Crash of a BAc 111-525FT in Stockholm

Date & Time: Jun 7, 1997 at 1350 LT
Type of aircraft:
Operator:
Registration:
YR-BCM
Survivors:
Yes
Schedule:
Bucharest - Stockholm
MSN:
256
YOM:
1977
Flight number:
RO335
Country:
Region:
Crew on board:
6
Crew fatalities:
Pax on board:
20
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
12500
Captain / Total hours on type:
12000.00
Copilot / Total flying hours:
1866
Copilot / Total hours on type:
50
Aircraft flight hours:
23901
Aircraft flight cycles:
17888
Circumstances:
Flight ROT 335, a BAC 111 coming from Bucharest, was about to land on runway 26 at Stockholm/Arlanda airport. The pilots had visual contact with the field and the landing was performed according to visual flying rules (VFR). The commander, who was pilot flying (PF), has stated the following. The approach was normal with occasional turbulence and wind gusts from the south. When the aircraft was on 8 nautical miles1 final, the air-traffic controller in the tower reported the wind 160°/13 knots. To begin with the aircraft was somewhat above the glide slope but was on the glide slope when it passed the threshold. The touchdown on the runway was in the normal touchdown zone on the left main gear and nose up. Shortly thereafter came a strong wind gust whereupon the right main gear touched down and the nose gear heavily hit the runway. The commander controlled the aircraft with rudder, reversed the engines and braked lightly. He did not notice anything special in the behavior of the aircraft at that point. When - after the speed had become so low that rudder steering was no longer possible - he reverted to nose wheel steering he noticed that it was not functioning. He continued the light wheel braking but could not prevent the aircraft from veering to the right. He then braked fully but the aircraft continued towards the right runway edge. It left the runway at a speed of around 60 knots out onto the grass field. The retardation was soft and the passengers disembarked through ordinary exit. The airport rescue service was speedily on the scene but no action was necessary. The accident occurred on 7 June 1997 at 1350 hours in position 5939N 1755E; 121 feet (37 m) above sea level.
Probable cause:
The accident was caused by the collapse of the nose gear as a result of overload when the aircraft touched down with its nosewheel first after two bounces. A contributing factor was shortcomings in cockpit’s CRM (Cockpit Resource Management) during the flight.
Final Report:

Crash of a Rockwell Grand Commander 690A in Garuva: 5 killed

Date & Time: Jun 7, 1997 at 1000 LT
Operator:
Registration:
PT-OFG
Survivors:
No
Schedule:
Curitiba - Joinville
MSN:
690-11274
YOM:
1975
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
5
Captain / Total flying hours:
1102
Captain / Total hours on type:
525.00
Copilot / Total flying hours:
578
Copilot / Total hours on type:
398
Circumstances:
While approaching Joinville Airport at an altitude of 7,000 feet, the crew canceled his IFR flight plan and continued under VFR mode. Few minutes later, the crew encountered atmospheric turbulences and lost control of the aircraft that crashed near Gavura, about 24 km northwest of Joinville Airport. The aircraft was destroyed and all five occupants were killed.
Probable cause:
The following factors were identified:
- Weather conditions were marginal with atmospheric turbulences,
- Loss of control after the captain exercised poor judgment about weather conditions and demonstrated overconfidence as he was trying to beat his speed record on this leg,
- Lack of administrative, technical and operational crew surveillance by the operator,
- Poor crew coordination,
- Excessive speed on descent,
- The radiosonde from the meteorology surveillance center based in Curitiba was unserviceable.
Final Report:

Crash of a Beechcraft 200 Super King Air in Luanda

Date & Time: May 28, 1997
Operator:
Registration:
D2-ECL
Survivors:
Yes
Schedule:
Luanda – Lucapa – Dundo – Lucapa – Luanda
MSN:
BB-44
YOM:
1975
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
4
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
On final approach to Luanda-4 de Fevereiro Airport, following an uneventful flight from Lucapa, both engines failed simultaneously. The aircraft lost speed then stalled and crashed 510 metres short of runway threshold. All six occupants were injured and the aircraft was destroyed. As no fuel was available at Lucapa and Dundo Airport, the crew prepared the tour with a fuel autonomy of six hours, which should be a minimum as the flight calculation for the all tour was five hours and 20 minutes. It was determined that in-flight, the crew encountered poor weather conditions and was forced to modify his route, increasing flight time and fuel consumption.
Probable cause:
Double engine failure on final approach caused by a fuel exhaustion.

Crash of a Rockwell Sabreliner 40 near Monterrey: 3 killed

Date & Time: May 16, 1997 at 1545 LT
Type of aircraft:
Operator:
Registration:
XA-TFC
Flight Type:
Survivors:
No
Site:
Schedule:
San Luis Potosí – Monterrey
MSN:
265-15
YOM:
1960
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
3
Captain / Total flying hours:
5688
Captain / Total hours on type:
200.00
Copilot / Total flying hours:
308
Aircraft flight hours:
17267
Circumstances:
The crew started the approach to Monterrey-Del Norte Airport and was cleared to descend to 5,000 feet. Weather conditions were poor with rain falls and limited visibility due to fog. For unknown reasons, the crew continued the descent below 5,000 feet when the aircraft struck the slope of Mt Cerro de Las Mitras located about 22 km from the airport. The aircraft was destroyed and all three occupants were killed.
Probable cause:
Controlled flight into terrain after the crew failed to maintain the minimum safe altitude of 5,000 feet instructed by ATC. Lack of visibility due to poor weather conditions was a contributing factor.
Final Report:

Crash of a Yakovlev Yak-40 in Gyandzha: 6 killed

Date & Time: May 15, 1997 at 1305 LT
Type of aircraft:
Operator:
Registration:
4K-87504
Flight Type:
Survivors:
No
Schedule:
Gyandzha - Gyandzha
MSN:
9 51 06 40
YOM:
1975
Country:
Region:
Crew on board:
6
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
6
Circumstances:
The crew was completing a local training flight at Gyandzha Airport and already performed three full stops and one touch-and-go manoeuvre. After completing a circuit, the crew was attempting a new approach when the aircraft nosed down to an angle of 70° and crashed 5,160 metres short of runway and 93 metres to the left of its extended centerline. The aircraft disintegrated on impact and all six crew members were killed.
Probable cause:
It was determined that a group of Azeri soldiers returning along the highway from the range to the barracks wanted to have fun and were shooting on road signs. When they saw the airplane, they shot towards it and two bullets punched oxygen bottles which exploded, causing a fire and intoxicating the pilots who lost control of the airplane.

Crash of a Saab 340B in Porto

Date & Time: May 14, 1997 at 1628 LT
Type of aircraft:
Registration:
EC-GFM
Survivors:
Yes
Schedule:
Madrid - Porto
MSN:
315
YOM:
1992
Flight number:
RGN1335
Country:
Region:
Crew on board:
3
Crew fatalities:
Pax on board:
34
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
3225
Captain / Total hours on type:
1292.00
Copilot / Total flying hours:
1985
Copilot / Total hours on type:
904
Aircraft flight hours:
7226
Aircraft flight cycles:
7216
Circumstances:
Because of construction works on runway 35, the threshold at Porto was displaced by 760 metres. This was published in a Notam but during the flight preparation at Madrid-Barajas Airport, the crew was not informed about this notice. Following an uneventful flight, the crew was cleared to descent and received instructions for a landing on runway 35 but no information about the displaced threshold. On final approach, the controller realized that the aircraft was approaching too low and instructed the crew to 'overshoot please'. The crew did not react to this instruction and continued the approach when the aircraft undershot the displaced threshold and landed in the construction area. It struck several trenches which caused the undercarriage to be torn off and slid for few dozen metres before coming to rest on the runway. All 37 occupants were evacuated safely and the aircraft was damaged beyond repair.
Probable cause:
The following factors were identified:
- While preparing the flight in Madrid, the crew have not been informed about the Notam published by the Porto Airport Authority reporting that the runway 35 threshold has been temporary displaced of 760 metres due to construction works,
- The existence of two markings on the runway 35 threshold, which may have confused the crew,
- Lack of concentration of the crew during the flight,
- The controller did not effectively alert the crew about work in progress,
- The controller, trying to alert the crew, did not use a correct phraseology.
Final Report:

Crash of a Boeing 737-31B in Shenzhen: 35 killed

Date & Time: May 8, 1997 at 2132 LT
Type of aircraft:
Operator:
Registration:
B-2925
Survivors:
Yes
Schedule:
Chongqing - Shenzhen
MSN:
27288
YOM:
1994
Flight number:
CZ3456
Country:
Region:
Crew on board:
9
Crew fatalities:
Pax on board:
65
Pax fatalities:
Other fatalities:
Total fatalities:
35
Circumstances:
The approach to Shenzhen-Huangtian Airport was completed in poor weather conditions with thunderstorm activity, heavy rain falls and turbulences. During the last segment, the aircraft was unstable but the crew continued the descent when the aircraft landed hard. The aircraft bounced and suffered undercarriage damages. Despite the situation, the captain decided to initiate a go-around procedure and increased engine power. During the second attempt to land, the crew encountered control difficulties as the aircraft suffered damages from the first missed landing. Also, weather conditions were poor so the aircraft was unstable on approach. After landing at an excessive speed, the aircraft went out of control, veered off runway and came to rest in a soft ground, broken in three and bursting into flames. Two crew members and 33 passengers were killed while 39 other people were injured.

Crash of a Dornier DO228-201 in Paros

Date & Time: May 2, 1997 at 1722 LT
Type of aircraft:
Operator:
Registration:
SX-BHG
Survivors:
Yes
Schedule:
Athens - Paros
MSN:
8061
YOM:
1985
Flight number:
ML074
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
18
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
On final approach to Paros Island Airport, the twin engine aircraft nosed down, lost height and struck the ground 1,3 metre short of runway threshold. On impact, the nose gear collapsed and the aircraft slid for 166 metres before coming to rest on the runway. All 20 occupants evacuated safely while the aircraft was damaged beyond repair.

Crash of a Piper PA-61P Aerostar (Ted Smith 601P) in Waterford: 2 killed

Date & Time: Apr 27, 1997 at 2052 LT
Registration:
N885JC
Flight Type:
Survivors:
No
Schedule:
Allentown – Leesburg
MSN:
61-0826-8163434
YOM:
1981
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
1600
Captain / Total hours on type:
525.00
Circumstances:
During arrival at night, the flight was being controlled by a developmental controller (DC), who was being supervised by an instructor (IC). The pilot (plt) was instructed to descend & cross the STILL Intersection (Int) at 3,000 ft. STILL Int was aligned with the localizer (loc) approach (apch) course, 10.1 mi from the apch end of runway 17 (rwy 17); the final apch fix (FAF) was 3.9 mi from the rwy. About 5 mi before reaching STILL Int, while on course & level at 3,000 ft, the plt was cleared for a Loc Rwy 17 Apch. Radar data showed the aircraft (acft) continued to STILL Int, then it turned onto the loc course toward the FAF. Shortly after departing STILL Int, while inbound on the loc course, the acft began a descent. Before the acft reached the FAF, the DC issued a frequency change to go to UNICOM. During this transmission, the IC noticed a low altitude alert on the radar display, then issued a verbal low altitude alert, saying, 'check altitude, you should be at 1,500 ft (should have said '1,800 ft' as that was the minimum crossing altitude at the FAF), altitude's indicating 1,200, low altitude alert.' There was no response from the plt. This occurred about 2 mi before the FAF. Minimum descent altitude (MDA) for the apch was 720 ft. The acft struck tree tops at 750 ft, about 1/2 mi before the FAF. The IC's remark 'you should be at 1,500 ft' was based on an expired apch plate with a lower FAF minimum crossing altitude; the current minimum crossing altitude at the FAF was 1,800 ft. Apch control management had not made the current plate available to the controllers. Investigation could not determine whether a current apch plate would have prompted an earlier warning by the controllers.
Probable cause:
Failure of the pilot to follow the published instrument (IFR) approach procedure, by failing to maintain the minimum altitude for that segment of the approach.
Final Report:

Crash of a Bristol 170 Freighter 31A in Bronson Creek

Date & Time: Apr 24, 1997 at 1710 LT
Type of aircraft:
Operator:
Registration:
C-FTPA
Flight Type:
Survivors:
Yes
Schedule:
Wrangell - Bronson Creek
MSN:
13157
YOM:
1953
Country:
Crew on board:
3
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
Upon touchdown at Bronson Creek Airport, the right main gear collapsed. The right wing struck the runway surface and out of control, the aircraft veered off runway and came to rest in a grassy area. All three occupants escaped with minor injuries while the aircraft was damaged beyond repair.
Probable cause:
It is believed that the bolts attaching the right horizontal gear support to the main wheel failed upon landing.