Crash of a Learjet 35A in Nevis

Date & Time: Jul 13, 2004 at 1920 LT
Type of aircraft:
Registration:
N829CA
Flight Type:
Survivors:
Yes
Schedule:
Sint Maarten - Nevis
MSN:
35-459
YOM:
1981
Crew on board:
2
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
6500
Captain / Total hours on type:
539.00
Copilot / Total flying hours:
10000
Copilot / Total hours on type:
539
Aircraft flight hours:
9899
Circumstances:
The flightcrew stated that approximately 8 miles out on a visual approach for runway 10 they requested winds and altimeter setting from the control tower. They received altimeter setting 29.95 inches Hg., and winds from 090 degrees at 20 knots. About 5 miles out, in full landing configuration, they checked wind conditions again, and were told 090 at 16 knots. They were holding Vref of 125 knots plus 10 knots on final. The approach was normal until they got a downdraft on short final. The airplane sank and they reacted by immediately adding engine power and increasing pitch, but the airplane continued to sink. The airplane's main landing gear came in contact with the top of the barbwire fencing at the approach end of the runway. The airplane landed short of the threshold. The airplane was under control during the roll out and they taxied to the ramp. A special weather observation was taken at the Vance W. Amory International Airport at 1930, 10 minutes after the accident. The special weather observation was winds 090 at 15 knots, visibility 10 statute miles, scattered clouds at 2,000, temperature 27 degrees centigrade, dewpoint temperature 23 degrees centigrade, altimeter setting 29.95 inches hg.
Probable cause:
The pilot's encounter with a downdraft.
Final Report:

Crash of a Beechcraft A100 King Air in Fort Vermilion

Date & Time: Jul 13, 2004 at 0001 LT
Type of aircraft:
Registration:
C-FQOV
Flight Type:
Survivors:
Yes
Schedule:
Grande Prairie – Fort Vermilion
MSN:
B-38
YOM:
1970
Flight number:
LRA913M
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
Crew twin engine aircraft was performing an ambulance flight from Grande Prairie to his base in Fort Vermilion with one patient, one doctor, one accompanist and two pilots on board. On final approach, the aircraft was too high and eventually landed hard. Upon touchdown, the right main gear collapsed and the aircraft veered off runway to the right and and came to rest. All five occupants escaped uninjured while the aircraft was damaged beyond repair.
Probable cause:

Crash of a Piper PA-31-350 Navajo Chieftain in Ticonderoga: 2 killed

Date & Time: Jul 10, 2004 at 0858 LT
Operator:
Registration:
N45032
Survivors:
No
Site:
Schedule:
Oxford-Waterbury - Ticonderoga
MSN:
31-8052199
YOM:
1980
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
32000
Aircraft flight hours:
8159
Circumstances:
The airplane, which was not operating on a flight plan, was proceeding in clear skies to an airport where the passenger was joining his wife. After crossing a lake near the destination, the airplane flew over rising terrain, along a saddleback, until it struck a stand of old-growth trees that jutted above new-growth trees. During the last 48 seconds of radar coverage, the airplane climbed 600 feet with no erratic course deviations. From the accident location, the airport would have been about 5 nautical miles off the airplane's right wing. The pilot had 32,000 hours of flight experience. The passenger was under investigation for fraud, and attempted to obtain life insurance prior to the flight. The passenger had also loaned money to the pilot, and was receiving "flight services" in lieu of cash payment when the pilot failed to pay back the loan. A .380 caliber pistol magazine was found at the accident site with two rounds of ammunition missing; however, no weapon was located at the site, and no weapon of that caliber was known to be associated with either the pilot or the passenger. Premature ventricular complexes (PVCs) were found on electrocardiograms performed in conjunction with the pilot's airman medical certificate applications in 2002 and 2004. The pilot's autopsy report indicated "severe calcific... coronary disease, with 90 percent narrowing of the left anterior descending coronary artery and 75 percent narrowing of the right coronary artery." Cause of death, for both the pilot and passenger, was listed as "undetermined." The autopsy reports also noted that, "due to the inability to perform a complete autopsy...of either of the two aircraft occupants, it cannot be determined whether either the pilot or the passenger were alive or dead at the time of the crash." Post accident inspection of the airplane disclosed no evidence of any preimpact anomalies.
Probable cause:
Reason for occurrence undetermined.
Final Report:

Crash of a Piper PA-31P Pressurized Navajo in Albacete

Date & Time: Jul 4, 2004 at 1855 LT
Type of aircraft:
Registration:
EC-CTG
Flight Type:
Survivors:
Yes
Schedule:
Biscarosse – Alicante
MSN:
31P-7530017
YOM:
1975
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
5
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
2700
Captain / Total hours on type:
300.00
Aircraft flight hours:
2490
Circumstances:
The twin engine aircraft departed Biscarosse Airport, Landes, at 1629LT, on a private flight to Alicante, carrying five passengers and one pilot. At 1840LT, while descending to Alicante, the pilot contacted ATC and reported a low fuel situation. After being vectored to Albacete-Los Llanos AFB, he modified his route and started the descent for an approach to runway 09. Four minutes later, at an altitude of 3,000 feet and a distance of 8 NM, he declared an emergency following an engine failure. Two minutes later, the aircraft crashed near Chinchilla, about 10 km southeast of the airport. All six occupants were rescued and the aircraft was damaged beyond repair.
Probable cause:
Failure of both engines in flight due to fuel exhaustion. This situation was probably the consequence of an incorrect fuel consumption calculation prior to departure, combined with a possible over-consumption in flight.
Final Report:

Crash of a Noorduyn Norseman VI in Birch Lake

Date & Time: Jul 3, 2004
Type of aircraft:
Operator:
Registration:
C-FOBE
Survivors:
Yes
MSN:
480
YOM:
1944
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
4
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
Upon landing on Birch Lake, the second compartment of the right float ruptured. The aircraft nosed down and sank. All five occupants were able to evacuate the cabin and to swim to the shore. The aircraft was written off.
Probable cause:
Failure of the right float on landing that was leaking probably due to a crack located in the second compartment.

Crash of a Dornier DO228-201 in Siglufjörður

Date & Time: Jun 23, 2004 at 1941 LT
Type of aircraft:
Operator:
Registration:
TF-ELH
Flight Type:
Survivors:
Yes
Schedule:
Sauðárkrókur - Siglufjörður
MSN:
8070
YOM:
1985
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
8400
Captain / Total hours on type:
2345.00
Copilot / Total flying hours:
1117
Copilot / Total hours on type:
253
Circumstances:
Following an uneventful passenger flight from Reykjavik to Sauðárkrókur, the crew decided to fly to Siglufjörður Airport to perform a competence control flight for this airfield. On approach in good weather conditions (visibility over 10 km with clouds at 1,500 feet), the captain disconnected the GPWS system to avoid repetitive alarms. After landing on runway 07, he attended to perform a touch-and-go so he increased engine power and took off. During initial climb, the landing gears were raised and the crew made a right hand turn circuit at an altitude of 500 feet. Following a second approach to runway 07, the aircraft landed on its belly and slid for 280 metres before coming to rest. Both pilots evacuated safely while the aircraft was damaged beyond repair.
Probable cause:
Belly landing after the crew failed to follow the approach checklist and failed to lower the landing gear for a second touch-and-go manoeuvre. The following contributing factors were identified:
- The crew failed to check that the three green lights were ON,
- The aircraft was unstable on final approach,
- The captain took over control without knowing how to proceed for the approach,
- The presence of birds in the vicinity of the runway disturbed the crew,
- The landing gear alert system was not properly set,
- The right hand circuit was completed at a low altitude of 500 feet.
Final Report:

Crash of a Fokker F27 Friendship 200 in Chitral

Date & Time: Jun 16, 2004
Type of aircraft:
Operator:
Registration:
AP-AUR
Survivors:
Yes
Schedule:
Peshawar - Chitral
MSN:
10307
YOM:
1966
Flight number:
PK660
Country:
Region:
Crew on board:
4
Crew fatalities:
Pax on board:
36
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
After landing on runway 02 at Chitral Airport, the aircraft was unable to stop within the remaining distance. It overran, lost its undercarriage and came to rest in a grassy and sandy area. All 40 occupants evacuated safely and the aircraft was damaged beyond repair.

Crash of a De Havilland DHC-2 Beaver near Gatineau: 1 killed

Date & Time: Jun 14, 2004 at 1340 LT
Type of aircraft:
Registration:
C-GJST
Flight Type:
Survivors:
No
Schedule:
Gatineau - Gatineau
MSN:
1368
YOM:
1959
Location:
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
1709
Captain / Total hours on type:
700.00
Circumstances:
The pilot and sole occupant of the DHC-2 seaplane, registration C-GJST, serial number 1368, was on his first flight of the season on the Ottawa River at Gatineau, Quebec. This training flight, conducted according to visual flight rules, was to consist of about 12 touch-and-go landings. The aircraft took off at approximately 1300 eastern daylight time, and made several upwind touch-and-go landings in a westerly direction. At approximately 1340 eastern daylight time, the aircraft was seen about 50 feet above the surface of the water proceeding downwind in an easterly
direction, in a nose-down attitude of over 20 degrees. The right float then struck the water and the aircraft tumbled several times, breaking up on impact. Despite the waves and gusting wind on the river, some riverside residents who witnessed the accident attempted a rescue, but the aircraft sank before they could reach it. Even though the pilot was wearing a seat-belt, he sustained head injuries at impact and drowned.
Probable cause:
Finding as to Causes and Contributing Factors:
1. The aircraft struck the water for undetermined reasons.
Findings as to Risk:
1. The certificate of airworthiness was not in effect at the time of the accident because of the airworthiness directives that had not been completed.
2. The distress signal emitted by the fixed, automatic emergency locator transmitter (ELT) was not received because of the reduced range of the signal once the ELT was submerged, which could have increased the response time of search and rescue units if there had been no witnesses to the accident.
3. The pilot had not made a training flight with an instructor for more than 19 months, which could have resulted in a degradation of his skills and decision-making process.
Final Report:

Crash of a Beechcraft C-45H Expeditor in Kodiak: 1 killed

Date & Time: Jun 14, 2004 at 1137 LT
Type of aircraft:
Operator:
Registration:
N401CK
Flight Type:
Survivors:
No
Schedule:
Anchorage – Kodiak
MSN:
AF-60
YOM:
1952
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
18600
Circumstances:
The solo airline transport pilot departed on a commercial cargo flight in a twin-engine, turboprop airplane. As the flight approached the destination airport, visibility decreased below the 2 mile minimum required for the initiation of the approach. The pilot entered a holding pattern, and waited for the weather to improve. After holding for about 45 minutes, the ceiling and visibility had improved, and the flight was cleared for the ILS 25 instrument approach. After the pilot's initial contact with ATCT personnel, no further radio communications were received. When the flight did not reach the destination airport, it was reported overdue. A search in the area of an ELT signal located the accident airplane on a hilly, tree-covered island. A witness located to the north of the airport reported seeing a twin-engine turboprop airplane flying very low over the water, headed in an easterly direction, away from the airport. The witness added that the weather at the time consisted of very low clouds, fog, and rain, with zero-zero visibility. A local resident also stated that the weather conditions were often much lower over the water adjacent to the approach end of the airport than at the airport itself. The missed approach procedure for the ILS 25 approach is a climbing left turn to the south. About one minute after the accident, a special weather observation was reporting, in part: Wind, 060 degrees (true) at 11 knots; visibility, 2 statute miles in light rain and mist; clouds and sky condition, 500 feet broken, 900 feet broken, 1,500 feet overcast; temperature, 46 degrees F; dew point, 44 degrees F. According to FAA records, the company was not authorized to conduct single pilot IFR operations in the accident airplane, and that the accident pilot was the operator's chief pilot. Toxicology tests revealed cocaethylene and chlorpheniramine in the pilot's blood and urine.
Probable cause:
The pilot's failure to follow proper IFR procedures by not adhering to the published missed approach procedures, which resulted in an in-flight collision with tree-covered terrain. Factors contributing to the accident were a low ceiling, fog, rain, and the insufficient operating standards of company management by allowing unauthorized single pilot instrument flight operations. Additional factors were the pilot's impairment from cocaine, alcohol, and over the counter cold medication, and the FAA's inadequate medical certification of the pilot and follow-up of his known substance abuse problems.
Final Report:

Crash of a Beechcraft 200 Super King Air near Rupert: 2 killed

Date & Time: Jun 13, 2004 at 0830 LT
Operator:
Registration:
N200BE
Flight Type:
Survivors:
No
Site:
Schedule:
Summerville – Lewisburg – Charlotte
MSN:
BB-832
YOM:
1981
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
10400
Captain / Total hours on type:
1500.00
Copilot / Total flying hours:
2910
Copilot / Total hours on type:
400
Aircraft flight hours:
9449
Circumstances:
An IFR flight plan and slot reservation were filed for the planned flight over mountainous terrain. The flightcrew intended to reposition to an airport about 30 miles southeast of the departure airport, pick up passengers, and then complete a revenue flight to another airport. The airplane departed VFR, and the flightcrew never activated the flight plan. A debris path was located, consistent with straight and level flight, near the peak of a mountain at 3,475 feet msl. Examination of the wreckage did not reveal any pre-impact mechanical malfunctions. Instrument meteorological conditions prevailed near the accident site, about the time of the accident. Further investigation revealed the aircraft operator was involved in two prior weather related accidents, both of which resulted in fatalities. A third accident went unreported, and the weather at the time of that accident was unknown. Over a period of 14 years, the same FAA principal operations inspector was assigned to the operator during all four accidents; however, no actions were ever initiated as a result of any of the accidents.
Probable cause:
The pilot-in-command's improper decision to continue VFR flight into IMC conditions, which resulted in controlled flight into terrain. Factors were the FAA Principle Operations Inspector's inadequate surveillance of the operator, and a low ceiling.
Final Report: