Crash of a Cessna 401A in the Lake Maracaibo

Date & Time: Aug 1, 2020
Type of aircraft:
Registration:
N17JE
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Puerto Plata – Santa Cruz de Barahona
MSN:
401A-0082
YOM:
1969
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
The twin engine aircraft departed Puerto Plata-Gregorio Luperón Airport at 1718LT on a flight to Santa Cruz de Barahona. En route, the pilot was informed that this airport is closed to all traffic after 1700LT and decided to return to Puerto Plata. A last radio communication was recorded with ATC when the aircraft disappeared from radar screens eight minutes later. Dominican authorities thought the aircraft may have crashed in the septentrional mountain range and SAR operations were initiated. Few hours later, the wreckage was found in a marshy area of the Lake Maracaibo, more than 1,000 km south of Puerto Plata. All three occupants were found alive and arrested while the aircraft was damaged beyond repair. Venezuelan authorities reported the aircraft and its occupants were engaged in an illegal narcotic flight.

Crash of a De Havilland DHC-2 Beaver in Lake Coeur d'Alene: 6 killed

Date & Time: Jul 5, 2020 at 1422 LT
Type of aircraft:
Operator:
Registration:
N2106K
Flight Phase:
Survivors:
No
Schedule:
Coeur d'Alene - Coeur d'Alene
MSN:
1131
YOM:
1957
Crew on board:
1
Crew fatalities:
Pax on board:
5
Pax fatalities:
Other fatalities:
Total fatalities:
6
Captain / Total flying hours:
21173
Captain / Total hours on type:
217.00
Aircraft flight hours:
6171
Circumstances:
The float-equipped De Havilland DHC-2 was on a tour flight, and the Cessna 206 was on a personal flight. The airplanes collided in midair over a lake during day visual meteorological conditions. No radar or automatic dependent surveillance-broadcast data were available for either airplane. Witnesses reported that the airplanes were flying directly toward each other before they collided about 700 to 800 ft above the water. Other witnesses reported that the Cessna was at a lower altitude and had initiated a climb before the collision. Review of 2 seconds of video captured as part of a witness’ “live” photo showed that both airplanes appeared to be in level flight before the collision. No evidence of any preexisting mechanical malfunction was observed with either airplane. Recovered wreckage and impact signatures were consistent with the upper fuselage of the Cessna colliding with the floats and the lower fuselage of the De Havilland. The impact angle could not be determined due to the lack of available evidence, including unrecovered wreckage. The available evidence was consistent with both pilots’ failure to see and avoid the other airplane.
Probable cause:
The failure of the pilots of both airplanes to see and avoid the other airplane.
Final Report:

Crash of a Rockwell Shrike Commander 500S off Aniak

Date & Time: May 28, 2020 at 1600 LT
Operator:
Registration:
N909AK
Flight Phase:
Survivors:
Yes
Schedule:
Aniak - Aniak
MSN:
500-3232
YOM:
1975
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
4869
Captain / Total hours on type:
30.00
Aircraft flight hours:
6966
Circumstances:
On May 28, 2020, about 1600 Alaska daylight time, an Aero Commander 500S airplane, N909AK sustained substantial damage when it was involved in an accident near Aniak, Alaska. The pilot and three passengers sustained serious injuries. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 public aircraft flight. The airplane was owned by the State of Alaska and operated by the Division of Forestry. According to the pilot, after arriving in Aniak, he had the local fuel vendor's ground service personnel refuel the airplane. He then signed the fuel receipt, and he returned to the airplane's cockpit to complete some paperwork before departure. Once the paperwork was complete, he then loaded his passengers, started the airplane's engines, and taxied to Runway 29 for departure. The pilot said that shortly after takeoff, and during initial climb, he initially noticed what he thought was mechanical turbulence followed by a reduction in climb performance, and the airplane's engines began to lose power. Unable to maintain altitude and while descending about 400 ft per minute, he selected an area of shallow water covered terrain as an off-airport landing site. The airplane sustained substantial damage during the landing. The fueler reported that he was unfamiliar with the airplane, so he queried the pilot as to where he should attach the grounding strap and the location of the fuel filler port. Before starting to refuel the airplane, he asked the pilot "do you want Prist with your Jet" to which the pilot responded that he did not. After completing the refueling process, he returned to his truck, wrote "Jet A" in the meter readings section of the prepared receipt, and presented it to the pilot for his signature. The pilot signed the receipt and was provided a copy. The fueler stated that he later added "no Prist" to his copy of the receipt, and that he did not see a fuel placard near the fueling port. A postaccident examination revealed that the reciprocating engine airplane had been inadvertently serviced with Jet A fuel. A slightly degraded placard near the fuel port on the top of the wing stated, in part: "FUEL 100/100LL MINIMUM GRADE AVIATION GASOLINE ONLY CAPACITY 159.6 US GALLONS."
Probable cause:
Loss of engine power after the aircraft has been refueled with an inappropriate fuel.
Final Report:

Crash of a Quest Kodiak 100 off Sentani: 1 killed

Date & Time: May 12, 2020 at 0628 LT
Type of aircraft:
Operator:
Registration:
PK-MEC
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Jayapura - Mamit
MSN:
100-0026
YOM:
2009
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
1357
Captain / Total hours on type:
185.00
Aircraft flight hours:
4707
Aircraft flight cycles:
9379
Circumstances:
On 12 May 2020, a Quest Kodiak 100 aircraft, registration PK-MEC, was being operated by Mission Aviation Fellowship (MAF) as a cargo flight from Sentani Airport (WAJJ), Jayapura, Papua with intended destination of Mamit Airstrip (WAVS) Tolikara, Papua. The pilot was the only person on board for this flight and the aircraft carried 694 kgs of cargo goods. At 0622 LT (2122 UTC), the pilot of PK-MEC aircraft requested clearance to the Sentani Tower controller to start aircraft engine and flying to Mamit at radial 241° with intended cruising altitude 10,000 feet. The Sentani Tower controller approved the request. At 0627 LT, on daylight condition, the aircraft took off from runway 12 of Sentani Airport, thereafter, the Sentani Tower controller advised to the pilot of PK-MEC to contact Jayapura Radar controller. At 0628LT, the pilot of PK-MEC declared “MAYDAY” on Jayapura Radar radio frequency. The Jayapura Radar controller tried to contact pilot of PK-MEC four times but no answer. At 0630 LT, the Jayapura Radar Controller requested the pilot of PK-RCE that was just took off from Sentani to visually observe the position of PK-MEC aircraft. Few minutes later, the pilot of PK-RCE reported to Jayapura Radar controller that some debris were seen on Sentani Lake and some boats were moving toward the debris location. The pilot of PK-RCE assumed that PK-MEC aircraft had crashed to the lake. The pilot fatally injured. The wreckages have been recovered including the Global Positioning System (GPS) data card.

Crash of a Cessna 208B Grand Caravan off Eureka

Date & Time: Feb 6, 2020 at 0656 LT
Type of aircraft:
Operator:
Registration:
N24MG
Flight Type:
Survivors:
Yes
Schedule:
Sacramento – Eureka
MSN:
208B-0850
YOM:
2000
Flight number:
BXR1966
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
10156
Captain / Total hours on type:
1282.00
Aircraft flight hours:
19184
Circumstances:
While the pilot was on a visual approach to the airport and descending over water on the left base leg, about 100 ft above the water's surface, the airplane entered instrument meteorological conditions with no forward visibility. The pilot looked outside his left window to gauge the airplane's altitude and saw "black waves of water approaching extremely rapidly." He tried to pull back on the yoke to initiate a climb, but the nosewheel contacted the water. Subsequently, the airplane nosed over and came to rest inverted in the water. The pilot reported that there were no preaccident mechanical malfunctions or failures with the airplane that would have precluded normal operation.
Probable cause:
The pilot's delayed response to initiate a go-around during a night visual approach over water after the airplane entered instrument meteorological conditions, which resulted in a loss of forward visibility and subsequent impact with the water.
Final Report:

Crash of a Beechcraft B200 King Air off Dutch Harbor

Date & Time: Jan 16, 2020 at 0806 LT
Operator:
Registration:
N547LM
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Dutch Harbor - Adak
MSN:
BB-1642
YOM:
1998
Crew on board:
1
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
6470
Captain / Total hours on type:
756.00
Aircraft flight hours:
7058
Circumstances:
According to the pilot, when the airplane’s airspeed reached about 90 knots during the takeoff roll, he applied back pressure to the control yoke to initiate the takeoff and noted a brief positive rate of climb followed by a sinking sensation. The airspeed rapidly decayed, and the stall warning horn sounded. To correct for the decaying airspeed, he lowered the nose then pulled back on the airplane’s control yoke and leveled the wings just before impacting the ocean. The pilot stated there were no pre accident mechanical malfunctions or anomalies that would have precluded normal operation. Wind about the time of the accident was recorded as 110º downwind of the airplane at 15 knots gusting to 28 knots. The passengers recalled that the pilot’s preflight briefing mentioned the downwind takeoff but included no discussion of the potential effect of the wind conditions on the takeoff. The airplane’s estimated gross weight at the time of the accident was about 769.6 pounds over its approved maximum gross weight, and the airplane’s estimated center of gravity was about 8.24 inches beyond the approved aft limit at its maximum gross weight. It is likely that the pilot’s decision to takeoff downwind and operate the airplane over the maximum gross weight with an aft center of gravity led to the aerodynamic stall during takeoff and loss of control. Downwind takeoffs result in higher groundspeeds and increase takeoff distance. While excessive aircraft weight increases the takeoff distance and stability, and an aft center of gravity decreases controllability. Several instances of the operator’s noncompliance with its operational procedures and risk mitigations were discovered during the investigation, including two overweight flights, inaccurate and missing information on aircraft flight logs, and the accident pilot’s failure to complete a flight risk assessment for the accident flight. The operator had a safety management system (SMS) in place at the time of the accident that required active monitoring of its systems and processes to ensure compliance with internal and external requirements. However, the discrepancies noted with several flights, including the accident flight, indicate that the operator’s SMS program was inadequate to actively monitor, identify, and mitigate hazards and deficiencies.
Probable cause:
The pilot’s improper decision to takeoff downwind and to load the airplane beyond its allowable gross weight and center of gravity limits, which resulted in an aerodynamic stall and loss of control. Contributing to the accident was the inadequacy of the operator’s safety management system to actively monitor, identify, and mitigate hazards and deficiencies.
Final Report:

Crash of a Lockheed C-130H Hercules in the Drake Passage: 38 killed

Date & Time: Dec 9, 2019 at 1813 LT
Type of aircraft:
Operator:
Registration:
990
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Punta Arenas - Teniente Marsh
MSN:
4776
YOM:
1978
Country:
Region:
Crew on board:
17
Crew fatalities:
Pax on board:
21
Pax fatalities:
Other fatalities:
Total fatalities:
38
Circumstances:
The four engine airplane departed Santiago de Chile at 1021LT and landed at Punta Arenas for a technical stop at 1444LT. It took off at 1653LT on a leg to Teniente Rodolfo Marsh-Presidente Eduardo Frei Montalva Airport located on King George Island, Antarctica, carrying 21 passengers and 17 crew members. After flying a distance of about 390 NM, while in cruising altitude, the radar contact was lost, vertical to the Drake Passage. SAR operations were initiated jointly by the Chilean, Uruguay and Argentine Air Forces which dispatched several aircraft over the area. Two days later, debris were found floating on water. It seems that none of the 38 occupants survived the crash.

Crash of a De Havilland DHC-3 Otter off Little Grand Rapids: 3 killed

Date & Time: Oct 26, 2019 at 0845 LT
Type of aircraft:
Operator:
Registration:
C-GBTU
Survivors:
No
Schedule:
Bissett - Little Grand Rapids
MSN:
209
YOM:
1957
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
3
Captain / Total flying hours:
9500
Captain / Total hours on type:
5800.00
Aircraft flight hours:
16474
Circumstances:
At approximately 0745 Central Daylight Time on 26 October 2019, the Blue Water Aviation float-equipped deHavillandDHC-3 Otteraircraft (registration C-GBTU, serial number 209) departed Bissett Water Aerodrome, Manitoba, with the pilot, 2 passengers, and approximately 800 pounds of freight on board. The destination was Little Grand Rapids, Manitoba, on the eastern shore of Family Lake. At approximately 0845, while on approach to Family Lake, the aircraft’s right wing separated from the fuselage. The aircraft then entered a nose-down attitudeand struck the water surface of the lake. The pilot and the 2 passengers were fatally injured. The aircraft was destroyed by impact forces. The emergency locator transmitter activated momentarily.
Probable cause:
Findings as to causes and contributing factors:
These are conditions, acts or safety deficiencies that were found to have caused or contributed to this occurrence.
1. A fatigue fracture originated in the bolt hole bore of the right-hand wing lift strut’s upper outboard lug plate, and eventually led to an overstress fracture of the right-hand wing lift strut’s upper outboard and inboard lug plates during the left turn prior to the final approach.
2. The failure of the outboard and inboard lug plates led to the separation of the righthand wing lift strut from the wing and, subsequently, the separation of the right wing from the aircraft.

Findings as to risk:
These are conditions, unsafe acts or safety deficiencies that were found not to be a factor in this occurrence but could have adverse consequences in future occurrences.
1. If operational flight plans data and load calculations are not available, there is a risk that, in the event of a missing aircraft or accident, aircraft information, including its number of occupants, route, cargo, and weight and balance information, will not be available for search and rescue operations or accident investigation.

Other findings:
These items could enhance safety, resolve an issue of controversy, or provide a data point for future safety studies.
1. The detailed visual inspection prescribed in the Viking Air Ltd. Supplementary Inspection and Corrosion Control Manual, and required by Airworthiness DirectiveCF2018-4, did not identify cracks that could form in the right-hand wing strut’s upper outboard lug plate.
Final Report:

Crash of a Cessna 401A in Las Juntas: 6 killed

Date & Time: Oct 23, 2019 at 1800 LT
Type of aircraft:
Registration:
XB-JZF
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Durango - Acapulco
MSN:
401A-0051
YOM:
1969
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
5
Pax fatalities:
Other fatalities:
Total fatalities:
6
Circumstances:
En route from Durango to Acapulco, the twin engine airplane crashed in unknown circumstances in the Infiernillo River, in the region of Las Juntas. The wreckage was found inverted and partially submerged in water. All six occupants were killed.

Crash of a Douglas DC-3C off Nassau

Date & Time: Oct 18, 2019 at 1630 LT
Type of aircraft:
Operator:
Registration:
N437GB
Flight Type:
Survivors:
Yes
Schedule:
Miami - Nassau
MSN:
19999
YOM:
1944
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
On the 18th October 2019, at approximately 4:30 PM local time, a Douglas DC-3C aircraft, registration N437GB crashed in the ocean; at coordinates 25°05.55N 077°30.29W, approximately 2.87miles from Runway 14 at the Lynden Pindling International Airport (MYNN) Nassau, Bahamas. There were 2 souls on board. The pilot reported that the left engine failed approximately 25-30 nautical miles from MYNN. The pilot further stated that during single engine operation, the aircraft performance was not optimal so the decision was made to land the aircraft in the ocean. The Air Traffic Control tower was notified by the crew of N437GB, that they will be performing a control water landing. The Royal Bahamas Defense Force was notified. Rescue efforts were then put into place. No injuries were received by the occupants of the aircraft. Aircraft could not be located for physical analysis to be carried out. The weather at the time of the accident was visual meteorological conditions and not a factor in this accident. A limited scope investigation was conducted, no safety message or recommendations were issued.
Probable cause:
Failure of the left engine on approach for unknown reasons.
Final Report: