Crash of a Boeing 707-372C in Buenos Aires: 2 killed

Date & Time: Oct 23, 1996 at 1422 LT
Type of aircraft:
Operator:
Registration:
LV-LGP
Flight Type:
Survivors:
Yes
Schedule:
Santiago de Chile - Buenos Aires
MSN:
20077
YOM:
1968
Flight number:
LD5025
Country:
Crew on board:
8
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
2
Circumstances:
The aircraft was completing a cargo flight from Santiago de Chile to Buenos Aires, carrying eight crew members and a load of 30 tons of fish. On final approach to Buenos Aires-Ezeiza-Ministro Pistarini Airport runway 11, at a speed of 151 knots, the crew quickly extended flaps to 14°, 25°, 40° and finally 50°, causing the aircraft to nose down and enter a rapid descent until it struck the ground 750 metres short of runway threshold. Upon impact, the aircraft broke in three and caught fire. Both pilots were killed while six other occupants were injured.
Probable cause:
The following findings were reported:
- Erroneous setting of the air brakes at the same time as the flaps were fully extended during the short final approach,
- Erroneous planning during the descent and approach,
- Failure to use the experience of a similar previous event,
- Insufficient attention to the critical situation in the aircraft operating documentation,
- Failure to conduct a briefing prior to the approach and descent,
- Non-use of the LCP during the entire approach maneuver,
- Insufficient training in CRM.

Crash of a Swearingen SA226TC Metro II in Puvirnituq

Date & Time: Oct 23, 1996 at 0850 LT
Type of aircraft:
Operator:
Registration:
C-GKFS
Survivors:
Yes
Schedule:
La Grande - Puvirnituq
MSN:
TC-215E
YOM:
1975
Flight number:
PRO450
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
11
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total hours on type:
1050.00
Copilot / Total hours on type:
350
Circumstances:
Propair flight 450, a Swearingen SA226TC (serial number TC-215E) with 13 persons on board, was on a charter flight from La Grande Rivière, Quebec, to Puvirnituq, Quebec. The co-pilot was in the right-hand seat and was flying the aircraft. Following an instrument approach to runway 19, the aircraft broke through the cloud layer and the co-pilot switched to visual for the final approach. As soon as the nose gear touched down on landing, the aircraft veered left. The co-pilot applied full right rudder and throttled back to GROUND IDLE in preparation for reversing thrust. A short time later, the pilot-in-command took the controls of the aircraft and left the throttle levers on GROUND IDLE. He then observed that the aircraft was drifting further to the left and that, even when he applied full right rudder, he was unable to correct the drift. As a last resort, he pressed the PARK button for the nosewheel steering system, but the aircraft continued its course toward the runway edge and crashed at the bottom of the embankment. The investigation established that the aircraft left the runway about 2,000 feet from the threshold after turning left 90 degrees relative to the runway centre line. The nose gear and main landing gear separated from the aircraft when the aircraft fell from the runway shoulder to the bottom of the embankment.
Probable cause:
The aircraft left the runway during the landing roll because the nosewheel was probably deflected left, for reasons that could not be determined. Contributing to the accident were a lack of communication in the cockpit and the actions taken by the crew to maintain directional control of the aircraft.
Final Report:

Crash of a Piper PA-31-350 Navajo Chieftain in Charlo: 8 killed

Date & Time: Oct 20, 1996 at 1213 LT
Operator:
Registration:
N744W
Survivors:
No
Schedule:
Port-Menier - Gaspé - Bangor
MSN:
31-7952246
YOM:
1979
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
7
Pax fatalities:
Other fatalities:
Total fatalities:
8
Captain / Total flying hours:
3600
Captain / Total hours on type:
1000.00
Aircraft flight hours:
6041
Circumstances:
The aircraft, a Piper PA-31-350 Navajo Chieftain (hereafter referred to as a Chieftain), took off at 1113 Atlantic daylight saving time on a charter flight from Port-Menier, Quebec, to Bangor, Maine, with one pilot and seven passengers on board. As the aircraft was approaching Charlo, New Brunswick, the pilot reported to Moncton Air Traffic Control Centre that his aircraft had a rough-running engine, and that he would be making an emergency landing at Charlo airport. While the pilot was apparently manoeuvring to land the aircraft, it crashed three miles west of the runway, in the community of Eel River Crossing. All eight occupants of the aircraft received fatal injuries.
Probable cause:
There was a loss of power from the right engine, and the pilot did not conserve altitude or configure the aircraft for maximum performance following the loss of power. Control of the aircraft was lost, probably as the pilot was attempting to intercept the ILS for runway 13 during a low-level turn. Contributing factors were the overweight condition of the aircraft and the lack of in-flight emergency procedures training received by the pilot.
Final Report:

Crash of a Britten-Norman BN-2A-8 Islander in Hampton Court

Date & Time: Oct 15, 1996
Type of aircraft:
Operator:
Registration:
8R-GGR
Survivors:
Yes
MSN:
230
YOM:
1970
Country:
Crew on board:
0
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
After landing in a wet runway surface, the twin engine aircraft was unable to stop within the remaining distance and overran. There were no casualties but the aircraft was damaged beyond repair. The exact date of the accident remains unknown, somewhere in October 1996.
Probable cause:
It is believed that the loss of control after landing was the consequence of hydroplaning.

Crash of a Swearingen SA226TC Metro II in Cuiabá

Date & Time: Oct 11, 1996
Type of aircraft:
Registration:
CP-1516
Survivors:
Yes
Schedule:
La Paz - Cuiabá
MSN:
TC-292
YOM:
1979
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
13
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
After touchdown at Cuiabá-Marechal Rondon Airport, the crew started the braking procedure. After few seconds, the crew deactivated the reverse thrust system when control was lost. The aircraft veered off runway to the right, lost its undercarriage and came to rest few dozen metres further. All 15 occupants escaped uninjured while the aircraft was damaged beyond repair.

Crash of an Antonov AN-124-100 in Torino: 4 killed

Date & Time: Oct 8, 1996 at 1050 LT
Type of aircraft:
Operator:
Registration:
RA-82069
Flight Type:
Survivors:
Yes
Site:
Schedule:
Moscow - Torino - Abu Dhabi - Bandar Seri Begawan
MSN:
977305591
YOM:
1993
Flight number:
SU9981
Country:
Region:
Crew on board:
4
Crew fatalities:
Pax on board:
19
Pax fatalities:
Other fatalities:
Total fatalities:
4
Captain / Total hours on type:
431.00
Circumstances:
The aircraft departed Moscow-Chkalovsky Airport bound for Torino, carrying 19 passengers and four crew members. The aircraft should be loaded with Ferrari cars to be delivered in Bandar Seri Begawan, Brunei, following a fuel stop at Abu Dhabi Airport. While descending to Torino-Caselle Airport, the crew was informed about the weather conditions at destination: wind variable at 3 knots, visibility 2,000 metres, RVR runway 36 more than 1,500 metres, light rain, scattered at 1,500 feet, scattered at 3,500 feet, broken at 7,000 feet, OAT and dew point 13°C, QNH 1012. On final approach to runway 36, the crew was unable to establish a visual contact with the runway and the captain decided to initiate a go-around procedure. Unfortunately, this decision was taken too late. While climbing, the aircraft struck trees and crashed onto houses located in the village of San Francesco al Campo, about one km from the runway end. The aircraft, a house and a barn were destroyed. Both pilots, two people on the ground and 20 cows in the barn were killed.
Probable cause:
The following findings were reported:
- Weather conditions were marginal,
- At the time of the accident, the runway length was 2,350 metres instead of 3,300 metres due to work in progress,
- The ILS CAT III system was inoperative during work in progress,
- The pilots were warned that the crew of an aircraft that landed on the same runway 36 about 11 minutes earlier established a visual contact with the runway at an altitude of 200 feet only,
- The crew continued the approach below MDA without establishing visual contact with the runway,
- Poor crew coordination,
- Poor approach planning,
- The crew failed to follow the approach checklist,
- The crew did not divide up the tasks in a correct manner,
- The crew did not prepare for a possible go-around procedure,
- The decision of the captain to initiate a go-around procedure was taken too late,
- The crew encountered engine trouble after the power levers were suddenly moved,
- The relative low experience of the captain on this type of aircraft.

Crash of an Antonov AN-12B in Lucapa: 7 killed

Date & Time: Oct 6, 1996
Type of aircraft:
Operator:
Registration:
RA-11101
Flight Type:
Survivors:
Yes
Schedule:
Luanda - Lucapa
MSN:
01 347 703
YOM:
1971
Country:
Region:
Crew on board:
6
Crew fatalities:
Pax on board:
13
Pax fatalities:
Other fatalities:
Total fatalities:
7
Circumstances:
The aircraft was completing a cargo flight from Luanda to Lucapa on behalf of Hellier International Ltd, carrying 13 passengers, six crew members and a load of 12,6 tons of fish. After touchdown by night at Lucapa Airport, the crew started the braking procedure when the runway light system failed. The crew lost control of the airplane that overran and came to rest against a house located 60 metres further. Six passengers trapped in the cargo hold were killed as well as one people in the house.
Probable cause:
It was reported that the runway light system at Lucapa Airport was functioning intermittently. Also, the airport was closed to traffic at night.

Crash of a De Havilland DHC-6 Twin Otter 300 in Ilaga

Date & Time: Sep 30, 1996 at 1215 LT
Operator:
Registration:
PK-YPF
Survivors:
Yes
MSN:
210
YOM:
1969
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
The approach to Ilaga Airport was completed in poor weather conditions due to heavy rain falls. After landing on a wet runway surface, the aircraft was unable to stop within the remaining distance, overran and came to rest down an embankment. All five occupants escaped uninjured while the aircraft was damaged beyond repair.

Crash of a Mitsubishi MU-2B-30 Marquise in Chillicothe

Date & Time: Sep 28, 1996 at 0835 LT
Type of aircraft:
Operator:
Registration:
N618BB
Survivors:
Yes
Schedule:
Chillicothe - Columbus
MSN:
533
YOM:
1971
Crew on board:
1
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
5400
Captain / Total hours on type:
2150.00
Aircraft flight hours:
6644
Circumstances:
The pilot said that after climbing about 500 feet after takeoff, at 120 knots with the gear retracted, the left engine lost power. He feathered the propeller, lowered the nose to the horizon, and began a shallow left turn back to the airport. He left the flaps at 20° and noted a descent of 200 feet to 300 feet per minute in the turn. After clearing trees, the pilot extended the landing gear, banked the aircraft to the right to align it with the runway and lowered flaps to 40°. After touchdown, he applied single engine reversing. The aircraft went off right side of runway and into a ditch, collapsing the right main and nose gear. Examination of the engine revealed the torque sensor housing had failed, resulting in loss of drive to the fuel pump. Metallurgical exam of the housing arm of the torque sensor revealed it had failed from fatigue. On 9/14/79, a service bulletin (SB) was issued for replacement of the torque sensor housing with an improved housing. The manufacturer overhauled the engine on 12/1979, but SB was not complied with. SB indicated a history of resonant vibration causing cracks in the housing arm of original torque sensor and gear assemblies, and that the housing should be replaced, no later than during next part exposure. Investigation revealed pilot did not comply with engine failure procedures and airspeeds. Flight manual cautioned not to use 40° of flaps during single engine landings.
Probable cause:
Failure of the pilot to follow the published emergency procedures after loss of power in the left engine. Factors relating to the accident were: fatigue failure of the left torque sensor and gear assembly, which resulted in the loss of engine power, failure of the manufacturer to comply with the respective service bulletin, and the pilot's improper use of the flaps and reverse (single-engine) thrust.
Final Report:

Crash of a Britten-Norman BN-2A-21 Islander in Ngau

Date & Time: Sep 23, 1996
Type of aircraft:
Registration:
DQ-FIF
Survivors:
Yes
Schedule:
Suva - Ngau
MSN:
417
YOM:
1974
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
The approach and landing to Ngau Airport were completed in poor weather conditions with fog and rain falls. After landing on a wet grassy runway, the aircraft was unable to stop within the remaining distance (the runway is 760 metres long). It overran, lost its undercarriage and came to rest few dozen metres further. All five occupants escaped injured and the aircraft was damaged beyond repair.
Probable cause:
Wrong approach configuration on part of the crew who completed the landing at an excessive speed on a wet and short grassy runway.