Crash of a De Havilland DHC-2 Beaver near Gatineau: 1 killed

Date & Time: Jun 14, 2004 at 1340 LT
Type of aircraft:
Registration:
C-GJST
Flight Type:
Survivors:
No
Schedule:
Gatineau - Gatineau
MSN:
1368
YOM:
1959
Location:
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
1709
Captain / Total hours on type:
700.00
Circumstances:
The pilot and sole occupant of the DHC-2 seaplane, registration C-GJST, serial number 1368, was on his first flight of the season on the Ottawa River at Gatineau, Quebec. This training flight, conducted according to visual flight rules, was to consist of about 12 touch-and-go landings. The aircraft took off at approximately 1300 eastern daylight time, and made several upwind touch-and-go landings in a westerly direction. At approximately 1340 eastern daylight time, the aircraft was seen about 50 feet above the surface of the water proceeding downwind in an easterly
direction, in a nose-down attitude of over 20 degrees. The right float then struck the water and the aircraft tumbled several times, breaking up on impact. Despite the waves and gusting wind on the river, some riverside residents who witnessed the accident attempted a rescue, but the aircraft sank before they could reach it. Even though the pilot was wearing a seat-belt, he sustained head injuries at impact and drowned.
Probable cause:
Finding as to Causes and Contributing Factors:
1. The aircraft struck the water for undetermined reasons.
Findings as to Risk:
1. The certificate of airworthiness was not in effect at the time of the accident because of the airworthiness directives that had not been completed.
2. The distress signal emitted by the fixed, automatic emergency locator transmitter (ELT) was not received because of the reduced range of the signal once the ELT was submerged, which could have increased the response time of search and rescue units if there had been no witnesses to the accident.
3. The pilot had not made a training flight with an instructor for more than 19 months, which could have resulted in a degradation of his skills and decision-making process.
Final Report:

Crash of an Avro 748-232-2A off Libreville: 19 killed

Date & Time: Jun 8, 2004 at 0938 LT
Type of aircraft:
Operator:
Registration:
TR-LFW
Survivors:
Yes
Schedule:
Libreville – Port Gentil – Franceville
MSN:
1611
YOM:
1967
Flight number:
GBE221
Country:
Region:
Crew on board:
4
Crew fatalities:
Pax on board:
26
Pax fatalities:
Other fatalities:
Total fatalities:
19
Circumstances:
The aircraft departed Libreville-Léon Mba Airport at 0911LT on a flight to Franceville with an intermediate stop in Port Gentil with 26 passengers and four crew members on board. Few minutes after takeoff, the crew informed ATC about technical problem and was cleared to return to Libreville. In excellent weather conditions, the aircraft overflew the runway then crashed in the sea about 100 metres offshore. Eleven occupants were rescued while 19 others were killed, among them one crew member.
Probable cause:
Loss of hydraulic pressure on the right engine forced the crew to shut down this engine and to feather its propeller. On approach, the crew was unable to lower the gears because of the loss of hydraulic pressure.

Crash of a De Havilland DHC-2 Beaver in Fawcett Lake: 4 killed

Date & Time: May 18, 2004 at 1800 LT
Type of aircraft:
Registration:
C-GQHT
Survivors:
No
Schedule:
Pickeral Arm Camp - Fawcett Lake
MSN:
682
YOM:
1954
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
4
Captain / Total flying hours:
1688
Captain / Total hours on type:
344.00
Circumstances:
Pickerel Arm Camps is located about 22 km south of Sioux Lookout, Ontario. It operates a main campsite at its water base and several remote fishing lodges. The company operates two float equipped de Havilland DHC-2 Beaver aircraft to fly guests and supplies to their remote sites. Seven guests of the company arrived at the water base on 18 May 2004, the day before their scheduled four-day fishing trip at Fawcett Lake, one of the remote lodges. Because the remote lodge was available, a decision was made to fly in that afternoon. The group was divided in two, and a group of three guests and all the supplies for the seven guests were to go in the first aircraft. The second group of four, with their personal baggage, was to follow in the company’s other Beaver. The occurrence aircraft, a de Havilland DHC-2 Beaver (C-GQHT, serial number 682) with one pilot and three camp guests on board, departed the company water base at approximately 1700 eastern daylight time on a day visual flight rules flight to Fawcett Lake. At approximately 1930, the pilot and the other four guests arrived in the second aircraft to discover that the first group had not arrived. The guests later found the accident aircraft overturned in the lake. Ontario Provincial Police divers recovered the bodies of the pilot and the three passengers. The aircraft sustained substantial damage. There was no fire.
Probable cause:
Findings as to Causes and Contributing Factors:
1. The pilot flew a high-drag approach configuration for which his proficiency was not established.
2. The pilot most likely allowed the airspeed to decrease to the point that the aircraft stalled on approach at an altitude at which recovery was unlikely.
3. The impact was non-survivable because of the high impact forces.
Findings as to Risk:
1. The emergency locator transmitter (ELT) airframe antenna was broken off above the fuselage; however, the flight was within the 30-day period allowed by regulation for flight with an unserviceable ELT.
2. The pilot did not secure the cargo prior to flight, which allowed the cargo to shift forward on impact.
3. The weight and centre of gravity (C of G) were not indicated in the operational flight plan and load record, and the aircraft’s weight and C of G could only be estimated.
Final Report:

Crash of a Beechcraft B200 Super King Air off Papeete

Date & Time: Apr 16, 2004 at 1450 LT
Operator:
Registration:
F-OHJL
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Papeete - Papeete
MSN:
BB-1592
YOM:
1997
Location:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
The aircraft departed Papeete-Faaa on a local post maintenance flight with one engineer and one pilot on board. Shortly after takeoff, while in initial climb, the pilot informed ATC about control problems and elected to return. Unable to maintain control, he decided to ditch the aircraft few hundred metres offshore. The aircraft sank by a depth of 21 metres and both occupants were able to swim to shore.

Crash of a Cessna 208B Grand Caravan off Punta Gorda

Date & Time: Mar 20, 2004 at 1159 LT
Type of aircraft:
Operator:
Registration:
V3-HGB
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Punta Gorda – Placencia
MSN:
208B-0871
YOM:
2000
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
Five minutes after takeoff from Punta Gorda, while cruising at an altitude of 1,500 feet, the pilot informed ATC about engine problem. He elected to return to the airport but as he was unable to maintain the altitude, he attempted to ditch the aircraft 3 km offshore. The pilot was rescued while the aircraft sank and was lost.

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

Date & Time: Mar 11, 2004 at 2035 LT
Type of aircraft:
Registration:
N966MA
Flight Type:
Survivors:
No
Schedule:
Imperial – Napa
MSN:
405
YOM:
1979
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
4546
Captain / Total hours on type:
1651.00
Aircraft flight hours:
4119
Circumstances:
The airplane entered a descending turn while on a night visual approach and impacted a river. At 2030, the pilot reported leaving 6,000 feet, and stated that he had the airport in sight. The controller cleared him for the approach. He advised the controller that he would like to cancel his IFR clearance, and switch to the traffic advisory frequency. The controller cleared him to switch to advisory frequency. No further transmissions were recorded from the flight. According to radar data, the airplane was southeast of the airport, and maintaining a westerly heading south of the airport. At 2035, it crossed a river, and began a sharp left turn away from the airport. It completed about 90 degrees of turn before abruptly disappearing from radar contact, with the last radar target on the west side of the river near the impact location. The highly fragmented wreckage was recovered from the river after several weeks underwater. The teardown and examination of the engines disclosed that the left engine was not rotating or operating at the time of impact, and the left propeller was in feather. The type and degree of damage to the right engine was indicative of engine rotation and operation at the time of impact. Investigators found no pre-existing condition on either engine, or with the airframe systems, that would have interfered with normal operation, or explained the apparent shutdown of the left engine.
Probable cause:
The pilot's failure to maintain control of the airplane following a shutdown of the left engine during a night visual approach. A factor contributing to the accident was the dark night.
Final Report:

Crash of a Canadair CL-415 off Les Salles-sur-Verdon: 2 killed

Date & Time: Mar 8, 2004 at 1100 LT
Type of aircraft:
Operator:
Registration:
F-ZBEZ
Flight Type:
Survivors:
Yes
Schedule:
Marseille - Marseille
MSN:
2018
YOM:
1996
Flight number:
Pélican 41
Country:
Region:
Crew on board:
3
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
2
Circumstances:
One instructor and two pilots under supervision departed Marseille-Marignane Airport on a training flight. Several scooping manoeuvres were completed on the Sainte-Croix Lake located about 85 km northeast of Marseille. While completing a new scooping procedure, the aircraft approached in a high nose attitude and disintegrated upon landing. The main wreckage sank to a depth of 31 metres off Les Salles-sur-Verdon. One pilot was found alive but seriously injured due to hypothermia (the water temperature was 6° C) while both other occupants, Jean Beauvais and Jean-Pierre Laty, were killed.

Crash of a Dornier DO.28D-2 Skyservant near Guayaquil

Date & Time: Mar 5, 2004 at 1755 LT
Type of aircraft:
Registration:
HC-CBK
Flight Phase:
Survivors:
Yes
Schedule:
Machala – Guayaquil
MSN:
4080
YOM:
1971
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
12
Pax fatalities:
Other fatalities:
Total fatalities:
0
Aircraft flight hours:
2977
Circumstances:
En route from Machala to Guayaquil, while cruising at an altitude of 6,000 feet in rain showers, the left engine lost power. The crew shut down the engine and feathered the propeller then decided to continue at an altitude of 600 feet and a speed of 80 knots. Several attempts to restart the left engine were unsuccessful when the right engine lost power as well. Unable to maintain a safe altitude, the crew attempted an emergency landing when the aircraft crashed in a river, some 23 km south of Guayaquil. All 14 occupants escaped with minor injuries and the aircraft was damaged beyond repair.
Probable cause:
A possible failure of the hydraulic pump on the left engine due to poor maintenance.

Crash of a Cessna 208 Caravan I off Green Island

Date & Time: Feb 8, 2004 at 1610 LT
Type of aircraft:
Operator:
Registration:
VH-CYC
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Cairns - Cairns
MSN:
208-0108
YOM:
1986
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
5333
Captain / Total hours on type:
211.00
Circumstances:
The aircraft, with two pilots on board, was being operated for pilot type endorsement training. Air Traffic Control (ATC) had cleared the pilots to conduct upper level air work between 4,000 and 5,000 ft above mean sea level (AMSL) within a 5 NM radius of Green Island, Queensland. Following the upper level air work, the crew requested, and were granted a clearance for, a simulated engine failure and descent to 2,000 ft. The pilot in command (PIC) reported that while completing the simulated engine failure training, he had retarded the power lever to the FLIGHT IDLE stop and the fuel condition lever to the LOW IDLE range, setting a value of 55% engine gas generator speed (Ng). The pilot under training then set the glide attitude at the best glide speed (for the operating weight) of about 79 knots indicated airspeed (KIAS). The PIC then instructed the pilot under training to place the propeller into the feathered position, and maintain best glide speed. The PIC reported that he instructed the pilot under training to advance the emergency power lever (EPL) to simulate manual introduction of fuel to the engine. According to the PIC, he then noticed that there was no engine torque increase, with the engine inter-turbine temperature (ITT or T5) and Ng rapidly decreasing, and a strong smell of fuel in the cockpit. While the pilot under training flew the aircraft, the PIC placed the ignition switch to the ON position and also selected START on the engine starter switch. He then reportedly placed the EPL to the CLOSED position, the propeller to the UNFEATHERED position and the fuel condition lever to the IDLE CUTOFF position to clear the excess fuel from the engine. The PIC reported that they then increased the aircraft airspeed to 120 KIAS, at which point he reintroduced fuel into the engine by advancing the fuel condition lever. He reported that following these actions, the strong fuel smell persisted. As the aircraft approached 1,500 ft, the PIC broadcast a MAYDAY, informing ATC that they had a 'flameout' of the engine and that they were going to complete a forced landing water ditching near Green Island. While the pilot under training flew the aircraft, the PIC placed the propeller into the feathered position, closed the fuel condition lever to the IDLE CUTOFF position and turned off the starter and ignition switches. They then completed a successful landing in a depth of about 2 m of water near Green Island. The pilots evacuated the aircraft without injury. The aircraft, which sustained minor damage during the ditching, but subsequent substantial damage due to salt water immersion, was recovered to the mainland. Following examination of all connections and control linkages, the engine was removed for examination under the supervision of the Australian Transport Safety Bureau (ATSB) at the engine manufacturer's overhaul facility. The engine trend monitoring (ETM) data logger was also removed from the aircraft for examination.
Probable cause:
The following factors were identified:
1. The pilots of CYC were conducting in-flight familiarization training using the emergency power lever. That procedure was not contained in the aircraft manufacturer's pilot operating handbook.
2. The engine manufacturer's documentation contained information on the use of the emergency power lever, which did not preclude the use of the emergency power lever for in-flight familiarization training.
3. The engine sustained a flameout at an altitude above mean sea level from which reignition of the engine was not successfully completed.
4. Erosion of the first-stage compressor blades would have reduced the aerodynamic efficiency of the compressor blades.
Final Report:

Crash of a Piper PA-61 Aerostar (Ted Smith 601) off Byron Bay: 2 killed

Date & Time: Jan 27, 2004 at 1335 LT
Operator:
Registration:
VH-WRF
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Coolangatta - Coolangatta
MSN:
61-0497-128
YOM:
1978
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
7127
Captain / Total hours on type:
308.00
Copilot / Total flying hours:
283
Copilot / Total hours on type:
3
Circumstances:
The Ted Smith Aerostar 601 aircraft, registered VH-WRF, departed Coolangatta at 1301 ESuT with a flight instructor and a commercial pilot on board. The aircraft was being operated on a dual training flight in the Byron Bay area, approximately 55 km south-south-east of Coolangatta. The aircraft was operating outside controlled airspace and was not being monitored by air traffic control. The weather in the area was fine with a south-easterly wind at 10 - 12 kts, with scattered cloud in the area with a base of between 2,000 and 2,500 ft. The purpose of the flight was to introduce the commercial pilot, who was undertaking initial multi-engine training, to asymmetric flight. At approximately 1445, the operator advised Australian Search and Rescue that the aircraft had not returned to Coolangatta, and that it was overdue. Recorded radar information by Airservices Australia revealed that the aircraft had disappeared from radar coverage at 1335. Its position at that time was approximately 18 km east-south-east of Cape Byron. Search vessels later recovered items that were identified as being from the aircraft in the vicinity of the last recorded position of the aircraft. Those items included aircraft checklist pages, a blanket, a seat cushion from the cabin, as well as a number of small pieces of cabin insulation material. No item showed any evidence of heat or fire damage. No further trace of the aircraft was found.
Probable cause:
Without the aircraft wreckage or more detailed information regarding the behaviour of the aircraft in the final stages of the flight, there was insufficient information available to allow any conclusion to be drawn about the development of the accident. Many possible explanations exist. The fact that no radio transmission was received from the aircraft around the time radar contact was lost could indicate that the aircraft was involved in a sudden or unexpected event at that time that prevented the crew from operating the radio. The speed regime of the aircraft during the last recorded data points indicated that airframe failure due to aerodynamic overload was unlikely. The nature of the items from the aircraft that were recovered from the ocean surface indicated that the aircraft cabin had been ruptured during the accident sequence.
Final Report: