Crash of a De Havilland DHC-6 Twin Otter 300 in Cobán: 2 killed

Date & Time: Feb 16, 1996 at 0656 LT
Registration:
TG-JAK
Flight Type:
Survivors:
No
Schedule:
Guatemala City – Cobán
MSN:
714
YOM:
1980
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
2
Aircraft flight hours:
5644
Circumstances:
The approach to Cobán Airport was initiated in poor weather conditions with limited visibility due to fog. Too low, the aircraft struck trees and crashed in a wooded area located 7,2 km short of runway. Both pilots were killed. They were completing a positioning flight from Guatemala City.
Probable cause:
Controlled flight into terrain after the crew continued the descent below the MDA in IMC conditions.

Crash of a Piper PA-46-350P Malibu in Butler

Date & Time: Feb 12, 1996 at 1010 LT
Registration:
N89HS
Flight Type:
Survivors:
Yes
Schedule:
Erie - Butler
MSN:
46-22033
YOM:
1989
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
6000
Aircraft flight hours:
1550
Circumstances:
The pilot was conducting an approach to runway 8, during which the left wing contacted the ground approximately 75 feet from the approach end of the runway. The airplane came to rest about 160 feet down the runway, and off the right side. A pilot who landed on runway 26, about 30 minutes prior to the accident flight, stated that the winds were out of the northwest at 15 knots with gusts, and he experienced plus and minus 10 knots on the airspeed while on final approach. The winds 19 miles to the east, at 1045 eastern standard time, were reported from 310 degrees at 15 knots with gusts up to 20 knots. An AIRMET was issued at 0345, with an advisory for occasional moderate turbulence below 8,000 feet. The AIRMET was reissued at 0945, with the added advisory of, 'Low level wind shear potential over the Boston Area Forecast area east of an Erie-Bristol line due to gusty northwesterly surface winds. Conditions ending by 1600.' An FAA Inspector examined the wreckage and found no preimpact anomalies with the airplane.
Probable cause:
The pilot's inadequate compensation for wind conditions during the final approach, which resulted in the uncontrolled descent and subsequent collision with the ground. A contributing factor is windshear conditions.
Final Report:

Crash of a Piper PA-31-350 Navajo Chieftain in King Island-Currie: 1 killed

Date & Time: Feb 8, 1996 at 0507 LT
Operator:
Registration:
VH-KIJ
Flight Type:
Survivors:
No
Schedule:
Melbourne - King Island
MSN:
31-7405222
YOM:
1974
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
5519
Captain / Total hours on type:
106.00
Circumstances:
A witness heard the aircraft pass King Island aerodrome at 0455 EST at the same time as he noticed the pilot-activated 10/28 runway lights illuminate. The pilot reported to Melbourne Control that he would be completing a runway 10, non-directional beacon (NDB) approach. A short time later he broadcast that the aircraft was at the minimum descent altitude, which is 640 feet above mean sea level (AMSL) for a runway 10 NDB approach. He also broadcast that there was a complete cloud cover. The aircraft did not enter a missed approach procedure but was heard to fly towards the south-east from overhead the NDB, which is located 1.3 km south-south-west of the centre of runway 10/28. A second witness, located near the NDB site, reported observing the aircraft's lights to the south-east. At 0507 a farmer heard the aircraft pass low over his house shortly before it crashed into trees, 3.5 km south-east of the aerodrome. The first responders arrived at the accident site at about 0530. The pilot had not survived.
Probable cause:
The pilot continued a visual approach in conditions which prevented him from maintaining adequate visual clearance from the ground or obstacles and which made visual judgement of the approach difficult. Also, the pilot probably did not recognise that the conditions were not suitable for a visual approach.
Final Report:

Crash of a Cessna 500 Citation I in Ensenada: 8 killed

Date & Time: Feb 6, 1996 at 2020 LT
Type of aircraft:
Registration:
XA-SLQ
Survivors:
No
Schedule:
Tijuana - Ensenada
MSN:
500-0111
YOM:
1973
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
6
Pax fatalities:
Other fatalities:
Total fatalities:
8
Circumstances:
While approaching Ensenada Airport by night and foggy conditions, the crew failed to realize his altitude was insufficient when the aircraft struck a hill located few km from the airport. The aircraft was destroyed upon impact and all eight occupants were killed. It is believed that the crew did not receive any clearance to approach Ensenada Airport and continued the descent at an insufficient altitude.

Crash of a Cessna 500 Citation I in Fazenda Matary

Date & Time: Feb 4, 1996 at 1628 LT
Type of aircraft:
Operator:
Registration:
PT-KPA
Flight Type:
Survivors:
Yes
Schedule:
Recife – Imperatriz – Fazenda Matary
MSN:
500-0181
YOM:
1974
Country:
Crew on board:
3
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
9006
Captain / Total hours on type:
2752.00
Copilot / Total flying hours:
4424
Copilot / Total hours on type:
6
Circumstances:
En route from Imperatriz to Fazenda Matary, the captain informed the copilot he would perform training upon arrival as there are no passengers on board. On descent, he informed ATC he would perform a touch-and-go manoeuvre. With the flaps down at 15°, the aircraft landed at a speed of 125 knots, about 10 knots above the speed reference of 116 knots. After touchdown, the captain changed his mind and decided to perform a complete stop without informing the copilot. The copilot noted that the speed was dropping so he decided to increase engine power to takeoff. Shortly later, the captain reduced power and initiated a braking procedure. Unable to stop within the remaining distance, the aircraft overran and came to rest few dozen metres further, bursting into flames. All three occupants escaped uninjured while the aircraft was destroyed by a post crash fire.
Probable cause:
The following findings were reported:
- There was overconfidence, coupled with an impulsive attitude on the part of the instructor, making him convinced that he could land without problems, even changing the procedure already established and not communicating his decision to the copilot/student.
- The instructor did not properly plan the landing procedure that he decided to carry out, contrary to the briefing.
- There was an error in the instructor's judgment, due to the inadequate assessment of normal landing with 15º flap configuration and speed about 10kt above the predicted, contrary to previous briefing.
- The instructor did not inform the student of his decision to complete the landing, without rush, as well as not responding to the request to start the rush. The student accelerated the engines without the instructor's authorization.
Final Report:

Crash of an Antonov AN-32B in Luremo

Date & Time: Feb 4, 1996
Type of aircraft:
Operator:
Registration:
UR-48008
Flight Type:
Survivors:
Yes
MSN:
34 05
YOM:
1992
Country:
Region:
Crew on board:
4
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
After landing at Luremo, the aircraft was unable to stop within the remaining distance, overran, lost its nose gear and came to rest few dozen metres further. All five occupants evacuated safely while the aircraft was damaged beyond repair.

Crash of a Beechcraft C-45 Expeditor in Blountville

Date & Time: Feb 2, 1996 at 1830 LT
Type of aircraft:
Operator:
Registration:
N204AA
Flight Type:
Survivors:
Yes
Schedule:
Madison - Charlotte
MSN:
AF-79
YOM:
1954
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
5400
Captain / Total hours on type:
350.00
Aircraft flight hours:
16972
Circumstances:
The pilot reported that as he overflew the Tri-City airport, Tennessee at 9,000 feet, the right engine power slowly decreased. The airplane was in the clouds with an outside air temperature of about zero degrees Celsius. Right engine manifold heat was applied for a few seconds, with no noticeable difference in engine performance. The right magnetos were also checked with no obvious malfunctions noted. A descent for landing was initiated to the Tri-City airport and manifold heat was applied and removed several times, with no appreciable effect. On short final approach, when the landing gear was extended, the right main gear did not indicate down. There was insufficient time to perform the emergency gear extension procedure. A go-around was initiated, during which the pilot discovered that the left manifold heat control was now stuck in the 'ON' position. The pilot stated that with less than full power available on the left engine, and the right propeller unfeathered, the airplane could be climbed to about 200 feet. He flew the airplane until terrain clearance was no longer possible, then landed in a field, gear up. The airplane slid into trees and was substantially damaged.
Probable cause:
The pilot's improper use of carburetor heat which resulted in a continuing loss of engine power, and the right landing gear's failure to extend during a single engine approach. A factor was the
insufficient time available to extend the landing gear via the emergency extension procedure.
Final Report:

Crash of a Beechcraft E90 King Air in Flagstaff: 3 killed

Date & Time: Jan 31, 1996 at 1305 LT
Type of aircraft:
Operator:
Registration:
N300SP
Flight Type:
Survivors:
No
Site:
Schedule:
Flagstaff - Phoenix
MSN:
LW-166
YOM:
1976
Crew on board:
1
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
3
Captain / Total flying hours:
10700
Captain / Total hours on type:
613.00
Aircraft flight hours:
5952
Circumstances:
The pilot and 2 nurses departed IFR to transport a patient from another location. During the initial climb, the pilot observed a gear unsafe light. He requested clearance to an area of VFR conditions to address the gear problem. Subsequently, the gear was manually extended with safe gear indications. The flight department requested that the pilot return to base. The pilot obtained an IFR clearance to return for an ILS approach. After handoff to the tower, he was requested to report the FAF inbound after an eastbound procedure turn. That was the last communication from the pilot. Subsequently, the aircraft crashed on the southeast side of Humphreys Peak at an elevation of about 10,500 feet and about 10 miles west of the final approach course. Wreckage was scattered along a heading of 230 degrees. There was evidence that the airplane was in a steep descent when it crashed. Radar data revealed an outbound track west of the published course and no procedure turn. The weather was IMC with light snow and rain. Moderate to severe turbulence was forecast and confirmed by other pilots. The winds at 10,000 feet were forecast to be 50 knots out of the southwest. Moderate turbulence and light rime ice had been reported along the ILS approach course before to the accident time.
Probable cause:
Failure of the pilot to follow prescribed IFR procedures and his failure to maintain control of the aircraft. Factors relating to the accident were: the adverse weather conditions with icing and turbulence.
Final Report:

Crash of a Cessna 208A Caravan I in Picton: 5 killed

Date & Time: Jan 29, 1996 at 1627 LT
Type of aircraft:
Operator:
Registration:
ZK-SFA
Survivors:
Yes
Schedule:
Wellington - Picton
MSN:
208-0051
YOM:
1985
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
5
Pax fatalities:
Other fatalities:
Total fatalities:
5
Captain / Total flying hours:
1937
Captain / Total hours on type:
322.00
Circumstances:
Following an uneventful flight from Wellington, the pilot started the descent to Picton-Koromiko Airport in good weather conditions. On final, at an altitude of 1,700 feet, the single engine aircraft entered clouds and struck the slope of Mt Robertson located 10 nm northeast of Blenheim. All five occupants were killed and the pilot was seriously injured.
Probable cause:
The following causal factors were reported:
- The decision by the pilot to descend beneath the cloud layer.
- Illusions, created by the conditions, producing misleading visual references.
- The pilot's misidentification of distant terrain features.
- An undetected heading error, and loss of "positional awareness".
- Insufficient forward visibility, during the later stages of the descent.
- The high speed of the aircraft.
- The decision making by the pilot: the delayed decision to descend beneath the cloud layer; continued flight into deteriorating conditions.
The following contributing factors were reported:
- The pilot's familiarity with the area, creating a false sense of security.
- Improved general weather conditions, causing the pilot to relax.
- A possible false horizon, created by a sloping cloud base.
- The absence of documented procedures to ensure pilots crossed the coast south of Rarangi.
Final Report:

Crash of a Douglas DC-8-55F in Harare

Date & Time: Jan 28, 1996
Type of aircraft:
Operator:
Registration:
Z-WSB
Flight Type:
Survivors:
Yes
Schedule:
Johannesburg - Harare
MSN:
45805
YOM:
1965
Country:
Region:
Crew on board:
5
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
Following an uneventful cargo flight from Johannesburg, the crew started the approach to Harare Airport in poor weather conditions with heavy rain falls. After landing on runway 05, the aircraft encountered difficulties and was unable to stop within the remaining distance (runway 05 is 4,750 metres long). It overran, lost its nose gear and came to rest. All five crew members escaped uninjured and the aircraft was damaged beyond repair.
Probable cause:
The following findings were reported:
- Poor weather conditions with heavy rain falls,
- Limited visibility,
- The runway 05 was wet and the braking action was reduced,
- The aircraft suffered aquaplaning,
- The reverse thrust systems were unserviceable on engine n°2 and 4,
- The crew completed the landing without the spoilers being armed,
- The aircraft was not airworthy,
- The crew failed to follow the approach checklist.