Crash of a Cessna 208B Grand Caravan in Beagle Bay

Date & Time: Jan 14, 2010 at 0645 LT
Type of aircraft:
Operator:
Registration:
VH-NTQ
Flight Type:
Survivors:
Yes
Schedule:
Broome - Koolan Island
MSN:
208B-0635
YOM:
1997
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
The aircraft departed Broome on a charter flight to Koolan Island, WA. At about 0645 Western Standard Time1, when the aircraft was at an altitude of about 9,500 feet, the pilot noticed a drop in the engine torque indication with a corresponding drop in the engine oil pressure indication. The pilot increased the power lever setting but the engine torque and oil indications continued to reduce, all other engine indications were normal. During an interview with the Australian Transport Safety Bureau (ATSB) the pilot stated that he felt a power loss associated with the drop in indicated engine torque. The pilot diverted to the nearest airstrip, which was Beagle Bay, WA. He stated that the low oil pressure warning light illuminated so he shut the engine down and prepared for an emergency landing. The pilot reported that on the final approach to the airstrip he realized that the aircraft was too high and its airspeed was too fast. The aircraft touched down about mid way along the runway and overran the end of the runway by about 200 metres. The aircraft impacted a mound of dirt, coming to rest upside down. The pilot, who was the only occupant sustained minor injuries. Examination of the aircraft by a third party and inspection of the photographs taken of the accident site, revealed that the engine, left main gear and nose gear had separated from the airframe during the accident sequence. There was a significant amount of oil present on the underside of the aircraft, indicating that the oil had leaked from the engine during operation. The
engine was removed from the accident site as an assembly by a third party. The propeller was removed and the engine was shipped to an engine overhaul facility where a disassembly and
examination was conducted under the supervision of the ATSB.
Probable cause:
From the evidence available it was evident that the engine had a substantial in-flight oil leak, which necessitated the in-flight shut down of the engine and a diversion to the nearest available airstrip. The accident damage to the engine in the area of the apparent oil leak precluded a conclusive finding as to the source of the leak. Although the detailed examination of the oil tube attachment lug fracture surfaces was inconclusive, the oil tube remained the most likely source of the oil leak. Evidence from other oil tube failures indicated that significant vibratory loading can cause the oil tube attachment lugs to fracture in the manner observed in the oil tube fitted to VH-NTQ. There was no evidence that the transfer tube was subjected to vibration from a compressor turbine or power turbine blade failure or of an incorrectly fitted engine mount. There was also no evidence of a pre-accident defect that would have caused a reduction in actual engine torque.
Final Report:

Crash of a De Havilland DHC-8-102 in Moba

Date & Time: Jan 13, 2010
Operator:
Registration:
5Y-EMD
Flight Type:
Survivors:
Yes
Schedule:
Nairobi - Moba
MSN:
110
YOM:
1988
Location:
Region:
Crew on board:
4
Crew fatalities:
Pax on board:
18
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
The aircraft departed Nairobi on a humanitarian mission to Moba, carrying 18 passengers and 4 crew members on behalf of the United Nations Organization. After touchdown, the left main gear collapsed. The aircraft veered off runway to the left and came to rest in a marsh field. All 22 occupants escaped uninjured and the aircraft was damaged beyond repair. It appears that the pilot-in-command was distracted during the last segment by pedestrians at the runway threshold and the aircraft landed hard.

Crash of a Learjet 35A in Chicago: 2 killed

Date & Time: Jan 5, 2010 at 1327 LT
Type of aircraft:
Operator:
Registration:
N720RA
Flight Type:
Survivors:
No
Schedule:
Pontiac - Chicago
MSN:
156
YOM:
1977
Flight number:
RAX988
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
7000
Captain / Total hours on type:
3500.00
Copilot / Total flying hours:
6500
Copilot / Total hours on type:
2400
Aircraft flight hours:
15734
Circumstances:
The flight was scheduled to pick up cargo at the destination airport and then deliver it to another location. During the descent and 14 minutes before the accident, the airplane encountered a layer of moderate rime ice. The captain, who was the pilot flying, and the first officer, who was the monitoring pilot, made multiple statements which were consistent with their awareness and presence of airframe icing. After obtaining visual flight rules conditions, the flight crew canceled the instrument flight rules clearance and continued with a right, circling approach to the runway. While turning into the base leg of the traffic pattern, and 45 seconds prior to the accident, the captain called for full flaps and the engine power levers were adjusted several times between 50 and 95 percent. In addition, the captain inquired about the autopilot and fuel balance. In response, the first officer stated that he did not think that the spoilerons were working. Shortly thereafter, the first officer gave the command to add full engine power and the airplane impacted terrain. There was no evidence of flight crew impairment or fatigue in the final 30 minutes of the flight. The cockpit voice recorder showed multiple instances during the flight in which the airplane was below 10,000 feet mean sea level that the crew was engaged in discussions that were not consistent with a sterile cockpit environment, for example a lengthy discussion about Class B airspeeds, which may have led to a relaxed and casual cockpit atmosphere. In addition, the flight crew appears to have conducted checklists in a generally informal manner. As the flight was conducted by a Part 135 operator, it would be expected that both pilots were versed with the importance of sterile cockpit rules and the importance of adhering to procedures, including demonstrating checklist discipline. For approximately the last 24 seconds of flight, both pilots were likely focusing their attention on activities to identify and understand the reason for the airplane's roll handling difficulties, as noted by the captain's comment related to the fuel balance. These events, culminating in the first officer's urgent command to add full power, suggested that neither pilot detected the airplane's decaying energy state before it reached a critical level for the conditions it encountered. Light bulb filament examination revealed that aileron augmentation system and stall warning lights illuminated in the cockpit. No mechanical anomalies were found to substantiate a failure in the aileron augmentation system. No additional mechanical or system anomalies were noted with the airplane. A performance study, limited by available data, could not confirm the airplane's movements relative to an aileron augmentation system or spoileron problem. The level of airframe icing and its possible effect on the airplane at the time of the accident could not be determined.
Probable cause:
A loss of control for undetermined reasons.
Final Report:

Crash of an Antonov AN-12B in Heglig

Date & Time: Jan 4, 2010 at 0910 LT
Type of aircraft:
Operator:
Registration:
ST-AQQ
Flight Type:
Survivors:
Yes
Schedule:
Khartoum – Heglig
MSN:
9 3 465 04
YOM:
1969
Flight number:
MGG100
Country:
Region:
Crew on board:
4
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
7050
Captain / Total hours on type:
6000.00
Copilot / Total flying hours:
10038
Copilot / Total hours on type:
7050
Aircraft flight hours:
36190
Circumstances:
The four engine aircraft departed Khartoum Airport at 0738LT on a cargo flight to Heglig, carrying four crew members and a load consisting of 13 tons of various goods. On final approach to Heglig Airport, the aircraft was too low. It collided with obstacles and a concrete block located 16 metres short of runway threshold and housing an element of the approach light system. The aircraft bounced, nosed down and landed nose first 52 metres further. After a course of 183 metres, a tyre on the right main gear burst. The captain instructed the flight engineer to activate the reverse thrust systems but the flight engineer did not check the power levers. The aircraft veered off runway to the left, lost its left main gear and came to rest. All four occupants escaped uninjured while the aircraft was damaged beyond repair.
Probable cause:
Wrong approach configuration, causing the aircraft to land short of runway.
The following factors were identified:
- The flight engineer unlocked props I, II, III at throttle position < 20 degrees UPRT and No IV engine at 40 degrees UPRT,
- Unrectification of nose wheel and main landing gear crack as recommended by the manufacturer.

Crash of a Boeing 727-231F in Kinshasa

Date & Time: Jan 2, 2010
Type of aircraft:
Operator:
Registration:
9Q-CAA
Flight Type:
Survivors:
Yes
MSN:
21986/1580
YOM:
1980
Region:
Crew on board:
4
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
On final approach to Kinshasa-N'Djili Airport, the crew encountered poor weather conditions with limited visibility due to heavy rain falls. After touchdown on runway 06, the aircraft passed through standing water when control was lost. It veered off runway to the right, lost its undercarriage and came to rest in a grassy area. All four occupants escaped uninjured while the aircraft was damaged beyond repair.

Crash of a De Havilland DHC-3T Turbo Otter off Vomo Island

Date & Time: Dec 29, 2009 at 1800 LT
Type of aircraft:
Operator:
Registration:
DQ-GLL
Survivors:
Yes
Schedule:
Nadi - Vomo Island
MSN:
288
YOM:
1958
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
5
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
While approaching Vomo Island, near Viti Levu Island, Fiji, the single engine aircraft crashed into the sea few dozen metres offshore. All six occupants were slightly injured while the aircraft was damaged beyond repair.

Crash of a Boeing 737-800 in Kingston

Date & Time: Dec 22, 2009 at 2222 LT
Type of aircraft:
Operator:
Registration:
N977AN
Survivors:
Yes
Schedule:
Washington DC - Miami - Kingston
MSN:
29550/1019
YOM:
2001
Flight number:
AA331
Country:
Crew on board:
6
Crew fatalities:
Pax on board:
148
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
American Airlines Flight AA331, a Boeing 737-823 in United States registration N977AN, carrying 148 passengers, including three infants, and a crew of six, was being operated under the provisions of 14 Code of Federal Regulations (CFR) Part 121. The aircraft departed Miami (KMIA) at 20:22 Eastern Standard Time (EST) on 22 December 2009 (01:22 Universal Coordinated Time (UTC) on 23 December 2009) on an instrument flight rules (IFR) flight plan, on a scheduled flight to Norman Manley International Airport (NMIA), ICAO identifier: MKJP, Kingston, Jamaica. The aircraft landed at NMIA on runway 12 in the hours of darkness at 22:22 EST (03:22 UTC) in Instrument Meteorological Conditions (IMC) following an Instrument Landing System (ILS) approach flown using the heads up display (HUD) and becoming visual at approximately two miles from the runway. The aircraft touched down at approximately 4,100 feet on the 8,911 foot long runway in heavy rain and with a 14 knot left quartering tailwind. The crew was unable to stop the aircraft on the remaining 4,811 feet of runway and it overran the end of the runway at 62 knots ground speed. The aircraft broke through a fence, crossed above a road below the runway level and came to an abrupt stop on the sand dunes and rocks between the road and the waterline of the Caribbean Sea. There was no post-crash fire. The aircraft was destroyed, its fuselage broken into three sections, while the left landing gear collapsed. The right engine and landing gear were torn off, the left wingtip was badly damaged and the right wing fuel tanks were ruptured, leaking jet fuel onto the beach sand. One hundred and thirty four (134) passengers suffered minor or no injury, while 14 were seriously injured, though there were no life-threatening injuries. None of the flight crew and cabin crew was seriously injured, and they were able to assist the passengers during the evacuation.
Probable cause:
Jamaican Director General of Civil Aviation Col. Oscar Derby, stated in the week following the accident, that the jet touched down about halfway down the 8,910-foot (2,720 m) runway. He also noted that the 737-800 was equipped with a head-up display. Other factors that were under investigation included "tailwinds, and a rain soaked runway;" the runway in question was not equipped with rain-dispersing grooves common at larger airports. The aircraft held a relatively heavy fuel load at the time of landing; it was carrying enough fuel for a round trip flight back to the US. The FDR later revealed that the aircraft touched down some 4,100 feet (1,200 m) down the 8,910-foot (2,720 m) long runway. Normally touchdown would be between 1,000 feet (300 m) and 1,500 feet (460 m). The aircraft was still traveling at 72 miles per hour (116 km/h) when it departed the end of the runway. The aircraft landed with a 16 miles per hour (26 km/h) tailwind, just within its limit of 17 miles per hour (27 km/h).
Final Report:

Crash of a Boeing 737-301 in Ujung Pandang

Date & Time: Dec 21, 2009 at 0151 LT
Type of aircraft:
Operator:
Registration:
PK-MDH
Survivors:
Yes
Schedule:
Surabaya – Ujung Pandang
MSN:
23932/1554
YOM:
1988
Flight number:
MZ766
Country:
Region:
Crew on board:
6
Crew fatalities:
Pax on board:
102
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
Following an uneventful flight from Surabaya-Juanda Airport, the crew started a night approach to Ujung Pandang-Sultan Hasanuddin Airport (Makassar). On short final, at a height of 50 feet, the aircraft descended fast and landed nose first. A tyre burst on impact and the aircraft was stopped following a normal landing course. All 108 occupants evacuated safely and the aircraft was damaged beyond repair due to fuselage damages.

Crash of a Swearingen SA227AC Metro III in Cap Haïtien

Date & Time: Dec 20, 2009 at 1200 LT
Type of aircraft:
Operator:
Registration:
C6-JER
Survivors:
Yes
Schedule:
Nassau – Cap Haïtien
MSN:
AC-588B
YOM:
1984
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
19
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
7400
Circumstances:
On Sunday December 20, 2009 at approximately 1700 UTC a fixed wing, multi engine, Fairchild SA-227AC Metro-liner III aircraft landed at Cap Haïtien Int’l Airport, Haiti, with its landing gear retracted. The pilot reported on two occasions whilst the aircraft was configured with flaps and gear extended, upon reduction in power preparing to land, the aircraft had a very high nose up attitude. The pilot further stated that after two go around, the decision was made to land the aircraft with its landing gear retracted. The aircraft landed on Runway 05. According to the pilot, the crew and all 19 passengers onboard suffered no injuries.
Final Report:

Crash of an Avro 748-398-2B in Tonj: 1 killed

Date & Time: Dec 20, 2009
Type of aircraft:
Operator:
Registration:
5Y-YKM
Survivors:
Yes
Schedule:
Juba - Tonj
MSN:
1779
YOM:
1981
Country:
Region:
Crew on board:
4
Crew fatalities:
Pax on board:
37
Pax fatalities:
Other fatalities:
Total fatalities:
1
Aircraft flight hours:
15620
Circumstances:
After landing at Tonj Airfield, the aircraft that was unable to stop within the remaining distance. It overran and came to rest against houses. All 41 occupants escaped uninjured while a woman was killed on the ground. The aircraft departed Juba on a charter flight to Tonj, carrying security personnel from the Presidency who should prepare the next visit of the President of South Sudan in Tonj.