Crash of an Antonov AN-24RV in Varandey: 28 killed

Date & Time: Mar 16, 2005 at 1353 LT
Type of aircraft:
Registration:
RA-46489
Survivors:
Yes
Schedule:
Ufa - Perm - Usinsk - Varandey - Naryan Mar
MSN:
2 73 081 07
YOM:
1972
Flight number:
RL9288
Country:
Region:
Crew on board:
7
Crew fatalities:
Pax on board:
45
Pax fatalities:
Other fatalities:
Total fatalities:
28
Captain / Total flying hours:
14221
Captain / Total hours on type:
9833.00
Copilot / Total flying hours:
517
Copilot / Total hours on type:
60
Circumstances:
The aircraft was completing a charter flight from Ufa to Naryan Mar with intermediate stops in Perm, Usinsk and Varandey under contract of Naryanmarneftyegaz, a sister company of Lukoil. On final approach under VFR mode in good weather conditions, at a speed of 170 km/h, the aircraft stalled, causing the left wing to struck a sand dune (3 metres high). The aircraft crashed 4,217 metres short of runway, bursting into flames. The captain, the navigator and 26 passengers were killed while 24 other people were injured. The aircraft was totally destroyed by impact forces and a post crash fire. OAT was -24° C. at the time of the accident and the visibility was good.
Probable cause:
The accident was the consequence of an aerodynamic stall that occurred on short final at low height due to the combination of the following factors: the aircraft was in a critical angle of attack and its speed was insufficient because both engines run at low regime for a period of more than 20 seconds. Possible errors in the reading of certain instruments such as the speed indicator and the angle of attack indicator remain a contributing factor.

Crash of a Mitsubishi MU-2B-26A Marquise in Blythe

Date & Time: Mar 11, 2005 at 1720 LT
Type of aircraft:
Registration:
N333WF
Survivors:
Yes
Schedule:
Banning – Blythe
MSN:
387
YOM:
1978
Crew on board:
1
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
3900
Captain / Total hours on type:
942.00
Circumstances:
The pilot failed to lower the landing gear prior to touching down on the runway. The pilot said that during the approach into the airport, the flaps would not lock into the 20-degree extended position. The pilot decided to execute a no-flap landing and referred to the emergency checklist. The checklist advised the pilot to extend the landing gear; however, the pilot skimmed over the information thinking that the gear was already down and locked, and focused on the stabilized approach into the airport. The airplane touched down with the gear in the retracted position. No mechanical malfunctions were noted with the landing gear system on the airplane and a ground test run of the flaps did not reproduce the failure encountered during flight.
Probable cause:
The pilot's failure to lower the landing gear prior to landing. A factor to the accident was the pilot's diverted attention due to the flap system anomaly.
Final Report:

Crash of a Cessna 500 Citation I in Charallave: 2 killed

Date & Time: Mar 8, 2005 at 0923 LT
Type of aircraft:
Registration:
YV-21CP
Flight Type:
Survivors:
No
Schedule:
Maturín – Charallave
MSN:
500-0115
YOM:
1973
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
2
Circumstances:
On final approach to Charallave-Óscar Machado Zuloaga Airport runway 28, the crew was unable to establish a visual contact with the runway and initiated a go-around procedure. Few minutes later, while on a second attempt to land, the aircraft broke through the cloud base at 800 feet but was not properly lined up with the runway. To avoid a collision with the tower, the crew made a turn to the right when the aircraft crashed in a wooded area, bursting into flames. Both pilots were killed.

Crash of an Antonov AN-24B in Impfondo

Date & Time: Mar 4, 2005
Type of aircraft:
Operator:
Registration:
EY-46399
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Impfondo – Brazzaville
MSN:
0 73 063 03
YOM:
1970
Country:
Region:
Crew on board:
5
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
During the takeoff roll, at Vr speed, the pilot-in-command pulled on the control column but the aircraft failed to respond. The captain rejected takeoff but the aircraft was unable to stop within the remaining distance. It overran an came to rest, bursting into flames. All five occupants escaped uninjured while the aircraft was totally destroyed by fire.

Crash of a Cessna 340A in Bologna: 5 killed

Date & Time: Mar 3, 2005 at 1726 LT
Type of aircraft:
Operator:
Registration:
D-IMMA
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Bologna - Forli
MSN:
340A-1205
YOM:
1981
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
5
Captain / Total flying hours:
1893
Captain / Total hours on type:
200.00
Aircraft flight hours:
3041
Circumstances:
The twin engine aircraft departed runway 12 at a speed of 112 knots following a longer than normal takeoff course. After rotation, it encountered difficulties to gain sufficient height when it successively collided with the airport perimeter fence and an embankment located about 150 metres from the runway 30 threshold. The aircraft crashed and was totally destroyed by a post crash fire. All five occupants were killed.
Probable cause:
It was determined that the crew failed to proceed to a proper inspection prior to departure and did not realize that the aircraft (wings, tail and fuselage) was contaminated with frost. This caused the aircraft to be unable to gain sufficient height after rotation as the aerodynamic properties were altered. The fact that the total weight of the aircraft was above the MTOW and the CofG was near the permissible limit was considered as a contributing factors.
Final Report:

Crash of a Rockwell Shrike Commander 500S in San Juan

Date & Time: Feb 28, 2005 at 1120 LT
Operator:
Registration:
N97VB
Flight Phase:
Survivors:
Yes
Schedule:
San Juan – Tortola
MSN:
500-3233
YOM:
1975
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
6
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
1038
Captain / Total hours on type:
282.00
Aircraft flight hours:
6943
Circumstances:
The non-Spanish speaking commercial pilot was preparing for a Title 14, CFR Part 135 on-demand charter flight in a twin-engine airplane with gasoline engines. A non-English speaking fuel truck operator inadvertently serviced the accident airplane with 120 gallons of Jet-A turbine fuel. In the pilot's written statement he reported that just after takeoff, with six passengers aboard, both engines began to lose power, and the airplane subsequently descended and collided with tree-covered terrain at the departure end of the runway. An on-site examination of the fuel vender's Jet-A fuel truck disclosed that the dispensing nozzle installed on the truck was the same nozzle as a typical gasoline nozzle. An examination of the accident airplane's fuel caps and fueling ports disclosed that the accident airplane was equipped with round, fuel tank inlet restrictors, that would prevent fueling from a jet fuel nozzle of the appropriate size, but the fueling ports were not placarded with the required statement indicating that only gasoline (av-gas) should be used.
Probable cause:
The fuel truck operator's improper refueling of a gasoline engine powered airplane with jet (turbine) fuel, and the pilot's inadequate preflight, which resulted in a loss of power in both engines and subsequent collision with trees. Factors associated with the accident were the unclear communications between the Spanish-speaking fuel truck operator and the English speaking pilot, and the uel truck operator's lack of familiarity with the accident airplane's fueling requirements. An additional factor was the absence of the required placards adjacent to the fuel filler caps indicating that only gasoline (av-gas) should be used.
Final Report:

Crash of a Casa 212 Aviocar 200 in Harare: 2 killed

Date & Time: Feb 24, 2005
Type of aircraft:
Operator:
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Harare - Harare
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
2
Circumstances:
The crew departed Harare Airport for a local night training flight. Shortly after takeoff, the twin engine aircraft lost height and crashed. Both pilots were killed.

Crash of a Convair CV-580 in Trinidad

Date & Time: Feb 22, 2005 at 2026 LT
Type of aircraft:
Operator:
Registration:
FAB-73
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Trinidad – Cochabamba
MSN:
170
YOM:
1954
Location:
Country:
Crew on board:
4
Crew fatalities:
Pax on board:
45
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
Shortly after takeoff, while initial climb, the crew encountered engine problems and elected to make an emergency landing. The aircraft crash landed in a muddy field and came to rest, broken in two. 28 people were injured while 21 others escaped uninjured.

Crash of a De Havilland DHC-6 Twin Otter 300 in Bimin: 2 killed

Date & Time: Feb 22, 2005 at 1343 LT
Operator:
Registration:
P2-MFQ
Survivors:
Yes
Schedule:
Tabubil - Bimin
MSN:
174
YOM:
1968
Region:
Crew on board:
3
Crew fatalities:
Pax on board:
10
Pax fatalities:
Other fatalities:
Total fatalities:
2
Circumstances:
On approach to Bimin-Wobagen Airport runway 30, the twin engine aircraft lost height and crashed in a wooded area. Both pilots (New Zealand citizens) were killed instantly and all 11 other occupants were injured, some seriously. They walk away to the village to find help and receive care. The aircraft has a single 11/29 grass/dirt runway located at an altitude of 1,767 metres and offer a 10° slope. Runway 29 is for landing only and runway 11 for takeoff only.

Crash of a BAe 125-600B in Bromont

Date & Time: Feb 21, 2005 at 1818 LT
Type of aircraft:
Operator:
Registration:
N21SA
Survivors:
Yes
Schedule:
Montreal - Bromont
MSN:
256006
YOM:
1973
Location:
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
4
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
5000
Captain / Total hours on type:
550.00
Copilot / Total flying hours:
1700
Copilot / Total hours on type:
100
Circumstances:
The aircraft, operated by Scott Aviation, with two crew members and four passengers on board, took off from Montréal, Quebec, at 1756 eastern standard time, for a night instrument flight rules flight to Bromont, Quebec. Upon approaching Bromont, the co-pilot activated the lighting system and contacted the approach UNICOM (private advisory service). The flight crew was advised that the runway edge lights were out of order. However, the approach lights and the visual approach slope indicator did turn on. The flight crew executed the approach, and the aircraft touched down at 1818 eastern standard time, 300 feet to the left of Runway 05L and 1800 feet beyond the threshold. It continued on its course for a distance of approximately 1800 feet before coming to a stop in a ditch. The crew tried to stop the engines, but the left engine did not stop. The co-pilot entered the cabin to direct the evacuation. One of the passengers tried to open the emergency exit door, but was unsuccessful. All of the aircraft’s occupants exited through the main entrance door. Both pilots and one passenger sustained serious injuries, and the three remaining passengers received minor injuries. The aircraft suffered major damage.
Probable cause:
Findings as to Causes and Contributing Factors:
1. The flight crew attempted a night landing in the absence of runway edge lights. The aircraft touched down 300 feet to the left of Runway 05L and 1800 feet beyond the threshold.
2. The runway was not closed for night use despite the absence of runway edge lights. Nothing required it to be closed.
3. Poor flight planning, non-compliance with regulations and standard operating procedures (SOPs), and the lack of communications between the two pilots reveal a lack of airmanship on the part of the crew, which contributed to the accident.
Findings as to Risk:
1. Because they had not been given a safety briefing, the passengers were not familiar with the use of the main door or the emergency exit, which could have delayed the evacuation, with serious consequences.
2. The armrest of the side seat had not been removed as required and was blocking access to the emergency exit, which could have delayed the evacuation, with serious consequences.
3. Because they had not been given a safety briefing, the passengers seated in the side seats did not know that they should have worn shoulder straps and did not wear them, so they were not properly protected.
4. The possibility of flying to an airport that does not meet the standards for night use gives pilots the opportunity to attempt to land there, which in itself increases the risk of an accident.
5. The landing performance diagrams and the chart used to determine the landing distance did not enable the flight crew to ensure that the runway was long enough for a safe landing on a snow-covered surface.
Final Report: