Crash of a PZL-Mielec AN-2TP near Yartsevo

Date & Time: Nov 22, 1991
Type of aircraft:
Operator:
Registration:
CCCP-40596
Flight Phase:
Survivors:
Yes
Schedule:
Podkamennaya Tunguska – Yeniseysk
MSN:
1G84-49
YOM:
1967
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
11
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
En route from Podkamennaya Tunguska to Yeniseysk, while cruising at an altitude of 1,500 metres, the engine failed. The crew reduced his altitude and attempted an emergency landing when the aircraft struck trees and crashed in a wooded area located near Yartsevo. All 13 occupants were rescued while the aircraft was damaged beyond repair.
Probable cause:
Engine failure in-flight following carburetor icing. It was reported that the airplane has not been prepared for the winter season by the operator's technicians and remained in summer flight conditions. Following a flight of three hours with an OAT of -30° C, the engine failed after the carburetor got iced.

Crash of a Boeing 737-2K6 in San José

Date & Time: Nov 17, 1991
Type of aircraft:
Operator:
Registration:
EI-CBL
Survivors:
Yes
Schedule:
Tegucigalpa-Managua-San José
MSN:
20957
YOM:
1974
Country:
Crew on board:
6
Crew fatalities:
Pax on board:
36
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
The copilot was the pilot-in-command on approach to runway 07 at San José-Juan Santamaría Airport. On final approach, the crew encountered poor weather conditions and limited visibility due to fog and was unable to locate the runway and its lighting system. On short final, the captain realized that the aircraft was not properly aligned on the glide and took over controls. He attempted to correct the trajectory but the unstable aircraft continued to descend and landed to the right of the runway. The aircraft rolled for about 1,500 metres when it struck a drainage ditch. Both main landing gears were torn off and the aircraft came to rest on its belly in a grassy area. All 42 occupants evacuated safely while the aircraft was damaged beyond repair.
Probable cause:
The following factors were reported:
- Poor approach planning,
- Lack of crew coordination,
- The captain failed to initiate a go-around procedure while the aircraft was unstable and not properly aligned,
- Wrong approach configuration,
- Lack of visibility due to poor weather conditions.

Crash of an Embraer EMB-110P1 Bandeirante in Recife: 17 killed

Date & Time: Nov 11, 1991 at 2143 LT
Operator:
Registration:
PT-SCU
Flight Phase:
Survivors:
No
Site:
Schedule:
Recife - Maceió - Aracajú - Salvador
MSN:
110-314
YOM:
1980
Flight number:
NES115
Country:
Crew on board:
3
Crew fatalities:
Pax on board:
12
Pax fatalities:
Other fatalities:
Total fatalities:
17
Captain / Total flying hours:
4295
Captain / Total hours on type:
901.00
Copilot / Total flying hours:
2604
Copilot / Total hours on type:
1401
Aircraft flight hours:
3973
Circumstances:
During the takeoff roll on runway 36 at Recife-Guararapes Airport, the right engine failed. The crew decided to continue the takeoff procedure and completed the rotation after a course of 900 metres. Thirty seconds after rotation, at a height of about 100 feet, the right engine caught fire and exploded. The crew lost control of the airplane that crashed in the district of Ipsep near the airport. The aircraft and several buildings were destroyed. All 15 occupants as well as two people on the ground were killed.
Probable cause:
The accident was the consequence of the failure of the right engine during takeoff. It was determined that the temperature indicator for the right engine was faulty, displaying a lower than actual temperature. The engine operated for some time at high temperatures because of the faulty system. It was also found that, after completion, some maintenance and inspection tasks were just signed by the maintenance engineer. Signatures from the maintenance inspector were missing.
The following contributing factors were reported:
- Poor crew reaction to an emergency situation,
- Poor maintenance,
- Manufacturing deficiency,
- The crew failed to abort the takeoff procedure.
Final Report:

Crash of a Yakovlev Yak-40 in Makhachkala: 51 killed

Date & Time: Nov 7, 1991 at 1350 LT
Type of aircraft:
Operator:
Registration:
CCCP-87526
Survivors:
No
Site:
Schedule:
Elista - Makhachkala
MSN:
9 52 08 41
YOM:
1975
Flight number:
S-519
Country:
Region:
Crew on board:
4
Crew fatalities:
Pax on board:
47
Pax fatalities:
Other fatalities:
Total fatalities:
51
Circumstances:
The descent to Makhachkala was started in poor weather conditions. While over mountainous terrain, the crew failed to realize his altitude was insufficient when, at an altitude of 550 metres and at a speed of 366 km/h, the aircraft struck the slope of Mt Kukurtbash (980 metres high) located 23 km from the airport. The aircraft disintegrated on impact and all 51 occupants were killed.
Probable cause:
It was determined that the aircraft was following a wrong approach path to Makhachkala-Uytash Airport following inaccurate ATC instructions. ATC in charge transmitted wrong instructions to the crew, causing the aircraft to be off course and below the minimum prescribed altitude. The crew was unable to see and avoid the mountain due to low clouds in the area and was unaware of his exact position. It was also reported that the crew allowed 47 passengers (39 adults and 8 children) to embark in Elista while 32 seats were available on board. This caused the aircraft to take off with a total weight of 260 kilos above MTOW.

Crash of a PZL-Mielec AN-2R in Khanabad: 7 killed

Date & Time: Oct 29, 1991
Type of aircraft:
Operator:
Registration:
CCCP-40704
Flight Phase:
Survivors:
No
Schedule:
Yevlakh – Stepanakert
MSN:
1G215-02
YOM:
1985
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
5
Pax fatalities:
Other fatalities:
Total fatalities:
7
Circumstances:
En route from Yevlakh to Stepanakert, while cruising at a relative low altitude, the single engine airplane was shot down and crashed in a field near Khanabad. All seven occupants were killed. First civil airplane shot down during the war between Armenia and Azerbaijan.
Probable cause:
Shot down by ground fire from unknown origin.

Crash of a Britten-Norman BN-2A-2 Trislander III near Sampit: 17 killed

Date & Time: Oct 25, 1991
Type of aircraft:
Operator:
Registration:
PK-KTC
Flight Phase:
Survivors:
No
Site:
Schedule:
Palangkaraya - Sampit
MSN:
1017
YOM:
1975
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
15
Pax fatalities:
Other fatalities:
Total fatalities:
17
Circumstances:
Upon arrival in Sampit, the crew encountered poor weather conditions and the captain decided to initiate a go-around and to follow a holding circuit for weather improvement. The aircraft turned for about three hours over the area when it crashed in a mountainous area located few km from Sampit. All 17 occupants were killed.
Probable cause:
It is believed that the crew lost control of the airplane following a triple engine failure due to a fuel exhaustion.

Crash of a PZL-Mielec AN-28 in Shelopugino

Date & Time: Oct 23, 1991
Type of aircraft:
Operator:
Registration:
CCCP-28924
Survivors:
Yes
MSN:
1AJ008-11
YOM:
1991
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
11
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
During the last segment, at a height of about six metres, the crew reduced engine power to idle, causing the aircraft to sink rapidly and to struck the runway surface with a positive acceleration of 4,25 g. All 13 occupants escaped uninjured while the aircraft was damaged beyond repair.

Crash of a Beechcraft A90 King Air near Manu: 4 killed

Date & Time: Oct 11, 1991
Type of aircraft:
Operator:
Registration:
OB-1305
Flight Phase:
Survivors:
No
Site:
Schedule:
Cuzco - Manu
MSN:
LJ-302
YOM:
1967
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
4
Circumstances:
En route from Cuzco to Manu, while cruising at an altitude of 15,000 feet, the pilot was cleared to start the descent when the aircraft struck the slope of a mountain located few dozen km from the destination. All four occupants were killed.
Probable cause:
For unknown reasons, the pilot initiated the approach prematurely, causing the aircraft to descend below the minimum prescribed altitude.

Crash of a Let L-410UVP in Magadan

Date & Time: Sep 27, 1991
Type of aircraft:
Operator:
Registration:
CCCP-67538
Flight Phase:
Survivors:
Yes
MSN:
85 15 05
YOM:
1985
Country:
Region:
Crew on board:
0
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
During the takeoff roll, one of the pilot mistakenly raised the landing gear. The aircraft sank on its belly and slid for few dozen metres before coming to rest. There were no casualties while the aircraft was damaged beyond repair.
Probable cause:
Premature gear retraction during takeoff. Poor crew coordination.

Crash of a De Havilland DHC-6 Twin Otter 300 on Mt Nasuha: 15 killed

Date & Time: Sep 27, 1991
Operator:
Registration:
H4-SIA
Flight Phase:
Survivors:
No
Site:
Schedule:
Honiara - Kirakira
MSN:
271
YOM:
1969
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
13
Pax fatalities:
Other fatalities:
Total fatalities:
15
Circumstances:
The aircraft departed Honiara-Henderson Airport on a flight to Kirakira, carrying 13 passengers and two pilots. En route, the crew encountered poor weather conditions and while cruising at an altitude of 4,100 feet in poor visibility, the aircraft struck the southern slope of Mt Nasuha located in the southeast part of the Guadalcanal Island. The wreckage was found three days later in an isolated area and all 15 occupants were killed. It was reported that a local DME system was out of service at the time of the accident due to maintenance and the crew was flying under VFR mode in IMC conditions.
Probable cause:
Controlled flight into terrain.