Crash of a Lockheed L-382E-16C Hercules at Dobbins AFB: 7 killed

Date & Time: Feb 3, 1993 at 1327 LT
Type of aircraft:
Operator:
Registration:
N130X
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Dobbins AFB - Dobbins AFB
MSN:
4412
YOM:
1971
Crew on board:
7
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
7
Captain / Total flying hours:
7658
Captain / Total hours on type:
1260.00
Aircraft flight hours:
6708
Circumstances:
The aircraft was designed and used as the company's engineering test bed. An evaluation of the fly-by-wire rudder actuator and ground minimum control speed (vmcg) was being conducted. During the final hi-speed ground test run, the aircraft abruptly veered left and became airborne. It entered a left turn, climbed to about 250 feet, departed controlled flight and impacted the ground. Investigation revealed a design feature in the rudder actuator that removes hydraulic pressure within the actuator if the rudder position commanded by the pilot exceeded the actual rudder actuator position for a specified time, and the rudder aerodynamically trails. The actuator previously disengaged in flight. The company did not conduct a system safety review of the rudder bypass feature and its consequences to all flight regimes, nor of the vmcg test. The flight test plan specified that engine power be retarded if the rudder became ineffective. Neither pilot had received training as an experimental test pilot. The company allowed experimental flight tests at a confined, metropolitan airport. All seven occupants were killed.
Probable cause:
Disengagement of the rudder fly-by-wire flight control system resulting in a total loss of rudder control capability while conducting ground minimum control speed tests. The disengagement was a result of the inadequate design of the rudder's integrated actuator package by its manufacturer; the operator's insufficient system safety review failed to consider the consequences of the inadequate design to all operating regimes. A factor which contributed to the accident was the flight crew's lack of engineering flight test training.
Final Report:

Crash of a Douglas C-47A-65-DL in San Juan Ranch

Date & Time: Nov 2, 1992
Registration:
CP-1960
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
San Juan Ranch - San Juan Ranch
MSN:
18993
YOM:
1943
Country:
Crew on board:
3
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
The crew was engaged in a local test flight after the right engine has been replaced. After takeoff, while in initial climb, the left engine lost power and smoke came out. The crew decided to return but was unable to maintain a safe altitude. In such conditions, the captain decided to attempt an emergency landing when the aircraft crashed in a swampy area near the airport. All three occupants escaped uninjured while the aircraft was damaged beyond repair.

Crash of an Antonov AN-124-100 in Kodra: 8 killed

Date & Time: Oct 13, 1992
Type of aircraft:
Operator:
Registration:
CCCP-82002
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Kiev - Kiev
MSN:
19530501003
YOM:
1984
Country:
Region:
Crew on board:
9
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
8
Circumstances:
The aircraft departed Kiev-Gostomel Airport on a test flight part of a certification programme, carrying nine crew members. While cruising at an altitude of 19,000 feet and at a speed of 614 km/h, the radome disintegrated. This caused the front cargo door to open and to detach. Debris struck the engine n°3 that stopped automatically. The aircraft suffered strong vibrations and oscillations then the 3rd hydraulic system failed as well as the flight management system. In such conditions, the crew was unable to get valid data about speed, altitude or the angle of attack. The aircraft entered an uncontrolled descent during which flaps were selected down to reduce the speed, but due to an asymmetrical release of flaps, the descent rate increased until the aircraft crashed in a wooded area located 1,5 km south of Korda and 43 km west of Gostomel Airport. The aircraft was destroyed and eight occupants were killed. The engineer survived after he bailed out during the descent but was seriously injured.
Probable cause:
Loss of control following the in-flight disintegration of the radome and the subsequent failure and detachment of the front cargo door. The exact cause of the radome disintegration could not be determined but the assumption of a bird strike could not be ruled out.

Crash of a Rockwell Aero Commander 680 in Headland: 1 killed

Date & Time: Oct 6, 1992 at 1105 LT
Registration:
N4490
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Headland - Sylvester
MSN:
680-487-157
YOM:
1957
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
869
Aircraft flight hours:
8693
Circumstances:
According to the owner, he and the pilot had flown from Albany, Georgia to swap a Piper 28 for the Aero Commander 680. Prior to completing the trade, the previous owner reconstructed a set of aircraft maintenance logs which revealed the estimated total airframe time and engine serial numbers. The owner assumed that the airplane was airworthy. Since the pilot was not Aero Commander rated, they decided to taxi the airplane on the ramp and runway to gain some experience. While taxiing at a high rate of speed on runway 09, the owner reported that a gust of wind caught the airplane as the taxi speed approached 65 mph. The pilot lost control of the airplane as it became airborne. The airplane rotated to the right and the right wing struck the ground; the airplane cartwheeled to a stop facing the opposite direction. The wreckage examination failed to disclose a mechanical malfunction. Reportedly, the pilot completed a preflight but, the wreckage examination discovered a large bird's nest in the sump area of the left engine and a missing exhaust manifold. The pilot was not multi engine rated. The pilot was killed and the passenger was seriously injured.
Probable cause:
The pilot's failure to maintain control of the airplane while conducting a high speed taxi maneuver which resulted in inadvertent flight. Factors were the pilot's overconfidence in his ability, his lack of familiarity with the airplane and the wind gust.
Final Report:

Crash of a Swearingen SA227AC Metro III in San Antonio

Date & Time: Sep 18, 1992 at 1310 LT
Type of aircraft:
Operator:
Registration:
N2183A
Flight Type:
Survivors:
Yes
Schedule:
San Antonio - San Antonio
MSN:
AC-422
YOM:
1981
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
6000
Captain / Total hours on type:
650.00
Aircraft flight hours:
17936
Circumstances:
The pilot was conducting a functional test flight and qualitative engineering evaluation of the airplane's longitudinal control during landing. During final approach to runway 12L, he reduced the engines to the flight idle positions and established 95 kias. He was unable to raise the nose of the airplane during the flare to arrest the descent rate and landed hard onto the runway. The airplane was taxied to the ramp and secured. No mechanical failure was found or reported.
Probable cause:
The landing capability of the airplane was exceeded. The lack of performance data was a factor in the accident.
Final Report:

Crash of an Alekseev A-90 Orlyonok in the Caspian Sea

Date & Time: Aug 28, 1992
Type of aircraft:
Operator:
Registration:
21 White
Flight Phase:
Flight Type:
MSN:
S-21
YOM:
1979
Country:
Region:
Crew on board:
0
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Aircraft flight hours:
279
Aircraft flight cycles:
140
Circumstances:
Crashed in the Caspian Sea about six minutes after takeoff when leaving the ground effect for unknown reasons. Crew fate unknown.

Crash of a De Havilland DHC-4T Turbo Caribou in Gimli: 3 killed

Date & Time: Aug 27, 1992 at 1020 LT
Type of aircraft:
Operator:
Registration:
N400NC
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Gimli - Gimli
MSN:
240
YOM:
1965
Location:
Country:
Crew on board:
3
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
3
Circumstances:
Following maintenance, the crew was engaged in a local test flight at Gimli Airport. Shortly after takeoff, while climbing steeply to a height of about 200 feet, the aircraft entered a right turn then nosed down and crashed near the runway, bursting into flames. All three occupants were killed.
Probable cause:
It was determined that the aircraft was just coming out from maintenance after several parts have been replaced on elevators and rudder. The crew took part to these assembly operations made necessary due to a rudder lock system malfunction. The crew lost control of the aircraft shortly after rotation due to the rudder jamming unexpectedly following a failure in the locking mechanism. Investigations show that the assembly operations were carried out in accordance with regulations in force and it is believed that a mechanical failure is the only plausible hypothesis to explain the accident as the crew did not make any error.

Crash of a Swearingen SA227AC Metro III in Hot Springs: 3 killed

Date & Time: Aug 25, 1992 at 0515 LT
Type of aircraft:
Operator:
Registration:
N342AE
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Hot Springs - Hot Springs
MSN:
AC-545
YOM:
1983
Crew on board:
2
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
3
Captain / Total flying hours:
2828
Captain / Total hours on type:
667.00
Aircraft flight hours:
19889
Circumstances:
The maintenance test flight was being flown following completion of airworthiness directive 87-02-02 requiring the mandatory replacement of all primary flight control cables. Following lift-off, witnesses observed the airplane start a rapid roll to the right until initial impact was made with the ground by the right wing tip. Examination of the wreckage revealed the a half turn in the routing of the replaced flight control cable was inadvertently omitted on both control columns which would result in the ailerons operating in reverse of the commanded input. The passenger was the quality control inspector who had inspected and signed off the maintenance performed. According to other company personnel, he had briefed the crew prior to the flight on the purpose of the test flight and the extent of the maintenance that the airplane had undergone. All three occupants were killed.
Probable cause:
Inadequate maintenance and inspection by the operator's maintenance personnel, and the failure of the pilot-in-command to assure proper travel direction of the airplane's primary flight controls after being made aware of the nature of the maintenance performed.
Final Report:

Crash of a Boeing 727-2H3 in Tunis

Date & Time: Feb 11, 1992
Type of aircraft:
Operator:
Registration:
TS-JHV
Flight Phase:
Flight Type:
Survivors:
Yes
MSN:
21319/1269
YOM:
1977
Country:
Region:
Crew on board:
0
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
While parked at Tunis-Carthage Airport for maintenance, the aircraft was under control of engineers/mechanics. When the engines were started for an engine run-up and power increased to 80%, the aircraft ran over its blocks and collided with an hangar. There were no injuries while the aircraft was damaged beyond repair.
Probable cause:
It was determined that the maintenance crew forgot to set the parking brakes prior to run the engines.

Crash of a Rockwell Shrike Commander 500S in Richmond Heights: 1 killed

Date & Time: Feb 6, 1992 at 2101 LT
Registration:
N725AC
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Richmond Heights - Richmond Heights
MSN:
500-3144
YOM:
1972
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
1111
Captain / Total hours on type:
71.00
Aircraft flight hours:
3276
Circumstances:
The pilot had the waste gates on the turbocharges adjusted and wanted to test fly the airplane after the work was completed. The airplane departed and had reached an altitude of about 1,000 feet when witnesses heard an engine sputter. The airplane was seen making a left turn and enter a nose low, left spin before impacting the terrain. A tear down of the left engine revealed that the exhaust valves in cylinders #3 and #5 were burnt through at the valve head. The #5 exhaust valve had a deep preexisting deep mark on the valve stem. The failures of both valves were sufficient enough to cause a power failure in the left engine. The pilot, sole on board, was killed.
Probable cause:
The pilot's improper emergency procedures and failure to maintain control of the airplane, which resulted in an inadvertent spin at too low an altitude to allow recovery. Factors in this accident were; a power loss in the left engine as result of the exhaust valve failures in cylinders #3 and #5.
Final Report: