Crash of a De Havilland DHC-3 Otter in Otter Creek

Date & Time: Sep 12, 2001 at 1100 LT
Type of aircraft:
Operator:
Registration:
C-FQOS
Flight Phase:
Survivors:
Yes
MSN:
398
YOM:
1960
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
The single engine aircraft departed Otter Creek near Goose Bay on a charter flight to a fishing lodge with three passengers and one pilot on board. The pilot reported he was in climb mode when the aircraft pitched forward and then nosed up before entering an uncontrollable nose-down descent, although it did not exhibit characteristics normally associated with an aerodynamic stall. It impacted the water hard, resulting in structural failure of the float supports and extensive damage to the fuselage. 'Lab Air 911', a Twin Otter medevac flight bound for Nain witnessed the incident and raised the alarm. All four occupants were rescued by boat while the aircraft sank in 55 feet of water.
Source: http://www.dhc-3archive.com/DHC-3_398.html

Crash of a Fletcher FU-24-950M in Waiotira

Date & Time: Sep 8, 2001 at 0710 LT
Type of aircraft:
Operator:
Registration:
ZK-CMN
Flight Phase:
Survivors:
Yes
Schedule:
Waiotira - Waiotira
MSN:
118
YOM:
1966
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
15131
Captain / Total hours on type:
14935.00
Circumstances:
The aircraft was flown to a farm airstrip then loaded with a small load of agricultural product. A combination of extremely soft airstrip conditions, a quartering tailwind, and underslung spreader equipment, degraded performance to the extent that the aircraft was unable to become airborne within the available length of the strip. The load was jettisoned, but the aircraft struck a fence and scraped the ground with the left wing tip and aileron. The aircraft did become airborne, but was unable to be effectively controlled and subsequently struck the ground. The aircraft was destroyed and the pilot was seriously injured.
Probable cause:
A combination of extremely soft airstrip conditions, a quartering tailwind, and underslung spreader equipment, degraded performance to the extent that the aircraft was unable to become airborne within the available length of the strip.

Crash of a Piper PA-31-350 Navajo Chieftain in Reading: 1 killed

Date & Time: Sep 5, 2001 at 1313 LT
Operator:
Registration:
N8PK
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Reading – Montgomery
MSN:
31-8152141
YOM:
1981
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
3230
Captain / Total hours on type:
20.00
Aircraft flight hours:
6204
Circumstances:
After takeoff, the pilot reported "an engine problem," but did not elaborate. A witness on the ground saw that the left engine was trailing smoke, but the engine was still operating, and did not sound like it was "missing". When asked by the tower controller if he required assistance, the pilot answered "no". The controller cleared the pilot for left traffic to a landing, and provided the current weather. There were no further transmissions from the pilot. Smoothed radar tracking data revealed that the airplane turned toward a left downwind, and leveled off at 1,400 feet msl (about 1,050 feet agl) and 156 knots. During the next 14 seconds, the airplane descended to 1,100 feet and increased airspeed to 173 knots. Then radar contact was lost. Witnesses observed the airplane variously in a right snap roll and a left wingover, followed by a sharp dive to the ground. The airplane had just undergone maintenance. During maintenance, unused oil was found in the left engine cowling, which the pilot admitted he had previously spilled. Following maintenance, the pilot was observed adding 3 additional quarts of oil to the left engine. The engine oil dipsticks were calibrated on both sides, with each side pertaining to the oil level in a specific engine. The side for the right engine was calibrated to read 1 3/4 quarts lower than the left engine. The airplane's wreckage was fragmented. No evidence of mechanical defect was found, nor was there any evidence of an extreme out-of-trim condition. There was also no evidence of engine failure, detonation, or pre-impact failure. The pilot held an airline transport pilot certificate. He reported 3,210 hours of flight time to the operator, and had recently been cleared to fly the airplane on 14 CFR Part 91 flights. The flight to the maintenance facility was the pilot's first solo flight in the airplane. An autopsy of the pilot revealed the presence of a prostate adenocarcinoma; however, according to his physician, the pilot was unaware of it.
Probable cause:
The pilot's loss of control for undetermined reasons, which resulted in a high speed dive to the ground.
Final Report:

Crash of a Cessna 421B Golden Eagle II in Carcassonne

Date & Time: Aug 30, 2001 at 0804 LT
Operator:
Registration:
F-GAPR
Flight Phase:
Survivors:
Yes
MSN:
421B-0951
YOM:
1975
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
5
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
Shortly after takeoff from runway 28 at Carcassonne-Salvaza Airport, while in initial climb, the aircraft stalled and crashed to the right of the runway. All six occupants escaped with various injuries and the aircraft was destroyed.
Probable cause:
Loss of control during initial climb following a loss of power on the right engine.

Crash of a Cessna 402B in Marsh Harbour: 9 killed

Date & Time: Aug 25, 2001 at 1845 LT
Type of aircraft:
Registration:
N8097W
Flight Phase:
Survivors:
No
Schedule:
Marsh Harbour – Miami-Opa Locka
MSN:
402B-1014
YOM:
1975
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
8
Pax fatalities:
Other fatalities:
Total fatalities:
9
Circumstances:
The fatal aircraft, Registration N8097W was operated by Blackhawk International Airways and the listed owner was Skystream Inc; whose corporate address was the same as Mr. Gilbert Chacón’s Pembroke Pines, Florida home address. Blackhawk International Airways was owned by Gilbert Chacón and his son Erik, who founded the company in 1991. Blackhawk International Airways was authorized by the FAA as a part 135 Single Pilot Operation. Mr. Gilbert Chacon was the only pilot authorized by the FAA for Blackhawk International Airways. Once Morales acted as pilot- in-command of the Cessna 402B aircraft, this made Blackhawk International Airways a multi pilot operation. This was a clear violation of the FAA regulations. Mr. Morales was not signed off by the FAA to fly for Blackhawk International Airways, nor was Blackhawk International Airways signed off as a multi pilot operation. There were no FAA reports of any enforcement actions or service difficulty reports against the fatal aircraft. However, the FAA did report four administrative actions against Blackhawk International Airways, three for technical violations and the most recent for maintenance failures. The agency (FAA) issued a letter of correction on April 28, 2000, citing Blackhawk's failure to comply with manufacturer’s recommended maintenance programs and FAA programs for its aircraft's engines or other parts. Blackhawk failed to have a person in charge of maintenance with an appropriate certificate and used unsanctioned techniques and equipment for repairs. The Manager of the Palm Beach County Park Airport at Lantana, Florida stated that a last minute change resulted in the accident aircraft being dispatched to Marsh Harbour, Abaco, Bahamas. The Cessna 404 aircraft which was originally scheduled to conduct this flight, was fuelled, but subsequently changed to a Cessna 402B aircraft by the owner Mr. Gilbert Chacon. This charter flight from Lantana, Florida to the island of Marsh Harbour, Abaco, in the Bahamas, was operated under Visual Flight Rules (VFR).The accident occurred on August 25, 2001 shortly after the aircraft departed Marsh Harbour International Airport for the return trip to Opa Locka, Florida (USA). The flight number was not known. At the time of the accident, Blackhawk International Airways was not authorized by the Bahamas Aviation Authority to conduct commercial operations in the Bahamas. A determination could not be made as to whether or not the pilot filed a flight plan. No records existed to verify whether radio communications were established with Air Traffic Control (ATC) during the flight from Lantana, Florida to Marsh Harbour, Abaco, Bahamas. The flight was a 165 mile journey that was estimated to take one (1) hour to complete. The aircraft was not required to have a cockpit voice recorder. Witnesses reported the pilot and members of the group being transported, argued about the number of passengers and the amount of bags to be loaded on the aircraft. Witnesses also reported seeing eight (8) passengers board the aircraft. Two of the largest passengers (believed to be weighing approximately 300 pounds each,) were observed being seated in the rear of the aircraft. One witness reported that the pilot personally loaded the aircraft. Witnesses also reported that the pilot experienced problems starting the engines. Eye witness statements placed the time of departure of the flight for Opa Locka, Florida at approximately 1845 EDT. The aircraft became airborne from the 5,000 x 50 feet runway (Runway 27) between 2,500 to 2,800 feet. It climbed in a steep nose high attitude to approximately 40 feet above the runway, banked left, pitched nose down and impacted marshy terrain in a left wing, nose low attitude. The aircraft was destroyed and all nine occupants were killed, among them the US singer Aaliyah Dana Haughton.
Probable cause:
Findings and Probable Cause:
- Aircraft overweight. Pilot did not determine if the aircraft was within operating limitations. The aircraft’s weight was estimated to be 941 lbs over the maximum allowable takeoff weight. The weight of the un-recovered bag was not added to the weight and balance calculations. The center of gravity was estimated to be 4.4 inches aft of the maximum aft allowable center of gravity envelope).
- Pilot Unqualified. Pilot was not qualified under Part 135 for the aircraft in which he was flying.
- Documents Falsification. Pilot falsified logbook to reflect more flight time than he actually had accumulated. Review of pilot logbook revealed in several instances, pilot added as much as 1,000 hours to his total flight and multi engine times. Hundreds of day and night landings were falsified to meet qualification requirements. Pilot falsified aircraft information (types and registration numbers) reporting them to be Cessna C402 aircraft, when FAA database clearly lists the aircraft in question as aircraft other than Cessna C402. Pilot may not have completed a weight and balance report. (No evidence existed that showed he had completed a load manifest or weight and balance and performance calculations). Pilot failed to comply with prescribed Weight and Balance and Performance limitations in Pilot’s Operating Handbook. (The aircraft’s weight was estimated to be 941 lbs over the maximum allowable takeoff weight. The weight of the un-recovered bag was not added to the weight and balance calculations. The center of gravity was estimated to be 4.4 inches aft of the maximum aft allowable center of gravity envelope)). Pilot may not have followed “before takeoff” checklist in Pilot’s Operating Handbook.
- Fuel Selectors: “Left Engine – Left Main Tank, Right Engine – Right Main Tank”. Field investigation immediately following the accident revealed both fuel tank selectors were found selected to the right main tank. The left fuel valve was found in the left position, though the cable was separated from the valve. Impact damage may have changed the pre-impact settings, thereby rendering the observed positions as unreliable.
- Aircraft Flight Controls (secondary control surfaces – trim tabs) were found to be out of normal range required for takeoff. The aileron trim tab was found selected all the way to the right. The rudder trim tab was found selected to the left and the elevator trim tab was found in the full nose down position. Impact damage may have changed the pre-impact settings, thereby rendering the observed positions as unreliable.
- According to Pilot’s Operating Handbook (POH) normal takeoff is 0˚ flaps. (The flap selector handle was selected to 15˚with the indicator at approximately the 15˚position. The wing flap push rods were bent, indicating partial extension at impact).
- Blackhawk International Airways was not authorized to assign this pilot as a pilot in command because they did not have the authority to use a second pilot. Blackhawk International Airways was authorized as a single pilot operation with Mr. Gilbert Chacon as the only authorized pilot.
- Blackhawk International Airways reportedly hired Mr Morales two days prior to the fatal accident, although they did not have the authority to use a second pilot. Further, they did not exercise due diligence in ensuring pilot’s qualification prior to assigning duty as pilot in command.
- There were no FAA reports of any enforcement actions or service difficulty reports against the fatal aircraft. However, the FAA did report four administrative actions against Blackhawk, three for technical violations and the most recent for maintenance failures. The agency issued a correction letter April 28, 2000, citing Blackhawk's failure to comply with manufacturer recommended maintenance programs and FAA programs for its aircraft's engines or other parts, Blackhawk failed to have a person in charge of maintenance with an appropriate certificate and used unsanctioned techniques and equipment for repairs.
- Results of disassembly report confirms that no discrepancies existed that would have precluded normal operation of both left and right engines prior to impact.
- Forensic Report showed traces of benzoylegonine (a metabolite of cocaine) in the urine and traces of ethanol in the stomach contents of the pilot.
- On July 7, 2001, Morales was arrested by the Broward Sheriff's Office in an area of Pompano Beach known for drug sales. A deputy who pulled over Morales' 1993 Volkswagen Fox for running a stop sign said he found pieces of crack cocaine and other paraphernalia in the car. According to the deputy, Morales said he was in the area to buy powder cocaine for a friend.
- In November 2000, Morales was arrested by Fort Lauderdale police after he tried to "return'' $345 worth of stolen aviation parts to a local distributor. Instead of giving Morales cash, store employees called police, who were investigating a string of airplane burglaries. Mr. Morales was charged with dealing in stolen property after detectives found that a receipt in his bag belonged to the burglary victim who actually bought the parts. An additional charge of grand theft was tacked on when detectives recovered other stolen items.
Final Report:

Crash of a Learjet 25 in Ithaca: 2 killed

Date & Time: Aug 24, 2001 at 0542 LT
Type of aircraft:
Operator:
Registration:
N153TW
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Ithaca – Jackson
MSN:
25-053
YOM:
1970
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
4826
Captain / Total hours on type:
760.00
Copilot / Total flying hours:
3634
Copilot / Total hours on type:
377
Aircraft flight hours:
12486
Circumstances:
While departing from the airport, with the second-in-command (SIC) at the controls, the airplane impacted a fence, and subsequently the ground about 1,000 feet beyond the departure end of the runway. A witness on the ramp area south of the runway, stated that he heard the engines spool up; however, due to the fog, he could only see the strobe lights on the airplane. He then observed the airplane rotate about 3,500 feet from the departure end of the runway and begin to climb at a steep angle, before losing sight of it when it was about 150 feet above ground level. The weather reported, at 0550 was, calm winds; 1/2 statute miles of visibility, fog; overcast cloud layer at 100 feet; temperature and dew point of 17 degrees Celsius. Excerpts of the cockpit voice recorder (CVR) transcript revealed that the flightcrew discussed the prevailing visibility at the airport on numerous occasions, and indicated that it appeared to be less than one mile. Examination of the wreckage revealed no anomalies with the airframe or engines. According to the FAA Instrument Flying Handbook, "Flying in instrument meteorological conditions (IMC) can result in sensations that are misleading to the body's sensory system...A rapid acceleration, such as experienced during takeoff, stimulates the otolith organs in the same way as tilting the head backwards. This action creates the somatogravic illusion of being in a nose-up attitude, especially in situations without good visual references. The disoriented pilot may push the aircraft into a nose-low or dive attitude."
Probable cause:
The pilot's failure to maintain a proper climb rate while taking off at night, which was a result of spatial disorientation. Factors in the accident were the low visibility and cloud conditions, and the dark night.
Final Report:

Crash of a Piper PA-46-310P Malibu in Bulverde: 1 killed

Date & Time: Aug 23, 2001 at 1641 LT
Registration:
N4362A
Flight Phase:
Flight Type:
Survivors:
Yes
MSN:
46-8408053
YOM:
1984
Location:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
3100
Copilot / Total flying hours:
2360
Circumstances:
The airplane's fuel tanks were fueled from a self serve fuel pump with 63 gallons of fuel prior to departure. The pilot initiated the takeoff roll from runway 30 with a 10 knot tailwind. The airplane was reported to have used the entire length of the runway during the takeoff roll. The airplane became airborne, attained a height approximately 100 feet agl, entered a descent, and subsequently, impacted the ground. A post accident fire consumed the airplane. Immediately following the accident, the pilot reported to local authorities that "he was leaving the airstrip and the plane stalled due to lack of airspeed." The 3,000-foot runway rises rapidly at its north end, such that the departure end of runway 30 was 50 feet higher than the approach end. At the time of the accident, the wind was from 130 degrees at 10 knots and the density altitude was 4,136 feet. Examination of the engine did not reveal any anomalies that would have precluded its operation prior to the accident.
Probable cause:
The pilot's failure to obtain airspeed after rotation, which resulted in a stall/mush. Contributing factors were the tailwind condition, high density altitude, and upsloping runway.
Final Report:

Crash of a Vickers 803 Viscount in N'Djamena

Date & Time: Jul 24, 2001
Type of aircraft:
Operator:
Registration:
3D-OHM
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
N’Djamena – Lomé
MSN:
162
YOM:
1957
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
The four engine aircraft was completing a series of cargo flights on behalf of the Chadian Government. During the takeoff roll from N'Djamena Airport runway 23, the pilot-in-command started the rotation when the aircraft deviated to the left of the centerline. The captain decided to abandon the takeoff procedure and reduced power on all four engines. Out of control, the aircraft veered off runway to the left and rolled for about 800 metres before coming to rest with substantial damage to both engines n°1 and 3. All three occupants escaped uninjured while the aircraft was later considered as damaged beyond repair.

Crash of an Ilyushin II-76MD in Moscow: 10 killed

Date & Time: Jul 14, 2001 at 0853 LT
Type of aircraft:
Operator:
Registration:
RA-76588
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Moscow – Norilsk – Bratsk – Taiyuan
MSN:
00434 51530
YOM:
1984
Flight number:
RUR9633
Country:
Region:
Crew on board:
8
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
10
Aircraft flight hours:
3523
Aircraft flight cycles:
1831
Circumstances:
The aircraft was engaged in a cargo flight from Moscow to Taiyuan, China, with intermediate stops in Norilsk and Bratsk, carrying two passengers, eight crew members and a load of 40,2 tons of construction materials. Due to foggy conditions, the horizontal visibility was reduced to 500-900 metres and the vertical visibility was estimated to be 70-80 metres. Following a takeoff roll of about 2,700 metres, the captain started the rotation at a speed of 290 km/h (about 25 km/h above the recommended speed). At a height of about 10 metres, the pilot-in-command started a turn to the right of 7° in order to compensate a deviation to the left during the takeoff roll. At a height of 23-24 metres, the stabilizers' position changed from -5,4° to -3,9° and the aircraft started to lose altitude. One second prior to impact, the elevator were in a 11-12° pitch angle and at a height of 20-21 metres, both right engines n°3 and 4 collided with trees at a distance of 930 metres from the runway end and 47 metres to the right of its extended centerline. Upon impact, both engines were torn off and the aircraft crashed in a wooded area located 1,460 metres past the runway end, bursting into flames. The aircraft was totally destroyed and all 10 occupants were killed.
Probable cause:
The following contributing factors were identified:
- A series of negligences was noted in the operations of the company and the maintenance of the airplane,
- The flight was not properly prepared and the total weight of the aircraft was well above the MTOW,
- Due to the combination of the following factors, the pilots did not take the corrective actions to maintain a good climb path:
- Lack of seriousness and lack of documentation control during cargo loading at Chkalovsky Airport,
- Lack of rigor and non-compliance with standard operating procedures regarding the pre-takeoff check of the cargo, which led the ground personnel to load cargo with a total weight in excess of 13,6 to 14 tons,
- At takeoff, the total weight of the aircraft was estimated to be 204 tons while it was certified for a maximum weight of 191.9 tons taking into account all factors at the time of the accident,
- All crew members were unable to identify in due time the successive errors made by the captain (pilot-in-command), among others the stabilizers that were prematurely positioned in an angle of -3.9 ° while the trailing edge flaps were retracted, causing the lift to be insufficient,
- The coordination within the flight crew was ineffective and the copilot and the navigator did not pay sufficient attention to the altitude of the aircraft through flight conditions in reduced visibility,
- Lack of visibility caused by foggy conditions which did not allow the flight crew to distinguish in time the obstacles located past the runway end,
- As a result of this accident, the operator certificate was revoked.

Crash of a PZL-Mielec AN-28 in Puerto Cabello: 13 killed

Date & Time: Jul 12, 2001 at 1246 LT
Type of aircraft:
Operator:
Registration:
YV-117CP
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Puerto Cabello - Caracas
MSN:
AJE001-10
YOM:
1996
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
11
Pax fatalities:
Other fatalities:
Total fatalities:
13
Circumstances:
Operated by Overtec, the aircraft was leased from a Polish company and was engaged in a demonstration flight from Puerto Cabello to Caracas on behalf of the Venezuelan National Guard. Shortly after takeoff from Puerto Cabello-General Bartolomé Salom Airport, while climbing, the twin engine aircraft encountered difficulties to gain height, stalled and crashed in an open field, bursting into flames. The aircraft was totally destroyed by a post crash fire and all 13 occupants were killed.
Probable cause:
Loss of control during initial climb following a loss of power on one engine for undetermined reasons.