Crash of a Boeing 727-22 in Kisangani: 77 killed

Date & Time: Jul 8, 2011 at 1511 LT
Type of aircraft:
Operator:
Registration:
9Q-COP
Survivors:
Yes
Schedule:
Kinshasa - Kisangani - Goma
MSN:
18933/185
YOM:
1965
Flight number:
EO952
Region:
Crew on board:
7
Crew fatalities:
Pax on board:
108
Pax fatalities:
Other fatalities:
Total fatalities:
77
Captain / Total flying hours:
7000
Captain / Total hours on type:
5000.00
Aircraft flight hours:
52613
Circumstances:
Following an uneventful flight from Kinshasa, the crew started the descent to Kisangani-Bangoka Airport in poor weather conditions with low visibility due to heavy rain falls. On final approach, the pilot did not establish any visual contact with the runway but continued until the aircraft impacted ground some 1,000 metres short of runway 31. On impact, the aircraft went out of control, veered to the right, exploded and disintegrated in a wooded area located to the right of the approach path. The wreckage was found about 500 metres southeast from the runway 31 threshold. Five crew and 72 passengers were killed.
Probable cause:
In a preliminary report, DRC authorities pointed out the following factors:
- The flight crew misjudged weather conditions,
- The airline assigned unqualified/non-licensed crew to operate the Boeing 727-100 (the pilot's licence was not up to date),
- Tower controllers were not licensed (two ATC's did not have a proper licence and above legal age)
- Tower control staff was insufficient (six only for the complete roster),
- Tower controllers provided erroneous/false weather data to flying crew,
- The airport authority lacked security plans,
- Phonic records between tower control and crew were erased (destroyed) before the commission of inquiry can start any investigation.

Crash of an Ilyushin II-76TD near Bagram AFB: 9 killed

Date & Time: Jul 6, 2011 at 0010 LT
Type of aircraft:
Operator:
Registration:
4K-AZ55
Flight Type:
Survivors:
No
Site:
Schedule:
Baku - Bagram AFB
MSN:
20534 20680
YOM:
2005
Country:
Region:
Crew on board:
9
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
9
Circumstances:
The four engine aircraft departed Baku-Bina Airport at 2126LT on a cargo flight to Bagram AFB, carrying 9 crew members and a load of 18 tons of various goods destined to the NATO forces deployed in Afghanistan. While approaching Bagram AFB by night, at an altitude of 12,500 feet, the aircraft impacted the slope of a mountain located 25 km from the airport. The wreckage was found at the first light of day. The aircraft was destroyed and all 9 occupants were killed.

Crash of a Tupolev TU-134A-3 in Petrozavodsk: 47 killed

Date & Time: Jun 20, 2011 at 2340 LT
Type of aircraft:
Operator:
Registration:
RA-65691
Survivors:
Yes
Schedule:
Moscow - Petrozavodsk
MSN:
63195
YOM:
1980
Flight number:
CGI9605
Country:
Region:
Crew on board:
9
Crew fatalities:
Pax on board:
43
Pax fatalities:
Other fatalities:
Total fatalities:
47
Captain / Total flying hours:
8501
Captain / Total hours on type:
3158.00
Copilot / Total flying hours:
2846
Copilot / Total hours on type:
1099
Aircraft flight hours:
35591
Aircraft flight cycles:
20977
Circumstances:
Aircraft left Moscow-Domodedovo Airport in 2224LT for Petrozavodsk, Karelia. On final approach by night and fog reducing vertical visibility to 300 metres, crew descended too low without a visual contact was established with the runway lights. Aircraft descended below the MDA, hit an electric pole, crashed on a road and came to rest in a garden, 570 metres short of runway 02. Eight people were rescued as all other 44 occupants were killed. Flight was operated by RusAir on behalf of RusLine (flight 243). Russian FIFA's football referee Vladimir Pettaï was also killed in this accident. Two days later, a survivor died from his injuries. The weekend following the accident (five days and six days later), two survivors died from their injuries (burns).
Probable cause:
When the aircraft approached the airfield in weather below minimums for the aerodrome descending on autopilot at a fixed vertical speed, crew failed to decide to go around in absence of visual contact with approach lights and landmarks and permitted the aircraft to descend below minimum descent altitude, which led to impact with trees and the ground in controlled flight.
Following factors were considered as contirbutory:
- unsatisfactory crew resource management by the commander who effectively removed the first officer from the control loop in the final stages of the accident flight and who subordinated himself to the navigator showing increased activity however in the state of mild alcoholic intoxication.
- the navigator was in the state of mild alcoholic intoxication
- unjustified weather forecasts by height of cloud base, visibility and severe weather including fog as well as the non-conformity of weather data of Petrozavodsk Airport transmitted to the crew 30 and 10 minutes prior to estimated landing.
- Failure to use indications by the ADFs and other devices of the aircraft while using indications by an unapproved satellite navigation system KLN-90 in violation of flight manual supplements for the TU-134.
Final Report:

Crash of a Dassault Falcon 10 in Toronto

Date & Time: Jun 17, 2011 at 1506 LT
Type of aircraft:
Operator:
Registration:
C-GRIS
Flight Type:
Survivors:
Yes
Schedule:
Toronto-Lester Bowles Pearson - Toronto-Buttonville
MSN:
02
YOM:
1973
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
12000
Captain / Total hours on type:
4000.00
Copilot / Total flying hours:
7100
Copilot / Total hours on type:
475
Aircraft flight hours:
12697
Circumstances:
Aircraft was on a flight from Toronto-Lester B. Pearson International Airport to Toronto-Buttonville Municipal Airport, Ontario, with 2 pilots on board. Air traffic control cleared the aircraft for a contact approach to Runway 33. During the left turn on to final, the aircraft overshot the runway centerline. The pilot then compensated with a tight turn to the right to line up with the runway heading and touched down just beyond the threshold markings. Immediately after touchdown, the aircraft exited the runway to the right, and continued through the infield and the adjacent taxiway Bravo, striking a runway/taxiway identification sign, but avoiding aircraft that were parked on the apron. The aircraft came to a stop on the infield before Runway 21/03. The aircraft remained upright, and the landing gear did not collapse. The aircraft sustained substantial damage. There was no fire, and the flight crew was not injured. The Toronto-Buttonville tower controller observed the event as it progressed and immediately called for emergency vehicles from the nearby municipality. The accident occurred at 1506 Eastern Daylight Time.
Probable cause:
Findings as to Causes and Contributing Factors:
1. The crew flew an unstabilized approach with excessive airspeed.
2. The lack of adherence to company standard operating procedures and crew resource management, as well as the non-completion of checklist items by the flight crew contributed to the occurrence.
3. The captain’s commitment to landing or lack of understanding of the degree of instability of the flight path likely influenced the decision not to follow the aural GPWS alerts and the missed approach call from the first officer.
4. The non-standard wording and the tone used by the first officer were insufficient to deter the captain from continuing the approach.
5. At touchdown, directional control was lost, and the aircraft veered off the runway with sufficient speed to prevent any attempts to regain control.
Finding as to Risk
1. Companies which do not have ground proximity warning system procedures in their standard operating procedures may place crews and passengers at risk in the event that a warning is received.
Final Report:

Crash of a Douglas DC-6BF in Cold Bay

Date & Time: Jun 12, 2011 at 1455 LT
Type of aircraft:
Operator:
Registration:
N600UA
Flight Type:
Survivors:
Yes
Schedule:
Togiak - Cold Bay
MSN:
44894/651
YOM:
1956
Location:
Crew on board:
4
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
10000
Captain / Total hours on type:
4000.00
Aircraft flight hours:
37334
Circumstances:
According to the captain, while on approach to land, he distracted the crew by pointing out a boat dock. He said that after touchdown, he realized that the landing gear was not extended, and the airplane slid on its belly, sustaining substantial damage to the underside of the fuselage. He said that the crew did not hear the landing gear retracted warning horn, and the accident could have been prevented if he had not distracted the crew. The captain reported that there were no mechanical malfunctions with the airplane that would have precluded normal operation.
Probable cause:
The flight crew's failure to extend the landing gear, which resulted in an inadvertent wheels up landing. Contributing to the accident was the flight crew's diverted attention.
Final Report:

Crash of an Antonov AN-26 off Libreville

Date & Time: Jun 6, 2011 at 1025 LT
Type of aircraft:
Operator:
Registration:
TR-LII
Flight Type:
Survivors:
Yes
Schedule:
Port Gentil - Libreville
MSN:
75 04
YOM:
1978
Flight number:
SLN122A
Country:
Region:
Crew on board:
3
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
The crew departed Port Gentil on a cargo flight to Libreville on behalf of DHL Airways. On approach to Libreville-Léon Mba Airport, the captain informed ATC about hydraulic problems and initiated a go-around procedure. Shortly later, the aircraft stalled and crashed in the sea some 2,3 km southeast of the airport. All four occupants were rescued while the aircraft was damaged beyond repair. Due to the failure of the hydraulic system, the crew was unable to lower the gear.

Crash of an Eclipse EA500 in Nome

Date & Time: Jun 1, 2011 at 2140 LT
Type of aircraft:
Registration:
N168TT
Flight Type:
Survivors:
Yes
Schedule:
Anadyr – Nome
MSN:
42
YOM:
2007
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
2370
Captain / Total hours on type:
205.00
Aircraft flight hours:
343
Circumstances:
The pilot indicated that, prior to the accident flight, the wing flaps had failed, but he decided to proceed with the flight contrary to the Airplane Flight Manual guidance. While conducting a no-flap approach to the airport, he decided that his airspeed was too fast to land, and he initiated a go-around. During the go-around, the airplane continued to descend, and the fuselage struck the runway. The pilot was able to complete the go-around, and realized that he had not extended the landing gear. He lowered the landing gear, and landed the airplane uneventfully. He elected to remain overnight at the airport due to fatigue. The next day, he decided to test fly the airplane. During the takeoff roll, the airplane had a severe vibration, and he aborted the takeoff. During a subsequent inspection, an aviation mechanic discovered that the center wing carry-through cracked when the belly skid pad deflected up into a stringer during the gear-up landing.
Probable cause:
The pilot landed without lowering the landing gear. Contributing to the accident was the pilot's decision to fly the airplane with an inoperative wing flap system.
Final Report:

Crash of an Embraer EMB-500 Phenom 100 in Sedona

Date & Time: May 25, 2011 at 1550 LT
Type of aircraft:
Operator:
Registration:
N224MD
Survivors:
Yes
Schedule:
San Jose - Sedona
MSN:
500-00057
YOM:
2009
Flight number:
RSP240
Location:
Crew on board:
2
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
23970
Captain / Total hours on type:
570.00
Copilot / Total flying hours:
1886
Copilot / Total hours on type:
74
Aircraft flight hours:
1052
Circumstances:
Following an uneventful flight, the flight crew briefed the arrival to the destination airport and set the calculated landing speeds. The captain and the first officer reported that during final approach, it felt like the airplane was “pushed up” as the wind shifted to a tailwind or updraft before landing near the runway number markings. Upon touchdown, the captain applied the brakes and thought that the initial braking was effective; however, he noticed the airplane was not slowing down. The captain applied maximum braking, and the airplane began to veer to the right; he was able to correct back to the runway centerline, but the airplane subsequently exited the departure end of the runway and traveled down a steep embankment. A pilot-rated passenger reported that throughout the approach to landing, he thought the airplane was high and thought that the excessive altitude continued through and into the base-to-final turn. He added that the bank angle of this turn seemed greater than 45 degrees. Recorded communication from the cockpit voice and data recorder (CVDR) revealed that during the approach to landing, the flight crew performed the landing checks, and the captain noted difficulty judging the approach. About 1 minute later, the recording revealed that the ground warning proximity system reported “five hundred” followed by a “sink rate, pull up” alert about 16 seconds later. Data from the CVDR revealed that about 23 seconds before weight-on-wheels was recorded, the airplane was at an indicated airspeed of about 124 knots and descending. The data showed that this approximate airspeed was maintained until about 3 seconds before weight-on-wheels. The recorded data further showed that the approach speed was set to 120 knots, and the landing reference speed (vREF) was set to 97 knots. Using the reported airplane configuration and the 3.5-knot headwind that was reported at the time of the approach and landing, calculations indicate that the vREF speed should have been about 101 knots indicated airspeed, which would have required a landing distance of about 3,112 feet. Utilizing the same airplane configuration and wind condition with the flight’s reported 124 knot indicated airspeed just before touchdown, the landing distance was calculated to be about 5,624 feet. The intended runway for landing was 5,132-feet long with a 1.9 percent downward slope gradient, and a 123-foot long overrun area. A postaccident examination of the airplane, including the braking system, revealed no evidence of mechanical malfunctions or failures that would have precluded normal operation. The pilot misjudged the airplane’s speed during the final approach, which resulted in runway overrun.
Probable cause:
The pilots’ unstabilized approach and excessive airspeed during approach, which resulted in an insufficient landing distance to stop the airplane before overrunning the runway.
Final Report:

Crash of a Cessna T207A Turbo Stationair 8 in Monument Valley

Date & Time: May 23, 2011 at 1520 LT
Operator:
Registration:
N803AN
Survivors:
Yes
Schedule:
Grand Canyon - Monument Valley
MSN:
207-0570
YOM:
1981
Crew on board:
1
Crew fatalities:
Pax on board:
5
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
965
Captain / Total hours on type:
140.00
Aircraft flight hours:
13417
Circumstances:
According to the airplane's operator, the airplane was part of a flight of four airplanes that were taking an organized tour group of revenue passengers on a sightseeing tour of southern Utah. While operating in a high density altitude environment, the pilot was flying into an airport that had a 1,000-foot cliff about 400 feet from the end of the runway he was landing on. Because of the presence of the cliff, the Airguide Publications Airport Manual stated that all landings should be made on the runway that was headed toward the cliff and that all takeoffs should be made on the runway that was headed away from the cliff. The manual also stated that a go-around during landing was not possible. During his approach, the pilot encountered a variable wind and downdrafts. During the landing flare, the airplane dropped onto the runway hard and bounced back into the air. The pilot then immediately initiated a go-around and began a turn away from the runway heading. While in the turn, he was most likely unable to maintain sufficient airspeed, and the airplane entered a stall/mush condition and descended into the ground. A postaccident examination of the airframe and engine revealed no evidence of mechanical malfunctions or failures that would have precluded normal operation.
Probable cause:
The pilot's decision to initiate a go-around after a bounced landing at an airport where go-arounds were not advised and his failure to maintain adequate airspeed during the go-around.
Final Report:

Crash of a Socata TBM-850 in Salem

Date & Time: May 19, 2011 at 0843 LT
Type of aircraft:
Operator:
Registration:
N1UL
Flight Type:
Survivors:
Yes
Schedule:
Valparaiso - Salem
MSN:
564
YOM:
2010
Crew on board:
1
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
932
Captain / Total hours on type:
76.00
Aircraft flight hours:
187
Circumstances:
The pilot reported that he flew an instrument approach and was clear of clouds about 650 feet above ground level when he proceeded visually to the airport. About 1/2 mile from the runway, he thought the airplane was too high, but a few seconds later the airplane felt like it had an excessive rate of descent. His attempts to arrest the rate of descent were unsuccessful, and the left main landing gear struck the ground about 120 feet prior to the runway threshold. The recorded data downloaded from the airplane's non-volatile memory showed that the airplane's airspeed varied from about 71 - 81 knots indicated airspeed (IAS) during the 10 seconds prior to ground impact. The data also indicated that there was about a 3 - 5 knot tailwind during the final landing approach. The airplane's stall speed with the airplane in the landing configuration with landing flaps was 64 knots IAS at maximum gross weight. The pilot reported that there was no mechanical malfunction or system failure of the airplane.
Probable cause:
The pilot's failure to maintain a stabilized glide path which resulted in the airplane touching down short of the runway.
Final Report: