Crash of a Piper PA-31-350 Navajo Chieftain in Bathurst: 4 killed

Date & Time: Nov 7, 2008 at 2024 LT
Registration:
VH-OPC
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Melbourne – Bathurst – Port Macquarie
MSN:
31-7952082
YOM:
1979
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
4
Captain / Total flying hours:
2061
Aircraft flight hours:
11000
Circumstances:
On 7 November 2008, a Piper Aircraft Corp. PA-31-350 Chieftain, registered VH-OPC, was being operated on a private flight under the instrument flight rules (IFR) from Moorabbin Airport, Vic. to Port Macquarie via Bathurst, NSW. On board the aircraft were the owner-pilot and three passengers. The aircraft departed Moorabbin Airport at about 1725 Eastern Daylight-saving Time and arrived at Bathurst Airport at about 1930. The pilot added 355 L of aviation gasoline (Avgas) to the aircraft from a self-service bowser and spent some time with the passengers in the airport terminal. Recorded information at Bathurst Airport indicated that, at about 2012 (12 minutes after civil twilight), the engines were started and at 2016 the aircraft was taxied for the holding point of runway 35. The aircraft was at the holding point for about 3 minutes, reportedly at high engine power. At 2020, the pilot broadcast that he was entering and backtracking runway 35 and at 2022:08 the pilot broadcast on the common traffic advisory frequency that he was departing (airborne) runway 35. At 2023:30, the pilot transmitted to air traffic control that he was airborne at Bathurst and to standby for departure details. There was no record or reports of any further radio transmissions from the pilot. At about 2024, a number of residents of Forest Grove, a settlement to the north of Bathurst Airport, heard a sudden loud noise from an aircraft at a relatively low height overhead, followed shortly after by the sound of an explosion and the glow of a fire. A witness located about 550 m to the south-west of the accident site, reported seeing two bright lights that were shining in a constant direction and ‘wobbling’. There was engine noise that was described by one witness as getting very loud and ‘rattling’ or ‘grinding’ abnormally before the aircraft crashed. At 2024:51, the first 000 telephone call was received from witnesses and shortly after, emergency services were notified. The aircraft was seriously damaged by impact forces and fire, and the four occupants were fatally injured.
Probable cause:
From the evidence available, the following findings are made with respect to the collision with terrain involving Piper Aircraft Corp. PA-31-35 Chieftain, registered VH-OPC, 3 km north of Bathurst Airport on 7 November 2008 and should not be read as apportioning blame or liability to any particular organisation or individual.
Contributing safety factors:
• The aircraft descended at a steep angle before impacting the ground at high speed, consistent with uncontrolled flight into terrain.
Other key findings:
• Based on analysis of the available information, an airworthiness issue was considered unlikely to be a contributing factor to this accident.
• The investigation was unable to establish why the aircraft collided with terrain; however, pilot spatial disorientation or pilot incapacitation could not be discounted.
Final Report:

Crash of a Beechcraft 200 Super King Air in Punta Chivato: 1 killed

Date & Time: Nov 3, 2008 at 1330 LT
Operator:
Registration:
N200JL
Flight Phase:
Flight Type:
Survivors:
No
MSN:
BB-127
YOM:
1976
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Circumstances:
The twin engine aircraft was completing a flight from South Pacific to the US with an intermediate stop in Punta Chivato, Baja California Sur, where a passenger was dropped off. Shortly after takeoff from Punta Chivato Airfield, the aircraft lost speed and height, stalled and crashed near the Hotel Posada de la Flores. The aircraft was destroyed by a post crash fire and the pilot was killed.

Crash of a Cessna 208B Grand Caravan in Nyala Lodge

Date & Time: Nov 1, 2008 at 1100 LT
Type of aircraft:
Registration:
ZS-PCM
Flight Phase:
Survivors:
Yes
Schedule:
Pretoria - Nyala Lodge
MSN:
208B-0851
YOM:
2000
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
5
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
1371
Captain / Total hours on type:
390.00
Aircraft flight hours:
2659
Circumstances:
On 1 November 2008 the pilot, accompanied by 5 passengers, departed from Wonderboom aerodrome to Njala Lodge in the Limpopo Province on a chartered flight. The coordinates used by the pilot were insufficient for the purpose and resulted in him landing on an incorrect aerodrome. During the take-off from the incorrect runway, the pilot apparently failed to do a proper assessment of the wind conditions and the result was an aborted take-off as the aircraft failed to gain height. During the landing following the aborted take-off, the aircraft collided with a huge rock, a telephone pole and the associated telephone wires and a 4 ft wire fence. The aircraft sustained substantial damage during the accident sequence and stopped a mere 5 metres from high tension wires across the dirt road.
Probable cause:
The pilot failed to carry out a proper assessment of the wind conditions. The aircraft failed to gain height as a result of a possible down draft and collided with obstacles on the ground after landing. The pilot failed to maintain directional control after take-off, resulting in a landing on the left side of the runway after aborting the take-off.
Final Report:

Crash of a Boeing 747-228F in Brussels

Date & Time: Oct 27, 2008 at 1600 LT
Type of aircraft:
Operator:
Registration:
OO-CBA
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Brussels – Dakar – Campinas
MSN:
24158/714
YOM:
1988
Flight number:
BB3101
Country:
Region:
Crew on board:
5
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
11360
Captain / Total hours on type:
260.00
Copilot / Total flying hours:
3536
Copilot / Total hours on type:
570
Aircraft flight hours:
82357
Aircraft flight cycles:
15773
Circumstances:
The aircraft took off from Brussels airport at 15:00 UTC. Upon rotation, the crew heard an abnormal noise, and had difficulties to get the aircraft in the air. After adjusting the engine power, the aircraft took off. Observers on the ground saw two white clouds appearing successively under the tail of the aircraft upon rotation, followed by flames. The inspection of the runway revealed that parts separated from the aircraft, amongst which the APU access door. The aircraft dumped the excess of fuel and landed back in Brussels at 16.20 UTC. Inspection on the ground revealed that large portions of the underside skin of the tail section were missing.
Probable cause:
The accident was caused by an inadequate take-off performance calculation, due to wrong gross weight data input error in the software used for the computation of the takeoff performance parameters and the failure to comply with the operator’s SOP for checking the validity of the data.
Contributing factor(s):
- Inadequate pairing of crew members with low experience.
- Lack of distraction management.
Final Report:

Crash of a Cessna 402C in Asunción: 5 killed

Date & Time: Oct 24, 2008 at 1040 LT
Type of aircraft:
Operator:
Registration:
ZP-TVA
Flight Phase:
Flight Type:
Survivors:
No
MSN:
402C-0417
YOM:
1980
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
5
Circumstances:
One minute after takeoff from Asunción-Silvio Pettirossi Airport, while climbing to a height of about 1,000 feet, the aircraft entered an uncontrolled descent and crashed in an eucalyptus plantation located 6,5 km northeast of the airport. The aircraft was destroyed by a post crash fire and all five occupants were killed, two pilots and three nurses.
Probable cause:
It is believed that the loss of control and the subsequent crash was the consequence of an engine power loss following the failure of the turbo.

Crash of a Cessna 402C in Monterrey: 3 killed

Date & Time: Oct 17, 2008 at 1210 LT
Type of aircraft:
Operator:
Registration:
XC-HAQ
Flight Phase:
Flight Type:
Survivors:
No
Site:
Schedule:
Monterrey – La Paz
MSN:
402C-0521
YOM:
1981
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
3
Circumstances:
The twin engine aircraft departed Monterrey-General Mariano Escobido Airport at 1200LT on a flight to La Paz, Baja California Sur with one passenger and two pilots on board. While climbing in clouds, the aircraft struck the slope of Mt El Fraile. The wreckage was found at the end of the afternoon. The aircraft was destroyed by impact forces and a post crash fire and all three occupants were killed, among them Nabor García Aguirre, Baja California Sur State Government Finance Secretary.
Crew:
Jaime Emilio Real Cosío, pilot,
Armando Ávila Ochoa, copilot.
Passenger:
Nabor García Aguirre.
Probable cause:
Controlled flight into terrain.

Crash of a Beechcraft 100 King Air in Bauru: 1 killed

Date & Time: Oct 12, 2008
Type of aircraft:
Registration:
N525ZS
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Bauru – Sorocaba
MSN:
B-66
YOM:
1971
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Circumstances:
Shortly after takeoff from Bauru Airport, the twin engine aircraft encountered difficulties to maintain a positive rate of climb. It then descended until it impacted ground about 5 km from the airport. The pilot, sole on board, was killed. He was supposed to deliver the aircraft at Sorocaba Airport.

Crash of a Cessna 421 Golden Eagle in Oaxaca: 2 killed

Date & Time: Oct 6, 2008
Type of aircraft:
Operator:
Registration:
XB-KWG
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Oaxaca – Bahias de Huatulco
Location:
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
2
Circumstances:
Shortly after take off from Oaxaca Airport runway 19, while in initial climb, the pilot informed ATC about an engine fire and elected to return for an emergency. Following a turn to runway 02, the pilot was informed about the presence of a Mexicana Fokker 100 that lined up and was waiting for takeoff clearance. The Cessna pilot made a 360 turn when the aircraft stalled and crashed short of runway, bursting into flames. Both occupants were killed.

Crash of a Cessna 402C in Vineyard Haven: 1 killed

Date & Time: Sep 26, 2008 at 2003 LT
Type of aircraft:
Operator:
Registration:
N770CA
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Vineyard Haven - Boston
MSN:
402C-0432
YOM:
1981
Flight number:
9K1055
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
16746
Captain / Total hours on type:
2330.00
Aircraft flight hours:
26809
Circumstances:
The pilot of the multi engine airplane, operated by a regional airline, was conducting a positioning flight in night instrument meteorological conditions. After takeoff, the airplane made a slight left turn before making a right turn that continued until radar contact was lost. The airplane reached a maximum altitude of 700 feet before impacting terrain about 3 miles northwest of the departure airport. Post accident examination of the wreckage did not reveal any preimpact failures. The weather reported at the airport, about the time of the accident, included a visibility of 5 statute miles in light rain and mist and an overcast ceiling at 400 feet. Analysis of the radar and weather data indicated that, with the flight accelerating and turning just after having entered clouds, the pilot likely experienced spatial disorientation.
Probable cause:
A loss of aircraft control due to spatial disorientation.
Final Report:

Crash of a Fokker F28 Fellowship 4000 in Quito

Date & Time: Sep 22, 2008 at 1115 LT
Type of aircraft:
Operator:
Registration:
HC-CDT
Flight Phase:
Survivors:
Yes
Schedule:
Quito – Coca
MSN:
11222
YOM:
1985
Flight number:
ICD504
Country:
Crew on board:
4
Crew fatalities:
Pax on board:
62
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
9292
Captain / Total hours on type:
109.00
Copilot / Total flying hours:
3889
Copilot / Total hours on type:
380
Aircraft flight hours:
42422
Aircraft flight cycles:
47727
Circumstances:
During the takeoff roll from runway 25 at Quito-Mariscal Sucre Airport, the crew noted a fire alarm connected to the forward cargo compartment. The captain decided to abandon the takeoff procedure and initiated an emergency braking manoeuvre. Unable to stop within the remaining distance, the aircraft overran, collided with the ILS antenna, went down an embankment then impacted a brick wall and came to rest 300 metres past the runway end. All 66 occupants were rescued, among them eight passengers were injured. The aircraft was damaged beyond repair.
Probable cause:
Failure of the crew to follow the published procedures following a fire alarm, as stated in the Operations Manual and the late application of the procedures once the decision to abort the takeoff was taken.
Contributing factors:
- Complacency on part of the crew who failed to proceed with a pre-takeoff briefing,
- A fact that influenced the lack of appropriate action from the crew to successfully tackle any emergency,
- Lack of crew resources management,
- The braking coefficient was low because the runway surface was wet.
Final Report: