Crash of a De Havilland DHC-8-102 in Palmerston North: 4 killed

Date & Time: Jun 9, 1995 at 0925 LT
Operator:
Registration:
ZK-NEY
Survivors:
Yes
Schedule:
Auckland - Palmerston North
MSN:
055
YOM:
1986
Flight number:
AN703
Country:
Region:
Crew on board:
3
Crew fatalities:
Pax on board:
18
Pax fatalities:
Other fatalities:
Total fatalities:
4
Captain / Total flying hours:
7765
Captain / Total hours on type:
273.00
Copilot / Total flying hours:
6460
Copilot / Total hours on type:
341
Aircraft flight hours:
22154
Aircraft flight cycles:
24976
Circumstances:
At 08:17 Ansett New Zealand Flight 703 departed Auckland (AKL) as scheduled bound for Palmerston North (PMR). To the north of Palmerston North the pilots briefed themselves for a VOR/DME approach to runway 07 which was the approach they preferred. Subsequently Air Traffic Control specified the VOR/DME approach for runway 25, due to departing traffic, and the pilots re-briefed for that instrument approach. The IMC involved flying in and out of stratiform cloud, but continuous cloud prevailed during most of the approach. The aircraft was flown accurately to join the 14 nm DME arc and thence turned right and intercepted the final approach track of 250° M to the Palmerston North VOR. During the right turn, to intercept the inbound approach track, the aircraft’s power levers were retarded to 'flight idle' and shortly afterwards the first officer advised the captain ".... 12 DME looking for 4000 (feet)". The final approach track was intercepted at approximately 13 DME and 4700 feet, and the first officer advised Ohakea Control "Ansett 703" was "established inbound". Just prior to 12 miles DME the captain called "Gear down". The first officer asked him to repeat what he had said and then responded "OK selected and on profile, ten - sorry hang on 10 DME we’re looking for four thousand aren’t we so - a fraction low". The captain responded, "Check, and Flap 15". This was not acknowledged but the first officer said, "Actually no, we’re not, ten DME we’re..... (The captain whistled at this point) look at that". The captain had noticed that the right hand main gear had not locked down: "I don’t want that." and the first officer responded, "No, that’s not good is it, so she’s not locked, so Alternate Landing Gear...?" The captain acknowledged, "Alternate extension, you want to grab the QRH?" After the First Officer’s "Yes", the captain continued, "You want to whip through that one, see if we can get it out of the way before it’s too late." The captain then stated, "I’ll keep an eye on the airplane while you’re doing that." The first officer located the appropriate "Landing Gear Malfunction Alternate Gear Extension" checklist in Ansett New Zealand’s Quick Reference Handbook (QRH) and began reading it. He started with the first check on the list but the captain told him to skip through some checks. The first officer responded to this instruction and resumed reading and carrying out the necessary actions. It was the operator’s policy that all items on the QRH checklists be actioned, or proceeded through, as directed by the captain. The first officer started carrying out the checklist. The captain in between advised him to pull the Main Gear Release Handle. Then the GPWS’s audio alarm sounded. Almost five seconds later the aircraft collided with terrain. The Dash 8 collided with the upper slope of a low range of hills.
Probable cause:
The captain not ensuring the aircraft intercepted and maintained the approach profile during the conduct of the non-precision instrument approach, the captain's perseverance with his decision to get the undercarriage lowered without discontinuing the instrument approach, the captain's distraction from the primary task of flying the aircraft safely during the first officer's endeavours to correct an undercarriage malfunction, the first officer not executing a Quick Reference Handbook procedure in the correct sequence, and the shortness of the ground proximity warning system warning.
Final Report:

Crash of a Cessna 402B II off Buenos Aires: 6 killed

Date & Time: Jun 2, 1995 at 1900 LT
Type of aircraft:
Operator:
Registration:
LV-MIU
Survivors:
Yes
Schedule:
Buenos Aires - Paraná
MSN:
402B-1332
YOM:
1978
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
5
Pax fatalities:
Other fatalities:
Total fatalities:
6
Circumstances:
After takeoff from Buenos Aires-Aeroparque-Jorge Newbury Airport runway 13, while climbing, the crew declared an emergency following an engine failure and was cleared to return. While completing a 180 turn, the crew lost control of the aircraft that crashed in the sea about 2,700 metres short of runway 31, three minutes after departure. A passenger survived while six other occupants were killed, all members of the corporate of LAER.
Probable cause:
Engine failure for unknown reasons.

Crash of a Fokker F28 Fellowship 1000 in Madang

Date & Time: May 31, 1995 at 2210 LT
Type of aircraft:
Operator:
Registration:
P2-ANB
Survivors:
Yes
Schedule:
Port Moresby – Lae – Madang
MSN:
11049
YOM:
1972
Flight number:
PX128
Location:
Region:
Crew on board:
4
Crew fatalities:
Pax on board:
35
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
Following an uneventful flight from Lae, the crew started the approach to Madang Airport runway 25. The visibility was limited by night and poor weather conditions. In heavy rain falls, the captain realized that all conditions were not met to land and decided to initiate a go-around. Following a short holding pattern, he started the approach to runway 07. The aircraft landed 300 metres past the runway threshold. On a wet runway surface, the aircraft was unable to stop within the remaining distance, overran and came to rest in a ravine. Due to torrential rain, all 39 occupants preferred to stay in the aircraft and were evacuated few dozen minutes later only. The aircraft was damaged beyond repair.
Probable cause:
The crew adopted a wrong approach configuration, causing the aircraft to land 300 metres past the runway threshold, reducing the landing distance available. The following contributing factors were reported:
- All conditions were not met for a safe landing,
- Wet runway surface,
- Poor braking action,
- Poor weather conditions,
- Limited visibility,
- Aquaplaning,
- Poor flight and approach planning.

Crash of a Piper PA-31-310 Navajo off Mbour: 6 killed

Date & Time: May 29, 1995
Type of aircraft:
Operator:
Registration:
6V-AGH
Survivors:
Yes
Schedule:
Dakar - Mbour
MSN:
31-205
YOM:
1968
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
8
Pax fatalities:
Other fatalities:
Total fatalities:
6
Circumstances:
Forty minutes into the flight from Dakar to Mbour, the crew informed ATC that an engine failed and was cleared to descent to 4,000 feet. Shortly later, the crew lost control of the airplane that crashed in shallow water about 500 metres off Mbour. Four passengers were rescued while six others occupants, including both pilots, were killed.
Probable cause:
Engine failure for unknown reasons. Nevertheless, it was also reported that the crew experience on this type of aircraft was limited.

Crash of a Douglas DC-3C in Miraflores: 5 killed

Date & Time: May 25, 1995 at 1515 LT
Type of aircraft:
Operator:
Registration:
HK-3213
Flight Type:
Survivors:
Yes
Schedule:
Villavicencio - Miraflores
MSN:
14214/25659
YOM:
1944
Country:
Crew on board:
4
Crew fatalities:
Pax on board:
9
Pax fatalities:
Other fatalities:
Total fatalities:
5
Aircraft flight hours:
15000
Circumstances:
The aircraft was completing a cargo flight from Villavicencio, carrying livestock, nine passengers and four crew members. The approach to Miraflores Airport was completed in poor weather conditions. On short final, the left engine failed. The aircraft lost height, collided with trees and crashed in a wooded area. Three passengers and both pilots were killed while eight other occupants were injured.
Probable cause:
The probable cause of this accident is the loss of lift, induced by explosions and fire in the left engine, problems that the pilot was unable to overcome because he was flying under VFR mode in IMC conditions.
Final Report:

Crash of an Embraer EMB-110P1 Bandeirante near Leeds: 12 killed

Date & Time: May 24, 1995 at 1751 LT
Operator:
Registration:
G-OEAA
Survivors:
No
Schedule:
Leeds - Aberdeen
MSN:
110-256
YOM:
1980
Flight number:
NE816
Region:
Crew on board:
3
Crew fatalities:
Pax on board:
9
Pax fatalities:
Other fatalities:
Total fatalities:
12
Captain / Total flying hours:
3257
Captain / Total hours on type:
1026.00
Copilot / Total flying hours:
302
Copilot / Total hours on type:
46
Aircraft flight hours:
15348
Circumstances:
On the morning of 24 May 1995 the aircraft had returned to its base at Leeds/Bradford from Aberdeen, U.K. on a scheduled passenger flight landing at 09:44 local time. The crew, which was not the one later involved in the accident, stated that all of the aircraft's systems and equipment had been serviceable during the flight. Some routine maintenance was performed on the aircraft which was later prepared for a scheduled passenger flight, NE816, to Aberdeen. It was positioned at the passenger terminal where it was taken over by the crew which was to operate the service, comprising the commander, who occupied the left hand seat, the first officer and a flight attendant. Nine passengers were boarded. The weather at Leeds/Bradford Airport was poor with Runway Visual Range (RVR) reported as 1,100 metres; scattered cloud at 400 feet above the aerodrome elevation of 682 feet and a light south-easterly wind. It was raining and the airfield had recently been affected by a thunderstorm. The freezing level was at 8,000 feet and warnings of strong winds and thunderstorms were in force for the Leeds/Bradford area. The crew called ATC for permission to start the engines at 17:41 hrs. Having backtracked the runway to line up, the aircraft took-off from runway 14 at 17:47 hrs and the crew was instructed by ATC to maintain the runway heading (143°M). The aircraft began to turn to the left shortly after becoming airborne. One minute and fifty seconds after the start of the take-off roll and as the aircraft was turning through a heading of 050° and climbing through 1,740 feet amsl, the first officer transmitted to Leeds/Bradford aerodrome control: "Knightway 816 we've got a problem with the artificial horizon sir and we'd like to come back." The aerodrome controller passed instructions for a radar heading of 360° and cleared the aircraft to 3,000 feet QNH. These instructions were read back correctly but the aircraft continued its left turn onto 300° before rolling into a right hand turn with about 30° of bank. About 20 seconds before this turn reversal, the aircraft had been instructed to call the Leeds/Bradford approach controller. The aircraft was now climbing through an altitude of 2,800 feet in a steep turn to the right and the approach controller transmitted: "I see you carrying out an orbit just tell me what i can do to help". The first officer replied: "Are we going straight at the moment sir" The controller informed him that the aircraft was at that time in a right hand turn but after observing further radar returns he said that it was then going straight on a south-easterly heading. The first officer's response to this transmission was: "Radar vectors slowly back to one four then sir please". The controller then ordered a right turn onto a heading of 340°. This instruction was correctly acknowledged by the first officer but the aircraft began a left hand turn with an initial angle of bank between 30° and 40°. This turn continued onto a heading of 360° when the first officer again asked "Are we going straight at the moment sir" to which the controller replied that the aircraft looked to be going straight. Seconds later the first officer asked: "Any report of the tops sir". This was the last recorded transmission from the aircraft, although at 17:52 hrs a brief carrier wave signal was recorded but it was obliterated by the controller's request to another departing aircraft to see if its pilot could help with information on the cloud tops. At this point, the aircraft had reached an altitude of 3,600 feet, having maintained a fairly constant rate of climb and airspeed. The ATC clearance to 3000 feet had not been amended. After the controller had confirmed that the aircraft appeared to be on a steady northerly heading, the aircraft immediately resumed its turn to the left and began to descend. The angle of bank increased to about 45° while the altitude reduced to 2,900 feet in about 25 seconds. As the aircraft passed a heading of 230° it ceased to appear on the secondary radar. There were four further primary radar returns before the aircraft finally disappeared from radar. There had been a recent thunderstorm in the area and it was raining intermittently with a cloud base of about 400 feet and a visibility of about 1,100 metres. Residents in the vicinity of the accident site reported dark and stormy conditions. Several witnesses described the engine noise as pulsating or surging and then fading just prior to impact. Other witnesses saw a fireball descending rapidly out of the low cloud base and one witness saw the aircraft in flames before it stuck the ground. All of the occupants died at impact. From subsequent examination it was apparent that, at a late stage in the descent, the aircraft had broken up, losing a large part of the right wing outboard of the engine, and the right horizontal stabiliser. There was some disruption of the fuselage before it struck the ground. The airborne structural failure that had occurred was the result of flight characteristics which were beyond the design limits of the aircraft following the loss of control shortly before impact.
Probable cause:
The following causal factors were identified:
- One or, possibly, both of the aircraft's artificial horizons malfunctioned and, in the absence of a standby horizon, for which there was no airworthiness requirement, there was no single instrument available for assured attitude reference or simple means of determining which flight instruments had failed.
- The commander, who was probably the handling pilot, was initially unable to control the aircraft's heading without his artificial horizon, and was eventually unable to retain control of the aircraft whilst flying in IMC by reference to other flight instruments.
- The aircraft went out of control whilst flying in turbulent instrument meteorological conditions and entered a spiral dive from which the pilot, who was likely to have become spatially disoriented, was unable to recover.
Final Report:

Crash of a Convair CV-580F in Vitoria

Date & Time: May 19, 1995 at 1839 LT
Type of aircraft:
Operator:
Registration:
EC-899
Flight Type:
Survivors:
Yes
Schedule:
Vitoria - Vitoria
MSN:
354
YOM:
1956
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
The crew was completing a local training mission at Vitoria Airport. In good weather conditions, the crew was approaching the airport in a flapless configuration when an alarm sounded in the cockpit. The crew turned off the circuit breaker so the alarm stopped. The aircraft landed on its belly and slid for few dozen metres before coming to rest. All four occupants escaped uninjured and the aircraft was damaged beyond repair.
Probable cause:
The aircraft belly landed after the crew failed to follow the approach checklist and turned off the circuit breaker.

Crash of a De Havilland C-115 Buffalo at Ponta Pelada AFB

Date & Time: May 15, 1995
Type of aircraft:
Operator:
Registration:
2361
Flight Type:
Survivors:
Yes
Schedule:
Ponta Pelada AFB - Ponta Pelada AFB
MSN:
31
YOM:
1969
Country:
Crew on board:
0
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
The crew was completing a local training flight at Ponta Pelada AFB, Manaus. Upon landing, the aircraft went out of control, veered off runway and came to rest few dozen metres further. There were no casualties while the aircraft was damaged beyond repair.

Crash of an Antonov AN-2 in Saransk

Date & Time: May 13, 1995
Type of aircraft:
Operator:
Survivors:
Yes
Schedule:
Saransk - Saransk
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
The single engine aircraft was completing a local skydiving flight at Saransk-Lyambir Airport. After all skydivers jumped out, the crew returned to the airport. In unclear circumstances, the aircraft landed hard, bounced and came to rest upside down. Both pilots escaped uninjured and the aircraft was damaged beyond repair.

Crash of a Curtiss C-46F-1-CU Commando in Villavicencio: 9 killed

Date & Time: May 9, 1995 at 1635 LT
Type of aircraft:
Registration:
HK-3079-G
Flight Type:
Survivors:
No
Schedule:
Mitú – Villavicencio
MSN:
22538
YOM:
1945
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
7
Pax fatalities:
Other fatalities:
Total fatalities:
9
Captain / Total flying hours:
5902
Captain / Total hours on type:
2015.00
Copilot / Total flying hours:
1085
Copilot / Total hours on type:
96
Aircraft flight hours:
21406
Circumstances:
On approach to Villavicencio-La Vanguardia Airport runway 04, the crew encountered poor weather conditions (heavy rain falls) and a visibility limited to 1,000 metres. After passing the missed approach point, the crew was unable to establish a visual contact with the runway and initiated a go-around procedure. Shortly later, the aircraft struck the slope of a mountain located in the San Jeronimo Mountain Range, about 5 km north of runway 22 threshold. The aircraft disintegrated on impact and all 9 occupants were killed.
Probable cause:
Loss of situational awareness on part of the crew after he deviated from the standard approach procedures. The lack of visibility was considered as a contributing factor.
Final Report: