Crash of a Beechcraft B200T Super King Air at Butterworth AFB: 1 killed

Date & Time: Dec 21, 2016 at 1718 LT
Operator:
Registration:
M41-03
Flight Type:
Survivors:
Yes
Schedule:
Kuala Lumpur – Butterworth
MSN:
BT-37
YOM:
1993
Country:
Region:
Crew on board:
4
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Circumstances:
The crew was completing a training flight from Kuala Lumpur-Subang Airport when on final approach to Butterworth Airbase, the twin engine aircraft went out of control and crashed, coming to rest against the perimeter fence. The aircraft was partially destroyed by impact forces and one crew member was killed while three other occupants were injured. Weather conditions were considered as good at the time of the accident.

Crash of an Ilyushin II-18V near Tiksi

Date & Time: Dec 19, 2016 at 0445 LT
Type of aircraft:
Operator:
Registration:
RF-91821
Flight Type:
Survivors:
Yes
Schedule:
Yekaterinburg - Kansk - Tiksi
MSN:
185 0080 03
YOM:
1965
Country:
Region:
Crew on board:
7
Crew fatalities:
Pax on board:
31
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
The four engine airplane departed Yekaterinburg on a flight to Tiksi with an intermediate stop in Kansk, carrying 32 passengers and seven crew members. During a polar night approach, the aircraft deviated from the approach pattern and dropped below the glide path relying on a flawed approach scheme. This caused the belly to touch the summit of a snow-covered hill (392 metres high) located 31 km northwest of Tiksi Airport. The aircraft bounced and touched the ground again on the rear slope of the hill some 1,250 metres further on. The fuselage broke into three parts. There was no fire. All 7 crew and 31 passengers were injured, 16 seriously.

Crash of a Lockheed C-130H Hercules in Wamena: 13 killed

Date & Time: Dec 18, 2016 at 0609 LT
Type of aircraft:
Operator:
Registration:
A-1334
Flight Type:
Survivors:
No
Site:
Schedule:
Timika – Wamena
MSN:
4785
YOM:
1978
Country:
Region:
Crew on board:
12
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
13
Circumstances:
The four engine aircraft departed Timika-Moses Kilangin Airport at 0535LT bound for Wamena. While approaching Wamena, the crew encountered marginal weather conditions and the aircraft descended through several cloud layers when it impaxted a hilly terrain about four minutes before ETA at 0613LT. The aircraft was destroyed by impact forces and a post crash fire and all 13 occupants were killed. The wreckage was found less than 2 km southeast from runway 33 threshold.

Crash of a Cessna (DMI) Falcon 402 in Lanseria

Date & Time: Dec 13, 2016 at 1530 LT
Type of aircraft:
Registration:
ZU-TVB
Flight Type:
Survivors:
Yes
Schedule:
Lanseria - Bazaruto Island
MSN:
402B-1008
YOM:
1975
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
Shortly after takeoff from Lanseria Airport Runway 07, en route to Bazaruto Island in Mozambique, the pilot encountered engine problems. He contacted ATC and was cleared for an immediate return and landing on runway 25. On short final, the single engine airplane hit the perimeter fence and crashed near the runway threshold, bursting into flames. All three occupants were injured and the aircraft was destroyed by a post crash fire. Built in 1975, this Cessna 402B was equipped with a new turbo engine and redesigned as a single engine Cessna (DMI) Falcon 402 (the C402 is usually a twin engine aircraft).

Crash of a Beechcraft B200 Super King Air in Moomba

Date & Time: Dec 13, 2016 at 1251 LT
Operator:
Registration:
VH-MVL
Flight Type:
Survivors:
Yes
Schedule:
Innamincka – Moomba
MSN:
BB-1333
YOM:
1989
Flight number:
FD209
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
On 13 December 2016, a Beech Aircraft Corporation B200, registered VH-MVL, conducted a medical services flight from Innamincka, South Australia (SA) to Moomba, SA. On board the aircraft were the pilot and two passengers. On arrival at Moomba at about 1250 Central Daylight-saving Time (CDT), the pilot configured the aircraft to join the circuit with flaps set to the approach setting and the propeller speed set at 1900 RPM. They positioned the aircraft at 150–160 kt airspeed to join the downwind leg of the circuit for runway 30, which is a right circuit. The pilot lowered the landing gear on the downwind circuit leg. They reduced power (set 600-700 foot-pounds torque on both engines) to start the final descent on late downwind abeam the runway 30 threshold, in accordance with their standard operating procedures. At about the turn point for the base leg of the circuit, the pilot observed the left engine fire warning activate. The pilot held the aircraft in the right base turn, but paused before conducting the engine fire checklist immediate actions in consideration of the fact that they were only a few minutes from landing and there were no secondary indications of an engine fire. After a momentary pause, the pilot decided to conduct the immediate actions. They retarded the left engine condition lever to the fuel shut-off position, paused again to consider if there was any other evidence of fire, then closed the firewall shutoff valve, activated the fire extinguisher and doubled the right engine power (about 1,400 foot-pounds torque). The pilot continued to fly the aircraft in a continuous turn for the base leg towards the final approach path, but noticed it was getting increasingly difficult to maintain the right turn. They checked the engine instruments and confirmed the left engine was shut down. They adjusted the aileron and rudder trim to assist controlling the aircraft in the right turn. The aircraft became more difficult to control as the right turn and descent continued and the pilot focused on maintaining bank angle, airspeed (fluctuating 100–115 kt) and rate of descent. Due to the pilot’s position in the left seat, they were initially unable to sight the runway when they started the right turn. The aircraft had flown through the extended runway centreline when the pilot sighted the runway to the right of the aircraft. The aircraft was low on the approach and the pilot realised that a sand dune between the aircraft and the runway was a potential obstacle. They increased the right engine power to climb power (2,230 foot-pounds torque) raised the landing gear and retracted the flap to reduce the rate of descent. The aircraft cleared the sand dune and the pilot lowered the landing gear and continued the approach to the runway from a position to the left of the runway centreline. The aircraft landed in the sand to the left of the runway threshold and after a short ground roll spun to the left and came to rest. There were no injuries and the aircraft was substantially damaged.
Probable cause:
From the evidence available, the following findings are made with respect to the collision with terrain involving Beech Aircraft Corporation B200, registered VH-MVL that occurred at Moomba Airport, South Australia on 13 December 2016. These findings should not be read as apportioning blame or liability to any particular organisation or individual.
Contributing factors:
- The operator did not modify the aircraft to include a more reliable engine fire detection system in accordance with the manufacturer’s service bulletin, and as subsequently recommended by the Civil Aviation Safety Authority’s airworthiness bulletin. The incorporation of the manufacturer’s modification would have reduced the risk of a false engine fire warning.
- During the approach phase of flight, the pilot shutdown the left engine in response to observing a fire warning, but omitted to feather the propeller. The additional drag caused by the windmilling propeller, combined with the aircraft configuration set for landing while in a right turn, required more thrust than available for the approach.

Other factors that increased risk:
- The advice from the Civil Aviation Safety Authority to the operator, that differences training was acceptable, resulted in the pilot not receiving the operator’s published B200 syllabus of training. The omission of basic handling training on a new aircraft type could result in a pilot not developing the required skilled behaviour to handle the aircraft either near to or in a loss of control situation.

Other findings:
- The pilot met the standard required by the operator in their cyclic training and proficiency program and no knowledge deficiencies associated with handling engine fire warnings were identified.
Final Report:

Crash of a Boeing 737-46J in Kabul

Date & Time: Dec 10, 2016 at 1224 LT
Type of aircraft:
Operator:
Registration:
JY-JAQ
Survivors:
Yes
Schedule:
Herat - Kabul
MSN:
27826/2694
YOM:
1995
Flight number:
4Q502
Location:
Country:
Region:
Crew on board:
9
Crew fatalities:
Pax on board:
164
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
5078
Captain / Total hours on type:
4877.00
Copilot / Total flying hours:
3380
Copilot / Total hours on type:
3177
Aircraft flight hours:
56805
Aircraft flight cycles:
28611
Circumstances:
On 10 December 2016, JAV Boeing 737-400 Aircraft, registration JY-JAQ, operating a leased scheduled passenger flight SFW 502, on behalf of SAFI Airways under wet lease contract with the later call sign, departed a domestic flight from Herat Airport (OAHR), at 07:00 Z from RWY 36 to Kabul International Airport (OAKB) Afghanistan. At approximately 07:57:45 Z, the Aircraft touched down RWY 29 at Kabul. The aircraft departed Herat with 164 passengers ,07 Operating Crewmembers and 02 Engineers , Total on board were 173 person. As the flight approached OAKB, the crew received the automatic terminal information service (ATIS) from OAKB station at 07:45 Z indicating normal weather with visibility of 6 Km, temperature 07 degrees Celsius and wind of 150/07. The Aircraft was configured for landing with the flaps set to 30, and approach speed selected of 152 knots (VREF + 10) indicated airspeed (IAS). The Aircraft was cleared to approach ILS 29. The Aircraft was vectored by the radar for RWY 29. Air traffic control cleared the flight to land, with the wind reported to be 190 degrees at 15 knots. The crew stated that a few seconds after the touchdown, they felt the aircraft vibrating, during which they applied brakes and deployed the reverse thrust. The vibration was followed by the aircraft rolling slightly low to the right. It later came to a full stop left of the runway centre line, resting on its left main landing gear and the right engine, with the nose landing gear in the air. The occurrence occurred at approximately 3,806 ft / 1,160 m past the threshold. The PIC declared Emergency to the ATC and the cockpit crew initiated an evacuation command from the left side of the aircraft. Evacuation was successfully accomplished with No reported injuries. Kabul airport RFF reached the occurrence aircraft and observed the smoke coming from right side and immediately deployed their procedures by spraying foam on engine # 2. The aircraft sustained substantial damage due to the separation of the right main gear resulting on the aircraft skidding on the right engine cowlings. No injuries were sustained by any of the occupants during the occurrence or the evacuation sequence. Operating crew of the incident flight were called by the Afghani Civil Aviation Authority (ACAA) for interview and medical examination (alcohol and drugs, blood test). No injuries were reported by the occupants of the Aircraft or the ground crew.
Probable cause:
The Investigation committee determines that the airplane occasionally experienced main landing gear shimmy and the most probable cause indicated that the struts were extended for long period of time. As a result, the torsion link of the shimmy damper remained in an extended vertical position, where the damper has less mechanical advantage for longer periods of time. Despite the presence of shimmy damper hardware which is designed to reduce the torsional vibration energy generated during landing.
Contributing factors to the event include:
- High altitude airport of 5,877 feet.
- An overly soft landing, allows the landing gears to remain in the air mode longer, which makes them more vulnerable to shimmy,
- Touchdown with a closure rate of 1 fps, which is considered overly soft and may increase the risk of shimmy torsional forces,
- High ground speed at touchdown of 178 knots ,which resulted from the high touchdown airspeed of 158 knots , touchdown at (VREF+16).
Final Report:

Crash of a Cessna 500 Citation I in Gunnison

Date & Time: Dec 4, 2016 at 1853 LT
Type of aircraft:
Operator:
Registration:
N332SE
Flight Type:
Survivors:
Yes
Schedule:
San Jose – Pueblo
MSN:
500-0332
YOM:
1975
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
2267
Captain / Total hours on type:
142.00
Aircraft flight hours:
5218
Circumstances:
The commercial pilot of the jet reported that he initially requested that 100 lbs of fuel be added to both fuel tanks. During the subsequent preflight inspection, the pilot decided that more fuel was needed, so he requested that the airplane's fuel tanks be topped off with fuel. However, he did not confirm the fuel levels or check the fuel gauges before takeoff. He departed on the flight and did not check the fuel gauges until about 1 hour after takeoff. He stated that, at that time, the fuel gauges were showing about 900-1,000 lbs of fuel per side, and he realized that the fuel tanks had not been topped off as requested. He reduced engine power to conserve fuel and to increase the airplane's flight endurance while he continued to his destination. When the fuel gauges showed about 400-500 lbs of fuel per side, the low fuel lights for both wing fuel tanks illuminated. The pilot reported to air traffic control that the airplane was low on fuel and diverted the flight to the nearest airport. The pilot reported that the airplane was high and fast on the visual approach for landing. He misjudged the height above the ground and later stated that the airplane "landed very hard." The airplane's left main landing gear and nose gear collapsed and the airplane veered off the runway, resulting in substantial damage to the left wing. The pilot reported no preaccident mechanical malfunctions or failures with the airplane that would have precluded normal operation.
Probable cause:
The pilot's failure to fly a stabilized approach and his inadequate landing flare, which resulted in a hard landing. Contributing to the accident was the pilot's failure to ensure that the airplane was properly serviced with fuel before departing on the flight.
Final Report:

Crash of a Cessna 340 in Fargo: 1 killed

Date & Time: Dec 1, 2016 at 1629 LT
Type of aircraft:
Operator:
Registration:
N123KK
Survivors:
No
Schedule:
Fargo - Fargo
MSN:
340-0251
YOM:
1973
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
7898
Aircraft flight hours:
7012
Circumstances:
The airplane was equipped with an air sampling system used to collect air samples at various altitudes. The accident occurred when the pilot was returning to the airport after taking air samples at various altitudes over oil fields. As he was being vectored for an instrument approach, the airplane overshot the runway's extended centerline. The pilot then reported that he had a fire on board. The airplane lost altitude rapidly, and radar contact was lost. Examination of the accident site indicated that the airplane struck the ground at high velocity and a low impact angle. One piece of the airplane's shattered Plexiglas windshield exhibited soot streaking on its exterior surface. This soot streaking did not extend onto the piece's fracture surface, indicative of the smoke source being upstream of the windshield and the smoke exposure occurring before windshield breakup at impact. Both nose baggage compartment doors were found about 2 miles south of the main wreckage, which indicative that they came off at nearly the same time and most likely before the pilot's distress call. Although there was no soot deposits, thermal damage, or deformation to the doors consistent with a "high energy explosion," the separation of the luggage compartment doors could have occurred due to an overpressure caused by the ignition of a fuel air mixture within the nose portion of the airplane. The ignition of fuel air mixtures can create overpressure events when they occur in confinement. An overpressure in the nose baggage compartment may have stretched the airframe enough to allow the doors to push open without deforming the latches. If it was a lean fuel air mixture, it would likely leave no soot residue. Post-accident examination revealed no evidence that the air sampling system, which was strapped to the seat tracks behind the copilot's seat, was the cause of the fire. The combustion heater, which was mounted in the right front section of the nose baggage compartment, bore no evidence of fuel leakage, but a fuel fitting was found loose.
Probable cause:
The loose fuel fitting on the combustion heater that leaked a lean fuel-air mixture into the nose baggage compartment. The mixture was most likely ignited by the combustion heater, blowing off the nose baggage compartment doors and starting an in-flight fire.
Final Report:

Crash of a Piper PA-31-350 Navajo Chieftain in El Sacrificio

Date & Time: Nov 29, 2016
Operator:
Registration:
N633D
Flight Type:
Survivors:
Yes
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
The twin engine airplane was involved in a smuggling flight within Mexico and was carrying three people. In unclear circumstances, the pilot attempted a belly landing in a swampy area located in El Sacrificio, State of Campeche. The wreckage was found by local authorities few hours later and no trace of the occupant was found or the load was found. The registration N633D is attributed to a Piper PA-31 with MSN 31-7852098 which was not involved in this accident. Thus, it was confirmed by Mexican and US Authorities that the registration was false.

Crash of an Avro RJ85 in La Ceja: 71 killed

Date & Time: Nov 28, 2016 at 2158 LT
Type of aircraft:
Operator:
Registration:
CP-2933
Survivors:
Yes
Site:
Schedule:
Santa Cruz - Medellín
MSN:
E.2348
YOM:
1999
Flight number:
LMI2933
Country:
Crew on board:
4
Crew fatalities:
Pax on board:
73
Pax fatalities:
Other fatalities:
Total fatalities:
71
Captain / Total flying hours:
6692
Captain / Total hours on type:
3417.00
Copilot / Total flying hours:
6923
Copilot / Total hours on type:
1474
Aircraft flight hours:
21640
Aircraft flight cycles:
19737
Circumstances:
The aircraft was performing a charter flight from Santa Cruz-Viru Viru to Medellín-José María Córdova (Rionegro) Airport, carrying members of the Chapecoense Real soccer team from Brazil who were traveling to Medellín to play against Atletico Nacional for a Copa Sudamericana game. The descent to Medellín was started by night and in good weather conditions when it seems that the encountered electrical problem. At 2156LT, while descending to FL155, the four engine aircraft hit tree tops and crashed in a wooded area located on the slope of a mountain located in the Cerro Gordo, near the city of La Ceja, about 17 km south from runway 01 threshold. The aircraft was totally destroyed upon impact but there was no fire. Six (two crew member and four passengers) were injured and evacuated while 71 other occupants were killed. According to first investigations, the crew encountered electrical problems and the aircraft may have suffered a fuel exhaustion. Due to the combination of several factors and findings that were detected during initial investigations, it was determined that the primary cause of the accident may have been a fuel exhaustion. The board of investigation was then in a process to determine the exact circumstances of the occurrence and to understand the course of events and the exact behavior and flight supervision (instruments, fuel jauges, flight preparation, operations, permission, ground assistance) on part of the flight crew and the operator. On December 2, the Civil Aviation Authority of Bolivia revoked with immediate effect the Air Operator Certificate of LAMIA. All flights have been suspended since.
Probable cause:
It was determined that the accident was the consequence of an inappropriate planning and execution of the flight, since the amount of fuel required to fly from the airport of destination to an alternate airport was not considered, nor was the amount of reserve fuel, nor the contingency fuel, nor the minimum landing fuel, quantities of fuel required by aeronautical regulations for the execution of the type of international flight that the aircraft CP-2339 was performing. The following factors were considered as contributing:
- Loss of situational awareness,
– Premature configuration of the aircraft for landing,
– Latent deficiencies,
– Lack of operational supervision and control of part of Operator,
– Organizational and operational deviation on the part of the Operator (non compliant to standard procedures).
Final Report: