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:

Crash of a PZL-Mielec AN-2R in Urimán

Date & Time: May 8, 2019
Type of aircraft:
Operator:
Registration:
YV2354
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
La Paragua – Urimán
MSN:
1G211-43
YOM:
1985
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
While descending to Urimán Airport following an uneventful flight from La Paragua, the crew encountered an unexpected situation and attempted an emergency landing when the aircraft impacted ground and came to rest against a group of palm trees located 13 km from Urimán. Both pilots were injured and the aircraft was damaged beyond repair.

Crash of a Canadair CL-601-3A Challenger near La Rosita: 13 killed

Date & Time: May 5, 2019 at 1740 LT
Type of aircraft:
Registration:
N601VH
Flight Phase:
Survivors:
No
Site:
Schedule:
Las Vegas - Monterrey
MSN:
5043
YOM:
1989
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
11
Pax fatalities:
Other fatalities:
Total fatalities:
13
Captain / Total flying hours:
3337
Captain / Total hours on type:
329.00
Copilot / Total flying hours:
1541
Copilot / Total hours on type:
147
Aircraft flight hours:
7637
Aircraft flight cycles:
4122
Circumstances:
The airplane departed Las Vegas-McCarran Airport at 1452LT on a charter flight to Monterrey, carrying two pilots and 11 passengers who were returning to Mexico after taking part to a boxing match in Las Vegas. The flight was completed at FL370 until the crew was cleared to climb to FL390 for five minutes then to FL410. Suddenly, the airplane entered an uncontrolled descent and eventually crashed in an almost flat attitude in a desert area located near La Rosita, Coahuila. The aircraft was destroyed by impact forces and a post crash fire and all 13 occupants were killed. The wreckage was found the following day.
Probable cause:
A loss of control at high altitude after the airplane encountered severe atmospheric turbulences coming from an unstable weather area. The crew were unable to detect the presence of this atmospheric phenomenon due to the malfunction of the onboard weather radar system for reasons that could not be determined.
Final Report:

Crash of a Piper PA-46-350P Malibu near Makkovik: 1 killed

Date & Time: May 1, 2019 at 0816 LT
Operator:
Registration:
N757NY
Flight Phase:
Flight Type:
Survivors:
Yes
Site:
Schedule:
Goose Bay - Narsarsuaq
MSN:
46-36657
YOM:
2015
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
3500
Captain / Total hours on type:
20.00
Copilot / Total flying hours:
1300
Copilot / Total hours on type:
0
Circumstances:
On 01 May 2019 at 0723, the aircraft departed CYYR on a VFR flight plan direct to BGBW. The ferry pilot, who was the pilot-in-command, occupied the left seat while the co-owner occupied the right seat. The aircraft climbed to 2000 feet ASL and proceeded on a direct track to destination. The altitude and heading did not change significantly along the route, therefore it is likely that the autopilot was engaged. At 0816, the aircraft collided with a snow-covered hill 2250 feet in elevation, located 35 nautical miles (NM) southeast of Makkovik Airport (CYFT), Newfoundland and Labrador. The impact happened approximately 200 feet below the top of the hill. The aircraft came to rest in deep snow on steep sloping terrain. The aircraft sustained significant damage to the propeller, nose gear, both wings, and fuselage. Although the cabin was crush-damaged, occupiable space remained. There was no post-impact fire. The ferry pilot was seriously injured and the co-owner was fatally injured. The Joint Rescue Coordination Centre (JRCC) in Halifax received an emergency locator transmitter (ELT) signal from the aircraft at 0823. The ferry pilot carried a personal satellite tracking device, a personal locator beacon (PLB) and a handheld very high frequency (VHF) radio, which allowed communication with search and rescue (SAR). Air SAR were dispatched to the area; however, by that time, the weather had deteriorated to blizzard conditions and aerial rescue was not possible. Ground SAR then deployed from the coastal community of Makkovik and arrived at the accident site approximately 4 hours later because of poor weather conditions and near zero visibility. The ferry pilot and the body of the co-owner were transported to Makkovik by snowmobile. The following day, they were airlifted to CYYR.
Probable cause:
Controlled flight into terrain.
Final Report:

Crash of a Rockwell Sabreliner 65 near New Albany: 3 killed

Date & Time: Apr 13, 2019 at 1514 LT
Type of aircraft:
Registration:
N265DS
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Broomfield - Oxford - Hamilton
MSN:
465-45
YOM:
1980
Crew on board:
2
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
3
Captain / Total flying hours:
22200
Copilot / Total flying hours:
2250
Aircraft flight hours:
10754
Circumstances:
Two instrument-rated commercial pilots and one passenger were conducting a cross-country flight in instrument meteorological conditions when they began discussing an electrical malfunction; they then reported the electrical problem to air traffic control. The airplane subsequently made a descending right turn and impacted wooded terrain at a high speed. Most components of the airplane were highly fragmented, impact damaged, and unidentifiable. Based on the limited discussion of the electrical problem on the cockpit voice recorder and the damage to the airplane, it was not possible to determine the specific nature of the electrical malfunction the airplane may have experienced. While it was not possible to determine which systems were impacted by the electrical malfunction, it is possible the flight instruments were affected. The airplane's descending, turning, flight path before impact is consistent with a system malfunction that either directly or indirectly (through a diversion of attention) led to the pilot's loss of awareness of the airplane's performance in instrument meteorological conditions and subsequent loss of control of the airplane.
Probable cause:
An unidentified electrical system malfunction that led to the pilots losing awareness of the airplane's performance in instrument meteorological conditions and resulted in a loss of control of the airplane.
Final Report: