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

Date & Time: Jun 15, 2015 at 0754 LT
Type of aircraft:
Operator:
Registration:
RA-84553
Flight Phase:
Survivors:
Yes
MSN:
1G189-20
YOM:
1980
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
10541
Aircraft flight hours:
9645
Circumstances:
The single engine aircraft was engaged in a crop spraying mission on behalf of the Mikhail Farm located in the Tatsinsky District of the Rostov Region. The aircraft was carrying 400 kilos of fuel, 1,200 liters of pesticides, one pilot and one boy aged 13, the son of the farmer. Few minutes after takeoff, while approaching the area to be treated at a height of about 20-25 metres and at a speed of 130 km/h, the engine failed. The aircraft lost height, collided with power cables and crashed in a field, bursting into flames. The wreckage was found 2 km from the Mikhail farmhouse. The pilot escaped unhurt while the boy was injured. The aircraft was totally destroyed by a post crash fire.
Probable cause:
The reason for the accident with An-2 RA-84553 was performing a flight in a known defective aircraft, leading to engine failure and the need for in-flight forced landing, during which there was a collision with power lines, followed by a rough landing that led to the structural failure and fire. Investigation to determine the cause of the engine failure was not possible due to the failure to ensure the safety of the aircraft after the accident and the absence of operational and technical documentation. The adoption of the decision by the pilot to reject takeoff after detecting a loss engine power on the takeoff could have prevented the accident. The aircraft did not have a valid Certificate of Airworthiness and the time between overhauls had been exceeded on 10 April 2015.
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.

Crash of a Cessna 207 Skywagon near Bethel: 1 killed

Date & Time: May 30, 2015 at 1130 LT
Operator:
Registration:
N1653U
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Bethel - Bethel
MSN:
207-0253
YOM:
1974
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
7175
Captain / Total hours on type:
6600.00
Aircraft flight hours:
28211
Circumstances:
The pilot departed on a postmaintenance test flight during day visual meteorological conditions. According to the operator, the purpose of the flight was to break in six recently installed engine cylinders, and the flight was expected to last 3.5 hours. Recorded automatic dependent surveillance-broadcast data showed that the airplane was operating at altitudes of less than 500 ft mean sea level for the majority of the flight. The data ended about 3 hours after takeoff with the airplane located about 23 miles from the accident site. There were no witnesses to the accident, which occurred in a remote area. When the airplane did not return, the operator reported to the Federal Aviation Administration that the airplane was overdue. Searchers subsequently discovered the fragmented wreckage submerged in a swift moving river, about 40 miles southeast of the departure/destination airport. Postmortem toxicology tests identified 21% carboxyhemoglobin (carbon monoxide) in the pilot's blood. The pilot was a nonsmoker, and nonsmokers normally have no more than 3% carboxyhemoglobin. There was no evidence of postimpact fire; therefore, it is likely that the pilot's elevated carboxyhemoglobin level was from acute exposure to carbon monoxide during the 3 hours of flight time before the accident. As the pilot did not notify air traffic control or the operator's home base of any problems during the flight, it is unlikely that he was aware that there was carbon monoxide present. Early symptoms of carbon monoxide exposure may include headache, malaise, nausea, and dizziness. Carboxyhemoglobin levels between 10% and 20% can result in confusion, impaired judgment, and difficulty concentrating. While it is not possible to determine the exact symptoms the pilot experienced, it is likely that the pilot had symptoms that may have been distracting as well as some degree of impairment in his judgment and concentration. Given the low altitudes at which he was operating the airplane, he had little margin for error. Thus, it is likely that the carbon monoxide exposure adversely affected the pilot's performance and contributed to his failure to maintain clearance from the terrain. According to the operator, the airplane had a "winter heat kit" installed, which modified the airplane's original cabin heat system. The modification incorporated an additional exhaust/heat shroud system designed to provide increased cabin heat during wintertime operations. Review of maintenance records revealed that the modification had not been installed in accordance with Federal Aviation Administration field approval procedures. Examination of the recovered wreckage did not reveal evidence of any preexisting mechanical anomalies that would have precluded normal operation of the airplane. Examination of the airplane's right side exhaust/heat exchanger did not reveal any leaks or fractures that would have led to carbon monoxide in the cabin. Because the left side exhaust/heat exchanger was
not recovered, it was not possible to determine whether it was the source of the carbon monoxide.
Probable cause:
The pilot's failure to maintain altitude, which resulted in collision with the terrain. Contributing to the accident was the pilot's impairment from carbon monoxide exposure in flight. The source of the carbon monoxide could not be determined because the wreckage could not be completely recovered.
Final Report:

Crash of a Embraer EMB-821 Carajá in Rochedo

Date & Time: May 24, 2015 at 0953 LT
Operator:
Registration:
PT-ENM
Flight Phase:
Survivors:
Yes
Schedule:
Miranda – Campo Grande
MSN:
820-072
YOM:
1978
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
7
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
8378
Captain / Total hours on type:
470.00
Copilot / Total flying hours:
1006
Copilot / Total hours on type:
4
Circumstances:
The twin engine airplane departed Miranda-Estância Caimam Airfield at 0915LT on a charter flight to Campo Grande, carrying seven passengers and two pilots. About 35 minutes into the flight, while flying 79 km from the destination in good weather conditions, the left engine failed. The crew was unable to feather the propeller and to maintain a safe altitude, so he decided to attempt an emergency landing. The aircraft belly landed in an agriculture area, slid for few dozen metres and came to rest. All nine occupants suffered minor injuries and the aircraft was damaged beyond repair.
Probable cause:
Failure of the left engine in flight due to fuel exhaustion. The following findings were identified:
- The fuel tanks in the left wing were empty while a quantity of 320 litres of fuel was still present in the fuel tanks of the right wing,
- The crew was unable to maintain altitude because he could not feather the left propeller,
- The pilots were misled by a false indication of the fuel gauge coupled to the left wing tank which displayed a certain value while the tank was actually empty. This error was caused by the fuel sensors for the left wing tanks being installed inverted,
- The aircraft was not airworthy at the time of the accident due to several defects,
- The Minimum Equipment List (MEL) was not up to date,
- The Cockpit Voice Recorder (CVR) was unserviceable,
- The automatic propeller feathering system was out of service,
- The fuel sensors for the left wing tanks had been installed inverted,
- Bad contact with the right wing fuel sensor connector plug,
- The pilots failed to follow the published procedures related to an engine failure,
- Poor flight preparation,
- Crew complacency,
- The crew training program by the operator was inadequate,
- Lack of supervision on part of the operator.
Final Report:

Crash of a Embraer EMB-820C Navajo in Ricaurte: 2 killed

Date & Time: May 24, 2015 at 0040 LT
Operator:
Registration:
PT-RCN
Flight Phase:
Flight Type:
Survivors:
No
MSN:
820-121
YOM:
1982
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
2
Circumstances:
The crew took off from a small airfield located in the suburb of Manaus at the end of the day with a load of 616 small packages containing cocaine. After entering the Venezuelan Airspace without clearance, the crew was contacted twice by ATC but failed to answer. Authorities decided to send two fighters to establish a visual and radio contact with the crew but without success as, due to the low visibility caused by night and poor weather conditions, the crew of the Navajo was able to continue the flight without further problem. Nevertheless, three hours later, the twin engine aircraft was again localized passing over the State of Cojedes, and the decision was taken to shoot it down. Out of control, the Navajo crashed in a pasture located in the region of Ricaurte, and was totally destroyed by impact forces. Both pilots were killed and a load of narcotics was found. At the time of the accident, the aircraft was illegally registered YV1246 as a sticker has been affixed above the official Brazilian registration PT-RCN.
Probable cause:
Shot down by the pilot of a Venezuelan Air Force fighter.

Crash of a BAe 125-700A off Puerto Colombia: 4 killed

Date & Time: May 20, 2015
Type of aircraft:
Operator:
Registration:
N917TF
Flight Phase:
Flight Type:
Survivors:
No
MSN:
257138
YOM:
1981
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
4
Circumstances:
The aircraft took off in the day from an airfield located in Venezuela with two passengers, two pilots and a load of 1,3 ton of narcotics, en route to Central America. While cruising over the Caribbean Sea off the Colombian coast, the aircraft was intercepted by a Colombian Air Force fighter. In unclear situation, the right engine of the Hawker caught fire (shot down ?). The crew descended in a low nose down attitude until the aircraft impacted the sea and disintegrated. All four occupants were killed and the load of narcotics was found floating on water. Three dead bodies and some debris of the aircraft were found few days later on a beach located northeast of Puerto Colombia. The aircraft was identified as N917TF which departed Fort Lauderdale-Executive Airport, Florida for Toluca, Mexico on May 1, 2015. It was formally cancelled from the U.S. register on June 2, 2015 as exported to Mexico.
Probable cause:
Shot down by the pilot of a Colombian Air Force fighter.

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

Date & Time: May 18, 2015 at 0912 LT
Type of aircraft:
Operator:
Registration:
RA-56528
Flight Phase:
Flight Type:
Survivors:
Yes
Site:
Schedule:
Kevsala – Gribnoye
MSN:
1G183-28
YOM:
1979
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
20000
Captain / Total hours on type:
17500.00
Circumstances:
The single engine aircraft was completing a flight from Kevsala (Ipatovo district of the Stavropol region) to Gribnoye, in the Novopavlovsk district, carrying one pilot and four oil drums. En route, while approaching Sanamer at low altitude, the pilot encountered engine problems and attempted an emergency landing. After touchdown, the aircraft hit a fence, crushed some trees and came to rest against the wall of a church. The pilot was seriously injured and the aircraft was damaged beyond repair.
Probable cause:
The need of the emergency landing was due to the engine flameout in the air most probably caused by the oil tank swelling and pressing its wall on the fuel shutoff valve lever. Oil tank pressure and its swelling most probably caused carbon deposit in vent pipeline connecting oil tank with atmosphere.
The following factors most probably contributed to the accident:
- No water washing of the oil tank and vent pipeline of oil tank with atmosphere specified by scheduled maintenance after 400±30 flight hours or 12±1 month of operation;
- Aircraft maintenance by people not having the aircraft maintenance license;
- Flight operation over locality at the altitude insufficient to perform landing within its limits in case of aircraft nonoperation;
- Flight operation by PIC in moderate alcohol intoxication.
Final Report:

Crash of a PZL-Mielec AN-2R in the Baltic Sea: 2 killed

Date & Time: May 16, 2015 at 1535 LT
Type of aircraft:
Operator:
Registration:
LY-AET
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Stauning – Kattleberg – Klaipėda
MSN:
1G192-07
YOM:
1981
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
9006
Captain / Total hours on type:
8995.00
Copilot / Total flying hours:
15349
Copilot / Total hours on type:
12553
Aircraft flight hours:
6920
Aircraft flight cycles:
26031
Circumstances:
The crew was performing a delivery flight from Stauning (Denmark) to Klaipėda with an intermediate stop in Kattleberg, Sweden. Recently acquired by the company for agricultural purposes, the single engine aircraft departed Kattleberg Airfield at 1312LT with an ETA in Klaipėda at 1720LT. En route, the crew informed ATC about their position at 1508LT. Less than half an hour later, the aircraft entered an uncontrolled descent and crashed in unknown circumstances in the Baltic Sea, some 111 km off Klaipėda. The crew of a Lithuanian Marine vessel located the wreckage three days later at a depth of 124 meters. A dead body was found on May 21. The second pilot was not found.
Final Report:

Crash of a Shin Meiwa US-2 off Cape Ashizuri

Date & Time: Apr 28, 2015 at 1455 LT
Type of aircraft:
Operator:
Registration:
9905
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Iwakuni - Iwakuni
MSN:
4005
Country:
Region:
Crew on board:
19
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
The four engine seaplane departed Iwakuni AFB to conduct a training mission over the sea, carrying 19 crew members from the 31st Squadron. For unknown reasons, the crew was apparently forced to attempt an emergency landing when the aircraft crashed in the sea some 40 km northeast of Cape Ashizuri. The aircraft lost an engine and a float and came to rest partially submerged. All 19 occupants were rescued, among them four were injured. The aircraft was damaged beyond repair.

Crash of a Swearingen SA226TC Metro II on Mt Seymour: 2 killed

Date & Time: Apr 13, 2015 at 0708 LT
Type of aircraft:
Operator:
Registration:
C-GSKC
Flight Phase:
Flight Type:
Survivors:
No
Site:
Schedule:
Vancouver – Prince George – Dawson Creek – Fort Saint John
MSN:
TC-235
YOM:
1977
Flight number:
CA066
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
2885
Captain / Total hours on type:
1890.00
Copilot / Total flying hours:
1430
Copilot / Total hours on type:
57
Aircraft flight hours:
33244
Circumstances:
On 13 April 2015, Carson Air Ltd. flight 66 (CA66), a Swearingen SA226-TC Metro II (registration C-GSKC, serial number TC-235), departed Vancouver International Airport (CYVR), British Columbia, with 2 pilots on board for an instrument flight rules flight to Prince George, British Columbia. At 0709 Pacific Daylight Time (PDT), approximately 6 minutes after leaving Vancouver, the aircraft disappeared from air traffic control radar while climbing through an altitude of 8700 feet above sea level in instrument meteorological conditions, about 4 nautical miles north of the built-up area of North Vancouver. Deteriorating weather conditions with low cloud and heavy snowfall hampered an air search; however, aircraft wreckage was found on steep, mountainous, snow-covered terrain by ground searchers at approximately 1645 PDT. The aircraft had experienced a catastrophic in-flight breakup. Both pilots were fatally injured, and the aircraft was destroyed. Although the aircraft’s 406-megahertz emergency locator transmitter activated, the antenna was damaged and no signal was received by the Cospas-Sarsat (international satellite system for search and rescue). The accident occurred during daylight hours.
Probable cause:
Findings as to causes and contributing factors:
1. For unknown reasons, the aircraft descended in the direction of flight at high speed until it exceeded its structural limits, leading to an in-flight breakup.
2. Based on the captain’s blood alcohol content, alcohol intoxication almost certainly played a role in the events leading up to the accident.

Findings as to risk:
1. If cockpit or data recordings are not available to an investigation, the identification and communication of safety deficiencies to advance transportation safety may be precluded.
2. If Canadian Aviation Regulations Subpart 703 operators are not required to have a Transport Canada–approved safety management system, which is assessed on a regular basis, there is a risk that those companies will not have the necessary processes in place to manage safety effectively.
3. If safety issues, such as concerns related to drug or alcohol abuse, are not reported formally through a company’s safety reporting system, there is a risk that hazards will not be managed effectively.
4. Transport Canada’s Handbook for Civil Aviation Medical Examiners(TP 13312) does not address the complete range of conditions that may be affected by drug or alcohol dependence. As a result, there is an increased risk that undisclosed cases of drug or alcohol dependence in commercial aviation will go undetected, placing the travelling public at risk.
5. If there is no regulated drug- and alcohol-testing requirement in place to reduce the risk of impairment of persons while engaged in safety-sensitive functions, employees may undertake these duties while impaired, posing a risk to public safety.
Final Report: