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.

Crash of a Canadair CL-600-1A11 Challenger in Teterboro

Date & Time: Feb 2, 2005 at 0718 LT
Type of aircraft:
Operator:
Registration:
N370V
Flight Phase:
Survivors:
Yes
Schedule:
Teterboro - Chicago
MSN:
1014
YOM:
1980
Crew on board:
3
Crew fatalities:
Pax on board:
8
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
16374
Captain / Total hours on type:
3378.00
Copilot / Total flying hours:
5962
Copilot / Total hours on type:
82
Aircraft flight hours:
6901
Aircraft flight cycles:
4314
Circumstances:
On February 2, 2005, about 0718 eastern standard time, a Bombardier Challenger CL-600-1A11, N370V, ran off the departure end of runway 6 at Teterboro Airport (TEB), Teterboro, New Jersey, at a ground speed of about 110 knots; through an airport perimeter fence; across a six-lane highway (where it struck a vehicle); and into a parking lot before impacting a building. The two pilots were seriously injured, as were two occupants in the vehicle. The cabin aide, eight passengers, and one person in the building received minor injuries. The airplane was destroyed by impact forces and postimpact fire. The accident flight was an on-demand passenger charter flight from TEB to Chicago Midway Airport, Chicago, Illinois. The flight was subject to the provisions of 14 Code of Federal Regulations (CFR) Part 135 and operated by Platinum Jet Management, LLC (PJM), Fort Lauderdale, Florida, under the auspices of a charter management agreement with Darby Aviation (Darby), Muscle Shoals, Alabama. Visual meteorological conditions prevailed for the flight, which operated on an instrument flight rules flight plan.
Probable cause:
The pilots' failure to ensure the airplane was loaded within weight and balance limits and their attempt to takeoff with the center of gravity well forward of the forward takeoff limit, which prevented the airplane from rotating at the intended rotation speed.
Contributing to the accident were:
1) PJM's conduct of charter flights (using PJM pilots and airplanes) without proper Federal Aviation Administration (FAA) certification and its failure to ensure that all for-hire flights were conducted in accordance with 14 CFR Part 135 requirements;
2) Darby Aviation's failure to maintain operational control over 14 CFR Part 135 flights being conducted under its certificate by PJM, which resulted in an environment conducive to the development of systemic patterns of flight crew performance deficiencies like those observed in this accident;
3) the failure of the Birmingham, Alabama, FAA Flight Standards District Office to provide adequate surveillance and oversight of operations conducted under Darby's Part 135 certificate; and
4) the FAA's tacit approval of arrangements such as that between Darby and PJM.
Final Report:

Crash of a Rockwell Grand Commander 690A in Courchevel

Date & Time: Jan 31, 2005
Operator:
Registration:
N67TC
Survivors:
Yes
MSN:
690-11233
YOM:
1975
Country:
Region:
Crew on board:
0
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
The twin engine aircraft stalled on approach to Courchevel Airport and touched down hard, causing substantial damage to the fuselage. There were no injuries but the aircraft was damaged beyond repair.

Crash of a PZL-Mielec AN-2 in Tura: 9 killed

Date & Time: Jan 13, 2005 at 1720 LT
Type of aircraft:
Registration:
RA-62597
Survivors:
No
Schedule:
Vanavara - Tura
MSN:
1G177-44
YOM:
1978
Flight number:
TUR9368
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
7
Pax fatalities:
Other fatalities:
Total fatalities:
9
Circumstances:
Following an uneventful flight from Vanavara, the crew started the descent by night to Tura Airport. Weather conditions were marginal with a visibility of 3,500 metres and light snow. After being cleared to land, the crew continued the approach. At a speed of 160 km/h, the crew initiated a right turn. In a 10° nose down and a right bank of 40°, the aircraft impacted trees and crashed in a snow covered forest located 9,6 km southeast of the airport. The wreckage was found a day later near the Bazhenov River and all nine occupants were killed, among them the regional director of the Department of Transport and the vice-governor of the Evenkiya region.
Probable cause:
Controlled flight into terrain following a wrong altimeter setting. The lack of visibility was a contributing factor.

Crash of a Beechcraft 200 Super King Air in Bayview

Date & Time: Dec 10, 2004 at 1250 LT
Operator:
Registration:
N648KA
Flight Phase:
Survivors:
Yes
Schedule:
Bayview - Houston
MSN:
BB-648
YOM:
1980
Crew on board:
1
Crew fatalities:
Pax on board:
5
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
5800
Captain / Total hours on type:
400.00
Aircraft flight hours:
6532
Circumstances:
While attempting to depart from the 3,500-foot long grass airstrip with a 14 knot quartering tailwind, the 5,800-hour pilot reported that at an airspeed of approximately 95 knots, "the airplane yawed left and rolled left abruptly as the aircraft came off the ground briefly." The airplane settled back onto the ground, before again climbing back into the air approximately 20 degrees left of the runway heading. Subsequently, the airplane’s landing gear struck tree tops before it impacted the ground. A passenger added that he "noticed the flaps were up during takeoff." Approximately three minutes after the accident, a weather reporting station located 5.6 nautical miles southwest of the accident site reported wind from 010 degrees at 14 knots. Examination of the engines revealed rotational scoring throughout the first and second stage turbines. No mechanical anomalies were observed.
Probable cause:
The pilot's failure to maintain directional control as result of his improper runway selection for takeoff. A contributing factor was the prevailing right quartering tailwind.
Final Report:

Crash of a Cessna 208B Grand Caravan in Hailey: 2 killed

Date & Time: Dec 6, 2004 at 1723 LT
Type of aircraft:
Operator:
Registration:
N25SA
Survivors:
No
Schedule:
Salt Lake City – Hailey
MSN:
208B-0866
YOM:
2000
Flight number:
MBI1860
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
9757
Captain / Total hours on type:
202.00
Aircraft flight hours:
2117
Circumstances:
Weather reporting facilities reported icing conditions in the area of the accident site. The pilot of a Cessna Citation flying the same RNAV approach twenty minutes prior to the accident aircraft reported picking up light to occasional moderate rime ice. The last communication between the local air traffic controller and the accident pilot indicated that the flight was two miles south of the final approach fix. The controller inquired if the pilot had the runway in sight, and the pilot reported "negative, still IMC." A witness on the ground near the accident site reported that he heard the aircraft first then saw it at a low level below the cloud base flying in a southeasterly direction. The witness stated that the right wing was lower than the left as the aircraft continued to descend. The witness then noted that the wings were moving "side to side" (up and down) a couple of times before the nose of the aircraft dropped near vertical to the terrain. This witness reported hearing the sound of the engine running steady throughout the event. The wreckage was located in a flat open field about 3,000 feet south of the final approach fix coordinates. The aircraft was destroyed by impact damage and a post crash fire.
Probable cause:
The pilot's failure to maintain aircraft control while on approach for landing in icing conditions. Inadequate airspeed was a factor.
Final Report:

Crash of a Gulfstream GIV in Teterboro

Date & Time: Dec 1, 2004 at 1623 LT
Type of aircraft:
Operator:
Registration:
G-GMAC
Survivors:
Yes
Schedule:
Farnborough – Luton – Teterboro
MSN:
1058
YOM:
1988
Flight number:
GMA946
Crew on board:
3
Crew fatalities:
Pax on board:
6
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
10000
Captain / Total hours on type:
1000.00
Copilot / Total flying hours:
8000
Copilot / Total hours on type:
2000
Aircraft flight hours:
7452
Circumstances:
The flight was cleared for the ILS Runway 19 approach, circle-to-land on Runway 24; a 6,013-foot-long, 150-foot wide, asphalt runway. The auto throttle and autopilot were disengaged during the approach, about 800 feet agl. However, the auto throttle reengaged just prior to touchdown, about 35 feet agl. The flightcrew did not recall reengaging the auto throttle, and were not aware of the autothrottle reengagement. According to the auto throttle computers, the reengagement was commanded through one of the Engage/Disengage paddle switches located on each power lever. The target airspeed set for the auto throttle system was 138 knots. After touchdown, as the airplane decelerated below 138 knots, the auto throttle system gradually increased the power levers in an attempt to maintain the target airspeed. Without the power levers in the idle position, the ground spoilers and thrust reversers would not deploy. While the flightcrew was pulling up on the thrust reverser levers, they may not have initially provided enough aft force on the power levers (15 to 32 lbs.) to override and disconnect the auto throttle system. The flight data recorder indicated that the autothrottle system disengaged 16 seconds after the weight-on-wheels switches were activated in ground mode. As the airplane neared the end of the runway, the pilot engaged the emergency brake, and the airplane departed the right side of the runway. The autothrottle Engage/Disengage paddle switches were not equipped with switch guards. Although the autothrottle system provided an audible tone when disengaged, it did not provide a tone when engaged. The reported wind about the time of the accident was from 290 degrees at 16 knots, gusting to 25 knots, with a peak wind from 300 degrees at 32 knots.
Probable cause:
The flightcrew's inadvertent engagement of the autothrottle system, and their failure to recognize the engagement during landing, which resulted in a runway excursion. Factors were the lack of autothrottle switch guards, lack of an autothrottle engagement audible tone, and gusty winds.
Final Report:

Crash of a Canadair CL-601-1A Challenger in Montrose: 3 killed

Date & Time: Nov 28, 2004 at 0955 LT
Type of aircraft:
Operator:
Registration:
N873G
Flight Phase:
Survivors:
Yes
Schedule:
Montrose – South Bend
MSN:
3009
YOM:
1983
Flight number:
HPJ073
Crew on board:
3
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
3
Captain / Total flying hours:
12396
Captain / Total hours on type:
913.00
Copilot / Total flying hours:
1586
Copilot / Total hours on type:
30
Aircraft flight hours:
14317
Aircraft flight cycles:
8910
Circumstances:
On November 28, 2004, about 0958 mountain standard time, a Canadair, Ltd., CL-600-2A12, N873G, registered to Hop-a-Jet, Inc., and operated by Air Castle Corporation dba Global Aviation as Glo-Air flight 73, collided with the ground during takeoff at Montrose Regional Airport (MTJ), Montrose, Colorado. The on-demand charter flight was operated under the provisions of 14 Code of Federal Regulations (CFR) Part 135 on an instrument flight rules (IFR) flight plan. Instrument meteorological conditions prevailed, and snow was falling. Of the six occupants on board, the captain, the flight attendant, and one passenger were killed, and the first officer and two passengers were seriously injured. The airplane was destroyed by impact forces and post crash fire. The flight was en route to South Bend Regional Airport (SBN), South Bend, Indiana.
Probable cause:
The flight crew's failure to ensure that the airplane’s wings were free of ice or snow contamination that accumulated while the airplane was on the ground, which resulted in an attempted takeoff with upper wing contamination that induced the subsequent stall and collision with the ground. A factor contributing to the accident was the pilots’ lack of experience flying during winter weather conditions.
Final Report: