Crash of a Cessna 500 Citation I in Sault Sainte Marie

Date & Time: Feb 26, 2001 at 1030 LT
Type of aircraft:
Operator:
Registration:
N234UM
Flight Type:
Survivors:
Yes
Schedule:
Detroit – Sault Sainte Marie
MSN:
500-0105
YOM:
1973
Crew on board:
2
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
2770
Captain / Total hours on type:
1410.00
Copilot / Total flying hours:
3142
Copilot / Total hours on type:
300
Aircraft flight hours:
8329
Circumstances:
The captain said that he flew the VOR approach to runway 32. At 2,500 feet, the captain said that they were out of the clouds and initiated a visual straight-in approach. After aligning the airplane with the runway, the captain said he noticed that there was contamination on the runway, "maybe compacted snow or maybe ice with fresh snow over it." The captain briefed that they would perform a go-around if by midfield they were not decelerating adequately. The captain said that they touched down within the first third of the runway. Close to midfield the airplane fishtailed. Past midfield, the captain called a go-around. The first officer said that the captain added power and he retracted the airbrakes. The first officer exclaimed, "There is not enough runway! I braced myself as the aircraft went into the snow." The first officer said that at about 2 miles out from the runway, the unicom called and said that braking action was nil. A Notice to Airman, in effect at the time of the accident for the airport stated, "icy runway, nil braking."
Probable cause:
The pilot exceeding the available runway distance during landing and the pilot's delay in executing a go-around. Factors relating to the accident were, the pilots improper in-flight planning/decision, the pilot disregarding the NOTAMS for the airport, the pilot failing to properly consider the warning given by the Unicom operator regarding the icy runway and nil braking action, the icy runway, and the drop-off/descending embankment.
Final Report:

Crash of a Swearingen SA227AT Merlin IVC in Beaver Island: 2 killed

Date & Time: Feb 8, 2001 at 1920 LT
Operator:
Registration:
N318DH
Survivors:
Yes
Schedule:
Chicago – Beaver Island
MSN:
AT-469
YOM:
1982
Crew on board:
2
Crew fatalities:
Pax on board:
4
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
6500
Captain / Total hours on type:
250.00
Copilot / Total flying hours:
800
Aircraft flight hours:
7207
Circumstances:
The airplane was on an on-demand air-taxi flight operating under 14 CFR Part 135 and was destroyed when it impacted trees and terrain while circling to land during a non-precision instrument approach at night. The airplane came to rest 1.74 nautical miles and 226 degrees magnetic from the intended airport. A weather briefing was obtained and instrument meteorological conditions were present along the route of flight at the time of the briefing. Weather conditions for the two reporting stations closest to the destination were obtained by the airplane prior to executing the approach. The weather reports listed ceilings and visibilities as 400 to 500 feet overcast and 5 to 7 statute miles. The airport elevation is 669 feet and the minimum descent altitude for the approach was listed as 1,240 feet. There was no weather reporting station at the destination airport at the time of the accident. According to the operators General Operations Manual, the pilot was responsible for the dispatch of the airplane including flight planning, and confirming departure, en-route, arrival and terminal operations compliance. The manual also states, "For airports without weather reporting, the area forecast and reports from airports in the vicinity must indicate that the weather conditions will be VFR [visual flight rules] at the ETA so as to allow the aircraft to terminate the IFR operations and land under VFR. (Note: a visual approach is not approved without weather reporting)." For 14 CFR Part 135 instrument flight operations conducted at an airport, federal regulations require weather observations at that airport. Furthermore, the regulations state that, for 14 CFR Part 135 operations, an instrument approach cannot be initiated unless approved weather information is available at the airport where the instrument approach is located, and the weather information indicates that the weather conditions are at or above the authorized minimums for the approach procedure. The commercial pilot held a type rating for the accident airplane. The right seat occupant was a commercial pilot employed by the operator and did not hold an appropriate type rating for the accident airplane. The pitch trim selector switch was found set to the co-pilot side. The regulations state that 14 CFR Part 135 operators cannot use the services of any person as an airman unless that person is appropriately qualified for the operation for which the person is to be used. The circling approach was made over primarily unlit land and water. An FAA publication states that during night operations, "Distance may be deceptive at night due to limited lighting conditions. A lack of intervening Page 2 of 17 CHI01FA083 references on the ground and the inability of the pilot to compare the size and location of different ground objects cause this. This also applies to the estimation of altitude and speed. Consequently, more dependence must be placed on flight instruments, particularly the altimeter and the airspeed indicator." No anomalies were found with respect to the airframe, engines, or systems that could be associated with a pre-impact condition.
Probable cause:
The flightcrew not maintaining altitude/clearance during the circling instrument approach. Factors were the pilot in command initiating the flight without proper weather reporting facilities at the destination, the flightcrew not flying to an alternate destination, the flightcrew not following company and FAA procedures/directives, the lack of certification of the second pilot, the operator not following company and FAA procedures/directives, and the dark night and the low ceiling.
Final Report:

Crash of a Rockwell Sabreliner 75A in Iron Wood: 2 killed

Date & Time: Aug 14, 2000 at 1822 LT
Type of aircraft:
Operator:
Registration:
N85DW
Survivors:
Yes
Schedule:
Brainerd – Flint
MSN:
380-27
YOM:
1975
Crew on board:
2
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
13037
Captain / Total hours on type:
2560.00
Aircraft flight hours:
7185
Circumstances:
The airplane impacted heavily wooded terrain after experiencing a dual engine failure due to a reported lightning strike. The pilot received a weather brief that included information concerning a Convective Sigmet and a Severe Weather Watch. The weather briefer informed the pilot that a route to the southeast would keep the flight out of the heavy weather, and that, "... you'll get clobbered if you go due east." After departure, the pilot requested a turn to the northeast to stay clear of weather. While in the climb, the flight was advised of a Weather Watch that covered the area of their flight. The CVR revealed that Continuous Ignition was not selected prior to encountering turbulence. About 23 minutes after takeoff, the airplane was climbing at about 30,800 feet msl when the pilot reported a dual engine failure due to a lightning strike. The CVR indicated one engine quit and the second quit about two seconds later. The copilot established a 170 kts descent airspeed for "best glide." The airplane was vectored near a level 5 thunderstorm during the emergency descent. Two air starts were attempted when the airplane's altitude was outside of the air start envelope. Two more air starts were attempted within the air start envelope but were unsuccessful. The minimum airspeed for an air restart is 160 kts and the maximum speed for air start is 358 kts. The CVR indicated that the pilots did not call for the airplane's checklist, and no challenge and response checklists were used during the emergency descent. The CVR indicated the pilots did not discuss load shedding any of the electrical components on the airplane. The CVR indicated the hydraulic system cycled twice during the emergency descent and the landing gear was lowered using the hydraulic system during descent. During the descent the pilots reported they had lost use of their navigation equipment. The airplane impacted the terrain located about 166 nautical miles from the departure airport on a bearing of 083 degrees. No preexisting engines or airframe anomalies were found.
Probable cause:
The pilot's improper in-flight decision, the pilot's continued flight into known adverse weather, the pilot's failure to turn on the continuous ignition in turbulence, and the pilot's failure to follow the procedures for an airstart. Factors included the thunderstorms, the lightning strike, and the woods.
Final Report:

Crash of a Cessna 404 Titan II in Lansing

Date & Time: Apr 15, 2000 at 0743 LT
Type of aircraft:
Operator:
Registration:
N26SA
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Lansing - Caro
MSN:
404-0225
YOM:
1978
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
3600
Aircraft flight hours:
17393
Circumstances:
The pilot was departing from Lansing, Michigan, when he reported engine problems. The aircraft subsequently lost power to both engines. Fuel receipts were found that indicate that the aircraft was serviced with 25 gallons of jet fuel in each wing tank. No preexisting anomalies were found with regard to the aircraft or its systems. An FAA inspector interviewed the person that had fueled the aircraft and that person stated he had used a JET-A fuel truck to fuel the accident aircraft. The inspector also interviewed the safety director of the company that provided the fueling service. The safety director told the inspector that the fuel truck used to fuel the accident aircraft was found to have a small nozzle installed on one of the hoses and not the wide nozzle used on jet fueling trucks. He also said that, '...the small nozzle was used for the purpose of fueling tugs at the airport and that the small nozzles were immediately removed from all jet refueling trucks so that this could not happen again.'
Probable cause:
A loss of engine power due to improper fuel. Also causal was the improper aircraft service by the fixed base operator personnel and the unsuitable terrain for the forced landing encountered by the pilot. Factors were the improper grade of fuel and the lack of suitable terrain for the landing.
Final Report:

Crash of a Beechcraft C90 King Air in Marine City: 10 killed

Date & Time: Jul 31, 1999 at 0825 LT
Type of aircraft:
Operator:
Registration:
N518DM
Flight Phase:
Survivors:
No
Schedule:
Marine City - Marine City
MSN:
LJ-251
YOM:
1967
Crew on board:
1
Crew fatalities:
Pax on board:
9
Pax fatalities:
Other fatalities:
Total fatalities:
10
Captain / Total flying hours:
9700
Aircraft flight hours:
8986
Circumstances:
The airplane impacted the terrain approximately 2,065 feet south of the departure end of runway 22. Damage to the cockpit section of the wreckage indicated a nose down crush angle of approximately 80 degrees. The wreckage path was on a 208 degree heading, and the distance from the initial impact to the location of the empennage was about 142 feet. The cockpit and cabin were destroyed by post impact fire. Examination of the engines and propellers revealed no preexisting failures or conditions that would have prevented normal operation. The engines exhibited indications of rotation, and the witness marks on both sets of propellers were consistent with the propellers operating in the governing range at impact. Control continuity was established from the right aileron, elevator, and rudder. Witnesses reported the airplane seem to be operating normally during taxi and takeoff, but that it entered a steep left bank after clearing a 100 foot powerline located about 1,800 feet from the departure end of runway 22. After entering the steep left turn, the nose of the airplane dropped and the airplane impacted the ground. There was no evidence in the airplane's maintenance records of any annual maintenance inspection since August, 1997, although an airframe and powerplant mechanic reported that he had completed an inspection on June 30, 1999. There was no record in the airplane's maintenance records of compliance with five airworthiness directives applicable to the airplane.
Probable cause:
The pilot's failure to maintain adequate airspeed, which resulted in a stall, inflight loss of control, and collision with the ground.
Final Report:

Crash of a Piper PA-61 Aerostar (Ted Smith 601P) off Saint Clair Shores: 2 killed

Date & Time: Apr 1, 1999 at 1230 LT
Registration:
N441CB
Flight Phase:
Survivors:
No
Schedule:
Port Huron – Freemont
MSN:
61-0417-150
YOM:
1977
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
1550
Aircraft flight hours:
3022
Circumstances:
The airplane took off from Port Huron, Michigan, on April 1, 1999, at 1130 est. The airplane was scheduled to arrive in Freemont, Ohio. An employee of the pilot's company said that the pilot was going to meet a customer there. At 1230 est, the customer called the company inquiring about the pilot. The employee said that the pilot 'would have taken the shortest route, over [Lake] St. Clair, Ontario [Province], and [Lake] Erie,' to get to Freemont, Ohio. An ALNOT was issued at 1803 est. Search and rescue operations were conducted by the U. S. Coast Guard, Civil Air Patrol, and the Canadian Search and Rescue Center. The search was suspended on April 10, 1999, at 2125 est. The passenger's body was discovered on May 1, 1999, in the Lake St. Clair shipping channel, approximately 6.9 miles east of St. Clair Shores, Michigan. On July 2, 1999, the pilot's body was found in Lake St. Clair. Parts of the airplane identified from the make and model of aircraft were recovered with the bodies.
Probable cause:
Undetermined as the aircraft was not recovered.
Final Report:

Crash of a Beechcraft C-45G Expeditor in Detroit: 1 killed

Date & Time: Mar 11, 1999 at 0051 LT
Type of aircraft:
Registration:
N234L
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Detroit - Detroit
MSN:
AF-447
YOM:
1958
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
1305
Aircraft flight hours:
7073
Circumstances:
The aircraft declared an emergency following departure from runway 03R at Detroit Metropolitan Wayne County Airport, Romulus, Michigan. The aircraft was resting on a magnetic heading of 055 degrees located approximately 3,400 feet from and 1,900 feet to the left of the departure end and centerline of runway 03R at DTW. Inspection of the forward section of the fuselage door and surrounding fuselage, a circular impression with no exposure of the underlying metal was noted approximately 2 feet 6-1/2 inches from the door hinge line. The door was opened to a point nearly flush with the aircraft's fuselage. The door handle was found to match the circular impression in position and shape. There was no tearing or fracturing of the forward fuselage door pin tips or its door pin holes. Inspection of the door's latching mechanism revealed a brown colored nail connecting the handle and vertical latches. Both engine supercharger turbine wheels displayed scoring and deformation of the impeller blades in the plane of rotation. Aileron, elevator and rudder flight control continuity was established. The elevator trim was in the neutral position. The trailing edge flaps were in the retracted positions. Both engine oil screens showed no evidence of metal contamination.
Probable cause:
The aircraft control not maintained and the inadvertent stall by the pilot while maneuvering to the landing area. The open door was a contributing factor.
Final Report:

Crash of a Piper PA-31-350 Navajo Chieftain in Pontiac: 1 killed

Date & Time: Dec 4, 1998 at 2045 LT
Registration:
N59902
Flight Type:
Survivors:
No
Schedule:
Lansing - Troy
MSN:
31-7652125
YOM:
1976
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
1866
Captain / Total hours on type:
129.00
Circumstances:
The airplane collided with the tops of trees during an ILS approach near the middle marke. Witnesses heard the airplane strike the trees and a '...whop, whop, whop sound...' it made as it continued its flight. Other witnesses observed the airplane flying a curved, descending, flight path until the aircraft impacted the ground. Visibility was reported as 1/2 mile at the airport. The on-scene examination revealed no airframe or engine anomalies that would prevent flight. A section of the right propeller and other pieces of airframe were found along the approach path after initial impact with trees. The trees along the flight path were about 30 to 60 feet high. The tops of the taller trees were broken or had fresh cut marks on their limbs. The pilot's blood alcohol level was 216 (mg/dL, mg/hg).
Probable cause:
The pilot's descent below the decision height for the instrument approach.
Final Report: