Ground accident of a Fokker F27 Friendship 100 in Calcutta

Date & Time: Sep 23, 1988 at 1145 LT
Type of aircraft:
Operator:
Registration:
VT-DMB
Flight Phase:
Survivors:
Yes
Schedule:
Calcutta - Biratnagar
MSN:
10172
YOM:
1961
Flight number:
PF701
Country:
Region:
Crew on board:
4
Crew fatalities:
Pax on board:
39
Pax fatalities:
Other fatalities:
Total fatalities:
0
Aircraft flight hours:
53680
Aircraft flight cycles:
51890
Circumstances:
While taxiing at Calcutta-Dum Dum in poor visibility, the aircraft collided with a catering truck. On impact, a part of the left wing was torn off and the aircraft came to rest. All 43 occupants were evacuated safely and the aircraft was damaged beyond repair. All three people on board the catering truck were seriously injured.
Probable cause:
It was determined that the driver of the catering truck failed to observe the ground markings and was unaware he was rolling on a taxiway. The lack of visibility was a contributory factor as the crew of the F27 was unable to see and avoid the truck.

Crash of a Dornier DO228-201 in Aurangabad

Date & Time: Sep 22, 1988 at 1758 LT
Type of aircraft:
Operator:
Registration:
VT-EJT
Survivors:
Yes
Schedule:
Nagpur – Aurangabad
MSN:
8064
YOM:
1986
Country:
Region:
Crew on board:
3
Crew fatalities:
Pax on board:
5
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
18676
Circumstances:
While nearing Aurangabad, the weather was deteriorating. ATC Aurangabad kept the pilot apprised about the prevailing surface wind and rain. The pilot too had similar observations of adverse weather and deteriorated visibility. The commander sighted the runway quite late and the aircraft was descended very fast triggering the Ground Proximity Warning System and aural warning. After coming close to the runway the pilot attempted to open power on the engines. However, he found himself unable to move the power lever forward. The aircraft continued to sink fast and crashed over undershoot area of the runway 27. The aircraft sustained substantial damage. No person on board sustained serious injury. There was no fire.
Probable cause:
The cause of the accident has been attributed as the commander while landing during bad weather had descended at a very fast rate and subsequently could not arrest the sink rate while approaching close to the runway due to improper handling of engine controls. Non-availability of deteriorating visibility conditions to the flight crew at the time of landing is a contributory factor.

Crash of a Boeing 737-260 in Bahar Dar: 35 killed

Date & Time: Sep 15, 1988 at 1305 LT
Type of aircraft:
Operator:
Registration:
ET-AJA
Survivors:
Yes
Schedule:
Addis Ababa - Bahar Dar - Asmara
MSN:
23914
YOM:
1987
Flight number:
ET604
Country:
Region:
Crew on board:
6
Crew fatalities:
Pax on board:
98
Pax fatalities:
Other fatalities:
Total fatalities:
35
Captain / Total flying hours:
19936
Captain / Total hours on type:
449.00
Copilot / Total flying hours:
9447
Aircraft flight hours:
1377
Aircraft flight cycles:
1870
Circumstances:
Ethiopian Airlines flight 604, a Boeing 737-200, was a scheduled service from Addis Ababa to Bahar Dar and Asmara. The first leg of the flight was uneventful. At 09:50, the engines were started normally and the airplane was taxied to its take-off position. The flight crew reported that In order to gain additional thrust they elected not to use engine bleed air during take-off. The airplane accelerated at a normal rate during the take-off roll and passed V1 (take-off-reject) speed. As the airplane passed V1 and very near VR (rotation speed) the flight crew saw a flock of pigeons lifting up from the left side. At this time the captain took over control from the copilot and pulled up. Almost immediately after rotation, the airplane struck the flock of pigeons at an airspeed of 146 knots and altitude of 5730 feet above mean sea level. Loud bangs were heard. The captain then called for gear up and the copilot complied. At approximately 100-200 ft. above the ground, both engines started backfiring. At this time, the flight crew reported that they experienced a considerable power loss and the airplane started mushing down at which time the captain "fire walled" the thrust levers. The engines reportedly responded and the airplane began to gain some altitude. The gain in attitude encouraged the captain to make a right turn away from Lake Tana and back to the take-off runway for landing. During the initial 32 seconds after the impact, the airplane had gained altitude from 5,730 feet to 6,020 feet and had accelerated from 146 knots to 154 knots. The crew report further indicated that both engines continued to surge and the exhaust gas temperature gauges (EGT) were reading at the top extreme and the engine pressure ratio (EPR) gauge readings were fluctuating at about 1.6. During this time the captain reported that the he reduced engine thrust to prolong the operational life of the engines. The frequency of the surges decreased with engines power reduction. The airplane entered an approximate 90 degree right turn. Altitude remained constant 6,020 feet while its airspeed increased from 154 knots to 162 knots. The airplane then began another right turn and entered the downwind leg of the return to runway 04. Altitude had increased to 6,410 feet and airspeed to 173 knots. On the downwind leg the aircraft further climbed to 7,100 feet. Then, within a timeframe of about five seconds, both engines lost power completely. The copilot pointed out a cleared area slightly ahead and to the right. The captain then turned towards the clearing and performed a gear-up landing. The aircraft broke up and a fire erupted. Out of the 104 occupants, 35 suffered fatal injuries.
Probable cause:
The accident occurred because the airplane could not be safely returned to the runway after the internal destruction and subsequent failure of both engines to operate arising from multiple bird ingestion by both engines during take-off.

Crash of a Britten-Norman BN-2A-26 Islander in Sangafa-Siwo

Date & Time: Sep 13, 1988
Type of aircraft:
Operator:
Registration:
YJ-RV20
Survivors:
Yes
MSN:
585
YOM:
1977
Country:
Region:
Crew on board:
0
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
Suffered an accident at Sangafa-Siwo Airport, Emae Island. No casualties.

Crash of a Tupolev TU-134A in Bangkok: 76 killed

Date & Time: Sep 9, 1988 at 1138 LT
Type of aircraft:
Operator:
Registration:
VN-A102
Survivors:
Yes
Schedule:
Hanoi - Bangkok
MSN:
60925
YOM:
1978
Flight number:
VN831
Country:
Region:
Crew on board:
6
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
76
Aircraft flight hours:
4068
Aircraft flight cycles:
1537
Circumstances:
The approach to Bangkok-Don Mueang Airport was initiated in poor weather conditions with a reduced visibility due to heavy rain falls. On final, the aircraft was too low when it struck the ground and crashed about 6 km short of runway. 14 occupants were rescued while 76 others were killed. The aircraft was destroyed.
Probable cause:
It was determined that after passing the outer marker, without visual contact with the ground due to heavy rain falls, the crew passed the decision height when the aircraft struck the ground and crashed. A loss of altitude caused by possible windshear is not ruled out.

Crash of an Embraer EMB-110P1 Bandeirante near Arteaga: 20 killed

Date & Time: Aug 31, 1988 at 1000 LT
Registration:
XC-COX
Flight Phase:
Survivors:
No
Site:
Schedule:
Uruapan – Lázaro Cárdenas
MSN:
110-192
YOM:
1978
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
18
Pax fatalities:
Other fatalities:
Total fatalities:
20
Circumstances:
En route from Uruapan to Lázaro Cárdenas, while cruising in poor weather conditions, the twin engine airplane struck the slope of a mountain located about 15 km from Arteaga, in the Sierra Madre Mountain Range. The aircraft disintegrated on impact and all 20 occupants were killed.
Probable cause:
Controlled flight into terrain. For unknown reasons, the aircraft was flying at an insufficient altitude.

Crash of a Hawker-Siddeley HS.121 Trident 2E in Hong Kong: 7 killed

Date & Time: Aug 31, 1988 at 0919 LT
Operator:
Registration:
B-2218
Survivors:
Yes
Schedule:
Guangzhou - Hong Kong
MSN:
2159
YOM:
1973
Flight number:
CA301
Country:
Region:
Crew on board:
11
Crew fatalities:
Pax on board:
78
Pax fatalities:
Other fatalities:
Total fatalities:
7
Aircraft flight hours:
14332
Circumstances:
A Hawker Siddeley HS-121 Trident 2E passenger jet, registered B-2218, was damaged beyond repair in a landing accident at Kowloon Bay, Hong Kong. There were 78 passengers and seven crew members crew members on board. The airplane operated on CAAC flight 301 from Guangzhou-Baiyun Airport (CAN) to Hong Kong-Kai Tak International Airport (HKG). As the aircraft neared runway 31 the right outboard trailing edge wing flap struck the innermost approach light and the right main landing gear tyres hit the facing edge of the runway promontory. The right main gear was torn from the wing. The aircraft became airborne again and next contacted the ground 600 metres down the runway. It then veered off the runway to the right, yawed to the right and slid diagonally sideways across the grassed runway strip. The nosewheel and left main gear collapsed, and the aircraft continued until it crossed the parallel taxiway and slid sideways over the edge of the promontory into Kowloon Bay. The aircraft came to rest in the water with the rear extremity of the fuselage supported on a ledge of stone blocks that jutted out from the promontory. Part of the forward fuselage, including the flight compartment, was partially detached from the remainder of the fuselage and hung down at a steep angle into the water from control cables and secondary structure. A fire started in the centre engine intake duct. Weather at the time of the accident was poor including rain and fog with 450 m visibility. Seven occupants, six crew members and one passengers, were killed.
Probable cause:
There was insufficient evidence to determine the cause of the accident. It appears probable that, having converted to visual references at some point prior to Decision Height, the commander elected to continue the approach despite the fact that heavy rain had caused a sudden marked deterioration in the visual references in the final stages. There was no conclusive evidence that the aircraft encountered significant windshear on the approach, but given the meteorological conditions that existed at the time it cannot be ruled out, and therefore windshear may have been a contributory factor in destabilising the approach.

Crash of a Boeing 727-232 in Dallas: 14 killed

Date & Time: Aug 31, 1988 at 0901 LT
Type of aircraft:
Operator:
Registration:
N473DA
Flight Phase:
Survivors:
Yes
Schedule:
Jackson - Dallas - Salt Lake City
MSN:
20750
YOM:
1973
Flight number:
DL1141
Crew on board:
7
Crew fatalities:
Pax on board:
101
Pax fatalities:
Other fatalities:
Total fatalities:
14
Captain / Total flying hours:
17000
Captain / Total hours on type:
7000.00
Copilot / Total flying hours:
6500
Copilot / Total hours on type:
4000
Aircraft flight hours:
43023
Circumstances:
Flight DL1141 (Jackson - Dallas - Salt Lake City) left Gate 15 at 08:30 and was instructed to taxi to runway 18L. When first in line for takeoff (at 08:59) the flight was cleared for takeoff. The takeoff was uneventful until the airplane reached the rotation phase (at 154 knots, 6017 feet down the runway). As the main gear wheels left the ground, the airplane began to roll violently, causing the right wingtip to contact the runway (1033 feet after lift-off), followed by compressor surges. The plane continued and struck the ILS localizer antenna array 1000 feet past the end of runway 18L. After impacting the antenna installation, the airplane remained airborne for an additional 400 feet, then struck the ground, traversed a ground depression and slid sideways until it came to rest near the airport perimeter fence, 3200 feet from the runway end. Parts of the aircraft had separated in the slide and a fire had erupted in the right wing area, quickly engulfing the rear, right side of the airplane after it came to rest. Twelve passengers and two crew members were killed. The aircraft was destroyed.
Probable cause:
The board determines that the accident was caused mainly by the captain and first officer's inadequate cockpit discipline which resulted in the flight crew's attempt to takeoff without the wing flaps and slats properly configured; and the failure of the takeoff configuration warning system to alert the crew that the airplane was not properly configured for the takeoff. Contributing to the accident was Delta's slow implementation of necessary modifications to its operating procedures, manuals, checklists, training and crew checking programs which were necessitated by significant changes in the airline following rapid growth and merger. Also contributing to the accident was the lack of sufficiently aggressive action by the FAA to have known deficiencies corrected by Delta and the lack of sufficient accountability within the FAA's air carrier inspection process.
Findings:
Occurrence #1: loss of control - in flight
Phase of operation: takeoff - initial climb
Findings
1. (c) preflight planning/preparation - improper - pilot in command
2. (c) overconfidence in personal ability - pilot in command
3. (c) procedures/directives - not followed - copilot/second pilot
4. (c) procedures/directives - not followed - pilot in command
5. (f) procedure inadequate - company/operator management
6. (f) insufficient standards/requirements, operation/operator - FAA (organization)
7. (f) inadequate method of compliance determination record keeping - FAA (organization)
8. (c) lowering of flaps - not performed
9. (c) lowering of slats - not performed
10. (c) safety system (other) - inoperative
----------
Occurrence #2: in flight collision with terrain/water
Phase of operation: descent - uncontrolled
Final Report:

Crash of a Convair CV-240 in Mérida: 1 killed

Date & Time: Aug 31, 1988
Type of aircraft:
Operator:
Registration:
XA-HUL
Flight Phase:
Survivors:
Yes
MSN:
229
YOM:
1952
Country:
Crew on board:
3
Crew fatalities:
Pax on board:
17
Pax fatalities:
Other fatalities:
Total fatalities:
1
Circumstances:
Crashed in unknown circumstances while taking off from Mérida-Rejon Airport. A passenger was killed while all 19 other occupants were rescued.

Crash of a Boeing 727-31 in Chicago

Date & Time: Aug 27, 1988 at 1650 LT
Type of aircraft:
Operator:
Registration:
N852TW
Survivors:
Yes
Schedule:
Saint Louis - Chicago
MSN:
18571
YOM:
1964
Crew on board:
6
Crew fatalities:
Pax on board:
62
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
16899
Captain / Total hours on type:
6411.00
Aircraft flight hours:
56099
Circumstances:
Scheduled domestic part 121 flight could not get landing gear to extend on approach to Chicago-Midway Airport. After missed approach, crew tried unsuccessfully to extend gear manually using procedures in cockpit checklist and flight operations manual. Emergency gear-up landing was made at Chicago-O'Hare International Airport. Investigation revealed a disconnected gear selector actuating rod from the normal landing gear retract/extension actuating assembly. Crew damaged manual gear extension mechanism in manual extension attempts. FAA approved procedural checklist had omitted critical step in manual gear extension procedure.
Probable cause:
Improper procedural checklist in which a critical step was not listed.
Findings
Occurrence #1: airframe/component/system failure/malfunction
Phase of operation: approach - faf/outer marker to threshold (ifr)
Findings
1. Landing gear, normal retraction/extension assembly - inoperative
2. (c) missed approach - performed
3. (f) checklist - inaccurate - company/operator management
4. (c) procedures/directives - improper - company/operator management
5. (c) condition(s)/step(s) not listed - faa (principal maintenance inspector)
----------
Occurrence #2: gear not extended
Phase of operation: landing
Findings
6. Wheels up landing - performed - pilot in command
Final Report: