Crash of a Socata TBM-700 in Budel

Date & Time: Apr 28, 2013 at 1030 LT
Type of aircraft:
Operator:
Registration:
PH-HUB
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Budel – Cannes
MSN:
127
YOM:
1997
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
3925
Captain / Total hours on type:
2625.00
Copilot / Total flying hours:
15000
Copilot / Total hours on type:
1600
Circumstances:
The single engine airplane departed Budel-Kempen Airport on a flight to Cannes-Mandelieu, carrying four passengers and one pilot. During initial climb, the pilot selected gear up and was attempting to retract the flaps when the engine failed. The aircraft lost height and crash landed in an open field, coming to rest on its belly 1,500 metres from the runway end. All five occupants escaped uninjured while the aircraft was damaged beyond repair.
Probable cause:
During initial climb, the pilot mistakenly positioned the fuel selector on the CUT OFF position while trying to retract the flaps, causing the engine to stop.
Final Report:

Crash of a Socata TBM-700B in Rotenburg: 4 killed

Date & Time: Apr 26, 2013 at 0915 LT
Type of aircraft:
Operator:
Registration:
D-FERY
Flight Type:
Survivors:
No
Schedule:
Kiel – Rotenburg – Friedrichshafen
MSN:
194
YOM:
2001
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
4
Captain / Total flying hours:
750
Captain / Total hours on type:
65.00
Copilot / Total flying hours:
3680
Copilot / Total hours on type:
66
Aircraft flight hours:
1489
Aircraft flight cycles:
1299
Circumstances:
The single engine aircraft departed Kiel-Holtenau Airport in the morning, carrying two passengers and two pilots, bound for Rotenburg, Lower Saxony, where two additional passengers should embark before continuing to Friedrichshafen to take part to the Aero 2013 Airshow. On approach to Rotenburg-Wümme Airport, the crew encountered poor weather conditions with a cloud base at 500 feet and a visibility limited to 2 km. On final approach, the aircraft impacted ground and came to rest in an open field, bursting into flames. The burnt wreckage was found 2,3 km short of runway 08 and 570 metres to the left of its extended centerline. The aircraft was destroyed by a post crash fire and all four occupants were killed.
Probable cause:
The accident was due to the fact that:
- Despite inadequate weather conditions, the crew decided to continue the approach under VFR mode and thus the approach to the ground could not be recognized in time,
- Due to insufficient situational awareness of the pilots, the descent was not canceled in time.
Final Report:

Crash of a De Havilland DHC-6 Twin Otter 300 in Sam Neua

Date & Time: Apr 17, 2013 at 1435 LT
Operator:
Registration:
RDPL-34180
Flight Phase:
Survivors:
Yes
Schedule:
Sam Neua – Vientiane
MSN:
231
YOM:
1969
Flight number:
LOA201
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
16
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
Shortly after takeoff from Sam Neua-Nathong Airport, while in initial climb, the twin engine aircraft collided with trees, lots height and crashed in a small river located 200 metres past the runway end. All 18 occupants were injured, five seriously. The aircraft was damaged beyond repair.

Crash of an Antonov AN-26 in Doro

Date & Time: Apr 10, 2013
Type of aircraft:
Operator:
Registration:
EK-26407
Flight Type:
Survivors:
Yes
MSN:
64 07
YOM:
1978
Country:
Region:
Crew on board:
4
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
The aircraft was completing a humanitarian flight to Doro Airfield, South Sudan, carrying four crew members and a load consisting of food. After landing, the aircraft went out of control, veered off runway, struck a drainage ditch and came to rest against an earth mound. All four occupants escaped uninjured while the aircraft was destroyed.

Crash of a Cessna 421B Golden Eagle II in Morelia

Date & Time: Apr 6, 2013 at 1200 LT
Operator:
Registration:
XB-LBY
Flight Type:
Survivors:
Yes
Schedule:
Cuernavaca - Guadalajara
MSN:
421B-0336
YOM:
1973
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
5
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
En route from Cuernavaca to Guadalajara, while in cruising altitude, the pilot informed ATC about technical problems with the right engine. He was cleared to divert to Morelia Airport for an emergency landing. On final approach to runway 05, the twin engine aircraft crashed in an open field located about 2 km short of runway. All six occupants evacuated with minor injuries and the aircraft was damaged beyond repair.

Crash of a Cessna 414 Chancellor in Hammonton

Date & Time: Apr 5, 2013 at 1150 LT
Type of aircraft:
Operator:
Registration:
N37480
Flight Type:
Survivors:
Yes
Schedule:
Gaithersburg - Hammonton
MSN:
414-0958
YOM:
1977
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
587
Captain / Total hours on type:
120.00
Aircraft flight hours:
9376
Circumstances:
Aircraft was substantially damaged when it veered off the runway while landing at Hammonton Municipal Airport (N81), Hammonton, New Jersey. The private pilot was not injured and the commercial pilot-rated passenger received minor injuries. Visual meteorological conditions prevailed, and an instrument flight rules flight plan was filed for the flight. The flight originated from Montgomery County Airpark (GAI), Gaithersburg, Maryland about 1105 and was destined for N81. The personal flight was conducted under the provisions of Title 14 Code of Federal Regulations Part 91. The airplane was being repositioned to N81 in order for the owner's insurance adjuster and a local mechanic to physically inspect previous claim work for damage done during ground handling following Hurricane Sandy. The pilot reported lowering the landing gear during the approach to runway 03, and confirmed that they were extended by observing the landing gear position indicator lights. Immediately after touchdown, the airplane veered to the left. The pilot applied full right rudder, but the airplane continued to veer to the left. After departing the left side of the runway, the airplane struck several trees and was subsequently engulfed in a post-crash fire. According to FAA records, the pilot held a private certificate, with ratings for airplane single- and multiengine land. His most recent FAA third class medical certificate was issued on January 2, 2013. As of April 5, 2013, the pilot reported a total of 587 total hours of flight experience, of which 120 hours were in the same make and model as the accident airplane. The seven-seat, twin-engine, low-wing, retractable tricycle-gear airplane was manufactured in 1977 and was equipped with two Continental Motors TSIO-520, 520-hp engines. Review of the airplane's maintenance logbooks revealed that its most recent annual inspection was completed on October 26, 2012. At the time of inspection, the airplane had accumulated 9,335 total hours in service. The number one and two engines accumulated approximately 735 and 157 total hours of operation since overhaul, respectively. The airplane had flown about three hours since the most recent annual inspection. The 1154 recorded weather observation at Atlantic City International Airport (ACY), Atlantic City, New Jersey, located about 15 miles southeast of the accident site, included wind from 330 degrees at 13 knots, 10 miles visibility, few clouds at 1,600 feet, temperature 11 degrees C, dew point 4 degrees C, and a barometric altimeter setting of 29.83 inches of mercury. N81 was a non-tower-controlled airport equipped with one asphalt runway, oriented in a 03/21 configuration. The runway was 3,601 feet in length and 75 feet wide. The field elevation for the airport was 65 feet mean sea level.
Probable cause:
Examination of the accident site and surrounding area by a Federal Aviation Administration (FAA) inspector revealed the left wing impacted several 4 to 6 inch-diameter trees prior to separating from the aircraft. The airplane then spun to the left, with fuel from the severed wing splashing on the nose section of the airplane and onto the hot left engine. The fuel ignited and caused substantial damage to the left engine and forward left section of the fuselage. Post-accident examination also revealed that the nose landing gear (NLG) had separated from its mount at the nose trunnion. Further investigation revealed that the left NLG trunnion lug had sheared from the trunnion assembly. The fractured lug was sent to the manufacturer for fractographic examination. The examination revealed a pre-existing crack at the surface of the NLG trunnion lug. The crack was approximately 0.015 inch deep at the time of final fracture. Subsequent investigation revealed that the fractured component was taken from a Cessna 310 airplane, and had accumulated approximately 20,000 service hours. According to maintenance records, on March 12, 2013, the nose gear attached tunnel and forward bulkhead were repaired as part of the filed insurance claim, and the nose gear trunnion assembly was replaced at this time. Cessna Multi-engine Service Bulletin MEB88-5 (Revision 2), Nose Gear Trunnion/Replacement, stated the preferred inspection method for the side lug area was a surface eddy current inspection. An alternate fluorescent penetrant inspection may be used for those facilities without eddy current inspection capabilities. However, MEB88-5 was not a federally mandated requirement for all owner/operators to accomplish. Subsequently, the subject trunnion assembly installed on the accident airplane had received only a visual examination prior to installation.
Final Report:

Crash of a Cessna 402C II in Mayaguana: 3 killed

Date & Time: Apr 4, 2013 at 0100 LT
Type of aircraft:
Operator:
Registration:
C6-BGJ
Flight Type:
Survivors:
Yes
Schedule:
Nassau - Mayaguana
MSN:
402C-0106
YOM:
1979
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
3
Circumstances:
On Thursday April 4, 2013 at approximately1:00AM DST (0500 UTC) a fixed wing, twin-engine, Cessna 402C aircraft Bahamas registration C6-BGJ, serial number 402C0106, crashed into obstacles (vehicles) while landing on Runway 06 at Mayaguana International Airport (MYMM), Abraham’s Bay, Mayaguana, Bahamas. The pilot in command stated that on April 3, 2013, he received a call at approximately 9:30PM from the Princess Margaret Hospital requesting emergency air ambulance services out of Mayaguana. The local police on the island was contacted to confirm lighting approval and availability in order to conduct the emergency flight. After confirming lighting arrangements with Nassau Air Traffic Control Services, and obtaining the necessary clearance, the pilot in command, along with a copilot and one passenger, (a nurse), proceeded with the flight to Mayaguana. The flight departed Lynden Pindling International Airport at approximately 1:30PM DST (0330UTC). The destination was Abraham’s Bay, Mayaguana, Bahamas. The pilot in command also reported “about 1 hour and 40 minutes later we arrived at Mayaguana Airport, leveled off at 1500 feet and about 4 miles left base Runway 06, we had the runway in sight via lighting from vehicles.” The crew continued with the landing procedures. The aircraft touch down approximately 300 feet from the threshold on runway 06, the pilot in command reported that prior to the nose gear making contact with the runway “the right wing hit an object (vehicle), causing the aircraft to veer out of control to the right eventually colliding with a second vehicle approximately 300 to 400 feet on the right side (southern) of Runway 06.” The impact of the right wing of the aircraft with the second vehicle, caused the right wing (outboard of the engine nacelle) and right fuel sealed wet wing tank to rupture releasing the aircraft fuel in that wing, which caused an explosion engulfing the vehicle in flames. The force of the impact with the second vehicle caused the right main gear to break away from the aircraft and it was flung ahead and to the left side of the runway approximately 200 feet from the point of impact with the truck. As the right main gear of the aircraft was no longer attached, the aircraft collapsed on its right side, slid onto the gravel south (right) of the runway and somewhere during this process, the nose gear also collapsed. The pilot immediately shut off the fuel valve of the aircraft and once the engines and the aircraft came to a stop, the three occupants evacuated the aircraft. The occupants of the aircraft did not sustain any visible injuries requiring medical attention or hospitalization. However, three (3) occupants of the second vehicle that was struck, were fatally injured. The airplane sustained substantial damages as a result of the impact and post impact crash sequence. The impact with the first vehicle occurred at approximately 427 feet from the threshold of runway 06 and at coordinates 28˚ 22’30”N and 073˚ 01’15’W. The flight was operated on an Instrument Flight Rules flight plan. Instrument Meteorological Conditions (night) prevailed at the time of the accident.
Probable cause:
Breakdown in communication during the planning and execution of an unapproved procedure has been determined to be the probable cause of this accident.
Other contributing factors:
- Use of an unapproved procedure to aid in a maneuver that was critical,
- Too many persons were planning the maneuver and not coordinating their actions,
- Failure of planners of the maneuver to verify whether participants were in the right position,
- Inexperienced persons used in the execution of a maneuver that was not approved,
- Vehicle parked to close to the side of the runway,
- Vehicle left with engine running while parked near the runway.
Final Report:

Crash of a Grumman G-159 Gulfstream I in Djolu

Date & Time: Mar 22, 2013 at 1330 LT
Type of aircraft:
Operator:
Registration:
9Q-CTC
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Djolu – Kinshasa
MSN:
001
YOM:
1958
Location:
Region:
Crew on board:
3
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
20412
Captain / Total hours on type:
1500.00
Copilot / Total flying hours:
795
Copilot / Total hours on type:
311
Aircraft flight hours:
17247
Aircraft flight cycles:
14728
Circumstances:
Last March 12, the aircraft sustained damages upon landing at Djolu Airport. Repairs were carried on and the aircraft was ready for its back trip to Kinshasa on March 22, carrying three crew members, two pilots and one mechanic. After the brakes were released, while accelerating on a dirt runway, the aircraft veered off runway, contacted trees and crashed in a wooded area, bursting into flames. All three crew members evacuated the burned wreckage and only the mechanic was injured. The aircraft was totally destroyed.
Probable cause:
Loss of control during the takeoff roll due to the poor condition of the runway.
Final Report:

Crash of an Embraer EMB-820C Carajá in Almeirim: 10 killed

Date & Time: Mar 12, 2013 at 2030 LT
Operator:
Registration:
PT-VAQ
Survivors:
No
Schedule:
Belém - Almeirim
MSN:
820-140
YOM:
1986
Location:
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
9
Pax fatalities:
Other fatalities:
Total fatalities:
10
Captain / Total flying hours:
1300
Captain / Total hours on type:
70.00
Circumstances:
The twin engine aircraft departed Belém-Val de Cans-Júlio Cezar Ribeiro Airport at 1907LT on a flight to Almeirim, carrying one pilot and nine employees of a company taking part to the construction of a hydro-electric station in the area. Following an eventful flight at FL85, the pilot started the descent to Almeirim and contacted ground at 2023LT. On final approach by night, the aircraft descended too low, impacted ground and crashed 5 km short of runway, bursting into flames. The aircraft was destroyed and all 10 occupants were killed.
Probable cause:
The following findings were identified:
- The pilot took the risks inherent to that flight when he accepted to be the only crewmember on a night-time flight with an aircraft in which he lacked enough experience. It is therefore considered that the pilot was complacent when he accepted to fly the aircraft under those circumstances, taking the risks associated with the operation.
- The fact that the pilot made a phone call to his father, to tell that he was feeling insecure for conducting the flight, may be considered an indication that he was not confident, and this condition may have influenced negatively his operational performance during the descent procedure.
- It is possible that the motivation of the pilot in making a fast progress in his career contributed to his acceptance of the challenge to operate the flight, even if he was not feeling fully confident.
- It is possible that the characteristics related to the type of flight, regions, time of the day, in addition to the fact that the pilot was flying the aircraft alone for the first time, contributed to an unclear perception of the relevant elements around him, leading him to a mistaken comprehension, which resulted in the deterioration of his ability to foresee the events.
- The operational progress of the pilot in the company was expedited and, therefore, it is possible that for this reason he did not gather the necessary experience for conducting that type of flight.
- It is possible that the way the work was organized within the company, with designation of pilots not readapted in the aircraft for night-time flights without artificial horizon, and for takeoffs with an aircraft weight above the one prescribed in the manual contributed to the event that resulted in the accident.
- It is possible that the prioritization of the financial sector, in detriment of operational safety, contributed to the designation of a single pilot with short experience for transporting nine passengers.
- It is probable that the pilot, during the preparation of the aircraft for landing, allowed the its speed and power to drop to a value below the minima required for maintenance of level flight on the downwind leg.
- It is possible that the location of the runway in an isolated area of the Amazonian jungle region, without visual references in a night-time flight, contributed to the pilot’s difficulty maintaining a sustained flight.
- It is possible that the training done by the pilot in a shortened manner deprived him from the knowledge and other technical abilities necessary for flying the aircraft.
- The decisions of the company operation sector to designate a short-experienced pilot without a copilot for a night flight destined for an aerodrome located in a jungle region without visual reference with the terrain increased the risk of the operation. Therefore, the risk management process was probably inappropriate.
- It was the first time the pilot was flying the aircraft on a night-time flight without a copilot. Since he had only little experience in the aircraft, it is possible that his operational performance was hindered in the management of tasks, weakening his situational awareness.
- It was not possible to determine whether the company chose to dispense with the copilot on account of the need to transport a ninth passenger and, thus, did not consider in a conservative manner the prescription contained in the aircraft airworthiness certificate by designating just one pilot for the flight.
Final Report:

Crash of a Partenavia P.68 Observer in Roskilde: 2 killed

Date & Time: Mar 6, 2013 at 1727 LT
Type of aircraft:
Operator:
Registration:
OY-CAG
Survivors:
No
Schedule:
Billund - Roskilde
MSN:
243-03-0B
YOM:
1981
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
13973
Aircraft flight hours:
8370
Aircraft flight cycles:
8400
Circumstances:
The aircraft was engaged in a bird control mission over the center of Denmark and departed Billund Airport in the afternoon with one passenger and one pilot on board. While returning to Roskilde, on approach to runway 03, the pilot initiated a go-around procedure due to the presence of a slower aircraft on the runway. While climbing, the twin engine aircraft stalled and crashed near runway 03. Both occupants were killed.
Probable cause:
The final approach and the go-around procedures were non-standard. The accident was caused by a stall during the climb, and the distance between the aircraft and the ground was insufficient to expect recovery. Weather conditions were not considered as a contributing factor.
Final Report: