Crash of a Fletcher FU-24-950 in Ketapang: 2 killed

Date & Time: Dec 31, 2009 at 0826 LT
Type of aircraft:
Operator:
Registration:
PK-PNX
Flight Phase:
Flight Type:
Survivors:
No
Site:
Schedule:
Ujung Tanjung - Jambi - Pangkal Pinang - Ketapang - Tangar
MSN:
187
YOM:
1970
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
2892
Captain / Total hours on type:
641.00
Circumstances:
The aircraft was completing a ferry flight from Ujung Tanjung/Pekanbaru home base to Tangar airstrip, Center of Kalimantan, with reference flight approval number D09-038960 and Security Clearance number AU05-033328, person on board was one pilot and one engineer. On 29 December 2009, the aircraft departed from Ujung Tanjung, transit at Jambi and stop overnight at Pangkal Pinang Airport, Bangka with total flight time was 3 hours. On the next day 30 December 2009, the aircraft continuing flight from Pangkal Pinang to Rahadi Oesman Airport, Ketapang, West Kalimantan and overnight at Ketapang with total flight time is 1:40 hours. On the next day 31 December 2009, the aircraft plan to continued flight to Tangar Airstrip. The aircraft was airworthy prior departure and dispatched from Ketapang with the following sequence:
a. The pilot requested for start the engine at 01:17 UTC4 (08:17 Local Time);
b. At 01:24 the pilot requested for taxi, and the ATC gave clearance via taxiway “A”. The pilot requested intersection runway 17 and approved by ATC
c. The ATC requested for reported when ready for departure, and the pilot reported ready for departure, then the ATC gave the departure clearance.
d. At 01:25, the aircraft was departed and crashed at 01:26 striking the roof of the hospital and broken down into pieces at the parking area in which have had approximate 1.5 Kilometer to the left side from the flight path centreline. The aircraft was substantially damage and the crew on board consist of one pilot in command and one aircraft maintenance engineer; both of them were fatally injured.
Probable cause:
The investigation concluded that the aircraft engine was not in power during impact with the hospital roof. There was a corroded fuel pump, that indicated of contaminated fuel.
Findings:
• The aircraft was airworthy prior departure.
• The pilot was fit for flight.
• The booster pump was found of an evident of surface corrosion on the spring, plate and van pump indicated that contaminated fuel.
• Referred to the Fletcher Flight Manual and Pilot Operating Handbook chapter 3.10. Fuel System Failure, the booster pump must have been operated prior to flight.
• The propeller blades were on fine pitch and no sign of rotating impact. The engine was not in powered when hit the ground.
• No evidence damage related to the engine prior to the occurrence.
Final Report:

Crash of a Dassault Falcon 20D in Matthew Town: 2 killed

Date & Time: Dec 17, 2009 at 1930 LT
Type of aircraft:
Operator:
Registration:
N28RK
Flight Type:
Survivors:
No
Schedule:
Oranjestad – La Isabela – Fort Lauderdale
MSN:
206
YOM:
1969
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
26525
Copilot / Total flying hours:
4800
Circumstances:
On December 17, 2009 at approximately 7:30 pm local (2330UTC), N28RK a Dassault Sud, Falcon Fan Jet, Mystere 20, Series D aircraft which departed Joaquin Balaguer Int’l Airport (MDJB) in the Dominican Republic, for Ft Lauderdale Executive Airport, (FXE) Ft Lauderdale, Florida, USA, crashed in a remote area of Matthew Town, Great Inagua, Bahamas. The accident occurred approximately 11.5 miles due east of Great Inagua International Airport at coordinates N 20˚ 58’ 30” latitude and W 073˚ 40’ 00.7” longitude. The aircraft made contact with the terrain on a heading of approximately 105 degrees magnetic. The accident occurred in area that was not accessible by land and the investigation team had to be airlifted by helicopter to the site. Witnesses on the island of Great Inagua reported hearing a loud bang that rattled doors and windows of their homes, but they did not report seeing the aircraft fall from the sky. The aircraft was under the command of Captain Harold Roy Mangels and First Office Freddy Castro. The aircraft reportedly departed Aruba, in the Netherland Antilles and made a fuel stop at Dr. Joaquin Balaguer Int’l Airport, Santo Domingo in the Dominican Republic. The final destination filed by the crew was Ft. Lauderdale Executive Airport, Ft Lauderdale Florida. The accident occurred approximately 6 mile off the filed flight path. ATC records and instructions were for the aircraft N28RK to maintain 28,000 ft (FL280). The aircraft transponder was reported as inoperative. It begun a rapid descent, with no report of an emergency declared or mayday call out. Investigation of the crash site indicates the airplane made contact with the terrain at a high rate of speed and approximately a 45 degree angle. The aircraft was destroyed on impact. The crew of a United States Coast Guard helicopter was on a training mission in the Great Inagua area at the time of the accident. They reported hearing a loud bang and noticed a huge explosion and fireball emanating from the ground in an area close to their location. The crew of the US Coast Guard helicopter reported that they did not see any in-flight fire prior to the fireball that they saw. The post impact fire engulfed approximately five (5) acres of trees and brush in the National Wildlife Refuge at Great Inagua. The coast guard helicopter crew stated that they discontinued their training mission and went to the site to investigate. Upon arrival at the site the crew reported that they lowered rescue personnel to the ground to investigate and search for survivors, but, due to the heat and extent of the fire on the ground, they had to discontinue the search. They reported the accident to authorities at Great Inagua. This information was further passed along to the National Transportation Safety Board who alerted the accident investigation unit of the Bahamas Civil Aviation Department. Night time conditions prevailed at the time of the accident. The crew of the aircraft received fatal injuries. A search of the area discovered no distinguishable human remains. Approximately less than 1% of what is believed to be possible human flesh / internal body parts were recovered. In addition clothing (piece of a pant with belt buckle fastened) was recovered, which possibly may have been worn by a member of the crew at the time of the accident. All recovered remains and clothing retrieved were gathered by officers of the Royal Bahamas Police Force that accompanied the investigation team and sent to the Forensic Science Laboratory at the Royal Bahamas Police Force, Nassau Bahamas for DNA analysis and possible identification. The aircraft broke into many pieces after contact with the terrain. Debris was spread over a large area of rough terrain. What remained of the aircraft post impact was either not found or possibly further destroyed by the post impact fire. The “four corners” of the airplane were confirmed in the area downstream of where the initial ground impact occurred. However, engine cowling parts were found prior to the point of initial ground impact. This may suggest an aircraft over-speed condition prior to ground impact. Less than 10% of the aircraft was recovered. An explosion occurred when N28RK made contact with the terrain. A post impact fire ensued. Approximately 5 acres of the national park was destroyed by the fire. Parts of the aircraft including personal effect, aircraft parts and furnishing, seat and seat cushions were also destroyed in the post impact fire.
Probable cause:
The probable cause of this accident has been determined as loss of control. Insufficient wreckage of the aircraft were recovered to make a conclusive determination as to the cause of the accident.
Final Report:

Crash of a Piper PA-31T Cheyenne II-XL in Harrison: 1 killed

Date & Time: Dec 4, 2009 at 1845 LT
Type of aircraft:
Registration:
N85EM
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Charlevoix - Tiffin
MSN:
31-8166055
YOM:
1981
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
13000
Aircraft flight hours:
9436
Circumstances:
Shortly after takeoff in the pressurized twin-engine airplane, the pilot was cleared to climb and maintain 16,000 feet. The pilot reported passing through instrument conditions with heavy snow and that he cleared the tops of the clouds at 7,000 feet. The pilot was then cleared to climb and maintain flight level (FL) 230. Radar data showed the airplane's altitude and course varied throughout the flight after having reached FL 230. Several times during the flight the air traffic controller questioned the pilot regarding his altitude and/or course. Each time the pilot responded that he was at the correct altitude and/or course. The radar data showed that after each of these conversations, the airplane would return to the assigned altitude and/or course. The controller then informed the pilot that, because radar showed the airplane’s altitude fluctuating between FL 224 and FL 237, he was going to have to descend out of positive controller airspace. The pilot acknowledged this transmission. The controller instructed the pilot to descend to 17,000 feet. The last transmission from the pilot was when he acknowledged the descent. Radar data showed that one minute later the airplane was at FL 234. During the last minute and 12 seconds of radar data, the airplane reversed its course and descended from FL 233 to FL 214, at which time radar data was lost. Witnesses reported hearing loud engine sounds and seeing the airplane in a spiraling descent until ground impact. Post accident inspection of the engines did not identify any anomalies that would have precluded normal operation. Most of the fuselage was consumed by fire; however, flight control continuity was established. Given the pilot’s experience and the flight’s altitude and course variations the investigation considered that the pilot may have suffered from hypoxia; however, due to the post impact fire the functionality of the airplane’s pressurization system could not be observed and no conclusive determination could be made that the pilot as impaired.
Probable cause:
A loss of aircraft control for undetermined reasons.
Final Report:

Crash of a Grumman G-111 Albatross in Fort Pierce

Date & Time: Nov 5, 2009 at 1534 LT
Type of aircraft:
Registration:
N120FB
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Fort Pierce - Okeechobee
MSN:
G-331
YOM:
1953
Crew on board:
2
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
9095
Captain / Total hours on type:
14.00
Copilot / Total flying hours:
11500
Copilot / Total hours on type:
1100
Aircraft flight hours:
3747
Circumstances:
The pilot stated that during the landing gear retraction he heard a loud bang, followed by three to four smaller bangs. The first officer confirmed that the left engine was the affected engine and immediately began feathering the propeller. Once the propeller had been feathered, the captain confirmed the action by looking outside and noticing the propeller in the feathered position. The captain further reported that the right engine was producing the maximum power available and was indicating 55 inches of manifold pressure. Unable to achieve airspeed of greater than 95 to 96 knots indicated, the captain attempted to return to the airport for an emergency landing; however, he was unable to maintain altitude and attempted to land on an airport perimeter road, impacting the airport fence and a sand berm in the process. A cursory examination of the engine and system components revealed no evidence of a preimpact mechanical malfunction.
Probable cause:
A total loss of left engine power and subsequent failure of the airplane to maintain airspeed and altitude on the remaining engine for undetermined reasons.
Final Report:

Crash of a Piaggio P.180 Avanti near Kangerlussuaq

Date & Time: Oct 16, 2009 at 1140 LT
Type of aircraft:
Operator:
Registration:
N108GF
Flight Type:
Survivors:
Yes
Schedule:
Kuwait – Antalya – Vienna – Stornoway – Keflavik – Narsarsuaq – Goose Bay – Bangor – Denton
MSN:
1086
YOM:
2004
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total hours on type:
105.00
Aircraft flight hours:
1035
Aircraft flight cycles:
716
Circumstances:
The accident flight was a part of a ferry flight from Kuwait to USA. The flight departed from Keflavik, Iceland with planned destination Narsarsuaq, Greenland. The commander did not get visual contact with the runway on the instrument approach to Narsarsuaq and the flight diverted towards Kangerlussuaq, Greenland. During the flight towards Kangerlussuaq, the amount of fuel became critical low and the aircraft landed on the Greenlandic icecap. The aircraft was destroyed during the landing attempt. The commander suffered minor injuries. The accident occurred in daylight and under visual meteorological conditions (VMC).
Probable cause:
After the flight was airborne from BIKF, the flight was restricted by ATC to cruise at FL200 instead of FL280. The lower flight altitude and the power setting used resulted in a reduction of the final reserve to approximately zero minutes. At that time the commander was not concerned about the final reserve because the flight to BGBW was only a two hours flight and as the aircraft before take-off from BIKF had fuel for more than three hours and 40 minutes of flight. During the approach to BGBW the flight never came below the clouds and was in IMC during the entire final approach. The most likely cause was that the aircraft was not following the NDB DME 07 approach procedure descent profile. Consequently the commander did not get visual contact during the approach and he had to make a missed approach. During the diversion to the alternate aerodrome, BGSF the flight was altitude restricted by ATC to FL190. One engine was intentionally stopped during the diversion to BGSF. The consequence was a reduction of the aircraft range. A shallow descent was initiated approximately 57 minutes before ETA over BGSF. The shallow descent profile did consume more fuel than a steeper descent profile. The commander decided to make a precautionary landing in the terrain. The aircraft was destroyed during the landing attempt on the rugged and bumpy surface of the icecap.
Final Report:

Crash of a Boeing 737-247 in Massamba: 7 killed

Date & Time: Apr 29, 2009 at 0600 LT
Type of aircraft:
Operator:
Registration:
TL-ADM
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Bangui – Brazzaville – Harare
MSN:
22264/753
YOM:
1981
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
5
Pax fatalities:
Other fatalities:
Total fatalities:
7
Circumstances:
The aircraft departed Bangui on a ferry flight to Harare with an intermediate stop in Brazzaville, carrying five technicians and two pilots. After being parked at Bangui Airport for almost a year without flying, the aircraft should be transferred to Harare for maintenance purposes. While in cruising altitude over DRC, the aircraft entered an uncontrolled descent and crashed in a dense wooded area near Massamba, Bandundu Province. The aircraft disintegrated on impact and all 7 occupants were killed.

Crash of a Rockwell Shrike Commander 500S off Alice Town

Date & Time: Jun 9, 2008 at 1401 LT
Operator:
Registration:
N501AP
Flight Type:
Survivors:
Yes
Schedule:
Nassau – Fort Lauderdale
MSN:
500-3224
YOM:
1974
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
On June 9, 2008, about 1401 eastern daylight time, an Aero Commander 500S, N501AP, registered to and operated by Gramar 500, Inc., experienced a loss of engine power in both engines and was ditched in the Atlantic Ocean about 1/2 mile south of North Bimini, Bahamas. Visual meteorological conditions prevailed in the area and a visual flight rules flight plan was filed for the 14 Code of Federal Regulations (CFR) Part 91 personal flight from Nassau International Airport (MYNN), Nassau, Bahamas, to Ft. Lauderdale Executive Airport (FXE), Ft. Lauderdale, Florida. The airplane was destroyed due to salt water immersion, and the airline transport rated pilot, the sole occupant, was not injured. The pilot stated that when the flight was past Bimini, the right engine started running rough and losing power. He turned southeast to enter a left base for runway 09 at South Bimini Airport, and the left engine also began to run rough and lost power. The pilot ditched the aircraft, evacuated into a life raft, and was rescued by a pleasure boater. The pilot also stated that 25 gallons of fuel were added while at MYNN, for a total fuel supply of 90 gallons. Both engines were test run 8 days after the accident using a test propeller. Both engines ran to near maximum RPM. One magneto from each engine was replaced prior to the test run.

Crash of an Antonov AN-12BP in Chelyabinsk: 9 killed

Date & Time: May 26, 2008 at 2011 LT
Type of aircraft:
Operator:
Registration:
RA-12957
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Chelyabinsk - Perm
MSN:
8 3 455 08
YOM:
1968
Flight number:
GIA9675
Country:
Region:
Crew on board:
9
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
9
Aircraft flight hours:
42817
Aircraft flight cycles:
14828
Circumstances:
Following an uneventful cargo flight from Moscow to Chelyabinsk where a load of 9 tons of various goods was deplaned, the aircraft was ferried to Perm. One minute after takeoff from Chelyabinsk Airport runway 09, while climbing in marginal weather conditions, the crew declared an emergency and reported smoke in the cockpit. After being cleared to return, the crew completed a circuit. During a third turn to the left, while in a left bank of 15° and at a speed of 335 km/h, both left engines failed and their propellers autofeathered. About 40 seconds later, the aircraft entered a right turn then descended to the ground and crashed in an open field located 11 km from Chelyabinsk Airport, bursting into flames. The accident occurred 8 minutes after takeoff. The aircraft was totally destroyed and all 9 occupants were killed.
Probable cause:
The accident was the result of a loss of controllability due to the destruction of the aileron control cables while carrying out an emergency approach to Chelyabinsk Airport after smoke spread in the cabin and the cockpit. The destruction of aileron wiring occurred, presumably, in the area of the 23-25 web frames of the cargo hold. The reason for the destruction of the wiring installation has most likely been a significant heating of a control rod located in this zone, made of alloy D16-T, and its subsequent break under tension-load operation. Heating of the control rod could be a consequence of fire of the aircraft's electricity network, in immediate proximity of the control rod. This led smoke to spread in the cargo hold, unexpected triggering of alarm systems, aircraft equipment failures, and the auto-shutdown of two engines. Electrical bunch-conductors, distributors, blocks and aggregates of the aeronautical equipment, located in the 15-25 frames zone (ceiling of the cargo compartment) came under intense attack by fire, resulting in a collision collision with the ground, as a result of which it was impossible to accurately determine the primary origin and reason of the fire.

Crash of an Antonov AN-32B in Chişinău: 8 killed

Date & Time: Apr 11, 2008 at 2217 LT
Type of aircraft:
Registration:
ST-AZL
Flight Type:
Survivors:
No
Schedule:
Chişinău – Antalya – Khartoum
MSN:
30 09
YOM:
1992
Country:
Region:
Crew on board:
4
Crew fatalities:
Pax on board:
4
Pax fatalities:
Other fatalities:
Total fatalities:
8
Aircraft flight hours:
2668
Aircraft flight cycles:
1954
Circumstances:
Following a maintenance program in Chişinău, the aircraft was ferried back to Khartoum via Antalya. On board were four passengers, four crew members and a load consisting of 2 tons of oil and various equipments. Shortly after takeoff, while in initial climb, the crew informed ATC about the failure of the transponder and was cleared for an immediate return. Too low on final approach, the aircraft struck the ILS antenna and crashed in a field located 200 metres short of runway, bursting into flames. All 8 occupants, among them 4 technicians, were killed. The aircraft was totally destroyed by a post crash fire.
Probable cause:
The accident was the consequence of a premature descent on part of the crew, combined with an incorrect evaluation of the altitude while completing a visual approach by night. The crew had little experience with night flights, which was considered as a contributing factor.

Ground accident of a Rockwell Sabreliner 80 in Fort Lauderdale

Date & Time: Feb 1, 2008 at 1542 LT
Type of aircraft:
Operator:
Registration:
N3RP
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Fort Lauderdale - Brooksville
MSN:
380-42
YOM:
1976
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
8500
Captain / Total hours on type:
350.00
Copilot / Total flying hours:
14400
Copilot / Total hours on type:
360
Aircraft flight hours:
5825
Circumstances:
The Rockwell International Sabreliner had just been released from the repair station following several months of maintenance, primarily for structural corrosion control and repair. According to the pilots, they began to taxi away from the repair station. Initially, the brakes and steering were satisfactory, but then failed. The airplane then contacted several other airplanes and a tug with an airplane in tow, before coming to a stop. The airplane incurred substantial damage as a result of the multiple collisions. Neither crewmember heard or saw any annunciations to alert them to a hydraulic system problem. Postaccident examination revealed that there was no pressure in the normal hydraulic system, as expected, and that the auxiliary system pressure was adequate to facilitate emergency braking. Additional examination and testing revealed that the aural warning for low hydraulic system pressure was inoperative, but all other hydraulic, steering, and braking systems functioned properly. Both the pilot and copilot were type-rated in the Sabreliner, and each had approximately 350 hours of flight time in type. Neither crewmember had any time in Sabreliners in the 90 days prior to the accident. Operation of the emergency braking system in the airplane required switching the system on, waiting for system pressure to decrease to 1,700 pounds per square inch (psi), pulling the "T" handle, and then pumping the brake pedals 3 to 5 times. In addition, the system will not function if both the pilot's and copilot's brake pedals are depressed simultaneously. The investigation did not uncover any evidence to suggest the crew turned on the auxiliary hydraulic system, or waited for the system pressure to decrease to 1,700 psi in their attempt to use the emergency braking system.
Probable cause:
The depletion of pressure in the normal hydraulic system for an undetermined reason, and the pilots' failure to properly operate the emergency braking system. Contributing to the accident was an inoperative hydraulic system aural warning.
Final Report: