Crash of a Beechcraft E18S in Detroit: 1 killed

Date & Time: Jun 8, 1993 at 0502 LT
Type of aircraft:
Operator:
Registration:
N51FG
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Detroit - Louisville
MSN:
BA-324
YOM:
1957
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
1700
Captain / Total hours on type:
27.00
Aircraft flight hours:
11916
Circumstances:
The pilot was conducting his initial revenue and solo flight for this company, in this type of airplane. The weather for takeoff included fog and low ceilings. The airplane was equipped with a primary (left) attitude indicator which was electrically operated via an independent switch. This aircraft was the only such airplane operated by this company, with an independent switch configuration for the primary attitude indicator. The airplane collided with the terrain on the airport, just after takeoff. Subsequent examination revealed no anomalies with the engines or airframe. The primary attitude indicator was located. On examination it was found to have a malfunctioning on/off flag which gave the indication of being operative regardless of power to the unit. No rotational damage was noted within the gyro housing. The pilot, sole on board, was killed.
Probable cause:
The pilot-in-command's inadequate preflight preparation, false indication (on/off) of attitude indicator, and attitude indicator switched off. Factors were fog, low ceiling, the pilot-in-command's improper use of the attitude indicator, and his lack of total experience in the type of airplane.
Final Report:

Crash of a Beechcraft C90 King Air off Pontiac

Date & Time: Aug 6, 1992 at 1410 LT
Type of aircraft:
Operator:
Registration:
N90RG
Survivors:
Yes
Schedule:
Holland - Pontiac
MSN:
LJ-546
YOM:
1971
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
2114
Captain / Total hours on type:
261.00
Aircraft flight hours:
8487
Circumstances:
Pilot was on final approach when he stated he got a fuel crossfeed 'warning' light. He then proceeded to try to troubleshoot the fuel system by cycling the right boost pump switch, and 'reset and arm' the auto crossfeed. He stated the crossfeed light came on again followed by the right fuel pressure light, and he experienced a power loss on the right side. When he feathered the right engine, the left engine also experienced a loss of power. The pilot cleaned up the airplane and ditched in the lake short of the airport. The investigation revealed the left wing fuel tanks were empty, and the left nacelle tank was collapsed. The right wing fuel tanks were empty, and the right nacelle tank contained 19 gallons of fuel. The fuel supply, transfer, and crossfeed systems were functionally checked, and were operable. All cockpit fuel system lights indicated normal system operation.
Probable cause:
The pilot's not understanding the fuel system, and his subsequent inadvertent discontinuance of fuel to both engines.
Final Report:

Crash of a Cessna 414 Chancellor in MBS-Tri City: 3 killed

Date & Time: Mar 5, 1992 at 1504 LT
Type of aircraft:
Registration:
N69662
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
MBS-Tri-City - Chicago
MSN:
414-0621
YOM:
1975
Crew on board:
2
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
3
Captain / Total flying hours:
2057
Captain / Total hours on type:
184.00
Aircraft flight hours:
4106
Circumstances:
While loading a patient & his personal gear in the aircraft for an air ambulance flight, the aircraft tipped onto its tail. As a result, the tail bumper was forced upward into the belly of the empennage. The pilot refused the offer to have a mechanic look at the damage, and remarked 'this has happened before.' after takeoff, the pilot radioed to the tower that he had a jammed elevator, and was coming around to land. While maneuvering on a base leg, control was lost & the airplane was observed to crash with one wing perpendicular to the ground. Another airplane was in the takeoff position on the runway. The airplane was configured with a hospital litter/stretcher and oxygen bottle on the right side of the cabin. There was no record for the approval for, or installation of, the stretcher. In addition, there was no weight & balance record for the airplane with the stretcher installation. All three occupants were killed.
Probable cause:
The pilot's poor judgement in attempting flight after the airplane's fuselage was damaged during a loading operation. Factors which contributed to the accident were: the operator's failure to provide proper weight and balance data for the airplane, the pilot's failure to supervise the loading operation, and his failure to accept the services of a mechanic to inspect the damage.
Final Report:

Crash of a Beechcraft B100 King Air in Romeo: 3 killed

Date & Time: Nov 22, 1991 at 1050 LT
Type of aircraft:
Registration:
N24169
Survivors:
No
Schedule:
Columbus - Romeo
MSN:
BE-38
YOM:
1978
Location:
Crew on board:
2
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
3
Captain / Total flying hours:
2607
Captain / Total hours on type:
99.00
Aircraft flight hours:
4298
Circumstances:
The accident airplane collided with trees and terrain after being cleared for a non precision instrument approach. Instrument meteorological conditions prevailed. The minimum descent altitude for the approach profile from an intermediate intersection to the missed approach point is 1,460 feet. The elevation of destination airport is 745 feet. The elevation of the accident site is 880 feet. Two persons witnessed the accident sequence. Both persons saw the airplane in level, low altitude flight with the landing gear down before it struck the tree tops. They described how the airplane pulled up and then rolled before it struck the ground. One witness described how the airplane was flying at the base of the clouds. All three occupants were killed.
Probable cause:
The pilot in command's improper inflight decision and the minimum descent altitude disregarded during an instrument approach.
Final Report:

Crash of a Learjet 23 in Detroit: 3 killed

Date & Time: Jul 22, 1991 at 2115 LT
Type of aircraft:
Registration:
N959SC
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Detroit - Chicago
MSN:
23-045
YOM:
1965
Crew on board:
2
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
3
Captain / Total flying hours:
9000
Captain / Total hours on type:
2600.00
Circumstances:
A lineman noted parking brake (p/b) was set before flight. Pilots began takeoff on 5,147 feet runway with 10 knots crosswind. A witness said aircraft rotated for takeoff about 4,500 feet down runway and lifted off about 50 feet later. Reportedly, it remained low and slow (20-60 feet agl) after lift-off, then banked (rocked) left and right in nose high attitude, settled, hit trees and crashed abt 200 feet beyond runway. One person said aircraft went out of control before impact; another said it was 'in or on the edge of stalled flight.' Examination showed rotational damage occurred in both engines during impact. The braking systems had evidence that p/b control valve was partially on; brake torque tube contained heat blueing. On this early model (Learjet 23/sn: 23-45a), p/b had to be released by depressing brake pedals first; pilot handbook did not address this. On later models (sn: 23-050 and up), p/b needed only to be moved 'off.' Investigations showed left seat pilot had training in later models (Learjet 24/25); but only a biennial flight review was noted in the model 23. Company dispatcher said no training would have been performed on accident flight (with passenger aboard). Aircraft was about 430 lbs over max weight limit. All three occupants were killed.
Probable cause:
Improper preflight by the pilot, his failure to abort the takeoff while there was sufficient runway remaining, and his failure to assure that the aircraft attained sufficient airspeed for lift-off and climb. Factors related to the accident were: the pilot's failure to assure the aircraft was within its maximum weight limitation, his improper use of the parking brake, and insufficient information in the pilot operating handbook concerning the aircraft parking brake.
Final Report:

Crash of a Douglas DC-9-14 in Detroit: 8 killed

Date & Time: Dec 3, 1990 at 1345 LT
Type of aircraft:
Operator:
Registration:
N3313L
Flight Phase:
Survivors:
Yes
Schedule:
Detroit - Pittsburgh
MSN:
45708
YOM:
1966
Flight number:
NW1482
Crew on board:
4
Crew fatalities:
Pax on board:
40
Pax fatalities:
Other fatalities:
Total fatalities:
8
Captain / Total flying hours:
23000
Captain / Total hours on type:
4000.00
Copilot / Total flying hours:
4500
Aircraft flight hours:
62253
Circumstances:
On December 3, 1990, at 1345 est, Northwest flight 1482, a DC-9 (N3313L), and Northwest flight 299, a Boeing 727 (N278US), collided near the intersection of runway 09/27 and 03C/21C in dense fog at Detriot-Metropolitan-Wayne County Airport, MI. At the time of the collision, the B-727 was on its takeoff roll, and the DC-9 had just taxied onto the active runway. The B-727 was substantially damaged, and the DC-9 was destroyed. Seven of the 40 passengers and 1 crew member aboard the DC-9 received fatal injuries. None of the 146 passengers and 8 crewmembers aboard the B-727 were injured.
Probable cause:
Lack of proper crew coordination, including virtual reversal of roles by the DC-9 pilots, which led to their failure to stop taxiing and alert ground controller of their positional uncertainty in a timely manner before and after intruding onto the active runway. Contributing to cause of accident were:
- Deficiencies in ATC services provided by Detroit tower, including failure of ground control to take timely action to alert local controller to possible runway incursion, inadequate visibility observation, failure to use progressive taxi instructions low-visibility conditions, and issuance of inappropriate and confusing taxi instructions compounded by inadequate backup supervision for level of experience of staff on duty;
- Deficiencies in surface markings, signage and lighting at airport and failure of FAA surveillance to detect or correct any of these deficiencies;
- Failure of Northwest Airlines to provide adequate cockpit resource management training to line aircrews. Contributing to fatalities was inoperability of DC-9 internal tailcone release mechanism. Contributing to number and severity of injuries was failure of crew of DC-9 to properly execute the passenger evacuation.
Final Report:

Crash of a Piper PA-60 Aerostar (Ted Smith 600) in Plymouth: 1 killed

Date & Time: Jul 23, 1990 at 0934 LT
Operator:
Registration:
N8060J
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Detroit – Jackson
MSN:
60-0543-175
YOM:
1978
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
7000
Captain / Total hours on type:
2000.00
Circumstances:
A Piper PA-28, N55354, had departed Plymouth, MI and was climbing from 1,300 feet msl on a course of about 282° with a ground speed of 80 knots. At about the same time, a Piper PA-60, N8060J, was cruising at 2,100 feet msl on a flight from Detroit to Jackson, MI, on a course of about 258° with a ground speed of 165 knots. Subsequently, the 2 aircraft converged and collided at 2,100 feet msl. Both aircraft then plunged to the ground and crashed. Radar data and wreckage exam revealed the PA-60 had converged from the right rear of the PA-28; the PA-28 converged on the PA-60 from its lower, left, forward area. The PA-28 was on an instrument training flight with a rated private pilot and an instructor pilot (cfi) aboard. The investigation did not reveal which seat the cfi was occupying. No flight plan had been filed for either flight, nor was there any indication that either flight crew had obtained ATC/radar assistance. The pilot, sole on board, was killed.
Probable cause:
Inadequate visual lookout by the pilot of the PA-60. A factor related to the accident was that neither of the flight crews had obtained ATC/radar assistance.
Final Report:

Crash of a Piper PA-46-310P Malibu in Lakeville: 1 killed

Date & Time: Jun 26, 1990 at 1616 LT
Operator:
Registration:
N315RC
Flight Phase:
Survivors:
No
Schedule:
Flint – Akron
MSN:
46-8508044
YOM:
1985
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
983
Captain / Total hours on type:
197.00
Aircraft flight hours:
710
Circumstances:
During IFR departure, pilot received progressive altitude clearances to climb to 15,000 feet. At 1607 edt, he was vectored for 'a good rate of climb' thru 14,000 feet with clearance to proceed on course after leveling 14,000 feet for 15,000 feet. Radar data indicated a steady climb til aircraft was above 13,000 feet. As it climbed from 13,300 feet to 13,900 fet (max recorded altitude), its speed slowed from about 115 knots to below 80 knots. At 1613 edt, pilot was cleared to proceed direct and change frequency. Radar data showed that after reaching 13,900 feet, aircraft deviated from course and entered steep descent. Radar contact was lost and inflight breakup occurred. Pieces of wings and stabilizers were found up to 1.5 mile from fuselage. Trajectory study disclosed breakup occurred between 6,000 feet and 9,000 feet msl. Exam of fractures on major components revealed characteristics typical of overstress; no preexisting cracks were found. No autopilot failure or bird strike was found. Clouds were layered to 20,000 feet; freezing level was about 12,500 feet. There was evidence aircraft was in or near convective precipitation above freezing level for about 1.5 minute before rapid descent. Found Pitot heat switch 'off' and induction air door in its primary position. The pilot, sole on board, was killed.
Probable cause:
The pilot's failure to use the airplane's ice protection equipment, which resulted in a performance loss due to induction icing, propeller icing, or both, while flying in convective instrument meteorological conditions (IMC) at and above the freezing level. The performance loss led to a stall, the recovery from which probably was exacerbated by the pilot's improper response to erroneous airspeed indications that resulted from blockage of the pitot tube by atmospheric icing.
Final Report:

Crash of a Rockwell Sabreliner 40R in Detroit

Date & Time: Feb 3, 1990 at 1540 LT
Type of aircraft:
Registration:
N50CD
Flight Type:
Survivors:
Yes
Schedule:
Tampa - Detroit
MSN:
282-42
YOM:
1965
Crew on board:
2
Crew fatalities:
Pax on board:
4
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
The aircraft was completing a flight from Tampa to Detroit on behalf of the Detroit City Police. After landing on runway 15 at Coleman A. Young Airport, the airplane encountered difficulties to stop within the remaining distance, overran and came to rest. All six occupants escaped uninjured while the aircraft was damaged beyond repair.

Crash of a Cessna 414 Chancellor in Pontiac

Date & Time: Dec 19, 1988 at 2010 LT
Type of aircraft:
Operator:
Registration:
N414CM
Flight Type:
Survivors:
Yes
Schedule:
Detroit - Pontiac
MSN:
414-0035
YOM:
1969
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
1023
Captain / Total hours on type:
98.00
Aircraft flight hours:
5916
Circumstances:
While on final approach to land at night, the left engine lost power due to fuel starvation. Attempts to restart the engine were not successful. While the pilot was attempting a restart, the aircraft drifted to the right of the runway centerline and toward the proximity of hangars. The pilot stated that due to the power loss and wind conditions, he elected to land on airport property. Gear extension was delayed until just before landing. The aircraft touched down before the right main landing gear was fully extended and locked. Subsequently, the right main gear collapsed and the aircraft skidded about 500 feet before coming to rest. An examination revealed the nacelle and main fuel tanks were empty, but fuel was still remaining in the auxiliary tanks.
Probable cause:
Occurrence #1: loss of engine power (total) - nonmechanical
Phase of operation: approach
Findings
1. 1 engine
2. (c) fluid, fuel - starvation
3. (c) fuel tank selector position - improper - pilot in command
----------
Occurrence #2: gear not extended
Phase of operation: landing - flare/touchdown
Findings
4. (f) light condition - dark night
5. (f) weather condition - gusts
6. (f) weather condition - crosswind
7. (c) compensation for wind conditions - improper - pilot in command
8. Precautionary landing - initiated - pilot in command
9. (c) gear down and locked - delayed - pilot in command
----------
Occurrence #3: main gear collapsed
Phase of operation: landing
Final Report: