Crash of a Canadair CL-215-1A10 off Chamadouro

Date & Time: Jul 9, 2004 at 1840 LT
Type of aircraft:
Operator:
Registration:
I-SRMB
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Seia - Seia
MSN:
1012
YOM:
1979
Flight number:
Tanker A2
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
8972
Captain / Total hours on type:
750.00
Copilot / Total flying hours:
3495
Copilot / Total hours on type:
16
Circumstances:
Owned by SOREM, the aircraft was dispatched in Portugal and leased to OMNI - Aviação e Tecnologia for fire fighting missions. Following a scooping mission in the Aguíeira Reservoir off Chamadouro, the crew increased engine power and started a takeoff procedure when control was lost. The takeoff was abandoned but the aircraft collided with the shore and came to rest. Both pilots escaped uninjured and the aircraft was damaged beyond repair.
Probable cause:
Loss of directional control of the aircraft during takeoff and the track during deceleration (after the abortion decision) in order to avoid collision with the bank, was considered as the primary cause of the accident. The following contributing factors were identified:
- Poor Crew Resource Management,
- Lack of crew communication,
- The orographic conditions were substantially different from those where the crew received their training and developed their operational activities.
Final Report:

Crash of a PZL-Mielec AN-2Sx in Yaroslavy

Date & Time: Jul 9, 2004
Type of aircraft:
Operator:
Registration:
RA-02230
Flight Phase:
Survivors:
Yes
Schedule:
Yaroslavy - Yaroslavy
MSN:
1G235-01
YOM:
1989
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
The crew already completed 15 spraying sorties successfully that day. After being refilled with a load of 1,200 kg of chemicals for the next mission, the crew started the takeoff procedure with flaps down to 20° from the middle of the runway which is 850 metres long. At a speed of about 90-100 km/h, the crew started the rotation but the aircraft failed to respond. It overran, struck an embankment located 572 metres past the runway end and crashed, bursting into flames. Both pilots were seriously injured and the aircraft was destroyed.
Probable cause:
It was determined that the engine lost power during the takeoff procedure because the fuel filter was blocked by fertilizers that probably fell in the fuel during servicing prior to departure. The decision of the crew to start the takeoff procedure from the middle of the runway was considered as a contributing factor as the distance available was insufficient for a rejected takeoff.

Crash of a De Havilland DHC-6 Twin Otter 300 in Mile 222 (Canol Road)

Date & Time: Jul 4, 2004 at 1730 LT
Operator:
Registration:
C-FMOL
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Mile 222 - Mile 170
MSN:
303
YOM:
1971
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
The North-Wright Airways Ltd. DHC-6 Twin Otter, registration C-FMOL, was departing from an approximately 1,500 foot long gravel strip at Mile 222 of the Canol Road (near the Tsichu River), Canada. The takeoff was initiated to the north and into wind. Immediately after becoming airborne, the aircraft encountered a strong right cross-wind and settled back onto the strip. The left wheel contacted willows that had overgrown the edge of the strip. The aircraft veered left into the willows at about 60 knots, and began to decelerate. Prior to flying speed being regained, the aircraft rolled off the end of the strip and come to rest in a shallow creek. The right wing partially separated from the fuselage at impact and the forward fuselage, nose gear and right main gear sustained substantial damage. The pilot and first officer were uninjured. The purpose of the trip was to move hunting gear and outfitter supplies back to an airstrip at Mile 170 of the Canol Road (Godlin Lake). The aircraft was at or near gross weight at the time of the occurrence.

Crash of an IAI-1124 Westwind in Panama City: 7 killed

Date & Time: Jul 2, 2004 at 1338 LT
Type of aircraft:
Operator:
Registration:
N280AT
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Quito – Panama City – Washington DC – Milan
MSN:
247
YOM:
1979
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
4
Pax fatalities:
Other fatalities:
Total fatalities:
7
Circumstances:
On July 2, 2004, at 1338 eastern standard time, a U.S. registered Westwind model 1124 corporate jet, N280AT, operated by Air Trek, Inc., as a Part 135 commercial air ambulance flight, impacted terrain and crashed into a building after departing from the Tocumen International Airport (MPTY), Tocumen, Panama. The airplane was destroyed by impact forces and post-crash fire. All six occupants on the airplane were fatally injured. A seventh person was also fatally injured on the ground. Visual meteorological conditions prevailed, and an instrument flight rules (IFR) flight plan was filed. The flight originated from Quito, Ecuador, and stopped in Tocumen for fuel. The flight was destined for Milan, Italy, via another fuel and crew-change stop at the Dulles International Airport, near Washington, DC. According to the operator, the airplane was flown with the two pilots and two flight nurses from Punta Gorda, Florida, to Guayaquil, Ecuador, on July 1, 2004. The airplane was refueled with 450 gallons of Jet A upon arrival, and remained overnight. On July 2, 2004, the airplane was fueled with an additional 150 gallons of Jet A, and subsequently departed for Quito, Ecuador. Upon arriving in Quito, two passengers were boarded, and the flight departed for Panama, where it would be refueled. The airplane was not fueled during the stop in Quito. According to the Panama Autoridad Aeronautica Civil, the flight landed in Panama uneventfully, and proceeded to the north ramp at the main terminal. The flightcrew requested from ground service personnel that the airplane be refueled with 600 gallons of Jet A. The flightcrew specifically requested that 500 gallons of fuel be added utilizing the pressure point fueling station, and 100 gallons be added to the auxiliary tank, utilizing a gravity filler port. After refueling, the airplane was started and taxied to runway 03L. An air traffic controller observed the airplane as it began to takeoff. He recalled that, "It pitched up vertically, the nose then lowered, and the wings rocked side to side. The airplane then veered to the right and descended out of view." A witness, who was located north of the accident site, observed the airplane veering to the right, before descending from his view. The airplane impacted the ground on taxiway Hotel, north of taxiway Bravo, and a fire ensued. The right wing and right engine separated from the fuselage and fragmented into multiple pieces. The vertical stabilizer impacted the ground, and separated from the fuselage. The main fuselage, left wing, and left engine continued across a grass field, where it struck an airport worker, and impacted a concrete wall. The airplane continued through the wall, and came to rest inverted inside a building. Airport crash fire and rescue responded to the accident, and contained the post crash fire within 3 minutes. The wreckage path was oriented on a heading of about 80 degrees. Ground scars on the taxiway were consistent with the right wing tip tank impacting the taxiway surface with the airplane in a nose high attitude, banked 90 degrees to the horizon. The scars continued forward, with the airplane rolling onto its back, collapsing the vertical stabilizer. About 35 feet beyond the vertical stabilizer impact point, scars were observed from the left tip tank. Debris from the cockpit and forward cabin area was observed in the grass area along the wreckage path. Airport personnel tested the fuel truck used to refuel the airplane for contamination after the accident. No abnormalities were noted. The cockpit voice recorder (CVR) was forwarded to the National Transportation Safety Board, Washington, D.C. for further review. The left and right engines, the horizontal stabilizer trim actuator, and the airplane's annunciator warning panel, were also retained for further examination.

Crash of a Beechcraft 200 Super King Air in Green Bay

Date & Time: Jun 30, 2004 at 0610 LT
Registration:
N432FA
Flight Phase:
Survivors:
Yes
Schedule:
Green Bay - Grand Rapids
MSN:
BB-592
YOM:
1979
Crew on board:
1
Crew fatalities:
Pax on board:
7
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
4800
Captain / Total hours on type:
750.00
Aircraft flight hours:
6812
Circumstances:
The twin-engine airplane was damaged during a precautionary landing following a reported loss of power to the right engine on takeoff. The pilot reported that the right engine lost power as the landing gear was retracting after takeoff. He stated that he elected to land the airplane on the remaining runway and selected gear down. The pilot stated, "I then flew the aircraft maintaining directional control and landed on runway 24 however due to the short time between selecting gear down and landing the landing gear had not extended and the aircraft landed gear up." No anomalies were found with respect to the right engine or fuel controls during the on-scene or follow-up examination. Examination of the right propeller indicated that it was not in the feather position. The pilot reported that the autofeather system did not engage. The airplane came to rest on the runway with approximately 2000 feet of the runway surface remaining.
Probable cause:
The loss of engine power after takeoff for an undetermined reason.
Final Report:

Crash of a Beechcraft 200 Super King Air in São Sebastião: 2 killed

Date & Time: Jun 28, 2004 at 1710 LT
Registration:
ZS-NRW
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
São Sebastião - Vilanculos
MSN:
BB-201
YOM:
1977
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
5800
Captain / Total hours on type:
2080.00
Copilot / Total flying hours:
1203
Copilot / Total hours on type:
1
Circumstances:
The aircraft was refuelled to capacity at Polokwane Airport, South Africa on 28 June 2004 with 1750 litres of Jet A1 fuel where after it flew to São Sebastião, near Vilanculos, Mozambique. Later the day on 28 June 2004 the crew attempted to take off on a non-scheduled flight from Sao Sebastiao (near Vilanculos) to Vilanculos Airport (VNX). The purpose of the fight was to airlift an injured man to a hospital at an unknown destination. The crew did not use the full runway length available but attempted the takeoff run with only 870ft (265 m) of runway available. The aircraft failed to become airborne and overran the runway, colliding with a sandbank, the perimeter fence and trees and erupted in fire. Calculations, using the takeoff performance graphs in the POH (Pilot Operating Handbook), showed that the aircraft would have required a ground roll distance of 2000 ft (610 m) with 40° flap and 2100 ft (640 m) with no flap selected.
Final Report:

Crash of an Antonov AN-12BP in Wau

Date & Time: Jun 26, 2004 at 1852 LT
Type of aircraft:
Operator:
Registration:
ST-SAT
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Wau – Khartoum
MSN:
5 3 435 02
YOM:
1965
Country:
Region:
Crew on board:
5
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. Engines n°3 & 4 failed and the crew elected to make an emergency landing in an open field. The aircraft crash landed in a field and came to rest, bursting into flames. All five occupants were injured along with a young boy in the nearby field.
Probable cause:
Engine failure during initial climb following a bird strike.

Crash of a Lisunov LI-2T in Moscow: 3 killed

Date & Time: Jun 26, 2004 at 1728 LT
Type of aircraft:
Operator:
Registration:
RA-1300K
Flight Phase:
Flight Type:
Survivors:
Yes
Site:
Schedule:
Moscow - Kaluga
MSN:
234 416 05
YOM:
1952
Country:
Region:
Crew on board:
3
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
4
Circumstances:
After takeoff from Moscow-Myashkovo Airport runway 06, while climbing, the left engine failed. The aircraft lost height then struck the roof of a house and crashed in the residential area of Zaozerye located 2,5 km from the airport, three minutes after takeoff. Two occupants were seriously injured while three others were killed. Few hours later, one of the survivor died from his injuries, thus a passenger was the only survivor. This model was the last LI-2 airworthy in the world.
Probable cause:
Failure of the left engine during initial climb due to fuel exhaustion. Investigations determined that the fuel selector for the left engine was positioned on an empty tank. Poor flight preparation on part of the crew. The flight engineer was intoxicated at the time of the accident.

Crash of a Douglas DC-3-455 in Las Gaviotas

Date & Time: Jun 21, 2004 at 1700 LT
Type of aircraft:
Operator:
Registration:
HK-1212
Flight Phase:
Survivors:
Yes
Schedule:
Las Gaviotas – Puerto Carreño
MSN:
4987
YOM:
1942
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
18
Pax fatalities:
Other fatalities:
Total fatalities:
0
Aircraft flight hours:
50159
Circumstances:
Following technical problems, a DC-3 operated by Viarco diverted to Las Gaviotas Airport and was grounded. The operator send a second aircraft to Las Gaviotas to pick up the passengers. Shortly after takeoff from runway 24, while in initial climb, the right engine failed and caught fire. The aircraft stalled and crashed in a wooded area, bursting into flames. All 20 occupants were injured, six seriously. The aircraft was destroyed.
Probable cause:
Rupture of a crank and subsequent total loss of power and fire in the right engine during rotation of the plane, which reduced the performance of the aircraft, causing the pilot to lose control of the aircraft, resulting in the immediate collision with the ground.

Crash of a PZL-Mielec AN-2R in Bozoy: 1 killed

Date & Time: May 19, 2004 at 1040 LT
Type of aircraft:
Operator:
Registration:
UN-70276
Flight Phase:
Survivors:
Yes
Schedule:
Kyzylorda – Bozoy – Vozrozhdeniya Island
MSN:
1G139-35
YOM:
1972
Location:
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
10
Pax fatalities:
Other fatalities:
Total fatalities:
1
Circumstances:
The single engine aircraft departed Kyzylorda on a charter flight to the island of Vozrozhdeniya with an intermediate stop in Bozoy, carrying 10 doctors and two pilots. They were taking part to a plague control program. After takeoff from Bozoy, while climbing to a height of about 50 metres, the aircraft stalled and crashed in an open field. All 12 occupants were rescued, among them three passengers were seriously injured. Few hours later, one of them died from his injuries.
Probable cause:
Stall and loss of control after the cargo shifted during initial climb. It was determined that the cargo was not properly secured in the cabin and moved to the rear during initial climb. The distance between the aircraft and the ground was insufficient to expect recovery. It was also reported that the aircraft has been refueled with AI-96 motor gasoline instead of aviation fuel.