Crash of a Boeing 747SP-44 in Maputo

Date & Time: Oct 5, 1998 at 0955 LT
Type of aircraft:
Operator:
Registration:
ZS-SPF
Flight Phase:
Survivors:
Yes
Schedule:
Maputo - Lisbon
MSN:
21263
YOM:
1977
Country:
Region:
Crew on board:
16
Crew fatalities:
Pax on board:
50
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
Shortly after takeoff from Maputo Airport, while climbing, the engine n°3 failed, exploded and caught fire. Debris struck the engine n°4 and punctured the right wing and a fuel tank, causing a severe fire. The crew was cleared for an immediate return. Following a normal approach and landing, the aircraft was stopped on the main runway and all 66 occupants evacuated safely. The aircraft was considered as damaged beyond repair.

Crash of a Piper PA-31-325 Navajo C/R in San José: 2 killed

Date & Time: Sep 18, 1998 at 0738 LT
Type of aircraft:
Operator:
Registration:
TI-AVP
Flight Phase:
Flight Type:
Survivors:
No
Site:
Schedule:
San José – Nicoya
MSN:
31-7912087
YOM:
1979
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
2
Circumstances:
About two minutes after takeoff from San José-Tobías Bolaños Airport, while climbing, the twin engine aircraft went out of control and crashed in the district of Rohrmoser, about 3 km southeast of the airport. Both occupants were killed.

Crash of an Antonov AN-32B in Lokichoggio

Date & Time: Sep 14, 1998
Type of aircraft:
Operator:
Registration:
4K-66759
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Lokichogio – Kigali
MSN:
2107
YOM:
1989
Country:
Region:
Crew on board:
4
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
Shortly after takeoff, while in initial climb, the aircraft collided with a flock of birds. Both engines suffered a loss of power and the aircraft lost height and crash landed. It went out of control, overran and came to rest, bursting into flames. All four crew members escaped with minor injuries while the aircraft was destroyed by fire. At the time of the accident, wind was gusting up to 14 knots and several birds were sighted in the vicinity of the airport.
Probable cause:
Bird strike after takeoff.

Crash of a Piper PA-31-350 Navajo Chieftain off Homer

Date & Time: Sep 7, 1998 at 1513 LT
Registration:
N4072A
Flight Phase:
Survivors:
Yes
Schedule:
Homer - Anchorage
MSN:
31-8152016
YOM:
1981
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
9070
Captain / Total hours on type:
2000.00
Aircraft flight hours:
4133
Circumstances:
The pilot departed from an intersection 2,100 feet from the approach end of the 6,700 feet long runway. Immediately after takeoff the right engine failed. The pilot told the NTSB investigator-in-charge that he feathered the right propeller, and began a wide right turn away from terrain in an attempt to return to the airport. He stated the airspeed did not reach 90 knots, the airspeed and altitude slowly decayed, and the airplane was ditched into smooth water. After recovery, the cowl flaps were found in the 50% open position. No anomalies were found with the fuel system. The airplane departed with full fuel tanks, at a takeoff weight estimated at 6,606 pounds. The right engine was disassembled and no mechanical anomalies were noted. The best single engine rate of climb airspeed is 106 knots, based on cowl flaps closed, and a five degree bank into the operating engine.
Probable cause:
A total loss of power in the right engine for undetermined reasons.
Final Report:

Crash of a Tupolev TU-154M in Quito: 80 killed

Date & Time: Aug 29, 1998 at 1303 LT
Type of aircraft:
Operator:
Registration:
CU-T1264
Flight Phase:
Survivors:
Yes
Schedule:
Quito - Guayaquil - Havana
MSN:
85A720
YOM:
1985
Flight number:
CU389
Country:
Crew on board:
14
Crew fatalities:
Pax on board:
77
Pax fatalities:
Other fatalities:
Total fatalities:
80
Aircraft flight hours:
9256
Circumstances:
While parked on the apron at Quito-Mariscal Sucre Airport, the crew started the engine when a pneumatic valve blocked. The problem was resolved and two engines were started with ground power unit while the third engine was started during taxi. During the takeoff roll on runway 17, at Vr speed, the pilot-in-command started the rotation but the aircraft failed to respond. For unknown reasons, the crew took 10 seconds to decide to abort the takeoff. The captain initiated an emergency braking procedure but the remaining distance of 800 metres was insufficient. Unable to stop, the aircraft overran, struck a concrete wall, an auto spare parts building and crashed near a soccer field, bursting into flames. Seventy people in the aircraft was well as 10 people on the ground were killed while 21 people in the airplane and 15 on the ground were injured, some seriously. At the time of the accident, the total weight of the aircraft was 73,309 kilos, within limits.
Probable cause:
It is believed that the crew failed to follow the taxi and pre-takeoff checklist and forgot to select the switches for the hydraulic valves of the control system. No technical anomalies were found on the aircraft and engines.

Crash of a Dassault Falcon 20C in El Paso

Date & Time: Aug 28, 1998 at 0650 LT
Type of aircraft:
Operator:
Registration:
N126R
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Addison - El Paso - Memphis
MSN:
126
YOM:
1968
Flight number:
RLT126
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
3700
Captain / Total hours on type:
1850.00
Copilot / Total flying hours:
3636
Copilot / Total hours on type:
124
Aircraft flight hours:
16602
Circumstances:
The airplane was dispatched as a cargo flight to pick up a load of 118 boxes of automotive seatbelts. After refueling and loading the cargo on board, the flight crew taxied to runway 22 for a no-flap takeoff, which called for a V1 speed of 141 knots. The first officer was the flying pilot for this leg of the flight. The crew reported that the initial takeoff roll from the 11,009 foot runway was normal. At approximately 120 knots, the flight crew reported hearing a loud bang followed by a vibration. The captain called for the first officer to abort the takeoff. The captain later stated that he believed he saw the #2 engine "roll back." The flight crew reported that the brakes were not effective in slowing the airplane. A witness stated that the airplane was going west on the runway at a high rate of speed when it "went up to two feet, then came back down." Another witness stated that he saw the airplane "exit off the end of the runway" and after about "seventy-five to one hundred feet, the front wheels lifted off the ground about ten feet." The airplane overran the departure end of the runway, went through the airport's chain link perimeter fence, across a 4-lane highway, collided with 3 vehicles on the roadway, and went through a second chain link fence, before coming to rest. The airplane came to rest on its belly, 2,010 feet from the departure threshold of runway 22. The investigation revealed that the flight crew was provided an inaccurate weight for the cargo, and the airplane was found to be 942 pounds over the maximum takeoff weight at the time of the accident. The density altitude was calculated to be 5,614 feet at the time of the accident. Both crewmembers were current and properly certified; however, the captain had upgraded to his present position two months prior to the accident, and the first officer had accumulated a total of 123.8 hours in the Falcon 20 at the time of the accident. Both engines were operated in a test cell and performed within limits. About 90% of the right outboard main landing gear tire's retread was found on the runway approximately 7,200 feet from where the aircraft had commenced its takeoff roll. The operator stated that since the aircraft was over maximum gross weight, the long taxi to the runway could have resulted in the brakes and tires heating more than normal.
Probable cause:
The captain's decision to abort the takeoff at an airspeed above V1, which resulted in a runway overrun. Contributing factors were: the loading of an excessive amount of cargo by the shipper which resulted in an over gross weight airplane, the high density altitude, the separation of tire retread on takeoff roll, and the flight crew's lack of experience in the accident make and model aircraft.
Final Report:

Crash of an AMI Turbo DC-3-65TP in Pretoria: 1 killed

Date & Time: Aug 24, 1998 at 1646 LT
Type of aircraft:
Operator:
Registration:
ZS-NKK
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Pretoria - Durban
MSN:
13143
YOM:
1944
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
11691
Circumstances:
Final power assurance checks were carried out on the aircraft’s engines on the morning of the accident. The AME (Aircraft Maintenance Engineer) trimmed the elevator-trim tab to the Full Nose UP position in order to reduce the stick forces required to hold the tail down during the engine power checks, but he did not set the elevator trim back to the neutral position on completion of the checks. The AME was requested by the pilot(s) to remove the aileron and elevator external gust locks and the landing gear down lock pins. He left the rudder lock in place, which was later removed by one of the pilots. The pilot(s) did not carry out a pre-flight inspection. At approximately 1646 on 24 August 1998 the DC3TP, registration number ZS-NKK, crashed during take-off from runway 11 at Wonderboom Airport. The PIC (Pilot-in-Command), who did not wear a shoulder harness, sustained fatal injuries and the co-pilot, who did wear a shoulder harness, serious injures. The accident occurred on the first flight after the aircraft had undergone a maintenance inspection, which included power assurance checks of the engines. The co-pilot sat in the left-hand seat and while he started the engines, the PIC attended to the cockpit checklist.
Probable cause:
It would appear that the accident was as a result of the PIC taking-off with the elevator trim set to the full nose-up position. This resulted in the nose of the aircraft pitching up after rotation, causing the pilot to lose control of the aircraft.
Final Report:

Crash of an Antonov AN-32 in Leticia

Date & Time: Aug 24, 1998 at 1530 LT
Type of aircraft:
Operator:
Registration:
HK-4007X
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Leticia - Girardot
MSN:
3303
YOM:
1992
Country:
Crew on board:
3
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
0
Aircraft flight hours:
1210
Circumstances:
The aircraft was completing a cargo flight from Leticia to Girardot, carrying three passengers, three crew members and a load of five tons of fish. During the takeoff roll at Leticia-Alfredo Vásquez Cobo Airport runway 20, at Vr speed, the pilot-in-command started the rotation but the aircraft failed to respond. In such conditions, the captain decided to abort and initiated an emergency braking procedure. Unable to stop within the remaining distance, the aircraft overran and came to rest 80 metres further. All six occupants escaped uninjured while the aircraft was damaged beyond repair.
Probable cause:
It was determined that the total weight of the aircraft was 532 kilos above MTOW. Also, the CofG was beyond the forward limit.

Crash of a Pilatus PC-6/B2-H2 Turbo Porter in Iquitos

Date & Time: Aug 22, 1998
Operator:
Registration:
FAP322
Flight Phase:
Survivors:
Yes
MSN:
723
YOM:
1974
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
0
Aircraft flight hours:
2874
Circumstances:
Shortly after takeoff from Iquitos-Moronacocha Airport, while climbing, the single engine aircraft went out of control and crashed in the Moronacocha River bed. Both passengers escaped uninjured while both pilots were injured. The aircraft had also the civil registration OB-1167.

Crash of a Cessna 402C off Halfmoon Bay: 5 killed

Date & Time: Aug 19, 1998 at 1643 LT
Type of aircraft:
Operator:
Registration:
ZK-VAC
Flight Phase:
Survivors:
Yes
Schedule:
Halfmoon Bay - Invercargill
MSN:
402C-0512
YOM:
1981
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
9
Pax fatalities:
Other fatalities:
Total fatalities:
5
Captain / Total flying hours:
14564
Captain / Total hours on type:
27.00
Aircraft flight hours:
13472
Circumstances:
Surviving passengers reported that en route from Stewart Island to Invercargill there were symptoms of a righthand engine failure, which was corrected by the pilot's manipulation of floor-mounted fuel tank selectors. Shortly afterwards, both engines stopped. The pilot broadcast a Mayday and advised the passengers that they would be ditching. A successful ditching was carried out approximately 12 NM south of Invercargill. All occupants escaped from the aircraft, however, four persons exited without life jackets. The pilot entered the cabin but was unable to locate more before the aircraft sank. Rescuers reached the scene about an hour after the ditching only to find that all those without life jackets had perished, as had a young boy who was wearing one.
Probable cause:
A TAIC investigation found that there was no evidence of any component malfunction that could cause a double engine failure, although due to seawater damage the pre-impact condition of most fuel quantity system components could not be verified. Both fuel tank selectors were positioned to the lefthand tank, and it is probable that fuel starvation was the cause of the double engine failure. Company procedures for the Cessna 402 lacked a fuel quantity monitoring system to supplement fuel gauge indications. Dipping of the tanks was not a feasible option. Company pilots believed that the aircraft was fitted with low-fuel quantity warning lights, which was not the case. As three pilots believed the gauges indicated sufficient fuel was on board before the preceding round trip to the island, exhaustion may have followed an undetermined fuel indicating system malfunction. The failure of the company to require the use of operational flight logs, and other deficiencies in record keeping, were identified in the TAIC report. The much-publicised misunderstanding about the ditching location was not considered by the TAIC report to have affected the outcome of the rescue, but provides an example of the continued importance of using the phonetic alphabet in radiotelephony. A safety recommendation that operators use a fuel-quantity monitoring system to supplement fuel gauge indications was also made by the TAIC report.
Final Report: