Crash of a Cessna 421B Golden Eagle II in Gadsden

Date & Time: Jun 10, 1993 at 1727 LT
Registration:
N699DT
Flight Phase:
Survivors:
Yes
Schedule:
Gadsden - Huntsville
MSN:
421B-0540
YOM:
1973
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
15500
Captain / Total hours on type:
300.00
Aircraft flight hours:
4430
Circumstances:
The airline transport pilot reported that shortly after takeoff from runway 36, he heard a loud noise from the left engine area, and observed smoke trailing the left engine nacelle. He confirmed that the left engine was losing power, and he feathered the left propeller. He was unable to maintain altitude, and the aircraft was force landed on wooded terrain. The aircraft caught fire on the ground after colliding with trees and was destroyed. An inspection of the left engine turbocharger revealed that the rotor shaft was seized, with evidence of metal transfer to the bearing journals.
Probable cause:
The failure of the left engine turbocharger due to rotor shaft seizure, which resulted in a loss of engine power.

Crash of a Beechcraft E18S in Detroit: 1 killed

Date & Time: Jun 8, 1993 at 0502 LT
Type of aircraft:
Operator:
Registration:
N51FG
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Detroit - Louisville
MSN:
BA-324
YOM:
1957
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
1700
Captain / Total hours on type:
27.00
Aircraft flight hours:
11916
Circumstances:
The pilot was conducting his initial revenue and solo flight for this company, in this type of airplane. The weather for takeoff included fog and low ceilings. The airplane was equipped with a primary (left) attitude indicator which was electrically operated via an independent switch. This aircraft was the only such airplane operated by this company, with an independent switch configuration for the primary attitude indicator. The airplane collided with the terrain on the airport, just after takeoff. Subsequent examination revealed no anomalies with the engines or airframe. The primary attitude indicator was located. On examination it was found to have a malfunctioning on/off flag which gave the indication of being operative regardless of power to the unit. No rotational damage was noted within the gyro housing. The pilot, sole on board, was killed.
Probable cause:
The pilot-in-command's inadequate preflight preparation, false indication (on/off) of attitude indicator, and attitude indicator switched off. Factors were fog, low ceiling, the pilot-in-command's improper use of the attitude indicator, and his lack of total experience in the type of airplane.
Final Report:

Crash of a Learjet 35A in Cologne: 4 killed

Date & Time: Jun 7, 1993 at 1310 LT
Type of aircraft:
Operator:
Registration:
D-COCO
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Cologne - Nuremberg
MSN:
35-466
YOM:
1982
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
4
Circumstances:
The crew departed Cologne-Bonn Airport on a training flight (check flight) to Nuremberg. During the takeoff roll, at or near V2 speed, the aircraft deviated to the left and veered off runway. It rolled beside the runway for about 600 metres then returned on the runway. It took off but overturned and crashed upside down, bursting into flames. All four occupants were killed.
Probable cause:
The exact cause of the accident could not be determined. Technical analysis did not reveal any mechanical failure on both engines. It is believed that the crew probably attempted to simulate the failure of the left engine at V1 speed and the copilot started the rotation shortly later at Vr speed. The aircraft went out of control.

Crash of a Cessna 404 Titan in Hassai: 11 killed

Date & Time: Jun 7, 1993
Type of aircraft:
Operator:
Registration:
ST-AID
Flight Phase:
Survivors:
No
Schedule:
Hassai - Port Sudan
MSN:
404-0455
YOM:
1979
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
9
Pax fatalities:
Other fatalities:
Total fatalities:
11
Circumstances:
The twin engine aircraft departed Hassai Airstrip on a charter flight to Port Sudan, carrying nine employees of the Ariab Mining Company and two pilots. Shortly after takeoff, the right engine lost power and failed. The crew elected to return for an emergency but eventually attempted an emergency landing. The aircraft belly landed and slid for few dozen metres when the right wing struck a rock and was torn off, causing the fuel to spill and to ignite. The aircraft caught fire and came to rest, bursting into flames. All 11 occupants were killed.
Probable cause:
The malfunction of the right engine was caused by the failure of a fuel pump due to poor maintenance.

Crash of a Pilatus PC-6/B2-H4 Turbo Porter in Pastaza: 1 killed

Date & Time: Jun 1, 1993 at 1200 LT
Operator:
Registration:
E-185
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Pastaza - Taisha
MSN:
859
YOM:
1987
Location:
Country:
Crew on board:
3
Crew fatalities:
Pax on board:
8
Pax fatalities:
Other fatalities:
Total fatalities:
1
Circumstances:
Shortly after takeoff from Pastaza Airport, while climbing to a height of 200 feet, the engine lost power. The crew elected to return for an emergency landing when the aircraft stalled and crashed in a cemetery. One of the pilot was killed while 10 other occupants were injured, some seriously.
Probable cause:
The exact cause of the loss of engine power could not be determined.

Crash of a Piper PA-31-350 Navajo Chieftain in Innemincka

Date & Time: May 29, 1993 at 1258 LT
Registration:
VH-LIC
Flight Phase:
Survivors:
Yes
Schedule:
Port Augusta – Innamincka – Durham Downs
MSN:
31-7652173
YOM:
1976
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
2930
Captain / Total hours on type:
966.00
Circumstances:
The pilot was conducting a scheduled passenger service flight from Port Augusta with a stop at Innamincka. A commercial pilot, travelling as a non-paying passenger, occupied the co-pilot's seat to observe the operation. Two additional passengers were on board the aircraft for the entire flight. After landing at Innamincka, the aircraft was refuelled by the pilot in command and the oil levels of both engines were checked by the observer, who experienced difficulty securing the combination oil filler cap-dipsticks. He asked the pilot for instructions and, although some advice was given, the pilot did not check the security of the dipsticks. Take-off was commenced towards the north into a 10-15 knot wind with a surface temperature of about 20 degrees C. Shortly after lift-off, at the first power reduction, the observer in the co-pilot's seat advised that there was oil seeping back along the cowl from the right side oil filler hatch. The pilot reported that he increased power to both engines but believed there was no response from the right. He began an immediate left turn to complete a circuit and attempted to secure the right engine and feather the propeller. The aircraft then began a roll to the right, the nose dropped and the aircraft impacted the ground. As the aircraft rolled right and the nose dropped, the pilot reported that he had secured the left engine and feathered the propeller. The observer in the co-pilot seat reported hearing a continuous stall warning horn as the right wing began to drop. All occupants, although injured, were able to vacate the aircraft through the main cabin door. The pilot provided assistance to the passengers and then returned to the airport to summon help.
Probable cause:
Examination of the wreckage revealed that the aircraft impacted the ground in a nose down, right wing low attitude while turning right. The landing gear collapsed due to impact forces and the right wing separated. Deceleration and impact forces were severe. The right propeller was found in the fine pitch range with no damage to the uppermost blade and the other two bent backwards. The right engine oil filler cap-dipstick was found to be correctly installed in the oil filler neck. There was a pattern of engine oil over the rear of the engine and inside the cowl originating from the oil filler neck. The left engine was partially torn from its mountings and displaced about 90 degrees to the right. Its propeller was in the fully feathered position. The oil filler cap-dipstick was on the ground adjacent to the engine. An oil spill pattern similar to that on the right engine was evident.
Significant Factors:
- The pilot-in-command reacted inappropriately to a perceived engine problem shortly after take-off.
- Control of the aircraft was lost at a height insufficient to effect a recovery.
Final Report:

Crash of a De Havilland DHC-3 Otter in Villeneuve: 2 killed

Date & Time: May 22, 1993 at 0922 LT
Type of aircraft:
Operator:
Registration:
C-GKPB
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Villeneuve - Villeneuve
MSN:
274
YOM:
1958
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
2
Circumstances:
The single engine aircraft was engaged in a post maintenance test flight, carrying one engineer and two pilots. Shortly after takeoff from Villeneuve Airport, while in initial climb, the aircraft started to pitch up and down then lost height and crashed. The passenger was seriously injured while both pilots were killed, among them Billy Bourque, owner of Loon Air.
Probable cause:
It was determined that the loss of control was the consequence of an error on part of the ground personnel in charge of the maintenance as the controls to the left aileron had been mis-rigged.

Crash of a PZL-Mielec AN-2R in Karagishev

Date & Time: May 20, 1993
Type of aircraft:
Operator:
Registration:
RA-33051
Flight Phase:
Survivors:
Yes
MSN:
1G218-38
YOM:
1986
Country:
Region:
Crew on board:
0
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
During the takeoff roll, after a roll of 200 metres, while at a speed of 80 km/h, the aircraft encountered strong crosswinds and turned for about 30°. The pilot-in-command decided to abort the takeoff procedure when the aircraft struck an earth mound and came to rest. There were no casualties.

Crash of a Short 330-100 in Tortola

Date & Time: May 6, 1993
Type of aircraft:
Operator:
Registration:
VP-LVR
Flight Phase:
Survivors:
Yes
Schedule:
Tortola - San Juan
MSN:
3006
YOM:
1976
Crew on board:
3
Crew fatalities:
Pax on board:
27
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
During the takeoff roll at Tortola-Terrance B. Lettsome Airport, the pilot-in-command considered the aircraft behaviour as unsatisfactory and decided to abort. Despite an emergency braking procedure, the aircraft was unable to stop within the remaining distance, overran and came to rest in the sea. All 30 occupants evacuated safely and the aircraft was damaged beyond repair.
Probable cause:
The decision of the crew to abort the takeoff procedure because the aircraft behaviour was unsatisfactory was unfounded. Investigations did not reveal any mechanical malfunction on the airplane and the crew misjudged the situation, causing the aircraft to enter an uncontrollable roll.

Crash of a Beechcraft 65-A90 King Air in Mount Ida: 2 killed

Date & Time: May 1, 1993 at 0637 LT
Type of aircraft:
Registration:
N530N
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Mount Ida - Huntington
MSN:
LJ-141
YOM:
1966
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
3100
Captain / Total hours on type:
650.00
Aircraft flight hours:
8660
Circumstances:
Approximately 7 minutes after takeoff, the airplane collided with terrain approximately 3 miles from the departure airport. The accident site was 1,100 feet msl; the highest terrain in the area is 1,400 feet msl. The departure airport elevation is 643 feet msl. According to witnesses, the airplane disappeared into clouds at approximately 200 feet following takeoff, and that the hills to the southeast were obscured by clouds. The pilot had about 4 hours sleep the night before the accident flight. Both occupants were killed.
Probable cause:
The pilot's failure to establish an adequate climb rate. Factors in the accident were: pilot fatigue from lack of sleep, and the weather conditions.
Final Report: