Crash of a Piper PA-31 Turbo Navajo B in Concepción: 6 killed

Date & Time: Mar 1, 2010 at 1346 LT
Type of aircraft:
Operator:
Registration:
CC-PGY
Flight Type:
Survivors:
No
Schedule:
Tobalaba - Concepción
MSN:
31-7401257
YOM:
1974
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
5
Pax fatalities:
Other fatalities:
Total fatalities:
6
Captain / Total flying hours:
760
Captain / Total hours on type:
81.00
Aircraft flight hours:
3167
Circumstances:
The twin engine aircraft was performing a special flight from Tobalaba to Concepción with a team of five experts from the Santo Tomás University. While descending to Concepción-Carriel Sur Airport in poor weather conditions, the twin engine aircraft hit tree tops and crashed in a wooded area located some 20 km north of the airport, near Tomé. All six occupants were killed. They should inspect installations in Concepción following the earthquake from 27FEB2010.
Pilot:
Marcelo Ruiz.
Passengers:
Ernesto Videla,
Pablo Desbordes,
Ignacio Fernández,
Rodolfo Becker,
Guillermo Moya.
Probable cause:
The pilot continued the approach in low visibility and let the aircraft descending below the minimum safe altitude. At the time of impact, the aircraft was 10° off track (017° radial) for a runway 20 approach in IMC. Consequently, investigators feel that the accident was caused by a controlled flight into terrain (CFIT). Poor efficiency in procedures execution on part of the pilot by executing an approach in IMC with a twin engine aircraft was considered as a contributory factor, and his relative low experience on type.
Final Report:

Crash of an ATR42-300 near Balikpapan

Date & Time: Feb 11, 2010 at 1150 LT
Type of aircraft:
Operator:
Registration:
PK-YRP
Flight Phase:
Survivors:
Yes
Schedule:
Tanjung Redep - Samarinda
MSN:
50
YOM:
1987
Flight number:
TGN162
Country:
Region:
Crew on board:
6
Crew fatalities:
Pax on board:
46
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
12000
Copilot / Total flying hours:
2000
Aircraft flight hours:
34414
Aircraft flight cycles:
42107
Circumstances:
On 11 February 2010, an Avions de Transport Regional ATR 42-300 aircraft, registered PK-YRP, was being operated by Trigana Air Service on a scheduled passenger service between Kalimarau Airport Berau (BEJ) and Samarinda (SRI) as flight TGN162. There were 52 persons on board; two pilots, one engineer, two flight attendants, one flight dispatcher and 46 passengers (43 adults, one child, and two infants). The aircraft departed from Berau at 0230 UTC1 and climbed to Flight Level 140. Balikpapan approach cleared the crew to track from en-route Way Point LOLOT direct to Samarinda. After transferring to Temindung Tower, Samarinda, the crew was cleared to track direct to left downwind for runway 04. The controller informed them that the wind was 060/12 knots. The crew did not report any abnormalities and the aircraft operation appeared to be normal. During the final approach for runway 04, the left ECU light illuminated followed by low oil pressure and torque indications. The Pilot in Command decided to go around, divert to Balikpapan, and carry out the QRH engine shut-down procedure. They commenced the climb to 4000 ft with the left engine inoperative. Approximately 16 Nm from Balikpapan Airport, while climbing through 3,800 feet, the right ECU light illuminated, immediately followed by low oil pressure and low torque indications. The right engine then failed. The crew broadcast a MAYDAY to Balikpapan Approach and decided to conduct a forced landing into a clear field in the Samboja area, about 16 Nm from the Balikpapan Airport. The PIC gave instructions to the Flight Attendant to prepare the passengers for an emergency landing. After the aircraft came to a stop the PIC initiated an evacuation.
Probable cause:
The both engine were lack of fuel before flame out, it was indicated the fuel management was out of control during flight that might be a misleading of fuel quantity indication. The proper analysis could not be carried out due to both FDR and CVR were un-operated.
Final Report:

Crash of a Piper PA-46-500TP Malibu Meridian in Mendoza: 2 killed

Date & Time: Dec 7, 2009 at 1134 LT
Operator:
Registration:
N600YE
Flight Type:
Survivors:
No
Schedule:
Rockport – Austin
MSN:
46-97250
YOM:
2006
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
3513
Circumstances:
The pilot was established on the localizer portion of the instrument landing system approach outside the final approach fix in visual meteorological conditions above clouds. He was then given vectors away from the localizer course by an air traffic controller. The vectors were close together and included a left 90-degree turn, a descent, and a 180-degree right turn back toward the localizer course. During the right turn and descent, the airplane continued turning with increasing bank and subsequently impacted the ground. According to a pilot weather report and flight path data the pilot entered clouds as he was starting the right turn toward the localizer. The combination of descending turns while entering instrument conditions were conducive to spatial disorientation. Further, the heading changes issued by the air traffic controller were rapid, of large magnitude, and, in combination with a descent clearance, likely contributed to the pilot’s disorientation. Diphenhydramine, a drug that may impair mental and/or physical abilities, was found in the pilot’s toxicological test results. While the exact effect of the drug at the time of the accident could not be determined, it may have contributed to the development of spatial disorientation.
Probable cause:
The pilot’s spatial disorientation, which resulted in his loss of airplane control. Contributing to the pilot's spatial disorientation was the sequence and timing of the instructions issued by the air traffic controller. The pilot’s operation of the airplane after using impairing medication may also have contributed.
Final Report:

Crash of a Cessna T303 Crusader in Punta Ocote: 1 killed

Date & Time: Dec 5, 2009 at 1830 LT
Type of aircraft:
Operator:
Registration:
HK-4324-G
Flight Type:
Survivors:
Yes
MSN:
303-00019
YOM:
1981
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Circumstances:
Sole on board, the pilot was performing an illegal flight with a bag containing 25 kg of cocaine. While trying to land on a private airstrip in Punta Ocote, the twin engine aircraft hit tree tops and crashed on a road, killing an 18 years old motorcyclist. The aircraft was destroyed by a post crash fire and the pilot escaped uninjured.

Crash of a Piper PA-31T Cheyenne II-XL in Harrison: 1 killed

Date & Time: Dec 4, 2009 at 1845 LT
Type of aircraft:
Registration:
N85EM
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Charlevoix - Tiffin
MSN:
31-8166055
YOM:
1981
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
13000
Aircraft flight hours:
9436
Circumstances:
Shortly after takeoff in the pressurized twin-engine airplane, the pilot was cleared to climb and maintain 16,000 feet. The pilot reported passing through instrument conditions with heavy snow and that he cleared the tops of the clouds at 7,000 feet. The pilot was then cleared to climb and maintain flight level (FL) 230. Radar data showed the airplane's altitude and course varied throughout the flight after having reached FL 230. Several times during the flight the air traffic controller questioned the pilot regarding his altitude and/or course. Each time the pilot responded that he was at the correct altitude and/or course. The radar data showed that after each of these conversations, the airplane would return to the assigned altitude and/or course. The controller then informed the pilot that, because radar showed the airplane’s altitude fluctuating between FL 224 and FL 237, he was going to have to descend out of positive controller airspace. The pilot acknowledged this transmission. The controller instructed the pilot to descend to 17,000 feet. The last transmission from the pilot was when he acknowledged the descent. Radar data showed that one minute later the airplane was at FL 234. During the last minute and 12 seconds of radar data, the airplane reversed its course and descended from FL 233 to FL 214, at which time radar data was lost. Witnesses reported hearing loud engine sounds and seeing the airplane in a spiraling descent until ground impact. Post accident inspection of the engines did not identify any anomalies that would have precluded normal operation. Most of the fuselage was consumed by fire; however, flight control continuity was established. Given the pilot’s experience and the flight’s altitude and course variations the investigation considered that the pilot may have suffered from hypoxia; however, due to the post impact fire the functionality of the airplane’s pressurization system could not be observed and no conclusive determination could be made that the pilot as impaired.
Probable cause:
A loss of aircraft control for undetermined reasons.
Final Report:

Crash of a De Havilland DHC-8-202 in Tarakigné

Date & Time: Nov 19, 2009 at 1514 LT
Operator:
Registration:
N355PH
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Nouakchott - Bamako
MSN:
500
YOM:
1997
Country:
Region:
Crew on board:
3
Crew fatalities:
Pax on board:
6
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
Before take off at Nouakchott, two fuel trucks arrived to the airplane but captain declined and calculated that the reserve he has was sufficient to fly to Bamako. While approaching Bamako, right engine failed due to fuel exhaustion, followed by the left engine five minutes later. Crew elected to divert to Kolokani, a small airstrip located 19 km from Bamako. Eventually, crew was forced to make an emergency landing off airport. On landing, aircraft lost its undercarriage while the right wing was sheared off. All nine occupants were uninjured while the aircraft was destroyed. Flight was performed on behalf of the 524th Special Operations Squadron, for the USAF and Africom, a military mission in Africa.
Probable cause:
The Accident Investigation Board (AIB) President found by clear and convincing evidence that the cause of this mishap was the mishap aircraft running out of fuel due to the mishap aircraft commander’s and mishap copilot’s failure to properly fuel plan and then refuel the mishap aircraft at Nouakchott with a sufficient amount to reach their destination. Once airborne, despite indications of a fuel shortage, the mishap crew did not divert to a suitable alternate airport early enough in the sortie to avoid this mishap. The AIB President also found sufficient evidence to conclude the following factors substantially contributed to the mishap: insufficient mission and flight planning; faulty decision-making; complacency; task misprioritization; channelized attention; and the mishap crew pressing to meet mission demands.

Crash of a Beechcraft B100 King Air 100 in Benavides: 4 killed

Date & Time: Oct 26, 2009 at 1143 LT
Type of aircraft:
Registration:
N729MS
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Uvalde - Leesburg
MSN:
BE-2
YOM:
1976
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
4
Captain / Total flying hours:
550
Circumstances:
The pilot obtained three weather briefings before departure. At that time, the current weather along the route of flight showed significant convective activity and a moving squall line, and the forecast predicted significant thunderstorm activity along the planned route of flight. The pilot was concerned about the weather and mentioned that he would be looking for "holes" in the weather to maneuver around via the use of his on-board weather radar. He decided to fly a route further south to avoid the severe weather. Radar data indicates that, after departure, the pilot flew a southerly course that was west of the severe weather before he asked air traffic control for a 150-degree heading that would direct him toward a "hole" in the weather. A controller, who said he also saw a "hole" in the weather, told the pilot to fly a 120-degree heading and proceed direct to a fix along his route of flight. The airplane flew into a line of very heavy to intense thunderstorms during cruise flight at 25,000 feet before the airplane began to lose altitude and reverse course. The airplane then entered a rapid descent, broke up in flight, and subsequently impacted terrain. Review of recorded precipitation data showed that there was substantial information available to the controller about moderate to extreme weather along the aircraft’s route of flight. While the controller stated that he saw a hole or clear area ahead of the aircraft, this is contradicted by both the recorded data and the statement of a second controller working the D-position at the time of the accident. The first controller did not advise the pilot of the severe weather that was along this new course heading and the pilot entered severe weather and began to lose altitude. The controller queried the pilot about his altitude loss and the pilot mentioned that they had gotten into some "pretty good turbulence." This was the last communication from the pilot before the airplane disappeared from radar. Review of recorded precipitation data showed that there was substantial information available to the controller about moderate to extreme
weather along the aircraft’s route of flight. The controller did not provide advisories to the pilot regarding the adverse weather's immediate safety hazard to the accident flight as required by Federal Aviation Administration Order 7110.65. Examination of the recovered sections of flight control surfaces revealed that all of the fractures examined exhibited signs consistent with overstress failure. There was no evidence of preexisting cracking on any of the fracture surfaces examined and no preaccident anomalies were noted with the engines.
Probable cause:
The pilot's failure to avoid severe weather, and the air traffic controller's failure to provide adverse weather avoidance assistance, as required by Federal Aviation Administration directives, both of which led to the airplane's encounter with a severe thunderstorm and the subsequent loss of control and inflight breakup of the airplane.
Final Report:

Crash of a Beechcraft B100 King Air in Aurora

Date & Time: Oct 6, 2009 at 1450 LT
Type of aircraft:
Registration:
N2TX
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Oklahoma City - Fort Worth
MSN:
BE-103
YOM:
1981
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
4120
Captain / Total hours on type:
103.00
Aircraft flight hours:
1063
Circumstances:
The pilot added fuel to the multi-engine airplane prior to departure. While en route to the destination airport, the pilot noted that the fuel gauges indicated that the right main-tank appeared to be almost empty and the left tank appeared half full. The pilot initiated the crossfeed procedure in an effort to supply fuel to both engines from the left main tank. Shortly after beginning the crossfeed procedure, both engines experienced a total loss of power. The pilot notified air traffic control (ATC) and selected a field to perform a forced landing. Prior to touchdown, the right engine produced a surge of power and, in response, the airplane rolled to the left. The surge abruptly ended and the pilot continued the forced landing by lowering landing gear and extending the flaps. The airplane impacted the ground, coming to rest in an open field. A postimpact examination did not reveal any anomalies with the airframe or engine that would have precluded normal operation. Although both fuel tanks were ruptured, the accident scene did not contain a large amount of residual fuel. A small fuel slick was found on the surface of a nearby pond; however, the grass area underneath both wings did not contain dead grass; this would have been expected if there was more than a negligible amount of fuel in the tanks at time of impact.
Probable cause:
The loss of engine power due to fuel exhaustion as a result of the pilot's inadequate fuel management.
Final Report:

Crash of a Beechcraft E18S in Jones Creek

Date & Time: Oct 3, 2009 at 1030 LT
Type of aircraft:
Operator:
Registration:
N797SB
Flight Phase:
Survivors:
Yes
Schedule:
Angleton - Angleton
MSN:
BA-172
YOM:
1956
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
1832
Captain / Total hours on type:
37.00
Circumstances:
The pilot was spraying a marshy area for mosquitoes. After making a spray pass, he made a right 180-degree turn to an easterly heading and the right wing struck a radio tower. The pilot didn't know the extent of the damage and there appeared to be a "controllability issue." He elected to land in a pasture. During the landing, the airplane struck and killed a cow and a bull, then collided with a pile of wood, resulting in substantial damage. The unlit 100-foot radio tower was within the walls of a correctional facility, was used for ground communications, and has been there for several years. It was not marked on sectional charts.
Probable cause:
The pilot's failure to see and avoid the radio tower.
Final Report:

Crash of an Ilyushin II-76MD Simorgh in Varamin: 7 killed

Date & Time: Sep 22, 2009 at 0930 LT
Type of aircraft:
Operator:
Registration:
5-8208
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Tehran - Tehran
MSN:
00834 84542
YOM:
1988
Country:
Region:
Crew on board:
7
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
7
Circumstances:
The crew departed Tehran-Mehrabad Airport for a local training mission. While cruising south of the capital city, the crew declared an emergency following an engine failure and elected to return. During the emergency descent to runway 29L, the radome located on the roof detached and hit the tail. Out of control, the aircraft crashed in an open field located near Varamin. The aircraft disintegrated on impact and all seven occupants were killed. It is believed that the radome detached because the aircraft' speed exceeded its certification during the emergency descent.