Crash of a McDonnell Douglas MD-83 in Kiev

Date & Time: Jun 14, 2018 at 2040 LT
Type of aircraft:
Operator:
Registration:
UR-CPR
Survivors:
Yes
Schedule:
Antalya - Kiev
MSN:
49946/1898
YOM:
1991
Flight number:
BAY4406
Country:
Region:
Crew on board:
7
Crew fatalities:
Pax on board:
160
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
11548
Captain / Total hours on type:
5580.00
Copilot / Total flying hours:
12514
Copilot / Total hours on type:
3580
Aircraft flight hours:
43105
Aircraft flight cycles:
46810
Circumstances:
On June 14, 2018, according to the flight assignment, BAY 4406 charter flight en-route Antalya - Kyiv (Zhulyany) on MD-83 aircraft, state and registration number UR-CPR of Bravo Airways, was operated by PIC, co-pilot and five flight attendants. According to PIC’s Statement, the flight was delayed by 6 hours (departure time - 03:30 pm.) The Investigation Team did not establish the departure time from Antalya Airport. According to the PIC, the crew arrived at the airport at 02:00 pm. The takeoff time was 03:41 pm. The airline said the flight was delayed because of the aircraft non-arrival. Bravo Airways is the aircraft operator responsible for the flight and technical operation of the aircraft, maintaining its airworthiness and ensuring the flight safety. The Pilot Flying duties were performed by the PIC, and the Pilot Monitoring was the co-pilot. In accordance with the flight assignment, the PIC cross checked the copilot. According to his Statement, the flight preparation of the crew was carried out one and a half hours before the actual departure at Antalya Airport (PIC received aeronautical and meteorological information from a representative of Turkish Ground Services), after which, the PIC took a decision to perform the flight. Climb and level flight were performed in a normal mode. Landing approach was carried out to RW08 in the conditions of thunderstorm activity with ILS system. At 05:40 pm, at landing on the aerodrome of the Kyiv International Airport (Zhulyany) (hereinafter – Kyiv (Zhulyany) Aerodrome), during the landing run, at the distance of 1260 m from the entrance threshold, the aircraft suffered a runway excursion to the left of the air strip and stopped outside the cleared and graded area of the air strip at the distance of 123 m from the runway center line (according to the tire footprints at the occurrence site.) As a result of the accident, the aircraft has sustained substantial damage, in particular, to the structural elements. None of passengers or crew members received serious injuries.
Probable cause:
The cause of the accident, i.e. runway excursion of MD-83 UR-CPR aircraft operated by Bravo Airways, which took place on June 14, 2018 at the Kyiv (Zhulyany) Aerodrome at performance of flight BAY 4406 en-route Antalya-Kyiv (Zhulyany) – was the PIC’s decision to continue the landing at the Kyiv (Zhulyany) Aerodrome in the thunderstorm conditions with the following main factors:
- non-stabilized approach for landing, starting from the height of 1,000 feet;
- spoiler non-deployment by the crew;
- incorrect crew actions in application of the reverse thrust on a wet runway (EPR>1.3).
Contributing Factors:
- Air traffic control service in the classified airspace of Ukraine, which is required by the Order of the Ministry of Transport of Ukraine dated April 16, 2003, No. 293, was not provided to the crew in full;
- Wind variable in strength and direction;
- Probably, the crew’s failure to listen to the latest ATIS reports for the Kyiv (Zhulyany) Aerodrome;
- Bravo Airways Operator's Manual does not contain landing approach procedures;
- Low-quality pre-flight preparation, pre-landing preparation, checklist reading and completion at all flight stages.
Final Report:

Crash of a Cessna 525 CitationJet CJ2+ in Saint-Tropez

Date & Time: Jun 6, 2018 at 1310 LT
Type of aircraft:
Operator:
Registration:
D-IULI
Flight Type:
Survivors:
Yes
Schedule:
Figari - Saint-Tropez
MSN:
525A-0514
YOM:
2013
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
2500
Captain / Total hours on type:
1234.00
Circumstances:
The aircraft departed Figari-Sud-Corse Airport on a positioning flight to Saint-Tropez-La Môle, carrying one passenger and one pilot. Weather conditions at destination were poor with ceiling at 1,800 feet and rain. The pilot contacted Nice Approach and was cleared to descend to 6,000 feet and to report over EM for an approach to La Môle Airport Runway 24. On final approach, the pilot was unable to establish a visual contact with the runway and initiated a go-around procedure. Few minutes later, he completed a second approach and landed the airplane 200 metres past the runway threshold at a speed of 136 knots. Spoilers were deployed but the airplane was unable to stop within the remaining distance. It veered slightly to the left, departed the end of the runway, crossed a river and came to rest against an embankment located about 100 metres past the runway end. The pilot escaped unhurt while the passenger was slighlty injured. The aircraft was damaged beyond repair.
Probable cause:
The landing distance of the airplane on a wet runway as defined in the Airplane Flight Manual (AFM) performance tables are not compatible with the length of runway available at La Môle Aaerodrome. When preparing the flight, the pilot used the flight record provided by the operator ProAir to determine landing performance. Landing distance on a wet runway presented in the file increased that on a dry runway by 15%. The 15% increase on a wet runway can only be used in conjunction with the increase of 60% imposed in commercial operation, otherwise it may be inappropriate. The value resulting from the calculation was, in this case, wrong and less than the value indicated in the aircraft flight manual. The pilot probably did not use the EFB application for the calculation of performance or the flight manual to verify this value. The pilot thus undertook the flight on the basis of erroneous performance values, without realizing that he could not land at this aerodrome if the runway was wet. In addition, during the final approach, the speed of the aircraft was greater than the speed approach reference and the approach slope was also greater than the nominal slope, which resulted in an increase in the landing distance. During the landing roll, the aircraft exited the runway longitudinally at a speed of 41 kt. The pilot failed to stop the aircraft until it does not violently collide with obstacles at the end of the track.
Contributing factors:
- The operator's use of the same operations manual for two different types of operations;
- The absence in the operations manual of a calculation method, coefficient and safety margin for the calculation of performance in non-commercial transport;
- Lack of knowledge by the pilot and the operator of the method of calculation of landing performance in non-commercial transport;
- The lack of indication in the operations manual that the landing performances at La Môle aerodrome are limiting in case of a wet or contaminated runway.
Final Report:

Crash of a Cessna 421B Golden Eagle II in Rock Sound: 3 killed

Date & Time: Jun 5, 2018 at 1545 LT
Registration:
N421MM
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Rock Sound – Treasure Coast
MSN:
421B-0804
YOM:
1974
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
3
Circumstances:
On 5th June, 2018 at approximately 3:45pm local, (Eastern Daylight Time) , a Cessna 421B aircraft crashed in dense bushes shortly after departure from Runway 27 at Rocksound Int’l Airport, Rock Sound, Eleuthera, Bahamas. The crash site was located approximately 2,503 feet / .41 nautical mile (nm) north of the threshold of Runway 09 and 8,588 feet / 1.42 nm from threshold of runway 27. The pilot and 2 passengers were killed and the aircraft was destroyed by impact forces and a post-crash fire. The aircraft made initial contact with trees before making contact with the ground and other trees in dense bushes. The aircraft descended right wing first, in an approximately 40 degree nose-down angle. A crater approximately 12 inches deep and 10 feet long by 5 feet wide was created when the aircraft hit the ground, subsequently crossing a dirt road, before coming to rest partially in an upward incline in trees. The nose of the aircraft came to rest on a heading of 355° degrees. The fuselage of the aircraft was located at Latitudes 24° 53’ 50”N and Longitude 076° 11’33”W. A fire ensued after the crash.
Probable cause:
The Air Accident Investigation Department has determined the probable cause of this accident to be the pilot failure to maintain control of the airplane. Circumstances contributing to the failure to maintain control undetermined. Evidence exist to demonstrate the aircraft was not producing full power at the time it loss control, the reasons for the reduced power unknown. It could not be determined why the fuel selector was position to the auxiliary tank and not the main tank as required by manufacturer’s recommendation. Critical evidence were destroyed in the post impact fire.
Final Report:

Crash of a Partenavia P.68B Victor on Endelave Island

Date & Time: Jun 3, 2018 at 1422 LT
Type of aircraft:
Operator:
Registration:
D-GATA
Flight Type:
Survivors:
Yes
Schedule:
Rendsburg - Endelave Island
MSN:
82
YOM:
1977
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
950
Captain / Total hours on type:
70.00
Aircraft flight hours:
3260
Circumstances:
The accident occurred during a private VFR flight from EDXR (Rendsburg-Schachtholm) to Endelave (EKEL). When arriving overhead EKEL, the pilot made a visual inspection of the airstrip conditions. Upon a low approach at a shallow angle to runway 29 at EKEL, the pilot on short final reduced engine power and initiated the flare. Approximately 10 meters in front of the beginning of runway 29, the aircraft landed in a wheat field, and the main landing gear touched down at and collided with an upslope roadside next to a road crossing perpendicularly to the beginning of runway 29. When colliding with the upslope roadside, the left main landing gear collapsed. The aircraft started veering uncontrollably to the left and ran off the side of the airstrip. In the grass parking area next to the airstrip, the left wing of the aircraft collided with the nose landing gear of a parked aircraft. The aircraft continued veering to the left, impacted with a tree and a farm building, and came to rest. After impact with the tree and the farm building, the aircraft caught an explosive fire. Witnesses observing the landing and the impact with the tree and the farm building initiated a rescue mission. The aircraft was totally destroyed by a post crash fire and all four occupants were injured.
Probable cause:
An undershoot landing and touchdown at an upslope roadside next to a road crossing perpendicularly to the beginning of runway 29 resulted in a left main landing gear collapse. The aircraft uncontrollably veered to the left, ran off the side of the airstrip, collided with a parked aircraft, and impacted with a tree and a farm building. The aircraft caught an explosive fire. The resolute actions by witnesses and the local community in combination with an effective rescue mission were the difference between fatal and serious injuries.
Final Report:

Crash of a Lockheed C-130H Hercules in Biskra: 1 killed

Date & Time: Jun 3, 2018
Type of aircraft:
Operator:
Registration:
7T-WHT
Survivors:
Yes
Schedule:
Biskra - Biskra
MSN:
4911
YOM:
1981
Location:
Country:
Region:
Crew on board:
9
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Circumstances:
Following an uneventful paratroopers mission over the area of Biskra, the crew was returning to Biskra-Mohamed Khider Airport. On final approach, the airplane stalled and crashed few hundre metres short of runway, coming to rest broken in two. All nine crew members were injured and the aircraft was destroyed. A day later, one of the survivor died from his injuries.

Crash of a Cessna 208B Grand Caravan in Kamonia

Date & Time: May 30, 2018 at 1518 LT
Type of aircraft:
Operator:
Registration:
5X-MRH
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Kamonia – Kamako
MSN:
208B-2386
YOM:
2012
Flight number:
UNO212H
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
3668
Captain / Total hours on type:
3385.00
Copilot / Total flying hours:
1373
Copilot / Total hours on type:
970
Circumstances:
The single engine aircraft departed Kamonia on a special flight to Kamako on behalf of the United Nations Humanitarian Air Service (UNHAS), carrying three passengers and two pilots. During the takeoff roll from runway 34, the pilot-in-command started the rotation but the aircraft encountered difficulties to gain height. The nose gear and the cargo pod impacted an embankment located at the end of the runway and the aircraft flipped over and came to rest upside down. All five occupants escaped with minor injuries and the aircraft was destroyed.
Probable cause:
It was determined that the aircraft failed to gain sufficient speed during the last portion of the runway due to an excessive accumulation of sand on the ground. The pilot-in-command elected to rotate when the aircraft impacted terrain.
The two following factors were identified:
- The pilot's ability to make a timely decision,
- Lack of coordination between the two CRM (standard call out) pilots during takeoff manoeuvres.
Final Report:

Crash of a Swearingen SA227AC Metro III in Saltillo

Date & Time: May 24, 2018
Type of aircraft:
Operator:
Registration:
XA-UPP
Flight Type:
Survivors:
Yes
Schedule:
Saltillo - Saltillo
MSN:
AC-736
YOM:
1989
Country:
Crew on board:
3
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
The crew was completing a training flight at Saltillo-Plan de Guadalupe Airport. After touchdown on runway 17, the airplane veered off runway to the left, lost its right main gear and came to rest about 600 metres from the runway threshold. All three crew members evacuated safely and the aircraft was damaged beyond repair.

Crash of a Gulfstream G200 in Tegucigalpa

Date & Time: May 22, 2018 at 1119 LT
Type of aircraft:
Operator:
Registration:
N813WM
Survivors:
Yes
Schedule:
Austin – Tegucigalpa
MSN:
54
YOM:
2001
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
4
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
5400
Aircraft flight hours:
5299
Circumstances:
On final approach to runway 02, the copilot informed the captain about the fact that the approach speed was too high by 20 knots to the reference speed. The captain replied he would correct this but the airplane landed too far down runway 02, about 993 metres before the end of the runway which is 2,010 metres long but with a displaced threshold, giving a landing distance available of 1,700 metres. Upon touchdown, the aircraft's speed was 142 knots, about 14 knots above the speed reference according to existing conditions and weight and balance. Unable to stop within the remaining distance, the airplane overran, went down an embankment, crossed a road and came to rest against a second embankment, broken in two. All six occupants were slightly injured and the aircraft was destroyed. Owned by TVPX, it was operated by Silver Air.
Probable cause:
The accident was the consequence of the followings:
- The crew completed an approach at a speed higher than the reference speed for weight and balance specified in the aircraft checklist,
- Lack of specific information on the length of the runway at Toncontín International Airport by the crew for the approach to runway 02, when landing almost halfway down the runway leaving little distance for effective braking of the systems,
- A late activation of the thrust reverser systems about 0:13 seconds after touchdown was considered as a contributing factor,
- Existing weather conditions were not considered as a contributing factor.
Final Report:

Crash of a Cessna 208B Grand Caravan in Manaus

Date & Time: May 22, 2018 at 0950 LT
Type of aircraft:
Operator:
Registration:
PT-FLW
Flight Type:
Survivors:
Yes
Schedule:
Manaus - Manaus
MSN:
208B-0451
YOM:
1995
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
10073
Captain / Total hours on type:
4637.00
Aircraft flight hours:
8776
Circumstances:
The pilot departed Manaus-Eduardo Gomes International Airport at 0940LT on a short positionning flight to Manaus-Aeroclub de Flores. On final approach to runway 11, the engine lost power and suffered power variations. The pilot attempted an emergency landing when the aircraft crashed 350 metres short of runway, bursting into flames. The pilot escaped with minor injuries and the aircraft was destroyed by a post crash fire.
Probable cause:
Contributing factors:
- Control skills - undetermined
The damage observed in the hot engine section components indicated the occurrence of an extrapolation of the ITT limits, which may have caused the melt observed in the blades of the compressor turbine. Thus, in view of the expected reactions of the engine during the use of the EPL, it is possible that there has been an inappropriate use of this resource and, consequently, an extrapolation of the engine limits, especially in relation to the temperature.
- Training - undetermined
The investigation of this accident identified issues related to the operation of the aircraft that could be related to the quality and/or frequency of emergency training with engine failure.
- Piloting judgment - undetermined
It is possible that the loss of lift produced by the flap retraction resulted in a sinking that prevented the plane from reaching the SWFN runway with the residual power that the engine still provided. In this case, an inadequate assessment of the effects of such action on the aircraft performance under those conditions would be characterized.
- Memory - undetermined
It is possible that the decisions made were the result of the pilot's difficulty in properly recalling the correct procedures for those circumstances, since these were actions to be memorized (memory items).
Final Report:

Crash of an Airbus A330-243 in Jeddah

Date & Time: May 21, 2018 at 2150 LT
Type of aircraft:
Operator:
Registration:
TC-OCH
Survivors:
Yes
Schedule:
Madinah - Dhaka
MSN:
437
YOM:
2001
Flight number:
SV3818
Country:
Region:
Crew on board:
10
Crew fatalities:
Pax on board:
142
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
The aircraft departed Madinah-Mohammad Bin Abdulazziz Airport at 1724LT on a schedule service to Dhaka with 142 passengers and 10 crew members on board. At 1746LT, while cruising at FL370, the crew informed ATC about a malfunction of the green hydraulic system followed by a 'green hydraulic system reservoir low level' warning. The crew decided to return to Madinah but this was not possible due to deteriorating weather conditions, so it was decided to divert to Jeddah-King Abdulazziz Airport. Several attempts to lower the nose gear were unsuccessful and only both main landing gear seemed to be down. After a circuit to burn fuel, the crew was cleared to descent and expected to make a low pass over runway 16C but neither the control tower nor ground staff were able to confirm the nose gear extension. Eventually, the crew was cleared to land on runway 34R with the nose gear retracted. The aircraft landed 700 metres past the runway threshold and the nose landed 1,350 metres further, causing both engine nacelles to hit the runway surface. The airplane slid for few hundred metres and came to rest 700 metres from the runway end. All 152 occupants evacuated safely and the aircraft was damaged beyond repair.