Crash of a Learjet 35A in Guadalajara

Date & Time: Aug 2, 2008
Type of aircraft:
Registration:
XB-KPB
Survivors:
Yes
MSN:
35-379
YOM:
1981
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
4
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
Shortly after takeoff from Guadalajara-Miguel Hidalgo y Costilla Airport, the crew encountered high voltage problems. While trying to resolve the issue, the electrical system failed. The crew informed ATC and was cleared to return for an emergency landing. Upon touchdown, the landing gear collapsed. The aircraft slid on its belly and came to rest, bursting into flames. All six occupants escaped uninjured while the aircraft was destroyed.

Crash of a BAe 125-800A in Owatonna: 8 killed

Date & Time: Jul 31, 2008 at 0945 LT
Type of aircraft:
Operator:
Registration:
N818MV
Survivors:
No
Schedule:
Atlantic City - Owatonna
MSN:
258186
YOM:
1990
Flight number:
ECJ81
Crew on board:
2
Crew fatalities:
Pax on board:
6
Pax fatalities:
Other fatalities:
Total fatalities:
8
Captain / Total flying hours:
3596
Captain / Total hours on type:
1188.00
Copilot / Total flying hours:
1454
Copilot / Total hours on type:
295
Aircraft flight hours:
6570
Aircraft flight cycles:
5164
Circumstances:
On July 31, 2008, about 0945 central daylight time, East Coast Jets flight 81, a BAe 125-800A airplane, registered N818MV, crashed while attempting to go around after landing on runway 30 at Owatonna Degner Regional Airport, Owatonna, Minnesota. The two pilots and six passengers were killed, and the airplane was destroyed by impact forces. The nonscheduled, domestic passenger flight was operating under the provisions of 14 Code of Federal Regulations Part 135. An instrument flight rules flight plan had been filed and activated; however, it was canceled before the landing. Visual meteorological conditions prevailed at the time of the accident.
Probable cause:
The captain’s decision to attempt a go-around late in the landing roll with insufficient runway remaining. Contributing to the accident were:
- The pilots’ poor crew coordination and lack of cockpit discipline,
- Fatigue, which likely impaired both pilots’ performance, and
- The failure of the Federal Aviation Administration to require crew resource management training and standard operating procedures for Part 135 operators.
Final Report:

Crash of an Eclipse EA500 in West Chester

Date & Time: Jul 30, 2008 at 1830 LT
Type of aircraft:
Operator:
Registration:
N333MY
Flight Type:
Survivors:
Yes
Schedule:
Philadelphia - West Chester
MSN:
113
YOM:
2007
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
6300
Captain / Total hours on type:
93.00
Aircraft flight hours:
98
Circumstances:
During landing at its home airport, the airplane overran the runway and traveled down a 40-foot embankment before coming to rest against trees and sustaining substantial damage. According to the pilot, his speed on approach was a little fast but he thought it was manageable. Recorded data from the accident airplane revealed that 20 seconds before touchdown, when the pilot selected flaps 30 (landing flaps) the airspeed was approximately 27 knots above the maximum flap extension speed, and as the airplane touched down its airspeed was approximately 14 knots higher than specified for landing. The runway had a displaced threshold with 3,097 feet of runway length available. Skid marks from the accident airplane began approximately 868 feet beyond the displaced threshold, and continued for about 2,229 feet until they left the paved portion of the runway.
Probable cause:
The pilot's failure to obtain the proper touchdown point, and his excessive airspeed on approach.
Final Report:

Crash of a Cessna 414 Chancellor off San Andrés

Date & Time: Jul 26, 2008 at 1052 LT
Type of aircraft:
Registration:
XB-JBD
Flight Type:
Survivors:
Yes
Schedule:
San Salvador – San Andrés – Barranquilla
MSN:
414-0253
YOM:
1971
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
1196
Aircraft flight hours:
4480
Circumstances:
The twin engine aircraft departed San Salvador-Ilopango Airport on a private flight to Barranquilla with an intermediate stop in San Andrés Island, carrying one passenger and one pilot. On final approach to San Andrés-Gustavo Rojas Pinilla Airport runway 06, the left engine failed. The pilot increased power on the right engine but the aircraft continued to lose height. The pilot ditched the aircraft near the coast. Both occupants evacuated safely and were quickly rescued while the aircraft was damaged beyond repair.
Probable cause:
Failure of the left engine on final due to fuel exhaustion. It remained a total of 3 gallons of fuel in the left fuel tank and 23 gallons in the right main tank.
Final Report:

Crash of a Piper PA-31-310 Navajo Chieftain in Mount Isa

Date & Time: Jul 17, 2008 at 0915 LT
Type of aircraft:
Operator:
Registration:
VH-IHR
Flight Type:
Survivors:
Yes
Schedule:
Century Mine - Mount Isa
MSN:
31-8012077
YOM:
1980
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
469
Captain / Total hours on type:
30.00
Circumstances:
On 17 July 2008, at approximately 0915 Eastern Standard Time1, the pilot of a Piper Navajo PA-31 aircraft, registered VH-IHR, was en route from Century Mine, Qld to Mt Isa, Qld when the left engine lost power. The pilot transmitted an urgency broadcast (PAN) to air traffic control (ATC). A short time later, the right engine also lost power. The pilot then transmitted a distress signal (MAYDAY) to ATC stating his intention to carry out an off-field emergency landing. The aircraft impacted terrain 22 km north of Mt Isa, about 4 km from the Barkly Highway, in relatively flat, sparsely wooded bushland (Figure 1). The pilot, who was the sole occupant, sustained serious injuries.
Probable cause:
From the evidence available, the following findings are made with respect to the fuel starvation event and should not be read as apportioning blame or liability to any particular organisation or individual.
- The pilot did not monitor outboard fuel tank quantity during the flight.
- The pilot incorrectly diagnosed the engine power losses.
- The aircraft was not in the correct configuration for the forced landing.
Final Report:

Crash of a Cessna 441 Conquest in Sunriver: 1 killed

Date & Time: Jul 16, 2008 at 1015 LT
Type of aircraft:
Operator:
Registration:
N441HK
Flight Type:
Survivors:
No
Schedule:
Bakersfield - Sunriver
MSN:
441-0336
YOM:
1984
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
965
Captain / Total hours on type:
277.00
Aircraft flight hours:
5643
Circumstances:
The pilot was executing a day visual flight rules full-stop landing and touched down on the main landing gear near the approach end of the runway. Soon after the initial touchdown, the airplane became airborne again. Instead of initiating a go-around, the pilot attempted to continue the landing sequence. During that attempt, the airplane bounced on the runway three or four times, each time the rebound back into the air and the runway contact was more severe. During the last contact the airplane impacted the runway with sufficient force to result in the failure of the right main landing gear actuator rod, and in the right propeller contacting the runway surface multiple times. The pilot then initiated a go-around, but since the right engine had failed due to the multiple propeller strikes, the airplane produced asymmetrical thrust and began to roll to the right, veering off the right side of the runway. Soon thereafter its right wing collided with a tree and the airplane impacted terrain in an open field. The airplane was consumed by fire shortly after the collision. Post crash inspection found no evidence of mechanical failure or malfunction with the airframe or either engine.
Probable cause:
The pilot's misjudged landing flare and improper recovery from a bounced landing, and the pilot's failure to maintain directional control during the go-around after one of the airplane's propellers struck the runway.
Final Report:

Crash of a Socata TBM700 in Kennesaw: 1 killed

Date & Time: Jul 15, 2008 at 1457 LT
Type of aircraft:
Operator:
Registration:
N484RJ
Flight Type:
Survivors:
No
Schedule:
Albany - Kennesaw
MSN:
333
YOM:
2005
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
975
Captain / Total hours on type:
44.00
Aircraft flight hours:
398
Circumstances:
During approach to runway 9, the tower controller instructed the pilot to perform an “S” turn 3 miles from the runway. The pilot initiated the “S” turn to the left, and after turning back to the right towards the runway to complete the other half of the turn, the controller advised the pilot that he did not need to finish the maneuver, and could turn onto final approach. The last recorded ground speed was 89 knots when the pilot banked the airplane sharply to the left at this time, witnesses stated that the airplane seemed to do a wing over onto its back and go straight down. Flight simulation tests revealed that while making a steep turn and not adding power, as the bank angle increased the airspeed would decrease and the airplane would enter an aerodynamic stall. Toxicology testing indicated that the pilot had been using tramadol, a prescription painkiller with potentially impairing effects. The pilot had not reported its use on his most recent application for airman medical certificate approximately 20 months prior to the accident. It is unclear what role, if any, the medication or the condition for which it might have been used played in the accident.
Probable cause:
The pilot’s failure to maintain airspeed during final approach resulting in an aerodynamic stall.
Final Report:

Crash of a Beechcraft BeechJet 400A in São José dos Campos

Date & Time: Jul 15, 2008 at 1130 LT
Type of aircraft:
Operator:
Registration:
PT-WHF
Flight Type:
Survivors:
Yes
Schedule:
São Paulo - São José dos Campos
MSN:
RK-82
YOM:
1994
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
4300
Captain / Total hours on type:
2811.00
Copilot / Total flying hours:
540
Copilot / Total hours on type:
35
Circumstances:
The crew departed São Paulo-Congonhas Airport on a positioning flight to São José dos Campos. While descending to São José dos Campos, the captain led the controls to the copilot who was still under instruction. On final, the aircraft was too high on the glide. The captain took over controls but his reaction was excessive. The aircraft suddenly rolled to the right, causing the right wing to struck the ground few dozen metres short of runway 15 threshold. The aircraft landed and came to rest on the main runway. Both pilots evacuated safely while the aircraft was damaged beyond repair.
Probable cause:
The captain did not conduct a preflight briefing and then improvised during the descent by deciding to leave the controls to the copilot while he was still under instruction.
The following contributing factors were identified:
- The copilot who was pilot-in-command on final was in his initial training process,
- The captain authorized the copilot to be the PIC while he was still under initial training,
- The captain was not qualified to operate as an instructor,
- The captain did not make any simulator training for more than two years,
- The copilot had never completed any simulator training since the beginning of his training,
- Lack of crew coordination,
- Poor judgment on part of the captain.
Final Report:

Crash of a Boeing 737-282 in Port Harcourt

Date & Time: Jul 14, 2008 at 1844 LT
Type of aircraft:
Operator:
Registration:
5N-BIG
Survivors:
Yes
Schedule:
Lagos – Port Harcourt
MSN:
23044/973
YOM:
1983
Flight number:
NCH138
Country:
Region:
Crew on board:
6
Crew fatalities:
Pax on board:
41
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
8688
Captain / Total hours on type:
452.00
Copilot / Total flying hours:
7500
Copilot / Total hours on type:
2500
Aircraft flight hours:
55508
Aircraft flight cycles:
36263
Circumstances:
On 14th July, 2008 at 16:49 h, a Boeing 737–282 aircraft with nationality and registration marks 5N-BIG, operated by Chanchangi Airlines Ltd, commenced a scheduled domestic flight from Murtala Muhammed International Airport, (DNMM) with call sign NCH138 for Port Harcourt International Airport (DNPO). Instrument Flight Rules (IFR) flight plan was filed for the flight. There were 47 persons on board (41 passengers, 2 flight crew and 4 flight attendants) and 3 hours fuel endurance. The Captain was the Pilot Flying (PF) and The First Officer (FO) was the Pilot Monitoring (PM). The FO stated that NCH138 was initially scheduled to depart at 15:30 h, but the flight was delayed due to loading of passenger baggage. The Captain stated that NCH138 was cleared to FL290 and the flight continued normally. According to the DNPO Air Traffic Control (ATC) watch supervisor on duty, NCH138 contacted DNPO Approach Control (APP) at 17:05 h with flight information estimating POT at 17:50 h. NCH138 was issued an inbound clearance to POT1 VOR2 with the following weather information for 17:00 h as: Wind calm, Visibility 10 km, Broken clouds 270 m, Scattered clouds 600 m, Cumulonimbus clouds scattered, temperature 25/24°C, Thunderstorms, Temporarily Variable 8 kt, gusting 18 kt, Visibility 3000 m, Thunderstorms and rain, and expect runway (RWY) 21 for landing. According to the First Officer NCH138 requested descent into POT at about 100 NM. The Captain added that due to ATC delay, the descent commenced at about 80 NM. The Control Tower Watch Supervisor stated that at 18:00 h, NCH138 requested to hold over POT at 3500 ft for weather improvement, because there was rain overhead the station with build-up closing in at the threshold of RWY 21. At about 15 NM, between radials 180° and 210°, NCH138 reported breaking out of weather. At 18:19 h, NCH138 requested weather information from the Tower. Tower advised the flight crew that RWY 03 was better for landing. At this time, NCH138 requested RWY 03 for approach and Approach Control cleared NCH138 for the approach to RWY 03. At 18:27 h, the flight crew reported established on approach to RWY 03, leaving 2000 ft. The Approach Control then transferred NCH138 to DNPO Tower for landing instructions. At 18:28 h, the Tower instructed NCH138 to report field in sight. The flight crew acknowledged and reported RWY 03 in sight. Tower cleared NCH138 to land on RWY 03 and NCH138 was cautioned that the runway was wet. At 18:34 h, NCH138 executed and reported a missed approach. NCH138 requested a climb to 3500 ft. NCH138 was cleared to climb and instructed to report overhead POT. At 18:39 h, NCH138 requested a descent and clearance for an approach to RWY 21. Approach Control cleared NCH138 to descend to 2000 ft and report to Tower when established on the approach and also to report leaving 2000 ft. At 18:42 h, NCH138 reported inbound maintaining 2000 ft. The Approach Control requested the distance from the runway and sought consent of NCH138 for Arik 514 at the holding point to take off. NCH138 declined, as they were about 10 miles to touchdown. At 18:45 h, NCH138 reported five miles to touchdown. Approach Control acknowledged and instructed NCH138 to report field in sight and thereafter handed over to Tower on 119.2 MHz. When contacting the Tower, NCH138 was cleared to land on RWY 21, wind 0100 /10 kt and was advised to exercise caution due to wet runway. NCH138 acknowledged the clearance. NCH138 landed hard and bounced three times on the runway. According to the ATC controller, after touch down the aircraft rolled in an s-pattern before it overran the runway. NCH138 made a 180° turn with the right engine hitting the ground. The aircraft came to a final stop on the left side and 10 m beyond the stopway. The accident occurred at night in Instrument Meteorological Conditions (IMC). The Aerodrome Rescue and Fire Fighting Service (ARFFS) arrived the scene and commenced rescue operations immediately. All occupants on board were evacuated; one passenger sustaining a minor injury.
Probable cause:
The decision to land following an unstabilized approach (high rate of descent and high approach speed. A go-around was not initiated.
Contributory factors:
1. The deteriorating weather conditions with a line squall prevented a diversion to the alternates.
2. The runway was wet with significant patches of standing water.
Final Report:

Crash of a De Havilland DHC-6 Twin Otter 300 off North Ari Atoll

Date & Time: Jul 14, 2008 at 1230 LT
Operator:
Registration:
8Q-MAS
Survivors:
Yes
Schedule:
Male - North Ari Atoll
MSN:
445
YOM:
1975
Region:
Crew on board:
3
Crew fatalities:
Pax on board:
14
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
3150
Captain / Total hours on type:
430.00
Copilot / Total flying hours:
2880
Copilot / Total hours on type:
127
Aircraft flight hours:
49129
Circumstances:
14th July 2008 was a Monday; the busiest day of the week where there is an average of 150-200 movements. 8Q-MAS completed six sectors prior to the accident, with the same flight crew. Sixteen pieces of baggage were loaded, in the aft cabin, with total weight of 458 lbs. The flight manifest signed by Pilot in Command indicated that the aircraft was loaded up to 11874 lbs. The aircraft was boarded with 14 passengers (7 females, 6 males and 1 child) and the flight manifest used approved weights of 77 lbs Child, 181 lbs for male and 141 lbs for female to calculate the aircraft weight. The aircraft had 930 lbs of fuel. This particular aircraft was a short nose twin otter aircraft, with main loading in aft cabin. The MAT seaplane operation was based on a day VFR, non-schedule and a self dispatch system. All pre-flight duties were completed by the crew. The weather was windy and sea was rough. The aircraft departed at 12.11 hrs from MAT dock at Male International Airport, Water Aerodrome to Adaaran Club Bathala with 14 passengers total: 10 passengers to Adaaran Club Bathala, 2 passengers to Nika Maldives and 2 Passengers to W Retreat and Spa (Fesdu). The estimated flight time to destination was 20 minutes. The W Retreat and Spa Maldives Resort’s Speed Boat (Angelina) (a 34 ft Triana Express) was moored at a buoy (located at 04 04’ 43.6” N, 072 56’ 37.1” E) used by MAT to moor the aircrafts for night stops. The floating platform was located (04 04’ 43.5”N, 072 56’ 38.8”E) east of the buoy. The distance between the floating platform and buoy is around 165 feet. Around 12:30 the aircraft approached for landing near the floating platform. The wind was on a westerly direction 20 to 25 knots and the aircraft approached for a westbound landing. The aircraft made an orbit over the lagoon to inspect the water. The aircraft did a touchdown and was cutting the wave tops to find an appropriate location to stop, when it hit a big wave and was airborne. The aircraft veered to the left. The PIC declared to do a go around. The crew action was 10 degree flap, full throttle and Max Prop RPM. On climb the aircraft collided with the Speed Boat and the aircraft veered to the right and PIC was able to land on LH float.
Probable cause:
Causal Factors:
• The crew’s decision to land on rough waters without giving due considerations for a rejected landing and obstacles nearby was a causal factor.
• The Speed Boat moored to a buoy, close to the landing area was also a causal factor.
Final Report: