Crash of a Rockwell Sabreliner 40 in Saltillo

Date & Time: Jun 30, 2007 at 1330 LT
Type of aircraft:
Operator:
Registration:
XA-SMR
Survivors:
Yes
Schedule:
Monterrey – Saltillo
MSN:
282-71
YOM:
1966
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
The twin engine aircraft departed Monterrey-General Mariano Escobido Airport at 1305LT on a taxi flight to Saltillo, carrying two passengers and two pilots. After landing on runway 35 at Saltillo Airport, the aircraft was unable to stop within the remaining distance. It overran and came to rest 50 metres further in a rocky area. All four occupants escaped uninjured while the aircraft was damaged beyond repair.

Crash of a Britten-Norman BN-2A Islander in Nassau

Date & Time: Jun 27, 2007 at 1721 LT
Type of aircraft:
Operator:
Registration:
N133RS
Flight Type:
Survivors:
Yes
Schedule:
Little White Cay - Nassau
MSN:
606
YOM:
1970
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Aircraft flight hours:
9010
Circumstances:
On June 27, 2007 about 1721 eastern daylight time (2121Z) a Pilatus Britten Norman Islander, N133RS registered to and owned by FYP LTP, and operated by Golden Wings Charter, Windsor Field, Nassau, Bahamas, had crashed short of runway 14. Just prior to crashing, approximately 1718 eastern daylight time (2118Z), the pilot of aircraft N133RS reported the left engine had failed. At approximately 1721 eastern daylight time (2121Z), the pilot reported he was unable to make runway 14 and crashed approximately ½ mile short of Runway 14. The State of Manufacture and State of Design along with the State of Registry were notified of the accident on June 28, 2007. They were invited to participate in the investigation in accordance with Annex 13 and CASR 2001 Schedule 18. Visual Meteorological Conditions prevailed at the time of the accident. The flight originated from Lynden Pindling International Airport, Nassau [MYNN] to Little Whale Cay, Berry Island [MYBX] and returned to Nassau [MYNN], the incident leg. The airplane sustained substantial damage. The Pilot was the only person aboard the aircraft. The Pilot in Command holds a current United States Commercial Pilot Rating. No serious injuries or fatalities were reported.
Probable cause:
The Flight Standards Inspectorate determined that the probable cause of this accident was Propulsion System Malfunction due to fuel exhaustion of the left engine, followed by inappropriate crew response (fuel mismanagement).
Contributing Factors:
- Pilot’s unfamiliarity with aircraft fuel system.
- Pilot’s limited command experience. (He was a new hire, low time pilot)
- Pilot’s failure to conduct a proper preflight inspection of his aircraft. (did not visually check fuel tanks despite knowing that the gauges were faulty)
- Pilot’s complacency with documentation of defects. (Pilot never advised maintenance or management that the gauges were faulty)
- Pilot’s reliance on indications that he admitted were erroneous.
- Pilot’s lack of situational awareness.
- Pilot’s failure to recognize that his problem was fuel exhaustion and not engine failure and neglected to use cross-feed procedure.
Final Report:

Crash of a De Havilland Dash-8-301 in Governor's Harbour

Date & Time: Apr 20, 2007 at 1708 LT
Operator:
Registration:
C6-BFN
Survivors:
Yes
Schedule:
Nassau – Governor’s Harbour
MSN:
159
YOM:
1989
Flight number:
UP353
Country:
Crew on board:
3
Crew fatalities:
Pax on board:
48
Pax fatalities:
Other fatalities:
Total fatalities:
0
Aircraft flight hours:
29570
Aircraft flight cycles:
52653
Circumstances:
Following an uneventful flight (service UP353) from Nassau, the crew started the descent to Governor’s Harbour. After landing on runway 15, the left main gear collapsed. The aircraft slid for few dozen metres then turn slightly to the left and came to rest on the main runway. All 51 occupants evacuated safely, nevertheless, few passengers suffered minor injuries. The aircraft was damaged beyond repair.
Probable cause:
The probable Cause has been determined as an over-center Torque Link condition that culminated in a single cycle failure of the cylinder. The over center torque links condition occur as a result of the over extension of the shock strut.
Possible Contributory factors to the over extension of the shock strut includes:
Possible Cause for Loss of Damping
• The failure to install the dampening ring when the landing gear was assembled.
• Improper servicing of the landing gear shock strut with Mil-H-5606 hydraulic fluid plus nitrogen during initial assembly.
• Improper servicing of landing gear shock strut during line maintenance and inadequate post servicing follow up per AMM Chapter 12. See attached report Appendix A-30 From Bombardier
• Under-serviced shock strut (low oil volume)
• A broken damper ring
• No damper ring
• Disengaged damper ring.
Final Report:

Crash of a Piper PA-46-310P Malibu off Bird Cay: 2 killed

Date & Time: Apr 10, 2007 at 1703 LT
Registration:
N444JH
Flight Phase:
Survivors:
No
Schedule:
Fort Lauderdale – Nassau
MSN:
46-8608014
YOM:
1986
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
9818
Aircraft flight hours:
6912
Circumstances:
The pilot obtained two data user access terminal service (DUATS) preflight weather briefings for the intended flight from the U.S. to Nassau, Bahamas; the briefings included information that thunderstorms were forecasted. The pilot did not request a weather briefing with DUATS or Lockheed Martin flight service station before departure on the return accident flight. Although there was no way to tell whether he received a preflight weather briefing with Nassau Flight Service Station before departure on the accident flight, thunderstorms with associated severe turbulence were forecasted for the accident area well in advance of the aircraft's departure, and would have been available had the pilot requested/obtained a preflight weather briefing. After takeoff, and while in contact with Nassau terminal radar approach control, which had inoperative primary radar, the flight climbed to approximately 8,000 feet mean sea level and proceeded on a northwesterly heading with little deviation. The airplane, which was equipped with color weather radar and a stormscope, penetrated level 6 radar returns with numerous lightning strikes in the area, and began a steep descent. Prior to that there was no request by the pilot to air traffic control for weather avoidance assistance or weather deviation. Radar and radio communications were lost, and the wreckage and occupants were not recovered.
Probable cause:
The pilot's poor in-flight weather evaluation, which resulted in flight into a level 6 thunderstorm.
Final Report:

Crash of a Beechcraft 200C Super King Air off East Bay Cay: 1 killed

Date & Time: Feb 6, 2007 at 1842 LT
Operator:
Registration:
VQ-TIU
Flight Phase:
Survivors:
Yes
Schedule:
East Bay Cay - Grand Turk
MSN:
BL-131
YOM:
1988
Crew on board:
1
Crew fatalities:
Pax on board:
5
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
8500
Captain / Total hours on type:
394.00
Aircraft flight hours:
24578
Aircraft flight cycles:
31684
Circumstances:
The aircraft was parked on the small apron at North Caicos Airport while the pilot went home to collect some personal items. One of the intended passengers saw the aircraft arrive. He remained in the vicinity until the pilot returned, and reported that the aircraft was unattended in the intervening time. When the pilot returned, four of the five passengers were gathered near the aircraft, and the last passenger arrived soon afterwards. The pilot, a local man well-known to the passengers, appeared to be his normal self and in good spirits. As most inter-island travel in the TCI is by air, the passengers were also familiar with the operator’s aircraft and used to travelling by air. Some had flown frequently on VQ-TIU. The pilot supervised embarkation and gave an emergency briefing. One passenger reported that the pilot made a mobile telephone call, which he presumed to be to Air Traffic Control (ATC) at Providenciales to notify them of the proposed flight. Prior to seating himself at the controls, the pilot told the passengers that they may expect some turbulence. The aircraft taxied onto the runway at its eastern end and along its length for a departure from Runway 08. It was about one hour after sunset and outside the airport’s normal operating hours, so there were no ATC personnel on duty. The runway lights were operated by the operator’s station manager. The aircraft took off at 1840 hrs. Soon after takeoff the aircraft was seen to start a turn to the right, which was consistent with its routing to Grand Turk, some 54 nm to the south-east. However, the aircraft reached a relatively large angle of bank and started to descend. The descent continued until it crashed with significant forward speed into an area of very shallow water. The aircraft broke up on impact, with the fuselage section coming to rest nearly inverted but comparatively intact. All those on board survived the impact sequence with varying degrees of injury. However, the pilot died before he could receive specialist medical treatment.
Probable cause:
The investigation identified the following causal factors:
1. The aircraft adopted an excessive degree of right bank soon after takeoff. This led to a descending, turning flight path which persisted until the aircraft was too low to make a safe recovery.
2. The pilot probably became spatially disoriented and was unable to recognise or correct the situation in time to prevent the accident.
The investigation identified the following contributory factors:
1. The environmental conditions were conducive to a spatial disorientation event.
2. The pilot had probably consumed alcohol prior to the flight, which made him more prone to becoming disorientated.
3. The flight was operated single-pilot when two pilots were required under applicable regulations. The presence of a second pilot would have provided a significant measure of protection against the effects of the flying pilot becoming disoriented.
Final Report:

Crash of a Partenavia P.68C in Adjuntas: 2 killed

Date & Time: Jan 15, 2007 at 0415 LT
Type of aircraft:
Registration:
N90KB
Flight Phase:
Flight Type:
Survivors:
No
Site:
Schedule:
Aguadilla - Ponce
MSN:
365
YOM:
1985
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
13000
Aircraft flight hours:
9611
Circumstances:
The non-instrument rated pilot departed VFR on a dark night at 0359, with an adequate fuel supply for the intended flight, and proceeded in a south-southeasterly heading (approximately 150 degrees) climbing to a maximum altitude of 4,700 feet msl. The flight continued on the south-southeasterly heading, descended to 4,500 feet msl, then descended gradually to 3,800 feet msl where radar contact was lost at 0411:37. The flight continued 4.6 nautical miles on the south-southeasterly heading, and impacted trees in upslope mountainous terrain while on a magnetic heading of 150 degrees. The airplane was destroyed by impact and a postcrash fire; the accident site was located north of, and approximately 146 feet below an east-west oriented ridge line. The tree elevation was 3,299 feet msl, while the elevation at a ridge south of the site was 3,445 feet msl. Cloud tops in the area were calculated to be about 4,000 feet msl. Examination of the airplane structure, flight controls, engines, propellers, and systems revealed no evidence of preimpact failure or malfunction. The altimeter settings for the departure and destination airports were 30.02 inches Hg and 30.01 inches Hg, respectively. The altimeter was found positioned to 29.91 inches Hg. This error would have resulted in the altimeter reading 100 feet lower than if the correct altimeter setting was entered.
Probable cause:
The pilot's failure to maintain altitude/clearance with mountainous terrain for undetermined reasons during a normal descent under instrument meteorological and dark night conditions.
Final Report:

Crash of a Learjet 24F near Guadalajara: 2 killed

Date & Time: Jan 9, 2007 at 2323 LT
Type of aircraft:
Operator:
Registration:
N444TW
Flight Type:
Survivors:
No
Site:
Schedule:
Laredo – Guadalajara
MSN:
24-348
YOM:
1977
Flight number:
AJI878
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
2
Circumstances:
On January 9, 2007, at 2323 central standard time, a Gates Learjet model 24F airplane, N444TW, serial number 348, was destroyed upon impact with terrain, about 18.8 nautical miles east of Guadalajara, State of Jalisco, in the Republic of Mexico. The airline transport-rated pilot and the commercial pilot functioning as first officer were fatally injured. The airplane was registered to the Sierra American Corporation of Wilmington, Delaware, and was being operated by Ameristar Jet Charter, Inc., of Addison, Texas, as Ameristar flight 878, a Title 14 Code of Federal Regulations Part 135 on-demand cargo flight. Night visual meteorological conditions prevailed and an instrument flight rules (IFR) flight plan was filed for the flight from Laredo, Texas. The cargo flight had originated in Laredo, Texas, at about 2210, with the Don Miguel Hidalgo International Airport (MMGL) near Guadalajara, Mexico, as its intended destination. Mexican Air Traffic Control personnel reported that the flight had approached MMGL from the north. At 2313, Guadalajara Approach Control cleared the flight to descend to 12,000 feet, provided an altimeter setting of 30.28, and told the flight to expect radar vectors for the ILS runway 28 approach to MMGL. After being provided a vector of 190 to intercept the localizer for the ILS runway 28 approach, there were communications between the flight and the controller to clarify which runway was active, and at 2318:00, the flight was given a right turn to a heading of 200 degrees. At 2318:56 the flight was cleared to descend to 10,000 feet, and at 2320:38, the flight was cleared to descend to 9,000 feet. The airplane was last observed on radar descending through 9,200 feet, while crossing the GDL VOR 085 degree radial.
Probable cause:
Controlled flight into terrain.

Crash of a Rockwell Sabreliner 40R in Culiacán Rosales: 2 killed

Date & Time: Dec 30, 2006 at 1730 LT
Type of aircraft:
Operator:
Registration:
XA-TNP
Flight Type:
Survivors:
No
Site:
Schedule:
La Paz – Culiacán Rosales
MSN:
265-62
YOM:
1962
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
2
Circumstances:
Following an uneventful cargo flight from La Paz (Mexico), the crew was approaching Culiacán Rosales-Federal de Bachigualato Airport. On final, the aircraft crashed onto several houses located less than one km from runway the threshold. Both pilots were killed while there were no casualties on the ground despite several houses were destroyed by fire. For unknown reasons, the crew was completing the approach at an unsafe altitude.

Crash of a Rockwell Sabreliner 40R in Monterrey

Date & Time: Dec 19, 2006
Type of aircraft:
Operator:
Registration:
XA-TJU
Flight Type:
Survivors:
Yes
MSN:
276-8
YOM:
1963
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
On approach to Monterrey-General Mariano Escobido Airport, the crew encountered poor visibility due to thick fog. On short final, the aircraft struck the ground, lost its undercarriage and came to rest in a rocky area located 400 metres short of runway. Both pilots escaped with minor injuries while the aircraft was damaged beyond repair.

Crash of an Antonov AN-32B off Pie de la Cuesta AFB: 4 killed

Date & Time: Dec 16, 2006 at 0925 LT
Type of aircraft:
Operator:
Registration:
3103
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Pie de la Cuesta AFB - Santa Lucía AFB
MSN:
31 06
YOM:
1992
Country:
Crew on board:
4
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
4
Circumstances:
The aircraft departed Pie de la Cuesta AFB on a routine flight ro Santa Lucia AFB near Mexico City. Few minutes after takeoff, the aircraft went out of control and crashed in the sea about 9 km southeast of the airbase. All four crew members were killed.