Crash of a De Havilland DHC-4A Caribou in Sparrevohn: 1 killed

Date & Time: Jan 29, 1997 at 2310 LT
Type of aircraft:
Operator:
Registration:
N702SC
Flight Type:
Survivors:
Yes
Schedule:
Saint Mary's - Kenai
MSN:
126
YOM:
1963
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
4987
Captain / Total hours on type:
220.00
Aircraft flight hours:
13923
Circumstances:
The CFR Part 135 cargo flight departed at night on an IFR flight with a load of mining equipment. Route of flight was over remote/mountainous terrain. About 2 hours after takeoff, while cruising at 12,000' feet msl, the right engine and propeller began to overspeed. The captain feathered the #2 engine and declared an emergency. He began to divert to an alternate destination, about 120 miles away in an area of lower terrain, but the aircraft would not maintain altitude (single engine service ceiling, as loaded, was about 8,700 feet). The captain increased power to the left engine, but it began to produce banging and coughing noises. The captain elected to perform an emergency landing at a nearby, remote, military airfield (A/F). The A/F was located in mountainous terrain and had a one-way, daylight only approach. The captain lowered the gear and flaps, and began a visual approach while attempting to keep the runway end identifier lights (REIL) in view. The aircraft encountered severe turbulence, and the captain applied full throttle to the left engine in an attempt to climb. The REIL disappeared from view, and the aircraft collided with snow covered terrain about 2 miles west of the A/F. Ground personnel at the A/F reported high winds and blowing snow with limited visibility. Postcrash exam of the right engine revealed a loss of the propeller control system hydraulic oil. Flight at 12,000 feet was conducted without crew oxygen. The crew had exceeded their maximum allowable duty day without adequate crew rest.
Probable cause:
Loss of the right engine propeller control oil, which led to an overspeed of the right engine and propeller, and necessitated a shut-down of the right engine; and failure of the pilot to maintain adequate altitude/distance from terrain during visual approach for a precautionary landing at an alternate airport. Factors relating to the accident were: fluctuation of the left engine power, premature lowering of the airplane flaps, and an encounter with adverse weather conditions (including high winds, severe turbulence, and white-out conditions) during the approach.
Final Report:

Crash of a Yakovlev Yak-40 near Shushenskoye

Date & Time: Jan 29, 1997 at 1320 LT
Type of aircraft:
Registration:
RA-87552
Survivors:
Yes
Schedule:
Norilsk – Podkamenaya Tunguska – Shushenskoye – Krasnoyarsk
MSN:
9 21 03 21
YOM:
1972
Flight number:
KI160
Country:
Region:
Crew on board:
4
Crew fatalities:
Pax on board:
23
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
The aircraft was completing a flight from Norilsk to Krasnoyarsk with intermediate stops in Podkamenaya Tunguska and Shushenskoye, carrying 23 passengers and 4 crew members on behalf of KrasAir (Krasnoyarskie Avialinii). While approaching Shushenskoye, the crew encountered poor weather conditions with a visibility limited to 400 metres due to snow falls. In such conditions, the crew lost his orientation and was unable to locate the destination airport. The captain decided to attempt an emergency landing when the aircraft crash landed in the taiga about 18 km from the airport. All 27 occupants were rescued, among them one passenger was slightly injured. The aircraft was written off.
Probable cause:
The crew lost his orientation in bad weather conditions following navigation error and false calculation regarding the wind component. The lack of ATC assistance was considered as a contributing factor.

Crash of an Antonov AN-26 in Chokurdakh

Date & Time: Jan 25, 1997 at 1238 LT
Type of aircraft:
Operator:
Registration:
RA-26541
Survivors:
Yes
Schedule:
Magadan – Tiksi – Chokurdakh – Magadan
MSN:
47302106
YOM:
1975
Country:
Region:
Crew on board:
5
Crew fatalities:
Pax on board:
12
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
On final approach, the crew encountered limited visibility due to snow falls but the pilot-in-command was able to maintain a visual contact with the approach light system. Nevertheless, he failed to realized he descended below the MDA when the aircraft struck the ground 178 metres short of runway threshold and 77 metres to the right of its extended centerline. On impact, the nose gear collapsed and the aircraft came to rest against meteo installations. All 17 occupants escaped uninjured while the aircraft was damaged beyond repair.
Probable cause:
It was determined that the crew initiated the final approach prematurely after passing over the outer marker. Serious flight safety deficiencies were identified by the operator during the investigations.

Crash of a Convair CV-240-53 in Nuevo Laredo

Date & Time: Jan 24, 1997
Type of aircraft:
Registration:
XA-SOZ
Flight Type:
Survivors:
Yes
MSN:
53-12
YOM:
1954
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
Suffered an accident upon landing at Nuevo Laredo-Quetzalcóatl Airport. Both pilots escaped uninjured while the aircraft was damaged beyond repair.

Crash of a Beechcraft B90 King Air in Longmont

Date & Time: Jan 23, 1997 at 2050 LT
Type of aircraft:
Operator:
Registration:
N76GM
Flight Type:
Survivors:
Yes
Schedule:
Louisberg – Louisville – Vandalia – Longmont
MSN:
LJ-498
YOM:
1970
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
1310
Captain / Total hours on type:
42.00
Aircraft flight hours:
10530
Circumstances:
The pilot had made a refueling stop at Vandalia, Illinois. She did not observe the refueling process, but the FBO also operated a King Air and she felt he knew the proper procedure to follow. The airplane was reportedly serviced with 235 gallons of Jet-A fuel (total capacity is 384 gallons). The pilot flew between 7,500 and 10,500 feet. When the airplane was 45 minutes from its destination, the fuel transfer pump lights illuminated, indicating the wing tanks were empty. The nacelle tank gauges registered 3/4 full and the pilot determined she had sufficient fuel to complete the flight. When the airplane was three minutes from its destination, both engines flamed out and the pilot made a wheels up forced landing. When the salvage company recovered the airplane, they reported finding no evidence of fuel aboard. The pilot was provided and used performance charts for the Beech 65-A90 instead of the Beech B90.
Probable cause:
Failure of the pilot to refuel the airplane, resulting in fuel exhaustion. Factors were the pilot's reference to similar but different aircraft performance charts, and the operator's failure to provide the pilot with the proper performance charts.
Final Report:

Crash of a Fokker F27 Friendship 500 in Uberaba

Date & Time: Jan 17, 1997
Type of aircraft:
Operator:
Registration:
PT-LAM
Flight Type:
Survivors:
Yes
Schedule:
Uberaba – São Paulo
MSN:
10539
YOM:
1976
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
Last January 9, the aircraft suffered a belly landing at Uberaba Airport while completing a local training flight. Following temporary repairs, it was decided to transfer the airplane to São Paulo for further controls. After the pressurization system was selected, the aircraft suffered additional damages to the fuselage and the crew was forced to return. The aircraft landed safely but was damaged beyond repair.

Crash of a Learjet 24 in Muscatine

Date & Time: Jan 16, 1997 at 1428 LT
Type of aircraft:
Registration:
N991TD
Flight Type:
Survivors:
Yes
Schedule:
Fort Wayne – Muscatine
MSN:
24-124
YOM:
1966
Location:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
6200
Captain / Total hours on type:
700.00
Circumstances:
According to the pilot, the airplane '...began moving to the left side of the runway...' immediately upon touchdown. He attempted to abort the landing but the airplane contacted snow at the runway's left edge. The airplane exited the runway's left edge and slid sideways, about 300 yards.
Probable cause:
The pilot's failure to maintain directional control. A factor was the snow covered runway edge.
Final Report:

Crash of a Boeing 707-331C in Kananga

Date & Time: Jan 16, 1997
Type of aircraft:
Registration:
P4-OOO
Flight Type:
Survivors:
Yes
Schedule:
Ostende – Kinshasa – Kananga
MSN:
19435
YOM:
1967
Region:
Crew on board:
5
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
After touchdown at Kananga Airport, the right main gear collapsed. The aircraft veered off runway and came to rest, bursting into flames. All five occupants escaped uninjured while the aircraft was damaged beyond repair.
Probable cause:
Failure of the right main gear upon landing for unknown reasons.

Crash of a Swearingen SA227AC Metro III in Djerba

Date & Time: Jan 11, 1997 at 1900 LT
Type of aircraft:
Operator:
Registration:
EC-GKK
Survivors:
Yes
Schedule:
Madrid – Alicante – Djerba
MSN:
AC-730
YOM:
1989
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
19
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
After touchdown, the crew started the braking procedure when the aircraft went out of control, veered off runway and came to rest in a ditch. All 21 occupants escaped uninjured while the aircraft was damaged beyond repair.

Crash of an Embraer EMB-120 Brasília in Detroit: 29 killed

Date & Time: Jan 9, 1997 at 1554 LT
Type of aircraft:
Operator:
Registration:
N265CA
Survivors:
No
Schedule:
Cincinnati - Detroit
MSN:
120-257
YOM:
1991
Flight number:
OH3272
Location:
Crew on board:
3
Crew fatalities:
Pax on board:
26
Pax fatalities:
Other fatalities:
Total fatalities:
29
Captain / Total flying hours:
5329
Captain / Total hours on type:
2302.00
Copilot / Total flying hours:
2582
Copilot / Total hours on type:
1494
Aircraft flight hours:
12752
Aircraft flight cycles:
12734
Circumstances:
The flight was being vectored for the approach to runway 3R at Detroit Metropolitan Wayne County Airport (DTW) when the aircraft descended and impacted the ground. The aircraft struck the ground in a steep nose-down attitude in a level field in a rural area about 19 nm southwest of DTW. The flight carried 26 passengers and 3 crew members. There were no survivors and the airplane was destroyed by impact forces and a post crash fire. Instrument meteorological conditions prevailed at the time of the accident. The investigation revealed that it was likely that the airplane gradually accumulated a thin, rough glaze/mixed ice coverage on the leading edge deicing boot surfaces, possibly with ice ridge formation on the leading edge upper surface, as the airplane descended from 7,000 feet mean sea level (msl) to 4,000 feet msl in icing conditions, which may have been imperceptible to the pilots. The pilots had been instructed by air traffic control to slow to 150 knots and according to flight data recorder information, the airplane began to show signs of departure from controlled flight as it decelerated from 155 to 156 knots while in a flaps-up configuration. The investigation disclosed that the FAA failed to adopt a systematic and proactive approach to the certification, and operational issues of turbopropeller-driven transport airplane icing. The icing certification process has been inadequate because it has not required manufacturers to demonstrate the airplane's flight handling and stall characteristics under a sufficiently realistic range of adverse ice accretion/flight handling conditions. The aircraft manufacturer had issued a revision in April, 1996 to the approved flight manual which included activation of the leading edge deicing boots at the first sign of ice formation. The airplane operator did not incorporate the procedure, because it was contrary to the company's trained procedures and practices and of the belief that enacting the changes would result in potentially unsafe operation. Investigators' discussion with management personnel at each of the seven U.S.-based operators of the aircraft indicated that at the time of the accident only two of these operators had changed their procedures to reflect the information in the revision. The FAA, at the time of the accident, did not require manufacturers of all turbine-engine driven airplanes to publish minimum airspeed information for various flap configurations and phases and conditions of flight. During Safety Board investigators postaccident interviews with company pilots, there were inconsistent answers on the complex and varied minimum airspeed requirements established by the company for both icing and nonicing conditions. It was also noted that the pilots uncertainty of the appropriate airspeeds might have been associated with the language used, the different airspeeds and criteria contained in the guidance, the company's methods of distribution, and the company's failure t o incorporate the guidance as a formal, permanent revision to the flight standards manual.
Probable cause:
The Federal Aviation Administration's (FAA) failure to establish adequate aircraft certification standards for flight in icing conditions, the FAA's failure to ensure that at Centro Tecnico Aeroespacial/FAA-approved procedure for the accident airplane's deice system operation was implemented by U.S.-based air carriers, and the FAA's failure to require the establishment of
adequate minimum airspeeds for icing conditions, which led to the loss of control when the airplane accumulated a thin, rough, accretion of ice on its lifting surfaces. Contributing to the
accident were the flightcrew's decision to operate in icing conditions near the lower margin of the operating airspeed envelope (with flaps retracted) and Comair's failure to establish and adequately disseminate unambiguous minimum airspeed values for flap configurations and for flight in icing conditions.
Final Report: