Crash of a Lockheed KC-130T Hercules near Itta Bena: 16 killed

Date & Time: Jul 10, 2017 at 1549 LT
Type of aircraft:
Operator:
Registration:
165000
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Cherry Point - El Centro
MSN:
5303
YOM:
1992
Flight number:
Yanky 72
Crew on board:
8
Crew fatalities:
Pax on board:
8
Pax fatalities:
Other fatalities:
Total fatalities:
16
Captain / Total flying hours:
2614
Copilot / Total flying hours:
822
Circumstances:
The aircraft departed MCAS Cherry Point-Cunningham Field in the early afternoon on a personnel transfer mission to El Centro NAS, California. En route, while cruising at an altitude of 20,000 feet, the n°4 blade on the engine n°2 detached, struck the left side of the fuselage, penetrated the cabin, then the right side of the fuselage and eventually impacted the right stabilizer that detached. The aircraft suffered a catastrophic structural failure, causing the cockpit to separate and detach. The airplane entered an uncontrolled descent and crashed in a soybean field located 11 km southwest of Itta Bena. The airplane was destroyed by impact forces and a post crash fire and all 16 occupants were killed.
Crew:
Maj Caine M. Goyette, pilot,
Cpt Sean E . Elliott, copilot,
S/Sgt Joshua Snowden, flight engineer,
Sgt Owen J . Lennon, flight engineer.
G/Sgt Mark A. Hopkins, gunnery
G/Sgt Brendan C . Johnson, gunnery
Sgt Julian M. Kevianne, crewmaster,
L/Cpl Daniel I. Baldassare, crewmaster.
Passengers:
Cpl Collin J. Schaaff
S/Sgt William J. Kundrat,
S/Sgt Robert H. Cox,
S/Sgt Talon R. Leach,
Sgt Chad E . Jenson,
Sgt Joseph J . Murray,
Sgt Dietrich A. Schmiernan,
PO Ryan Lohrey.
Probable cause:
The investigation determined the cause of the mishap to be an inflight departure of the number four blade from the number two propeller. This propeller blade (P2B4) liberated while the aircraft was flying at a cruise altitude of 20,000 feet . The liberation of P2B4 initiated the catastrophic sequence of events resulting in the midair breakup of the aircraft and its uncontrollable descent and ultimate destruction. Post- mishap analysis of P2B4 revealed that a circumferential fatigue crack in the blade caused the fracture and liberation. This fatigue crack propagated from a radial crack which originated from intergranular cracking (IGC) and corrosion pitting. The analysis also revealed the presence of anodize coating within the band of corrosion pitting and intergranular cracking on the blade near the origin of the crack. This finding proves that the band of corrosion pitting and intergranular cracking was present and not removed during the last overhaul of P2B4 at Warner Robins Air Logistics Complex (WR-ALC) in the fall of 2011. The investigation concluded that the failure to remediate the corrosion pitting and intergranular cracking was due to deficiencies in the propeller blade overhaul process at WR-ALC which existed in 2011 and continued up until the shutdown of the WR-ALC propeller blade overhaul process in the fall of 2017. The investigation also examined whether any operational or intermediate level maintenance inspections or maintenance actions exist which could have detected the underlying causal conditions prior to the mishap. The investigation concluded that while these inspections exist, it cannot be quantifiably determined that these inspections would have detected the causal condition. The investigation arrived at this conclusion due to the fact that the growth or propagation rate of an IGC radial crack cannot be predicted. Though no evidence exists to determine when the radial crack had grown to a detectable area, beyond the bushing, there exists a distinct possibility that it could have been detected if the radial crack had grown past the bushing and the off wing eddy current inspection was performed.
Final Report:

Crash of a Cessna 207 Skywagon near Hope

Date & Time: Jul 3, 2017 at 1032 LT
Operator:
Registration:
N9620M
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Seldovia – Anchorage
MSN:
207-0711
YOM:
1981
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
5365
Captain / Total hours on type:
3.00
Aircraft flight hours:
23833
Circumstances:
According to the pilot, he was flying the second airplane in a flight of two about 1 mile behind the lead airplane. The lead airplane pilot reported to him, via the airplane's radio, that he had encountered decreasing visibility and that he was making a 180° left turn to exit the area. The pilot recalled that, after losing sight of the lead airplane, he made a shallow climbing right turn and noticed that the terrain was rising. He recalled that he entered the clouds for a few seconds and "at that moment I ran into the trees which I never saw coming." The airplane sustained substantial damage to both wings. The pilot reported that there were no preaccident mechanical malfunctions or failures with the airplane that would have precluded normal operation. The pilot reported that the temperature was 60°F with 8 miles visibility and 1,500-eeft ceilings. The nearest METAR was about 1 mile away and reported that the temperature was 54°F, dew point was 52°F, visibility was 8 statute miles with light rain, and ceiling was broken at 500 feet and overcast at 1,500 feet.
Probable cause:
The pilot's inadvertent flight into instrument meteorological conditions and subsequent controlled flight into terrain.
Final Report:

Crash of a Cessna 421C Golden Eagle III in Catawba: 6 killed

Date & Time: Jul 1, 2017 at 0153 LT
Registration:
N2655B
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Waukegan – Winnipeg
MSN:
421C-0698
YOM:
1979
Crew on board:
1
Crew fatalities:
Pax on board:
5
Pax fatalities:
Other fatalities:
Total fatalities:
6
Captain / Total flying hours:
2335
Captain / Total hours on type:
70.00
Circumstances:
The commercial pilot of the multi-engine airplane was conducting an instrument flight rules cross-country flight at night. The pilot checked in with air traffic control at a cruise altitude about 10,000 ft mean sea level (msl). About 31 minutes later, the pilot reported that he saw lightning off the airplane's left wing. The controller advised the pilot that the weather appeared to be about 35 to 40 miles away and that the airplane should be well clear of it. The pilot responded to the controller that he had onboard weather radar and agreed that they would fly clear of the weather. There were no further communications from the pilot. About 4 minutes later, radar information showed the airplane at 10,400 ft msl. About 1 minute later, radar showed the airplane in a descending right turn at 9,400 ft. Radar contact was lost shortly thereafter. The distribution of the wreckage, which was scattered in an area with about a 1/4-mile radius, was consistent with an in-flight breakup. The left horizontal stabilizer and significant portions of both left and right elevators and their respective trim tabs were not found. Of the available components for examination, no pre-impact airframe structural anomalies were found. Examination of the engines and turbochargers did not reveal any pre-impact anomalies. Examination of the propellers showed evidence of rotation at impact and no pre-impact anomalies. Review of weather information indicated that no convection or thunderstorms were coincident with or near the airplane's route of flight, and the nearest convective activity was located about 25 miles west of the accident site. Autopsy and toxicology testing revealed no evidence of pilot impairment or incapacitation. Given the lack of radar information after the airplane passed through 9,400 ft, it is likely that it entered a rapid descent during which it exceeded its design stress limitations, which resulted in the in-flight breakup; however, based on the available information, the event that precipitated the descent and loss of control could not be determined.
Probable cause:
A loss of control and subsequent in-flight breakup for reasons that could not be determined
based on the available information.
Final Report:

Crash of a PZL-Mielec AN-2R in Kiliya

Date & Time: Jun 27, 2017 at 1444 LT
Type of aircraft:
Registration:
UR-19717
Flight Phase:
Survivors:
Yes
Schedule:
Kiliya - Kiliya
MSN:
1G165-31
YOM:
1975
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
3403
Captain / Total hours on type:
2782.00
Copilot / Total flying hours:
1110
Copilot / Total hours on type:
72
Aircraft flight hours:
10030
Circumstances:
The crew was engaged in a spraying mission over rice paddy fields in the region of Kiliya, Odessa. While completing the 18th sortie of the day, flying at a height of 50 metres and at a speed of 140-150 km/h, the engine failed. The crew attempted an emergency landing when the aircraft hit obstacles and trees and crashed. The captain escaped unhurt while the copilot was slightly injured. The aircraft was damaged beyond repair.
Probable cause:
Engine failure in flight due to fuel exhaustion.
The following contributing factors were identified:
- Poor flight preparation on part of the crew who failed to follow the pre-takeoff checklist,
- The fuel selector was in the wrong position,
- Poor organization on part of the operator, regarding implementation of procedures related to agricultural flghts.
Final Report:

Crash of a Pacific Aerospace FU-24 Stallion in Upper Turon: 1 killed

Date & Time: Jun 16, 2017 at 1049 LT
Type of aircraft:
Registration:
VH-EUO
Flight Phase:
Survivors:
No
Schedule:
Upper Turon - Upper Turon
MSN:
3002
YOM:
1980
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
4688
Captain / Total hours on type:
786.00
Aircraft flight hours:
11059
Circumstances:
On 16 June 2017, a Pacific Aerospace Ltd FU24 Stallion, registered VH-EUO (EUO), was conducting aerial agricultural operations from a private airstrip at Redhill, 36 km north-north-east of Bathurst, New South Wales (NSW). The operations planned for that day involved the aerial application of fertiliser on three properties in the Upper Turon area of NSW. At about 0700 Eastern Standard Time on the morning of the accident, the pilot and loader drove to Bathurst Airport to fill the fuel tanker and then continued to the worksite at the Redhill airstrip in the Upper Turon area, arriving at about 0830. Work on the first property started at about 0900, with the first flight of the day commencing at 0920. Work on the first property continued until 1350 with two refuelling stops at 1048 and 1250. Approximately 40 tonnes of fertiliser was applied on the first job. In preparation for the second job, fertiliser and seed were loaded into the aircraft and maps of the second job area were passed to the pilot. At 1357, the aircraft took off for the first flight of the second job. The aircraft returned to reload, and at 1405 the aircraft took off for the second flight. A short time later, at 14:06:59, recorded flight data from the aircraft ceased. When the aircraft did not return as expected, the loader radioed the pilot. When the loader could not raise the pilot on the radio, he became concerned and drove his vehicle down the airstrip to see if the aircraft had experienced a problem on the initial climb. Finding no sign of the aircraft, he returned to the load site, while continuing to call the pilot on the radio. He then drove to the application area to search for the aircraft before returning to the load site. With no sign of the aircraft, the loader called emergency services to raise the alarm. By about 1500, police had arrived on site and a ground search commenced. A police helicopter also joined the search, which was eventually called off due to low light. The next morning, at about 0630, the search recommenced and included NSW Police State Emergency Service personnel, and local volunteers. At about 0757, the wreckage of the aircraft was found in dense bush on the side of a hill to the east of the application area. The pilot was found deceased in the aircraft. The aircraft was found approximately 17 hours after the last recorded flight data and there were no witnesses to the accident.
Probable cause:
From the evidence available, the following findings are made with respect to the collision with terrain involving a FU24 Stallion, VH-EUO 40 km north-east of Bathurst, New South Wales on 16 June 2017. These findings should not be read as apportioning blame or liability to any particular organisation or individual.
Contributing factors:
- The pilot flew the aircraft into an area of rising terrain that was outside the normal operating area for this job site.
- For reasons that could not be determined, the aircraft aerodynamically stalled and collided with terrain during re-positioning at the end of the application run.
Other findings:
- There was no evidence of any defect with the aircraft that would have contributed to the loss of control.
Final Report:

Crash of a Cessna 421A Golden Eagle I near Buenos Aires

Date & Time: May 31, 2017 at 1740 LT
Type of aircraft:
Operator:
Registration:
LQ-JLY
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
El Palomar - Buenos Aires
MSN:
421A-0092
YOM:
1968
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
563
Captain / Total hours on type:
50.00
Copilot / Total flying hours:
1680
Copilot / Total hours on type:
320
Aircraft flight hours:
5826
Circumstances:
The twin engine airplane departed El Palomar Airport at 1604LT on a training flight, carrying one passenger and two pilots. While descending to Buenos Aires-Ezeiza-Ministro Pistarini Airport, the right engine failed. The crew was unable to restart the engine and to maintain a safe altitude, so he attempted an emergency landing when the aircraft crashed in an open field located 24 km from the airport, bursting into flames. All three occupants were injured and the aircraft was partially destroyed by fire.
Probable cause:
Failure of the right engine in flight due to fuel exhaustion. Lack of proper procedures by the operator was considerd as a contributing factor.
Final Report:

Crash of a Piper PA-31-310 Navajo C near Colton: 1 killed

Date & Time: May 3, 2017 at 2030 LT
Type of aircraft:
Operator:
Registration:
C-GQAM
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Quebec - Montreal
MSN:
31-7912093
YOM:
1979
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
5250
Captain / Total hours on type:
1187.00
Circumstances:
The commercial pilot departed on a planned 1-hour cargo cross-country flight in the autopilot-equipped airplane. About 3 minutes after departure, the controller instructed the pilot to fly direct to the destination airport at 2,000 ft mean sea level (msl). The pilot acknowledged the clearance, and there were no further radio transmissions from the airplane. The airplane continued flying past the destination airport in straight-and-level flight at 2,100 ft msl, consistent with the airplane operating under autopilot control, until it was about 100 miles beyond the destination airport. A witness near the accident site watched the airplane fly over at a low altitude, heard three "pops" come from the airplane, and then saw it bank to the left and begin to descend. The airplane continued in the descending left turn until he lost sight of it as it dropped below the horizon. The airplane impacted trees in about a 45° left bank and a level pitch attitude and came to rest in a heavily wooded area. The airplane sustained extensive thermal damage from a postcrash fire; however, examination of the remaining portions of the airframe, flight controls, engines, and engine accessories revealed no evidence of preimpact failure or malfunction. The fuel selector valves were found on the outboard tanks, which was in accordance with the normal cruise procedures in the pilot's operating handbook. Calculations based on the airplane's flight records and the fuel consumption information in the engine manual indicated that, at departure, the outboard tanks of the airplane contained sufficient fuel for about 1 hour 10 minutes of flight. The airplane had been flying for about 1 hour 15 minutes when the accident occurred. Therefore, it is likely that the fuel in the outboard tanks was exhausted; without pilot action to switch fuel tanks, the engines lost power as a result of fuel starvation, and the airplane descended and impacted trees and terrain. The overflight of the intended destination and the subsequent loss of engine power due to fuel starvation are indicative of pilot incapacitation. The pilot's autopsy identified no significant natural disease:however, the examination was limited by the severity of damage to the body. Further, there are a number of conditions, including cardiac arrhythmias, seizures, or other causes of loss of consciousness, that could incapacitate a pilot and leave no evidence at autopsy. The pilot's toxicology results indicated that the pilot had used marijuana/tetrahydrocannabinol (THC) at some point before the accident. THC can impair judgment, but it does not cause incapacitation; therefore, the circumstances of this accident are not consistent with impairment from THC, and, the pilot's THC use likely did not contribute to this accident. The reason for the pilot's incapacitation could not be determined.
Probable cause:
The pilot's incapacitation for unknown reasons, which resulted in an overflight of his destination, a subsequent loss of engine power due to fuel starvation, and collision with terrain.
Final Report:

Crash of a Piper PA-31-325 near Purísima de la Concepción

Date & Time: Apr 9, 2017 at 1241 LT
Type of aircraft:
Operator:
Registration:
HP-1928
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Tolú - Montería
MSN:
31-7612020
YOM:
1976
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
14791
Captain / Total hours on type:
700.00
Aircraft flight hours:
6840
Circumstances:
The twin engine aircraft departed Cali-Alfonso Bonilla Aragón Airport in the morning on a flight to Tolú, carrying seven passengers and one pilot. After takeoff from Tolú, the pilot decided to position to Montería-Los Garzones Airport. Shortly after takeoff, the pilot encountered engine problems and elected to make an emergency landing in a pasture. Upon landing, the right wing collided with obstacles then the nose gear collapsed and the aircraft came to rest near Purísima de la Concepción, about 10 km east of Tolú. The pilot was uninjured and the aircraft was damaged beyond repair.
Probable cause:
Inadequate fuel management and incomplete execution of procedures by the Pilot, by not activating in time the fuel supply from the external tanks (OUTBD) to the internal tanks (INBD) for the feeding of both the engines, causing the fuel in the internal tanks to run out and causing both engines to stop due to fuel starvation.
Contributing Factors:
- Poor flight planning on part of the pilot by not considering the amount of minimum fuel needed and not complying with the minimum fuel amount required for domestic flights.
- Loss of situational awareness by the pilot by not following the standard operation procedures.
Final Report:

Crash of a Piper PA-46-310P Malibu in Harrisburg: 4 killed

Date & Time: Apr 7, 2017 at 1048 LT
Registration:
N123SB
Flight Type:
Survivors:
No
Schedule:
Van Nuys – Eugene
MSN:
46-8508023
YOM:
1985
Crew on board:
1
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
4
Captain / Total flying hours:
5060
Captain / Total hours on type:
163.00
Aircraft flight hours:
3681
Circumstances:
The commercial pilot and three passengers departed on an instrument flight rules crosscountry flight. While on approach to the destination airport, the pilot indicated to the air traffic controller that the airplane was passing through areas of moderate-to-extreme precipitation. After clearing the airplane for the approach, the controller noted that the airplane descended below its assigned altitude; the controller issued a low altitude alert, but no response was received from the pilot. The airplane subsequently impacted terrain in a level attitude about 12 miles from the airport. Examination of the airframe, engine, and system components revealed no evidence of preimpact mechanical malfunction that would have precluded normal operation. An area of disturbed, flattened, tall grass was located about 450 ft southwest of the accident site. Based on the images of the grass, the National Weather Service estimated that it would take greater than 35 knots of wind to lay over tall grass as the images indicated, and that a downburst/microburst event could not be ruled out. A downburst is an intense downdraft that creates strong, often damaging winds. About 6 hours before the flight, the pilot obtained weather information through a mobile application. Review of weather data indicated the presence of strong winds, heavy precipitation, turbulence, and low-level wind shear (LLWS) in the area at the time of arrival, which was reflected in the information the pilot received. Given the weather conditions, it is likely that the airplane encountered an intense downdraft, or downburst, which would have resulted in a sudden, major change in wind velocity. The airplane was on approach for landing at the time and was particularly susceptible to this hazardous condition given its lower altitude and slower airspeed. The downburst likely exceeded the climb performance capabilities of the airplane and resulted in a subsequent descent into terrain. It is unknown if the accident pilot checked or received additional weather information before or during the accident flight. While the flight was en route, several PIREPs were issued for the area of the accident site, which also indicated the potential of LLWS near the destination airport; however, the controller did not provide this information to the pilot, nor did he solicit PIREP information from the pilot. Based on published Federal Aviation Administration guidance for controllers and the widespread adverse weather conditions in the vicinity of the accident site, the controller should have both solicited PIREP information from the pilot and disseminated information from previous PIREPs to him; this would have provided the pilot with more complete information about the conditions to expect during the approach and landing at the destination.
Probable cause:
An encounter with a downburst during an instrument approach, which resulted in a loss of control at low altitude. Contributing to the accident was the air traffic controller's failure to
solicit and disseminate pilot reports from arriving and departing aircraft in order to provide pilots with current and useful weather information near the airport.
Final Report:

Crash of a PZL-Mielec AN-2T in La Paragua

Date & Time: Mar 30, 2017
Type of aircraft:
Operator:
Registration:
YV1638
Flight Phase:
Survivors:
Yes
MSN:
1G108-59
YOM:
1969
Country:
Crew on board:
0
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
The pilot was forced to attempt an emergency landing in a wasteland for unknown reason. There were no casualties and the aircraft was damaged beyond repair.