Crash of a Fokker F27 Friendship 500F in Surabaya: 3 killed

Date & Time: Mar 26, 2001 at 1825 LT
Type of aircraft:
Operator:
Registration:
PK-MFL
Flight Type:
Survivors:
No
Schedule:
Surabaya - Surabaya
MSN:
10609
YOM:
1981
Country:
Region:
Crew on board:
3
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
3
Captain / Total flying hours:
4506
Copilot / Total flying hours:
4325
Aircraft flight hours:
31300
Aircraft flight cycles:
38200
Circumstances:
The crew was completing a local training flight at Surabaya-Juanda Airport, consisting of touch-and-go manoeuvres. While approaching the airport to complete the eighth landing, at an altitude of 500 feet, the aircraft rolled to the left then stalled and crashed in a pond located 3 km short of runway, bursting into flames. All three pilots were killed. Both captains were operating on Casa-Nurtanio CN-235 (IPTN) and making a transition to Fokker F27.

Crash of a Beechcraft RC-12K Huron near Nuremberg: 2 killed

Date & Time: Mar 26, 2001 at 1555 LT
Type of aircraft:
Operator:
Registration:
85-0154
Survivors:
No
Schedule:
Wiesbaden - Nuremberg
MSN:
FE-8
YOM:
1987
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
2
Circumstances:
While approaching Nuremberg Airport following a reconnaissance mission from Wiesbaden, the twin engine aircraft crashed in unknown circumstances in the forest of Moritzberg, about 16 km short of runway 28. The aircraft was destroyed and both pilots were killed. They were belonging to the 205th MIB (Military Intelligence Brigade).

Crash of a De Havilland DHC-6 Twin Otter 300 in Saint-Barthélémy: 20 killed

Date & Time: Mar 24, 2001 at 1628 LT
Operator:
Registration:
F-OGES
Survivors:
No
Schedule:
Sint Maarten - Saint-Barthélemy
MSN:
254
YOM:
1969
Flight number:
TX1501
Crew on board:
2
Crew fatalities:
Pax on board:
17
Pax fatalities:
Other fatalities:
Total fatalities:
20
Captain / Total flying hours:
9864
Captain / Total hours on type:
5000.00
Copilot / Total flying hours:
670
Copilot / Total hours on type:
15
Aircraft flight hours:
35680
Aircraft flight cycles:
89331
Circumstances:
The aircraft departed Saint Maarten Airport on a flight to Saint-Barthélemy Airport under callsign TX1501, carrying 17 passengers and two pilots. The captain was pilot flying and the cruise level was 1,500 feet. The crew left the Sint Maarten Juliana aerodrome frequency when abeam of the island of Fourchue, the entry point of the aerodrome circuit located three nautical miles northwest of the island of Saint-Barthélemy. A few seconds later, they announced, on the Saint-Barthélemy Information frequency, that they were passing the 'Fourchue' reporting point. Shortly afterwards, they announced passing the 'Pain de Sucre' reporting point for a final approach to runway 10. That was their last communication. When the aircraft began its short final before the La Tourmente pass, several people, including the AFIS agent, saw it turn left which a steep bank angle then dive towards the ground. It crashed near a house and caught fire. All of the occupants perished, along with one person who was in the house.
Probable cause:
The accident appears to result from the Captain's use of the propellers in the reverse beta range, to improve control of his track on short final. A strong thrust asymmetry at the moment when coming out of the reverse beta range would have caused the loss of yaw control, then roll control of the aircraft. The investigation could not exclude three other hypotheses which can nevertheless be classified as quite unlikely:
- A loss of control during a go-around,
- A loss of control due to a stall,
- A loss of control due to sudden incapacitation of one of the pilots,
The Captain's lack of recent experience on this airplane type, the undeniable difficulty of conducting an approach to runway 10 at Saint-Barthélemy and the pressure of time during this flight were contributory factors. The low height at which the loss of control occurred was an aggravating factor.
Final Report:

Crash of a Boeing 707-3B4C in Monrovia

Date & Time: Mar 23, 2001 at 0430 LT
Type of aircraft:
Operator:
Registration:
SU-BMV
Survivors:
Yes
Schedule:
Jeddah – Monrovia
MSN:
20260
YOM:
1969
Country:
Region:
Crew on board:
7
Crew fatalities:
Pax on board:
175
Pax fatalities:
Other fatalities:
Total fatalities:
0
Aircraft flight hours:
55500
Aircraft flight cycles:
27300
Circumstances:
On a night approach to Monrovia-Roberts Airport, at an altitude of about 600 feet, the crew encountered local patches of fog and visual contact with the runway was momentarily lost by the pilot-in-command. Nevertheless, he decided to continue the approach when the aircraft landed hard on runway 04. The aircraft bounced twice then lost its both right engines. Out of control, it veered off runway and came to rest about 200 metres further. All 182 occupants evacuated safely while the aircraft was damaged beyond repair.

Crash of a Beechcraft 1900C-1 in Lubango: 16 killed

Date & Time: Mar 17, 2001 at 0823 LT
Type of aircraft:
Operator:
Registration:
S9-CAE
Survivors:
Yes
Site:
Schedule:
Luanda – Lubango
MSN:
UC-142
YOM:
1991
Location:
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
15
Pax fatalities:
Other fatalities:
Total fatalities:
16
Circumstances:
While descending to Lubango Airport following an uneventful flight from Luanda, the crew encountered poor weather conditions with heavy rain falls and low ceiling. In such conditions, the aircraft struck the slope of a mountain located 16 km northwest of runway 10 threshold. One passenger survived while 16 other occupants were killed.
Probable cause:
A possible loss of control after the pilot-in-command suffered a spatial disorientation while descending in IMC conditions.

Crash of a Douglas C-47A-80-DL in Donalsonville

Date & Time: Mar 15, 2001 at 2130 LT
Registration:
N842MB
Flight Type:
Survivors:
Yes
Schedule:
Panama City – Albany
MSN:
19741
YOM:
1943
Flight number:
HKN041
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
6000
Captain / Total hours on type:
700.00
Circumstances:
The DC-3 experienced an in-flight engine fire, and made a forced landing at nearby airport, following the separation of the right engine assembly from the airframe. According to the pilot, during cruise flight, at 5000 feet, he heard a loud "bang" and saw a reflection of fire on his left engine nacelle. Fire damage was found on the trailing edge of the right wing and on the landing gear assembly. The engine examination also showed that No. 12 cylinder had separated from the main case. Evidence of oil from the No. 12 cylinder was found across engine and exhaust systems. Further examination revealed Nos. 7, 8 and 9 cylinders also failed and separated, and the engine seized and separated from the airframe.
Probable cause:
The failure and separation of No.12 cylinder from the engine case that resulted in an in-flight oil fed fire; and the subsequent separation of the right engine from airframe.
Final Report:

Crash of a Beechcraft G18S in Lanseria

Date & Time: Mar 14, 2001 at 1240 LT
Type of aircraft:
Operator:
Registration:
ZS-OEP
Flight Type:
Survivors:
Yes
Schedule:
Lanseria - Lanseria
MSN:
BA-474
YOM:
1959
Country:
Region:
Crew on board:
4
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
19639
Captain / Total hours on type:
24.00
Aircraft flight hours:
671
Circumstances:
The instructor was accompanied by a trainee pilot and two passengers (also pilots) on a local training flight and was in the process of doing type conversion training when the accident happened. On the third circuit after a touch and go landing on runway 06L, the right-hand engine failed soon after take-off. The aircraft was flown at low altitude in a left-hand circuit in an attempt to land onto runway 17. During this circuit the left-hand engine also failed. The aircraft collided with, and severed, three 11kV electrical conductors and executed a forced landing with the gear retracted to the North of FALA approximately 1 km from threshold of runway 17. The pilot only sustained minor injuries with no one else injured. The initial on-site inspection revealed that both front tanks, which were selected at the fuel tank selector, were empty. The pilot who was undergoing conversion training refueled the aircraft prior to the accident and stated that 70 litres of fuel was uplifted into each "inboard auxiliary" tank and that what he presumed to be the "main" tanks were filled to capacity. The instructor stated that upon his arrival, the pilot who refueled the aircraft told him that he had filled the "mains" and that the "centre aux. tanks" were partially filled. The instructor further stated that the "main" tanks were selected for the duration of the flight. The aircraft is equipped with three fuel tanks in each wing. These tanks are: Front, Rear Auxiliary and Auxiliary tanks. Only one fuel quantity gauge is installed in the aircraft. A seven position selector knob above the fuel quantity gauge determines the tank to which the gauge is connected which then indicates the amount of fuel in that respective tank. The left and right front tanks were selected on the fuel gauge selector knob.
Probable cause:
Poor preflight inspection. Miscommunication between instructor and student pilot resulting in fuel mismanagement and depletion of the front tanks' fuel supply and subsequent engine failure. A contributory factor is that both the instructor and the student were relatively unfamiliar with the aircraft and its systems.

Crash of a Boeing 727-223F in Kolonia

Date & Time: Mar 11, 2001 at 1737 LT
Type of aircraft:
Operator:
Registration:
N701NE
Flight Type:
Survivors:
Yes
Schedule:
Majuro - Kolonia
MSN:
22459
YOM:
1981
Region:
Crew on board:
3
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
On final approach to Kolonia Airport (Pohnpei Island), the aircraft was too low. It struck the ground just short of runway threshold, causing the right main gear to be torn off and the left main gear to collapse. The aircraft slid on its belly for few dozen metres before coming to rest on the runway. All three crew members escaped uninjured and the aircraft was damaged beyond repair.

Crash of a Boeing 707-331C in São Paulo

Date & Time: Mar 7, 2001 at 0030 LT
Type of aircraft:
Operator:
Registration:
PT-MST
Flight Type:
Survivors:
Yes
Schedule:
Belém – Brasilía – São Paulo
MSN:
18711
YOM:
1964
Flight number:
SKC9101
Country:
Crew on board:
3
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
4200
Captain / Total hours on type:
2543.00
Copilot / Total flying hours:
3858
Copilot / Total hours on type:
361
Aircraft flight hours:
70422
Aircraft flight cycles:
28047
Circumstances:
The aircraft was completing a cargo flight from Belém to São Paulo with an intermediate stop in Brasilía, carrying three crew members and a load of various goods such as mail and fish. While descending to São Paulo-Guarulhos Airport in good weather conditions at an altitude of 10,000 feet, the crew encountered technical problems with the trim system. Several manual controls and tests were conducted and the system worked before failing again between 6,000 and 4,700 feet. The captain decided to continue the approach but the aircraft became unstable and nosed down on short final. It landed hard on runway 09R, causing the undercarriage to be torn off. The aircraft slid for about 1,000 metres then veered off runway to the left and came to rest in a grassy area. All three crew members escaped uninjured while the aircraft was damaged beyond repair.
Probable cause:
The exact cause of the technical problems on the trim system could not be determined with certainty. The following contributing factors were identified:
- The decisions of the crew and more particularly of the captain during the last phase of flight were incorrect,
- The crew training program for emergency situation was incomplete,
- Improper use of flaps and slats on final approach made the situation worse,
- The captain did not follow the procedure determined for such an emergency situation and decided to continue the approach maneuver, increasing the risk margin and placing the airplane in critical operating conditions,
- Due to deviations from the published standard operational procedures, such as failure to complete the approach briefing and not following the approach checklist, the coordination among the flight crew was poor, leading to further deviations and putting the crew in a critical situation.
Final Report:

Crash of a Cessna 500 Citation I in Sault Sainte Marie

Date & Time: Feb 26, 2001 at 1030 LT
Type of aircraft:
Operator:
Registration:
N234UM
Flight Type:
Survivors:
Yes
Schedule:
Detroit – Sault Sainte Marie
MSN:
500-0105
YOM:
1973
Crew on board:
2
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
2770
Captain / Total hours on type:
1410.00
Copilot / Total flying hours:
3142
Copilot / Total hours on type:
300
Aircraft flight hours:
8329
Circumstances:
The captain said that he flew the VOR approach to runway 32. At 2,500 feet, the captain said that they were out of the clouds and initiated a visual straight-in approach. After aligning the airplane with the runway, the captain said he noticed that there was contamination on the runway, "maybe compacted snow or maybe ice with fresh snow over it." The captain briefed that they would perform a go-around if by midfield they were not decelerating adequately. The captain said that they touched down within the first third of the runway. Close to midfield the airplane fishtailed. Past midfield, the captain called a go-around. The first officer said that the captain added power and he retracted the airbrakes. The first officer exclaimed, "There is not enough runway! I braced myself as the aircraft went into the snow." The first officer said that at about 2 miles out from the runway, the unicom called and said that braking action was nil. A Notice to Airman, in effect at the time of the accident for the airport stated, "icy runway, nil braking."
Probable cause:
The pilot exceeding the available runway distance during landing and the pilot's delay in executing a go-around. Factors relating to the accident were, the pilots improper in-flight planning/decision, the pilot disregarding the NOTAMS for the airport, the pilot failing to properly consider the warning given by the Unicom operator regarding the icy runway and nil braking action, the icy runway, and the drop-off/descending embankment.
Final Report: