Crash of a De Havilland DHC-2 Beaver near Sitka: 5 killed

Date & Time: Sep 20, 2004 at 1115 LT
Type of aircraft:
Operator:
Registration:
N712TS
Flight Phase:
Survivors:
No
Site:
Schedule:
Sitka - Warm Spring Bay
MSN:
948
YOM:
1956
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
4
Pax fatalities:
Other fatalities:
Total fatalities:
5
Captain / Total flying hours:
2878
Captain / Total hours on type:
500.00
Aircraft flight hours:
16155
Circumstances:
The commercial certificated pilot, with four passengers, departed for a remote lodge on an on-demand air taxi flight in an amphibious float-equipped airplane. The airplane was the second of two company airplanes to depart for the lodge. The route of flight would have transited around the north end, from the west side to the east side of a large island. The first company airplane completed the flight, but the accident airplane did not arrive at the lodge, and was reported overdue. Throughout the morning, before the accident flight, the pilot received two telephonic weather briefings from the local FAA flight service station, which included an AIRMET for mountain obscuration, and two pilot reports from the first pilot. In addition, the pilot visited the FSS for another weather briefing. The weather conditions along the route of flight had reported visibilities as low as 2 miles, and ceilings as low as 200 feet due to rain and mist, and wind of 35 to 40 knots. The area of the accident flight is characterized by steep mountainous island terrain, numerous ocean channels, and an extensive shoreline, containing small coves and bays. The area frequently has low ceilings and reduced visibility due to rain, fog, and mist. The island is one of several barrier islands between the north Pacific Ocean and mainland Alaska. The western coastal portion of the island is exposed to open ocean. The eastern coastal portion of the island is adjacent to a wide strait, which separates the island from several inner islands. The area of operations for the accident airplane has no low-level radar coverage, intermittent radio communications, and limited weather reporting capability. The company's operations manual states that aircraft may not be released for a flight at any location unless there is agreement about the parameters of the flight with the pilot-in-command, and any of the following: Director of operations; chief pilot; or trained individuals granted the authority by the director of operations. The airplane has been declared missing, and is presumed to have crashed; the occupants are presumed to have received fatal injuries.
Probable cause:
Reason for occurrence is undetermined. The airplane is missing.
Final Report:

Crash of a Piper PA-31P-425 Pressurized Navajo in Seville: 3 killed

Date & Time: Sep 1, 2004 at 1602 LT
Type of aircraft:
Operator:
Registration:
EC-GYD
Flight Phase:
Survivors:
No
Schedule:
Seville - Tangier
MSN:
31-7300123
YOM:
1973
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
3
Captain / Total flying hours:
1500
Aircraft flight hours:
4920
Circumstances:
Shortly after takeoff from Sevilla-San Pablo Airport runway 27, while in initial climb, the twin engine aircraft suffered a right engine failure. It rolled to the right then lost height and crashed 1,500 metres from the runway end, bursting into flames. The aircraft was destroyed by impact forces and a post crash fire and all three occupants were killed.
Probable cause:
Failure of the right engine shortly after rotation. Due to the degree of destruction, it was not possible to determine the exact cause of the failure that occurred at a critical stage of flight.
Final Report:

Crash of a De Havilland DHC-3 Otter near McGrath: 1 killed

Date & Time: Aug 27, 2004 at 1600 LT
Type of aircraft:
Operator:
Registration:
N197TT
Flight Phase:
Survivors:
Yes
Site:
Schedule:
Kenai – McGrath – Kotzebue
MSN:
197
YOM:
1957
Location:
Crew on board:
2
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
10500
Copilot / Total flying hours:
210
Circumstances:
The airline transport certificated pilot was conducting a VFR cross-country business flight, transporting cargo and personnel to a remote airport. The accident airplane was one of two airplanes transporting supplies for a hunting/fishing company, traveling a multi-segment route. The pilot was accompanied by a pilot-rated passenger occupying the right front seat, and a second passenger seated behind the pilot. The pilot obtained a weather briefing from the FAA, which included AIRMETs for mountain obscuration, and IFR conditions due to low ceilings and visibility in smoke, light rain and mist. The pilot said that when he took off on the accident flight, the visibility was 1 to 3 miles in smoke, haze, and fog, but was VFR. He recalled hazy conditions in which he could see rolling hills and river cuts. The pilot-rated passenger was initially flying the airplane. Upon entering lowering visibility, the pilot said he reassumed control of the airplane, and attempted a 180 degree turn to clear the low visibility area, but collided with trees and crashed. The rear seat passenger reported that the accident airplane was flying about 500 to 1,000 feet above the ground because of smoke and fog. He estimated the visibility at takeoff was about 1 mile. About 30 minutes after departure, the airplane was flying over mountainous terrain, and appeared to be following a canyon. The passenger said that the visibility decreased due to fog. He said that the airplane's throw-over control yoke was initially positioned in front of the right seat, pilot-rated passenger, when suddenly a mountain ridge appeared in front of the airplane. The pilot repositioned the control yoke in front of the left seat, banked the airplane to the left, and added engine power. Within a few seconds, the passenger indicated that he felt the airplane collide with several trees and then descend to the ground. The airplane came to rest upright with extensive fuselage damage, about 1,400 feet msl. One wing was torn off the airframe. A postcrash fire consumed the wreckage. A terminal forecast for the airport of departure included few clouds at 500 feet, and visibilities as low as 3 miles in smoke and mist. The destination airport for the accident flight segment had few clouds at 100 feet, and visibilities as low as 2 1/2 miles.
Probable cause:
The pilot's inadequate in-flight planning/decision making, his continued VFR flight into instrument meteorological conditions, and his failure to maintain obstacle clearance. Factors contributing to the accident were low ceilings due to smoke, rain, and mist.
Final Report:

Crash of a Piper PA-31-350 Navajo Chieftain in Ticonderoga: 2 killed

Date & Time: Jul 10, 2004 at 0858 LT
Operator:
Registration:
N45032
Survivors:
No
Site:
Schedule:
Oxford-Waterbury - Ticonderoga
MSN:
31-8052199
YOM:
1980
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
32000
Aircraft flight hours:
8159
Circumstances:
The airplane, which was not operating on a flight plan, was proceeding in clear skies to an airport where the passenger was joining his wife. After crossing a lake near the destination, the airplane flew over rising terrain, along a saddleback, until it struck a stand of old-growth trees that jutted above new-growth trees. During the last 48 seconds of radar coverage, the airplane climbed 600 feet with no erratic course deviations. From the accident location, the airport would have been about 5 nautical miles off the airplane's right wing. The pilot had 32,000 hours of flight experience. The passenger was under investigation for fraud, and attempted to obtain life insurance prior to the flight. The passenger had also loaned money to the pilot, and was receiving "flight services" in lieu of cash payment when the pilot failed to pay back the loan. A .380 caliber pistol magazine was found at the accident site with two rounds of ammunition missing; however, no weapon was located at the site, and no weapon of that caliber was known to be associated with either the pilot or the passenger. Premature ventricular complexes (PVCs) were found on electrocardiograms performed in conjunction with the pilot's airman medical certificate applications in 2002 and 2004. The pilot's autopsy report indicated "severe calcific... coronary disease, with 90 percent narrowing of the left anterior descending coronary artery and 75 percent narrowing of the right coronary artery." Cause of death, for both the pilot and passenger, was listed as "undetermined." The autopsy reports also noted that, "due to the inability to perform a complete autopsy...of either of the two aircraft occupants, it cannot be determined whether either the pilot or the passenger were alive or dead at the time of the crash." Post accident inspection of the airplane disclosed no evidence of any preimpact anomalies.
Probable cause:
Reason for occurrence undetermined.
Final Report:

Crash of a Noorduyn Norseman VI in Birch Lake

Date & Time: Jul 3, 2004
Type of aircraft:
Operator:
Registration:
C-FOBE
Survivors:
Yes
MSN:
480
YOM:
1944
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
4
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
Upon landing on Birch Lake, the second compartment of the right float ruptured. The aircraft nosed down and sank. All five occupants were able to evacuate the cabin and to swim to the shore. The aircraft was written off.
Probable cause:
Failure of the right float on landing that was leaking probably due to a crack located in the second compartment.

Crash of a Beechcraft 200 Super King Air in Green Bay

Date & Time: Jun 30, 2004 at 0610 LT
Registration:
N432FA
Flight Phase:
Survivors:
Yes
Schedule:
Green Bay - Grand Rapids
MSN:
BB-592
YOM:
1979
Crew on board:
1
Crew fatalities:
Pax on board:
7
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
4800
Captain / Total hours on type:
750.00
Aircraft flight hours:
6812
Circumstances:
The twin-engine airplane was damaged during a precautionary landing following a reported loss of power to the right engine on takeoff. The pilot reported that the right engine lost power as the landing gear was retracting after takeoff. He stated that he elected to land the airplane on the remaining runway and selected gear down. The pilot stated, "I then flew the aircraft maintaining directional control and landed on runway 24 however due to the short time between selecting gear down and landing the landing gear had not extended and the aircraft landed gear up." No anomalies were found with respect to the right engine or fuel controls during the on-scene or follow-up examination. Examination of the right propeller indicated that it was not in the feather position. The pilot reported that the autofeather system did not engage. The airplane came to rest on the runway with approximately 2000 feet of the runway surface remaining.
Probable cause:
The loss of engine power after takeoff for an undetermined reason.
Final Report:

Crash of a Douglas DC-3-455 in Las Gaviotas

Date & Time: Jun 21, 2004 at 1700 LT
Type of aircraft:
Operator:
Registration:
HK-1212
Flight Phase:
Survivors:
Yes
Schedule:
Las Gaviotas – Puerto Carreño
MSN:
4987
YOM:
1942
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
18
Pax fatalities:
Other fatalities:
Total fatalities:
0
Aircraft flight hours:
50159
Circumstances:
Following technical problems, a DC-3 operated by Viarco diverted to Las Gaviotas Airport and was grounded. The operator send a second aircraft to Las Gaviotas to pick up the passengers. Shortly after takeoff from runway 24, while in initial climb, the right engine failed and caught fire. The aircraft stalled and crashed in a wooded area, bursting into flames. All 20 occupants were injured, six seriously. The aircraft was destroyed.
Probable cause:
Rupture of a crank and subsequent total loss of power and fire in the right engine during rotation of the plane, which reduced the performance of the aircraft, causing the pilot to lose control of the aircraft, resulting in the immediate collision with the ground.

Crash of a PZL-Mielec AN-2R in Bozoy: 1 killed

Date & Time: May 19, 2004 at 1040 LT
Type of aircraft:
Operator:
Registration:
UN-70276
Flight Phase:
Survivors:
Yes
Schedule:
Kyzylorda – Bozoy – Vozrozhdeniya Island
MSN:
1G139-35
YOM:
1972
Location:
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
10
Pax fatalities:
Other fatalities:
Total fatalities:
1
Circumstances:
The single engine aircraft departed Kyzylorda on a charter flight to the island of Vozrozhdeniya with an intermediate stop in Bozoy, carrying 10 doctors and two pilots. They were taking part to a plague control program. After takeoff from Bozoy, while climbing to a height of about 50 metres, the aircraft stalled and crashed in an open field. All 12 occupants were rescued, among them three passengers were seriously injured. Few hours later, one of them died from his injuries.
Probable cause:
Stall and loss of control after the cargo shifted during initial climb. It was determined that the cargo was not properly secured in the cabin and moved to the rear during initial climb. The distance between the aircraft and the ground was insufficient to expect recovery. It was also reported that the aircraft has been refueled with AI-96 motor gasoline instead of aviation fuel.

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

Date & Time: May 18, 2004 at 1800 LT
Type of aircraft:
Registration:
C-GQHT
Survivors:
No
Schedule:
Pickeral Arm Camp - Fawcett Lake
MSN:
682
YOM:
1954
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
4
Captain / Total flying hours:
1688
Captain / Total hours on type:
344.00
Circumstances:
Pickerel Arm Camps is located about 22 km south of Sioux Lookout, Ontario. It operates a main campsite at its water base and several remote fishing lodges. The company operates two float equipped de Havilland DHC-2 Beaver aircraft to fly guests and supplies to their remote sites. Seven guests of the company arrived at the water base on 18 May 2004, the day before their scheduled four-day fishing trip at Fawcett Lake, one of the remote lodges. Because the remote lodge was available, a decision was made to fly in that afternoon. The group was divided in two, and a group of three guests and all the supplies for the seven guests were to go in the first aircraft. The second group of four, with their personal baggage, was to follow in the company’s other Beaver. The occurrence aircraft, a de Havilland DHC-2 Beaver (C-GQHT, serial number 682) with one pilot and three camp guests on board, departed the company water base at approximately 1700 eastern daylight time on a day visual flight rules flight to Fawcett Lake. At approximately 1930, the pilot and the other four guests arrived in the second aircraft to discover that the first group had not arrived. The guests later found the accident aircraft overturned in the lake. Ontario Provincial Police divers recovered the bodies of the pilot and the three passengers. The aircraft sustained substantial damage. There was no fire.
Probable cause:
Findings as to Causes and Contributing Factors:
1. The pilot flew a high-drag approach configuration for which his proficiency was not established.
2. The pilot most likely allowed the airspeed to decrease to the point that the aircraft stalled on approach at an altitude at which recovery was unlikely.
3. The impact was non-survivable because of the high impact forces.
Findings as to Risk:
1. The emergency locator transmitter (ELT) airframe antenna was broken off above the fuselage; however, the flight was within the 30-day period allowed by regulation for flight with an unserviceable ELT.
2. The pilot did not secure the cargo prior to flight, which allowed the cargo to shift forward on impact.
3. The weight and centre of gravity (C of G) were not indicated in the operational flight plan and load record, and the aircraft’s weight and C of G could only be estimated.
Final Report:

Crash of a Beechcraft A100 King Air in Chibougamau

Date & Time: Apr 19, 2004 at 1018 LT
Type of aircraft:
Operator:
Registration:
C-FMAI
Survivors:
Yes
Schedule:
Quebec - Chibougamau
MSN:
B-145
YOM:
1973
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
11338
Captain / Total hours on type:
2600.00
Copilot / Total flying hours:
1176
Copilot / Total hours on type:
400
Circumstances:
The Beechcraft A100, registration C-FMAI, operated by Myrand Aviation Inc., was on a chartered instrument flight rules flight from QuÈbec/Jean Lesage International Airport, Quebec, to Chibougamau/Chapais Airport, Quebec, with two pilots and three passengers on board. The copilot was at the controls and was flying a non-precision approach for Runway 05. The pilot-in-command took the controls less than one mile from the runway threshold and saw the runway when they were over the threshold. At approximately 1018 eastern daylight time, the wheels touched down approximately 1500 feet from the end of Runway 05. The pilot-in-command realized that the remaining landing distance was insufficient. He told the co-pilot to retract the flaps and applied full power, but did not reveal his intentions. The co-pilot cut power, selected reverse pitch and applied full braking. The aircraft continued rolling through the runway end, sank into the gravel and snow, and stopped abruptly about 500 feet past the runway end. The aircraft was severely damaged. None of the occupants were injured.
Probable cause:
Findings as to Causes and Contributing Factors:
1. The aircraft was positioned over the runway threshold at an altitude that did not allow a landing at the beginning of the runway, and this, combined with a tailwind component and the wet runway surface, resulted in a runway excursion.
2. Failure to follow standard operating procedures and a lack of crew coordination contributed to confusion on landing, which prevented the crew from aborting the landing and executing a missed approach.
3. The pilot-in-command held several management positions within the company and controlled the pilot hiring and dismissal policies. This situation, combined with the level of experience of the co-pilot compared with that of the pilot-in-command, had an impact on crew cohesiveness.
Findings as to Risk:
1. The pilot-in-command of C-FMAI decided to execute an approach for Runway 05 without first ensuring that there would be no possible risk of collision with the other aircraft.
2. The regulatory requirement to conform to or avoid the traffic pattern formed by other aircraft is not explicit as to how the traffic pattern should be avoided, in terms of either altitude or distance, which can result in risks of collision.
3. The regulations do not indicate whether the missed approach segment should be considered part of the traffic pattern; this situation can lead pilots operating in uncontrolled airspace to believe that they are avoiding another aircraft executing an instrument approach when in reality a risk of collision exists.
Final Report: