Crash of an ATR42-500 in Gilgit

Date & Time: Jul 20, 2019 at 0815 LT
Type of aircraft:
Operator:
Registration:
AP-BHP
Survivors:
Yes
Schedule:
Islamabad – Gilgit
MSN:
665
YOM:
2007
Country:
Region:
Crew on board:
5
Crew fatalities:
Pax on board:
48
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
Following an uneventful flight from Islamabad, the crew was cleared to land on runway 25 at Gilgit Airport. After touchdown, the crew initiated the braking procedure but the aircraft was unable to stop within the remaining distance. It overran, lost its right main gear and came to rest 12 metres further in a grassy area. All 53 occupants evacuated safely and the aircraft was damaged beyond repair.

Crash of a Piper PA-46-310P Malibu in Poughkeepsie

Date & Time: Jul 19, 2019 at 1440 LT
Operator:
Registration:
N811SK
Flight Type:
Survivors:
Yes
Schedule:
Akron – Pawtucket
MSN:
46-8508046
YOM:
1985
Crew on board:
1
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
1300
Captain / Total hours on type:
300.00
Aircraft flight hours:
2641
Circumstances:
The pilot was in cruise flight at an altitude of 19,000 feet mean sea level (msl) for about 1 hour and 10 minutes on an easterly heading when he requested a diversion from his filed destination to an airport along his route of flight to utilize a restroom. Two miles west of his amended destination at 12,000 ft msl, the pilot advised the controller that he had a “fuel emergency light" and wanted to expedite the approach. The controller acknowledged the low fuel warning and cleared the airplane to descend from its assigned altitude. Instead of conducting the descent over the airport, the airplane continued its easterly heading past the airport for nearly 8 miles before reversing course. After reversing course, instead of assuming a direct heading back to the airport, the pilot assumed a parallel reciprocal track and didn’t turn for the airport until the airplane intercepted the extended centerline of the landing runway. The pilot informed the controller that he was unable to make it to the airport and performed a forced landing less than 1 mile from the landing runway. Both fuel tanks were breached during the accident sequence, and detailed postaccident inspections of the airplane’s fuel system revealed no leaks in either the supply or return sides of the system. A computer tomography scan and flow-testing of the engine-driven fuel pump revealed no leaks or evidence of fuel leakage. The engine ran successfully in a test cell. Data recovered from an engine and fuel monitoring system revealed that, during the two flights before the accident flight, the reduction in fuel quantity was consistent with the fuel consumption rates depicted at the respective power settings (climb, cruise, etc). During the accident flight, the reduction in fuel quantity was consistent with the indicated fuel flow throughout the climb; however, the fuel quantity continued to reduce at a rate consistent with a climb power setting even after engine power was reduced, and the fuel flow indicated a rate consistent with a cruise engine power setting. The data also showed that the indicated fuel quantity in the left and right tanks reached 0 gallons within about 10 minutes of each other, and shortly before the accident. Given this information, it is likely that the engine lost power due to an exhaustion of the available fuel supply; however, based on available data and findings of the fuel system and component examinations, the disparate rates of indicated fuel flow and fuel quantity reduction could not be explained.
Probable cause:
A total loss of engine power due to fuel exhaustion as the result of a higher-than-expected fuel quantity reduction. Contributing was the pilot’s continued flight away from his selected precautionary landing site after identification of a fuel emergency, which resulted in inadequate altitude and glide distance available to complete a successful forced landing.
Final Report:

Crash of a Cessna 550 Citation II in Mesquite

Date & Time: Jul 17, 2019 at 1844 LT
Type of aircraft:
Operator:
Registration:
N320JT
Flight Type:
Survivors:
Yes
Schedule:
Pasco - Las Vegas
MSN:
550-0271
YOM:
1981
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
17000
Captain / Total hours on type:
2000.00
Aircraft flight hours:
9000
Circumstances:
While approaching class B airspace, the airline transport pilot was in communication with a controller who later stated that the pilot's speech was slurred, and the controller repeatedly asked if the oxygen system on the airplane was working properly. As the airplane approached a nearby airport, about 85 miles from his destination airport, the pilot stated he had the airport in sight and repeatedly requested a visual approach. The controller instructed the pilot to continue his flight to his destination, in a southwest direction. As the controller attempted to maintain communications, the pilot dropped off radar shortly after passing the nearby airport and subsequently landed at the nearby airport, which was not his destination airport. According to a surveillance video and impact marks on the runway, the airplane landed hard about halfway down the runway and slid to a stop on the left side of the runway. The airplane fuselage and wings were mostly consumed by postimpact fire. After authorities arrived onsite, the pilot was arrested for operating an aircraft under the influence of alcohol. The pilot was found to have a blood alcohol level of .288, which likely contributed to the pilot landing at the incorrect airport and his subsequent loss of airplane control during landing.
Probable cause:
The pilot's operation of the airplane while intoxicated, which resulted in a loss of airplane control on landing.
Final Report:

Crash of a De Havilland DHC-2 Beaver into Mistastin Lake: 7 killed

Date & Time: Jul 15, 2019
Type of aircraft:
Operator:
Registration:
C-FJKI
Survivors:
No
Schedule:
Crossroads Lake - Mistastin Lake
MSN:
992
YOM:
1956
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
6
Pax fatalities:
Other fatalities:
Total fatalities:
7
Captain / Total flying hours:
18800
Captain / Total hours on type:
16000.00
Circumstances:
The single engine airplane was chartered by a provider based in Crossroads Lake (near Churchill Falls reservoir) to fly four fisherman and two guides to Mistastin Lake, Labrador. The aircraft was supposed to leave Crossroads Lake at 0700LT but the departure was postponed to 1000LT due to low ceiling. Several attempts to contact the pilot failed during the day and the SAR center based in Trenton was alerted. SAR operations were initiated and four days later, the location of the accident was reached but only four bodies were found. The body of the pilot and two passengers were never recovered as well as the wreckage.
Probable cause:
The aircraft had been seen floating in Mistastin Lake and later sank. To date, the wreckage has not been found. There is no radar coverage at low altitudes in the area, and the aircraft was flying in uncontrolled airspace and not in communication with air traffic services. Without any witnesses and without key pieces of the aircraft, the TSB is unable to conduct a full investigation into this accident. If the aircraft is found, the TSB will assess the feasibility of investigating the accident further.
Final Report:

Crash of a Cessna 208B Grand Caravan in Bethel

Date & Time: Jul 8, 2019 at 1505 LT
Type of aircraft:
Operator:
Registration:
N9448B
Survivors:
Yes
Schedule:
Newtok – Bethel
MSN:
208B-0121
YOM:
1988
Flight number:
GV262
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
5
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
2258
Captain / Total hours on type:
787.00
Aircraft flight hours:
21206
Circumstances:
The commercial pilot was conducting a visual flight rules scheduled passenger flight with five passengers. During the return leg to the company’s base airport, the pilot requested, and was given clearance to, a short gravel runway of 1,858 ft that terminated at parallel cross-runways and had inbound airplanes. The wind was reported as variable at 3 knots, and the outside air temperature was 88°F which was 25° warmer than usual. The pilot stated that he conducted a steeper than normal approach and performed a normal 30° flap landing flare; however, the airplane floated halfway down the runway. He initiated a go-around by advancing the throttle to takeoff power and retracting the flaps to 20° as the main landing gear briefly touched down. Automatic dependent surveillance-broadcast (ADS-B) data indicated that the airplane arrived 0.1 mile from the runway threshold at 149 ft above ground level (agl) and 110 knots of ground speed, which was 32 knots faster than the short field landing approach speed listed in the pilot operating handbook. A witness in the air traffic control tower (the ground controller) stated that the airplane “bled off a lot of airspeed,” during the landing attempt and climbed out in a very flat profile. The tower local controller stated that after liftoff, the airplane’s right wing dropped and the airplane appeared to be turning right into conflicting landing traffic, so he twice instructed the airplane to “left turn out immediately.” The pilot stated that he attempted to comply with the tower controller’s instruction, but when he applied left aileron, the airplane appeared to stall, rolled rapidly right, and descended in a right-wing-low attitude. It subsequently impacted the surface between runways. A postimpact fire ensued, and the pilot helped the passengers egress. The airplane was destroyed by postimpact fire. Given the evidence, it is likely that the pilot decided to land on the short runway to expedite the arrival and did not perform an appropriate short field landing approach, which resulted in excessive airspeed and altitude over the runway threshold, a long landing flare, rapid deceleration, and a self-initiated go-around from a slow airspeed. Had the pilot initiated the go-around as he approached the runway with indications of an unstable visual approach, the airspeed would have been well above stall speed, which would have allowed for the desired positive climb out on runway heading. The pilot likely attempted to comply with the tower local controller’s urgent commands to turn while the airplane was near the limit of performance (the temperature was about 25 degrees warmer than average, which would have resulted in a higher density altitude than the pilot was accustomed to and degraded aircraft and engine performance). The pilot’s maneuvering resulted in the exceedance of the critical angle-of-attack of the high wing (right wing) during the left turn, and an aerodynamic stall.
Probable cause:
The pilot’s failure to maintain adequate airspeed while maneuvering during an attempted go around, which resulted in an exceedance of the airplane's critical angle of attack and an aerodynamic stall at low altitude. Contributing to the accident, was the pilot’s decision to perform an approach to a short runway at an excessive airspeed and his late decision to perform a go-around, which resulted in a slow climb at a reduced safe margin above stall airspeed.
Final Report:

Crash of a Boeing 737-85R in Mumbai

Date & Time: Jul 1, 2019 at 2351 LT
Type of aircraft:
Operator:
Registration:
VT-SYK
Survivors:
Yes
Schedule:
Jaipur - Mumbai
MSN:
30410/1228
YOM:
2002
Flight number:
SG6237
Country:
Region:
Crew on board:
7
Crew fatalities:
Pax on board:
160
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
5355
Captain / Total hours on type:
5113.00
Copilot / Total flying hours:
4826
Copilot / Total hours on type:
4625
Circumstances:
On 01.07.2019, B737-800 aircraft was involved in an accident (runway excursion) at Mumbai airport while landing in moderate to heavy rain. The aircraft was under the command of an ATPL holder (PF) with a CPL holder as First Officer (PM). There were 160 passengers and 7 crew members on board. There was no injury to any of the passengers or crew members. The aircraft suffered substantial damage. The subject flight was fifth of the day for the aircraft and second for the flight crew. The flight crew had earlier operated Mumbai-Jaipur sector and the incident flight was from Jaipur to Mumbai. There were no technical issues reported by the flight crew either during Mumbai Jaipur sector or on the return leg (Jaipur- Mumbai) till descent into Mumbai. The pilots had carried out briefing amongst themselves for the approach including the weather and Go Around actions, if required. The aircraft commenced descent into Mumbai in the late evening hours. As per the reported weather at the time of approach visibility was 2100 metres in rain making it dark. Reported winds were 090/12 Knots. Runway was wet and the trend provided was ³temporary reduction in visibility to 1500 metres with thunder/ showers of rain´. During descend at approximately 7000' Pressure Altitude, the crew observed an indication for IAS disagree, indicating a discrepancy of airspeed between the instrument sources for the flight crew. Although this indication was momentary, the 'Non-Normal Checklist' was carried out. The indication discrepancy did not recur for the remainder of the flight. The aircraft was radar vectored for an ILS approach for Runway 27 at Mumbai. The approach was stabilized by 3800' Pressure Altitude with landing gear down, flaps 30 and auto brake selected at 3. The autopilot was engaged throughout the descent phase and during approach, the second autopilot was also coupled for the ILS approach. At 100', the autopilot and the auto-throttle were disengaged by the PF. The flare manoeuvre consumed approximately 5807' of the runway length prior to the aircraft touchdown with 3881' of runway remaining. After touchdown, the speed brakes deployed automatically and maximum reverse thrust and wheel brakes were applied. The aircraft exited the paved surface at 65 Knots and came to rest at a distance of 615' beyond the end of the runway. Once the aircraft came to rest, the flight crew advised cabin crew to be at their stations. The pilots were unable to contact ATC through VHF communication. The PF contacted his airline personnel using mobile phone and informed that the aircraft had overrun the runway and requested for step ladders. The ATC activated fire services and the runway was closed for operation. The Cabin crew carried out check on the passengers in the cabin. The fire services reached the aircraft location and verbal communication was established with the flight crew once the cockpit window was opened. Two Fire Services personnel boarded the aircraft from the L1 door using a fire ladder. An assessment of the aircraft structure and occupants was made and the fire services personnel informed the cabin crew that deplaning was to be carried out using fire ladders. There were no injuries during evacuation or otherwise.
Probable cause:
The runway excursion occurred because of combination of:
- Disconnection of auto pilot at an altitude 118' RA with the nose up trim bias without adequate compensation.
- Disconnection of auto throttle at 118' RA at a higher thrust setting for that phase of flight.
- Late touchdown of the aircraft on the runway.
- Reduced visual cues due to heavy rain impacting depth perception and ascertaining of actual touchdown position.
- Tailwind conditions at the time of landing resulting In increasing the distance covered during the extended flare (float).
- Approach with lower flaps (30) than recommended (40).
Final Report:

Crash of a BAe 3212 Jetstream 31 in Canaima

Date & Time: Jun 27, 2019 at 1130 LT
Type of aircraft:
Operator:
Registration:
YV2536
Survivors:
Yes
Schedule:
Puerto Ordaz - Canaima
MSN:
9966
YOM:
1992
Country:
Crew on board:
0
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
After touchdown on runway 18/36 at Canaima Airport, the twin engine airplane went out of control, veered off runway and came to rest in the bush, bursting into flames. All occupants evacuated safely while the aircraft was partially destroyed by fire. It was reported that a tire burst upon landing.

Crash of an Antonov AN-24RV in Nizhneangarsk: 2 killed

Date & Time: Jun 27, 2019 at 1024 LT
Type of aircraft:
Operator:
Registration:
RA-47366
Survivors:
Yes
Schedule:
Ulan-Ude - Nizhneangarsk
MSN:
7 73 108 04
YOM:
1977
Flight number:
AGU200
Country:
Region:
Crew on board:
4
Crew fatalities:
Pax on board:
43
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
15167
Captain / Total hours on type:
10667.00
Copilot / Total flying hours:
6012
Copilot / Total hours on type:
1325
Aircraft flight hours:
38014
Aircraft flight cycles:
18584
Circumstances:
On a flight from Ulan-Ude to Nizhneangarsk, while descending to an altitude of 3,050 metres about 30 km from the destination airport, the crew contacted ATC and reported the failure of the left engine. The approach was continued to runway 22. After touchdown, the crew started the braking procedure when the airplane deviated to the right then veered off runway. It rolled in a grassy area, cwent through the perimeter fence and eventually impacted the building of a sewage treatment plant located 380 metres to the right of the runway centerline. The captain and the flight engineer were killed and the copilot was seriously injured. 10 other occupants were injured. The aircraft was destroyed by a post crash fire.

Crash of a Cessna 425 Conquest I in Butler: 1 killed

Date & Time: Jun 10, 2019 at 1020 LT
Type of aircraft:
Registration:
N622MM
Flight Type:
Survivors:
No
Schedule:
Vero Beach - Olathe
MSN:
425-0187
YOM:
1983
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
3457
Captain / Total hours on type:
1891.00
Aircraft flight hours:
6092
Circumstances:
During a cross-country flight, the pilot initiated a descent to his intended destination. During the descent, the pilot informed air traffic control (ATC) that he could not retard power on the right engine. Later in the descent, the pilot decided to shut down the right engine. The pilot communicated his desire to land at the nearest airport to ATC, and ATC provided the pilot with the clearance to divert. Radar data showed the airplane in a steady descent toward the airport. When the airplane was at an altitude of about 2,500 ft mean sea level, the pilot contacted ATC and stated that he was trying to get the airplane under control; radar data showed the airplane in a 360° right turn at the time. The pilot contacted ATC again and stated that he was going to land on a highway. No further transmissions were received from the pilot. After the right turn, the airplane continued in a descent through 1,300 ft mean sea level, at which point radar contact was lost. A witness saw the airplane and stated that the airplane was low and slow but appeared to be in stable flight with both propellers spinning. She did not see any smoke coming from the airplane. She saw the airplane flying northeast to southwest when it suddenly descended nose first into the ground. The airplane impacted a gravel road adjacent to a 100-fttall grain silo about 1 mile from the highway and about 3.3 miles from the airport.
Probable cause:
The pilot’s loss of airplane control during a descent to a diversion airport with only the left engine operating. Contributing to the accident was a malfunction of the right engine throttle, the cause of which could not be determined.
Final Report:

Crash of a De Havilland DHC-2 Beaver off Metlakatla: 2 killed

Date & Time: May 20, 2019 at 1556 LT
Type of aircraft:
Operator:
Registration:
N67667
Survivors:
No
Schedule:
Ketchikan – Metlakatla
MSN:
1309
YOM:
1959
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
1623
Captain / Total hours on type:
20.00
Aircraft flight hours:
29575
Circumstances:
The commercial pilot was conducting his first scheduled commuter flight from the company’s seaplane base to a nearby island seaplane base with one passenger and cargo onboard. According to company pilots, the destination harbor was prone to challenging downdrafts and changing wind conditions due to surrounding terrain. Multiple witnesses at the destination stated that the airplane made a westerly approach, and the wind was from the southeast with light chop on the water. Two witnesses reported the wings rocking left and right before touchdown. One witness stated that a wind gust pushed the tail up before the airplane landed. A different witness reported that the airplane was drifting right during the touchdown, and another witness saw the right (downwind) float submerge under water after touchdown, and the airplane nosed over as it pivoted around the right wingtip, which impacted the water. Flight track and performance data from the cockpit display units revealed that, as the airplane descended on the final approach, the wind changed from a right headwind of 6 knots to a left quartering tailwind of 8 knots before touchdown. The crosswind and tailwind components were within the airplane’s operational limitations. Examination of the airframe, engine, and associated systems revealed no evidence of mechanical malfunctions or failures that would have precluded normal operation or egress. During the final approach and descent, the pilot had various wind information available to him; the sea surface wind waves and signatures, the nearest airport observation winds, the cockpit display calculated wind, and the visual relative ground speed. Had the pilot recognized that the winds had shifted to a quartering tailwind and the airplane’s ground speed was faster than normal, he could have aborted the landing and performed another approach into the wind. Although crosswind landings were practiced during flight training, tailwind landings were not because new pilots were not expected to perform them. Although the crosswind component was well within the airplane’s limits, it is possible that combined with the higher ground speed, the inexperienced pilot was unable to counteract the lateral drift during touchdown in a rapidly shifting wind. The pilot was hired the previous month with 5 hours of seaplane experience, and he completed company-required training and competency checks less than 2 weeks before the accident. According to the chief pilot (CP), company policy was to assign newly hired pilots to tour flights while they gained experience before assigning them to commuter flights later in the season. The previous year, the CP distributed a list of each pilot’s clearances for specific types of flights and destinations; however, an updated list had not been generated for the season at the time of the accident, and the flight coordinators, who were delegated operational control for assigning pilots to flights, and station manager were unaware of the pilot’s assignment limitations. Before the flight, the flight coordinator on duty completed a company flight risk assessment that included numerical values based on flight experience levels. The total risk value for the flight was in the caution area, which required management notification before releasing the flight, due to the pilot’s lack of experience in the accident airplane make and model and with the company, and his unfamiliarity with the geographical area; however, the flight coordinator did not notify management before release because the CP had approved a tour flight with the same risk value earlier in the day. Had the CP been notified, he may not have approved of the pilot's assignment to the accident flight. The pilot's minimal operational experience in seaplane operations likely affected his situational awareness in rapidly changing wind conditions and his ability to compensate adequately for a quartering tailwind at a higher-than-normal ground speed, which resulted in a loss of control during the water landing and a subsequent nose-over.
Probable cause:
The pilot’s inadequate compensation for a quartering tailwind during a water landing, which resulted in a loss of control and subsequent nose-over. Contributing to the accident was the company’s inadequate operational control of the flight release process, which resulted in assignment of an inexperienced pilot to a commuter seaplane flight.
Final Report: