Crash of a De Havilland DHC-2 Beaver in Sitka: 1 killed

Date & Time: Aug 18, 1988 at 0620 LT
Type of aircraft:
Operator:
Registration:
N64398
Flight Phase:
Survivors:
No
Site:
Schedule:
Sitka - Rowan Bay
MSN:
251
YOM:
1952
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
3300
Captain / Total hours on type:
700.00
Aircraft flight hours:
13985
Circumstances:
While on a flight from Sitka to Rowan Bay, Alaska, the pilot flew up a valley intending to cross a pass whose elevation was 2,745 feet msl. Upon approaching the pass the pilot encountered clouds which prevented his transit. The pilot then executed a 180° right course reversal and at some point near the completion of the maneuver and in close proximity to the steep terrain along the western edge of the pass the pilot allowed the aircraft to enter a stall condition. The aircraft impacted the 40° sloped terrain in a steep nose down, near wings level attitude and with a steep flight path. The pilot, sole on board, was killed.
Probable cause:
Occurrence #1: loss of control - in flight
Phase of operation: maneuvering - turn to reverse direction
Findings
1. (c) weather evaluation - inadequate - pilot in command
2. (c) in-flight planning/decision - delayed - pilot in command
3. (f) weather condition - clouds
4. (c) stall - inadvertent - pilot in command
5. (f) terrain condition - mountainous/hilly
----------
Occurrence #2: in flight collision with terrain/water
Phase of operation: descent - uncontrolled
Final Report:

Crash of a Cessna 402B on Mt Torbet: 2 killed

Date & Time: Aug 17, 1988 at 2003 LT
Type of aircraft:
Operator:
Registration:
N5718M
Flight Phase:
Flight Type:
Survivors:
No
Site:
Schedule:
Sleetmute - Anchorage
MSN:
402B-0354
YOM:
1973
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
3452
Captain / Total hours on type:
1248.00
Aircraft flight hours:
3051
Circumstances:
The on-demand-charter flight was to originally pickup passengers and cargo but a landing gear problem forced another airplane with a mechanic to be dispatched. The other airplane returned with the passengers and the accident airplane was repaired by the mechanic and departed at a later time with the cargo on board. The airplane was not on a flight plan. Instrument meteorological conditions prevailed from 7,000 feet msl to 12,500 feet msl as reported by the other company airplane. The aircraft was found on the side of Mt Torbert at the 10,570 foot level. The pilot-in-command was found in the right pilot seat with a non-aviation related book in his lap. The mechanic was found in the left pilot seat with a world aeronautical chart, cd-11 open on his lap. The mechanic held a commercial pilots certificate but no instrument rating. The investigation revealed weaknesses in company operations.
Probable cause:
Occurrence #1: in flight collision with terrain/water
Phase of operation: descent
Findings
1. (f) terrain condition - mountainous/hilly
2. (f) terrain condition - snow covered
3. (f) weather condition - whiteout
4. (c) vfr flight into imc - attempted - copilot/second pilot
5. (c) procedures/directives - not followed - pilot in command
6. (f) insufficient standards/requirements, airman - company/operator management
Final Report:

Crash of a De Havilland DHC-2 Beaver in Chugiak: 1 killed

Date & Time: Jun 10, 1988 at 1356 LT
Type of aircraft:
Registration:
N48108
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Chugiak - Anchorage
MSN:
781
YOM:
1955
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
7500
Circumstances:
The pilot-in-command, a certified mechanic, performed his own maintenance on the aircraft. This maintenance required the removal, reinstallation and rigging of the ailerons. As the pilot was taking off on the first flight after maintenance, the aircraft entered a roll after lift-off and crashed. The pilot, sole on board, was killed. An investigation revealed the controls to the left aileron were connected in reverse.
Probable cause:
Occurrence #1: loss of control - in flight
Phase of operation: takeoff - initial climb
Findings
1. (c) flight control, aileron - improper
2. (c) maintenance, installation - improper - company/operator management
3. (c) aircraft preflight - improper - pilot in command
----------
Occurrence #2: in flight collision with terrain/water
Phase of operation: takeoff
Final Report:

Crash of a De Havilland DHC-2 Beaver in Anchorage: 1 killed

Date & Time: May 20, 1988 at 2121 LT
Type of aircraft:
Registration:
N1435Z
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Anchorage - Anchorage
MSN:
1252
YOM:
1959
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
3000
Aircraft flight hours:
12737
Circumstances:
The airplane had undergone extensive maintenance which included work on the control column. The upper half of the control column was replaced with a throw-over yoke and the aileron system was rerigged. The pilot-in-command picked up the airplane after it was tied down outside for three months. According to a witness, the airplane lifted off the water and started a left bank which increased until the airplane struck the ground. Post accident examination revealed the control cables at the base of the control column operated in reverse of the description in the maintenance manual. Complete control continuity could not be concluded because of the extensive post impact fire which destroyed the overhead bellcrank, pulley, and interconnect system. The pilot, sole on board, was killed.
Probable cause:
Occurrence #1: loss of control - in flight
Phase of operation: takeoff - initial climb
Findings
1. (c) flt control syst, aileron control - incorrect
2. (c) maintenance, major repair - improper - other maintenance personnel
3. (c) aircraft preflight - inadequate - pilot in command
----------
Occurrence #2: in flight collision with terrain/water
Phase of operation: descent - uncontrolled
Final Report:

Crash of a Piper PA-31-350 Navajo Chieftain in Kenai: 6 killed

Date & Time: Dec 23, 1987 at 0611 LT
Operator:
Registration:
N496SC
Flight Phase:
Survivors:
Yes
Schedule:
Kenai - Anchorage
MSN:
31-7752077
YOM:
1977
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
7
Pax fatalities:
Other fatalities:
Total fatalities:
6
Captain / Total flying hours:
14500
Circumstances:
The pilot had just departed the runway when he reported to the flight service station that he had engine problems. The aircraft was observed by witnesses to be about 300 feet on a descending downwind. The pilot stated that he was circling for runway 01. Surviving passengers described the engines as running rough and uneven. The investigation revealed that the aircraft's weight was more than the pilot had calculated and the CofG was 3.4 inches further aft than was calculated. However, the weight and CofG were within limits. Examination of the engine disclosed that the right engine had an extensive cylinder head crack, a partially disconnected intake pipe, and was capable of producing 55% of rated power. The left engine had seven severely worn cam lobes. The rudder trim was deflected full left at impact. The evidence indicated that the pilot had retarded the throttle for the left engine and was using only the right engine to sustain flight. Exam of company checklist usage revealed several different improper versions. The pilot and five passengers were killed. Two others passengers and two people on the ground were injured.
Probable cause:
Occurrence #1: loss of engine power (partial) - mech failure/malf
Phase of operation: takeoff - initial climb
Findings
1. 1 engine - failure, partial
2. (c) engine assembly, cylinder - failure,total
3. (c) engine assembly, cylinder - fatigue
4. (f) induction air control, intake manifold - separation
----------
Occurrence #2: loss of engine power
Phase of operation: maneuvering
Findings
5. (f) 1 engine - failure, partial
6. (f) engine assembly, camshaft - worn
7. (f) maintenance, 100-hour inspection - inadequate - company maintenance personnel
8. (c) emergency procedure - improper - pilot in command
9. (c) throttle/power control - improper use of - pilot in command
----------
Occurrence #3: forced landing
Phase of operation: descent - emergency
----------
Occurrence #4: in flight collision with terrain/water
Phase of operation: descent - emergency
Findings
10. (f) trim setting - improper - pilot in command
11. Lowering of flaps - performed
12. Object - tree(s)
13. Object - residence
Final Report:

Crash of a Cessna 207A Skywagon near Ambler: 1 killed

Date & Time: Dec 10, 1987 at 2100 LT
Operator:
Registration:
N9979M
Flight Phase:
Flight Type:
Survivors:
No
Site:
Schedule:
Kotzebue - Shungnak
MSN:
207-0773
YOM:
1984
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
446
Captain / Total hours on type:
60.00
Aircraft flight hours:
1536
Circumstances:
The pilot of the air taxi cargo flight was operating at night in marginal VFR conditions when the aircraft struck rising terrain. The aircraft was found the next day at approximately 1000 ast, some 15 miles off the intended route. The pilot was unconscious and suffering from hypothermia and other injuries. He was taken to a hospital, but died later that day. An investigation revealed the aircraft struck the south side of Bismark mountain at approximately 2,100 feet msl while in level flight. Another pilot, who was flying in the area about 2-1/2 hours after the accident, reported that classic white-out conditions existed with moderate snow fall and ice crystals reducing forward visibility to less than 1/2 mile. The pilot (of N9979M) had been recently hired by Bering Air and had only about 23 hours of known flight time in the general area. At the time of employment, he indicated he had approximately 1,536 hours of flight time; however, only 446 hours of flight time was verified by his logbook and other sources. Minimum flight time to act as a pic in the air taxi operation was 500 hours.
Probable cause:
Occurrence #1: in flight encounter with weather
Phase of operation: cruise
Findings
1. (f) preflight planning/preparation - inadequate - pilot in command
2. (f) procedures/directives - not followed
3. (f) lack of total experience - pilot in command
4. (f) inadequate substantiation process - company/operator mgmt
5. (f) light condition - dark night
6. (f) weather condition - obscuration
7. (f) weather condition - ice fog
8. (f) weather condition - snow
9. (f) weather condition - whiteout
10. (c) vfr flight into imc - continued - pilot in command
----------
Occurrence #2: in flight collision with terrain/water
Phase of operation: cruise
Findings
11. (c) became lost/disoriented - inadvertent - pilot in command
12. (f) terrain condition - high terrain
13. (c) proper altitude - not maintained - pilot in command
14. (f) lack of familiarity with geographic area - pilot in command
15. (f) lack of total experience in type operation - pilot in command
Final Report:

Crash of a Cessna 402B in Anchorage

Date & Time: Dec 9, 1987 at 1558 LT
Type of aircraft:
Operator:
Registration:
N969JW
Survivors:
Yes
Schedule:
Valdez - Anchorage
MSN:
402B-0328
YOM:
1972
Flight number:
8F304
Crew on board:
1
Crew fatalities:
Pax on board:
4
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
11495
Captain / Total hours on type:
1225.00
Aircraft flight hours:
5301
Circumstances:
During arrival in heavy traffic, Reeve flight 726 (Boeing 727) and Wilburs flight 304 (Cessna 402B, N969JW) received radar advisories for visual approaches to runways 06L and 06R, respectively. Subsequently, both flights were cleared to land. At 1555:04, the local tower controller transmitted that the wind at the approach end of runway 06R was from 340° at 9 knots and the midfield wind was 330° at 7 knots. At approximately 1557, flight 726 landed on runway 06L. Approximately 69 seconds later, as flight 304 was crossing the threshold (thr) of runway 06R at about 100 feet agl, the aircraft encountered wake turbulences (w/t) and rolled sharply to the right, byd 90°. The pilot corrected with aileron and power, but the aircraft lost altitude and hit the ground before recovery. The wind during the 1601 weather observation was 020° at 5 kts. Runway centerlines were 700 feet apart, threshold of runway 06L was 4,600 feet byd the threshold of runway 06R. The approach control did not advise either flight of the other's position, nor did the tower controller give a w/t advisory to flight 304. Calculations showed vortices could have drifted from runway 06L to runway 06R in as little as 28 seconds. FAA handbook addressed w/t advisory for parallel runway options with less than 2,500 feet separation, but did not address offset thresholds. All five occupants were injured.
Probable cause:
Occurrence #1: vortex turbulence encountered
Phase of operation: approach - vfr pattern - final approach
Findings
1. (f) light condition - dusk
2. (f) atc clearance - improper - atc personnel (dep/apch)
3. (f) unsafe/hazardous condition warning - not issued - atc personnel (lcl/gnd/clnc)
4. Condition(s)/step(s) insufficiently defined - faa (other/organization)
5. (c) in-flight planning/decision - improper - pilot in command
----------
Occurrence #2: in flight collision with terrain/water
Phase of operation: approach - vfr pattern - final approach
Final Report:

Crash of a Beechcraft 1900C in Homer: 18 killed

Date & Time: Nov 23, 1987 at 1825 LT
Type of aircraft:
Operator:
Registration:
N401RA
Survivors:
Yes
Schedule:
Kodiak - Homer - Kenai - Anchorage
MSN:
UB-058
YOM:
1986
Flight number:
XY103
Location:
Crew on board:
2
Crew fatalities:
Pax on board:
19
Pax fatalities:
Other fatalities:
Total fatalities:
18
Captain / Total flying hours:
7087
Captain / Total hours on type:
4420.00
Copilot / Total flying hours:
10532
Copilot / Total hours on type:
300
Circumstances:
During arrival, the aircraft (Ryan flight 103) crashed short of runway 03. The fuselage stayed intact during impact, but the belly structure was compressed and vertical deceleration forces exceeded the design capability of the seats. Rescue personnel had difficulty shutting off the aircraft's electrical power which delayed removal of the 1st officer (f/o) from the aircraft. An investigation revealed the aircraft was loaded with approximately 600 lbs more cargo than the f/o had requested. The center-of-gravity (cg) was 8 to 11 inches behind the allowable aft limit and the flight crew did not comply with company and FAA procedures in computing the cg. During flight, up to 3/8 inches of ice accumulated on the aircraft's leading edges. There was evidence the crew lost control of the aircraft as the flaps were lowered. The right flap actuator was found in the 7 to 12° position and the stabilizer trim was found at the full nose down position. Flight tests showed there would be no significant difficulty in controlling the aircraft with up to 1.5 inch of ice on the leading edges and that static stability would deteriorate during flap extension with the aft cg configuration. Three passengers survived while 18 other occupants were killed.
Probable cause:
The failure of the flight crew to properly supervise the loading of the airplane which resulted in the centre of gravity being displaced to such an aft location that the airplane control was lost when the flaps were lowered for landing.
Final Report:

Crash of a Piper PA-31-310 Navajo B near Haines: 5 killed

Date & Time: Sep 20, 1987 at 1705 LT
Type of aircraft:
Operator:
Registration:
C-GPAC
Flight Phase:
Survivors:
No
Site:
Schedule:
Whitehorse - Juneau
MSN:
31-795
YOM:
1972
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
4
Pax fatalities:
Other fatalities:
Total fatalities:
5
Captain / Total flying hours:
1400
Aircraft flight hours:
7530
Circumstances:
The flight was cleared on an IFR flight from Whitehorse to Juneau, via V-428 to Chill intersection, then direct to Juneau. Chill intersection was located on V-428, 36 miles south of Haines NDB on a bearing of 146°. On reaching Haines NDB, the pilot cancelled his IFR clearance and continued under visual flight rules (VFR). Subsequently, the aircraft crashed on a glacier between Haines and Juneau, approximately 15 miles southeast of Haines NDB at an elevation of about 4,500 feet. A pilot, flying about 5 miles southwest of the crash site at the time of the accident, reported a broken to overcast ceiling at 2,500 feet to 3,000 feet msl. The accident site was near the Haines transition of the Barlo 4 departure (sid). In that area, the minimum en route altitude for flight on the Haines transition was 9,000 feet under instrument flight rules.
Probable cause:
Occurrence #1: in flight collision with terrain/water
Phase of operation: descent
Findings
1. (f) weather condition - clouds
2. (c) vfr flight into imc - performed - pilot in command
3. (f) procedures/directives - not followed - pilot in command
4. (f) terrain condition - snow covered
5. (f) terrain condition - mountainous/hilly
6. (c) proper altitude - not maintained - pilot in command
Final Report:

Crash of a Cessna 207 Stationair 7 in Crooked Creek: 1 killed

Date & Time: Aug 8, 1987 at 0930 LT
Operator:
Registration:
N7371U
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Chuathbaluk - Crooked Creek
MSN:
207-0402
YOM:
1977
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
1467
Captain / Total hours on type:
167.00
Aircraft flight hours:
10015
Circumstances:
The aircraft overflew the destination due to fog. The station manager stated that after transmitting to the pilot that the weather was 'zero zero', the pilot stated that he would continue on to Red Devil and she heard it fly overhead. The first pieces of aircraft debris were found 9 miles south of crooked creek along the western shore of the Kuskokwin River at a point where it widened and the surface of the water smoothed out. No impact marks were found along either shore of the river. Other pilots in the area stated that the fog was down to the ground and extended approx 12 miles south of Crooked Creek. The engine, pilot's seat, and aircraft were not recovered.
Probable cause:
Occurrence #1: loss of control - in flight
Phase of operation: maneuvering
Findings
1. (f) weather condition - fog
2. (c) altitude - not maintained - pilot in command
3. (c) vfr flight into imc - inadvertent - pilot in command
4. (c) judgment - poor - pilot in command
----------
Occurrence #2: in flight collision with terrain/water
Phase of operation: maneuvering
Findings
5. (f) terrain condition - water
Final Report: