Crash of a Cessna 414 Chancellor in North Palm Beach

Date & Time: Oct 8, 2020 at 1115 LT
Type of aircraft:
Operator:
Registration:
N8132Q
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
North Palm Beach - Claxton
MSN:
414-0032
YOM:
1969
Crew on board:
2
Crew fatalities:
Pax on board:
5
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
1987
Captain / Total hours on type:
897.00
Copilot / Total flying hours:
149
Copilot / Total hours on type:
5
Aircraft flight hours:
6377
Circumstances:
The copilot, who was seated in the right seat, reported that after an uneventful run-up and taxi, the pilot, who was seated in the left seat, initiated the takeoff. The airplane remained on the runway past the point at which takeoff should have occurred and the copilot observed the pilot attempting to pull back on the control yoke but it would not move. The copilot then also attempted to pull back on the control yoke but was also unsuccessful. Observing that the end of the runway was nearing, the copilot aborted the takeoff by reducing the throttle to idle and applying maximum braking. The airplane overran the runway into rough and marshy terrain, where it came to rest partially submerged in water. Postaccident examination of the airplane and flight controls found no evidence of preimpact mechanical malfunctions or failures that would have precluded normal operation. Specifically, examination of the elevator flight control rigging, in addition to functional checks of the elevator, confirmed continuity and normal function. Additionally, the flight control lock was found on the floor near the rudder pedals on the left side of the cockpit. Due to a head injury sustained during the accident, the pilot was unable to recall most of the events that transpired during the accident. The pilot did state that he typically removed the control lock during the preflight inspection and that he would place it in his flight bag. He thought that a shoulder injury may have led to the control lock missing the flight bag, and why it was found behind the rudder pedals after the accident. Review and analysis of a video that captured the airplane during its taxi to the runway showed that the elevator control position was similar to what it would be with the control lock installed. While the pilot and copilot reported that they did not observe the control lock installed during the takeoff, the position of the elevator observed on the video, the successful postaccident functional test of elevator, and the unsecured flight control lock being located behind the pilot’s rudder pedals after the accident suggest that the control anomaly experienced by the pilots may have been a result of the control lock remaining inadvertently installed and overlooked by both pilots prior to the takeoff. According to the airframe manufacturer’s preflight and before takeoff checklists, the flight control lock must be removed during preflight, prior to engine start and taxi, and the flight controls must be checked prior to takeoff. Regardless of why the elevator control would not move during the takeoff, a positive flight control check prior to the takeoff should have detected any such anomaly. It is likely that the pilot failed to conduct a flight control check prior to takeoff. Further, the pilot failed to abort the takeoff at the first indication that there was a problem. Although delayed, the copilot’s decision to take control of the airplane and abort the takeoff likely mitigated the potential for more severe injury to the occupants and damage to the airplane.
Probable cause:
The pilot’s inadequate preflight inspection during which he failed to detect a flight control abnormality, and his failure to expediently abort the takeoff, which resulted in the co-pilot performing a delayed aborted takeoff and the subsequent runway overrun.
Final Report:

Crash of a Piper PA-46R-350T Matrix in Vannes

Date & Time: Oct 5, 2020 at 1415 LT
Registration:
N898BB
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Vannes - La Môle
MSN:
46-92057
YOM:
2008
Location:
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
845
Captain / Total hours on type:
565.00
Circumstances:
On the morning of the day of the accident, the pilot, accompanied by a passenger, flew under IFR flight mode from La Môle (83) to Quiberon (56). The flight took 3 hours and 40 minutes and the return was scheduled in the afternoon. After landing in Quiberon, the pilot learned that there was no possibility to refuel with AVGAS, information that was not specified by NOTAM. The pilot then decided to refuel at Vannes-Meucon Airport before leaving to St Tropez-La Môle. He said he was upset by this situation and by the bad weather conditions in the area. During the pre-flight visit to Quiberon, the pilot added oil. He indicates that he also carried out a pre-flight inspection before takeoff from Vannes. During the takeoff roll from runway 22 at Vannes-Meucon Airport, the rotation took place in the first third of the runway. Just after liftoff, he saw the engine cowling open. He immediately thaught he forgot to tighten the dipstick and decided to abort the takeoff and landed on the remaining runway. The runway being long, he believed he can stop before the runway end. He put the power levers in the "full, reduced and choke" position and tried to land the plane quickly. As the aircraft already reached a high speed, it landed 200 metres short of runway end and deviated longitudinally and crossed the runway end safety area, known as RESA. It came to a stop a 100 metres further on an embankment. The left wing was partially torn off and the aircraft was damaged beyond repair. There was no fire. Both occupants escaped uninjured.
Final Report:

Crash of a Piper PA-46-500TP Malibu Meridian in Lake Elmo

Date & Time: Oct 2, 2020 at 1512 LT
Registration:
N62ZM
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Lake Elmo - Mesquite
MSN:
46-97087
YOM:
2001
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
3828
Captain / Total hours on type:
42.00
Aircraft flight hours:
2850
Circumstances:
On October 2, 2020, about 1512 central daylight time (CDT), a Piper PA-46-500TP, N62ZM, was substantially damaged when it was involved in an accident near Lake Elmo, Minnesota. The airline transport pilot sustained serious injuries. The airplane was operated as a Title 14 Code of Federal Regulations (CFR) Part 91 personal flight. The pilot reported that shortly after takeoff from runway 32 at the Lake Elmo airport (21D) and following landing gear retraction, he noticed a “hiccup” in the engine power and immediately started a turn back towards the airport. During the turn, all engine power was lost and the pilot executed a forced landing into a field of standing corn. The airplane impacted the terrain, bounced, and came to rest upright in the corn about ½ mile northwest of the departure end of runway 32. The airplane sustained substantial damage to the right wing as a result of the impact and post-crash fire. The airplane was equipped with a Pratt & Whitney PT6A turboprop engine.
Probable cause:
A total loss of engine power for reasons that could not be determined.
Final Report:

Crash of a Socata TBM-850 in Corfu: 2 killed

Date & Time: Oct 2, 2020 at 1144 LT
Type of aircraft:
Operator:
Registration:
N965DM
Flight Type:
Survivors:
No
Schedule:
Manchester - Buffalo
MSN:
527
YOM:
2009
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
960
Captain / Total hours on type:
239.00
Aircraft flight hours:
1181
Circumstances:
The airplane was in cruise flight at FL280 when the instrument-rated pilot failed to contact air traffic control (ATC) following a frequency change assignment. After about 25 minutes, and when 30 miles east of the destination airport, the pilot contacted ATC on a frequency other than the one that was assigned. He requested the instrument landing system (ILS) approach at his intended destination, and the controller instructed the pilot to descend to 8,000 ft and to expect vectors for the ILS approach at the destination airport. The controller asked the pilot if everything was “okay,” to which the pilot replied, “yes sir, everything is fine.” The controller then observed the airplane initiate a descent. About 2 minutes later, the controller asked the pilot where he was headed, and the pilot provided a garbled response. The controller instructed the pilot to stop his descent at 10,000 ft, followed by an instruction to stop the descent at any altitude. The pilot did not respond, and additional attempts to contact the pilot were unsuccessful. The airplane impacted terrain in a heavily wooded area 17 miles from the destination airport. Rhe aircraft disintegrated on impact and both occupants were fatally injured.
Probable cause:
The pilot’s failure to maintain control of the airplane for undetermined reasons during the descent to the destination airport.
Final Report:

Crash of a Cessna 208B Grand Caravan in Guaymaral

Date & Time: Sep 22, 2020 at 0655 LT
Type of aircraft:
Registration:
HK-4669G
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Guaymaral – Flandes
MSN:
208B-0968
YOM:
2002
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
4
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
13220
Captain / Total hours on type:
1506.00
Aircraft flight hours:
2830
Circumstances:
After takeoff from Guaymaral-Flaminio Suárez Camacho Airport runway 29, while climbing to a height of 200 feet, the engine suffered and explosion and lost power. The airplane started to descend, impacted a brick wall and lost its undercarriage. It then crash landed in a prairie and slid for few dozen metres before coming to rest. All five occupants escaped uninjured. The accident occurred three minutes after takeoff.
Probable cause:
The investigation determined that the accident was caused by the following probable causes:
- Emergency landing of the aircraft on an unprepared field, as a result of a decrease in power, generated by engine failure.
- An engine failure caused by the fracture of three (3) blades of the rotor disk of the high pressure compressor, which caused severe backwards damage to the hot and power section.
Contributing Factors:
- Non-compliance in the engine maintenance process, of what was ordered in AD. No. 2014-17-08R1 FAA (year 2014), which establishes the replacement of the engine blades high pressure compressor in anticipation of material failures in these components.
- Deficient maintenance processes by the provider of this service to the aircraft HK4669G, by not detecting the condition of the high-pressure rotor blades in the boroscopic inspections of the high pressure during routine boroscopic inspections.
- Deficient verification of the Operator's contracted maintenance processes, by not verifying the quality and compliance the quality and full compliance of these processes by the maintenance service provider.
Final Report:

Crash of a Piper PA-46-310P Malibu in Hilltop Lakes: 4 killed

Date & Time: Sep 20, 2020 at 1050 LT
Operator:
Registration:
N236KM
Flight Type:
Survivors:
No
Schedule:
Horseshoe Bay – Natchitoches
MSN:
46-8508014
YOM:
1985
Crew on board:
1
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
4
Captain / Total flying hours:
1107
Circumstances:
While in cruise flight at 19,000 ft mean sea level (msl), the pilot declared an emergency to air traffic control and stated that the airplane had lost engine power and that he needed to divert. The pilot elected to divert to an airport that was about 5 miles south of his position. Archived automatic dependent surveillance-broadcast data and commercially available flight track data showed that a descent was initiated from 19,000 ft and the airplane proceeded directly to, and circled around, the airport one time while descending. The last data point showed the airplane at 1,250 ft msl (about 750 ft above ground level) and about 1 mile north of the approach end of the runway. From the cruise altitude of 19,000ft until the last data point, about 12 minutes and 45 seconds had elapsed, which equated to an average descent rate of about 1,392ft per minute. Witnesses located about 1/4 mile south of the end of the runway on a miniature golf course noticed the propeller on the airplane was not turning. They stated that they saw the airplane in a “really hard” left bank; the nose of the airplane dropped, and it impacted the ground in a near vertical attitude. The airplane came to rest along a road about 200 ft south of the airport property. The airplane impacted the terrain in a nose low, near vertical attitude and sustained substantial damage to fuselage and both wings. It is likely that, based on the location of the runway, relative to the miniature golf course, the pilot initiated the left bank to avoid bystanders on the ground and inadvertently exceeded the wing’s critical angle of attack, which resulted in an aerodynamic stall. The airplane was equipped with an engine trend monitor (ETM), which captured various events concerning the accident flight, including engine start, operating limit exceedances, and power checks. The ETM captured a power check while the airplane was at 19,100 ft. About 3 minutes 32 seconds later, an engine off event was recorded. The ETM further captured a logon message, which was consistent with the power being cycled, at an altitude of 3,542 ft, 9 minutes, 52 seconds later. The ETM did not record any start attempts between the logged engine off event and when power was lost to the unit. A postaccident examination of the airframe, engine, and accessories did not reveal any mechanical malfunctions or anomalies that would have precluded normal operation. Although it cannot be determined whether a restart attempt would have been successful, the data were consistent with a restart not being attempted. Both the engine failure and power off landing checklists contained instructions for the pilot to establish the airspeed at 90 knots; however, when the winds aloft were applied to the reported groundspeeds, it was evident this did not occur. Furthermore, the power off landing checklist instructed the pilot to be about 1,500 ft above the airport on the downwind leg; however, data indicate that the airplane was about 5,000 ft above the airport on the downwind leg. The rapid descent from 5,000 ft on the downwind leg to about 750 ft above ground level on the final leg resulted in an unstabilized approach.
Probable cause:
The loss of engine power for reasons that could not be determined and the pilot’s failure to maintain control of the airplane which resulted in an aerodynamic stall and spin. Contributing to the accident was the pilot’s failure to establish and maintain a proper glidepath.
Final Report:

Crash of a North American TB-25N Mitchell in Stockton

Date & Time: Sep 19, 2020 at 1925 LT
Registration:
N7946C
Flight Type:
Survivors:
Yes
Schedule:
Vacaville - Stockton
MSN:
108-33263
YOM:
1944
Crew on board:
3
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
5100
Captain / Total hours on type:
296.00
Aircraft flight hours:
8099
Circumstances:
While the airplane was in cruise flight and being flown by the copilot, the left engine fuel pressure fluctuated, which was followed by a brief loss of engine power. Concerned that the airplane might have a failed engine-driven fuel pump, the pilot turned the boost pumps to high and asked the passenger (the airplane’s mechanic) to open the fuel cross-feed valve. As the airplane approached its intended destination, both fuel pressure needles began to fluctuate. The pilot assumed that fuel starvation to the engines was occurring and decided to make an off-airport landing to a field behind their airplane’s position due to residential areas located between the airplane’s location and the airport. The pilot stated that he took control of the airplane from the copilot and initiated a right turn toward the field, and that, shortly afterward, both engines lost total power. During the landing roll, the pilot observed a ditch in front of the airplane and was able to get the airplane airborne briefly to avoid the first ditch; however, he was not able to avoid a second, larger ditch. Subsequently, the airplane struck the second ditch, became airborne, and impacted the ground, which resulted in substantial damage to the fuselage. Recovery company personnel reported that, during recovery of the wreckage, about 1 gallon of fuel was removed from the two forward and the two aft wing fuel tanks. Postaccident examination of the airplane revealed no evidence of any pre-existing anomalies that would have precluded normal operation of either engine except that all four main fuel tank fuel gauges displayed erroneous indications after each tank was filled with water. No leaks were observed throughout the fuel system. The airplane was last refueled on the day before the accident with 497.7 gallons. When the airplane was last refueled, the fuel tanks were reportedly filled to about 3 inches below the fuel filler neck. The investigation could not determine, based on the available evidence for this accident, how much of the airplane’s fuel load (maximum capacity was 670 gallons) the airplane had onboard after it was refueled. Additionally, the pilot reported that he commonly used a fuel burn rate of 150 gallons per hour for flight planning purposes; that figure included takeoff fuel burn. Recorded automatic dependent surveillance broadcast data showed that the airplane had flown for 4 hours 1 minute since refueling and included six takeoffs and five landings (but did not include taxi times). As part of the investigation, the pilot estimated that 485.9 gallons of fuel had been used since the last refueling. However, on the basis of the pilot’s initial planned fuel load and recorded flight times, the airplane would have used about 600 gallons of fuel. The pilot later submitted an estimated fuel burn for the flights since refueling of 485.9 gallons. The flight manual did not have fuel burn references for the exact power settings and altitudes flown; thus, the hourly fuel burn could not be determined. The pilot, copilot, and passenger did not visually verify the fuel levels in all four main fuel tanks before the accident flight. The pilot also underestimated the amount of fuel that would be used for the planned flights. As a result, fuel exhaustion occurred, which led to a total loss of engine power.
Probable cause:
A total loss of engine power due to fuel exhaustion. Contributing to the accident was the erroneous fuel gauge indications and inadequate preflight planning and inspection.
Final Report:

Crash of a Cessna 208B Grand Caravan in Maji Moto

Date & Time: Sep 11, 2020
Type of aircraft:
Operator:
Registration:
5Y-CDH
Flight Type:
Survivors:
Yes
MSN:
208B-0608
YOM:
1997
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
Crashed in unknown circumstances in Maji Moto, Rift Valley. All three occupants escaped with various injuries and the aircraft was destroyed.

Crash of a Cessna 401A in Arnsberg

Date & Time: Aug 28, 2020 at 1602 LT
Type of aircraft:
Operator:
Registration:
N401JP
Flight Type:
Survivors:
Yes
Schedule:
Marl – Arnsberg
MSN:
401A-0046
YOM:
1969
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
6300
Captain / Total hours on type:
500.00
Aircraft flight hours:
4568
Aircraft flight cycles:
5945
Circumstances:
At 1541 hrs, the airplane took off from Marl-Lohmühle Airfield with the pilot and 2 passengers on board to a VFR flight to Arnsberg-Menden Airfield which is located approximately 30 NM to the south-east. One of the passengers was seated in the right-hand seat next to the pilot and the other in the passenger seat behind the pilot. The radar recording of the air navigation service provider showed that the airplane climbed up to 2,200 ft AMSL. Ten minutes after take-off, the pilot established radio contact with Dortmund Tower with the request to cross Dortmund Airport control zone via the reporting point WHISKEY towards reporting point ECHO on his way to Arnsberg. At 1552:14 hrs, the tower controller answered: “[…] melden Sie WHISKEY und dann erwarten Sie Durchflug nach Arnsberg oder ECHO, wie Sie möchten, QNH eins null null eins (report WHISKEY and then expect cross flight to Arnsberg or ECHO, as you like, QNH one zero zero one)“. The pilot confirmed QNH and approach point. At 1555:22 hrs, the pilot reported having reached reporting point WHISKEY at 2,200 ft AMSL. The controller approved the flight through the control zone towards the south. The GPS and radar data showed that at 1556 hrs, the airplane turned tight towards 120° to a direct heading to Arnsberg. At 1559 hrs, as the airplane had left the control zone the controller issued the clearance to leave Tower frequency. At 1600 hrs, about 2.5 NM west of the destination aerodrome, the airplane turned left towards the east. About one minute later the airplane intersected the extended runway centre line of runway 23 at a distance of 0.7 NM from the threshold with an eastern heading. At the time, ground speed was approximately 150 kt. At 1601:39 hrs, the airplane turned left towards the final approach of runway 23. At 1602 hrs, about 1 NM from the threshold of runway 23 at about 1,500 ft AMSL, the airplane reached the extended runway centre line. The Flugleiter (A person required by German regulation at uncontrolled aerodromes to provide aerodrome information service to pilots.) stated that during final approach flaps and landing gear of the airplane had been extended. The approach looked normal. For a short time he had no longer observed the airplane because he had made some entries in the computer. His colleague had then addressed him and drew his attention to the speed of the airplane. The Flugleiter saw that the airplane had an upward large pitch angle, then plunged and disappeared from his sight. The airplane impacted the ground and the 3 occupants suffered severe injuries. The Flugleiter stated he had tried in vain to contact the pilot twice and then raised the alarm. His colleague and other first aiders had driven to the accident site immediately.
Probable cause:
The accident was due to:
• The pilot did not correct the approach by increasing engine power or did not abort the approach.
• The pilot did not monitor the airspeed during the final approach and steered the airplane into an uncontrolled flight attitude during the flare.
To the accident contributed that:
• The approach was not stabilized and not aborted.
• The pilot did not pay attention to the PAPI indication and did not perceive the stall warning.
• The large number of continuously changing approach parameters most likely exceeded the limits of the pilot’s capabilities and subsequently, the airplane was no longer controlled in a goal-oriented manner.
• The runway markings did not comply with the required standards.
Final Report:

Crash of a Cessna 340A in Orléans

Date & Time: Aug 10, 2020 at 1355 LT
Type of aircraft:
Operator:
Registration:
N413JF
Flight Type:
Survivors:
Yes
Schedule:
Perpignan – Orléans
MSN:
340A-0746
YOM:
1979
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
2635
Captain / Total hours on type:
41.00
Circumstances:
Then twin engine airplane departed Perpignan-La Llabanère Airport on a private flight to Orléans, carrying one passenger and one pilot. On final approach to Orléans-Loiret Airport (ex Saint-Denis-de-l’Hôtel), the pilot encountered a loss of power on the left engine. He attempted an emergency landing when the airplane impacted trees and crash landed in a wooded area located about 3 km short of runway 23, bursting into flames. Both occupants escaped uninjured while the airplane was totally destroyed by a post crash fire.
Probable cause:
The exact cause of the loss of power on the left engine could not be determined. The pilot, concentrating on monitoring the approach parameters, did not immediately realize the left engine malfunction. He noticed that the aircraft's rate of descent was too high to follow the standard approach slope. The pilot first attempted to go around and reconfigured the aircraft to do so by retracting the landing gear and flaps. In spite of these actions, the pilot noticed that the power delivered by the aircraft's engines did not allow him to recover the plane and understood, by being aware of the action of his right foot on the rudder pedal, that the power delivered by the left engine was abnormally low. Given the low height of the plane at the time of this observation, the pilot decided to land in the country. Contributing to the high rate of descent after the occurrence of the left engine malfunction was the fact that the drags were extended at the time the engine power decreased and the fact that the left propeller probably windmilling until the landing.
Final Report: