Crash of a Piper PA-60 Aerostar (Ted Smith 600) in San Juan: 1 killed

Date & Time: Jun 20, 1988 at 1252 LT
Registration:
N90360
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
San Juan - San Juan
MSN:
60-0212-093
YOM:
1975
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
7391
Captain / Total hours on type:
11.00
Aircraft flight hours:
2958
Circumstances:
As the aircraft was taxiing for takeoff, witnesses noted the left rear baggage door was unlocked and hanging down. A warning was relayed to the pilot via the tower, but by then the aircraft was airborne and the pilot had reported a control problem. During lift-off, the aircraft pitched up sharply and entered an immediate right bank of about 45°. As the gear retracted, the bank angle decreased to about 20°. The aircraft was reported to yaw slightly from side to side and circle to the right while climbing to about 1,000 feet. A witness (in radio contact) asked the pilot about the problem; the pilot replied the controls (ctls) were locked to one side. On advice of others, the pilot tried to control the aircraft with engine power adjustments, but the aircraft lost altitude to about 200 feet agl. Subsequently, while maneuvering, it struck a tree, then hit a utility pole and crashed. During impact the lower fuselage, which housed the flight control linkages, was badly damaged. No preimpact mechanical problem was verified concerning the flight controls, autopilot or trim. A pilot, who had previously flown the aircraft with the baggage door open, said he experienced no adverse control problems. The pilot, sole on board, was killed.
Probable cause:
Occurrence #1: airframe/component/system failure/malfunction
Phase of operation: takeoff - initial climb
Findings
1. (f) aircraft preflight - improper - pilot in command
2. (f) door - open
3. (c) flight control system - undetermined
----------
Occurrence #2: loss of control - in flight
Phase of operation: maneuvering
----------
Occurrence #3: in flight collision with object
Phase of operation: maneuvering
Findings
4. (f) object - tree(s)
5. (f) object - utility pole
----------
Occurrence #4: in flight collision with terrain/water
Phase of operation: descent - uncontrolled
Final Report:

Crash of a Learjet 35A in Teterboro: 4 killed

Date & Time: May 24, 1988 at 0316 LT
Type of aircraft:
Registration:
N500RW
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Teterboro - Morristown
MSN:
35-148
YOM:
1978
Crew on board:
2
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
4
Captain / Total flying hours:
8910
Captain / Total hours on type:
759.00
Aircraft flight hours:
4735
Circumstances:
Witnesses reported a normal takeoff. Radar indicated the aircraft turned right as cleared and began cruise at 1900 feet, heading northwest at 235 knots. 65 seconds after calling clear of the control zone the aircraft's radar track ended. The aircraft was fragmented by the impact with all flight control surfaces and aircraft extremities found at the impact site. Pitch trim was found in the normal cruise setting with gear, flaps, and spoilers in the retracted position. Examination of the engines indicated operation at impact. Aircraft struck the terrain in approx 80° nose down, wings level attitude and heading opposite to the previous direction of flight. In flight simulator tests, with the aircraft initially in level flight at 1,900 feet and then rolled inverted and the pitch control moved aft, the aircraft attitude was similar to the attitude at impact. There were two unauthorized passengers on board, one was the copilot's wife. The impact point was in a very small region of uncontrolled airspace very near the copilot's and relative's homes. The copilot was new to jet operations. The aircraft departed with several discrepancies uncleared. All four occupants were killed.
Probable cause:
Occurrence #1: in flight collision with terrain/water
Phase of operation: maneuvering
Findings
1. (f) light condition - dark night
2. (c) maneuver - attempted - pilot in command
3. (c) judgment - poor - pilot in command
4. (c) altitude - misjudged - pilot in command
5. (f) lack of total experience in type operation - pilot in command
6. (f) lack of total experience in type operation - copilot/second pilot
7. Operation with known deficiencies in equipment - attempted - company maintenance personnel
Final Report:

Crash of a Beechcraft E18S in Cynthiana

Date & Time: Apr 29, 1988 at 1230 LT
Type of aircraft:
Registration:
N300W
Flight Type:
Survivors:
Yes
Schedule:
Rochester – Louisville – Huntsville
MSN:
BA-92
YOM:
1955
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
1800
Captain / Total hours on type:
900.00
Aircraft flight hours:
9048
Circumstances:
The pilot was repositioning the airplane from an on-demand air taxi freight flight. He was en route from Rochester, NY to Huntsville, AL with a planned refuel stop at Louisville, KY. Near Falmouth, KY he changed his destination to Lexington 'due to a developing engine problem'. He saw the airport at Cynthiana and elected to land there. While on downwind, he noted the left engine cowling turning black and on base noted flames from the left engine. He reptd shutting the engine down and feathering the propeller but did not activate the fire extinguisher. During the landing roll, the airplane departed the runway to the right, and collided with the airport wind 't', a pole and a 't' hangar. Post accident investigation revealed that the left prop was not feathered and the fuel was not shut off. The left brake was ineffective due to fire damage. The evidence indicated that the fire began in the vicinity of the left engine accessory section. The specific fuel source of the fire was not identified.
Probable cause:
Occurrence #1: fire
Phase of operation: approach - vfr pattern - downwind
Findings
1. 1 engine
2. (c) fluid, fuel - leak
3. (f) fire extinguishing equipment - not used - pilot in command
4. (f) procedures/directives - not followed - pilot in command
----------
Occurrence #2: on ground/water collision with object
Phase of operation: landing - roll
Findings
5. (f) landing gear, normal brake system - burned
6. Object - airport facility
7. Object - pole
8. Object - building (nonresidential)
Final Report:

Crash of a BAe 3101 Jetstream 31 in Dallas

Date & Time: Mar 25, 1988 at 0830 LT
Type of aircraft:
Operator:
Registration:
N411AE
Flight Type:
Survivors:
Yes
Schedule:
Wichita Falls - Dallas
MSN:
671
YOM:
1985
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
4841
Captain / Total hours on type:
2100.00
Aircraft flight hours:
4475
Circumstances:
The copilot was flying the aircraft as it was being ferried after minor maintenance. As they were in a descent and were approaching the destination airport, the captain noted a left engine torque fluctuation of 20% to 30% and elected to secure the engine, although no yawing was noticed. During shutdown, the left propeller did not feather and drag increased until the aircraft would not sustain level flight. An attempted restart of the left engine was unsuccessful, so the captain tried to feather it again. However, the left propeller still did not feather. Subsequently, the pilots were forced to land in an open field on uneven terrain and the aircraft was damaged. An extensive investigation was made, but no cause could be found for the torque fluctuation, nor could the condition be duplicated, however, the investigation did note that the air and ground procedures for engine shutdown were similar. A variation in the ground shutdown procedures allowed for engagement of the start latches.
Probable cause:
Airplane's encounter with rought terrain during an attempted forced landing. The forced landing was necessitated after the captain used improper procedures to shutdown the left engine in flight following an unexplained torque fluctuation.
Final Report:

Crash of a Boeing 727-2H9A near Arapköy: 15 killed

Date & Time: Feb 27, 1988 at 1025 LT
Type of aircraft:
Operator:
Registration:
TC-AKD
Flight Type:
Survivors:
No
Site:
Schedule:
Istanbul - Ercan
MSN:
20930
YOM:
1974
Country:
Region:
Crew on board:
6
Crew fatalities:
Pax on board:
9
Pax fatalities:
Other fatalities:
Total fatalities:
15
Circumstances:
The crew started the descent to Ercan Airport in limited visibility due to marginal weather conditions. After being cleared for a VOR approach, the captain cancelled the IFR flight plan and descended prematurely at an altitude of 2,000 feet. He elected to make a turn to avoid the mountain when the aircraft struck the slope of a mountain (954 meters high) located about 16 km north of Ercan Airport. The aircraft disintegrated on impact and all 15 occupants were killed. The flight was completed on behalf of JAT Yugoslav Airlines. On board were six Turkish citizen (crew), seven Yugoslav citizens and two British.

Crash of a Dassault Falcon 20F in Lugano

Date & Time: Jan 15, 1988 at 0924 LT
Type of aircraft:
Registration:
VR-BJB
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Lugano - Rome
MSN:
244
YOM:
1970
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
7618
Captain / Total hours on type:
1574.00
Copilot / Total flying hours:
2747
Copilot / Total hours on type:
1456
Aircraft flight hours:
6569
Aircraft flight cycles:
6410
Circumstances:
During the takeoff roll on runway 21, just before reaching V1 (112 knots), the captain thought that the right engine lost power. He decided to abandon the takeoff maneuver and initiated an emergency braking procedure. Unable to stop within the remaining distance, the aircraft overran at a speed of about 60-70 knots, rolled in a snow covered field and eventually collided with an embankment, coming to rest, broken in two. Both pilots were injured.
Probable cause:
The accident is attributable to a rejected take-off just before reaching the critical speed of decision (V1), due to an alleged loss of power of the right engine.
The following contributing factors were reported:
- The lack of data for the calculation of the accelerate-stop distance in the operating manual (AOM) of the Dassault aircraft for takeoff on wet or contaminated runways;
- Insufficient consideration of the state of the runway, to determine the maximum take-off mass, in regard to the "accelerate-stop" distance;
- Insufficient preparation for takeoff;
- Lack of coordination between the crew at the time of engine failure;
- Insufficient mental preparation of the crew before takeoff;
- The non-inclusion of de-icing system of the engines, in dangerous meteorological conditions with freezing temperatures;
- Insufficient training of the crew on the flight simulator, especially for what concerns the problems and take-off interruption;
- Aquaplaning;
- No airbrakes extended;
- Failure to use the braking parachute.
Final Report:

Crash of a Cessna 402B in Saint-Barthélemy: 1 killed

Date & Time: Dec 27, 1987
Type of aircraft:
Registration:
N8209Q
Flight Type:
Survivors:
No
MSN:
402B-0389
YOM:
1973
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Circumstances:
On final approach, the pilot encountered strong crosswinds when he lost control of the airplane that crashed on rocks located near a beach. The aircraft was destroyed and the pilot, sole on board, was killed.

Crash of a Swearingen SA226TC Metro II in Le Puy

Date & Time: Nov 22, 1987 at 2020 LT
Type of aircraft:
Operator:
Registration:
F-GCTE
Flight Type:
Survivors:
Yes
Schedule:
Lyon - Le Puy
MSN:
TC-365
YOM:
1980
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
The crew was completing a positioning flight from Lyon-Satolas Airport to Le Puy-Loudes Airport, Haute-Loire. On final approach by night, at an altitude of 500 feet, the crew positioned both propellers to fine pitch when both engines failed simultaneously. The airplane stalled and crash landed in an open field located few hundred meters short of runway threshold. Both pilots escaped with minor injuries while the aircraft was damaged beyond repair.
Probable cause:
It was determined that weather conditions were considered as marginal at the time of the accident with icing conditions. Both engines failed after the crew positioned both propellers to fine pitch due to an excessive accumulation of ice. The crew failed to activate the engine deicing systems and also failed to restart the engine. It was also reported there was no antifreeze liquid used.

Crash of a Volpar Turboliner 18 in Saint Clair Shores

Date & Time: Nov 19, 1987 at 1725 LT
Type of aircraft:
Operator:
Registration:
N10AS
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Newark - Detroit
MSN:
N-467
YOM:
1950
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
3080
Captain / Total hours on type:
80.00
Aircraft flight hours:
15800
Circumstances:
While enroute to home base after delivery of revenue cargo, the pilot experienced a total loss of engine power in both engines due to fuel exhaustion. The pilot performed emergency procedures and set the aircraft up for a forced landing in a grassy field on the edge of a lake. The aircraft initially impacted a tree and the rocky berm of the shoreline. The contact with the berm caused the landing gear to break off, the aircraft swerved around and skidded backwards before coming to a rest about 150 feet from the lakeshore. Post accident investigation revealed less than 2 gallons of fuel in each wing tank.
Probable cause:
Occurrence #1: loss of engine power (total) - nonmechanical
Phase of operation: descent
Findings
1. (c) fluid, fuel - exhaustion
2. Engine instruments, fuel quantity gage - incorrect
3. Inattentive - pilot in command
4. (c) planning/decision - poor - pilot in command
----------
Occurrence #2: forced landing
Phase of operation: descent - emergency
----------
Occurrence #3: in flight collision with terrain/water
Phase of operation: descent - emergency
Findings
5. Object - tree(s)
6. Terrain condition - berm
7. Terrain condition - rough/uneven
8. Landing gear - collapsed
Final Report:

Crash of a Beechcraft B200 Super King Air in Leeds: 1 killed

Date & Time: Oct 19, 1987 at 0616 LT
Operator:
Registration:
G-MDJI
Flight Type:
Survivors:
No
Schedule:
Teesside – Leeds
MSN:
BB-1162
YOM:
1983
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
6000
Captain / Total hours on type:
350.00
Circumstances:
The pilot, sole on board, was completing a positioning flight from Teesside to Leeds where passengers should embark for Alicante, Spain. On approach, the visibility was poor due to low clouds. After being cleared to descend to 3,000 feet then to land on runway 14, the aircraft descended too low and crashed on the top of a hill located 3,4 km short of runway threshold. The pilot was killed.
Probable cause:
At the time of the accident, QNH was 1008 and QFE was 983. Initially the commander did not read this information back to the controller, as is 'required', nor did the controller ask him to do so, as is 'recommended' by the Manual of Air Traffic Services. The laid down descent angle for a Localiser/DME approach to runway 14 at Leeds/Bradford Airport is 3.5°. Whereas a standard 3 degree descent angle can readily be calculated and flown by a pilot using a formula of 300 feet per nautical mile, it is more difficult, particularly in single pilot operations, to calculate and achieve a 3.5° descent. An aircraft on a 3.5° approach angle, on a pressure setting of 998 mb, would pass approximately 100 feet above the accident site but, a 3° approach would result in ground contact in the area of the site.
Final Report: