Crash of an ATR42-300 near Balikpapan

Date & Time: Feb 11, 2010 at 1150 LT
Type of aircraft:
Operator:
Registration:
PK-YRP
Flight Phase:
Survivors:
Yes
Schedule:
Tanjung Redep - Samarinda
MSN:
50
YOM:
1987
Flight number:
TGN162
Country:
Region:
Crew on board:
6
Crew fatalities:
Pax on board:
46
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
12000
Copilot / Total flying hours:
2000
Aircraft flight hours:
34414
Aircraft flight cycles:
42107
Circumstances:
On 11 February 2010, an Avions de Transport Regional ATR 42-300 aircraft, registered PK-YRP, was being operated by Trigana Air Service on a scheduled passenger service between Kalimarau Airport Berau (BEJ) and Samarinda (SRI) as flight TGN162. There were 52 persons on board; two pilots, one engineer, two flight attendants, one flight dispatcher and 46 passengers (43 adults, one child, and two infants). The aircraft departed from Berau at 0230 UTC1 and climbed to Flight Level 140. Balikpapan approach cleared the crew to track from en-route Way Point LOLOT direct to Samarinda. After transferring to Temindung Tower, Samarinda, the crew was cleared to track direct to left downwind for runway 04. The controller informed them that the wind was 060/12 knots. The crew did not report any abnormalities and the aircraft operation appeared to be normal. During the final approach for runway 04, the left ECU light illuminated followed by low oil pressure and torque indications. The Pilot in Command decided to go around, divert to Balikpapan, and carry out the QRH engine shut-down procedure. They commenced the climb to 4000 ft with the left engine inoperative. Approximately 16 Nm from Balikpapan Airport, while climbing through 3,800 feet, the right ECU light illuminated, immediately followed by low oil pressure and low torque indications. The right engine then failed. The crew broadcast a MAYDAY to Balikpapan Approach and decided to conduct a forced landing into a clear field in the Samboja area, about 16 Nm from the Balikpapan Airport. The PIC gave instructions to the Flight Attendant to prepare the passengers for an emergency landing. After the aircraft came to a stop the PIC initiated an evacuation.
Probable cause:
The both engine were lack of fuel before flame out, it was indicated the fuel management was out of control during flight that might be a misleading of fuel quantity indication. The proper analysis could not be carried out due to both FDR and CVR were un-operated.
Final Report:

Crash of a Cessna 340 in Lytle Creek: 2 killed

Date & Time: Jan 18, 2010 at 1508 LT
Type of aircraft:
Registration:
N2217B
Flight Phase:
Flight Type:
Survivors:
No
Site:
Schedule:
Henderson – Compton
MSN:
340-0532
YOM:
1975
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
474
Aircraft flight hours:
3105
Circumstances:
The pilot was on a cross-country flight near mountainous terrain when he encountered clouds along the flight path. A comparison of recorded radar data and weather reports in the local area indicated that the pilot was maneuvering near the cloud bases in an area with low visibility and ceilings. Based on the erratic and circling flight path, it is likely that the pilot was having difficulty determining his location and desired flight track when the airplane collided with terrain. Post accident examination of the airframe and engine revealed no mechanical failures or malfunctions that would have precluded normal operation.
Probable cause:
The pilot’s loss of situational awareness while maneuvering under a cloud layer and failure to maintain sufficient clearance from mountainous terrain.
Final Report:

Crash of a Piper PA-31T Cheyenne II-XL in Harrison: 1 killed

Date & Time: Dec 4, 2009 at 1845 LT
Type of aircraft:
Registration:
N85EM
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Charlevoix - Tiffin
MSN:
31-8166055
YOM:
1981
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
13000
Aircraft flight hours:
9436
Circumstances:
Shortly after takeoff in the pressurized twin-engine airplane, the pilot was cleared to climb and maintain 16,000 feet. The pilot reported passing through instrument conditions with heavy snow and that he cleared the tops of the clouds at 7,000 feet. The pilot was then cleared to climb and maintain flight level (FL) 230. Radar data showed the airplane's altitude and course varied throughout the flight after having reached FL 230. Several times during the flight the air traffic controller questioned the pilot regarding his altitude and/or course. Each time the pilot responded that he was at the correct altitude and/or course. The radar data showed that after each of these conversations, the airplane would return to the assigned altitude and/or course. The controller then informed the pilot that, because radar showed the airplane’s altitude fluctuating between FL 224 and FL 237, he was going to have to descend out of positive controller airspace. The pilot acknowledged this transmission. The controller instructed the pilot to descend to 17,000 feet. The last transmission from the pilot was when he acknowledged the descent. Radar data showed that one minute later the airplane was at FL 234. During the last minute and 12 seconds of radar data, the airplane reversed its course and descended from FL 233 to FL 214, at which time radar data was lost. Witnesses reported hearing loud engine sounds and seeing the airplane in a spiraling descent until ground impact. Post accident inspection of the engines did not identify any anomalies that would have precluded normal operation. Most of the fuselage was consumed by fire; however, flight control continuity was established. Given the pilot’s experience and the flight’s altitude and course variations the investigation considered that the pilot may have suffered from hypoxia; however, due to the post impact fire the functionality of the airplane’s pressurization system could not be observed and no conclusive determination could be made that the pilot as impaired.
Probable cause:
A loss of aircraft control for undetermined reasons.
Final Report:

Crash of a De Havilland DHC-8-202 in Tarakigné

Date & Time: Nov 19, 2009 at 1514 LT
Operator:
Registration:
N355PH
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Nouakchott - Bamako
MSN:
500
YOM:
1997
Country:
Region:
Crew on board:
3
Crew fatalities:
Pax on board:
6
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
Before take off at Nouakchott, two fuel trucks arrived to the airplane but captain declined and calculated that the reserve he has was sufficient to fly to Bamako. While approaching Bamako, right engine failed due to fuel exhaustion, followed by the left engine five minutes later. Crew elected to divert to Kolokani, a small airstrip located 19 km from Bamako. Eventually, crew was forced to make an emergency landing off airport. On landing, aircraft lost its undercarriage while the right wing was sheared off. All nine occupants were uninjured while the aircraft was destroyed. Flight was performed on behalf of the 524th Special Operations Squadron, for the USAF and Africom, a military mission in Africa.
Probable cause:
The Accident Investigation Board (AIB) President found by clear and convincing evidence that the cause of this mishap was the mishap aircraft running out of fuel due to the mishap aircraft commander’s and mishap copilot’s failure to properly fuel plan and then refuel the mishap aircraft at Nouakchott with a sufficient amount to reach their destination. Once airborne, despite indications of a fuel shortage, the mishap crew did not divert to a suitable alternate airport early enough in the sortie to avoid this mishap. The AIB President also found sufficient evidence to conclude the following factors substantially contributed to the mishap: insufficient mission and flight planning; faulty decision-making; complacency; task misprioritization; channelized attention; and the mishap crew pressing to meet mission demands.

Crash of a Lockheed C-130H Hercules off San Clemente Island: 7 killed

Date & Time: Oct 29, 2009 at 1909 LT
Type of aircraft:
Operator:
Registration:
1705
Flight Phase:
Survivors:
No
Schedule:
McClellan AFB - McClellan AFB
MSN:
4993
YOM:
1984
Crew on board:
7
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
7
Circumstances:
While performing a SAR mission for a 12 foot boat that was missing since two days, the aircraft collided with a Bell AH-1 Suber Cobra operated by the US Marine Corps. Both machines crashed into the sea some 24 km off the San Clemente Island and all occupants were missing. SAR were abandoned on 01NOV2013 as no trace of the Hercules and the Cobra were found. It appears that the Cobra's crew was taking part of an exercise in an area reserved for training missions. At the time of the accident, the Cobra had its anticollision lights and IFF transponder switched off.
Probable cause:
USAF and US authorities concluded that no single factor or individual act or omission was the cause of the collision. Investigations concluded that it was the consequence of a tragic confluence of events, missed opportunities, and procedure/policy issues in an airspace where most aircraft fly under a "see-and-avoid" regime. A contributory factor was that FACSFAC San Diego did not provide operational priority to the crew of the Lockheed Hercules.

Crash of a Cessna C-98B Grand Caravan near Aldeias Aurélio: 2 killed

Date & Time: Oct 29, 2009 at 0915 LT
Type of aircraft:
Operator:
Registration:
2725
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Cruzeiro do Sul – Tabatinga
MSN:
208B-0534
YOM:
1996
Country:
Crew on board:
4
Crew fatalities:
Pax on board:
7
Pax fatalities:
Other fatalities:
Total fatalities:
2
Circumstances:
The single engine aircraft departed Cruzeiro do Sul on a special flight to Tabatinga, carrying 7 passengers and a crew of four taking part to a support mission of vaccination for the Ministry of Health. En route, the crew encountered technical problems and elected to make an emergency landing when the aircraft crashed between the villages of Aldeias Aurélio and Rio Novo, in the Rio Ituí, a tributary of the Rio Javari. Two passengers were killed while 9 other occupants were rescued a day later.

Crash of a Beechcraft B100 King Air 100 in Benavides: 4 killed

Date & Time: Oct 26, 2009 at 1143 LT
Type of aircraft:
Registration:
N729MS
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Uvalde - Leesburg
MSN:
BE-2
YOM:
1976
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
4
Captain / Total flying hours:
550
Circumstances:
The pilot obtained three weather briefings before departure. At that time, the current weather along the route of flight showed significant convective activity and a moving squall line, and the forecast predicted significant thunderstorm activity along the planned route of flight. The pilot was concerned about the weather and mentioned that he would be looking for "holes" in the weather to maneuver around via the use of his on-board weather radar. He decided to fly a route further south to avoid the severe weather. Radar data indicates that, after departure, the pilot flew a southerly course that was west of the severe weather before he asked air traffic control for a 150-degree heading that would direct him toward a "hole" in the weather. A controller, who said he also saw a "hole" in the weather, told the pilot to fly a 120-degree heading and proceed direct to a fix along his route of flight. The airplane flew into a line of very heavy to intense thunderstorms during cruise flight at 25,000 feet before the airplane began to lose altitude and reverse course. The airplane then entered a rapid descent, broke up in flight, and subsequently impacted terrain. Review of recorded precipitation data showed that there was substantial information available to the controller about moderate to extreme weather along the aircraft’s route of flight. While the controller stated that he saw a hole or clear area ahead of the aircraft, this is contradicted by both the recorded data and the statement of a second controller working the D-position at the time of the accident. The first controller did not advise the pilot of the severe weather that was along this new course heading and the pilot entered severe weather and began to lose altitude. The controller queried the pilot about his altitude loss and the pilot mentioned that they had gotten into some "pretty good turbulence." This was the last communication from the pilot before the airplane disappeared from radar. Review of recorded precipitation data showed that there was substantial information available to the controller about moderate to extreme
weather along the aircraft’s route of flight. The controller did not provide advisories to the pilot regarding the adverse weather's immediate safety hazard to the accident flight as required by Federal Aviation Administration Order 7110.65. Examination of the recovered sections of flight control surfaces revealed that all of the fractures examined exhibited signs consistent with overstress failure. There was no evidence of preexisting cracking on any of the fracture surfaces examined and no preaccident anomalies were noted with the engines.
Probable cause:
The pilot's failure to avoid severe weather, and the air traffic controller's failure to provide adverse weather avoidance assistance, as required by Federal Aviation Administration directives, both of which led to the airplane's encounter with a severe thunderstorm and the subsequent loss of control and inflight breakup of the airplane.
Final Report:

Crash of a Beechcraft C-12C Huron in the Nuristan Province: 3 killed

Date & Time: Oct 13, 2009
Type of aircraft:
Operator:
Registration:
78-23135
Flight Phase:
Survivors:
No
Site:
Schedule:
Bagram - Bagram
MSN:
BC-71
YOM:
1978
Flight number:
Red Handed 56
Country:
Region:
Crew on board:
3
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
3
Circumstances:
The twin engine aircraft departed Bagram AFB on a counter-narcoterrorism operation over the Nuristan province, carrying three crew members. In unknown circumstances, the aircraft struck the slope of a mountain. The wreckage was spotted 7 days later and the rescuers arrived on site Oct 27. The aircraft was destroyed and all three occupants were killed.
Crew:
CIV Randolph Bergquist,
CIV J. B. Anderson,
CIV Jeff Lehner.
Probable cause:
It is believed that the accident was the consequence of a crew error (navigation error) or a possible technical problem. A possible hostile act was ruled out.

Crash of a Partenavia P.68C-TC in Canevare: 2 killed

Date & Time: Oct 9, 2009 at 1030 LT
Type of aircraft:
Operator:
Registration:
I-ATAT
Flight Phase:
Flight Type:
Survivors:
No
Site:
Schedule:
Reggio de Calabre – Parma
MSN:
254-14-TC
YOM:
1981
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
2
Circumstances:
En route from Reggio de Calabre to Parma, the twin engine aircraft crashed in unknown circumstances in hilly terrain near Canevare, about 50 km south of Modena. Both occupants were killed and the aircraft was destroyed.

Crash of a Casa 212 Aviocar 200 in Fonds-Verrettes: 11 killed

Date & Time: Oct 9, 2009
Type of aircraft:
Operator:
Registration:
FAU-531
Flight Phase:
Survivors:
No
Site:
Schedule:
Port-au-Prince - Port-au-Prince
MSN:
187
YOM:
1981
Flight number:
UN146
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
9
Pax fatalities:
Other fatalities:
Total fatalities:
11
Circumstances:
The twin engine aircraft departed Port-au-Prince-Toussaint Louverture (ex François Duvalier) Airport on a border patrol mission on behalf of the MINUSTAH, the United Nations Mission for Stabilization in Haiti. On board were nine passengers and two pilots, among them Uruguayan and Jordan soldiers. In unknown circumstances, the aircraft struck the slope of a mountain located some 20 km west of Fonds-Verrettes. The aircraft was totally destroyed and all 11 occupants were killed.