Crash of a Bae 4121 Jetstream 41 in Durban: 1 killed

Date & Time: Sep 24, 2009 at 0757 LT
Type of aircraft:
Operator:
Registration:
ZS-NRM
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Durban - Pietermaritzburg
MSN:
41069
YOM:
1995
Flight number:
LNK911
Country:
Region:
Crew on board:
3
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
2956
Captain / Total hours on type:
751.00
Copilot / Total flying hours:
2002
Copilot / Total hours on type:
1027
Aircraft flight hours:
27429
Circumstances:
During the take-off roll, the cockpit crew of another airliner observed smoke pouring from the right engine of ZS-NRM. They were shocked, yet reluctant to tell the crew of ZS-NRM to abort the take-off as they felt that they might be blamed had the abort gone wrong. Instead, the witnessing pilots enquired from the tower whether the aircraft was aware of the smoke. By the time the ATC responded, the aircraft was already in the air, but with its landing gear not yet retracted. Another aircraft lining up at the holding point informed ZS-NRM that their undercarriage was still extended, and the captain of ZS-NRM then transmitted (instead of using the intercom) an instruction to his co-pilot to raise the gear. During this transmission, the sound of what was possibly a warning sound could be heard in the background. The aircraft became airborne and climbed to approximately 500 ft above mean sea level before losing altitude and making a forced landing on a small field in the Merebank residential area, about 1,4 km from the end of the runway. During the forced landing, a member of the public was struck by the wing of the aircraft and the three crew members were seriously injured in the accident. The captain subsequently died from his injuries.
Probable cause:
Engine failure after takeoff followed by inappropriate crew response, resulting in the loss of both lateral and directional control, the misidentification of the failed engine, and subsequent shutdown of the remaining serviceable engine.
Contributing factors:
- Separation of the second-stage turbine seal plate rim;
- Failure of the captain and first officer to implement any crew resource management procedures as prescribed in the operator’s training manual;
- The crew’s failure to follow the correct after take-off engine failure procedures as prescribed in the aircraft’s flight manual.
Final Report:

Crash of a Beechcraft B200 Super King Air in Hayward

Date & Time: Sep 16, 2009 at 1215 LT
Registration:
N726CB
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Hayward - San Carlos
MSN:
BB-1750
YOM:
2001
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
2913
Captain / Total hours on type:
1707.00
Aircraft flight hours:
1229
Circumstances:
The airplane just had undergone a routine maintenance and this was planned to be the first flight after the inspection. During the initial climb, the pilot observed that the airplane was drifting to the left. The pilot attempted to counteract the drift by application of right aileron and right rudder, but the airplane continued to the left. The pilot reported that, despite having both hands on the control yoke, he could not maintain directional control and the airplane collided into a building. The airplane subsequently came to rest on railroad tracks adjacent to the airport perimeter. A post accident examination revealed that the elevator trim wheel was located in the 9-degree NOSE UP position; normal takeoff range setting is between 2 and 3 degrees NOSE UP. The rudder trim control knob was found in the full left position and the right propeller lever was found about one-half inch forward of the FEATHER position; these control inputs both resulted in the airplane yawing to the left. The pilot did not adequately follow the airplane manufacturer's checklist during the preflight, taxi, and before takeoff, which resulted in the airplane not being configured correctly for takeoff. This incorrect configuration led to the loss of directional control immediately after rotation. A post accident examination of the airframe, engines, and propellers revealed no anomalies that would have precluded normal operation.
Probable cause:
The pilot's failure to maintain directional control after takeoff. Contributing to the accident was the pilot's inadequate preflight and failure to follow the airplane manufacturer's checklist to ensure that the rudder trim control and right propeller control lever were positioned correctly.
Final Report:

Crash of a Cessna 404 Titan in Nairobi: 1 killed

Date & Time: Sep 14, 2009 at 1920 LT
Type of aircraft:
Operator:
Registration:
5Y-PAX
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Nairobi - Nairobi
MSN:
404-0104
YOM:
1977
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Circumstances:
The crew was completing a local training at Nairobi-Wilson Airport. Shortly after takeoff, while in initial climb, the twin engine aircraft stalled and crashed, bursting into flames. One pilot was killed while the second one was seriously injured. The aircraft was destroyed.

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

Date & Time: Sep 9, 2009
Type of aircraft:
Registration:
UR-70427
Flight Phase:
Survivors:
Yes
Schedule:
Onikeyevo - Onikeyevo
MSN:
1G143-06
YOM:
1973
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
The crew took off from a road located in Onikeyevo, Kirovograd oblast. After liftoff, the engine failed. The aircraft stalled and crashed near a farm, bursting into flames. Both pilots and the passenger, the owner of the farm, escaped uninjured while the aircraft was destroyed by a post crash fire. It appears that the flight was illegal as the CofA expired 26 April 2008.
Probable cause:
Engine failure for unknown reasons.

Crash of an Antonov AN-24RV in Zarafshon

Date & Time: Aug 31, 2009
Type of aircraft:
Operator:
Registration:
UK-46658
Flight Phase:
Survivors:
Yes
MSN:
4 73 093 04
YOM:
1974
Country:
Region:
Crew on board:
0
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
During the takeoff roll from Zarafshon Airport, the undercarriage were prematurely retracted by the crew. The aircraft sank on its belly and slid for few dozen metres before coming to rest. There were no injuries but the aircraft was damaged beyond repair. The exact date of the mishap remains unknown, somewhere in August 2009.
Probable cause:
Premature retraction of the landing gear during the takeoff procedure.

Crash of an Ilyushin II-76TD in Luanda

Date & Time: Aug 27, 2009
Type of aircraft:
Operator:
Registration:
T-906
Flight Phase:
Flight Type:
Survivors:
Yes
MSN:
10134 08246
YOM:
1991
Country:
Region:
Crew on board:
0
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
During the takeoff roll at Luanda-4 de Fevereiro Airport, the crew started the rotation but the aircraft did not respond. It continued on the runway, overran and came to rest. There were no injuries but the aircraft was damaged beyond repair.
Probable cause:
Poor flight preparation on part of the crew who failed to select the flaps in the appropriate position prior to takeoff.

Crash of a Beechcraft E18S in Eden Prairie: 2 killed

Date & Time: Aug 12, 2009 at 1145 LT
Type of aircraft:
Registration:
N3038C
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Eden Prairie - Osceola
MSN:
BA-374
YOM:
1958
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
1150
Captain / Total hours on type:
0.00
Aircraft flight hours:
10626
Circumstances:
The pilot purchased the airplane approximately one year prior to the accident with the intention of restoring it for flight. The airplane had not been flown for approximately five years and had been used for spare parts. The pilot was flying the airplane to another airport to pick up passengers prior to returning. The pilot was cleared for takeoff and to circle the airport at 2,500 feet prior to departing the area. Witnesses reported that after taking off the airplane seemed to “wobble” at a slow airspeed in a nose-high attitude and that it never got higher than 500 feet. Some witnesses reported the engine(s) sputtering, and another stated that the airplane was loud and "didn't sound good," although other witnesses reported that the engines sounded normal. One witness reported seeing white smoke coming from the left engine and hearing the engine "popping" as the airplane took off. The airplane made three left turns and it appeared as if the pilot was attempting to return to land. Witnesses described the left wing rising prior to the airplane banking hard to the left and the nose dropping straight down. The airplane impacted the ground just northeast of the airport property and a postimpact fire ensued. Flight control continuity was established. The right side of the elevator/tailcone structure exhibited black rub marks and scrapes. Grass and nesting material was found inside the left wing. The left fuel valve was found in the OFF position and the right fuel valve was positioned to the rear auxiliary tank. Neither the fuel crossfeed valve nor the fuel boost pump switch was located. The left engine sustained substantial fire and impact damage. The right engine sustained heavy impact damage. The airplane was last fueled one month prior to the accident with 120 gallons of fuel. About 20 engine test runs in addition to high-speed taxi tests had been conducted since then. A Special Flight Permit had been obtained but had not been signed by the mechanic, who did not know that the pilot was going to fly the airplane on the day of the accident. The pilot reportedly did not have any Beech 18 flight experience.
Probable cause:
The pilot’s lack of experience flying the accident make and model of airplane, which led to a loss of control while maneuvering to return to the airport. Contributing to the accident was a partial loss of engine power for undetermined reasons.
Final Report:

Incident with a Boeing 707-3J9C in Ahwaz

Date & Time: Aug 3, 2009 at 1000 LT
Type of aircraft:
Operator:
Registration:
EP-SHK
Flight Phase:
Survivors:
Yes
Schedule:
Ahwaz - Tehran
MSN:
21128/917
YOM:
1976
Flight number:
IRZ124
Location:
Country:
Region:
Crew on board:
12
Crew fatalities:
Pax on board:
162
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
Shortly after take off from Ahwaz Airport, while in initial climb, the engine n°2 suffered an uncontained failure. The crew informed ATC about the situation and was cleared for an immediate return. The aircraft landed safely 10 minutes later and was stopped on the main runway. All 174 occupants were rescued, among them two passengers were slightly injured. The aircraft was considered as damaged beyond repair as n°1 engine and the left wing were also damaged due to debris from the n°2 engine's compressor.
Probable cause:
It appears that a stage of the high pressure compressor in the n°2 engine disintegrated during initial climb. Elements punctured the nacelle and hit the left wing and the n°1 engine. After the n°2 engine failed, the n°1 engine lost power.

Crash of a Piper PA-46-310P Malibu in Kamsack: 2 killed

Date & Time: Jul 19, 2009 at 2124 LT
Registration:
C-GUZZ
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Kamsack – Saskatoon
MSN:
46-8508108
YOM:
1985
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
1000
Captain / Total hours on type:
300.00
Circumstances:
The aircraft departed Kamsack, on an instrument flight rules flight to Saskatoon, Saskatchewan. The pilot and three passengers were on board. At takeoff from runway 34, the aircraft began rolling to the left. The aircraft initially climbed, then descended in a steep left bank and collided with terrain 200 feet to the left of the runway. A post-impact fire ignited immediately. Two passengers survived the impact with serious injuries and evacuated from the burning wreckage. The pilot and third passenger were fatally injured. The aircraft was destroyed by impact forces and the post-impact fire. The accident occurred during evening civil twilight at 2124 Central Standard Time.
Probable cause:
Finding as to Causes and Contributing Factors:
1. The pilot was unable to maintain aircraft control after takeoff for undetermined reasons and the aircraft rolled to the left and collided with terrain.
Finding as to Risk:
1. The manufacturer issued a service bulletin to regularly inspect and lubricate the stainless steel cables. Due to the fact that the bulletin was not part of an airworthiness directive and was not considered mandatory, it was not carried out on an ongoing basis. It is likely that the recommended maintenance action has not been carried out on other affected aircraft at the 100-hour or annual frequency recommended in FAA SAIB CE-01-30.
Other Findings:
1. Due to the complete destruction of the surrounding structure, restriction to aileron cable movement prior to impact could not be determined.
2. The use of the available three-point restraint systems likely prevented the two survivors from being incapacitated, enabling them to evacuate from the burning wreckage.
Final Report:

Crash of a Beechcraft UC-45J Expeditor in Verdel: 1 killed

Date & Time: Jul 18, 2009 at 1905 LT
Type of aircraft:
Registration:
N6688
Flight Phase:
Flight Type:
Survivors:
Yes
MSN:
7085
YOM:
1944
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
1
Circumstances:
The private pilot/owner and a passenger were transporting the pilot's multi-engine airplane to another airport so it could undergo an annual inspection. Shortly after departure, the right engine began to vibrate violently and the pilot elected to make a forced landing to a pasture. The airplane caught on fire and both radial engines separated from the airframe and sustained impact damage. The pilot was not rated by the FAA to operate multi-engine airplanes and he had not received any formal training in the airplane. The accident flight was his first time flying the airplane by himself. The airplane had not received an annual inspection in approximately 8 years prior to the accident. Examination of the right engine revealed extensive mechanical damage possibly due to a connecting rod failure.
Probable cause:
The pilot's improper decision to fly an airplane that was not airworthy and for which he was not properly rated to operate, and his failure to maintain control of the airplane during a forced landing to a field following an engine failure. Contributing to the accident was the failed cylinder connecting rod.
Final Report: