Crash of a Beechcraft B200 Super King Air in Piqua: 1 killed

Date & Time: Aug 24, 2001 at 0640 LT
Registration:
N18260
Flight Type:
Survivors:
No
Schedule:
Dayton – Piqua
MSN:
BB-900
YOM:
1981
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
7100
Captain / Total hours on type:
2400.00
Aircraft flight hours:
10821
Circumstances:
The airline transport rated pilot was attempting to land under visual flight rules for a scheduled passenger pick-up and subsequent charter flight. The pilot was communicating with a pilot at the airport, who was utilizing a hand held radio. The accident pilot reported he was not able to see the runway lights due to ground fog and continued to circle the airport for about 20 minutes. The pilot on the ground stated the airplane appeared to be about 1,500 feet above the ground when it circled, and then entered a downwind for runway 26. He was not able to hear or see the airplane as it flew away from the airport. He then began to hear the airplane during its final approach. The airplane's engines sounded normal. He then heard a "terrible sound of impact," followed by silence. When he arrived at the accident site, the airplane was fully engulfed in flames. The airplane impacted trees about 80-feet tall, located about 2,000 feet from, and on a 240 degree course to the approach end of runway 26. Several freshly broken tree limbs and trunks, up to 15-inches in diameter, were observed strewn along a debris path, which measured 370 feet. Examination of the wreckage did not reveal any pre-impact malfunctions. The weather reported at an airport about 19 miles south-southeast of the accident site, included a visibility of 1 3/4 miles, in mist, with clear skies and a temperature and dew point of 17 degrees Celsius. Witnesses in the area of the accident site generally described conditions of "thick fog" and a resident who lived across from the accident site stated visibility was "near zero" and he could barely see across the road.
Probable cause:
The pilot's improper decision to attempt a visual landing under instrument meteorological conditions and his failure to maintain adequate altitude/clearance, which resulted in an inflight collision with trees. A factor in this accident was the ground fog.
Final Report:

Crash of a Dassault Falcon 10 in Kuujjuaq

Date & Time: Aug 14, 2001 at 1331 LT
Type of aircraft:
Operator:
Registration:
C-GNVT
Survivors:
Yes
Schedule:
Iqaluit – Kuujjuaq
MSN:
138
YOM:
1978
Flight number:
BFF10
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
8
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
Following an uneventful flight from Iqaluit, the twin engine aircraft bounced twice upon landing. The crew completed the braking procedure 'normally' then vacated the runway and parked the airplane on the apron. After all 10 occupants disembarked, technicians realized that the fuselage was severely damaged and the aircraft was declared as damaged beyond repair.

Crash of a Piper PA-60 Aerostar (Ted Smith 602P) in Rock Springs

Date & Time: Aug 9, 2001 at 1330 LT
Registration:
N44JH
Survivors:
Yes
Schedule:
Rock Springs – Marysville
MSN:
62-0902-8165031
YOM:
1981
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
2578
Captain / Total hours on type:
520.00
Aircraft flight hours:
2998
Circumstances:
The airplane had just taken off and was climbing through 9,000 feet when the pilot heard "a very loud explosive sound" that came from the right side of the aircraft. He returned to the airport and landed. When the airplane touched down, it began veered to the right and the pilot attempted to correct. The airplane departed the right side of the runway and the right main landing gear collapsed, driving it through the top of the wing. Half of the right main tire (30 hours total time in service) and most of its inner tube (with a round section blown out) were found at the point of touch down. Missing was the valve stem. Continuous S-shaped marks indicated the tire came off the rim.
Probable cause:
The right main tire blowing out in flight, which resulted in a loss of directional control during landing.
Final Report:

Crash of a Beechcraft B200 Super King Air in Sandersville

Date & Time: Aug 9, 2001 at 0948 LT
Registration:
N899RW
Survivors:
Yes
Schedule:
Dublin - Sandersville
MSN:
BB-1637
YOM:
1998
Crew on board:
1
Crew fatalities:
Pax on board:
5
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
4900
Captain / Total hours on type:
978.00
Aircraft flight hours:
996
Circumstances:
The flight made two instrument approaches to minimums and executed two missed approaches before the crew elected to land about 25 miles south and wait for the low ceiling condition to improve. An hour later, having topped off fuel tanks, confirmed by telephone that destination weather was improving, the flight re-launched to their original destination. They executed a GPS-A, (circling) instrument approach, broke out of instrument conditions about 100 ft. above minimums, (600 feet, agl) and about one mile from the runway, and started a right downwind turn to enter a left base leg for landing runway 30. During the turn to final approach, the crew extended the landing gear and flaps for landing, and according to the copilot, the pilot flew through the extended runway centerline requiring a, " teardrop turn back toward the runway. In the turn the bank angle was about 45 degrees, the descent rate increased rapidly and a faint warning [stall warning] sounded, the nose then pitches down and [the PIC] screams as he shoves both throttles full forward and using both hands pulls the yoke back and as soon as the nose came above the horizon the plane impacted the ground wings were fairly level mains hit first and we paralleled the runway about fifty feet or so to the right of the runway". The impact sheared the landing gear, shed the propellers, broke the engines from their mounts, started a fire in the left engine, and broke open the fuselage 3 feet aft of the cabin pressure bulkhead. The two pilots and three of four passengers received minor injuries, and one passenger received serious injuries. The cockpit voice recorder was shipped to the NTSB Vehicle Recorders Laboratory in Washington, DC. Readout of data recorded from the cockpit area microphone revealed that 6.4 seconds before impact the stall warning sounded, and 4.4 seconds before impact the altitude alerter sounded.
Probable cause:
The pilot-in command's failure to maintain airspeed during the approach, resulting in an inadvertent stall and in-flight collision with the terrain during an uncontrollable descent.
Final Report:

Crash of a Dassault Falcon 20C in Narsarsuaq: 3 killed

Date & Time: Aug 5, 2001 at 0245 LT
Type of aircraft:
Operator:
Registration:
D-CBNA
Flight Type:
Survivors:
No
Schedule:
Gdansk – Copenhagen – Keflavik – Narsarsuaq – Seven Islands – Louisville
MSN:
63
YOM:
1967
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
3
Circumstances:
The flight, during which the accident occurred, was part of a non-scheduled international cargo flight from Gdansk (EPGD) to Louisville (KSDF). The flight crew had previously on August 4, 2001, on another charter flight, flown the aircraft from Hanover (EDDV) to Palma de Mallorca (LEPA) and then to EPGD in order to bring the aircraft in position for the cargo flight. The flight was chartered by a cargo courier to depart EPGD at 2000 hrs on August 4, 2001, and arrive at KSDF at 0900 hrs on August 5, 2001. Technical landings (fuel uplift) were planned at EKCH in Denmark, at Keflavik (BIKF) in Iceland, at BGBW in Greenland and at Sept-Iles (CYZV) in Canada. The aircraft had a two hour delay at LEPA due to a slot time. For that reason, the aircraft did not arrive at EPGD until 2106 hrs. The aircraft was refuelled and the flight crew loaded the cargo themselves. The aircraft departed EPGD at 2218 hrs and arrived at EKCH at 2238 hrs. Then the aircraft departed EKCH at 2313 hrs and arrived at BIKF at 0202 hrs. At BIKF, the aircraft was refuelled with 1034 USG of JET A1. The commander filed an ATC flight plan for BGBW with Kangerlussuaq (BGSF) in Greenland as destination alternate. At BIKF no weather reports for BGBW were valid for the flight crew’s flight planning. The handling agent directed the Commander’s attention to the lack of updated weather reports for BGBW, but the Commander seemed not to be concerned. It was the general opinion of the handling agent that the Commander seemed stressed. At 0246 hrs, the flight crew requested start up and shortly after they got an ATC clearance to BGBW via EMBLA, 63N 30W, 62N 40W and NA at FL 240 with cruise Mach at 0.76. The aircraft departed BIKF at 0300 hrs and the flight crew got an ATC clearance with FL 260 as the final cruising level inbound BGBW. The First Officer was the pilot flying and the Commander was the pilot non-flying. At 0423:24 hrs, the Commander contacted Narsarsuaq Flight Information Service (FIS) on frequency 121.300 MHz. The Commander reported that they expected to be overhead NA (358 KHz) at 0438 hrs. At this time, the aircraft was cruising at FL 260 and was inbound NA on a magnetic track of 280° approximately 50 nm east of the aerodrome. Through link to Gander ATC, Narsarsuaq FIS cleared the aircraft to descend out of controlled airspace on QNH 1004 and to report FL 195 descending. The Commander was now the pilot flying and the First Officer was the pilot non-flying. The Commander had experience of flying to BGBW. The aircraft left FL 260, and at 0434:27 hrs, the First Officer reported that the aircraft was passing FL 195. Narsarsuaq FIS requested the flight crew to report 10 nm from the aerodrome. While descending, the flight crew made a briefing on the NDB/DME approach procedure to runway 07. At 0437:00 hrs, the First Officer reported that the aircraft was 10 NM from NA. Narsarsuaq FIS requested the flight crew to contact Narsarsuaq AFIS on frequency 119.100 MHz. At 0437:17 hrs, the flight crew was in contact with Narsarsuaq AFIS and the First Officer reported passing FL 130. The AFIS Operator reported that there was no reported traffic in the TIZ and that the flight crew could make an approach by their own discretion. The weather was reported to be a wind direction and speed of 080° at 24 knots, visibility 10 kilometres with broken clouds at 6000 feet and overcast at 9000 feet, light rain, temperature +14°C, dew point +3°C and the QNH 1004 hPa. At 0440:26 hrs and at 0440:52 hrs, one of the flight crewmembers made cockpit call outs of passing 6 nm and 8 nm respectively outbound from NA. At 0441:45 hrs, one of the flight crewmembers made a cockpit call out of the aircraft being on base. The Commander ordered the extension of the landing gear. With reference to the CVR read out, there were no audible flight crew call outs concerning the use of checklists, altitude checks and Standard Operating Procedures (SOP) during the descent, the initial and the final approach phase. At 0442:29 hrs, the First Officer reported that the aircraft was on final to runway 07. The AFIS operator reported the threshold wind for runway 07 to be 070° at 22 knots gusting to 29 knots and the runway to be free. The AFIS operator made a visual scan of the approach sector, but he did not see the aircraft, as he normally would have, when an aircraft was established on final in dark night and under similar weather conditions. At approximately 0443:07 hrs, the aircraft impacted in landing configuration mountainous terrain at approximately 700 feet msl. The accident occurred 4.5 nm southwest of the aerodrome. On the CVR read out, there were no audible flight crew call outs immediately before the impact. Several times from 0452 hrs until 0459 hrs, Narsarsuaq AFIS tried to get in radio contact with the aircraft, but there was no reply.
Probable cause:
A combination of non-adherence to the approach procedure and the lack of vertical position awareness was the causal factor to this Controlled Flight Into Terrain (CFIT) accident. Several of the most common factors found in CFIT accidents were present in this accident. The flight crew did not follow SOPs (adherence to the approach procedure, altitude calls, checklist reading). Furthermore the GPWS was inoperative and the flight crew were exposed to peak fatigue. The absence of CRM and non-adherence to SOPs removed important defences in preventing CFIT. In this accident, the aircraft was capable of being controlled and was under control of the flight crew until impact. Nothing indicated that the flight crew were aware of their proximity to the mountainous terrain. Consequently, this is considered to be a CFIT accident.
Final Report:

Crash of a Mitsubishi MU-2B-35 Marquise in Hilton Head: 1 killed

Date & Time: Aug 1, 2001 at 0751 LT
Type of aircraft:
Operator:
Registration:
N1VY
Flight Type:
Survivors:
No
Schedule:
Columbia – Savannah – Hilton Head
MSN:
567
YOM:
1972
Flight number:
BKA170
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
4184
Captain / Total hours on type:
483.00
Aircraft flight hours:
11612
Circumstances:
The airplane was on final approach to land at Hilton Head Airport, when according to witnesses, it suddenly rolled to the right, and descended, initially impacting trees at about the 70-foot level, and then impacting the ground. A fire then ensued upon ground impact, and the debris field spanned about 370 feet along an azimuth of about 082 degrees. Examination of the airplane wreckage revealed that left wing flap actuator and jack nut measurements were consistent with the wing flaps being extended to 40 degrees, and on the right wing the flap jack nut and actuator measurements were consistent with the right flap being extended to about a 20-degrees. In addition, the right flap torque tube assembly between the flap motor and the flap stop assembly had disconnected, and the flap torque tube assembly's female coupler which attaches to the male spline end of the flap motor and flap stop assembly was found with a cotter pin installed through the female coupler of the flap stop assembly. The cotter pin, had not been placed through the spline and the coupler consistent with normal installation as per Mitsubishi's maintenance manual, or as specified in Airworthiness Directive 88-23-01. Instead, the cotter pin had missed the male spline on the flap motor. In addition, the flap coupler on the opposite side of the flap motor was found to also found to not have a cotter pin installed. Company maintenance records showed that on April 3, 2001, about 87 flight hours before the accident, the airplane was inspected per Airworthiness Directive (AD) 88-23-01, which required the disassembly, inspection, and reassembly of the flap torque tube joints. In addition, on July 9, 2001, the airplane was given a phase 1 inspection, and Bankair records showed that a company authorized maintenance person performed the applicable maintenance items, and certified the airplane for return to service.
Probable cause:
Improper maintenance/installation and and inadequate inspection of the airplane's flap torque tube joints during routine maintenance by company maintenance personnel, which resulted in the right flap torque tube assembly coupler becoming detached and the flaps developing asymmetrical lift when extended, which resulted in an uncontrolled roll, a descent, and an impact with a tree during approach to land.
Final Report:

Crash of a Boeing 727-2N8A in Asmara

Date & Time: Aug 1, 2001 at 0700 LT
Type of aircraft:
Operator:
Registration:
7O-ACW
Survivors:
Yes
Schedule:
Sana'a - Asmara
MSN:
21845
YOM:
1979
Location:
Country:
Region:
Crew on board:
8
Crew fatalities:
Pax on board:
132
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
Following an uneventful flight from Sana'a, the three engine aircraft landed on runway 25 at Asmara-Johannes IV Airport. After touchdown on a wet runway surface, the crew started the braking procedure and the thrust reverser systems were activated. Unable to stop within the remaining distance (runway 25 is 3 km long), the aircraft overran and collided with a concrete block, causing the left main gear to be torn off. All 140 occupants evacuated safely while the aircraft was damaged beyond repair. At the time of the accident, wind was from 200 at 6 knots and the runway surface was wet due to recent rain falls. The exact touchdown point could not be determined and all braking systems were available and properly used after landing. The aircraft collided with a concrete block located beside a runway light just past the runway end.

Ground fire of a De Havilland DHC-2 Beaver off Minstrel Island

Date & Time: Aug 1, 2001
Type of aircraft:
Registration:
C-GNWS
Survivors:
Yes
MSN:
1382
YOM:
1959
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
he float-equipped aircraft had landed at Minstrel Island and was taxiing to the dock when the pilot of a company aircraft that was following C-GNWS to the dock radioed that he saw smoke coming from the lower right area of C-GNWS's engine cowling. The pilot of C-GNWS docked the aircraft, unloaded the three passengers and emptied a fire extinguisher onto the burning aircraft. The fire was not extinguished and the aircraft was pushed away from the dock where it burnt to the water.

Crash of a Piper PA-46-350P Malibu Mirage in Westfield: 1 killed

Date & Time: Jul 28, 2001 at 1655 LT
Registration:
N3DM
Flight Type:
Survivors:
Yes
Schedule:
Nantucket – Westfield
MSN:
46-22079
YOM:
1989
Crew on board:
1
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
1660
Aircraft flight hours:
1030
Circumstances:
After a normal cross country flight, the airplane was on final approach for landing to runway 20, when the air traffic controller instructed the pilot to "go-around" because a preceding airplane had not cleared the runway. The airplane was observed to pitch up and enter a steep, almost 90 degree left bank. The passenger in the rear seat described the flights from and to BAF as "smooth." She stated she thought that the airplane would be landing; however, then realized the airplane was in a left turn. The airplane impacted on the roof of a commercial building, and came to rest upright on a heading of 020 degrees, in a parking lot, about 1/4 mile east of the approach end the runway. Examination of the airplane, which included a teardown of the engine, did not reveal evidence of any pre-impact malfunctions. Weather reported at the airport about the time of the accident included winds from 240 degrees at 7 knots; visibility 10 status miles and few clouds at 6,500 feet. The pilot owned the airplane and had accumulated about 1,660 hours of total flight experience.
Probable cause:
The pilot's failure to maintain aircraft control while maneuvering during a go-around.
Final Report:

Crash of a Partenavia P.68B in North Shore

Date & Time: Jul 20, 2001 at 0459 LT
Type of aircraft:
Operator:
Registration:
ZK-DMA
Flight Type:
Survivors:
Yes
Schedule:
Auckland-Whangarei
MSN:
68
YOM:
1976
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
706
Captain / Total hours on type:
200.00
Aircraft flight hours:
4773
Circumstances:
On Friday 20 July 2001, at around 0450, Partenavia P68B ZK-DMA was abeam North Shore Aerodrome at 5000 feet in darkness and enroute to Whangarei, when it suffered a double engine power loss. The pilot made an emergency landing on runway 21 at North Shore Aerodrome, but the aircraft overran the end of the runway, went through a fence, crossed a road and stopped in another fence. The pilot was the only person on board the aircraft and received face and ankle injuries. The aircraft encountered meteorological conditions conducive to engine intake icing, and ice, hail or sleet probably blocked the engine air intakes. The pilot had probably developed a mindset that dismissed icing as a cause, and consequently omitted to use alternate engine intake air, which should have restored engine power.
Probable cause:
The following findings were identified:
- The pilot was suitably qualified and authorised to conduct the flight.
- The aircraft was airworthy and its records indicated it had been maintained correctly.
- The aircraft encountered weather conditions conducive to the formation of engine intake icing.
- The engine air intakes probably became blocked by sleet, ice or hail, which caused both engines to lose power.
- The pilot probably developed a mindset that dismissed engine intake icing as a cause of the double engine power loss and omitted to apply the necessary corrective action.
- Had the pilot selected each engine’s alternate engine intake air on, engine power should have been restored.
- The Partenavia P68B flight manual warning concerning the use of alternate engine intake air should be amended to require the in-flight use of alternate air at ambient temperatures above freezing, in a high-humidity environment.
Final Report: