Crash of a Cessna 340A in Phillipsburg: 2 killed

Date & Time: Jun 8, 1999 at 1235 LT
Type of aircraft:
Registration:
N1372G
Flight Type:
Survivors:
No
Schedule:
Palwaukee – Pueblo
MSN:
340A-0071
YOM:
1976
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
3015
Aircraft flight hours:
2220
Circumstances:
The flight was executing a precautionary landing at the airport due to a reported fuel transfer problem. Witnesses described hearing engine variances and observed the aircraft roll and impact the ground nose first. There was a post crash fire mainly confined to the right wing area. Inspection of the flight control system, engines, and propellers did not reveal any preexisting anomalies with these systems. The left fuel selector and left fuel pumps passed functional tests. The right fuel selector and right fuel pumps could not be tested due to fire damage.
Probable cause:
The pilot not maintaining flying speed. Factors to the accident were the fuel transfer problem of unknown origin.
Final Report:

Crash of a McDonnell Douglas MD-82 in Little Rock: 11 killed

Date & Time: Jun 1, 1999 at 2350 LT
Type of aircraft:
Operator:
Registration:
N215AA
Survivors:
Yes
Schedule:
Dallas – Little Rock
MSN:
49163
YOM:
1983
Flight number:
AA1420
Crew on board:
6
Crew fatalities:
Pax on board:
139
Pax fatalities:
Other fatalities:
Total fatalities:
11
Captain / Total flying hours:
10234
Captain / Total hours on type:
5518.00
Copilot / Total flying hours:
4292
Copilot / Total hours on type:
182
Aircraft flight hours:
49136
Aircraft flight cycles:
27103
Circumstances:
On June 1, 1999, at 2350:44 central daylight time, American Airlines flight 1420, a McDonnell Douglas DC-9-82 (MD-82), N215AA, crashed after it overran the end of runway 4R during landing at Little Rock National Airport in Little Rock, Arkansas. Flight 1420 departed from Dallas/Fort Worth International Airport, Texas, about 2240 with 2 flight crewmembers, 4 flight attendants, and 139 passengers aboard and touched down in Little Rock at 2350:20. After departing the end of the runway, the airplane struck several tubes extending outward from the left edge of the instrument landing system localizer array, located 411 feet beyond the end of the runway; passed through a chain link security fence and over a rock embankment to a flood plain, located approximately 15 feet below the runway elevation; and collided with the structure supporting the runway 22L approach lighting system. The captain and 10 passengers were killed; the first officer, the flight attendants, and 105 passengers received serious or minor injuries; and 24 passengers were not injured. The airplane was destroyed by impact forces and a post crash fire. Flight 1420 was operating under the provisions of 14 Code of Federal Regulations Part 121 on an instrument flight rules flight plan.
Probable cause:
The flight crew's failure to discontinue the approach when severe thunderstorms and their associated hazards to flight operations had moved into the airport area and the flight crew's failure to ensure that the spoilers had extended after touchdown. Contributing to the accident were the flight crew's:
(1) impaired performance resulting from fatigue and the situational stress associated with the intent to land under the circumstances,
(2) continuation of the approach to a landing when the company's maximum crosswind component was exceeded, and
(3) use of reverse thrust greater than 1.3 engine pressure ratio after landing.
Final Report:

Crash of a Piper PA-60 Aerostar (Ted Smith 600) in Montgomery

Date & Time: May 29, 1999 at 1724 LT
Registration:
N601JS
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Montgomery – Columbus
MSN:
60-0553-179
YOM:
1978
Crew on board:
1
Crew fatalities:
Pax on board:
5
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
5000
Captain / Total hours on type:
1000.00
Aircraft flight hours:
2322
Circumstances:
During the takeoff roll and initial climb both engines were producing normal power. As the airplane climbed through 150 feet, the left engine lost power. The pilot reported that he feathered the left propeller. He further stated that following the securing of the left engine, the right engine began to 'power down.' The pilot reported that he was unable to maintain a climb attitude and was forced to land on the airport in a grassy area. The subsequent examination of the cockpit disclosed that the left engine throttle was in the full forward position, and the right throttle lever was in the mid-range position. Both propeller levers were found full forward. The left engine mixture lever was in the full forward position, and the right mixture lever full aft, or lean, position. The functional check of both engines was conducted. Initially the left engine would not start, but after troubleshooting the fuel system, the left fuel boost pump was determined to have been defective. The 'loss of engine power after liftoff' checklist requires that the pilot identify the inoperative engine and to feather the propeller for the inoperative engine.
Probable cause:
The pilot's inadvertent shutdown of the wrong engine that resulted in the total loss of engine power. A factor was the loss of engine power due to fuel starvation when the left fuel boost pump failed.
Final Report:

Crash of a Let L-410UVP-E9 in Olkiombo: 2 killed

Date & Time: May 29, 1999 at 1400 LT
Type of aircraft:
Registration:
5Y-LET
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Olkiombo - Mara Shika
MSN:
91 26 20
YOM:
1991
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
2
Circumstances:
Shortly after takeoff from Olkiombo Airstrip, while in initial climb, the aircraft stalled and crashed past the runway end. The aircraft was destroyed and both pilots were killed. They were completing a positioning flight to the Mara Shika Airfield, in the Maasai Mara National Reserve, to pick up passengers.
Probable cause:
Loss of control during initial climb after the aircraft stalled because the crew forgot to select flaps in an appropriate angle for takeoff.

Crash of a Cessna 421B Golden Eagle II in Jefferson City: 4 killed

Date & Time: May 27, 1999 at 1826 LT
Registration:
N34TM
Survivors:
No
Schedule:
Poplar Bluff – Jefferson City
MSN:
421B-0965
YOM:
1975
Crew on board:
1
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
4
Captain / Total flying hours:
1850
Captain / Total hours on type:
850.00
Aircraft flight hours:
5530
Circumstances:
The airplane impacted the ground in a nose low, inverted attitude. The pilot reported, 'Jeff Tower, N34TM, I've just lost power on the right engine, eh, left engine.' The airplane's altitude was approximately 200 to 400 feet when the airplane's wings wobbled back and forth. The airplane's wings banked approximately 90 degrees to the left, and then the airplane nosed over and impacted the ground. White smoke was seen coming from the belly of the airplane for 1 to 2 seconds about 20 seconds prior to it impacting the ground. The terrain was a flat, hard packed field used for growing grass sod. Both the left and right propellers were found 12 to 18 inches under the hard packed soil. Rotational paint transfer patterns from the propeller blades onto the hard packed soil were evident. The left and right propeller blades exhibited chordwise scratching and leading edge polishing. The #2 cylinder piston was broken and the piston pin was still attached to the piston rod. The NTSB Materials Laboratory examination revealed the fracture face of the #2 exhaust valve stem was consistent with a bending fatigue separation. Both #2 and #6 exhaust valve guides showed heavy wear that ovalized the bores. The annual inspection conducted on March 15, 1999, indicated the compression on the left engine was 80/64, 50, 67, 70, 69, and 62.
Probable cause:
The pilot failed to maintain control of the airplane. A factor was the partial loss of power due to the exhaust valve fatigue failure.
Final Report:

Crash of a Mitsubishi MU-2B-40 Solitaire in Parry Sound: 2 killed

Date & Time: May 24, 1999 at 2130 LT
Type of aircraft:
Registration:
N701K
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Parry Sound – Toronto
MSN:
410
YOM:
1979
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
5500
Captain / Total hours on type:
400.00
Circumstances:
With one pilot and one passenger, the Mitsubishi MU-2B-40 Solitaire aircraft, serial number 410 S.A., departed on a night instrument flight rules flight from Parry Sound / Georgian Bay Airport, Ontario, destined for Toronto / Lester B. Pearson International Airport. Prior to departure, the pilot received his instrument flight rules clearance via telephone from the Sault Ste. Marie flight service station with a clearance valid time of 2118 eastern daylight time from Toronto Area Control Centre and a clearance cancel time of 2135. When the pilot did not establish communications with Toronto Area Control Centre within the clearance valid time, the Area Control Centre supervisor commenced a communication search. At 2151, he confirmed with Parry Sound / Georgian Bay Airport personnel that the aircraft had departed 10 to 15 minutes earlier. The aircraft was assumed missing and the Rescue Coordination Centre in Trenton, Ontario, was notified. Search and rescue was dispatched and three days later the aircraft wreckage was located one nautical mile west of the airport. Both of the aircraft occupants were fatally injured. The aircraft disintegrated as it cut a 306-foot swath through the poplar forest. The accident occurred at night in instrument meteorological conditions.
Probable cause:
Findings as to Causes and Contributing Factors:
1. The accident flight was conducted at night in IMC, and the pilot, whose private pilot licence was not endorsed with an instrument rating, was not certified for the IFR flight.
2. The pilot may have been subjected to somatogravic illusion and allowed the aircraft to descend into terrain after a night take-off in IMC.
3. The pilot did not completely report his medical conditions to the civil aviation medical examiner.
Other Findings
1. The pilot was not certified to fly this model of aircraft as his private pilot licence was not endorsed with the appropriate high-performance aircraft rating.
2. The pilot conducted a downwind take-off.
3. While the aircraft was turning left for the on-course track, the aircraft flaps were retracting.
4. The aircraft struck trees while in a shallow descent. The integrity of the aircraft was compromised as it rolled inverted and entered the impact zone at high speed.
5. The aircraft engine teardown examination revealed no pre-impact failures of any component parts or accessories in either the left or right engine that would have precluded normal engine operation.
6. The propeller teardown examination revealed that both propellers were in a normal operating range and were rotating with power at the time of impact.
7. The ELT did not function due to the impact damage sustained by its various components.
Final Report:

Crash of a De Havilland DHC-4 Caribou in Kuching: 5 killed

Date & Time: May 24, 1999 at 1315 LT
Type of aircraft:
Operator:
Registration:
M21-05
Flight Type:
Survivors:
No
Schedule:
Kuching - Kuching
MSN:
270
YOM:
1969
Location:
Country:
Region:
Crew on board:
5
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
5
Circumstances:
The crew was completing a local training flight at Kuching Airport. On final approach, one of the engine failed. The aircraft lost height and crashed in a swampy area near the airport. All five occupants were killed.
Probable cause:
Engine failure for unknown reasons.

Crash of a Beechcraft C18S Expeditor in Waldron: 1 killed

Date & Time: May 23, 1999 at 1915 LT
Type of aircraft:
Registration:
N9729H
Survivors:
No
Schedule:
Beaumont – Springdale
MSN:
8205
YOM:
1945
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
6860
Captain / Total hours on type:
860.00
Aircraft flight hours:
4400
Circumstances:
During a cross-country flight, the pilot of the twin-engine airplane reported to air traffic control that he has 'lost an engine.' A witness observed the right engine hanging from its lower mounts as the airplane turned right and headed towards the nearest airport. The airplane impacted trees approximately 1 mile short of the runway threshold. Examination of the right engine propeller revealed that one of its blades was separated about mid-span. The separated tip section of the blade was not recovered. Metallurgical examination of the fracture surface revealed that the blade failed as a result of a fatigue crack that originated from corrosion pits on the camber surface (face) of the blade. The failed blade was examined approximately 6 hours prior to the accident in accordance with an airworthiness directive (AD 81-13-06 R2) that called for inspections of the blade for corrosion and fatigue. However, the inspections called out in the AD were only applicable to the blade fillet and shank regions, well inboard of the fracture location on the failed blade. Overhaul of the propeller in accordance with the propeller manufacturer's manual includes grinding of each blade to 'remove all visual evidence of corrosion.' According to the airplane's owner, the propellers had not been overhauled in the eight years that he had owned the aircraft. The maintenance records were destroyed in the accident, which precluded determination of the date and time of the last propeller overhaul. The accident airplane was being operated under Title 14 CFR Part 91, and therefore, the propellers were not required to be overhauled at specified intervals.
Probable cause:
The separation of a propeller blade in cruise flight as a result of fatigue cracking emanating from surface corrosion pitting.
Final Report:

Crash of a Cessna 414 Chancellor in Orland

Date & Time: May 21, 1999 at 1725 LT
Type of aircraft:
Registration:
N8153Q
Flight Type:
Survivors:
Yes
Schedule:
San Jose – Redding
MSN:
414-0053
YOM:
1970
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
12000
Captain / Total hours on type:
480.00
Aircraft flight hours:
4471
Circumstances:
The pilot refueled the auxiliary tanks of the airplane at a different airport 1 month prior to the accident, and had not flown on the auxiliary tanks since that time. He was repositioning the airplane back to home base after a series of revenue flights when the accident occurred. About 20 minutes after takeoff he positioned the left and right engines to their respective auxiliary fuel tanks, and then returned to the mains 30 minutes later. The right engine began to surge and subsequently stopped running. Turning on the fuel boost pump restarted the engine. Five minutes later the engine quit and he secured it after unsuccessful restart attempts. Then the left engine began to surge and was developing only partial power. He diverted to an alternate airport with decaying altitude and power in the remaining engine. Crossing the airport, he saw he was too high to land with a tailwind so he circled to land into the wind. On the base leg he made the decision to land straight ahead in a field due to power lines in his path, rapidly decaying altitude, and power. During the landing roll, the airplane collided with a ditch. The left and right main fuel filters contained a foreign substance, which upon laboratory examination, was found to be a polyacrylamide. This is a manmade synthetic polymer that is used as an agricultural soil amendment that aids in reducing soil erosion. Distribution of the polymer is typically not done by aircraft. Inspection of the fueling facility revealed that the employees who do refueling did not have any formal or on-the-job training. There was no record that the delivery system filters had been examined or changed. The maintenance to the truck, delivery system, and storage facility are done by the employees on an as needed, time permitted basis. The fuel truck was found to be improperly labeled, and the fuel nozzle was lying in a compartment amid dirt, gravel, and other contaminates with no caps or covers for protection.
Probable cause:
A loss of engine power in both engines due to fuel contamination, which resulted from the fueling facilities improper quality control procedures.
Final Report:

Crash of a Yakovlev Yak-40 in Berberati

Date & Time: May 19, 1999
Type of aircraft:
Operator:
Registration:
TL-ACO
Survivors:
Yes
Schedule:
Bangui – Berberati
MSN:
9 51 16 39
YOM:
1975
Region:
Crew on board:
3
Crew fatalities:
Pax on board:
30
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
After landing at Berberati Airport, the aircraft was unable to stop within the remaining distance. It overran, lost its undercarriage and came to rest with both wings severely damaged. All 33 occupants escaped uninjured while the aircraft was damaged beyond repair.