Crash of a Cessna 501 Citation I/SP in Sedona

Date & Time: Oct 2, 1989 at 1300 LT
Type of aircraft:
Registration:
N617CC
Flight Type:
Survivors:
Yes
Schedule:
Scottsdale - Sedona
MSN:
501-0211
YOM:
1981
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
13460
Captain / Total hours on type:
50.00
Circumstances:
During arrival, the pilot contacted Sedona unicom and was advised that runway 21 was in use and that the winds were gusting to 25 knots. He reported that turbulence was strong thru-out the traffic pattern. Full flaps were lowered on final approach. A strong downdraft was encountered on final approach and power was increased 'to maintain vasi and vref.' Turbulence and a downdraft were reported to be exceptionally strong over the threshold. The pilot stated the aircraft touched down on all three gear, then it pitched up and began to porpoise with increasing amplitude. On the 2nd touchdown, power was applied, but the engine needed 5 to 7 seconds to spool up. The pilot said that after the aircraft porpoise three times, it was in a stall from which it would not recover. Subsequently, it went off the right side of the runway, crossed a parallel taxiway and entered a wooded area before stopping. No mechanical problem of the aircraft was reported that would have resulted in the accident.
Probable cause:
Improper in-flight planning/decision by the pilot which resulted in his inability to flare the aircraft and/or recover from a bounced landing. Contributing factors were: crosswind, gusts, turbulence, downdraft, and the pilot's inadequate compensation for wind conditions.
Final Report:

Crash of a De Havilland DHC-6 Vista Liner 300 in Grand Canyon: 10 killed

Date & Time: Sep 27, 1989 at 0953 LT
Operator:
Registration:
N75GC
Survivors:
Yes
Schedule:
Grand Canyon - Grand Canyon
MSN:
439
YOM:
1974
Flight number:
YR05
Crew on board:
2
Crew fatalities:
Pax on board:
19
Pax fatalities:
Other fatalities:
Total fatalities:
10
Captain / Total flying hours:
4120
Captain / Total hours on type:
2610.00
Copilot / Total flying hours:
1309
Copilot / Total hours on type:
339
Aircraft flight hours:
11180
Circumstances:
Grand Canyon Airlines flight 5 (De Havilland DHC-6, N75GC) departed Grand Canyon National Park Airport on a local part 135, sightseeing flight. After returning from a normal trip, the flight was cleared to land on runway 21. Observers reported the approach to the airport was normal, but the aircraft traveled about 1,000 feet down the runway at an altitude of about 5 feet before touchdown. Reportedly, it bounced and traveled another 1,000 feet before touching down again. The aircraft then veered to the right and the flight crew initiated a go around (aborted landing). The aircraft climbed in a nose high altitude to about 150 feet to 200 feet agl, then it rolled to the left and crashed onto a wooded hill about 120 feet left of the runway. A power line was severed during impact, which interrupted electrical power to the airport and delayed emergency response to the crash. Surviving passengers reported the right seat pilot was flying the aircraft, while the left seat pilot narrated the tour; but after a hard touchdown, the left seat pilot took control of the aircraft and applied full power for a go-around. A scrape mark was found where the right wingtip scraped the runway during the 2nd touchdown. Both pilots and eight passengers were killed while 11 other passengers were injured, nine of them seriously.
Probable cause:
Improper pilot techniques and crew coordination during the landing attempt, bounce, and attempted go-around.
Final Report:

Crash of a Cessna 421A Golden Eagle I in Eloy

Date & Time: Jun 17, 1989 at 1500 LT
Type of aircraft:
Registration:
N421S
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Eloy – Sedona
MSN:
421A-0063
YOM:
1968
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
25169
Captain / Total hours on type:
700.00
Aircraft flight hours:
5070
Circumstances:
The left engine lost power just after takeoff. With the gear and flaps retracted and the left propeller feathered, the airplane would climb slightly. As it passed over green fields, the airplane started a descent. The airplane touched down in a cotton field and the left tip tank burst into flames as it touched the ground. The airplane was consumed by fire. Engine teardown revealed the number three exhaust valve failed. Elevation of the accident was 1,600 feet mst, OAT was 114° F. Density altitude was approximately 5,600 feet.
Probable cause:
Failure of the number three exhaust valve on the left engine. A major factor was the high density altitude where the airplane would not operate on single engine.
Final Report:

Crash of a Beechcraft E90 King Air in Tuba City

Date & Time: May 31, 1989 at 2215 LT
Type of aircraft:
Operator:
Registration:
N987GM
Flight Type:
Survivors:
Yes
Schedule:
Flagstaff - Tuba City
MSN:
LW-98
YOM:
1974
Crew on board:
1
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
4445
Captain / Total hours on type:
260.00
Aircraft flight hours:
5344
Circumstances:
The pilot stated that 15 minutes prior to arrival he notified the hospital and asked them to check the runway. As he entered downwind security advised him of animals on the runway so he circled until they called back stating it was clear. Just as the airplane was touching down, two horses began to cross the runway. The pilot attempted to go-around; however, the airplane contacted both animals and the pilot elected to abort the go-around. The left main landing gear collapsed and the airplane slid to a stop. A post crash fire ignited and was extinguished shortly thereafter. The landing was being made during dark night conditions.
Probable cause:
Ground personnel did not properly clear the runway of animals prior to reporting to the pilot that it was clear to land.
Final Report:

Crash of a Cessna 340A in Safford: 1 killed

Date & Time: Feb 14, 1989 at 2245 LT
Type of aircraft:
Registration:
N8814K
Flight Phase:
Survivors:
No
Site:
Schedule:
Fresno – Las Cruces
MSN:
340A-0988
YOM:
1980
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
10000
Circumstances:
During the night cross country flight at FL250, the pilot elected to leave the cockpit area and move to the rear of the aircraft to attend to physiological needs. Although oxygen was available in the cockpit, supplemental oxygen was not available in the rear. The aircraft was operated with a known pressurization system deficiency which limited the airplane to flight to 17,000 feet msl while maintaining a cabin altitude of 10,000 feet. After 2 hours and 10 minutes, atc declared the flight to be 'no radio'. At 3 hours and 57 minutes after departure, the airplane was plotted on radar in a descending left turn to ground impact. Fuel starvation resulted in power loss to the left engine. Propeller signatures indicated power on the right propeller at impact. The pilot's body was found in the aft cabin area on the aft cabin bulkhead.
Probable cause:
The pilot's poor judgement and the resultant hypoxia sustained in the unpressurized airplane. Factors were: the malfunctioning pressurization system and the pilot's decision to continue operation with that known discrepancy.
Occurrence #1: miscellaneous/other
Phase of operation: cruise - normal
Findings
1. (f) air cond/heating/pressurization - failure, partial
2. (f) operation with known deficiencies in equipment - performed - pilot in command
3. (c) judgment - poor - pilot in command
4. (c) physical impairment (anoxia/hypoxia) - pilot in command
----------
Occurrence #2: loss of engine power (partial) - nonmechanical
Phase of operation: cruise - normal
Findings
5. 1 engine
6. Fluid, fuel - starvation
----------
Occurrence #3: in flight collision with terrain/water
Phase of operation: descent
Final Report:

Crash of a Cessna 421C Golden Eagle III in Clifton

Date & Time: Aug 16, 1987 at 1514 LT
Registration:
N26596
Flight Type:
Survivors:
Yes
Schedule:
Clifton – Deer Valley
MSN:
421C-1208
YOM:
1982
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
4002
Captain / Total hours on type:
2436.00
Aircraft flight hours:
1611
Circumstances:
The flight departed runway 25 at Greenlee County Airport, Clifton, AZ on a VFR flight to Deer Valley Airport, Phoenix, AZ. The pilot and ground witnesses reported that shortly after lift-off, grayish/white smoke emanated from the left engine. The pilot was unable to feather the propeller, circled the airport about 2 times at a low altitude and landed between the runways. The post crash investigation disclosed the fire originated in the vicinity of the left engine turbocharger. The turbocharger oil line housing was found fractured. The housing was missing when the engines were shipped to Teledyne Continental Motors (TCM). The engine crates were opened before safety board investigators arrived at TCM to conduct the engine examination. The left engine exam disclosed external high temp distress and minor detonation signatures.
Probable cause:
Occurrence #1: fire
Phase of operation: takeoff - initial climb
Findings
1. Fluid, oil - fire
2. (c) lubricating system, oil line - fractured
3. (f) fluid, oil - leak
----------
Occurrence #2: forced landing
Phase of operation: descent - emergency
----------
Occurrence #3: in flight collision with terrain/water
Phase of operation: maneuvering - turn to landing area (emergency)
Findings
4. (f) emergency procedure - inadequate - pilot in command
5. (f) propeller feathering - not performed - pilot in command
Final Report:

Crash of a Cessna 441 Conquest in Flagstaff: 2 killed

Date & Time: Feb 20, 1987 at 1845 LT
Type of aircraft:
Operator:
Registration:
N6858S
Flight Type:
Survivors:
No
Schedule:
Phoenix - Flagstaff
MSN:
441-0253
YOM:
1982
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
2311
Captain / Total hours on type:
24.00
Aircraft flight hours:
3349
Circumstances:
The aircraft was on an emergency medical service (ems/medevac) flight with a pilot and a flight nurse aboard to transport a maternity patient from Flagstaff to Phoenix. During a night arrival, the pilot began a VOR-A approach in IMC, then he reported a problem with his avionics and elected to make a missed approach. During the missed approach, he said that he 'lost' an inverter, then reported the gyros were inoperative. Radar vectors were being provided when he stated 'we have big trouble here.' Soon thereafter, radar and radio contacts were lost and the aircraft crashed approximately 7 miles southeast of the airport. During impact, the aircraft made a deep crater and was demolished. No preimpact engine or airframe failure was found. An investigation revealed the #2 (copilot's) attitude indicator was inoperative on the previous flight. A discrepancy report was taken to the avionics department, but the requested entry was not made in the aircraft form-4. The pilot took off before corrective action was taken. The operations manual requested 1,000 hours multi-engine time as pic and training by esignated cfi's. The pilot had approximately 837 hours multi-engine time, recorded 9 training flights in N6858S with non-designated instructors, completed a part 135 flight check on 2/17/88. Both occupants were killed.
Probable cause:
Occurrence #1: airframe/component/system failure/malfunction
Phase of operation: approach
Findings
1. Maintenance, recordkeeping - improper
2. Procedures/directives - not followed
3. (f) inadequate surveillance of operation - company/operator mgmt
4. (c) electrical system - undetermined
5. Electrical system, inverter - inoperative
6. Flight/nav instruments, attitude indicator - inoperative
----------
Occurrence #2: loss of control - in flight
Phase of operation: approach
Findings
7. (f) light condition - dark night
8. (f) weather condition - low ceiling
9. (f) weather condition - snow
10. (c) aircraft handling - not maintained - pilot in command
11. (c) spatial disorientation - pilot in command
12. (f) lack of total experience in type of aircraft - pilot in command
----------
Occurrence #3: in flight collision with terrain/water
Phase of operation: descent - uncontrolled
Final Report:

Crash of a De Havilland DHC-6 Vista Liner 300 in Grand Canyon: 20 killed

Date & Time: Jun 18, 1986 at 0933 LT
Operator:
Registration:
N76GC
Flight Phase:
Survivors:
No
Site:
Schedule:
Grand Canyon - Grand Canyon
MSN:
248
YOM:
1969
Flight number:
YR06
Crew on board:
2
Crew fatalities:
Pax on board:
18
Pax fatalities:
Other fatalities:
Total fatalities:
20
Captain / Total flying hours:
5970
Captain / Total hours on type:
1556.00
Copilot / Total flying hours:
4450
Copilot / Total hours on type:
1076
Aircraft flight hours:
30569
Circumstances:
On June 18, 1986, at 0855 mountain standard time, a Grand Canyon Airlines DHC-6, N76GC (Twin Otter), call sign Canyon 6, took off from runway 21 of the Grand Canyon Airport. The flight, a scheduled air tour over Grand Canyon National Park, was to be about 50 minutes in duration. Shortly thereafter, at 0913, a Helitech Bell 2068 (Jet Ranger), NGTC, call sign Tech 2, began its approximate 30-minute, on-demand air tour of the Grand Canyon. It took off from its base at a heliport adjacent to State route 64 in Tusayan, Arizona, located about 5 miles south of the main entrance to the south rim of the National Park. Visual meteorological conditions prevailed. The two aircraft collided at an altitude of 6,500 feet msl in the area of the Tonto Plateau. There were 18 passengers and 2 flightcrew members on the DHC-6 and 4 passengers and 1 flightcrew member on the Bell 206B. All 25 passengers and crew members on both aircraft were killed as a result of the collision. Because of the lack of cockpit voice recorders and flight data recorders in both aircraft, as well as the lack of radar data, no assessment of the flight path of either aircraft could be made. As a result, the reason for the failure of the pilots of each aircraft to “see and avoid” each other cannot be determined. Consequently, the issues highlighted in this report concern primarily the oversight of the Federal Aviation Administration (FAA) on Grand Canyon-based scenic air tours or sightseeing flights and the actions of the National Park Service to influence these operations. Because of an exemption to 14 Code of Federal Regulations (CFR) Part 135, local scenic air tours were conducted under 14 CFR Part 91. This investigation revealed that there was no FAA oversight on the routes and altitudes of Grand Canyon-based scenic air tour operators. This was contrary to the intent of Safety Recommendation A-84-52. Further, the National Park Service, through its authority under a 1975 law, was conducting a study to determine the effects of aircraft noise on the Grand Canyon and, at the same time, influencing the selection of air tour routes. The routes of the rotary-wing operators were ‘moved as a noise conservation measure to where they converged with those of Grand Canyon Airlines at the location of the accident. Other safety issues concern the lack of regulations to limit flight and duty times of pilots conducting scenic air tour flights, and the lack of a requirement for the pilots of such flights to use intercoms or public address systems when narrating during the flights. All 20 occupants of the Twin Otter were killed, among them 11 citizen from The Netherlands and two Swiss.
Probable cause:
The National Transportation Safety Board determines that the probable cause of this accident was the failure of the flightcrews of both aircraft to “see and avoid” each other for undetermined reasons. Contributing to the accident was the failure of the Federal Aviation Administration to exercise its oversight responsibility over flight operations in the Grand Canyon airspace and the actions of the National Park Service to influence the selection of routes by Grand Canyon scenic air tour operators. Also contributing to the accident was the modification and configuration of the routes of the rotary-wing operators resulting in their intersecting with the routes of Grand Canyon Airlines near Crystal Rapids.
Final Report:

Crash of a Grumman G-159 Gulfstream I in Arizona

Date & Time: Sep 30, 1985
Type of aircraft:
Registration:
N720X
Flight Type:
Survivors:
Yes
Site:
MSN:
73
YOM:
1961
Location:
Crew on board:
0
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
Crashed in unknown circumstances in the desert somewhere in Arizona while engaged in an illegal flight. There were no casualties.

Crash of a Cessna T303 Crusader in Mesa

Date & Time: May 13, 1985 at 1943 LT
Type of aircraft:
Registration:
N4661V
Flight Type:
Survivors:
Yes
Schedule:
Scottsdale - Mesa
MSN:
303-00276
YOM:
1983
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
2665
Captain / Total hours on type:
32.00
Aircraft flight hours:
59
Circumstances:
Pilot took off from Scottsdale at 1934 mst for a 13 nm flight to reposition the aircraft to home base. Within minutes the pilot advised ATC that he was 6 miles out with minimum fuel and requested no delay. He then asked for clearance to runway 22R and was cleared to land on runway 22R, at 1943 mst the pilot advised the tower that he was not going to make the runway. Both engines had stopped due to fuel exhaustion and the pilot made a forced landing 1/4 mile from the approach end of runway 22R in a level dirt area. The pilot reported the aircraft contained 120 lbs of fuel upon departure from Scottsdale and no low fuel warning was received. The pilot's operating handbook states the low fuel warning light should illuminate when there is less than 60 gallons of fuel in either tank or when there is less than 120 gallons total fuel on board. The manual also stated the aircraft burns 170 gph at 70 percent power. The pilot, sole on board, was seriously injured.
Probable cause:
Occurrence #1: loss of engine power (total) - nonmechanical
Phase of operation: approach - vfr pattern - final approach
Findings
1. (c) preflight planning/preparation - improper - pilot in command
2. (f) fluid, fuel - exhaustion
3. (c) fuel supply - inadequate - pilot in command
----------
Occurrence #2: forced landing
Phase of operation: descent - emergency
----------
Occurrence #3: in flight collision with terrain/water
Phase of operation: landing - flare/touchdown
Findings
4. (f) terrain condition - open field
5. (f) light condition - dusk
Final Report: