Crash of an Antonov AN-2 in Novoshchendrinskaya

Date & Time: Jul 16, 2019
Type of aircraft:
Operator:
Registration:
RA-3098K
Flight Phase:
Flight Type:
Survivors:
Yes
Site:
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
The pilot, sole on board, was engaged in an aerial photography mission. In flight, he encountered engine problems and was forced to attempt an emergency landing. The aircraft crashed onto a barn located in Novoshchedrinskaya, about 15 km north of Gudermes. The pilot and three people in the barn were injured.

Crash of a GippsAero GA8 Airvan in Umeå: 9 killed

Date & Time: Jul 14, 2019 at 1408 LT
Type of aircraft:
Operator:
Registration:
SE-MES
Flight Phase:
Survivors:
No
Schedule:
Umeå - Umeå
MSN:
GA8-TC320-12-178
YOM:
2012
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
8
Pax fatalities:
Other fatalities:
Total fatalities:
9
Captain / Total flying hours:
217
Captain / Total hours on type:
12.00
Aircraft flight hours:
1212
Circumstances:
The purpose of the flight was to drop eight parachutists from flight level 130 (an altitude of 13,000 feet, approximately 4,000 metres). The load sheet that the pilot received did not contain any information about the individual weights of the parachutists or the total mass of the load. The pilot could thus not, with any help from the load sheet, check or make his own calculation of mass and balance before the flight. The aeroplane was approaching the airport and, at 14:05 hrs, the pilot requested permission to drop the parachutists slightly higher because of clouds. The airspeed was decreasing in conjunction with the aeroplane’s approach to the airport. Just over a kilometre from the airport where the jump point was located, the aeroplane suddenly changed direction to the left and began descending rapidly in almost the opposite direction. The aeroplane then travelled just under one kilometre at the same time as it descended 1,500 metres, which is a dive angle of over 45 degrees. The aeroplane broke up in the air as both the airspeed and the g-forces exceeded the permitted values for the aeroplane. From an altitude of 2,000 metres, the aeroplane fell almost vertically with a descent velocity of around 60 m/s. The fact that no one was able to get out and save themselves using their parachute was probably due to the g-forces and the rotations that occurred. All those on board remained in the aeroplane and died immediately upon impact.
Probable cause:
The control of the aeroplane was probably lost due to low airspeed and that the aeroplane was unstable as a result of a tail-heavy aeroplane in combination with the weather conditions, and a heavy workload in relation to the knowledge and experience of the pilot. Limited experience and knowledge of flying without visual references and changes to the centre of gravity in the aeroplane have probably led to it being impossible to regain control of the aeroplane.
The following factors are deemed to be probable causes of the accident:
- The lack of a safe system for risk analyses and operational support, including data for making decisions concerning flights, termination or replanning of commenced flights.
- The lack of a standardised practical and theoretical training programme with approval of a qualified instructor.
- The lack of a safe system for determining centre of gravity prior to and in conjunction with parachuting jumps.
Final Report:

Crash of a De Havilland DHC-2 Beaver near Lake Boulene: 3 killed

Date & Time: Jul 12, 2019 at 1616 LT
Type of aircraft:
Operator:
Registration:
C-GRHF
Flight Phase:
Flight Type:
Survivors:
Yes
Site:
Schedule:
St-Mathias - La Minerve - Barrage Goin - Weakwaten
MSN:
1123
YOM:
1957
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
3
Captain / Total flying hours:
1028
Captain / Total hours on type:
314.00
Aircraft flight hours:
15040
Circumstances:
At approximately 1000LT on 12 July 2019, a private de Havilland DHC-2 Mk. 1 Beaver floatplane (registration C‑GRHF, serial number 1123) took off from the St-Mathias Water Aerodrome (CSV9), Quebec, with only the pilot on board, for a series of visual flight rules (VFR) flights. The aircraft landed at approximately 1130 on Désert Lake in La Minerve, Quebec, and came alongside a private dock where 3 individuals were waiting to board and fly to a fishing lodge. Once the baggage was stowed on the aircraft, the pilot provided a safety briefing to the passengers, who were all wearing a personal flotation device. The aircraft took off from Désert Lake at approximately 1215, bound for the Barrage Gouin Water Aerodrome (CTP3), Quebec, where the aircraft was scheduled to be refuelled. The aircraft landed at approximately 1430. Once the refuelling was complete, the aircraft took off once again around 1528, headed northwest to Weakwaten Lake, Quebec, where the fishing lodge was located. After approximately 48 minutes of flight, at around 1616, the aircraft collided with trees and struck the ground. There was no post-impact fire. The emergency locator transmitter was activated by the force of impact, and began transmitting a signal on frequency 121.5 MHz. This signal was detected by the flight crew of a commercial airliner at 1705 and reported to air traffic services. At 1850, the Joint Rescue Coordination Centre in Trenton dispatched a CC130 Hercules aircraft to try to locate the distress signal. The occurrence aircraft was found in a densely wooded area at 2032. Two search and rescue technicians were parachuted to rescue the aircraft occupants. Three of the 4 occupants received fatal injuries. The survivor was evacuated and transported to the hospital in Chibougamau, Quebec.
Probable cause:
Controlled flight into terrain following the pilot's decision to continue the flight at a relatively low speed and in a nose-up attitude, which reduced his field of vision.
Final Report:

Crash of a PZL-Mielec AN-2R in Mlyny

Date & Time: Jun 23, 2019 at 1010 LT
Type of aircraft:
Registration:
UR-43983
Flight Phase:
Survivors:
Yes
Schedule:
Mlyny - Mlyny
MSN:
1G210-60
YOM:
1984
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
11382
Captain / Total hours on type:
11382.00
Copilot / Total flying hours:
1816
Copilot / Total hours on type:
1816
Aircraft flight hours:
4091
Circumstances:
The crew was completing chemical work to protect sunflower crop from pests. This was the eighth sortie of the day. Shortly after takeoff, while climbing to a height of 20-30 metres, the engine lost power and the airplane started to lose altitude. No suitable terrain was available for an emergency landing. The airplane collided with trees and crashed in a wooded area, bursting into flames. Both crew members escaped uninjured while the aircraft was totally destroyed by a post crash fire.
Probable cause:
The immediate cause of the accident was a forced landing caused by a loss of engine power on unsuitable terrain. The most likely cause of the loss of engine power is the use of a low quality A-95 motor gasoline.
Final Report:

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

Date & Time: Jun 9, 2019 at 1624 LT
Type of aircraft:
Operator:
Registration:
RA-81519
Flight Phase:
Survivors:
Yes
Site:
Schedule:
Kyren - Kyren
MSN:
1G208-19
YOM:
1984
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
6921
Captain / Total hours on type:
6912.00
Copilot / Total flying hours:
3561
Aircraft flight hours:
3720
Circumstances:
The crew departed Kyren Airport on a crop spraying mission to treat forests. About 40 minutes into the flight, while flying at a speed of 140 km/h, the crew encountered downdrafts and the airplane lost height. Due to mountainous terrain, the crew made a turn to the right but the airplane continued to descend. The captain attempted an emergency landing when, at a speed of 85 km/h, the aircraft struck trees and crashed in a wooded area located 16 km southeast of Dabady. Both pilots were injured and evacuated to Irkutsk a day later. The aircraft was damaged beyond repair.
Probable cause:
Most likely, the reason for the accident with the An-2 RA-81519 aircraft was the execution by the flight crew along the route in the mountainous terrain to the area of ​​the AHR at an altitude not ensuring its safety, which did not allow crossing the mountain pass, led to the need to perform an emergency landing and damage to the aircraft.
The contributing factors were most likely:
- Non-consideration by the crew of a significant increase of the outside air temperature during the day,
- The crew did not set the altimeter properly,
- Lack of instrument control over the flight altitude,
- Downdraft air currents on the leeward side of the mountain slope;
- Operating fatigue, leading to a weakening of attention and a decrease in level of situational awareness.
Final Report:

Crash of a Piper PA-46-350P Malibu Mirage near Castalia: 4 killed

Date & Time: Jun 7, 2019 at 1331 LT
Registration:
N709CH
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Naples - Easton
MSN:
46-36431
YOM:
2007
Crew on board:
1
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
4
Captain / Total flying hours:
312
Captain / Total hours on type:
147.00
Aircraft flight hours:
1449
Circumstances:
The pilot departed on the cross-country flight with the airplane about 730 lbs over its maximum gross weight. While in cruise altitude at 27,000 ft mean sea level (msl), the pilot reported to air traffic control that he observed weather on his radar along his route and ahead of his position. The areas of weather included thunderstorms with cloud tops up to 43,000 ft msl. The controller acknowledged the weather; however, she did not provide specifics to the pilot, including the size and strength of the area of precipitation or cloud tops information, nor did she solicit or disseminate any pilot reports related to the conditions, as required. The airplane entered an area of heavy to extreme precipitation, likely a thunderstorm updraft, while in instrument meteorological conditions. Tracking information indicated that the airplane climbed about 300 ft, then entered a right, descending spiral and broke up in flight at high altitude. The recovered wreckage was found scattered along a path about 2.6 miles in length. Both wings separated, and most of the empennage was not located. The airplane was likely about 148 lbs over the maximum allowable gross weight at the time of the accident. Examination of the wreckage revealed no evidence of a pre accident malfunction or failure that would have prevented normal operation. The pilot, who owned the airplane, did not possess an instrument rating. The pilot-rated passenger in the right seat was instrument-rated but did not meet resency of experience requirements to act as pilot-in-command. Toxicology testing detected a small amount of ethanol in the pilot’s liver but not in muscle. After absorption, ethanol is uniformly distributed throughout all tissues and body fluids; therefore, the finding in one tissue but not another is most consistent with post-mortem production. Hazardous weather avoidance is ultimately the pilot’s responsibility, and, in this case, the airplane was sufficiently equipped to provide a qualified pilot with the information necessary to navigate hazardous weather; however, the controller’s failure to provide the pilot with adequate and timely weather information as required by Federal Aviation Administration Order JO 7110.65X contributed to the pilot’s inability to safely navigate the hazardous weather along his route of flight, resulting in the penetration of a thunderstorm and the resulting loss of airplane control and inflight breakup.
Probable cause:
The pilot’s failure to navigate around hazardous weather, resulting in the penetration of a thunderstorm, a loss of airplane control, and an inflight breakup. The air traffic controller’s failure to provide the pilot with adequate and timely weather information as required by FAA Order JO 7110.65X contributed to the pilot’s inability to safely navigate the hazardous weather along his route of flight.
Final Report:

Crash of an Antonov AN-32 near Lipo: 13 killed

Date & Time: Jun 3, 2019 at 1300 LT
Type of aircraft:
Operator:
Registration:
K2752
Flight Phase:
Flight Type:
Survivors:
No
Site:
Schedule:
Jorhat - Mechuka
MSN:
10 09
YOM:
1987
Country:
Region:
Crew on board:
8
Crew fatalities:
Pax on board:
5
Pax fatalities:
Other fatalities:
Total fatalities:
13
Circumstances:
The airplane departed Jorhat Airport at 1227LT on a flight to Mechuka, Arunachal Pradesh. About half an hour later, while in cruising altitude, radio and radar contact were lost. SAR operations were quickly initiated and the wreckage was spotted eight days later, on June 11, by the crew of a Mil Mi-17 helicopter. The wreckage was found at an altitude of 12,000 feet in a wooded and steep area, about 16 km north of Lipo and 32 km east of Mechuka Airport. The aircraft was totally destroyed and all 13 occupants were killed.

Crash of a Cessna 560 Citation Encore in the Atlantic Ocean: 1 killed

Date & Time: May 24, 2019 at 1755 LT
Type of aircraft:
Operator:
Registration:
N832R
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Saint Louis - Fort Lauderdale
MSN:
560-0585
YOM:
2001
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
9016
Aircraft flight hours:
4744
Circumstances:
The airline transport pilot departed on a repositioning flight in the jet airplane. The airplane was in level cruise flight at 39,000 ft mean sea level when the pilot became unresponsive to air traffic controllers. The airplane continued over 300 miles past the destination airport before it descended and impacted the Atlantic Ocean. Neither the pilot nor the airplane were recovered, and the reason for the airplane's impact with water could not be determined based on the available information.
Probable cause:
Impact with water for reasons that could not be determined based on the available information.
Final Report:

Crash of a De Havilland DHC-3T Otter in the George Inlet: 1 killed

Date & Time: May 13, 2019 at 1221 LT
Type of aircraft:
Operator:
Registration:
N959PA
Flight Phase:
Survivors:
Yes
Schedule:
Ketchikan - Ketchikan
MSN:
159
YOM:
1956
Crew on board:
1
Crew fatalities:
Pax on board:
10
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
25000
Aircraft flight hours:
30296
Circumstances:
On May 13, 2019, about 1221 Alaska daylight time, a float-equipped de Havilland DHC-2 (Beaver) airplane, N952DB, and a float-equipped de Havilland DHC-3 (Otter) airplane, N959PA, collided in midair about 8 miles northeast of Ketchikan, Alaska. The DHC-2 pilot and four passengers sustained fatal injuries. The DHC-3 pilot sustained minor injuries, nine passengers sustained serious injuries, and one passenger sustained fatal injuries. The DHC-2 was destroyed, and the DHC-3 sustained substantial damage. The DHC-2 was registered to and operated by Mountain Air Service LLC, Ketchikan, Alaska, under the provisions of Title 14 Code of Federal Regulations (CFR) Part 135 as an on-demand sightseeing flight. The DHC-3 was registered to Pantechnicon Aviation LTD, Minden, Nevada, and operated by Venture Travel, LLC, dba Taquan Air, Ketchikan, Alaska, under the provisions of Part 135 as an on-demand sightseeing flight. Visual meteorological conditions prevailed in the area at the time of the accident. According to information provided by the operators, both airplanes had been conducting sightseeing flights to the Misty Fjords National Monument area. They were both converging on a scenic waterfall in the Mahoney Lakes area on Revillagigedo Island before returning to the Ketchikan Harbor Seaplane Base (5KE), Ketchikan, Alaska, when the accident occurred. According to recorded avionics data recovered from the DHC-3, it departed from an inlet (Rudyerd Bay) in the Misty Fjords National Monument area about 1203 and followed the inlet westward toward Point Eva and Manzanita Island. At 1209, at an altitude between 1,900 and 2,200 ft, the DHC-3 crossed the Behm Canal then turned to the southwest about 1212 in the vicinity of Lake Grace. Automatic dependent surveillance-broadcast (ADS-B) tracking data for both airplanes, which were provided by the Federal Aviation Administration (FAA), began at 1213:08 for the DHC-3, and at 1213:55 for the DHC-2. At 1217:15, the DHC-3 was about level at 4,000 ft mean sea level (msl) over Carroll Inlet on a track of 225°. The DHC-2 was 4.2 nautical miles (nm) south of the DHC-3, climbing through 2,800 ft, on a track of 255°. The DHC-3 pilot stated that, about this time, he checked his traffic display and “there were two groups of blue triangles, but not on my line. They were to the left of where I was going.” He stated that he did not observe the DHC-2 on his traffic display before the collision. The ADS-B data indicated that, about 1219, the DHC-3 started a descent from 4,000 ft, and the DHC-2 was climbing from 3,175 ft. During the next 1 minute 21 seconds, the DHC-3 continued to descend on a track between 224° and 237°, and the DHC-2 leveled out at 3,350 ft on a track of about 255°. Between 1220:21 and 1221:14, the DHC-3 made a shallow left turn to a track of 210°, then a shallow right turn back to a track of 226°. The airplanes collided at 1221:14 at an altitude of 3,350 ft, 7.4 nm northeast of 5KE. The ADS-B data for both airplanes end about the time of the collision. The DHC-2 was fractured into multiple pieces and impacted the water and terrain northeast of Mahoney Lake. Recorded avionics data for the DHC-3 indicate that at 1221:14, the DHC-3 experienced a brief upset in vertical load factor and soon after entered a right bank, reaching an attitude about 50° right wing down at 1221:19 and 27° nose down at 1221:22. The DHC-3 began descending and completed a 180° turn before impacting George Inlet at 1222:15 along a northeast track.
Probable cause:
The NTSB determines that the probable cause of this accident was the inherent limitations of the see-and-avoid concept, which prevented the two pilots from seeing the other airplane before the collision, and the absence of visual and aural alerts from both airplanes’ traffic display systems, while operating in a geographic area with a high concentration of air tour activity.
Contributing to the accident were
1) the Federal Aviation Administration’s provision of new transceivers that lacked alerting capability to Capstone Program operators without adequately mitigating the increased risk associated with the consequent loss of the previously available alerting capability and
2) the absence of a requirement for airborne traffic advisory systems with aural alerting among operators who carry passengers for hire.
Final Report:

Crash of De Havilland DHC-2 Beaver in the Goerge Inlet: 5 killed

Date & Time: May 13, 2019 at 1221 LT
Type of aircraft:
Operator:
Registration:
N952DB
Flight Phase:
Survivors:
No
Schedule:
Ketchikan - Ketchikan
MSN:
237
YOM:
1952
Crew on board:
1
Crew fatalities:
Pax on board:
4
Pax fatalities:
Other fatalities:
Total fatalities:
5
Captain / Total flying hours:
11000
Aircraft flight hours:
16452
Circumstances:
On May 13, 2019, about 1221 Alaska daylight time, a float-equipped de Havilland DHC-2 (Beaver) airplane, N952DB, and a float-equipped de Havilland DHC-3 (Otter) airplane, N959PA, collided in midair about 8 miles northeast of Ketchikan, Alaska. The DHC-2 pilot and four passengers sustained fatal injuries. The DHC-3 pilot sustained minor injuries, nine passengers sustained serious injuries, and one passenger sustained fatal injuries. The DHC-2 was destroyed, and the DHC-3 sustained substantial damage. The DHC-2 was registered to and operated by Mountain Air Service LLC, Ketchikan, Alaska, under the provisions of Title 14 Code of Federal Regulations (CFR) Part 135 as an on-demand sightseeing flight. The DHC-3 was registered to Pantechnicon Aviation LTD, Minden, Nevada, and operated by Venture Travel, LLC, dba Taquan Air, Ketchikan, Alaska, under the provisions of Part 135 as an on-demand sightseeing flight. Visual meteorological conditions prevailed in the area at the time of the accident. According to information provided by the operators, both airplanes had been conducting sightseeing flights to the Misty Fjords National Monument area. They were both converging on a scenic waterfall in the Mahoney Lakes area on Revillagigedo Island before returning to the Ketchikan Harbor Seaplane Base (5KE), Ketchikan, Alaska, when the accident occurred. According to recorded avionics data recovered from the DHC-3, it departed from an inlet (Rudyerd Bay) in the Misty Fjords National Monument area about 1203 and followed the inlet westward toward Point Eva and Manzanita Island. At 1209, at an altitude between 1,900 and 2,200 ft, the DHC-3 crossed the Behm Canal then turned to the southwest about 1212 in the vicinity of Lake Grace. Automatic dependent surveillance-broadcast (ADS-B) tracking data for both airplanes, which were provided by the Federal Aviation Administration (FAA), began at 1213:08 for the DHC-3, and at 1213:55 for the DHC-2. At 1217:15, the DHC-3 was about level at 4,000 ft mean sea level (msl) over Carroll Inlet on a track of 225°. The DHC-2 was 4.2 nautical miles (nm) south of the DHC-3, climbing through 2,800 ft, on a track of 255°. The DHC-3 pilot stated that, about this time, he checked his traffic display and “there were two groups of blue triangles, but not on my line. They were to the left of where I was going.” He stated that he did not observe the DHC-2 on his traffic display before the collision. The ADS-B data indicated that, about 1219, the DHC-3 started a descent from 4,000 ft, and the DHC-2 was climbing from 3,175 ft. During the next 1 minute 21 seconds, the DHC-3 continued to descend on a track between 224° and 237°, and the DHC-2 leveled out at 3,350 ft on a track of about 255°. Between 1220:21 and 1221:14, the DHC-3 made a shallow left turn to a track of 210°, then a shallow right turn back to a track of 226°. The airplanes collided at 1221:14 at an altitude of 3,350 ft, 7.4 nm northeast of 5KE. The ADS-B data for both airplanes end about the time of the collision. The DHC-2 was fractured into multiple pieces and impacted the water and terrain northeast of Mahoney Lake. Recorded avionics data for the DHC-3 indicate that at 1221:14, the DHC-3 experienced a brief upset in vertical load factor and soon after entered a right bank, reaching an attitude about 50° right wing down at 1221:19 and 27° nose down at 1221:22. The DHC-3 began descending and completed a 180° turn before impacting George Inlet at 1222:15 along a northeast track.
Probable cause:
The NTSB determines that the probable cause of this accident was the inherent limitations of the see-and-avoid concept, which prevented the two pilots from seeing the other airplane before the collision, and the absence of visual and aural alerts from both airplanes’ traffic display systems, while operating in a geographic area with a high concentration of air tour activity.
Contributing to the accident were
1) the Federal Aviation Administration’s provision of new transceivers that lacked alerting capability to Capstone Program operators without adequately mitigating the increased risk associated with the consequent loss of the previously available alerting capability and
2) the absence of a requirement for airborne traffic advisory systems with aural alerting among operators who carry passengers for hire.
Final Report: