Crash of a Beechcraft A100 King Air in Pointe-Noire

Date & Time: Dec 4, 2011 at 1422 LT
Type of aircraft:
Operator:
Registration:
9Q-CEM
Survivors:
Yes
Schedule:
Moanda - Pointe-Noire
MSN:
B-105
YOM:
1972
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
8
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
Following an uneventful flight from Moanda, Gabon, the crew initiated the approach in poor weather conditions (rain falls, strong crosswinds and turbulences). After touchdown, the twin engine aircraft skidded then veered off runway to the left. While contacting soft ground, the landing gear collapsed and the left engine was partially torn off. All 10 occupants escaped uninjured while the aircraft was damaged beyond repair. Wind shear conditions are suspected.

Crash of a Casa 212 Aviocar 200 in Larat

Date & Time: Dec 3, 2011 at 1308 LT
Type of aircraft:
Operator:
Registration:
PK-NCZ
Survivors:
Yes
Schedule:
Langur - Larat
MSN:
274/79N
YOM:
1986
Flight number:
MNA9933
Location:
Country:
Region:
Crew on board:
4
Crew fatalities:
Pax on board:
19
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
7500
Captain / Total hours on type:
5500.00
Copilot / Total flying hours:
343
Copilot / Total hours on type:
72
Aircraft flight hours:
26935
Aircraft flight cycles:
30064
Circumstances:
The Casa 212-200 aircraft registered PK-NCZ operated by PT. Merpati Nusantara Airlines on a scheduled flight from Langur to Larat, touched down at 224 meters from runway 09, was bouncing twice to the left of runway centre line, out of the runway and stopped at 607 meters from runway 09 touch down area as final position, and 15 meters to the left of runway edge. The Pilot Flying was First Officer, and after second bouncing, PIC took over, and he tried to bring the aircraft to the centre line of the runway without success. The aircraft continued rolled to the shoulder away from the runway and stopped at the final position. This is the second landing at Larat runway on the same day. There were 15 passengers, 3 children, one baby, Pilot In Command, two First Officers, one First Officer was Pilot Flying from Langur to Larat, one engineer on board. One passenger was serious injured, another one passenger minor injured.
Final Report:

Crash of a Beechcraft F90 King Air in Midland

Date & Time: Dec 2, 2011 at 0810 LT
Type of aircraft:
Registration:
N90QL
Flight Type:
Survivors:
Yes
Site:
Schedule:
Wharton - Midland
MSN:
LA-2
YOM:
1979
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
4600
Captain / Total hours on type:
25.00
Aircraft flight hours:
8253
Circumstances:
The aircraft collided with terrain while on an instrument approach to the Midland Airpark (MDD), near Midland, Texas. The commercial pilot, who was the sole occupant, sustained serious injuries. The airplane was registered to and operated by Quality Lease Air Services LLC., under the provisions of 14 Code of Federal Regulations Part 91 as a positioning flight. Instrument meteorological conditions prevailed and an instrument flight rules (IFR) flight plan had been filed for the cross-country flight. The flight originated from the Wharton Regional Airport (ARM), Wharton, Texas, about 0626. The pilot obtained a weather briefing for the flight to MDD. The briefing forecasted light freezing drizzle for the proposed time and route of flight. While on approach to MDD, the airplane was experiencing an accumulation of moderate to severe icing and the pilot stated that he had all the deicing equipment on. According to the pilot, the autopilot was flying the airplane to a navigational fix called JIBEM. He switched the autopilot to heading mode and flew to the final approach fix called WAVOK. He deployed the deice boots twice before approaching WAVOK. An Airport Traffic Control Tower (ATCT) controller informed the pilot, that according to radar, he appeared to be flying to JIBEM. The pilot responded that he was correcting back and there was something wrong with the GPS. The controller canceled the airplane's approach clearance and the controller issued the pilot a turning and climbing clearance to fly for another approach. The pilot stated that his copilot's window iced up at that point. The pilot was vectored for and was cleared for another approach attempt. The pilot said that his window was "halfway iced up." About two minutes after being cleared for the second approach, the controller advised the pilot that the airplane appeared to be "about a half mile south of the course." The pilot responded, "Yep ya uh I got it." The pilot was given heading and climb instructions in case of a missed approach and was subsequently cleared to change to an advisory frequency. The pilot responded with, "Good day." The pilot had configured the aircraft with approach flaps and extended the landing gear prior to reaching the final approach fix. The pilot stated the aircraft remained in this configuration and he did not retract the gear and flaps. The pilot stated that he descended to 3,300 feet and was just under the cloud deck where he was looking for the runway. The pilot's accident report, in part, said: Everything was flying smooth until I accelerated throttles from about halfway to about three quarters. At this point I lost roll control and the airplane rolled approximately 90 degrees to the left. I disengaged autopilot and began to turn the yoke to the right and holding steady. It was slow to respond and when I thought that I had it leveled off the airplane continued to roll approximately 90 degrees to the right. At this time I was turning the yoke back to the left and pulling back to level it off, but it continued to roll to the left again. I was turning the yoke to the right again as I continued to pull back and the airplane rolled level, and the stall warning horn came on seconds before impact on the ground. The pilot stated he maintained a target airspeed speed of 120 knots on approach and 100 knots while on final approach. He stated he was close to 80 knots when the aircraft was in the 90° right bank. Witnesses in the area observed the airplane flying. A witness stated that the airplane's wings were "rocking." Other witnesses indicated that the airplane banked to the left and then nosed down. The airplane impacted a residential house, approximately 1 mile from the approach end of runway 25, and a post crash fire ensued. The pilot was able to exit the airplane and there were no reported ground injuries.
Probable cause:
The pilot's failure to maintain the recommended airspeed for icing conditions and his subsequent loss of airplane control while flying the airplane under autopilot control in severe
icing conditions, contrary to the airplane's handbook. Contributing to the accident was the pilot's failure to divert from an area of severe icing. Also contributing to the accident was the lack of an advisory for potential hazardous icing conditions over the destination area.
Final Report:

Crash of a Beechcraft 1900C in La Paz

Date & Time: Nov 30, 2011 at 1527 LT
Type of aircraft:
Operator:
Registration:
FAB-043
Flight Type:
Survivors:
Yes
Schedule:
Uyuni - La Paz
MSN:
UA-3
YOM:
1983
Country:
Crew on board:
3
Crew fatalities:
Pax on board:
4
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
The twin engine aircraft departed Uyuni-La Joya Andina Airport on a flight to La Paz, carrying four passengers and three crew members. On approach to El Alto Airport, the crew encountered an unexpected situation. The captain decided to attempt an emergency landing in an open field. Upon touchdown, the undercarriage were torn off and the aircraft slid for few dozen metres before coming to rest 6 km from the airport. All seven occupants escaped uninjured while the aircraft was damaged beyond repair.

Crash of a Cessna 207 Skywagon in Chuathbaluk: 1 killed

Date & Time: Nov 29, 2011 at 1925 LT
Operator:
Registration:
N1673U
Flight Type:
Survivors:
No
Schedule:
Aniak - Chuathbaluk
MSN:
207-0273
YOM:
1974
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
10000
Aircraft flight hours:
16889
Circumstances:
The pilot departed on a positioning flight during dark night, marginal visual meteorological conditions. A witness, who was waiting for the airplane at the destination airport, stated that shortly after the pilot-controlled airport lighting activated, a snow squall passed over the airport, greatly reducing the visibility. The accident airplane never arrived at its destination, and a search was initiated. The airplane’s fragmented wreckage was discovered early the next morning in a wooded area, about 2 miles from its destination. A review of archived automatic dependent surveillance-broadcast (ADS-B) data received from the accident airplane showed that the pilot departed, and the airplane climbed to about 700 feet above ground level. The airplane remained at about 700 feet for about 3 minutes, and then entered a shallow right-hand descending turn, until it impacted terrain. On-site examination of the airplane and engine revealed no preaccident mechanical anomalies that would have precluded normal operation. The cockpit area was extensively fragmented, thus the validity of any postaccident cockpit and instrument findings was unreliable. Likewise, structural damage to the airframe precluded the determination of flight control continuity. A postaccident examination of the engine and recovered components did not disclose any evidence of a mechanical malfunction. Given the witness account of worsening weather conditions at the airport just before the accident and the lack of mechanical anomalies with the airplane, it is likely that the accident pilot encountered heavy snow and instrument meteorological conditions while approaching the airport. It is also likely that the pilot became spatially disoriented during the unexpected weather encounter and subsequently collided with terrain.
Probable cause:
The pilot’s loss of situational awareness after an inadvertent encounter with instrument meteorological conditions, which resulted in an in-flight collision with tree-covered terrain.
Final Report:

Crash of a Piper PA-31-350 Navajo Chieftain in Palwaukee: 3 killed

Date & Time: Nov 28, 2011 at 2250 LT
Registration:
N59773
Flight Type:
Survivors:
Yes
Schedule:
Jesup - Chicago
MSN:
31-7652044
YOM:
1976
Crew on board:
2
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
3
Captain / Total flying hours:
6607
Captain / Total hours on type:
120.00
Copilot / Total flying hours:
314
Aircraft flight hours:
17630
Circumstances:
The airplane was dispatched on an emergency medical services flight. While being vectored for an instrument approach, the pilot declared an emergency and reported that the airplane was out of fuel. He said the airplane lost engine power and that he was heading toward the destination airport. The airplane descended through clouds and impacted trees and terrain short of its destination. No preimpact anomalies were found during a postaccident examination. The postaccident examination revealed about 1.5 ounces of a liquid consistent with avgas within the airplane fuel system. Based on the three previous flight legs and refueling receipts, postaccident calculations indicated that the airplane was consuming fuel at a higher rate than referenced in the airplane flight manual. Based on this consumption rate, the airplane did not have enough fuel to reach the destination airport; however, a 20-knot tailwind was predicted, so it is likely that the pilot was relying on this to help the airplane reach the airport. Regardless, he would have been flying with less than the 45-minute fuel reserve that is required for an instrument flight rules flight. The pilot failed to recognize and compensate for the airplane’s high fuel consumption rate during the accident flight. It is likely that had the pilot monitored the gauges and the consumption rate for the flight he would have determined that he did not have adequate fuel to complete the flight. Toxicology tests showed the pilot had tetrahydrocannabinol and tetrahydrocannabinol carboxylic acid (marijuana) in his system; however, the level of impairment could not be determined based on the information available. However, marijuana use can impair the ability to concentrate and maintain vigilance and can distort the perception of time and distance. As a professional pilot, the use of marijuana prior to the flight raises questions about the pilot’s decision-making. The investigation also identified several issues that were not causal to the accident but nevertheless raised concerns about the company’s operational control of the flight. The operator had instituted a fuel log, but it was not regularly monitored. The recovered load manifest showed the pilot had been on duty for more than 15 hours, which exceeded the maximum of 14 hours for a regularly assigned duty period per 14 Code of Federal Regulations Part 135. The operator stated that it was aware of the pilot’s two driving while under the influence of alcohol convictions, but the operator did not request a background report on the pilot before he was hired. Further, the operator did not list the pilot-rated passenger as a member of the flight crew, yet he had flown previous positioning legs on the dispatched EMS mission as the pilot-in-command.
Probable cause:
The pilot's inadequate preflight planning and in-flight decision-making, which resulted in a loss of engine power due to fuel exhaustion during approach. Contributing to the accident was the pilot's decision to operate an airplane after using illicit drugs.
Final Report:

Crash of a Cessna 208B Grand Caravan in Bilogai-Sugapa: 1 killed

Date & Time: Nov 23, 2011 at 0942 LT
Type of aircraft:
Operator:
Registration:
PK-VVG
Flight Type:
Survivors:
Yes
Schedule:
Nabire - Bilogai-Sugapa
MSN:
208B-1308
YOM:
2007
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
1859
Captain / Total hours on type:
1550.00
Copilot / Total flying hours:
690
Copilot / Total hours on type:
231
Aircraft flight hours:
4331
Aircraft flight cycles:
5375
Circumstances:
The flight route was Nabire to Bilogai as an unscheduled cargo flight. There were two pilots on board and the freight load was a mixture of food, palm oil, and cement. The aircraft departed from Nabire at 2355 UTC (0855 LT), the estimate time of arrival of Bilogai was 0045 UTC. At 0042 UTC the aircraft was reported above touchdown zone and the altitude recorded of 6,960 feet, direction 277 degrees and air speed 94 knots. The aircraft executed a go around due to an unauthorized person entering the shoulder of the runway 27, the aircraft then continued to climb and headed left. It was reported while the aircraft initially was climbing with the nose up but following lost altitude. During go around manoeuvre the aircraft attitude was in high nose up position, caused the angle of attack was too high and beyond a stall margins caused the aircraft stall. The aircraft bank to the right and crashed on a corn farm at coordinate S 03 44.58 E 137 0.96 and altitude about 6,550 feet with heading about 260 degrees. The aircraft was destroyed on impact with the ground. The captain seriously injured and still on seat in the aircraft wearing the shoulder harness. The second in command was fatally injured outside of the aircraft at the crashed site.
Probable cause:
FINDINGS :
• The aircraft was airworthy prior the accident and there was no evidence of system malfunction during the flight.
• The crew had valid license and medical certificate.
• There were no fences at the airport perimeter.
• There was a local plantation area nearby the runway.
• Unauthorized person entering the shoulder of the runway 27.
• There was no warning signal to alert if unauthorized persons entering the runway, especially during any aircraft Takeoff and Landing.
• The valley (gap) on the south side of the runway was too narrow for successful go around manoeuvre by a caravan aircraft.
• The aircraft most probably stalled due to very high angle of attack, when the aircraft was manoeuvre to avoid the surrounding terrain and bank to the right.
• The communication of incoming and outgoing Susi Air aircraft from and to Bilogai was only to Susi Air ground handling Agent at Sugapa.
CAUSES :
The aircraft was executed a Go Around due to a unauthorized person entering the shoulder of the runway 27, after go around, crew tried to avoid terrain impact, increasing the aircraft attitude more pitching up caused the angle of attack was higher and beyond a stall margins , finally stall just before impact.
Final Report:

Crash of a Cessna 208B Grand Caravan in Talcha

Date & Time: Nov 21, 2011 at 1600 LT
Type of aircraft:
Operator:
Registration:
9N-AJM
Survivors:
Yes
Schedule:
Nepalgunj – Talcha
MSN:
208B-0561
YOM:
1996
Location:
Country:
Region:
Crew on board:
3
Crew fatalities:
Pax on board:
9
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
After landing on runway 36 at Talcha Airport, the single engine aircraft veered off runway, went down an embankment and came to rest against a house down the runway. All 12 occupants escaped uninjured while the aircraft was damaged beyond repair. Downdrafts on final approach were reported, and the aircraft seemed to be unstable prior to landing.

Crash of a Piaggio P.180 Avanti II in Flint

Date & Time: Nov 16, 2011 at 0940 LT
Type of aircraft:
Operator:
Registration:
N168SL
Survivors:
Yes
Schedule:
Detroit - West Bend
MSN:
1139
YOM:
2007
Flight number:
VNR168
Crew on board:
2
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
3851
Captain / Total hours on type:
2023.00
Copilot / Total flying hours:
3957
Copilot / Total hours on type:
259
Aircraft flight hours:
4422
Circumstances:
During climb to cruise, the captain increased left engine power and the engine power lever became jammed in the full forward position. This condition resulted in an engine overtorque and overtemperture condition, and the captain shut down the left engine. After the engine shutdown, both primary flight display screens went blank. The captain reset the right generator and the flight displays regained power and display. Due to the engine shutdown, the captain diverted to a nearby airport and attempted a single-engine precautionary landing in visual flight rules conditions. Based on wind conditions at the airport (290 degrees at 18 knots), runway 27 was being used for operations. During the descent, the crew became confused as to their true heading and were only able to identify runway 27 about a minute before touching down due to a 50-degree difference in heading indications displayed to the crew as a result of the instrument gyros having been reset. Accurate heading information would have been available to the crew had they referenced the airplane’s compass. Having declared an emergency, the crew was cleared to land on any runway and chose to land on runway 18. After touchdown, the captain applied reverse thrust on the right engine and the airplane veered to the right. The airplane flight manual’s single-engine approach and landing checklist indicates that after landing braking and reverse thrust are to be used as required to maintain airplane control. The airplane continued to the right, departed the runway surface, impacted terrain, flipped over, and came to rest inverted. At the point of touchdown, there was about 5,000 feet of runway remaining for the landing roll. The loss of directional control was likely initiated when the captain applied reverse thrust shortly after touchdown, and was likely aggravated by the strong crosswind. Postaccident examination of the airplane showed a clevis pin incorrectly installed by unknown maintenance personnel that resulted in a jammed left engine power lever. No additional anomalies were noted with the airplane or engines that would have precluded normal operation.
Probable cause:
The captain's failure to maintain directional control during landing with one engine inoperative. Contributing to the accident was an improperly installed clevis pin in the left engine power lever, the crew’s delay in accurately identifying their heading, and their subsequent selection of a runway with a strong crosswind.
Final Report:

Crash of a Cessna 401A in Gladewater

Date & Time: Nov 12, 2011 at 1635 LT
Type of aircraft:
Registration:
N531MH
Flight Type:
Survivors:
Yes
Schedule:
Natchitoches - Gladewater
MSN:
401-0097
YOM:
1969
Crew on board:
1
Crew fatalities:
Pax on board:
4
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
1241
Captain / Total hours on type:
468.00
Circumstances:
The aircraft was substantially damaged while landing at the Gladewater Municipal Airport (07F), Gladewater, Texas. The private pilot and three passengers received minor injuries, and the forth passenger was seriously injured. The airplane was registered to and operated by the pilot. Visual meteorological conditions prevailed and a visual flight rules (VFR) flight plan was filed for the 14 Code of Federal Regulations Part 91 personal flight. The cross-country flight originated from the Natchitoches Regional Airport (IER), Natchitoches, Louisiana, around 1550. While preparing to enter the traffic pattern at 1,800 feet above ground level, the pilot checked the wind on his Garmin 696 with NEXRAD and also heard a wind update on the radio for the nearest weather facility. The current wind was understood to be from 170 degrees between 20 and 25 knots. The pilot entered the pattern in a left downwind for runway 14 and began to slow the airplane down. The pilot stated he was on short final and at an airspeed of about 120 knots when a gusting crosswind pushed the airplane 30 feet right of the runway centerline and began to descend very quickly. The pilot decided to perform a go-around maneuver and added full engine power. As engine power was added, the twin-engine airplane began to roll to the right. The pilot then elected to reduce engine power and land. The airplane impacted and exited the runway before coming to rest in an upright position. Investigators from the National Transportation Safety Board, the Federal Aviation Administration, Cessna Aircraft Co., and Continental Motors, Inc. performed a post accident examination of the airplane and the engines. Examination of the airplane revealed substantial damage to the fuselage, empennage, wings, and landing gear. No preaccident mechanical malfunctions or failures were found that would have precluded normal operation. At 1553, the aviation routine weather report at East Texas Regional Airport in Longview, Texas, about 16 nautical miles southeast of the accident location was: wind 170 degrees and 16 knots gusting to 23 knots; visibility 10sm; few clouds at 4,900 feet above ground level; temperature 23 degrees Celsius and dew point 13 degrees Celsius; altimeter 29.92 inches of mercury. At 1530, the weather station reported a peak wind gust of 27 knots from 190 degrees.
Probable cause:
The pilot’s failure to maintain control of the airplane during the landing and attempted go-around in a gusty crosswind.
Final Report: