Crash of an Avro 748-2A+-283 off Macuto: 47 killed

Date & Time: Mar 3, 1978
Type of aircraft:
Operator:
Registration:
YV-45C
Flight Phase:
Survivors:
No
Schedule:
Caracas – Cumaná
MSN:
1744
YOM:
1976
Country:
Crew on board:
4
Crew fatalities:
Pax on board:
43
Pax fatalities:
Other fatalities:
Total fatalities:
47
Circumstances:
Shortly after takeoff from Maiquetía-Simon Bolivar Airport, while climbing, the airplane went out of control, entered a dive and crashed into the sea few km off Macuto. All 47 occupants were killed.
Probable cause:
It is believed that the loss of control was the consequence of an artificial horizon failure during climb out.

Crash of a Fokker F28 Fellowship 1000 in Kano: 16 killed

Date & Time: Mar 2, 1978 at 1243 LT
Type of aircraft:
Operator:
Registration:
5N-ANA
Survivors:
No
Schedule:
Abuja - Kano
MSN:
11993
YOM:
1970
Location:
Country:
Region:
Crew on board:
5
Crew fatalities:
Pax on board:
11
Pax fatalities:
Other fatalities:
Total fatalities:
16
Aircraft flight hours:
10625
Aircraft flight cycles:
13303
Circumstances:
While descending to Kano-Mallam Aminu Kano Airport, the crew was instructed to maintain FL65 as a Nigerian Air Force MiG-21 was performing touch-and-go maneuvers at the same airport. After the jet trainer completed its touch-and-go and was taking off, its crew was informed about the approach of the F28 which should land first on runway 05. On short final, both aircraft collided and crashed in flames about 2 km short of runway threshold. Both aircraft were destroyed and all 18 occupants were killed. The exact circumstances and causes of the in-flight collision are unclear.

Crash of a Douglas DC-10-10 in Los Angeles: 2 killed

Date & Time: Mar 1, 1978 at 0925 LT
Type of aircraft:
Operator:
Registration:
N68045
Flight Phase:
Survivors:
Yes
Schedule:
Los Angeles - Honolulu
MSN:
46904
YOM:
1972
Flight number:
CO603
Crew on board:
14
Crew fatalities:
Pax on board:
186
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
29000
Captain / Total hours on type:
2911.00
Copilot / Total flying hours:
10000
Copilot / Total hours on type:
1249
Aircraft flight hours:
21358
Circumstances:
On March 1, 1978, Continental Air Lines, Inc., Flight 603, a McDonnell Douglas DC-10-10 (N68045), was a scheduled flight from Los Angeles International Airport, California, to Honolulu, Hawaii. At 0857:18, Flight 603 called Los Angeles clearance delivery and was cleared for the route of flight which was to have been flown. About 2 min later, the flight received permission from Los Angeles ground control to push back from the gate. At 0901:37, Flight 603 was cleared by ground control to taxi to runway 6R. The runway was wet, but there was no standing water. At 0922:29, Los Angeles local control cleared Flight 603 to taxi into position on runway 6R and hold. At 0923:17, local control cleared Flight 603 for takeoff; however, the flightcrew did not acknowledge the instructions and did not comply with them. At 0923:57, local acknowledged the instructions. The captain stated that he delayed control, again, cleared the flight for takeoff. This time the flightcrew acknowledgment of the takeoff clearance because he believed that he had initially been given the clearance too soon after a heavy jet aircraft had made its takeoff. The flightcrew stated that acceleration was normal and that all engine instruments were in the normal range for takeoff. As the airspeed approached the V1 speed of 156 kns, the captain heard a loud "metallic bang" which was followed immediately by "a kind of quivering of the plane." The flightcrew noticed that the left wing dropped slightly. A rejected takeoff was begun immediately; however, according to the digital flight data recorder (DFDR), the airspeed continued to increase to about 159 kns as the rejected takeoff procedures were begun. The captain stated that he applied full brake pressure while simultaneously bringing the thrust levers back to idle power. Reverse thrust levers were actuated and full reverse thrust was used. The flightcrew stated that they noted good reverse thrust. First, the aircraft moved to the left of the runway centerline and appeared tb the flightcrew to be decelerating normally. With about of deceleration had decreased, and they believed that the aircraft would 2,000 ft of runway remaining, the flightcrew became aware that the rate not be able to stop on the runway surface. The captain stated that he maintained maximum brake pedal force and full reverse thrust as he steered the aircraft to the right of the runway centerline in an effort "to go beside the stanchions holding the runway lights" immediately off of the departure end of runway 6R. He stated further that he encountered no problems with directional control of the aircraft throughout the rejected takeoff maneuver. The aircraft departed the right corner of the departure end of runway 6R. About 100 ft beyond the runway, the left main landing gear broke through the nonload-bearing tar-macadam (tarmac) surface and failed rearward. Fire erupted immediately from this area. The aircraft dropped onto the left wing and the No. 1 (left) engine and rotated to the left as it continued its slide along the surface. It stopped between two of the approach light stanchions for runway 24L about 664 ft from the departure end of runway 6R and about 40 ft to the right of the runway 6R extended centerline; it came to rest on a heading of 008°, in an 11° left wing low, 1.3° noseup attitude. When the aircraft came to a stop, the evacuation was begun immediately. Two passengers were killed while all other occupants were evacuated, some of them with serious injuries.
Probable cause:
The National Transportation Safety Board determined that the probable cause of the accident was the sequential failure of two tires on the left main landing gear and the resultant failure of another tire on the same landing gear at a critical time during the takeoff roll. These failures resulted in the captain's decision to reject the takeoff. Contributing to the accident was the cumulative effect of the partial loss of aircraft braking because of the failed tires and the reduced braking friction achievable on the wet runway surface which increased the accelerate-stop distance to a value greater than the available runway length. These factors prevented the captain from stopping the aircraft within the runway confines. The failure of the left main landing gear and the consequent rupture of the left wing fuel tanks resulted in an intense fire which added to the severity of the accident.
Final Report:

Crash of a Fairchild-Hiller FH-227D in Abadan

Date & Time: Feb 25, 1978
Type of aircraft:
Operator:
Registration:
EP-AMJ
Survivors:
Yes
MSN:
523
YOM:
1966
Country:
Region:
Crew on board:
0
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
Landed hard and came to rest at Abadan Airport. There were no injuries but the aircraft was damaged beyond repair.

Ground fire in a Tupolev TU-154A in Novosibirsk

Date & Time: Feb 18, 1978
Type of aircraft:
Operator:
Registration:
CCCP-85087
Flight Phase:
Survivors:
Yes
MSN:
74A-087
YOM:
1974
Country:
Region:
Crew on board:
0
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
While parked at Tolmachevo Airport with negative temperatures, ground employees in charge to clean the cabin installed a heater on a vehicle to heat the cabin. The aircraft engineer who performed the work left the operating heater unattended and left. At the same time, an oily rag was forgotten in front of the inlet of the air heater, which was subsequently drawn into the air heater, caught fire and was thrown through the sleeve into the aircraft cabin. The fire was not detected rapidly so it spread in the cabin and destroyed a large part of the aircraft. There were no injuries.

Crash of a Beechcraft 99 Airliner in Clermont-Ferrand

Date & Time: Feb 16, 1978
Type of aircraft:
Operator:
Registration:
F-BRUX
Survivors:
Yes
MSN:
U-122
YOM:
1969
Country:
Region:
Crew on board:
0
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
Suffered an accident at Clermont-Ferrand-Aulnat Airport. There were no casualties.

Crash of a Boeing 737-275 in Cranbrook: 42 killed

Date & Time: Feb 11, 1978 at 1255 LT
Type of aircraft:
Operator:
Registration:
C-FPWC
Survivors:
Yes
Schedule:
Fort McMurray – Edmonton – Calgary – Cranbrook – Castlegar
MSN:
20142/253
YOM:
1970
Flight number:
PW314
Country:
Crew on board:
5
Crew fatalities:
Pax on board:
44
Pax fatalities:
Other fatalities:
Total fatalities:
42
Captain / Total flying hours:
5173
Captain / Total hours on type:
2780.00
Copilot / Total flying hours:
1316
Copilot / Total hours on type:
81
Circumstances:
Pacific Western Airlines flight 314 was a scheduled Boeing 737 service from Fort McMurray, Aberta, to Castlegar with stops at Edmonton, Calgary and Cranbrook, B. C. The flight departed Calgary at 1932Z 11 February 1978, for Cranbrook with a Company estimated time enroute of 23 minutes. This estimate was passed to the Company Agent in Cranbrook. Flight 314 was cleared by Calgary Air Traffic Control to Cranbrook via high level airway 505, and reached the assigned altitude of 20,000 feet at 1938Z. Air Traffic Control in Calgary transmitted an ETA (estimated time of arrival) of 2005Z to Cranbrook Aeradio, via the land line. Cranbrook is an "uncontrolled" airport without a control tower, but within controlled airspace, with an "Aeradio" station providing communications, weather, and advisory service. At Cranbrook it was snowing with the visibility reported as 314 of a mile, and a radio equipped snow removal vehicle was sweeping the runway. The Aeradio operator at Cranbrook alerted the vehicle operator about the incoming aircraft at 1935Z and gave him the ETA of 2005Z; they both expected the flight would report by the "Skookum Beacon" on a straight-in approach to runway 16, thus giving the vehicle operator about seven minutes to get off the runway. At 1942Z Flight 314 called Calgary and requested and received descent clearance; it was also given clearance for the approach to Cranbrook. At 1944Z, the flight called out of 18000 feet in the descent, and Calgary ATC advised the flight to contact Aeradio. At 1945Z, Flight 314 made initial contact with Cranbrook Aeradio and at 1946Z Cranbrook passed the latest weather, altimeter and runway information. At 1947Z Cranbrook Aeradio advised the flight that snow removal was in progress and gave the latest visibility; Flight 314 acknowledged. No further transmissions were received from the flight by Aeradio or ATC. Evidence indicates the aircraft passed the Skookum beacon inbound on a straight-in instrument approach, and flew the ILS for runway 16 to touchdown.' According to witnesses and estimates partially derived from flight data recorder information, the aircraft touched down at 1955Z approximately 800 feet from the threshold and reverse thrust was selected. Reverse thrust was cancelled immediately after touchdown and a go-around was initiated. The aircraft became airborne prior to the 2000 foot mark, and flew down the runway at a height of 50 to 70 feet, flying over a snow removal vehicle which was still on the runway, 2050 feet from the threshold and 20 feet from the right edge. About this time the left engine thrust reverser doors deployed. A few seconds later, the flap was selected up from 40° to 15°. The landing gear remained down and locked. Six seconds before impact and just over 4,000 feet from the runway threshold, the flight recorder data indicates that a large amount of left rudder was momentarily applied. The aircraft climbed to 300 to 400 feet above the airfield, banked steeply to the left, lost height and side-slipped into the ground to the left of the runway. Fire broke out on impact. Four crew members and 38 passengers were killed while seven other occupants were killed.
Probable cause:
The following findings were reported:
- The estimated time of arrival of the aircraft at Cranbrook, calculated by Calgary ATC, and used by Aeradio for advisory purposes was considerably in error and resulted in a traffic conflict between the arriving aircraft and a vehicle working on the runway,
- The flight crew did not report by the Skookum beacon on final approach, as was the normal practice at Cranbrook, thereby allowing the incorrect ETA to remain undetected,
- Regulatory provisions concerning mandatory pilot position reporting during instrument approaches were inadequate,
- The interfaces between the organizations providing Air Traffic Services, Telecommunications (Aeradio) and Airports Services were not well enough developed to provide a reliable fail-safe flight information service,
- The pilots lost control of the aircraft consequent upon the left engine thrust reverser deploying in flight when the aircraft was at low speed, and in a high drag configuration,
- The FAA design standards under which the Boeing 737 was constructed did not adequately provide for the possibility of an aborted landing after touchdown and thrust reverser initiation,
- The lack of a suitable national system of incident reporting, investigation, and follow-up corrective action allowed operational problems to remain uncorrected,
- Rescue efforts at the accident scene were hampered due to lack of a fire fighting vehicle capable of negotiating deep snow and shortage of trained rescue personnel.
Final Report:

Crash of a Beechcraft 99 Airliner in Richland: 17 killed

Date & Time: Feb 10, 1978 at 1650 LT
Type of aircraft:
Operator:
Registration:
N199EA
Flight Phase:
Survivors:
No
Schedule:
Richland - Seattle
MSN:
U-037
YOM:
1968
Flight number:
EV023
Crew on board:
2
Crew fatalities:
Pax on board:
15
Pax fatalities:
Other fatalities:
Total fatalities:
17
Captain / Total flying hours:
3250
Captain / Total hours on type:
300.00
Copilot / Total flying hours:
1061
Copilot / Total hours on type:
199
Aircraft flight hours:
13701
Circumstances:
Columbia Pacific Airlines Flight 23, a Beech 99 (N199EA), was operated under the provisions of 14 CFR 135 as a regularly scheduled passenger flight from Richland to Seattle, Washington. The crew arrived at Richland at 1525 P.s.t. on Flight 18 from Seattle. When they arrived, N199EA was being inspected to fulfill the requirements of an Airworthiness Directive. The aircraft was not available to the crew for preflight inspection until 1630; Flight 23 was scheduled to depart at 1640. At 1628, the captain was briefed on weather by the Walla Walla, Washington, Flight Service Station (FSS), and he filed a dispatch release which contained aircraft weight and balance, route of flight, and weather information. About 1630, the aircraft was fueled and 600 lbs of baggage was loaded. About 1635, the first officer left the terminal building and connected the auxiliary power unit to the aircraft. He then inspected the aircraft and boarded; the captain boarded shortly thereafter. When the passenger boarding call was made, the captain left the aircraft to obtain magazines for the passengers. He was seen getting into his seat when the first passenger boarded. At 1646, the first officer contacted the Pasco Airport Traffic Control Tower, using Flight No. 29, and advised that they were taxiing and would request an instrument flight rules clearance to Seattle via Yakima, Washington, when airborne. The Pasco Control Tower received no further calls from Flight 23. The first officer informed operations on company frequency that they would be departing shortly and would relay their estimated time of arrival in Seattle when airborne. There were no further radio communications with the crew. The aircraft daily flight log for February 10 showed that the aircraft left the ramp at 1645 and took off at 1648. In general, witnesses described the aircraft's attitude at liftoff as normal and estimated the point of liftoff between 1,173 and 1,486 ft; however, immediately thereafter the aircraft began a steep climb at an angle of 20' to 45" to an altitude of 300 to 400 ft above the runway and then appeared to decelerate. The wings rocked or wobbled at the top of the climb, and the aircraft turned or yawed to the left.
The nose dropped and the aircraft descended to the ground at a flightpath angle estimated to have been 45°. Fuel from ruptured fuel tanks caught fire after the aircraft hit the ground. Fire consumed the aircraft within 7 minutes. All 17 occupants were killed.
Probable cause:
The National Transportation Safety Board determines that the probable cause of the accident was the failure or inability of the flightcrew to prevent a rapid pitchup and stall by exerting sufficient push force on the control wheel. The pitchup was induced by the combination of a mistrimmed horizontal stabilizer and a center of gravity near the aircraft's aft limit. The mistrimed condition resulted from discrepancies in the aircraft's trim system and the flightcrew's probable preoccupation with making a timely departure. Additionally, a malfunctioning stabilizer trim actuator detracted from the flightcrew's efforts to prevent the stall. Contributing to the accident were inadequate flightcrew training, inadequate trim warning system check procedures, inadequate maintenance procedures, and ineffective FAA surveillance.
Final Report:

Crash of a Douglas C-47A-75-DL in Artigas: 44 killed

Date & Time: Feb 10, 1978 at 1120 LT
Operator:
Registration:
T-511
Survivors:
No
Schedule:
Artigas - Montevideo
MSN:
19301
YOM:
1943
Flight number:
Uruguay 511
Location:
Country:
Crew on board:
4
Crew fatalities:
Pax on board:
40
Pax fatalities:
Other fatalities:
Total fatalities:
44
Circumstances:
After takeoff from Artigas, while on a flight to Montevideo with 40 civilian passengers on board, the pilot contacted ATC and reported engine problems. He was cleared to complete a turn to join the approach path when the airplane stalled and crashed in flames. All 44 occupants were killed. The exact cause of the engine problem remains unknown. The airplane had dual military (T-511) and civil (CX-BJH) registrations.

Crash of a Beechcraft 65 Queen Air in Tortola

Date & Time: Feb 6, 1978
Type of aircraft:
Registration:
N40SB
Survivors:
Yes
MSN:
LC-48
YOM:
1960
Crew on board:
0
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
Crashed upon landing at Tortola Airport for unknown reasons. There were no casualties.