Crash of a PZL-Mielec AN-2TP in Loxley

Date & Time: Apr 11, 2011 at 1216 LT
Type of aircraft:
Operator:
Registration:
N122AN
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Destin – DeRidder
MSN:
1G176-31
YOM:
1977
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
4888
Captain / Total hours on type:
21.00
Aircraft flight hours:
10371
Circumstances:
According to the pilot, during cruise flight the engine began to run rough and lose power. He heard a loud metallic sound; the engine vibrated violently and then lost power. He performed a forced landing to a farm field, and the airplane nosed over in the soft terrain, resulting in substantial damage to the wings. A postaccident inspection revealed that the crankshaft would not rotate. An internal inspection of the cylinders and spark plugs did not reveal a reason for the power loss. The oil system was examined and there were large amounts of metal particles in the oil. Due to a lack of suitable equipment and facilities, further disassembly of the engine was not attempted.
Probable cause:
A loss of engine power due to internal failure.
Final Report:

Crash of a De Havilland DHC-3 Otter in Mayo: 1 killed

Date & Time: Mar 31, 2011 at 1507 LT
Type of aircraft:
Operator:
Registration:
C-GMCW
Flight Phase:
Flight Type:
Survivors:
No
Site:
Schedule:
Mayo - Rackla
MSN:
108
YOM:
1956
Location:
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
5000
Captain / Total hours on type:
3000.00
Aircraft flight hours:
16431
Circumstances:
The aircraft was being utilized in support of mineral exploration activities, to transport building materials, fuel, and winter camp supplies from Mayo, Yukon, to winter airstrips located at Withers Lake and Rackla River, Yukon. Withers Lake is located 113 statute miles (sm) east of Mayo, and Rackla Airstrip is located 94 sm northeast of Mayo (Appendix B). On the accident flight, the aircraft was transporting a load of twelve 6-inch by 6-inch wood timbers, each 16 feet long, and 2 barrels of jet fuel. The pilot had arrived at the Mayo Airport at about 0630 1 on the morning of the accident. The pilot’s first trip of the day was to Withers Lake, departing Mayo at 0834. The pilot completed 2 trips to Withers Lake and 1 trip to Rackla prior to the accident flight. The accident flight departed Mayo at 1448 under visual flight rules (VFR) on a company itinerary. At 1507 the Canadian Mission Control Centre (CMCC) received a 406-MHz emergency locater transmitter (ELT) alert. Joint Rescue Co-ordination Centre Victoria (JRCC Victoria) was notified at 1522. Aircraft operating in the area were alerted, and a commercial helicopter was dispatched from Ross River, Yukon, approximately 1 hour later to search for the aircraft. The helicopter crew located the aircraft wreckage at 1833 at about 4300 feet above sea level (asl), on a remote, snow-covered hillside 38 nautical miles (nm) northeast of Mayo.
Probable cause:
The aircraft departed controlled flight for reasons which could not be determined, and broke up due to high speed.
Final Report:

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

Date & Time: Mar 30, 2011 at 1418 LT
Type of aircraft:
Operator:
Registration:
UR-54873
Flight Phase:
Survivors:
Yes
MSN:
1G185-33
YOM:
1979
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
The crew was performing a crop spraying flight in Dibrova, some 60 km northwest from Zhytomyr. In flight, the engine caught fire and crew elected to make an emergency landing in an open field. Upon touchdown, the aircraft rolled for few metres then overturned and came to rest upside down. Both pilots escaped with minor injuries and the aircraft was damaged beyond repair.
Probable cause:
Emergency landing after the engine caught fire in flight for unknown reasons.

Crash of a Cessna 550 Citation II in Manas: 3 killed

Date & Time: Mar 28, 2011 at 1945 LT
Type of aircraft:
Operator:
Registration:
B-7026
Flight Phase:
Survivors:
No
Site:
Schedule:
Korla - Korla
MSN:
550-0305
YOM:
1982
Country:
Region:
Crew on board:
3
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
3
Circumstances:
Owned by the Zhongfei General Aviation Company (CFGAC), the airplane was engaged in a survey flight over the north China province of Xinjiang. It departed Korla Airport at 1600LT with a crew of three. En route, it crashed in unknown circumstances in the Manas County, Hui autonomous prefecture of Changji. SAR did not find any trace of the aircraft nor the crew. Fatal index is presumed.

Crash of an Antonov AN-148-100E in Garbuzovo: 6 killed

Date & Time: Mar 5, 2011 at 1040 LT
Type of aircraft:
Operator:
Registration:
61708
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Voronezh - Voronezh
MSN:
41-03
YOM:
2010
Country:
Region:
Crew on board:
6
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
6
Circumstances:
The aircraft departed Voronezh-Pridacha Airport in the morning to conduct a test flight with six crew on board, two pilots from the manufacturer, two engineers and two pilots from the Myanmar Air Force to whom the aircraft should be delivered. In flight, the crew decided to perform an emergency descent. During this manoeuvre, the aircraft reached an excessive speed and lost part of its tail, stabilizers and elevators. It entered an uncontrolled descent and crashed in a snow covered field located near Garbuzovo, bursting into flames. The aircraft was totally destroyed and all six occupants were killed. Tail parts, stabilizers and elevators were later found about 3 km from the point of impact. The airplane was operated by the Voronezh Aircraft Production Association. (VASO - Voronezhskoye Aktsionernoye Samoletostroitelnoe Obshestvo). First accident involving an Antonov AN-148.
Probable cause:
The cause of the accident was the inadvertently permitted the aircraft to accelerate 110 km/h above the design limit speed during an emergency descent. This led to low-frequency vibrations on the aircraft in all axes, an increase of alternating accelerations exceeding the margin of safety. The result was the break up of the aircraft in the air, followed by its collision with the earth.
The main factors contributing to the accident were:
- Untimely and inadequate actions of the crew to control the emergency decent,
- Lack of proper coordination among the members of the crew,
- Deviations from recommendations in the flight manual in executing the emergency descent,
- Misleading indications on basic instruments when outside characteristic operating conditions.

Crash of a Cessna 411 in Carrasqueño: 3 killed

Date & Time: Mar 4, 2011
Type of aircraft:
Operator:
Registration:
XB-LWA
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Guadalajara – Mexico City
MSN:
411-0275
YOM:
1967
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
4
Pax fatalities:
Other fatalities:
Total fatalities:
3
Circumstances:
Few minutes after takeoff from Guadalajara-Miguel Hidalgo y Costilla Airport, the crew informed ATC about technical problems and elected to make an emergency landing. While approaching a pasture, the twin engine airplane collided with a powerline and crashed, bursting into flames. Both pilots and two cows in the field were killed, and all four passengers were seriously injured (burns). Three days later, one of the survivor died from his injuries.

Crash of a Cessna 340A near Lobatera: 6 killed

Date & Time: Feb 22, 2011 at 1510 LT
Type of aircraft:
Registration:
YV2402
Flight Phase:
Survivors:
No
Site:
Schedule:
Valera – El Vigía – San Antonio del Táchira
MSN:
340A-1502
YOM:
1982
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
5
Pax fatalities:
Other fatalities:
Total fatalities:
6
Circumstances:
The twin engine aircraft departed Valera Airport on a charter flight to San Antonio del Táchira with an intermediate stop in El Vigía, carrying five passengers and one pilot. All flight was completed under VFR mode but while descending to San Antonio del Táchira, weather conditions worsened and the pilot switched to IFR mode. Shortly later, control was lost and the aircraft crashed on the slope of Mt Laja, near Lobatera. The wreckage was found about 25 km northeast of San Antonio del Táchira Airport. The aircraft disintegrated on impact and all six occupants were killed.
Probable cause:
The most probable cause for the occurrence of this accident was the loss of situational awareness, caused mainly by the change of flight conditions under visual rules to flight under instrumental flight rules, due to the adverse weather conditions in which the descent phase began, so it is possible to establish the Human Factor as the cause of the accident and the Physical Factor as a contributor.

Crash of a Let L-410UVP-E20 near Tegucigalpa: 14 killed

Date & Time: Feb 14, 2011 at 0802 LT
Type of aircraft:
Operator:
Registration:
HR-AUQ
Flight Phase:
Survivors:
No
Schedule:
San Pedro Sula - Tegucigalpa
MSN:
91 26 03
YOM:
1991
Flight number:
CAA731
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
12
Pax fatalities:
Other fatalities:
Total fatalities:
14
Captain / Total flying hours:
15300
Copilot / Total flying hours:
4810
Aircraft flight hours:
5153
Circumstances:
The twin engine aircraft departed San Pedro Sula-Ramon Villeda Morales Airport at 0704LT on a 40-minute flight to Tegucigalpa, carrying 12 passengers and two pilots. After being cleared to descend to 9,000 feet for an approach to runway 20, the crew informed ATC he was initiating a go-around procedure for unknown reasons. Few minutes later, the aircraft was cleared for an approach to runway 02. On approach in marginal weather conditions in a full flaps down configuration, the aircraft stalled and crashed in a wooded area located 12 km from the airport. The aircraft was totally destroyed by impact forces and all 14 occupants were killed.
Probable cause:
The following findings were identified:
1) Weather conditions existing at the time of the event, during the approach to the runway the aircraft was operated slightly above the stall speed and a major change in wind speed could cause a stall. The altitude at which the windshear occurred, and the reaction time of the pilot and the responsiveness of the aircraft determined whether the descent could be arrested in time to avoid an accident.
2) No published descent procedures were performed, possibly misinterpretation of Flight Instruments (altimeter, airspeed indicator).
3) During the descent to the VOR/DME for runway 20 and 02, the pilot in command (PIC) did not check his approach chart, and did not continually consult the first officer on the altitude and course.
4) There was no adequate communication between crew; deficient CRM (No approach briefing was made for any of the two approaches).
5) The aircraft was configured for landing with flaps fully down (flap 42) at a very long distance from the track without having it in sight. It is noteworthy that the aircraft will not respond to an adverse condition windshear as it appeared at that time with such a configuration. It should be noted that in both approaches it is mandatory to perform a 'circling' procedure.
Final Report:

Crash of a Casa 212 Aviocar 100 near Tanjung Pinang: 5 killed

Date & Time: Feb 12, 2011 at 1342 LT
Type of aircraft:
Operator:
Registration:
PK-ZAI
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Batam - Tanjung Pinang
MSN:
120/18N
YOM:
1980
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
5
Captain / Total flying hours:
13027
Captain / Total hours on type:
3311.00
Copilot / Total flying hours:
2577
Copilot / Total hours on type:
152
Aircraft flight hours:
29990
Aircraft flight cycles:
35128
Circumstances:
On 12 February 2011, a CASA C212-100 aircraft, registered PK-ZAI, operated by Sabang Merauke Raya Air Charter (SMAC), departed from Hang Nadim Airport, Batam (BTH/WIDD) at 1318 LT (0618 UTC)1 for a test flight following an engine replacement to the engine number one. The test flight was conducted over Tanjung Pinang Island area. There were five persons on board consisted of two pilots, and three company engineers. At 0628 UTC the aircraft appeared on Tanjung Pinang Approach radar display and was flying toward Tanjung Pinang area. Tanjung Pinang Approach controller informed that the aircraft was identified flying over Tanjung Pinang at 2000 feet. At 0633 UTC the aircraft received clearance to climb to 4000 feet. At 0644 UTC the aircraft disappeared from Tanjung Pinang radar display. The last position of the aircraft identified on the radar display was on 16 miles radial 010º from Tanjung Pinang airport. Tanjung Pinang Approach controller could not communicate with the PK-ZAI. At 0705 UTC, the controller requested relay by another aircraft to search PK-ZAI. The other aircrafts could not communicate with PK-ZAI. At 0706 UTC Tanjung Pinang Approach controller received information from Indonesian Air Force Base at Gunung Bintan that an aircraft had crashed at Gunung Kijang forest, Bintan Island. After receiving the information, Tanjung Pinang Airport staff coordinated with SAR Bureau, local police, and Indonesian Army for search and rescue operation. The aircraft was found at Gunung Kijang forest, Bintan Island at coordinate 1° 10’ 45” N; 104° 34’ 22” E, about 30 km north of Tanjung Pinang Airport. All occupants were fatally injured in this accident. The aircraft was substantially damaged.
Probable cause:
Factors contributed to the accident are as follows:
• The flight test was not properly well prepared; there was no flight test plan.
• The current and applicable CMM is dissimilar the According to the CASA 212-100 and Garrett TPE331-5 Maintenance Manuals related to flight test requirement after the change of only one engine.
• The left engine was shut down using normal/ ground shut down procedure. It used the fuel shut off switches off followed by pulling the Power Lever rearward to reverse, as indicated by the propeller pitch.
• The right engine most likely shut down by wind milling prior the impact, it was indicated the propellers piston distance position to the cylinder was about normal flight range position and no indication of rotating impact on the blades.
• The Casa Service Bulletin No. 212-76-07 Revision 1 issued dated 23 December 1991 (Anti Reverse) that applicable for Casa 212 -100/200, was not incorporated to this aircraft.
• The PIC with pareses or paralysis vestibular organ or system could not response normally to the three dimensional motion or movement. This condition may the subject more sensitive to suffer Spatial Disorientation (SDO). The SDO is the pilot could not perceived rightly his position motion and attitude to the earth horizontal or to his aircraft or other aircraft and could as the dangerous precondition for unsafe action.
• The Director (DGCA) decree No 30/II/200 issued on 20 February 2009 stated that for issuing medical certificate for pilot after 60th birthday require several additional medical examination items. Point 1.b of this decree states the Video Nystagmography examination.(differed the ICAO Doc 8984).
Final Report:

Crash of a De Havilland DHC-6 Twin Otter 300 near Santa Clara: 6 killed

Date & Time: Jan 20, 2011 at 1545 LT
Operator:
Registration:
FAE449
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Shell – Tena
MSN:
834
YOM:
1986
Country:
Crew on board:
6
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
6
Circumstances:
The crew departed Shell Mera-Río Amazonas Airport at 1530LT on a flight to Tena on behalf of the ECORAE's Institute, a government supply and support program for isolated population in the center of Ecuador. Fifteen minutes after takeoff, the twin engine aircraft crashed in unknown circumstances near Santa Clara, about 30 km northeast of Shell Airport. A crew survived while five other occupants were killed. The only survivor died few hours later.