Crash of a De Havilland DHC-6 Twin Otter 300 in Mulia: 4 killed

Date & Time: Mar 27, 2003 at 1230 LT
Operator:
Registration:
PK-WAY
Flight Phase:
Survivors:
Yes
Site:
Schedule:
Mulia – Wamena
MSN:
261
YOM:
1969
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
14
Pax fatalities:
Other fatalities:
Total fatalities:
4
Circumstances:
Shortly after takeoff from Mulia Airport, while climbing to an altitude of 7,000 feet, the twin engine aircraft struck the slope of a mountain and crashed. Both pilots and two passengers were killed while 12 other occupants were injured.

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

Date & Time: Mar 15, 2003 at 1725 LT
Type of aircraft:
Operator:
Registration:
LY-KAG
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Samedan - Samedan
MSN:
1G195-22
YOM:
1982
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
3004
Captain / Total hours on type:
440.00
Aircraft flight hours:
4471
Circumstances:
The single engine aircraft departed Samedan Airport runway 03 for a local flight with two passengers and one pilot/instructor on board. While climbing to a height of 125 metres, the engine failed. The pilot initiated a 180° turn for an immediate landing on runway 21 when, at a speed of 140 km/h, the aircraft struck tree tops and crashed inverted to the right side of the runway. The wreckage was found 350 metres past the runway threshold and 20 metres to the right. All three occupants escaped uninjured while the aircraft was damaged beyond repair.
Probable cause:
The accident was caused by an engine failure in the climbing phase, in which the altitude of the aircraft was not sufficient for a 180° turn.
The following possibly contributed to the engine failure:
- Carburettor icing,
- Incorrect mixture regulation setting.
Final Report:

Crash of a Boeing 737-2T4 in Tamanrasset: 102 killed

Date & Time: Mar 6, 2003 at 1515 LT
Type of aircraft:
Operator:
Registration:
7T-VEZ
Flight Phase:
Survivors:
Yes
Schedule:
Tamanrasset - Ghardaia - Algiers
MSN:
22700
YOM:
1983
Flight number:
AH6289
Country:
Region:
Crew on board:
6
Crew fatalities:
Pax on board:
97
Pax fatalities:
Other fatalities:
Total fatalities:
102
Captain / Total flying hours:
10760
Captain / Total hours on type:
1087.00
Copilot / Total flying hours:
5219
Copilot / Total hours on type:
1292
Aircraft flight hours:
41472
Aircraft flight cycles:
27184
Circumstances:
The aircraft was taking off from Tamanrasset to undertake, with a three-hour delay, scheduled flight DAH 6289 to Ghardaïa and Algiers. Six crew members (two flight crew and four cabin crew) and 97 passengers were on board. The co-pilot was pilot flying. No technical exemptions or deferred maintenance items applied to the airplane; on departure from Algiers it had been subject to routine maintenance for a minor technical problem, a hydraulic pump having been changed in the circuit B landing gear bay. The speeds decided on by the crew were V1 = 144 kt, VR = 146 kt, V2 = 150 kt. The EPR displayed was 2.18, that is to say nominal maximum thrust on take-off. At 14 h 01 min 37 s, the crew requested start-up clearance. At 14 h 08 min 36 s, the tower cleared the airplane to taxi, enter and taxi up runway 02. The wind was 330 at 12 kt. At 14 h 12 min 30 s, the co-pilot called out “we’re ready”. At 14 h 12 min 31 s, the tower cleared flight 6289 to line up and take off. At 14 h 13 min 36 s, flight DAH 6289 announced take-off. About five seconds after airplane rotation, at the moment when gear retraction was requested, a sharp thumping noise was recorded on the CVR. The airplane’s heading veered to the left, followed by a track correction. The Captain announced that he was taking over the controls. A short time later, the co-pilot told the control tower “we have a small problem”. The airplane continued to climb and reached a recorded height of about 400 ft. The speed dropped progressively from 160 kt during airplane lift-off to stall speed at the end of the recording. In fact, about ten seconds before, the noise of the stick shaker is heard on the CVR (which usually indicates that the airplane is 7% from its stall speed). The “Don’t Sink” aural warning, which normally indicates a loss of altitude during take-off when the airplane is below nine hundred feet, appeared about six seconds before the end of the recording. The airplane, with landing gear extended, struck the ground on its right side. A severe fire broke out immediately. The airplane slid along, losing various parts, struck and knocked over the airport perimeter fence then crossed a road before coming to a halt in flames. The control tower immediately sounded the alert.
Probable cause:
Probable causes:
The accident was caused by the loss of an engine during a critical phase of flight, the non-retraction of the landing gear after the engine failure, and the Captain, the PNF, taking over control of the airplane before having clearly identified the problem.
The following factors probably contributed to the accident:
• the perfunctory flight preparation, which meant that the crew were not equipped to face the situation that occurred at a critical moment of the flight;
• the coincidence between the moment the failure occurred and the request to retract the landing gear;
• the speed of the event that left the crew little time to recover the situation;
• maintaining an inappropriate rate of climb, taking into account the failure of one engine;
• the absence of any teamwork after the engine failure, which led to a failure to detect and correct parameters related to the conduct of the flight (speed, rate of climb, configuration, etc.);
• the takeoff weight being close to the maximum with a high aerodrome altitude and high temperature;
• the rocky environment around the aerodrome, unsuitable for an emergency landing.
Final Report:

Crash of a Cessna 411 in Colchani: 1 killed

Date & Time: Feb 28, 2003 at 1115 LT
Type of aircraft:
Registration:
CP-1885
Flight Phase:
Survivors:
Yes
Schedule:
Uyuni - Oruro
MSN:
411-0191
YOM:
1966
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
1
Circumstances:
After takeoff from Uyuni-La Joya Andina Airport, while climbing, the crew encountered engine problems. They attempted an emergency landing when the aircraft crashed near Colchani, about 16 km north of the airport. A pilot was killed while four other occupants were injured. The aircraft was destroyed.
Probable cause:
Failure of the right engine during initial climb for unknown reasons.

Crash of a Cessna 402B off Karachi: 8 killed

Date & Time: Feb 24, 2003
Type of aircraft:
Operator:
Registration:
AP-BFG
Flight Phase:
Survivors:
No
Schedule:
Karachi - Kabul
MSN:
402B-1304
YOM:
1977
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
6
Pax fatalities:
Other fatalities:
Total fatalities:
8
Aircraft flight hours:
6793
Circumstances:
The aircraft was chartered by the Afghan Government to carry a delegation from Karachi to Kabul. After takeoff from Karachi-Quaid-e-Azam Airport, the twin engine aircraft continued to climb to an altitude of 9,000 feet when it entered an uncontrolled descent. At an altitude of 2,500 feet, the aircraft disappeared from radar screens then crashed in the Arabian Sea few km offshore. The stabilizers and the tail were found few hundred metres from the main wreckage. All eight occupants were killed, among them Juma Mohammad Mohammadi, Afghan Minister of Industry and four members of his cabinet as well as one Chinese businessman.
Probable cause:
The Pakistan board of investigations determined that the probable cause of this accident was a structural failure due to overload. The aircraft weight was 7,183 lbs at the time of the accident as the maximum load as mentioned in the operational manual is 6,300 lbs, which means 883 pounds above max gross weight. It is believed that during climbout, the tail and stabilizers detached due to overload conditions.

Crash of a PZL-Mielec AN-28PD in Tallinn: 2 killed

Date & Time: Feb 10, 2003 at 1942 LT
Type of aircraft:
Operator:
Registration:
ES-NOY
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Tallinn - Helsinki
MSN:
1AJ006-04
YOM:
1989
Flight number:
ENI827
Country:
Region:
Crew on board:
3
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
10856
Captain / Total hours on type:
510.00
Copilot / Total flying hours:
2827
Copilot / Total hours on type:
475
Aircraft flight hours:
1428
Aircraft flight cycles:
2141
Circumstances:
The twin engine aircraft departed Tallinn-Ülemiste Airport on a mail flight to Helsinki, carrying three crew members (two pilots and one mechanic) and a load consisting of 514 kilos of mail. Four seconds after lift off from runway 08, while climbing to a height of 12 metres and at a speed of 170 km/h, the left engine suffered vibrations. The power lever for the left engine was brought back to idle then in a full forward position. Nevertheless, the aircraft lost height, nosed down and crashed in a wooded area located one km past the runway end. Both pilots were killed and the mechanic was seriously injured.
Probable cause:
It was determined that the right engine failed during initial climb following the rupture of a turbine ball bearing due to poor lubrication.
Final Report:

Crash of a Piper PA-61 Aerostar (Ted Smith 601) in Scottsdale: 2 killed

Date & Time: Jan 26, 2003 at 2023 LT
Registration:
N3636Q
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Scottsdale – Santa Fe
MSN:
61-0785-8063398
YOM:
1980
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
1450
Captain / Total hours on type:
160.00
Aircraft flight hours:
2574
Circumstances:
The airplane collided with mountainous terrain 5 miles from the departure airport during a dark night takeoff. Review of recorded radar data found a secondary beacon code 7267 (the code assigned to the airplane's earlier inbound arrival ) on the runway at 2021:08, with a mode C report consistent with the airport elevation. Two more secondary beacon returns were noted on/over the runway at 2021:12 and 2021:19, reporting mode C altitudes of 1,600 and 1,700 feet, respectively. Between 2021:08 and 2021:38, the secondary beacon target (still on code 7267) proceeded on a northeasterly heading of 035 degrees (runway heading) as the mode C reported altitude climbed to 2,000 feet and the computed ground speed increased to 120 knots. Between 2021:38 and 2021:52, the heading changed from an average 035 to 055 degrees as the mode C reports continued to climb at a mathematically derived 1,300 feet per minute and the ground speed increased to average of 170 knots. At 2022:23, the code 7267 target disappeared and was replaced by a 1200 code target. The mode C reports continued to climb at a mathematically derived rate of 1,200 feet per minute as the ground speed increased to the 180- knot average range. The computed average heading of 055 degrees was maintained until the last target return at 2022:53, which showed a mode C reported altitude of 3,500 feet. The accident site elevation was 3,710 feet and was 0.1 miles from the last target return. The direct point to point magnetic course between Scottsdale and Santa Fe was found to be 055 degrees. Numerous ground witnesses living at the base of the mountain where the accident occurred reported hearing the airplane and observing the aircraft's lights. The witnesses reported observations consistent with the airplane beginning a right turn when a large fireball erupted coincident with the airplane's collision with the mountain. No preimpact mechanical malfunctions or failures were found during an examination of the wreckage. The radar data establishes that the pilot changed the transponder code from his arrival IFR assignment to the VFR code 30 seconds before impact and this may have been a distraction.
Probable cause:
The pilot's failure to maintain an adequate altitude clearance from mountainous terrain. Contributing factors were dark night conditions, mountainous terrain, and the pilot's diverted attention.
Final Report:

Crash of a Grumman G-159 Gulfstream I in Busia: 3 killed

Date & Time: Jan 24, 2003 at 1645 LT
Type of aircraft:
Operator:
Registration:
5Y-EMJ
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Busia – Nairobi
MSN:
158
YOM:
1965
Location:
Country:
Region:
Crew on board:
3
Crew fatalities:
Pax on board:
9
Pax fatalities:
Other fatalities:
Total fatalities:
3
Circumstances:
The twin engine aircraft was returning from Busia to Nairobi, carrying a delegation of the Kenyan Government who made a local visit in Busia following the national elections. Shortly after takeoff from runway 13/31 which is 3,281 feet long, the aircraft encountered difficulties to gain height. It struck power cables and crashed onto a house. Both pilots and a passenger, the Labour Minister Ahmed Mohamed Khalif were killed while nine other occupants were seriously injured. The aircraft was destroyed. There were no casualties on the ground.
Probable cause:
The following findings were identified:
- Poor flight preparation on part of the crew,
- The total weight of the aircraft was estimated to be over 16 tons, well above the MTOW,
- Aircraft above 5,7 tons are not allowed to land at Busia Airport,
- According to circumstances, a minimum runway length of 3,900 feet was required,
- The captain's licences were not up to date,
- The aircraft documentation was not up to date and failed to comply with Kenyan regulations,
- The aircraft's maintenance was performed by technicians who did not have the proper licence and training,
- The aircraft already had in the past several accidents in Congo and Sudan,
- Following one accident in Sudan in 2000, the aircraft was considered as written off by the insurance and the owner, MIA International Ltd, purchased the hull from the insurers, repaired the aircraft and re-registered it, changing the registration from 5Y-MIA to 5Y-EMJ.

Crash of a Cessna 207A Skywagon in Put-in-Bay

Date & Time: Jan 20, 2003 at 0945 LT
Operator:
Registration:
N9945M
Flight Phase:
Survivors:
Yes
Schedule:
Put-in-Bay – Port Clinton
MSN:
207-0153
YOM:
1970
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
4500
Captain / Total hours on type:
405.00
Aircraft flight hours:
6283
Circumstances:
Shortly after takeoff, about 300 feet agl, the engine lost all power. The pilot activated the electric fuel pump, and moved the fuel selector several times. However, the engine did not regain power, and the pilot performed a forced landing into trees. After the accident, the pilot stated to a police officer that he might have departed with the fuel selector positioned to an empty tank. The pilot subsequently stated that both fuel gauges indicated "1/4" full, and he could not remember which tank was selected during the takeoff. Additionally, a passenger stated that he did not smell or observe fuel when he exited the airplane. The passenger added that in the past, the pilot had exhausted one fuel tank, then switched to the other tank and the engine re-started. Examination of the wreckage by an FAA inspector revealed that fuel selector was positioned to the right tank. The right fuel tank contained some fuel, and left fuel tank had ruptured. Following the accident, a successful engine test-run was performed.
Probable cause:
The pilot's inadequate fuel management, which resulted in fuel starvation and a total loss of engine power during the initial climb.
Final Report:

Crash of a Fokker F28 Fellowship 4000 in Quito

Date & Time: Jan 17, 2003 at 0940 LT
Type of aircraft:
Operator:
Registration:
HC-BMD
Flight Phase:
Survivors:
Yes
Schedule:
Quito – Tulcán – Cali
MSN:
11220
YOM:
1984
Flight number:
EQ120
Country:
Crew on board:
5
Crew fatalities:
Pax on board:
72
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
7085
Captain / Total hours on type:
4103.00
Copilot / Total flying hours:
1666
Copilot / Total hours on type:
124
Aircraft flight hours:
21547
Aircraft flight cycles:
40084
Circumstances:
During the takeoff roll on runway 35, at a speed of 125 knots, after a course of 2,110 metres, both tyres on the left main gear burst. The crew rejected the takeoff procedure but the aircraft was unable to stop within the remaining distance (runway 35 is 3,120 metres long). It overran, causing the nose gear to collapse, and came to rest 81 metres further. All 77 occupants escaped uninjured while the aircraft was damaged beyond repair.
Probable cause:
Lack of a positive actions and reaction on part of the crew following the bursting of both tires on the left main gear, causing the aircraft to overrun the runway.
Final Report: