Crash of a Beechcraft C90 King Air in Augusta: 4 killed

Date & Time: Aug 7, 1993 at 1515 LT
Type of aircraft:
Operator:
Registration:
N90BP
Flight Type:
Survivors:
No
Schedule:
Adel - Augusta
MSN:
LJ-718
YOM:
1977
Crew on board:
1
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
4
Captain / Total flying hours:
1875
Captain / Total hours on type:
300.00
Aircraft flight hours:
3301
Circumstances:
The instrument flight was cleared for an ILS approach to the destination airport. While maneuvering for the final approach course, the flight encountered convective activity (thunderstorms). The pilot was questioned by the tower concerning his position on the approach course. The tower radar placed the flight's position 1/4 to 1/2 mile east of the final approach course. The pilot stated that he was on the localizer. Subsequent functional checks of the ils system by air ways facilities, failed to reveal a problem with the ils approach system. The airplane collided with trees about one and one half miles northeast of the airport and one half mile east of the approach course. Weather reports recorded level four thunderstorm activity within the immediate vicinity of the destination airport. Wreckage examination failed to disclose any mechanical problems with the airplane. The air traffic controllers provided the pilot with current weather conditions at the airport throughout the final minutes of the flight, therefore the pilot was aware of the thunderstorm activity near and at the airport. All four occupants were killed.
Probable cause:
Was the pilot's failure to adequately evaluate inflight weather conditions which resulted in a loss of control when the airplane encountered a thunderstorm.
Final Report:

Crash of a Cessna 414A Chancellor in Statesboro: 1 killed

Date & Time: Apr 27, 1993 at 2003 LT
Type of aircraft:
Registration:
N47WD
Flight Type:
Survivors:
Yes
Schedule:
Hilton Head – Statesboro
MSN:
414A-0235
YOM:
1979
Crew on board:
1
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
4650
Circumstances:
A student pilot in American AA-1A, N9317L, was on an approach to land on runway 05 of the uncontrolled airport, as a commercial pilot in Cessna 414A, N47WD, was on an approach to land on runway 14. The two runways intersected near their approach ends. The two aircraft collided as they were about to touch down at dusk over the intersection. Witnesses on the ground stated that they observed lights on the Cessna, but did not observe any lights on the American. Witnesses in other aircraft in the area stated that they heard the pilot of the american announcing his position in the traffic pattern and landing intentions, but did not hear the pilot of the Cessna on the Unicom frequency. The pilot of the Cessna stated that he announced his intention to land on runway 14 over Unicom frequency 123.0. The published Unicom frequency for the Statesboro Airport was 122.8.
Probable cause:
Inadequate visual lookout by the pilots of both aircraft. Factors related to the accident were: failure of the pilot of N9317L to illuminate his aircraft navigation lights, and improper radio communications by the pilot of N47WD by selecting the wrong unicom frequency to monitor and announce his landing intentions and position.
Final Report:

Crash of a Lockheed L-382E-16C Hercules at Dobbins AFB: 7 killed

Date & Time: Feb 3, 1993 at 1327 LT
Type of aircraft:
Operator:
Registration:
N130X
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Dobbins AFB - Dobbins AFB
MSN:
4412
YOM:
1971
Crew on board:
7
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
7
Captain / Total flying hours:
7658
Captain / Total hours on type:
1260.00
Aircraft flight hours:
6708
Circumstances:
The aircraft was designed and used as the company's engineering test bed. An evaluation of the fly-by-wire rudder actuator and ground minimum control speed (vmcg) was being conducted. During the final hi-speed ground test run, the aircraft abruptly veered left and became airborne. It entered a left turn, climbed to about 250 feet, departed controlled flight and impacted the ground. Investigation revealed a design feature in the rudder actuator that removes hydraulic pressure within the actuator if the rudder position commanded by the pilot exceeded the actual rudder actuator position for a specified time, and the rudder aerodynamically trails. The actuator previously disengaged in flight. The company did not conduct a system safety review of the rudder bypass feature and its consequences to all flight regimes, nor of the vmcg test. The flight test plan specified that engine power be retarded if the rudder became ineffective. Neither pilot had received training as an experimental test pilot. The company allowed experimental flight tests at a confined, metropolitan airport. All seven occupants were killed.
Probable cause:
Disengagement of the rudder fly-by-wire flight control system resulting in a total loss of rudder control capability while conducting ground minimum control speed tests. The disengagement was a result of the inadequate design of the rudder's integrated actuator package by its manufacturer; the operator's insufficient system safety review failed to consider the consequences of the inadequate design to all operating regimes. A factor which contributed to the accident was the flight crew's lack of engineering flight test training.
Final Report:

Crash of a Cessna 441 Conquest in Gainesville

Date & Time: Aug 10, 1992 at 1750 LT
Type of aircraft:
Registration:
N920C
Flight Phase:
Survivors:
Yes
Schedule:
Gainesville - Nashville
MSN:
441-0020
YOM:
1978
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
8000
Captain / Total hours on type:
305.00
Circumstances:
The pilot reported that immediately after takeoff, he had a collision with a flight of birds. He stated that the right engine immediately had a partial loss of power. He stated that he did not attempt to raise the landing gear nor the flaps following the loss of engine power, and the aircraft would not maintain altitude. Examination of the aircraft engines revealed that there was rotational scratching of the turbine housings on the right engine, and no rotational scratching on the turbine housing of the left engine.
Probable cause:
The poor inflight decision by the pilot in command in that after a partial loss of power, he shut down the wrong engine, did not follow the emergency checklist, did not raise the flaps, and did not retract the landing gear. A factor in the accident was the inflight collision with birds during the takeoff climb.
Final Report:

Crash of a Short JC-23A Sherpa in Colquitt: 3 killed

Date & Time: Jul 16, 1992 at 0930 LT
Type of aircraft:
Operator:
Registration:
84-0466
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Cairns AAF - Cairns AAF
MSN:
3113
YOM:
1985
Crew on board:
3
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
3
Circumstances:
The Sherpa departed Fort Rucker-Cairns AAF on a training flight, carrying three crew members who were supposed to test the aircraft in special configuration. Two hours and 45 minutes into the flight, while cruising at an altitude of 5,336 feet in good weather conditions, the aircraft became unstable and rolled to the right to an angle of 12° then to the left to an angle of 35°. It entered an uncontrolled descent before crashing in an open field located 4 miles north of Colquitt, bursting into flames. All three occupants were killed. It was determined that control was lost while the aircraft' speed was 89 knots. Originally, the crew was supposed to simulate an engine failure at the altitude of 10,000 feet but apparently encountered problems as the aircraft' speed was dropping by the order of one knot per second before it became unstable. At the time of the accident, the total weight of the aircraft and its CofG were within limits.
Probable cause:
The exact cause of the stall at a speed of 89 knots remains unclear.

Crash of a Cessna 421C Golden Eagle III off Savannah: 5 killed

Date & Time: Jan 13, 1992 at 1606 LT
Registration:
N40JK
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Milville - Sebastian
MSN:
421C-0441
YOM:
1973
Crew on board:
1
Crew fatalities:
Pax on board:
4
Pax fatalities:
Other fatalities:
Total fatalities:
5
Captain / Total flying hours:
3064
Captain / Total hours on type:
500.00
Circumstances:
At 0716, the pilot received a weather brief for a proposed takeoff of 1130. The FSS briefer provided info on thunderstorms forecast in GA and FL. No info was provided about forecast lines and clusters of thunderstorms in SC coastal plains and sern GA. En route, the pilot was given info about level III thunderstorms across the projected flight path by Beaufort and Savannah approach control. ATC radar data revealed that the aircraft flew the route contained in the flight plan clearance. Radio transmissions from the aircraft indicated that onboard weather radar was being used. ATC radar data and radio communications indicated that the aircraft entered a thunderstorm, then made a 180° turn to exit the storm. Examination of the wreckage revealed plastic deformation of the wings inboard of the engines in an upward direction. Also, both wings broke off outboard of the engines in a downward direction. The horizontal stab and elevator were not recovered. There was fuselage damage which indicated that the horizontal stab separated aft and down. All five occupants were killed.
Probable cause:
The pilot's inadequate weather evaluation, and his continued flight into known adverse weather conditions. Factors were: the improper weather briefing by a flight service station specialist, and level iii thunderstorms.
Final Report:

Crash of a Beechcraft Beechjet 400 on Mt Lavender: 9 killed

Date & Time: Dec 11, 1991 at 0941 LT
Type of aircraft:
Operator:
Registration:
N25BR
Flight Phase:
Survivors:
No
Site:
Schedule:
Rome - Huntsville
MSN:
RJ-57
YOM:
1989
Crew on board:
2
Crew fatalities:
Pax on board:
7
Pax fatalities:
Other fatalities:
Total fatalities:
9
Captain / Total flying hours:
17000
Captain / Total hours on type:
600.00
Circumstances:
Before takeoff, an IFR flight plan was filed for a 15 minutes flight from Rome, GA, to Huntsville, AL. Takeoff was commenced at 0937 est with the copilot flying the aircraft. After a VFR takeoff, the captain contacted Atlanta Center to obtain an IFR clearance. The controller advised that other traffic was in the area and instructed the flight to remain VFR (while an IFR clearance was being arranged). At that time, the flight reported at 1,300 feet in VFR conditions. While waiting for an IFR clearance, the crew became concerned about higher terrain and low ceilings. At about 0940, the captain directed the copilot to fly 'back to the right.' Approximately one minute later, the CVR stopped recording and radio contact was lost with the aircraft. Later, the aircraft was found where it had collided with the top of Mt Lavender. Elevation of the crash site was approximately 1,580 feet msl. The aircraft was not equipped with a ground proximity warning system. All nine occupants were killed, among them Angelo J. Bruno, the chairman of Bruno's Inc. company; his brother, Lee J. Bruno, vice chairman; Sam A. Vacarella, senior vice president for merchandising; Edward C. Hyde, vice president for store operations, and R. Randolph Page Jr., vice president for personnel.
Probable cause:
The captain's decision to initiate visual flight into an area of known mountainous terrain and low ceilings and the failure of the flightcrew to maintain awareness of their proximity to the terrain.
Final Report:

Crash of a Cessna 402B in Kathleen: 3 killed

Date & Time: Aug 16, 1991 at 0051 LT
Type of aircraft:
Registration:
N5855M
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Live Oak – Hickory
MSN:
402B-0360
YOM:
1973
Crew on board:
1
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
3
Captain / Total flying hours:
521
Captain / Total hours on type:
4.00
Aircraft flight hours:
4348
Circumstances:
The single engine rated pilot and 2 passengers were returning from Florida after picking up a newly acquired Cessna 402. The pilot called Macon FSS for fuel availability, and began a night, VFR descent. At about 5,300 feet msl, the airplane began rapid altitude excursions, while in a tight, right hand turn. During this time, it descended 2,600 feet in 37 seconds, then climbed 1,200 feet in 12 seconds. Subsequently, the airplane impacted gradually rising terrain at high speed. The engines were buried, and all prop blades showed evidence of power at impact. Weather in the area was reported to be: sky partially obscured with fog. An investigation revealed that the pilot was not multi-engine rated. A pilot for the seller flew with the accident pilot a few hours prior to the crash; he reported that the accident pilot had difficulty flying the airplane. He recommended that the accident pilot get additional training prior to leaving florida, but the accident pilot refused. All three occupants were killed.
Probable cause:
The pilot's failure to maintain aircraft control while descending at night. Factors related to the accident were: darkness, fog, the pilot's lack of qualification in multi-engine aircraft, his lack of experience in this type of aircraft, his overconfidence in his personal ability, and spatial disorientation of the pilot.
Final Report:

Crash of an Embraer EMB-120RT Brasilía in Brunswick: 23 killed

Date & Time: Apr 5, 1991 at 1451 LT
Type of aircraft:
Operator:
Registration:
N270AS
Survivors:
No
Schedule:
Atlanta - Brunswick
MSN:
120-218
YOM:
1990
Flight number:
EV2311
Crew on board:
3
Crew fatalities:
Pax on board:
20
Pax fatalities:
Other fatalities:
Total fatalities:
23
Captain / Total flying hours:
11724
Captain / Total hours on type:
5720.00
Copilot / Total flying hours:
3925
Copilot / Total hours on type:
2795
Aircraft flight hours:
816
Aircraft flight cycles:
845
Circumstances:
Witnesses reported that the airplane suddenly turned or rolled left until the wings were perpendicular to the ground. The airplane then fell in a nose-down attitude. Examination of the left propeller components indicated a blade angle of about 3°, while the left propeller control unit (pcu) ballscrew position was consistent with a commanded blade angle of 79.2°. Extreme wear on the pcu quill spline teeth, which normally engaged the titanium-nitrided splines of the propeller transfer tube, was found. The titanium-nitrided surface was much harder and rougher than the nitrided surface of the quill. Therefore, the transfer tube splines acted like a file and caused abnormal wear of the gear teeth on the quill. Wear of the quill was not considered during the certification of the propeller system. The aircraft was totally destroyed upon impact and all 23 occupants were killed, among them John Goodwin Tower, Senator of Texas and the astronaut Manley Sonny Carter.
Probable cause:
The loss of control in flight as a result of a malfunction of the left engine propeller control unit which allowed the propeller blade angles to go below the flight idle position. Contributing to the accident was the deficient design of the propeller control unit by hamilton standard and the approval of the design by the federal aviation administration. The design did not correctly evaluate the failure mode that occurred during this flight, which resulted in an uncommanded and uncorrectable movement of the blades of the airplane's left propeller below the flight idle position.
Final Report:

Crash of a Cessna 421B Golden Eagle II in Jefferson: 3 killed

Date & Time: Sep 25, 1990 at 1230 LT
Registration:
N316MH
Flight Phase:
Survivors:
No
Schedule:
Jefferson - Greer
MSN:
421B-0327
YOM:
1973
Crew on board:
2
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
3
Captain / Total flying hours:
3800
Aircraft flight hours:
3004
Circumstances:
Shortly after takeoff, the aircraft was seen flying low over trees, followed by a rapid roll to the left and a collision with wooded terrain. One witness reported seeing gray smoke trailing the left engine before the crash. An inspection of the wreckage revealed the left engine spark plugs were black and heavily sooted. Neither propeller had been feathered before the accident. The landing gear was found in an extended position. Further investigation revealed that Cessna multi-engine service bulletin (SB) 88-3 was not complied with. This SB modified the fuel system to provide for direct pilot (rather than automatic) actuation of the output pressure of the auxiliary fuel pumps. Both engines ran satisfactorily on a test stand following the accident. No other evidence of mechanical failure or malfunction was found. All three occupants were killed.
Probable cause:
Failure of the pilot to perform the correct emergency procedures, when confronted with a loss of engine power, and his failure to maintain minimum control speed (VMC), which resulted in a loss of aircraft control.
Final Report: