Crash of a Rockwell Grand Commander 690B in the Pacific Ocean: 9 killed

Date & Time: Oct 2, 1994 at 1315 LT
Operator:
Registration:
VH-SVQ
Flight Phase:
Survivors:
No
Schedule:
Sydney - Williamtown - Lord Howe Island
MSN:
690-11380
YOM:
1977
Flight number:
CD111
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
8
Pax fatalities:
Other fatalities:
Total fatalities:
9
Captain / Total flying hours:
2915
Captain / Total hours on type:
60.00
Aircraft flight hours:
6014
Circumstances:
At 1018 hours EST, on Sunday 2 October 1994, the pilot submitted a flight plan by telephone to the Melbourne Regional Briefing Office of the Civil Aviation Authority. The flight plan indicated that Aero Commander 690 aircraft VH-SVQ would be conducting a regular public transport service, flight CD 111, from Sydney (Kingsford-Smith) Airport to Lord Howe Island with an intermediate landing at Williamtown. The flight was planned to operate in accordance with instrument flight rules with a nominated departure time from Sydney of 1100 hours. The aircraft was crewed by one pilot. The aircraft departed Sydney at 1117, carrying baggage that had been off-loaded from another company service which was to operate direct from Sydney to Lord Howe Island that day. The flight to Williamtown apparently proceeded normally and the aircraft arrived at about 1140. The company had no ground-based representatives at Williamtown but the pilot was observed by other persons in the terminal building to converse with passengers before proceeding to the aircraft. No other person saw the pilot and the passengers board the aircraft. At 1206 the pilot informed Sydney Flight Service that the aircraft was taxiing at Williamtown for Lord Howe Island and that he intended climbing to flight level (FL) 210. Departure was subsequently reported as 1208 when the pilot reported tracking 060 on climb to FL230 which was the original planned cruising level. The pilot reported passing 20,000 feet on climb to FL210 at 1229 and shortly afterwards asked if VH-IBF, a company aircraft flown by the chief pilot and operating from Sydney direct to Lord Howe Island, had departed. The pilot was advised that it had departed. The radar trace showed that the climb was discontinued at 20,400 ft at 1231:22. Three seconds later the aircraft commenced descent. The last recorded radar trace for SVQ was at 19,800 ft at 1232:54. The pilot of SVQ did not report at the position ‘Shark’ at 1232 as scheduled in his flight plan, and at 1235 he notified that the aircraft had commenced a descent to FL130. At 1238, the pilot of SVQ asked Sydney Flight Service if IBF was listening on high frequency and was advised that the aircraft was not due on frequency for another 30 minutes. He requested that the pilot of IBF call him on the company VHF frequency and reported that the aircraft had just passed ‘Shark’ and he would shortly provide an estimate for the next position, ‘Shrimp’. At 1245, he provided an estimate for ‘Shrimp’ of 1310 and stated that the aircraft was maintaining FL160. No explanation of the amended level was given by the pilot or sought by Sydney Flight Service. The chief pilot subsequently stated that he contacted SVQ on company frequency at about 1240 and that the pilot of that aircraft reported a severe vibration which he thought was caused by airframe or propeller icing. He also confirmed that he had turned the propeller heat on. The chief pilot recalled that he asked the pilot of SVQ if the cockpit indication showed that the propeller heat was working normally, to which he replied ‘yes its working’. During this period, the chief pilot and the pilot of SVQ had also discussed crew rostering. Prior to contact with the chief pilot, the pilot of SVQ contacted the pilot of VH-SVV, another company aircraft which was operating a flight from Coffs Harbour to Lord Howe Island. At 1316, after SVQ had not reported at the ‘Shrimp’ position, Sydney Flight Service commenced communications checks but was unable to establish communications with SVQ directly or through any other aircraft. At 1325 an uncertainty phase was declared and the Melbourne Rescue Coordination Centre was subsequently notified at 1331. At 1401 the duty officer at the Melbourne Rescue Coordination Centre contacted the Lord Howe Island aerodrome terminal and left a message for the pilot of IBF to telephone the Centre. After the arrival of IBF at Lord Howe Island, the company managing director, who was also on board the aircraft, called the Melbourne Search and Rescue Centre at 1410 to inquire about SVQ. Arrangements were made by the company and Civil Aviation Authority search and rescue to organise search aircraft and a distress phase was declared at 1411. Subsequently, the crews of IBF and SVV reported hearing a radio transmission from the pilot of SVQ, stating that he had ‘lost it’. Attempts at the time by the chief pilot to contact SVQ were unsuccessful.
Probable cause:
The factors that directly related to the loss of the aircraft could not be determined.
Final Report:

Crash of a Yakovlev Yak-40 near Vanavara: 28 killed

Date & Time: Sep 26, 1994 at 1738 LT
Type of aircraft:
Registration:
RA-87468
Survivors:
No
Schedule:
Krasnoyarsk - Tura
MSN:
9 44 13 37
YOM:
1974
Country:
Region:
Crew on board:
4
Crew fatalities:
Pax on board:
24
Pax fatalities:
Other fatalities:
Total fatalities:
28
Aircraft flight hours:
22203
Aircraft flight cycles:
17220
Circumstances:
Following an uneventful flight from Krasnoyarsk, the crew was approaching Tura Airport when he encountered poor weather conditions and limited visibility upon arrival. Unable to establish a visual contact with the runway, the crew decided to initiate a go-around and followed a holding pattern. Two other approaches were abandoned during the following minutes. Eventually, the crew decided to divert to Vanavara Airport which is located 450 km southeast of Tura. Following a total flight time of 3 hours and 45 minutes, while descending to Vanavara Airport, all three engines stopped simultaneously. The captain attempted an emergency landing in a cleared area when the aircraft struck trees at a speed of 235 km/h. Out of control, it crashed on the shore of the Chamba river, coming to rest upside down. The wreckage was found 41 km north-northwest of Vanavara and all 28 occupants were killed.
Probable cause:
It was determined that all three engine failed simultaneously due to a fuel exhaustion. Following a poor flight planning, the crew decided to chose Vanavara as the alternate airport (450 km from Tura) while the airport of Baykit was located 110 km from Tura and weather conditions were good at this time.
The following contributing factors were reported:
- The crew incorrectly calculated the total amount of fuel necessary for the request flight and the alternate airport,
- The crew was unaware of the deterioration of the weather conditions in Tura after the ground personnel based at Tura Airport failed to conduct efficient observations and inform the crew accordingly,
- The deviation, allowed by crew during the first straight-in approach, which was caused, probably, by short-term de-energizing of the Outer Marker beacon and by incorrect determination by the crew of removal to VPP under these conditions,
- Failure of the crew to monitor the approach pattern parameters during the second and third approaches to Tura Airport in below minimums visibility,
- The crew started the descent to Vanavara Airport prematurely following a wrong flight altitude selection.

Crash of a Boeing 737-3B7 in Aliquippa: 132 killed

Date & Time: Sep 8, 1994 at 1903 LT
Type of aircraft:
Operator:
Registration:
N513AU
Survivors:
No
Schedule:
Chicago – Pittsburgh
MSN:
23699
YOM:
1987
Flight number:
US427
Crew on board:
5
Crew fatalities:
Pax on board:
127
Pax fatalities:
Other fatalities:
Total fatalities:
132
Captain / Total flying hours:
12000
Captain / Total hours on type:
3269.00
Copilot / Total flying hours:
9119
Copilot / Total hours on type:
3644
Aircraft flight hours:
23846
Aircraft flight cycles:
14489
Circumstances:
The aircraft crashed while maneuvering to land at Pittsburgh International Airport, Pittsburgh, Pennsylvania. Flight 427 was operating under the provisions of 14 Code of Federal Regulations Part 121 as a scheduled domestic passenger flight from Chicago-O'Hare International Airport, Chicago, Illinois, to Pittsburgh. The flight departed about 1810, with 2 pilots, 3 flight attendants, and 127 passengers on board. The airplane entered an uncontrolled descent and impacted terrain near Aliquippa, Pennsylvania, about 6 miles northwest of the destination airport. All 132 people on board were killed, and the airplane was destroyed by impact forces and fire. Visual meteorological conditions prevailed for the flight, which operated on an instrument flight rules flight plan.
Probable cause:
A loss of control of the airplane resulting from the movement of the rudder surface to its blowdown limit. The rudder surface most likely deflected in a direction opposite to that commanded by the pilots as a result of a jam of the main rudder power control unit servo valve secondary slide to the servo valve housing offset from its neutral position and overtravel of the primary slide.
Final Report:

Crash of an ATR42-312 in Ameskroud: 44 killed

Date & Time: Aug 21, 1994 at 1850 LT
Type of aircraft:
Operator:
Registration:
CN-CDT
Flight Phase:
Survivors:
No
Site:
Schedule:
Agadir - Casablanca
MSN:
127
YOM:
1989
Flight number:
AT630
Country:
Region:
Crew on board:
4
Crew fatalities:
Pax on board:
40
Pax fatalities:
Other fatalities:
Total fatalities:
44
Captain / Total flying hours:
3500
Circumstances:
Ten minutes after takeoff from Agadir-Al Massira Airport, while climbing to the altitude of 16,000 feet, the aircraft nosed down and entered a rapid descent until it collided with mountainous terrain near Ameskroud, in the Atlas Mountain Range, about 24 km northeast of Agadir Airport. The aircraft disintegrated on impact and all 44 occupants were killed. Part of the left wing was found about 5 km from the main wreckage.
Probable cause:
It was reported that the captain deliberately disconnected the automatic pilot system and initiated a rapid descent after he decided to commit suicide. This official version was challenged by the Moroccan Pilot's Union.

Crash of a Douglas DC-9-31 in Monrovia

Date & Time: Aug 18, 1994 at 1058 LT
Type of aircraft:
Operator:
Registration:
5N-BBE
Survivors:
Yes
Schedule:
Banjul – Freetown – Monrovia – Accra – Lagos
MSN:
45872
YOM:
1968
Flight number:
ADK018
Country:
Region:
Crew on board:
11
Crew fatalities:
Pax on board:
74
Pax fatalities:
Other fatalities:
Total fatalities:
0
Aircraft flight hours:
62484
Circumstances:
The aircraft departed Banjul, Gambia, on an international scheduled service to Lagos with intermediate stops in Freetown, Monrovia and Accra. The approach to Monrovia-James Spriggs Payne Airport runway 23 was completed in poor weather conditions with heavy rain falls. On final, at a distance of 4 km from the runway threshold, the captain confirmed that visual contact with the runway was established and continued the approach. At an excessive speed, the airplane passed over the runway threshold at a height of 150 feet and landed too far down the runway, about 3,000 feet past its threshold. On a wet runway surface, despite full brakes and reverse thrusts were deployed, the aircraft could not be stopped within the remaining distance. It overran at a speed of 80 knots and came to rest 120 metres further, bursting into flames. All 85 occupants were rescued, among them few were slightly injured. The aircraft was destroyed by fire.
Probable cause:
Wrong approach configuration on part of the crew who completed the approach at an excessive speed and well above the glide, causing the aircraft to land too far down runway 23 which is 1,800 metres long. Poor braking action due to wet runway surface was considered as a contributing factor as well as the fact that the crew failed to initiate a go-around procedure as the landing maneuver was obviously missed.

Crash of a PZL-Mielec AN-2R near Tavda

Date & Time: Aug 18, 1994
Type of aircraft:
Operator:
Registration:
RA-40894
Flight Phase:
Survivors:
Yes
MSN:
1G215-31
YOM:
1985
Country:
Region:
Crew on board:
0
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
En route, the crew encountered technical problems and was forced to attempt an emergency landing. The aircraft crash landed in the region of Tavda and was damaged beyond repair. There were no casualties.

Crash of an Airbus A300B4-622R in Jeju

Date & Time: Aug 10, 1994 at 1122 LT
Type of aircraft:
Operator:
Registration:
HL7296
Survivors:
Yes
Schedule:
Seoul - Jeju
MSN:
583
YOM:
1990
Flight number:
KE2033
Country:
Region:
Crew on board:
8
Crew fatalities:
Pax on board:
152
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
The descent and approach to Jeju Airport was completed in poor weather conditions with turbulences and heavy rain falls as typhoon 'Doug' was passing over. On final approach, flaps were deployed at 15°/20° as the captain was suspecting windshear and microburst conditions. Twice, the copilot informed the captain about the approach speed of 147 knots which was acknowledged. The captain continued the approach but too high on the glide, the aircraft landed too far down the runway, about 1,773 metres past its threshold. On a wet runway surface, the aircraft was unable to stop within the remaining distance (1,227 metres remaining), overran at a speed of 104 knots and eventually collided with a concrete wall and military barracks, bursting into flames. All 160 occupants were quickly evacuated, among them seven were slightly injured.
Probable cause:
Wrong approach configuration on part of the crew who completed the approach at an excessive speed and too high on the glide. Investigations did not confirm any windshear or microburst conditions. The crew failed to initiate a go-around procedure.

Crash of a PZL-Mielec AN-2V in Purnema

Date & Time: Aug 1, 1994
Type of aircraft:
Operator:
Registration:
RA-50582
Survivors:
Yes
Schedule:
Onega - Purnema
MSN:
1G131-24
YOM:
1971
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
15
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
On approach to Purnema Airstrip, the crew was forced to initiate a go-around for unknown reasons. During a second attempt to land, the single engine aircraft deviated from the approach pattern and glide path, lost speed, stalled and struck the ground 57 metres short of runway threshold. The aircraft was damaged beyond repair and all 17 occupants escaped uninjured.

Crash of a Boeing 737-3W0 in Kunming

Date & Time: Jul 20, 1994 at 2226 LT
Type of aircraft:
Operator:
Registration:
B-2540
Survivors:
Yes
MSN:
27139
YOM:
1992
Country:
Region:
Crew on board:
8
Crew fatalities:
Pax on board:
140
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
The approach to Kunming-Wujiaba Airport runway 03 was completed in poor weather conditions with heavy rain falls. Following a wrong approach configuration, the crew landed at an excessive speed of 170 knots and the aircraft touched down 2,500 feet past the runway threshold. On a wet runway surface, the aircraft was unable to stop within the remaining distance, overran, struck approach lights and the ILS antenna, lost its nose gear and came to rest. All 148 occupants were rescued, among them 15 passengers were slightly injured. The aircraft was damaged beyond repair.
Probable cause:
Wrong approach configuration on part of the crew who completed the approach while too high on the glide. The following contributing factors were reported:
- Poor crew coordination,
- The crew failed to follow the approach and landing checklist,
- The crew failed to check instruments while on approach,
- The aircraft was unstable on approach,
- Poor weather conditions,
- The runway surface was wet and the braking action was reduced,
- The approach and landing speed was excessive (50 knots above standard speed),
- The aircraft landed too far down the runway (2,500 feet past the runway threshold), reducing the landing distance,
- The crew failed to initiate a go-around procedure.

Crash of an Embraer EMB-110P1 Bandeirante near Colón: 21 killed

Date & Time: Jul 19, 1994 at 1830 LT
Registration:
HP-1202AC
Flight Phase:
Survivors:
No
Schedule:
Colón – Panama City
MSN:
110-375
YOM:
1981
Flight number:
00901
Location:
Country:
Crew on board:
3
Crew fatalities:
Pax on board:
18
Pax fatalities:
Other fatalities:
Total fatalities:
21
Circumstances:
The aircraft departed Colón-Enrique Adolfo Jiménez Airport in poor weather conditions (low pressure zone). During initial climb, the aircraft suffered an explosion and crashed 10 km from the airport. The crew did not send any distress call. The aircraft disintegrated and all 21 occupants were killed, among them 12 Jewish businessman.
Probable cause:
It was reported that metal fragment were recovered on all bodies and that the 'accident' was the result of an in-flight explosion caused by the presence of a bomb places on board by members of a terrorist group called 'Ansar Allah'.