Crash of a Beechcraft C90B King Air in Poznań

Date & Time: Nov 12, 1999 at 0930 LT
Type of aircraft:
Operator:
Registration:
D-IDIX
Survivors:
Yes
Schedule:
Melle-Grönegau – Poznań
MSN:
LJ-1495
YOM:
1997
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
4
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
The crew departed Melle-Grönegau Airport at 0736LT on a charter flight to Poznań, carrying four passengers and two pilots. While descending to Poznań at an altitude of 7,000 feet, the crew was informed about weather conditions at destination with a visibility of 700 metres, an RVR of 650 metres and a ceiling at 200 feet. After being cleared to descent to runway 29, the crew was informed about local patches of fog at the airport and the RVR dropped to 350 metres. On short final, at a height of about 500 feet, as the crew was unable to establish any visual contact with the approach lights and the runway lights, the captain decided to initiate a go-around procedure. Shortly later, the aircraft struck the ground to the left of the runway. Upon impact, the undercarriage were torn off. The aircraft slid for about 150 metres and came to rest with both engines and the left wing torn of as well. All six occupants escaped uninjured.
Final Report:

Crash of a Cessna T303 Crusader in Binghamton

Date & Time: Nov 1, 1999 at 0616 LT
Type of aircraft:
Operator:
Registration:
N511AR
Survivors:
Yes
Schedule:
Portland – Youngstown
MSN:
303-00192
YOM:
1982
Crew on board:
1
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
2430
Captain / Total hours on type:
60.00
Aircraft flight hours:
5480
Circumstances:
While in cruise flight, at 6,000 feet, the left engine lost power. The pilot attempted a restart of the engine, but only about one-half rotation of the left engine propeller was observed, and the engine was secured. The pilot stated that he was unable to maintain altitude and initiated a decent. He requested and was cleared for an instrument approach at an airport where the weather conditions were, 1/4 statute mile of visibility, fog, and a vertical visibility of 100 feet. On the approach, at the minimum descent altitude, the pilot executed a missed approach. As the airplane climbed, the pilot reported to the controller that the 'best altitude [he] could get was 2,200 feet.' A second approach was initiated to the reciprocal runway. While on the second approach, the pilot 'was going to fly the aircraft right to the runway, and told the controller so.' He put the gear down, reduced power, and decided there was 'no hope for a go-around.' He then 'flew down past the decision height,' and about 70-80 feet above the ground, 'added a little power to smooth the landing.' The pilot also stated, 'The last thing I remember was the aircraft nose contacting the runway.' A passenger stated that once the pilot could not see the runway, [the pilot] 'applied power, pitched the nose up,' and attempted a 'go-around' similar to the one that was executed on the first approach. Disassembly of the left engine revealed that the crankshaft was fatigue fractured between connecting rod journal number 2 and main journal number 2. Review of the pilot's operating handbook revealed that the single engine service ceiling, at a weight of 4,800 pounds, was 11,700 feet. The average single engine rate of climb, at a pressure altitude of 6,000 feet, was 295 feet per minute. The average single engine rate of climb, at a pressure altitude of 1,625 feet, was 314 feet per minute. Review of the ILS approach plate for Runway 34 revealed that the decision height was 200 feet above the ground.
Probable cause:
The pilot's improper in-flight decision to descend below the decision height without the runway environment in sight, and his failure to execute a missed approach. A factor in the accident was the failed crankshaft.
Final Report:

Crash of a Learjet 35A in Mina: 6 killed

Date & Time: Oct 25, 1999 at 1213 LT
Type of aircraft:
Registration:
N47BA
Flight Phase:
Survivors:
No
Schedule:
Orlando - Dallas
MSN:
35-060
YOM:
1976
Crew on board:
2
Crew fatalities:
Pax on board:
4
Pax fatalities:
Other fatalities:
Total fatalities:
6
Captain / Total flying hours:
4280
Captain / Total hours on type:
60.00
Copilot / Total flying hours:
1700
Copilot / Total hours on type:
200
Aircraft flight hours:
10506
Aircraft flight cycles:
7500
Circumstances:
On October 25, 1999, about 1213 central daylight time (CDT), a Learjet Model 35, N47BA, operated by Sunjet Aviation, Inc., of Sanford, Florida, crashed near Aberdeen, South Dakota. The airplane departed Orlando, Florida, for Dallas, Texas, about 0920 eastern daylight time (EDT). Radio contact with the flight was lost north of Gainesville, Florida, after air traffic control (ATC) cleared the airplane to flight level (FL) 390. The airplane was intercepted by several U.S. Air Force (USAF) and Air National Guard (ANG) aircraft as it proceeded northwestbound. The military pilots in a position to observe the accident airplane at close range stated (in interviews or via radio transmissions) that the forward windshields of the Learjet seemed to be frosted or covered with condensation. The military pilots could not see into the cabin. They did not observe any structural anomaly or other unusual condition. The military pilots observed the airplane depart controlled flight and spiral to the ground, impacting an open field. All occupants on board the airplane (the captain, first officer, and four passengers) were killed, and the airplane was destroyed.
Crew:
Michael Kling,
Stephanie Bellegarrigue.
Passengers:
Payne Stewart,
Van Ardan,
Bruce Borland,
Robert Fraley.
Probable cause:
Incapacitation of the flight crewmembers as a result of their failure to receive supplemental oxygen following a loss of cabin pressurization, for undetermined reasons.
Final Report:

Crash of a Learjet 35A off Genoa: 3 killed

Date & Time: Oct 24, 1999 at 1015 LT
Type of aircraft:
Operator:
Registration:
I-AVJG
Survivors:
No
Schedule:
Milan - Genoa
MSN:
35-189
YOM:
1978
Location:
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
3
Circumstances:
The aircraft was completing a charter flight from Milan to Genoa with two pilots and one passenger on board, the Director of an Italian Company working for Coca Cola. On approach to Genoa-Cristoforo Colombo Airport, the crew encountered poor weather conditions with low clouds and rain falls. Due to insufficient visibility, the crew initiated a go-around procedure. Few minutes later, while completing a second attempt to land, the aircraft descended too low and crashed in the sea some 8 km short of runway. The aircraft was destroyed upon impact and all three occupants were killed.

Crash of a Mitsubishi MU-300 Diamond I in Parma

Date & Time: Oct 15, 1999 at 1058 LT
Type of aircraft:
Operator:
Registration:
I-VIGI
Survivors:
Yes
Schedule:
Rome - Parma
MSN:
013
YOM:
1981
Country:
Region:
Crew on board:
3
Crew fatalities:
Pax on board:
5
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
While on an ILS approach to Parma Airport in poor weather conditions, the aircraft struck the ground and crashed in an open field about 3,5 km short of runway. All eight occupants were rescued, among them one pilot was injured. The aircraft was damaged beyond repair. The visibility was limited to 800 metres due to foggy conditions.

Crash of a Cessna 207 Skywagon near Puerto Ayacucho: 5 killed

Date & Time: Oct 12, 1999 at 0830 LT
Registration:
YV-745C
Flight Phase:
Survivors:
Yes
Schedule:
Puerto Ayacucho – San Juan de Manapiare
MSN:
207-0660
YOM:
1981
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
7
Pax fatalities:
Other fatalities:
Total fatalities:
5
Circumstances:
Few minutes after takeoff from Puerto Ayacucho Airport, the pilot reported technical problems. Shortly later, radio and radar contacts were lost. The wreckage was found in the jungle 10 days later. The pilot and three passengers were killed and four other people were found alive. One of the survivor died from his injuries nine days later.

Crash of a De Havilland DHC-2 Beaver near Pickle Lake

Date & Time: Oct 2, 1999 at 1430 LT
Type of aircraft:
Operator:
Registration:
C-GZBQ
Flight Phase:
Survivors:
Yes
Schedule:
Big Trout Lake - Geraldton
MSN:
919
YOM:
1956
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
1420
Captain / Total hours on type:
725.00
Aircraft flight hours:
13372
Circumstances:
The de Havilland DHC-2 Beaver seaplane departed from Big Trout Lake, Ontario, on a visual flight rules flight for Geraldton, Ontario, with a pilot and an aircraft maintenance engineer on board. After encountering adverse weather conditions en route to Geraldton, the pilot decided to divert to Pickle Lake, Ontario. At about 1430 central daylight time, the engine lost power at an altitude of about 300 feet above ground level while in the descent for Pickle Lake. The pilot turned the aircraft toward a nearby narrow river. In an attempt to restart the engine, the pilot confirmed that the fuel pressure was normal, the fuel selector was on the fullest tank (front), the throttle was at idle, the mixture was rich, and the ignition switch was on both, then he operated the wobble pump. When the engine did not restart, he switched to the centre fuel tank and operated the wobble pump again, but the engine still did not restart. He then switched back to the front tank and tried another restart, without success. He then landed the aircraft on the river at an estimated landing speed of about 40 to 45 mph. After the forced landing, the left wingtip collided with trees on the river bank, and the aircraft yawed to the left about 180 degrees and struck the river bank, breaking off the floats and the float struts. Impact with more trees on the river bank damaged the right wing and elevator. Both occupants were wearing lap belts with shoulder harnesses and were uninjured. The aircraft was substantially damaged. The pilot advised Thunder Bay flight service station by radio of the engine failure and crash and the crew were rescued two hours later.
Probable cause:
Findings as to Causes and Contributing Factors:
- The engine quit operating because the aircraft fuel system was contaminated with a large amount of water.
- The most likely source of the water contamination was the drums from which the aircraft was refuelled.
- A proper filter to prevent water contamination was not used when the aircraft was refuelled.
- The nose-level aircraft attitude when beached and the freezing of water probably prevented the water contamination from being drained from the front tank during the pilot's pre-flight checks.
Other Findings:
- The aircraft's maintenance records indicate that the aircraft was certified, equipped, and maintained in accordance with existing regulations and approved procedures.
- The use of the available shoulder harnesses probably prevented serious injury to the pilot and engineer.
Final Report:

Crash of a Piper PA-31-350 Navajo Chieftain on Mt Mauna Loa: 10 killed

Date & Time: Sep 25, 1999 at 1726 LT
Operator:
Registration:
N411WL
Flight Phase:
Survivors:
No
Site:
Schedule:
Kona - Kona
MSN:
31-8352039
YOM:
1983
Flight number:
BIA058
Crew on board:
1
Crew fatalities:
Pax on board:
9
Pax fatalities:
Other fatalities:
Total fatalities:
10
Captain / Total flying hours:
11500
Aircraft flight hours:
4523
Circumstances:
On September 25, 1999, about 1726 Hawaiian standard time, Big Island Air flight 58, a Piper PA-31-350 (Chieftain), N411WL, crashed on the northeast slope of the Mauna Loa volcano near Volcano, Hawaii. The pilot and all nine passengers on board were killed, and the airplane was destroyed by impact forces and a postimpact fire. The sightseeing tour flight was operating under 14 Code of Federal Regulations Part 135 as an on-demand air taxi operation. A visual flight rules flight plan was filed, and visual meteorological conditions existed at the Keahole-Kona International Airport, Kona, Hawaii, from which the airplane departed about 1622. The investigation determined that instrument meteorological conditions prevailed in the vicinity of the accident site.
Probable cause:
The pilot's decision to continue visual flight into instrument meteorological conditions (IMC) in an area of cloud-covered mountainous terrain. Contributing to the accident were the pilot's failure to properly navigate and his disregard for standard operating procedures, including flying into IMC while on a visual flight rules flight plan and failure to obtain a current preflight weather briefing.
Final Report:

Crash of a Boeing 757-204 in Gerona: 1 killed

Date & Time: Sep 14, 1999 at 2347 LT
Type of aircraft:
Operator:
Registration:
G-BYAG
Survivors:
Yes
Schedule:
Cardiff - Gerona
MSN:
26965
YOM:
1993
Flight number:
BAL226A
Country:
Region:
Crew on board:
9
Crew fatalities:
Pax on board:
236
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
16700
Captain / Total hours on type:
3562.00
Copilot / Total flying hours:
1494
Copilot / Total hours on type:
1145
Aircraft flight hours:
26429
Aircraft flight cycles:
9816
Circumstances:
Flight BY226A took off from Cardiff at 20:40 local time for a charter flight to Gerona. The crew contacted Gerona ATC at 23:14 hours. With a thunderstorm in the area, flight conditions were turbulent. ATC offered the option of a runway 20 ILS approach, but the crew decided to fly a VOR/DME procedure to runway 02 considering the prevailing conditions of wet runway, downslope and tailwind. At 23:33, in full landing configuration and just after passing 10 DME, the crew were advised of a change of wind to 200 degrees at 12 knots. Upon becoming visual the aircraft was not adequately aligned with the runway and the change in wind direction now favored the reciprocal runway so a missed approach was carried out. The aircraft was now positioned for an ILS approach to runway 20. During the approach the crew noted that the company minimum amount of fuel for a diversion to Barcelona (2,800 kg) had been reached. At 23:46:58 hrs, at 250 feet above ground level (agl) and on the correct glidepath, the captain disconnected the autopilot and autothrottle. The aircraft began to deviate above the glidepath. Twelve seconds later, at 110 feet agl, the captain briefly pushed the control column almost fully forward before returning it to an approximately neutral position. The aircraft pitched down to -4.5° nose down attitude and then back up to -2.5° nose down attitude. During this period the captain lost his visual reference with the runway because all runway lights had suddenly failed. The GPWS then warned of the excessive sink rate and the thrust levers being retarded to idle. At 21:47:17 the aircraft touched down in a 2° nose down attitude and a recorded peak normal (vertical) acceleration of 3.11 g. The aircraft bounced, the nose pitched up to +3.3°, a roll to the right commenced, both the thrust levers advanced and the power on both engines increased to 1.18 EPR. Full nose down elevator was applied and held until a second touchdown, resulting in a rapid pitch down. The aircraft made the second touchdown 1.9 seconds after the first at -0.5° pitch attitude (nose down), with a pitch rate of 7°/sec nose down and 4.2° of right roll. After a run of approximately 343 meters across flat grassland beside the runway, the aircraft ran diagonally over a substantial earth mound adjacent to the airport boundary, becoming semi-airborne as a result. At the far side of the mound a number of medium sized trees were struck and severed, predominantly by the right wing, and the right engine nacelle struck the boundary fence. The aircraft, yawed considerably to the right of its direction of travel, then passed through the fence, re-landed in a field and both main landing gears collapsed. It came to rest after a 244 meter slide across the field, with the fuselage almost structurally severed at two points.
Probable cause:
It is considered that the most probable cause of the accident was the destabilization of the approach below decision height with loss of external visual references and automatic height callouts immediately before landing, resulting in touchdown with excessive descent rate in a nose down attitude. The resulting displacement of the nose landing gear support structure caused disruption to aircraft systems that led to uncommanded forward thrust increase and other effects that severely aggravated the consequences of the initial event.
Contributory factors were:
- Impairment of the runway visual environment as a result of darkness and torrential rain and the extinguishing of runway lights immediately before landing;
- Suppression of some automatic height callouts by the GPWS 'SINK RATE' audio caution;
- The effect of shock or mental incapacitation on the PF at the failure of the runway lights which may have inhibited him from making a decision to go-around;
- The absence of specific flight crew training in flight simulators to initiate a go-around when below landing decision height;
- Insufficient evaluation of the weather conditions, particularly the movement and severity of the storm affecting the destination airport.
Final Report:

Crash of a Beechcraft 200 Super King Air in Caen

Date & Time: Sep 9, 1999
Operator:
Registration:
F-GIAL
Survivors:
Yes
MSN:
BB-844
YOM:
1981
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
On final approach to Caen-Carpiquet Airport in poor weather conditions, the captain decided to initiate a go-around procedure. He increased engine power and asked the copilot to position the flaps in the appropriate angle. By mistake, the copilot raised the flaps. Due to a loss of lift, the aircraft stalled and struck the runway surface. On impact, the undercarriage were torn off and the aircraft slid for few dozen metres before coming to rest. All three occupants escaped uninjured while the aircraft was damaged beyond repair.
Probable cause:
Inadvertent retraction of the flaps while initiating a go-around procedure. Poor crew coordination.