Crash of a Piper PA-31-350 Navajo Chieftain in Madeira: 1 killed

Date & Time: Mar 12, 2019 at 1516 LT
Operator:
Registration:
N400JM
Flight Phase:
Survivors:
No
Site:
Schedule:
Cincinnati - Cincinnati
MSN:
31-8152002
YOM:
1981
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
6421
Captain / Total hours on type:
1364.00
Aircraft flight hours:
19094
Circumstances:
The commercial pilot was conducting an aerial observation (surveying) flight in a piston engineequipped multiengine airplane. Several hours into the flight, the pilot advised air traffic control (ATC) that the airplane had a fuel problem and that he needed to return to the departure airport. When the airplane was 8 miles from the airport, and after passing several other airports, the pilot informed ATC that he was unsure if the airplane could reach the airport. The final minutes of radar data depicted the airplane in a descent and tracking toward a golf fairway as the airplane's groundspeed decreased to a speed near the single engine minimum control airspeed. According to witnesses, they heard an engine sputter before making two loud "back-fire" sounds. One witness reported that, after the engine sputtered, the airplane "was on its left side flying crooked." Additional witnesses reported that the airplane turned to the left before it "nose-dived" into a neighborhood, impacting a tree and private residence before coming to rest in the backyard of the residence. A witness approached the wreckage immediately after the accident and observed a small flame rising from the area of the left engine. Video recorded on the witness' mobile phone several minutes later showed the airplane engulfed in flames. Examination of the wreckage revealed no evidence of any preimpact mechanical malfunctions or failures of either engine. The fuel systems feeding both engines were damaged by impact forces but the examined components generally displayed that only trace amounts of fuel remained; with the exception of the left engine nacelle fuel tank. Given the extent of the fire damage to this area of the wreckage, and the witness report that the post impact fire originated in this area, it is likely that this tank contained fuel. By design, this fuel in this tank was not able to supply fuel directly to either engine, but instead relied on an electric pump to transfer fuel into the left main fuel tank. Fire damage precluded a detailed postaccident examination or functional testing of the left nacelle fuel transfer pump. Other pilots who flew similar airplanes for the operator, along with a review of maintenance records for those airplanes, revealed at least three instances of these pumps failing in the months surrounding the accident. The other pilots also reported varying methods of utilizing fuel and monitoring fuel transfers of fuel from the nacelle fuel tanks, since there was no direct indication of the quantity of fuel available in the tank. These methods were not standardized between pilots within the company and relied on their monitoring the quantity of fuel in the main fuel tanks in order to ensure that the fuel transfer was occurring. Had the pilot not activated this pump, or had this pump failed during the flight, it would have rendered the fuel in the tank inaccessible. Given this information it is likely that the fuel supply available to the airplane's left engine was exhausted, and that the engine subsequently lost power due to fuel starvation. The accident pilot, along with another company pilot, identified fuel leaking from the airplane's left wing, about a week before the accident. Maintenance records showed no actions had been completed to the address the fuel leak. Due to damage sustained during the accident, the origin of the fuel leak could not be determined, nor could it be determined whether the fuel leak contributed to the fuel starvation and eventual inflight loss of power to the left engine. Because the left engine stopped producing power, the pilot would have needed to configure the airplane for single-engine flight; however, examination of the left engine's propeller found that it was not feathered. With the propeller in this state, the pilot's ability to maintain control the airplane would have been reduced, and it is likely that the pilot allowed the airplane's airspeed to decrease below the singleengine minimum controllable airspeed, which resulted in a loss of control and led to the airplane's roll to the left and rapid descent toward the terrain. Toxicology results revealed that the pilot had taken doxylamine, an over-the-counter antihistamine that can decrease alertness and impair performance of potentially hazardous tasks. Although the toxicology results indicated that the amount of doxylamine in the pilot's cavity blood was within the lower therapeutic range, review of ATC records revealed that the pilot was alert and that he was making necessary decisions and following instructions. Thus, the pilot's use of doxylamine was not likely a factor in the accident.
Probable cause:
Fuel starvation to the left engine and the resulting loss of engine power to that engine, and a loss of airplane control due to the pilot's failure to maintain the minimum controllable airspeed.
Final Report:

Crash of an Ilyushin II-20M off Latakia: 15 killed

Date & Time: Sep 17, 2018 at 2207 LT
Type of aircraft:
Operator:
Registration:
RF-93610
Flight Phase:
Survivors:
No
Schedule:
Hmeimim - Hmeimim
MSN:
173 0115 04
YOM:
1973
Country:
Region:
Crew on board:
15
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
15
Circumstances:
The four engine aircraft departed Hmeimim AFB located southeast of Latakia at 2031LT on a maritime patrol and reconnaissance mission over the Mediterranean Sea. About an one hour and a half later, while returning to its base, the airplane was hit by a S-200 surface-to-air missile shot by the Syrian ground forces. At the time of the accident, four Israel F-16 fighters were involved in a ground attack onto several infrastructures located in the region of Latakia. Out of control, the airplane crashed into the Mediterranean Sea some 35 km west of Latakia. The following morning, Russian Authorities confirmed the loss of the aircraft that was inadvertently shot down by the Syrian Army forces and that all 15 crew members were killed.
Probable cause:
Shot down by a Syrian S-200 surface-to-air missile.

Crash of a Swearingen SA227AT Expediter in Luqa: 5 killed

Date & Time: Oct 24, 2016 at 0720 LT
Type of aircraft:
Operator:
Registration:
N577MX
Flight Phase:
Survivors:
No
Schedule:
Luqa - Luqa
MSN:
AT-577
YOM:
1983
Flight number:
LXC77
Location:
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
5
Captain / Total flying hours:
3511
Captain / Total hours on type:
1229.00
Copilot / Total flying hours:
21806
Copilot / Total hours on type:
2304
Aircraft flight hours:
9261
Aircraft flight cycles:
3503
Circumstances:
The aircraft was involved in a maritime patrol flight over the Mediterranean Sea, carrying a crew of two and three members of the French Ministry of Defense. Shortly after takeoff from runway 13, while in initial climb, the twin engine aircraft banked to the right, hit a perimeter fence and crashed in a huge explosion on the Triq Carmelo Caruana Street. The aircraft was destroyed by impact forces and a post crash fire. All five occupants were killed. It was previously reported that the flight was performed on behalf of the EU Frontex Program but this was later denied by the Border Agency. The presence of all three French Officers was confirmed by the French Minister of Defense Jean-Yves Le Drian. It was also confirmed by the Government of Malta that this kind of flight was performed by the French Customs since five months, an official operation of surveillance to identify human traffic and narcotics routes in the Mediterranean Sea.
Probable cause:
Investigations show that a technical malfunction was the cause of the accident. This malfunction probably originated in the specific modifications of the aircraft and in the application of an inappropriate maintenance to these modifications.
Three scenarios can be envisaged:
- Rupture of the HF antenna, which then wrapped around the elevator control surface;
- Inadvertent activation of the SAS, countered by the pilot;
- Jamming of the elevator due to a technical failure in the flight control line.
Given the condition of the wreckage and the absence of witness reports from the crew, only a flight data recorder could have enabled the BEA-É to confirm one of these hypothesis. However, in consideration of the factors detailed in the analysis, the hypothesis of damage to a component of the elevator control line remains the most plausible explanation.
Final Report:

Crash of a Casa 212 Aviocar 400MPA off Bạch Long Vĩ Island: 9 killed

Date & Time: Jun 16, 2016 at 1305 LT
Type of aircraft:
Operator:
Registration:
8983
Flight Phase:
Survivors:
No
Schedule:
Hanoi - Hanoi
MSN:
482
YOM:
2012
Country:
Region:
Crew on board:
3
Crew fatalities:
Pax on board:
6
Pax fatalities:
Other fatalities:
Total fatalities:
9
Circumstances:
The crew departed Hanoi-Gia Lam Airport at 0930LT on a SAR mission after a Vietnam Air Force Sukhoi SU-30 was missing since two days. While cruising over the gulf of Tonkin in good weather conditions, the twin engine aircraft went out of control and crashed in the sea, some 22 km southwest of the Bạch Long Vĩ Island. Some debris were found few hours later, floating on water. All nine occupants were killed.

Crash of a PZL-Mielec AN-2R near Gai: 3 killed

Date & Time: Feb 6, 2016 at 1244 LT
Type of aircraft:
Operator:
Registration:
RA-40204
Flight Phase:
Survivors:
No
Schedule:
Sterlitamak – Zilair – Akyar – Orsk – Akyar – Sterlitamak
MSN:
1G219-54
YOM:
1986
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
3
Captain / Total flying hours:
4332
Captain / Total hours on type:
1204.00
Copilot / Total flying hours:
454
Copilot / Total hours on type:
454
Aircraft flight hours:
6952
Aircraft flight cycles:
20236
Circumstances:
The crew was performing a flight from Sterlitamak to Orsk and return via Zilair and Akyar, taking part to an oil pipeline survey mission on behalf of the oil company Transneft. While flying at low height in marginal weather conditions, the crew initiated a turn when the single engine impacted the ground and crashed in a snowy field located 2 km southwest of Gai, about 25 km north of Orsk. The aircraft was destroyed by impact forces and all three occupants were killed. There was no fire. At the time of the accident, the visibility was reduced to 800 metres and down to 300 metres locally. The cloud base was at 90 metres with freezing fog.
Probable cause:
Most probably the fatal accident with An-2 RA-40204 aircraft was caused by spatial disorientation by the crew turning in visibility restriction conditions (fog) and "whiteout" of snow underlying surface that resulted in uncontrolled descending and aircraft ground impact.
Most probably the following factors contributed to the accident:
- Incorrect evaluation of weather conditions by the crew resulted in unreasonable decision to perform VFR flight,
- Flight operation at the unauthorized law height above ground,
- Lack of IFR operation skills, training and checks for minima reduction by PIC were formal, weather conditions during operations didn't comply with assigned minima requirements.
Final Report:

Crash of a Beechcraft 200 Super King Air in New Delhi: 10 killed

Date & Time: Dec 22, 2015 at 0938 LT
Operator:
Registration:
VT-BSA
Flight Phase:
Survivors:
No
Site:
Schedule:
New Delhi - Ranchi
MSN:
BB-1485
YOM:
1994
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
8
Pax fatalities:
Other fatalities:
Total fatalities:
10
Captain / Total flying hours:
964
Captain / Total hours on type:
764.00
Copilot / Total flying hours:
891
Copilot / Total hours on type:
691
Aircraft flight hours:
4766
Aircraft flight cycles:
2745
Circumstances:
Beechcraft Super King Air B-200 aircraft, VT-BSA belonging to BSF Air Wing was involved in an accident on 22.12.2015 while operating a flight from IGI Airport, New Delhi to Ranchi. The flight was under the command of a CPL holder with another CPL holder as Second-in-Command. There were ten persons on board including two flight crew members. As per the scheduling procedure of the Operator, the flying programme for 22.12.2015 was approved by the ADG (Logistics) on the recommendation of the DIG (Air) for VT-BSA on 21.12.2015. The programme included names of the flight crew along with the following sectors: from Delhi to Ranchi ETD 0800 ETA 1030 and from Ranchi to Delhi ETD 1300 ETA 1600. The task was as per instructions on the subject dated 23rd July 2015. As per the weight & load data sheet there were 8 passengers with 20 Kgs. of baggage in the aft cabin compartment. The actual take-off weight shown was 5668.85 Kgs as against the maximum take-off weight of 5669.9 Kgs. Fuel uplifted was 1085 Kgs. The aircraft was taken out of hangar of the Operator at 0655 hrs on 22.12.2015 and parked outside the hangar for operating the subject flight. At around 0745 hrs, the passengers reached the aircraft who were mainly technical personnel supposed to carry out scheduled maintenance of Mi-17 helicopter of the Operator at Ranchi. They were carrying their personnel baggage along with tools and equipment required for the maintenance. At around 0915 hrs the flight crew contacted ATC Delhi and requested for clearance to operate the flight to Ranchi. The aircraft was cleared to Ranchi via R460 and FL210. Runway in use was given as 28. At 0918 hrs the doors were closed and the flight crew had started carrying out the check list. After the ATC issued taxi clearance, the aircraft had stopped for some time after commencing taxiing. The pilot informed the ATC that they will take 10 minutes delay for further taxi due to some administrative reasons. The taxi clearance was accordingly cancelled. After a halt of about 6 to 7 minutes, the pilot again requested the ATC for taxi clearance and the same was approved by the ATC. Thereafter, the aircraft was given take-off clearance from runway 28. The weather at the time of take-off was: Visibility 800 meters with Winds at 100°/03 knots. Shortly after take-off and attaining a height of approximately 400 feet AGL, the aircraft progressively turned left with simultaneous loss of height. It had taken a turn of approximately 180o and impacted some trees before hitting the outside perimeter road of the airport in a left bank attitude. Thereafter, it impacted 'head on' with the outside boundary wall of the airport. After breaking the outside boundary wall, the wings impacted two trees and the aircraft hit the holding tank of the water treatment plant. The tail portion and part of the fuselage overturned and went into the water tank. There was post impact fire and the portion of the aircraft outside the water tank was destroyed by fire. All passengers and crew received fatal injuries due impact and fire. The ELT was operated at 0410 hours UTC (0940 hours IST). The fire fighting team reached the site and extinguished the fire. The bodies were then recovered from the accident site. 08 bodies were recovered from the holding tank of the water treatment plant and bodies of both pilots were recovered from the heavily burnt portion of the cockpit lying adjacent (outside) to the wall of the holding tank of the water treatment tank.
Probable cause:
The accident was caused due to engagement of the autopilot without selecting the heading mode by the flight crew just after liftoff (before attaining sufficient height) in poor foggy conditions and not taking corrective action to control the progressive increase in left bank; thereby, allowing the aircraft to traverse 180° turn causing the aircraft to lose height in a steep left bank attitude followed by impact with the terrain.
Final Report:

Crash of a De Havilland DHC-6 Twin Otter 200 in Louisburg

Date & Time: Sep 6, 2015 at 1540 LT
Operator:
Registration:
N181CS
Survivors:
Yes
Schedule:
Washington - Louisburg
MSN:
181
YOM:
1968
Crew on board:
2
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
7337
Captain / Total hours on type:
1058.00
Copilot / Total flying hours:
3187
Copilot / Total hours on type:
1180
Aircraft flight hours:
26915
Circumstances:
The airline transport pilot was conducting a cross-country aerial observation flight in the multiengine airplane. The pilot reported that the airplane was on the final leg of the traffic pattern when he reduced the power levers for landing and noticed that the right engine sounded like the propeller was moving toward the beta position. The pilot increased the engine power, and the sound stopped. As the airplane got closer to the runway, he decreased the engine power, and the sound returned. In addition, the airplane began to yaw right. The pilot applied left aileron and rudder inputs to remain above the runway centerline without success. While over the runway, the pilot reduced the engine power to idle, and the airplane continued to yaw right. The pilot applied full power in an attempt to perform a go-around; however, the airplane yawed about 30 degrees off the runway centerline, touched down in the grass, and impacted trees before coming to rest. The right wing, right engine, and right propeller assembly were impact-separated. The right engine propeller came to rest about 50 ft forward of the main wreckage, and it was found in the feathered position. A review of maintenance records revealed that the right propeller had been overhauled and reinstalled on the airplane 2 days before the accident and had operated 9 hours since that time. Subsequent testing of the right propeller governor revealed that it functioned without anomaly; however, the speed settings were improperly configured. Further, the testing revealed that the beta valve travel from the neutral position was out of tolerance. Although this could have let oil pressure port to one side of the spool or the other and, thus, changed the propeller blade angle, it could not be determined whether this occurred during the accident landing. Impact damage precluded examination of the right propeller governor control linkage; therefore, it could not be determined if it was inadequately installed or rigged, which could have resulted in the propeller moving into the beta position. The investigation could not determine why the right propeller moved toward the beta position as engine power was reduced, as reported the pilot.
Probable cause:
The propeller’s movement to the beta position during landing for reasons that could not be determined during postaccident examination and testing, which resulted in an attempted goaround and subsequent loss of airplane control.
Final Report:

Crash of a Tupolev TU-95MS near Litovko: 2 killed

Date & Time: Jul 14, 2015 at 1650 LT
Type of aircraft:
Operator:
Registration:
RF-94204
Flight Phase:
Survivors:
Yes
Schedule:
Ukrainka - Ukrainka
MSN:
00854
YOM:
1984
Country:
Region:
Crew on board:
7
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
2
Circumstances:
The crew was performing a training/reconnaissance mission out from Ukrainka AFB. While cruising at an altitude of 5,000 metres in clouds and icing conditions, three of the four engines failed. At an altitude of 3,500 metres, all seven crew members bailed out and the aircraft crashed in a tundra located some 30 km from Litovko, Amur district of the Khabarovsk region. Five crew members survived while two others were killed. The registration of the 'Bear' was dual RF-94204 and 77 Red.
Probable cause:
Triple engine failure while flying icing conditions.

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

Date & Time: Jun 19, 2015 at 1653 LT
Type of aircraft:
Operator:
Registration:
RA-40646
Flight Phase:
Survivors:
Yes
Schedule:
Kodinsk - Kezhma
MSN:
1G213-53
YOM:
1985
Country:
Region:
Crew on board:
4
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
12732
Captain / Total hours on type:
5074.00
Copilot / Total flying hours:
4747
Copilot / Total hours on type:
3538
Aircraft flight hours:
5824
Aircraft flight cycles:
9346
Circumstances:
The single engine aircraft departed Kodinsk at 1400LT on a survey flight, carrying five fire bombers and four crew members (two pilots and two observers). About two hours into the flight, the occupant spotted a fire. All five fire bombers were dropped with their materials in two groups. Then the crew increased engine power and continued at an altitude of about 150-200 metres. The engine oil temperature started to increase and reached 150°. Five minutes later, the engine failed. The crew attempted an emergency landing when the aircraft impacted 20 metres tall trees, stalled and crashed in a wooded area. The wreckage was found south of Kezhma, some 126 km east of Kodinsk. All four occupants evacuated safely and the aircraft was destroyed.
Probable cause:
The accident with An-2 RA-40646 aircraft occurred during the emergency landing on a forest. The landing was due to inadvertent in-flight engine shutdown caused by destruction of bronze filling of hub 62.06.02 of master rod big end of crank mechanism. Most probably the destruction of hub bronze filling was caused by manufactured flaw consisting in a lack of bronze adhesion with steel base on the part of a surface.
Final Report:

Crash of a Dornier DO228-101 off Pichavaram: 3 killed

Date & Time: Jun 8, 2015 at 2123 LT
Type of aircraft:
Operator:
Registration:
CG791
Flight Phase:
Survivors:
No
Schedule:
Chennai - Chennai
MSN:
4114
YOM:
2014
Country:
Region:
Crew on board:
3
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
3
Circumstances:
The crew departed Chennai NAS at 1730LT on a maritime patrol flight along the Tamil Nadu coast and over the Palk Bay. The last radio contact was established at 2100LT and the last radar contact was observed at 2123LT while the aircraft was cruising at an altitude of 9,000 feet some 176 km offshore. SAR operations were initiated and some debris were found the following morning. All three occupants, two pilots and one observer, were killed. On July 10, the wreckage was found at a depth of 995 metres some 30 km off Pichavaram.