Crash of an Antonov AN-74TK-200 in Kousséri: 6 killed

Date & Time: Apr 23, 2006 at 0455 LT
Type of aircraft:
Operator:
Registration:
UR-74038
Flight Type:
Survivors:
No
Schedule:
Sebha - N'Djamena
MSN:
470 97 933
YOM:
1993
Country:
Region:
Crew on board:
6
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
6
Circumstances:
The aircraft departed Sebha Airport, Libya, at 0250LT on a humanitarian mission to N'Djamena, carrying six crew members and a load of food aid on behalf of the Libyan Government. Upon arrival, by night, the crew informed ATC about technical problem and follow a holding pattern. Few minutes later, the aircraft entered an uncontrolled descent and crashed in a vegetable plantation located near Kousséri, Cameroon. All six occupants were killed and the aircraft was totally destroyed upon impact.

Crash of a Cessna 402C in Freeport

Date & Time: Apr 21, 2006 at 0023 LT
Type of aircraft:
Registration:
C6-KEV
Survivors:
Yes
Schedule:
Fort Lauderdale – Freeport
MSN:
402C-0051
YOM:
1979
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
3033
Circumstances:
At approximately 0423UTC on April 21, 2006 the pilot reported that approximately 20 miles out of Freeport, both hydraulic pressure lights illuminated on the annunciator panel. He extended the gear and noticed only the right gear safe light illuminated. The pilot obtained the assistance of a passenger, who retrieved the aircraft pilot operating handbook and read the appropriate procedures as the pilot followed the instructions for emergency gear extension. The pilot stated that he landed the aircraft on the right main gear, hoping this action would release the left main and nose gear. After realizing that this manoeuvre was not successful, he decided to initiate a go-around. Before he could get the aircraft airborne the left propeller made contact with the ground. The aircraft touched down approximately 9,000 feet from the threshold of runway 06; which has a total length of 11,000 feet. The aircraft travelled approximately 1,500 feet on its right main wheel before it veered off the left shoulder of the runway, struck several trees and finally came to rest pointing in a northwesterly direction. The approximate final position was measured to be 180 feet from the side of the runway. The aircraft left wing burst into flames. The left wing and left side of the fuselage was substantially damaged by fire. The four occupants escaped with only minor injuries.
Probable cause:
The investigation determines that the probable causes of this accident to be the following;
• Substandard maintenance that was performed. (Due to the improper flange on the hydraulic line, the hydraulic line came loose from its housing and depleted the fluid from the hydraulic
reservoir).
• Failure of the back up emergency blow down bottle system. It has been determined from inspection that the cable that connects the emergency blow down bottle system in the nose well of the aircraft to the T-handle in the cockpit, exhibited excessive play. Therefore even though the cable was pulled all the way to its fullest extent, it did not allow movement of the pin that would have provided activation of the system. Annual inspection report completed in December 2005 revealed that the portion of the Annual Inspection that required inspection of the emergency blow down bottle was not signed off by the mechanic as having been accomplished. However, the aircraft was returned to service with this discrepancy outstanding.
• Pilot’s lack of qualification and unfamiliarity with this aircraft, its systems and emergency procedures. ( Evidence of falsification of qualification and time requirement exists in pilot’s logbook).
• Pilot’s poor decision making and impaired judgement. (Possibility of impaired judgement due to pilot fatigue).
• Pilot’s failure in assessing the severity of his situation.
• Pilot’s failure to notify ATC of his problem. (Problem was discovered 20 miles prior to the accident).
• Pilot’s failure to properly assess the conditions for landing and maintain vigilant situational awareness while manoeuvring the aircraft after landing. (From post accident inspection, it was noted that the flaps were not extended for the landing. Had it been extended the aircraft glide path as well as the distance required for roll out after landing may have been greatly decreased).
• Pilot’s failure to take immediate action once he realized his predicament. (Pilot stated that after the propeller made contact with the ground, he decided to apply power and go around, but it was too late. Failure to act also can be attributed to possible pilot fatigue as (pilot was out all day shopping and then decided to leave at such a late hour) well as pilot’s unfamiliarity with aircraft systems and performance capabilities).
• Pilot’s failure to request Emergency Service Assistance. Had this service been requested in a timely manner, preparations could have been made to prevent the fire from spreading to the degree in which it did.
Final Report:

Crash of a Rockwell Sabreliner 75A in Alexandria

Date & Time: Apr 20, 2006 at 1505 LT
Type of aircraft:
Operator:
Registration:
JY-JAS
Flight Type:
Survivors:
Yes
Schedule:
Amman - Alexandria
MSN:
380-64
YOM:
1978
Country:
Region:
Crew on board:
3
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
The crew departed Amman-Marka Airport on a positioning flight to Alexandria, Egypt. On final approach, the aircraft was too high on the glide but the captain decided to continue. During the last segment, after the speed brakes were deactivated, the aircraft floated and landed too far down the runway. Unable to stop within the remaining distance, it overran and came to rest. While all three crew members escaped uninjured, the aircraft was damaged beyond repair.
Probable cause:
Wrong approach configuration on part of the captain who decided to landed while the aircraft was too high on the glide. Failure of the captain to initiate a go-around procedure after the copilot warned him three times about that.

Crash of a Piper PA-31-310 Navajo in Charlotte Amalie

Date & Time: Apr 18, 2006 at 0908 LT
Type of aircraft:
Operator:
Registration:
N554DJ
Flight Type:
Survivors:
Yes
Schedule:
Christiansted - Charlotte Amalie
MSN:
31-7612009
YOM:
1976
Crew on board:
1
Crew fatalities:
Pax on board:
6
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
3400
Captain / Total hours on type:
1800.00
Aircraft flight hours:
6417
Circumstances:
The airplane was making a public use flight between two islands for the purpose of transporting residents of a correctional facility to court hearings. During descent to the destination airport, at an altitude of approximately 1,400 feet, both engines started surging. The pilot's attempts to restore normal engine power were unsuccessful, and he ditched the airplane in ocean water with both engines still surging. The airplane stayed afloat as he and the passengers exited, and then it sank. The airplane was not recovered from the ocean, precluding its examination and determination of the reason for the dual loss of engine power.
Probable cause:
The loss of engine power in both engines for an unknown reason.
Final Report:

Crash of a Fokker F27 Friendship 400M in Guayaramerín: 1 killed

Date & Time: Apr 16, 2006 at 1137 LT
Type of aircraft:
Operator:
Registration:
FAB-91
Flight Type:
Survivors:
Yes
Schedule:
Riberalta – Guayaramerín
MSN:
10580
YOM:
1978
Country:
Crew on board:
4
Crew fatalities:
Pax on board:
27
Pax fatalities:
Other fatalities:
Total fatalities:
1
Circumstances:
The aircraft departed Riberalta-General Buech Airport at 1123LT on a flight to Guayaramerín, carrying 27 passengers and a crew of four, among them two children and one baby. Few minutes after takeoff, the crew was informed about the deterioration of the weather conditions at destination with limited visibility due to heavy rain falls. After landing and a course of about 300 metres, the airplane skidded on a wet runway. It went out of control, veered off runway, lost its both wings and came to rest. All 31 occupants were rescued but an 80 years old men died few hours later from a heart attack.

Crash of a Lockheed C-130H Hercules in Kinshasa

Date & Time: Apr 14, 2006 at 1445 LT
Type of aircraft:
Operator:
Registration:
9T-TCB
Flight Type:
Survivors:
Yes
Schedule:
Kinshasa - Kinshasa
MSN:
4416
YOM:
1971
Region:
Crew on board:
7
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
The crew was performing a test flight on this aircraft that was parked for 10 years at Kinshasa-N'Djili Airport. On landing, the left main gear collapsed and the aircraft came to rest. All seven occupants escaped uninjured while the aircraft was damaged beyond repair. The General Kikunda Ombala was PIC at the time of the accident.

Crash of a Harbin Yunsunji Y-12 II in Marsabit: 14 killed

Date & Time: Apr 10, 2006 at 1000 LT
Type of aircraft:
Operator:
Registration:
KAF132
Flight Type:
Survivors:
Yes
Site:
Schedule:
Nairobi - Marsabit
MSN:
0098
YOM:
2000
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
15
Pax fatalities:
Other fatalities:
Total fatalities:
14
Aircraft flight hours:
1032
Circumstances:
The twin engine aircraft departed Moi Air Base in Nairobi on a flight to Marsabit, carrying a delegation of the Kenyan Government including two ministers. They were flying to Marsabit as part of a mediation mission between communities in dispute, in particular over grazing rights and water points. On approach to Marsabit Airport, the crew encountered poor visibility due to low clouds when the aircraft crashed on the slope of a hill located few km from the airport. Three passengers were seriously injured while 14 other occupants were killed.
Probable cause:
Controlled flight into terrain after the crew continued the approach at an unsafe altitude in marginal weather conditions.

Crash of a Lockheed C-5B Galaxy at Dover AFB

Date & Time: Apr 3, 2006 at 0642 LT
Type of aircraft:
Operator:
Registration:
84-0059
Flight Type:
Survivors:
Yes
Schedule:
Dover – Ramstein – Koweït City
MSN:
500-0083
YOM:
1986
Crew on board:
14
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
The four engine aircraft departed Dover AFB at 0621LT on a flight to Kuwait City with an intermediate stop at Ramstein Airbase, Germany, carrying 17 people, three passengers and 14 crew members. Ten minutes into the flight, the copilot informed ATC about technical problems and was cleared for an immediate return. On final approach to runway 32, the aircraft descended below the glide and impacted ground few hundred metres short of runway. It came to rest in a prairie, broken in three. All 17 occupants were injured.
Probable cause:
Based on clear and convincing evidence, the Board President determined the primary cause of the mishap was the pilots' and flight engineers' failure to use the number three, fully operational, engine; the instructor's and primary flight engineer's failure to brief, and the pilots' failure to consider or utilize a 62.5 or 40% flap setting (instead of a 100% flap setting); and the pilots' attempt at a visual approach to runway 32, descending well below a normal glidepath for an instrument-aided approach or the normal VFR pattern altitude of 1,800 ft. There is substantial evidence that a contributing factor to this mishap was MP1's failure to give a complete approach briefing, in that, nonstandard factors, configuration, landing distance, and missed approach intentions were not addressed.

Crash of an Ilyushin II-62M in Moscow

Date & Time: Mar 29, 2006 at 2051 LT
Type of aircraft:
Registration:
5A-DKR
Flight Type:
Survivors:
Yes
Schedule:
Mitiga - Moscow
MSN:
4053514
YOM:
1990
Country:
Region:
Crew on board:
6
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
The crew departed Mitiga on a positioning flight to Moscow-Domodedovo where the airplane should follow an overhaul program. The airplane crossed the runway 32R threshold at a height of 12 metres and with an excessive speed of 304 km/h. At a height of about five metres, the captain instructed the flight engineer to reduce the speed and to bring back the speed levers to idle. This instruction was confirmed by the flight engineer then the captain asked for the thrust reversers to be activated. In a certain confusion, the flight engineer did not confirm this instruction and asked again the order. Possibly due to a certain distraction, the flight engineer failed to position the power lever in the correction position. As a result, the aircraft floated at a height estimated between 0,5 and one metre before it landed firmly 1,100 metres past the runway threshold at a speed of 258 km/h. Unable to stop within the landing distance available, the aircraft overran, lost its undercarriage and came to rest 680 metres further, broken in three. All six occupants were rescued, among them two were injured.
Probable cause:
The accident occurred as a result of erroneous actions by the flight engineer during operations to turn on the engine reverse when landing the plane, expressed in shifting the reverse buckets to direct thrust and putting the 1st and 4th engines to take-off mode after landing. The Commission concluded that the flight engineer’s erroneous actions were facilitated by:
- A low level of technological discipline in the crew due to the weak role of the captain as a leader in the crew, which was manifested in the crew members not fully fulfilling the "Instructions for the interaction and technology of the crew members of the IL-62M aircraft" and Aircraft Flight Manual during descent, approach and landing,
- Emotional relaxation of the crew at the end of a business trip and return to base,
- Lack of effective control, including according to the data of flight recorders over flight operations with LIBAVIA,
- In the "Instructions for the interaction and technology of the crew of the IL-62M aircraft" there are no control functions on the part of other crew members for the actions of the flight engineer at the stage of aircraft landing and the status of the reverse on/off alarm,
- The absence in the training programs of the simulator of exercises for practicing the actions of crew members in case of erroneous actions by the flight engineer when the reverse is turned on,
- Lack of equipment for the flight engineer’s workplace with a radio headset, lack of procedures in the "Instructions for Interaction and the Work Technology of the Crew Members of the Il-62M Aircraft" for the use of a radio headset for flight personnel in flights with a reduced crew,
- Excessive volume of the SSU speakers broadcasting external radio communications, which created additional difficulties when listening to the commands given by the captain,
- Fuzziness (illegibility) of the commands given by the PIC and the lack of response of the PIC to the non-confirmation of the commands given by him to the flight engineer.

Crash of a Cessna 340A in Melbourne: 3 killed

Date & Time: Mar 23, 2006 at 1057 LT
Type of aircraft:
Operator:
Registration:
N37JB
Survivors:
No
Schedule:
Jacksonville – Melbourne
MSN:
340A-0124
YOM:
1976
Crew on board:
1
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
3
Captain / Total flying hours:
801
Aircraft flight hours:
3068
Circumstances:
A commercial pilot with two passengers on a business flight was arriving at the destination airport in a light twin-engine airplane. The air traffic tower controller advised the pilot to follow a slower airplane that was on base leg. The controller subsequently asked the accident pilot if he could reduce his speed,"a little bit." The accident pilot responded that he was slowing down. Less than a minute later, the controller told the accident pilot that he was cleared to land. The accident pilot's last radio transmission was his acknowledgement of the landing clearance. The controller stated that he did not see the accident airplane other than on the radar scope, but did see a plume of smoke on the final approach course for the active runway. Ground witnesses described the airplane as flying slowly with its wings wobbling, turn right, and dive into the ground. The majority of the airplane was consumed by a post crash fire. Inspection of the flight controls and engines disclosed no evidence of any preimpact mechanical problems. Low speed flight reduces the margin between a safe operating speed and an aerodynamic stall. Wing "wobble" at low speeds is often an indicator of an incipient aerodynamic stall. Toxicological samples from the pilot’s blood detected diphenhydramine (a sedating antihistamine commonly known by the trade name Benadryl) at a level consistent with recent use of at least the maximum over-the-counter dose. Diphenhydramine is used over-the-counter for allergies and as a sleep aid, and has been shown to impair the performance of complex cognitive and motor tasks at typical doses. The FAA does not specifically prohibit the use of diphenhydramine by pilots, though Federal Air Regulation 91.17, states, in part: "No crewmember may act, or attempt to act as a crewmember of a civil aircraft...while using any drug that affects the person's faculties in any way contrary to safety..."
Probable cause:
The pilot's failure to maintain adequate airspeed to avoid a stall during the final approach to land. Contributing to the accident was the pilot's impairment due to the use of a sedating antihistamine.
Final Report: