Crash of an Embraer EMB-120RT Brasília in Fortaleza: 4 killed

Date & Time: Oct 21, 1998 at 0851 LT
Type of aircraft:
Registration:
PT-WKH
Flight Type:
Survivors:
No
Site:
Schedule:
Teresina - Fortaleza
MSN:
120-076
YOM:
1988
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
4
Captain / Total flying hours:
9100
Captain / Total hours on type:
1500.00
Copilot / Total flying hours:
5100
Copilot / Total hours on type:
1300
Circumstances:
The twin engine aircraft was completing a cargo flight from Teresina to Fortaleza, carrying one passenger, two pilots and a load of 2,5 tons of medicines. On final approach to Fortaleza-Pinto Martins Airport, the aircraft was approaching at an excessive speed when flaps and landing gear were selected down. The aircraft became unstable and the captain who was the pilot-in-command continued the approach and the copilot did not intervene to correct the situation. On final, the thrust levers were positioned below the flight idle position, causing the aircraft to lose speed and to enter a right bank. It struck power cables and eventually crashed onto a house. The aircraft and the house were destroyed. The copilot was seriously injured while both other occupants and one people on the ground were killed. Seven other people on the ground were injured. Few hours later, the copilot died from his injuries.
Probable cause:
The following factors were identified:
- In the individual aspect, there were signs of concern of the crew member with prolonged waiting caused by the local traffic in Fortaleza and by another traffic that was approaching the aerodrome and, because of this, accelerated the procedure of the final approach, descending at high speed and triggering the other operational failures that led to the accident; in the same way, there were signs of excessive self-confidence by the pilot.
- The operator's delay in submitting the requested documentation for the aircraft reduced the credibility of the submitted material. The possibility that the secondary stop was deactivated, despite statements to the contrary by a mechanic, would have been caused by inadequate participation of maintenance personnel in the services performed and by non-compliance with the planned AD.
- There are reports from several pilots about this commander's habits of performing unforeseen procedures, including some that avoided flying with him. It was not researched if the other crew members took this fact to the company's management. The company's response was not researched if it was aware of these operational deviations.
- The pilot misused the resources available in the operation of the aircraft, due to ineffective management of the tasks related to the PF and PNF and the noncompliance with operational rules.
- The PNF did not advise the PF during the approach. The PNF accepted the non-stabilized approach and did not react to reverse the situation.
- The crew made the approach above the glide slope and at high speed; thought inappropriately that it could proceed in those conditions and that there would be ways to reduce the speed and make the landing.
- The crew disobeyed the aircraft's operating rules by performing a destabilized approach outside the envelope recommended by the manufacturer and by placing the power levers below the flight idle position.
Final Report:

Crash of a Piper PA-31-325 Navajo C/R in San José: 2 killed

Date & Time: Sep 18, 1998 at 0738 LT
Type of aircraft:
Operator:
Registration:
TI-AVP
Flight Phase:
Flight Type:
Survivors:
No
Site:
Schedule:
San José – Nicoya
MSN:
31-7912087
YOM:
1979
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
2
Circumstances:
About two minutes after takeoff from San José-Tobías Bolaños Airport, while climbing, the twin engine aircraft went out of control and crashed in the district of Rohrmoser, about 3 km southeast of the airport. Both occupants were killed.

Crash of a Cessna 414 Chancellor in Tenerife: 2 killed

Date & Time: May 9, 1998 at 1240 LT
Type of aircraft:
Operator:
Registration:
EC-CVV
Survivors:
No
Site:
Schedule:
Tenerife-Sur - Tenerife-Norte
MSN:
414-0631
YOM:
1975
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
1000
Captain / Total hours on type:
20.00
Aircraft flight hours:
750
Circumstances:
The twin engine aircraft departed Tenerife-Sur-Reina Sofia Airport on a taxi flight to Tenerife-Norte-Los Rodeos Airport, carrying one passenger and one pilot. While descending to Los Rodeos Airport runway 12, weather conditions worsened and the pilot was instructed by ATC to make an approach to runway 30 via a special VFR clearance. Few minutes later, while approaching at an insufficient altitude, the aircraft collided with a house under construction and crashed in a garden. The aircraft was totally destroyed and both occupants were killed. The accident occurred in IMC conditions.
Probable cause:
Collision with obstacle while approaching under VFR mode in IMC conditions. The following factors were identified:
- The pilot did not have sufficient experience,
- Marginal weather conditions,
- The pilot failed to see and avoid the obstacles and may have suffered a spatial disorientation,
- Excessive workload in the cockpit during the approach associated with lack of visibility, low experience and too many radio communications on the frequency.
Final Report:

Crash of an Airbus A300-622R in Taipei: 203 killed

Date & Time: Feb 16, 1998 at 2006 LT
Type of aircraft:
Operator:
Registration:
B-1814
Survivors:
No
Site:
Schedule:
Denpasar - Taipei
MSN:
578
YOM:
1990
Flight number:
CI676
Country:
Region:
Crew on board:
14
Crew fatalities:
Pax on board:
182
Pax fatalities:
Other fatalities:
Total fatalities:
203
Captain / Total flying hours:
7210
Copilot / Total flying hours:
3530
Aircraft flight hours:
20193
Aircraft flight cycles:
8800
Circumstances:
Following an uneventful flight from Denpasar-Ngurah Rai Airport, the aircraft was approaching Taipei-Taoyuan Airport by night and marginal weather conditions with a limited visibility of 2,400 feet, an RVR of 3,900 feet and 300 feet broken ceiling, 3,000 feet overcast. On final approach to runway 05L in light rain and fog, at the altitude of 1,515 feet, the aircraft was 1,000 feet too high on the glide so the captain decided to initiate a go-around procedure. The automatic pilot system was disconnected but for unknown reasons, the crew failed to correct the pitch up attitude. The aircraft passed the runway threshold at an altitude of 1,475 feet, pitched up go around thrust was applied. The aircraft rapidly pitched up, reaching +35° and climbed through 1,723 feet at an airspeed of 134 knots. The gear had just been raised and the flaps set to 20°. The aircraft continued to climb to 2,751 feet when the speed dropped to 43 knots. At this point, the aircraft stalled, entered an uncontrolled descent (pitched down to 44,65°). The crew was apparently able to regain control when the aircraft rolled to the right at an angle of 20° 2-3 seconds prior to final impact. The aircraft struck the ground 200 feet to the right of the runway 05L centerline and 3,7 km from its threshold and eventually crashed on 12 houses. The aircraft disintegrated on impact and all 196 occupants were killed, among them five US citizens, one Indonesian and one French. On the ground, seven people were killed.
Probable cause:
The following factors were identified:
- Wrong approach configuration as the aircraft was too high on the glide,
- Poor crew coordination,
- The crew failed to comply with published procedures,
- Poor crew training,
- The crew failed to correct the pitch up attitude during the go-around procedure,
- Lack of visibility due to night, rain and fog.

Crash of an Antonov AN-124-100 in Irkutsk: 68 killed

Date & Time: Dec 6, 1997 at 1442 LT
Type of aircraft:
Operator:
Registration:
08 black
Flight Phase:
Flight Type:
Survivors:
No
Site:
Schedule:
Irkutsk – Vladivostok – Cam Ranh Bay
MSN:
4516003
YOM:
1992
Country:
Region:
Crew on board:
8
Crew fatalities:
Pax on board:
15
Pax fatalities:
Other fatalities:
Total fatalities:
68
Aircraft flight hours:
1034
Aircraft flight cycles:
576
Circumstances:
The four engine aircraft departed Irkutsk-2 Airport on a cargo flight to Cam Ranh Bay, with an intermediate stop in Vladivostok, carrying 15 passengers, eight crew members and a load consisting of two Sukhoi SU-27UB fighters to be delivered to the Vietnam Air Force. Three seconds after takeoff from runway 14 at Irkutsk-2 Airport, at a height of 5 metres, the engine n°3 failed. Six seconds later, at a height of 22 metres, both left engines n°1 and 2 also failed. The aircraft pitched up and entered a high angle of attack, climbed to a maximum height of about 66 metres then rolled to the left and crashed onto several buildings located 1,600 metres from the runway end. The aircraft was totally destroyed by impact forces and a post crash fire as well as several buildings. All 23 occupants and 45 people on the ground were killed. Hundred other people on the ground were injured, some seriously.
Probable cause:
The exact cause of the engine failure could not be determined with certainty. It is known that engines of this series had problems with gas-dynamic stability, especially at high angle of attack.

Crash of a Cessna 402 in Semarang

Date & Time: Aug 14, 1997
Type of aircraft:
Operator:
Registration:
PK-BBI
Survivors:
Yes
Site:
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
6
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
On final approach to Semarang-Ahmad Yani Airport runway 31, the twin engine aircraft went out of control and crashed in the district of Bongsari, less than 3 km from the airport. All seven occupants were injured.

Crash of a Douglas DC-8-61F in Miami: 5 killed

Date & Time: Aug 7, 1997 at 1236 LT
Type of aircraft:
Operator:
Registration:
N27UA
Flight Phase:
Flight Type:
Survivors:
No
Site:
Schedule:
Miami - Santo Domingo
MSN:
45942
YOM:
1968
Flight number:
FB101A
Crew on board:
3
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
5
Captain / Total flying hours:
12154
Captain / Total hours on type:
2522.00
Copilot / Total flying hours:
2641
Copilot / Total hours on type:
1592
Aircraft flight hours:
46825
Aircraft flight cycles:
41688
Circumstances:
Fine Air Flight 101 was originally scheduled to depart Miami for Santo Domingo at 09:15 using another DC-8 airplane, N30UA, to carry cargo for Aeromar. Due to a delay of the inbound aircraft, Fine Air substituted N27UA for N30UA and rescheduled the departure for 12:00. N27UA arrived at Miami at 09:31 from San Juan, Puerto Rico, and was parked at the Fine Air hangar ramp. The security guard was not aware of the airplane change, and he instructed Aeromar loaders to load the airplane in accordance with the weight distribution form he possessed for N30UA. The first cargo pallet for flight 101 was loaded onto N27UA at 10:30 and the last pallet was loaded at 12:06. The resulting center of gravity (CG) of the accident airplane was near or even aft of the airplane’s aft CG limit. After the three crew members and the security guard had boarded the plane, the cabin door `was closed at 12:22. Eleven minutes later the flight obtained taxi clearance for runway 27R. The Miami tower controller cleared flight 101 for takeoff at 12:34. Takeoff power was selected and the DC-8 moved down the runway. The flightcrew performed an elevator check at 80 knots. Fourteen seconds later the sound of a thump was heard. Just after calling V1 a second thump was heard. Two seconds later the airplane rotated. Immediately after takeoff the airplane pitched nose-up and entered a stall. The DC-8 recovered briefly from the stall, and stalled again. The airplane impacted terrain in a tail first, right wing down attitude. it slid west across a road (72nd Avenue) and into the International Airport Center at 28th Street and burst into flames. Investigation showed that the center of gravity resulted in the airplane’s trim being mis-set by at least 1.5 units airplane nose up, which presented the flightcrew with a pitch control problem on takeoff.
Probable cause:
The probable cause of the accident, which resulted from the airplane being misloaded to produce a more aft center of gravity and a correspondingly incorrect stabilizer trim setting that precipitated an extreme pitch-up at rotation, was
1) The failure of Fine Air to exercise operational control over the cargo loading process; and
2) The failure of Aeromar to load the airplane as specified by Fine Air.
Contributing to the accident was the failure of the FAA to adequately monitor Fine Airs operational control responsibilities for cargo loading and the failure of the FAA to ensure that known cargo-related deficiencies were corrected at Fine Air.
Final Report:

Crash of a Cessna 207A Skywagon in Belize City: 1 killed

Date & Time: Jul 23, 1997 at 0724 LT
Operator:
Registration:
V3-HFD
Survivors:
No
Site:
Schedule:
San Pedro – Belize City-International – Belize City-Municipal
MSN:
207-0676
YOM:
1981
Flight number:
9N010
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
1789
Captain / Total hours on type:
672.00
Aircraft flight hours:
11656
Circumstances:
The single engine aircraft landed at the Philip S. W. Goldson International Airport from San Pedro Airport, Ambergris Caye, with two passengers. The pilot remained in the aircraft on the apron while the two passengers disembarked. After receiving clearance from the Air Traffic Control Tower, V3-HFD, with no passengers, took off at 0720LT for the Belize City Municipal Airport. At 0722LT, the pilot reported by the Haulover Bridge and was instructed by ATC to change to frequency 122.8 MHz, which is the common broadcast frequency where pilots transmit their positions and intentions to each other. No further radio transmissions or distress calls were made to ATC after the pilot reported to Haulover Bridge. While approaching Belize City Municipal Airport at a very low altitude, the aircraft struck power cables and crashed onto a house located in the district Belama Phase 2, bursting into flames. The wreckage was found about 3 km southwest of runway 12 threshold. The pilot was killed and one people on the ground was injured. The aircraft was destroyed by impact forces and a post crash fire.
Probable cause:
There is no evidence which permits the investigation to determine with certainty the actual cause of the accident. It is considered a reasonable deduction that the probable cause of the accident was that the aircraft became uncontrollable after hitting high voltage transmission lines due to the aircraft being flown at a low altitude.
Final Report:

Crash of a Fokker F27 Friendship in Bandung: 28 killed

Date & Time: Jul 17, 1997 at 1155 LT
Type of aircraft:
Operator:
Registration:
PK-YPM
Survivors:
Yes
Site:
Schedule:
Bandung - Jakarta
MSN:
10415
YOM:
1969
Flight number:
TGN304
Country:
Region:
Crew on board:
5
Crew fatalities:
Pax on board:
45
Pax fatalities:
Other fatalities:
Total fatalities:
28
Circumstances:
The aircraft departed Bandung-Husein Sastranegara Airport on a regular schedule flight to Jakarta, carrying 45 passengers and 5 crew members. Shortly after takeoff, the captain informed ATC that the left engine lost power and elected to diver to the Bandung-Sulaiman AFB for an emergency landing. On final approach to runway 13, the crew was unable to maintain a safe altitude when the aircraft struck roofs and crashed. Twenty occupants were rescued while 28 others were killed, including all five crew members. All occupants were Indonesian citizens except for one passenger from Singapore.
Probable cause:
Failure of the left engine for unknown reasons.

Crash of a Cessna 414A Chancellor in Zurich: 1 killed

Date & Time: Apr 10, 1997 at 2101 LT
Type of aircraft:
Operator:
Registration:
HB-LPN
Flight Type:
Survivors:
Yes
Site:
Schedule:
Colmar – Basel – Zurich
MSN:
414A-0842
YOM:
1982
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
1006
Captain / Total hours on type:
350.00
Copilot / Total flying hours:
251
Copilot / Total hours on type:
2
Aircraft flight hours:
2318
Circumstances:
The crew was completing a flight from Colmar to Zurich with an intermediate stop in Basel. While on a night approach to runway 28 at Zurich-Kloten Airport, both engines lost power simultaneously. The aircraft lost height, struck a three-floor building and crashed on a second one located few dozen metres further. The captain was seriously injured while the copilot was killed.
Probable cause:
The accident was the consequence of the following factors:
- Insufficient flight preparation;
- Insufficient fuel supply;
- An emergency landing at night in a densely populated area following a double engine failure as a result of an inappropriate operation of the fuel selector switch.
Final Report: