safety briefing, the passengers were not familiar with the use of the main door or the emergency exit, which could have delayed the evacuation, with serious consequences.
2. The armrest of the side seat had not been removed as required and was blocking access to the emergency exit, which could have delayed the evacuation, with serious consequences.
3. Because they had not been given a safety briefing, the passengers seated in the side seats did not know that they should have worn shoulder straps and did not wear them, so they were not properly protected.
4. The possibility of flying to an airport that does not meet the standards for night use gives pilots the opportunity to attempt to land there, which in itself increases the risk of an accident.
5. The landing performance diagrams and the chart used to determine the landing distance did not enable the flight crew to ensure that the runway was long enough for a safe landing on a snow-covered surface.
Final Report:

Crash of a Rockwell Aero Commander 685 in Toluca: 2 killed

Date & Time: Feb 11, 2005 at 2110 LT
Operator:
Registration:
XB-PRS
Survivors:
Yes
Site:
Schedule:
Cancún – Toluca
MSN:
685-12050
YOM:
1973
Location:
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
2
Circumstances:
On February 12, 2005, at 2110 central standard time, a Twin Commander 685 twin-engine airplane, Mexican registration XB-PRS, was destroyed upon impact with the ground following a loss of control during approach near Toluca, State of Mexico, in the Republic of Mexico. The commercial pilot was seriously injured and the two passengers were fatally injured. Night visual meteorological conditions prevailed for the domestic business flight. The flight originated from Cancun, State of Quintana Roo, Mexico, approximately 1930, with the Toluca International Airport as its intended destination. According to local authorities, the 1973-model airplane, serial number 12050, destroyed one residence and damaged two others when it crashed in a residential area near the airport. There were no injuries to anyone on the ground.