Crash of a Mitsubishi MU-2B-35 Marquise in Den Helder

Date & Time: Jul 20, 2000
Type of aircraft:
Operator:
Registration:
N8484T
Flight Type:
Survivors:
Yes
Schedule:
Den Helder - Den Helder
MSN:
617
YOM:
1973
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
5050
Circumstances:
The aircraft departed Den Helder-De Kooy Airport on a radar tracking flight over the North Sea. Following an uneventful mission, the crew was returning to De Kooy Airport. After touchdown on runway 03, the crew activated the thrust reverser systems when the aircraft lost controllability. The pilot attempted to maintain control and selected the left throttle from 'reverse' again to turn to the right. Eventually, he feathered the right propeller and cut off the fuel supply, causing the right engine to stop. The aircraft veered off runway to the left and came to rest in a ditch. Both pilots escaped uninjured and the aircraft was damaged beyond repair.
Probable cause:
The landing speed, the touchdown point, the runway length and runway condition were considered as good. The problem was the consequence of an expired adjustment screw of the speed controller ('prop governor') on the right engine, so that it did not come into 'reverse pitch' but continued to provide forward thrust, causing an asymmetric aerodynamic braking effect. It was also determined that the Beta light indicator burned and could not light on, preventing the pilot from a possible issue on the reverse thrust system.
Final Report:

Crash of a Fokker F28 Fellowship 4000 in Ahwaz

Date & Time: Jul 18, 2000 at 2242 LT
Type of aircraft:
Operator:
Registration:
EP-PAU
Survivors:
Yes
Schedule:
Tehran - Ahwaz
MSN:
11166
YOM:
1981
Flight number:
EP775
Location:
Country:
Region:
Crew on board:
4
Crew fatalities:
Pax on board:
84
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
Following an uneventful flight from Tehran, the crew initiated the approach to Ahwaz but encountered poor weather conditions with visibility near minimums. During the last segment, the aircraft landed hard on runway 30, bounced and touched down to the right of the runway. The crew decided to make a go-around and completed a circuit before landing again few minutes later. Following a 'normal' landing, all 88 occupants evacuated safely. The aircraft was considered as damaged beyond repair.

Crash of a Boeing 737-2A8 in Patna: 60 killed

Date & Time: Jul 17, 2000 at 0734 LT
Type of aircraft:
Operator:
Registration:
VT-EGD
Survivors:
Yes
Site:
Schedule:
Calcutta – Patna – Lucknow – New Delhi
MSN:
22280
YOM:
1980
Flight number:
CD7412
Location:
Country:
Region:
Crew on board:
6
Crew fatalities:
Pax on board:
52
Pax fatalities:
Other fatalities:
Total fatalities:
60
Captain / Total flying hours:
4361
Captain / Total hours on type:
1778.00
Copilot / Total flying hours:
4085
Copilot / Total hours on type:
3605
Aircraft flight hours:
44087
Aircraft flight cycles:
51278
Circumstances:
Alliance Air Flight No. CD-7412 departed Netaji Subhash Chandra Bose International Airport, Kolkata at 0651 hrs. on 17th July, 2000 bound for Patna-Lucknow-Delhi. After normal departure from Runway 01R, the aircraft climbed to FL260 on track to Patna via route W52. The aircraft was under the control of Kolkata Radar from 0652 hrs. to 0659 hrs. It changed over to Kolkata Area Control Centre. The aircraft reported position SAREK at FL 260 at 0712 hrs. and changed over to Patna Control with information that there was no reported traffic for descent. The aircraft contacted Patna ATC at 0713 hrs. and gave it’s ETA at Patna as 0736 hrs. Patna ATC cleared the aircraft to PPT VOR ILS/DME ARC Approach for R/W 25. The ATC Officer communicated that Patna METAR originated at 0650 hrs. stated “Wind calm, Visibility 4000 metres, Weather Haze, Clouds Broken 25000 feet, temp 29ºC, Dew Point 27º, QNH 996 hPa, No Sig”. The aircraft was cleared to descend to 7500’ and report 25 DME from PPT VOR. The aircraft reported 25 DME at 0726 hrs. The aircraft then descended to 4000’ on QNH 996 hPa and was asked to report 13 DME for ILS/DME ARC Approach R/W 25. The aircraft reported commencing the ARC at 0728 hrs. The aircraft reported crossing lead radial 080 at 0731 hrs. and coming on to the Localizer. The aircraft was then asked to descend to 1700’ on QNH 997 hPa with instructions to call established on Localizer. The aircraft informed Patna ATC at 0732 hrs. that it would like to do a 360º turn due to being high on approach. Patna ATC sought confirmation from the aircraft whether it had the airfield in sight and on receiving an affirmative reply, asked the aircraft to report on finals for R/W 25 after carrying out a 360º turn. This was acknowledged by the aircraft at 0732 hrs. This was the last communication from the aircraft. Immediately thereafter, the aircraft was spotted by the Air Traffic Controller in normal descent aligned with the R/W 25. It, however, appeared to be high on approach. The aircraft then turned steeply to the left losing height all of a sudden and disappeared from sight behind a row of trees. The Air Traffic Controller observed a huge column of smoke rising from the Gardani Bagh area outside the airfield perimeter and initiated crash action. All six crew members and 49 passengers were killed as well as five people on the ground. Three passengers escaped with serious injuries.
Probable cause:
The cause of the accident was loss of control of the aircraft due Human Error (air crew). The crew had not followed the correct approach procedure, which resulted in the aircraft being high on approach. They had kept the engines at idle thrust and allowed the air speed to reduce to a lower than normally permissible value on approach. They then maneuvered the aircraft with high pitch attitude and executed rapid roll reversals. This resulted in actuation of the stick shaker stall warning indicating an approaching stall. At this stage, the crew initiated a Go Around procedure instead of Approach to Stall Recovery procedure resulting in an actual stall of the aircraft, loss of control and subsequent impact with the ground.
Final Report:

Crash of an Airbus A310 in Vienna, Austria

Date & Time: Jul 12, 2000 at 1334 LT
Type of aircraft:
Operator:
Registration:
D-AHLB
Survivors:
Yes
Schedule:
Hania - Hanover
MSN:
0528
YOM:
1990
Flight number:
HF3378
Country:
Region:
Crew on board:
8
Crew fatalities:
Pax on board:
143
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
23400
Copilot / Total flying hours:
2850
Aircraft flight hours:
41307
Aircraft flight cycles:
13789
Circumstances:
After takeoff from Chania-Souda Airport, the crew reported technical problems with the right main gear that could not be raised properly in its wheel well. The captain decided to continue to Munich in a gear down configuration but the fuel consumption increased. En route, the crew realized he could not make it to Munich so diverted to Vienna-Schwechat Airport. At a distance of about 12 NM from the airport, at an altitude of 4,000 feet, both engines failed due to fuel exhaustion. One of the engine could be restarted for a short period of time but on short final, the aircraft stalled and struck the ground (a grassy area) about 500 metres short of runway 34. The left main gear broke off, the aircraft slid for some 600 metres then veered to the left and came to rest on its left wing. All 151 occupants were rescued, among them 26 passengers were slightly injured. The aircraft was damaged beyond repair.
Probable cause:
Continuation of the flight with a landing gear problem until the engines failed due to fuel exhaustion.
The following findings were identified:
Crew:
- Failure to comply with the company's rules on fuel reserves, caused by several human factors, with extreme workload and stress being the important factor (loss of situational awareness).
- Determination of the fuel reserves using only the FMS, which, due to its characteristics did not take into account the additional fuel consumption.
- Failure to develop alternative strategies to curb the fuel problem.
- Failure to comply with a fuel warning (low fuel level warning) and decision to continue the flight to Vienna International Airport, although the plane was in the immediate vicinity of Zagreb Airport.
Manufacturer:
- Inadequate and misleading documentation (FMS scheme, altitude, terms) for this specific case, particularly in relation to the restriction of FMS.
Operator:
- Inadequate documentation for "abnormal landing gear up indication" of the abnormal checklist.
- Lack of review of the fuel needs by the Operations Division.
Contributing factors:
- Missing or inadequate preventive measures by manufacturers, approving authority and airlines following the previous publications of ICAO and EU DG VII about problems which, with the introduction of aircraft equipped with modern technologies, occurred and had been identified.
- Anthropo-technical construction deficiencies, which favour a misinterpretation of the FMS EFOB display.
Final Report:

Crash of a Tupolev TU-154B-2 in Thessaloniki

Date & Time: Jul 4, 2000 at 1657 LT
Type of aircraft:
Operator:
Registration:
HA-LCR
Survivors:
Yes
Schedule:
Budapest - Thessaloniki
MSN:
82A543
YOM:
1982
Flight number:
MA262
Country:
Region:
Crew on board:
8
Crew fatalities:
Pax on board:
86
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
7420
Captain / Total hours on type:
7000.00
Copilot / Total flying hours:
566
Copilot / Total hours on type:
566
Aircraft flight hours:
22409
Aircraft flight cycles:
13583
Circumstances:
Originally, flight MA262 from Budapest to Thessaloniki should be performed by a Boeing 737-300 HA-LES but due to technical problems, a Tupolev TU-154B-2 was dispatched. Following an uneventful flight, the crew was cleared for a VOR/DME approach to runway 34 followed by a visual circle to land on runway 28 as the runway 34 was closed to traffic due to construction works. Because a Boeing 757 slowed to vacate the runway after landing, ATC instructed the crew to extend the downwind leg for runway 28. For unknown reasons, the crew failed to comply with this instructions and performed 'S'. On final approach, the tower controller informed the crew that he forgot to lower the undercarriage. The captain increased engine power and initiated a go-around procedure but this decision was too late. The aircraft continued to descend and struck the runway surface in a gear-up configuration at 1657LT. The aircraft suffered substantial damages but the crew managed to go-around and to follow a holding pattern. A safe landing was completed at 1715LT. All 94 occupants evacuated safely while the aircraft was damaged beyond repair.
Probable cause:
Despite repeated instructions of the control tower the crew did not carried out a short turn for landing, resulting in:
- The aircraft was not aligned with the runway in time (unstabilized approach).
- Attention of the cockpit crew was to exclusively dedicated to performing sudden maneuvers at low altitude, in order to align the plane with the runway.
- Failure to lower the undercarriage in accordance with the applicable procedures for this flight phase.
Contributing Factors:
- The apparent inactivation of the audible warning when the undercarriage was not deployed.
- Lack of Cockpit Resources Management.
Final Report:

Crash of a GAF Nomad N.22C off Cagayancillo: 14 killed

Date & Time: Jul 2, 2000 at 1050 LT
Type of aircraft:
Operator:
Registration:
86
Flight Type:
Survivors:
Yes
Schedule:
Cagayancillo – Puerto Princesa
MSN:
86
YOM:
1979
Country:
Region:
Crew on board:
4
Crew fatalities:
Pax on board:
11
Pax fatalities:
Other fatalities:
Total fatalities:
14
Circumstances:
Few minutes after takeoff from Cagayancillo Airport, the pilot reported engine problems and was cleared to return for an emergency landing. On final approach, the aircraft was not properly aligned so the captain increased engine power and initiated a go-around. The aircraft lost height and crashed in the sea about 2 km offshore. A passenger was rescued while 14 other occupants were killed, among them General Santiago Madrid, Chief of the southwestern military command.
Probable cause:
Engine failure for unknown reasons.

Crash of a Douglas B-26C-25-DT Invader in Grande Prairie

Date & Time: Jun 29, 2000 at 2219 LT
Type of aircraft:
Operator:
Registration:
CF-EZX
Flight Type:
Survivors:
Yes
Schedule:
Loon River - La Biche Lake - Grand Prairie
MSN:
18807
YOM:
1943
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
The pilot, sole on board, departed Loon River Airport on a fire fighting mission to La Biche Lake under callsign Tanker 3. While returning to Grand Prairie Airport, on final approach to runway 25, both engines failed almost simultaneously. The pilot attempted an emergency landing when the aircraft crashed 3 km short of runway. The pilot was injured and the aircraft was damaged beyond repair.
Probable cause:
Double engine failure on final approach due to a fuel exhaustion.

Crash of a Cessna 402A in Kamina: 1 killed

Date & Time: Jun 29, 2000
Type of aircraft:
Operator:
Registration:
P2-SAV
Flight Type:
Survivors:
No
Site:
Schedule:
Kerema - Kamina
MSN:
402A-0069
YOM:
1969
Location:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Circumstances:
While descending to Kamina Airport, the twin engine aircraft struck a mountain and crashed. The pilot, sole on board, was killed.

Crash of a Boeing 737-2R4C in Khartoum

Date & Time: Jun 26, 2000
Type of aircraft:
Operator:
Registration:
7O-ACQ
Flight Type:
Survivors:
Yes
Schedule:
Sana'a - Khartoum
MSN:
23129
YOM:
1984
Flight number:
IY626
Country:
Region:
Crew on board:
5
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
Following an uneventful flight from Sana'a, the crew was cleared for an approach to runway 18. Weather conditions were poor with a sandstorm upon arrival. For unknown reasons, the captain decided to perform a straight-in approach to runway 36. After touchdown, The aircraft went out of control, veered off runway and collided with small concrete blocks, causing the nose gear to collapse. All five crew members escaped uninjured and the aircraft was damaged beyond repair.

Crash of a Xian Yunsunji Y-7-100C near Wuhan: 49 killed

Date & Time: Jun 22, 2000 at 1451 LT
Type of aircraft:
Operator:
Registration:
B-3479
Survivors:
No
Schedule:
Enshi - Wuhan
MSN:
06 7 08
YOM:
1988
Flight number:
CWU343
Location:
Country:
Region:
Crew on board:
4
Crew fatalities:
Pax on board:
38
Pax fatalities:
Other fatalities:
Total fatalities:
49
Aircraft flight hours:
13811
Aircraft flight cycles:
11724
Circumstances:
Wuhan Airlines flight 343 departed Enshi for a flight to Wuhan. The aircraft entered an area of poor weather; rain and thunderstorm with associated windshear. The crew reportedly circled Wuhan for about 30 minutes to wait for the storm to pass. Wuhan's weather bureau recorded 451 thunderclaps in a 10-minute period as the plane circled. During the approach the first officer proposed to land at an alternate airport, but the captain decided to continue to Wuhan. The plane was caught by windshear and crashed near Sitai Village, Yongfeng Township. Half of the plane plunged into a farmhouse and the other half came to rest on a dike of the Han River. Sitai is located about 20 to 30 kilometers (12 to 18 miles) from Wuhan. Seven workers who were installing generators on a vessel were killed when the plane hit.
Probable cause:
Loss of control due to severe atmospheric turbulences.