Crash of a Piper PA-31-310 Navajo near Antananarivo: 7 killed

Date & Time: Sep 24, 2001
Type of aircraft:
Registration:
F-GRDT
Survivors:
No
Site:
Schedule:
Mahajanga – Antananarivo – Saint-Denis
MSN:
31-7300931
YOM:
1973
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
5
Pax fatalities:
Other fatalities:
Total fatalities:
7
Circumstances:
The twin engine aircraft departed Mahajanga, Madagascar, on a charter flight to Saint-Denis de La Réunion, with an intermediate stop in Antananarivo, carrying five passengers and two pilots. While approaching Antananarivo-Ivato Airport, the aircraft went out of control and crashed in a mountainous area located about 30 km from the airport. The aircraft was destroyed and all seven occupants were killed.
Probable cause:
Loss of control following a double engine failure on approach due to fuel exhaustion.

Crash of a Let L-410UVP-E in Chichén Itzá: 19 killed

Date & Time: Sep 12, 2001 at 1620 LT
Type of aircraft:
Operator:
Registration:
XA-ACM
Flight Phase:
Survivors:
No
Schedule:
Chichén Itzá – Cozumel
MSN:
89 24 01
YOM:
1989
Country:
Crew on board:
3
Crew fatalities:
Pax on board:
16
Pax fatalities:
Other fatalities:
Total fatalities:
19
Captain / Total flying hours:
7100
Copilot / Total flying hours:
1000
Aircraft flight hours:
1903
Aircraft flight cycles:
3654
Circumstances:
Shortly after takeoff from Chichén Itzá Airport runway 28, while climbing to a height of about 500 feet, the aircraft rolled to the right, stalled and crashed in a wooded area located about one km past the runway end, bursting into flames. The aircraft was totally destroyed by a post crash fire and all 19 occupants were killed, among them US and Canadian citizens and three Mexican, both pilots and a local tourist guide.
Probable cause:
It was determined that the aircraft rolled through 2,100 of the 2,800 metres of runway 28 and that the right engine failed while its propeller autofeathered. Investigations were unable to determine the exact cause of the right engine failure. Nevertheless, appropriate flight techniques were not applied by the crew.

Crash of a De Havilland DHC-3 Otter in Otter Creek

Date & Time: Sep 12, 2001 at 1100 LT
Type of aircraft:
Operator:
Registration:
C-FQOS
Flight Phase:
Survivors:
Yes
MSN:
398
YOM:
1960
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
The single engine aircraft departed Otter Creek near Goose Bay on a charter flight to a fishing lodge with three passengers and one pilot on board. The pilot reported he was in climb mode when the aircraft pitched forward and then nosed up before entering an uncontrollable nose-down descent, although it did not exhibit characteristics normally associated with an aerodynamic stall. It impacted the water hard, resulting in structural failure of the float supports and extensive damage to the fuselage. 'Lab Air 911', a Twin Otter medevac flight bound for Nain witnessed the incident and raised the alarm. All four occupants were rescued by boat while the aircraft sank in 55 feet of water.
Source: http://www.dhc-3archive.com/DHC-3_398.html

Crash of a Cessna 421B Golden Eagle II in Carcassonne

Date & Time: Aug 30, 2001 at 0804 LT
Operator:
Registration:
F-GAPR
Flight Phase:
Survivors:
Yes
MSN:
421B-0951
YOM:
1975
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
5
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
Shortly after takeoff from runway 28 at Carcassonne-Salvaza Airport, while in initial climb, the aircraft stalled and crashed to the right of the runway. All six occupants escaped with various injuries and the aircraft was destroyed.
Probable cause:
Loss of control during initial climb following a loss of power on the right engine.

Crash of a Cessna 402B in Marsh Harbour: 9 killed

Date & Time: Aug 25, 2001 at 1845 LT
Type of aircraft:
Registration:
N8097W
Flight Phase:
Survivors:
No
Schedule:
Marsh Harbour – Miami-Opa Locka
MSN:
402B-1014
YOM:
1975
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
8
Pax fatalities:
Other fatalities:
Total fatalities:
9
Circumstances:
The fatal aircraft, Registration N8097W was operated by Blackhawk International Airways and the listed owner was Skystream Inc; whose corporate address was the same as Mr. Gilbert Chacón’s Pembroke Pines, Florida home address. Blackhawk International Airways was owned by Gilbert Chacón and his son Erik, who founded the company in 1991. Blackhawk International Airways was authorized by the FAA as a part 135 Single Pilot Operation. Mr. Gilbert Chacon was the only pilot authorized by the FAA for Blackhawk International Airways. Once Morales acted as pilot- in-command of the Cessna 402B aircraft, this made Blackhawk International Airways a multi pilot operation. This was a clear violation of the FAA regulations. Mr. Morales was not signed off by the FAA to fly for Blackhawk International Airways, nor was Blackhawk International Airways signed off as a multi pilot operation. There were no FAA reports of any enforcement actions or service difficulty reports against the fatal aircraft. However, the FAA did report four administrative actions against Blackhawk International Airways, three for technical violations and the most recent for maintenance failures. The agency (FAA) issued a letter of correction on April 28, 2000, citing Blackhawk's failure to comply with manufacturer’s recommended maintenance programs and FAA programs for its aircraft's engines or other parts. Blackhawk failed to have a person in charge of maintenance with an appropriate certificate and used unsanctioned techniques and equipment for repairs. The Manager of the Palm Beach County Park Airport at Lantana, Florida stated that a last minute change resulted in the accident aircraft being dispatched to Marsh Harbour, Abaco, Bahamas. The Cessna 404 aircraft which was originally scheduled to conduct this flight, was fuelled, but subsequently changed to a Cessna 402B aircraft by the owner Mr. Gilbert Chacon. This charter flight from Lantana, Florida to the island of Marsh Harbour, Abaco, in the Bahamas, was operated under Visual Flight Rules (VFR).The accident occurred on August 25, 2001 shortly after the aircraft departed Marsh Harbour International Airport for the return trip to Opa Locka, Florida (USA). The flight number was not known. At the time of the accident, Blackhawk International Airways was not authorized by the Bahamas Aviation Authority to conduct commercial operations in the Bahamas. A determination could not be made as to whether or not the pilot filed a flight plan. No records existed to verify whether radio communications were established with Air Traffic Control (ATC) during the flight from Lantana, Florida to Marsh Harbour, Abaco, Bahamas. The flight was a 165 mile journey that was estimated to take one (1) hour to complete. The aircraft was not required to have a cockpit voice recorder. Witnesses reported the pilot and members of the group being transported, argued about the number of passengers and the amount of bags to be loaded on the aircraft. Witnesses also reported seeing eight (8) passengers board the aircraft. Two of the largest passengers (believed to be weighing approximately 300 pounds each,) were observed being seated in the rear of the aircraft. One witness reported that the pilot personally loaded the aircraft. Witnesses also reported that the pilot experienced problems starting the engines. Eye witness statements placed the time of departure of the flight for Opa Locka, Florida at approximately 1845 EDT. The aircraft became airborne from the 5,000 x 50 feet runway (Runway 27) between 2,500 to 2,800 feet. It climbed in a steep nose high attitude to approximately 40 feet above the runway, banked left, pitched nose down and impacted marshy terrain in a left wing, nose low attitude. The aircraft was destroyed and all nine occupants were killed, among them the US singer Aaliyah Dana Haughton.
Probable cause:
Findings and Probable Cause:
- Aircraft overweight. Pilot did not determine if the aircraft was within operating limitations. The aircraft’s weight was estimated to be 941 lbs over the maximum allowable takeoff weight. The weight of the un-recovered bag was not added to the weight and balance calculations. The center of gravity was estimated to be 4.4 inches aft of the maximum aft allowable center of gravity envelope).
- Pilot Unqualified. Pilot was not qualified under Part 135 for the aircraft in which he was flying.
- Documents Falsification. Pilot falsified logbook to reflect more flight time than he actually had accumulated. Review of pilot logbook revealed in several instances, pilot added as much as 1,000 hours to his total flight and multi engine times. Hundreds of day and night landings were falsified to meet qualification requirements. Pilot falsified aircraft information (types and registration numbers) reporting them to be Cessna C402 aircraft, when FAA database clearly lists the aircraft in question as aircraft other than Cessna C402. Pilot may not have completed a weight and balance report. (No evidence existed that showed he had completed a load manifest or weight and balance and performance calculations). Pilot failed to comply with prescribed Weight and Balance and Performance limitations in Pilot’s Operating Handbook. (The aircraft’s weight was estimated to be 941 lbs over the maximum allowable takeoff weight. The weight of the un-recovered bag was not added to the weight and balance calculations. The center of gravity was estimated to be 4.4 inches aft of the maximum aft allowable center of gravity envelope)). Pilot may not have followed “before takeoff” checklist in Pilot’s Operating Handbook.
- Fuel Selectors: “Left Engine – Left Main Tank, Right Engine – Right Main Tank”. Field investigation immediately following the accident revealed both fuel tank selectors were found selected to the right main tank. The left fuel valve was found in the left position, though the cable was separated from the valve. Impact damage may have changed the pre-impact settings, thereby rendering the observed positions as unreliable.
- Aircraft Flight Controls (secondary control surfaces – trim tabs) were found to be out of normal range required for takeoff. The aileron trim tab was found selected all the way to the right. The rudder trim tab was found selected to the left and the elevator trim tab was found in the full nose down position. Impact damage may have changed the pre-impact settings, thereby rendering the observed positions as unreliable.
- According to Pilot’s Operating Handbook (POH) normal takeoff is 0˚ flaps. (The flap selector handle was selected to 15˚with the indicator at approximately the 15˚position. The wing flap push rods were bent, indicating partial extension at impact).
- Blackhawk International Airways was not authorized to assign this pilot as a pilot in command because they did not have the authority to use a second pilot. Blackhawk International Airways was authorized as a single pilot operation with Mr. Gilbert Chacon as the only authorized pilot.
- Blackhawk International Airways reportedly hired Mr Morales two days prior to the fatal accident, although they did not have the authority to use a second pilot. Further, they did not exercise due diligence in ensuring pilot’s qualification prior to assigning duty as pilot in command.
- There were no FAA reports of any enforcement actions or service difficulty reports against the fatal aircraft. However, the FAA did report four administrative actions against Blackhawk, three for technical violations and the most recent for maintenance failures. The agency issued a correction letter April 28, 2000, citing Blackhawk's failure to comply with manufacturer recommended maintenance programs and FAA programs for its aircraft's engines or other parts, Blackhawk failed to have a person in charge of maintenance with an appropriate certificate and used unsanctioned techniques and equipment for repairs.
- Results of disassembly report confirms that no discrepancies existed that would have precluded normal operation of both left and right engines prior to impact.
- Forensic Report showed traces of benzoylegonine (a metabolite of cocaine) in the urine and traces of ethanol in the stomach contents of the pilot.
- On July 7, 2001, Morales was arrested by the Broward Sheriff's Office in an area of Pompano Beach known for drug sales. A deputy who pulled over Morales' 1993 Volkswagen Fox for running a stop sign said he found pieces of crack cocaine and other paraphernalia in the car. According to the deputy, Morales said he was in the area to buy powder cocaine for a friend.
- In November 2000, Morales was arrested by Fort Lauderdale police after he tried to "return'' $345 worth of stolen aviation parts to a local distributor. Instead of giving Morales cash, store employees called police, who were investigating a string of airplane burglaries. Mr. Morales was charged with dealing in stolen property after detectives found that a receipt in his bag belonged to the burglary victim who actually bought the parts. An additional charge of grand theft was tacked on when detectives recovered other stolen items.
Final Report:

Crash of a Dassault Falcon 10 in Kuujjuaq

Date & Time: Aug 14, 2001 at 1331 LT
Type of aircraft:
Operator:
Registration:
C-GNVT
Survivors:
Yes
Schedule:
Iqaluit – Kuujjuaq
MSN:
138
YOM:
1978
Flight number:
BFF10
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
8
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
Following an uneventful flight from Iqaluit, the twin engine aircraft bounced twice upon landing. The crew completed the braking procedure 'normally' then vacated the runway and parked the airplane on the apron. After all 10 occupants disembarked, technicians realized that the fuselage was severely damaged and the aircraft was declared as damaged beyond repair.

Ground fire of a De Havilland DHC-2 Beaver off Minstrel Island

Date & Time: Aug 1, 2001
Type of aircraft:
Registration:
C-GNWS
Survivors:
Yes
MSN:
1382
YOM:
1959
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
he float-equipped aircraft had landed at Minstrel Island and was taxiing to the dock when the pilot of a company aircraft that was following C-GNWS to the dock radioed that he saw smoke coming from the lower right area of C-GNWS's engine cowling. The pilot of C-GNWS docked the aircraft, unloaded the three passengers and emptied a fire extinguisher onto the burning aircraft. The fire was not extinguished and the aircraft was pushed away from the dock where it burnt to the water.

Crash of a Pilatus PC-12/45 in the Sea of Okhotsk

Date & Time: Jul 8, 2001 at 1345 LT
Type of aircraft:
Operator:
Registration:
N660NR
Flight Phase:
Survivors:
Yes
Schedule:
Hakodate - Magadan
MSN:
356
YOM:
2000
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
On July 8, 2001, approximately 1345 local time (0245UTC), a Pilatus PC-12/45, N660NR, registered to a US private owner, operated by Jeflyn Aviation, Inc. doing business as Access Air, and being flown by a US certificated airline transport rated pilot, was presumed destroyed following a ditching in the Sea of Okhotsk, Western Pacific Ocean. The pilot sustained minor injuries and the three remaining Japanese passengers were uninjured. Instrument meteorological conditions prevailed, and an IFR flight plan had been filed and activated. The flight, which was returning to the United States following a round-the-world trip, was being operated under 14CFR91 as a business trip. The aircraft had originated from Hakodate, Japan, departing 0910 hours local time and was destined for Magadan, Russia. The pilot reported in a telephonic interview that the aircraft was established in cruise at 8,100 meters altitude when he felt a vibration followed by a rapid increase in the engine's Turbine Temperature Indication (TTI). He reported that the TTI reached 1144 degrees during which there was a compressor stall. He shut the engine down, feathered the propeller, and initiated a power off emergency descent. During the emergency descent the pilot radioed a mayday on 121.5 MHz, set his transponder to code 7700, and manually activated the emergency locator beacon. The aircraft descended through multiple cloud layers during which the pilot and passengers prepared for the ditching. The pilot reported that upon breaking through the bottom of the last overcast layer, at 100 feet above the water, he encountered swells of approximately 8-12 feet height. He ditched the aircraft on the crest of a swell and the aircraft came to a stop floating in an upright, level attitude. All four occupants exited the aircraft through the main cabin door into a life raft. Over a period of several hours the occupants lost sight of the floating aircraft and after about 15 hours they were picked up by a Russian container ship and airlifted to Sakhalin Island.
Probable cause:
Engine failure for unknown reasons.

Crash of a De Havilland DHC-2 Beaver near Nestor Falls: 1 killed

Date & Time: Jul 7, 2001 at 1530 LT
Type of aircraft:
Registration:
C-FNFO
Flight Phase:
Survivors:
No
Schedule:
Kakabikitchiwan Lake - Aremis Lake
MSN:
819
YOM:
1955
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
1500
Captain / Total hours on type:
1300.00
Aircraft flight hours:
11843
Circumstances:
A de Havilland DHC-2 Beaver seaplane, registration C-FNFO, serial number 819, departed from Kakabikitchiwan Lake, Ontario, on a visual flight rules flight for Aremis Lake with only the pilot on board. Shortly after take-off, the aircraft was observed flying northbound at a very low altitude above Sabaskong Bay with the engine operating at a high power setting. The aircraft started to climb and bank to the left. The right wing struck the lower of two electrical wires strung across a channel between two islands. The aircraft was destroyed; the pilot sustained fatal injuries.
Probable cause:
Findings as to Causes and Contributing Factors:
1. The power line running overhead the channel was invisible, except at very short range, and was not marked to indicate its presence.
2. The pilot was flying at a very low altitude and likely did not see the power line.
Findings as to Risk:
1. The Standards Obstruction Markings Manual allows for discretion in deciding whether to assess obstructions, making it possible for some obstructions to not be assessed and, consequently, to not be marked.
Final Report:

Serious incident with a Lockheed L-1011-385-1-14 TriStar 150 in Lyon

Date & Time: Jul 6, 2001 at 1856 LT
Type of aircraft:
Operator:
Registration:
C-FTNA
Flight Phase:
Survivors:
Yes
Schedule:
Lyon – Berlin
MSN:
1019
YOM:
1972
Flight number:
TS906
Country:
Region:
Crew on board:
14
Crew fatalities:
Pax on board:
197
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
22000
Captain / Total hours on type:
2600.00
Copilot / Total flying hours:
14300
Copilot / Total hours on type:
180
Aircraft flight hours:
66223
Aircraft flight cycles:
24979
Circumstances:
On 6 July 2001 at 18:46, a Lockheed TriStar operated by the Canadian airline Air Transat took off from runway 18R at Lyon Saint-Exupéry Airport (LYS), France for flight TSC906 to Berlin-Schönefeld Airport (SXF) with 14 crew members and 197 passengers. At 18:50 the crew contacted Marseilles and requested a heading of 350 degrees to avoid the area of active clouds that the crew had noticed on their weather radar. The controller cleared the flight to climb to FL160, at the requested course. The flight was cleared to climb further to FL190 and at 18:55 instructed to turn right to the MOREG reporting point. During the turn towards the reporting point, while the autopilot was connected, the crew saw that they were approaching an active cell. The captain, who was PNF, instructed the copilot to tighten the turn, which reached a 45° bank angle. At 18:56 Marseille transferred the flight to Geneva Control. It was during this first turn to MOREG that the first burst of hail hit the plane for a duration of one to two seconds. Then a second hailstorm struck the plane, with a duration of 10 to 15 seconds. At that moment the captain took control of the aircraft putting the airplane in a 60° bank angle. The plane lost 500 feet altitude. The crew did not declare an emergency but advised ATC of his intention to turn back to Lyon. The captain asked the flight engineer to depressurize the cabin, which was conducted during descent. There was no rapid depressurization. The windshield of the cockpit was badly damaged. The copilot had the best visibility and carried out the final approach and landing at Lyon-Saint Exupery. The plane landed safely at 1916LT and all 211 occupants evacuated safely.
Probable cause:
This accident occurred due to the flight of the aircraft in a very active cloud area whose color symbolism on the weather radar on board was not representative of the severity of the phenomena encountered. Although the crew chose to avoid the most active sector of this storm, it nevertheless flew through an area whose color representation on the board radar showed no real activity.
Final Report: