code

NM

Crash of a Beechcraft A60 Duke in Santa Rosa: 2 killed

Date & Time: May 5, 2019 at 1600 LT
Type of aircraft:
Operator:
Registration:
N102SN
Flight Type:
Survivors:
No
Schedule:
Arlington - Santa Fe
MSN:
P-217
YOM:
1973
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
4100
Circumstances:
The pilot was performing a personal cross-country flight. While en route to the intended destination, the pilot contacted air traffic control to report that the airplane was having a fuel pump issue and requested to divert to the nearest airport. The pilot stated that the request was only precautionary and did not declare an emergency during the flight; he provided no further information about the fuel pump. As the airplane approached the diversion airport, witnesses observed the airplane flying low and rolling to the left just before impacting terrain, after which a postcrash fire ensued. An examination of the airframe revealed no preimpact mechanical malfunctions or failures that would have precluded normal operation. A postaccident examination and review of recorded data indicated that the left engine was secured and in the feather position, and that the right engine was operating at a high RPM setting. The left engine-driven fuel pump was found fractured. Further examination of the fuel pump revealed fatigue failure of the pressure relief valve. The fatigue failure initiated in upward bending on one side of the valve disk and progressed around both sides of the valve stem. As the cracks grew, the stem separated from the disk on one side and began to tilt in relation to the disk and the valve guide due to the non-symmetric support, which caused the lower end of the stem to rub against the valve guide, creating wear marks. The increasing stem tilt would have impinged against the valve guide, and the valve might have begun to stick in the closed position. If the valve were stuck in the closed position, it would not be able to open, and the outlet fuel pressure could rise above the set point pressure. Because the pump was driven by the engine, there would not be a way for the pilot to shut it off, disconnect it, or bypass it. Instead, the fuel pressure would continue to rise until the valve were to unstick. Thus, the pilot was likely experiencing variable fuel pressure as the valve became stuck and unstuck. Examination of the spring seat and the diaphragm plate, which were in contact with each other in the fuel pump assembly, revealed wear marks on the surface of each component, with one mark on the diaphragm plate and two wear marks on the spring seat. The two wear marks on the spring seat were distinct features separated by material with no wear indications in between. The only way that these wear marks could have occurred were if the spring seat was separated from the diaphragm plate and reinstalled in a different orientation. Thus, it is likely that the pilot had encountered a fuel pump problem before the accident flight and that someone tried to troubleshoot the problem. The last radar data point indicated that the airplane was traveling at a groundspeed of about 98 knots, and had passed north of the airport, traveling to the southwest. The minimum control speed for the airplane with single-engine operation was 88 knots. However, it is likely that if the pilot initiated a left turn back toward the airport, that the right engine torque and the 14 knot wind with gusts to 24 knots would have necessitated a higher speed. Because appropriate control inputs and airspeed were not maintained, the airplane rolled in the direction of the feathered engine (due to the left fuel pump problem), resulting in a loss of control. The pilot's toxicology report was positive for cetirizine, sumatriptan, gabapentin, topiramate, and duloxetine. All of these drugs act in the central nervous system and can be impairing alone or in combination. Although this investigation could not determine the reason(s) for the pilot's use of these drugs, they are commonly used to treat chronic pain syndromes or seizures. It is likely that the pilot was experiencing some impairment because of multiple impairing medications and was unable to successfully respond to the in-flight urgent situation and safely land the airplane.
Probable cause:
The pilot's loss of airplane control due to his failure to maintain appropriate control inputs and airspeed after shutting down an engine because of a progressive failure of the pressure relief valve in the fuel pump, which resulted in variable fuel pressure in the engine. Contributing to the loss of control was the pilot's use of multiple impairing medications.
Final Report:

Crash of a Socata TBM-850 in Las Vegas

Date & Time: Nov 5, 2017 at 1145 LT
Type of aircraft:
Operator:
Registration:
N893CA
Flight Type:
Survivors:
Yes
Schedule:
Tomball – Las Vegas
MSN:
393
YOM:
2007
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
3000
Captain / Total hours on type:
1850.00
Aircraft flight hours:
2304
Circumstances:
The pilot of the turbine-powered airplane reported that, while landing in a gusting crosswind, it was "obvious" the wind had changed directions. He performed a go-around, but "the wind slammed [the airplane] to the ground extremely hard." Subsequently, the airplane veered to the right off the runway and then back to the left before coming to rest. The airplane sustained substantial damage to the fuselage. The pilot reported that there were no preaccident mechanical failures or malfunctions with the airplane that would have precluded normal operation. The automated weather observation system located at the accident airport reported that, about the time of the accident, the wind was from 270° at 19 knots, gusting to 25 knots. The pilot landed on runway 20.
Probable cause:
The pilot's inadequate compensation for gusting crosswind conditions during the go-around.
Final Report:

Crash of a Beechcraft E90 King Air in Ruidoso: 2 killed

Date & Time: Jun 13, 2017 at 2210 LT
Type of aircraft:
Operator:
Registration:
N48TA
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Ruidoso – Abilene
MSN:
LW-283
YOM:
1978
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
1073
Captain / Total hours on type:
25.00
Aircraft flight hours:
12621
Circumstances:
The commercial pilot had filed an instrument flight rules flight plan and was departing in dark night visual meteorological conditions on a cross-country personal flight. A witness at the departure airport stated that during takeoff, the airplane sounded and looked normal. The witness said that the airplane lifted off about halfway down runway 24, and there was "plenty" of runway remaining for the airplane to land. The witness lost sight of the airplane and did not see the accident because the airport hangars blocked her view. The wreckage was located about 2,400 ft southeast of the departure end of runway 24. Examination of the accident site indicated that the airplane impacted in a nose-down attitude with a left bank of about 20°. A left turn during departure was consistent with the airport's published instrument departure procedures for obstacle avoidance, which required an immediate climbing left turn while proceeding to a navigational beacon located about 7 miles east-northeast of the airport. Examination of the wreckage did not reveal any evidence of preimpact mechanical malfunctions that would have precluded normal operation. The pilot had reportedly been awake for about 15 hours and was conducting the departure about the time he normally went to sleep and, therefore, may have been fatigued about the time of the event; however, given the available evidence, it was impossible to determine the role of fatigue in this event. Although the circumstances of the accident are consistent with spatial disorientation, there was insufficient evidence to determine whether it may have played a role in the sequence of events.
Probable cause:
The pilot's failure to maintain clearance from terrain after takeoff during dark night conditions.
Final Report:

Crash of a Pilatus U-28A at Cannon AFB: 3 killed

Date & Time: Mar 14, 2017 at 1835 LT
Type of aircraft:
Operator:
Registration:
08-0724
Flight Type:
Survivors:
No
Schedule:
Cannon - Cannon
MSN:
724
YOM:
2006
Flight number:
Demise 25
Crew on board:
3
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
3
Captain / Total flying hours:
3400
Captain / Total hours on type:
3199.00
Copilot / Total flying hours:
448
Copilot / Total hours on type:
213
Circumstances:
On 14 Mar 17, at 1835 local time (L), a U-28A, tail number 0724, crashed one-quarter mile south of Clovis Municipal Airport (KCVN), New Mexico (NM). This aircraft was operated by the 318th Special Operations Squadron, 27th Special Operations Wing, Cannon Air Force Base (AFB), NM. The aircraft was destroyed and all three crewmembers died upon impact. The Mishap Aircraft (MA) departed Cannon AFB at 1512L for tactical training over Lubbock, Texas, followed by pilot proficiency training at KCVN. The Mishap Crew (MC) entered Lubbock airspace at 1545L, completed their tactical training, and departed Lubbock airspace at 1735L enroute to KCVN. The MC entered the KCVN traffic pattern at 1806L, where they conducted multiple approaches and landings prior to executing the mishap maneuver, a practice turnback Emergency Landing Pattern (ELP). The MC entered the practice turnback ELP with 0° flaps led to increased aircraft nose-down attitudes and higher descent rates required to maintain a safe angle of attack versus a comparative 15° flap approach. In addition, 0° flap stall speeds are higher than 15° flap stall speeds – 15 to 25 knots higher for the range of bank angles flown by the MC during the practice turnback ELP. The MC was also late to achieve the bank angle required to enable the MA to align with the extended centerline for the runway resulting in an overshoot condition. The MC attempted to arrest their excessive nose-down attitude, descent rate, and shallow bank angle by pulling back on the aircraft yoke and increasing bank angle. The g-load from the MC pull back, coupled with the MA's increased bank angle, slowed the MA airspeed below 0° flap stall speed and it departed controlled flight. Subsequent power increase and flight control inputs would not have enabled the aircraft to recover from the stall within remaining altitude. After entering the stall, the MC increased power; however, it was not enough to overcome the MA descent rate. At no point during the practice turnback ELP did the MA performance reflect a MC intent to abort the maneuver. The MA impacted the ground with a 13° nose-high, 7° left-wing low attitude. The aircraft was destroyed upon impact and all three occupants were killed.
Crew:
Cpt Andrew Becker, pilot,
1st Lt Frederick Dellecker, copilot,
Cpt Kenneth Dalga, combat systems officer.
Probable cause:
By a preponderance of the evidence, the Accident Investigation Board concluded the aircrew lost control of the aircraft when it entered a stall at low altitude during a turn back Emergency Landing Pattern procedure. There were no indications of mechanical malfunction. The board also surmised the crew delayed actions necessary to prevent the aircraft from entering the stall envelope and failed to accurately assess increasing risk throughout execution of the practice turn back Emergency Landing Pattern, thereby substantially contributing to the mishap.
Final Report:

Crash of a Beechcraft D18S in Deming

Date & Time: Oct 23, 2016 at 1700 LT
Type of aircraft:
Operator:
Registration:
N644B
Flight Type:
Survivors:
Yes
Schedule:
Junction – Deming
MSN:
A-441
YOM:
1948
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
18600
Captain / Total hours on type:
300.00
Aircraft flight hours:
5545
Circumstances:
The pilot of the multi-engine tailwheel-equipped airplane reported that during the landing roll, after the tailwheel had touched down, the airplane veered sharply to the left. The pilot further reported that the airplane was close to the left runway edge, so he allowed the airplane to continue off the runway, in effort not to overcorrect to the right. During the runway excursion, the right main landing gear collapsed in soft terrain. The right wing sustained substantial damage. The pilot reported no preaccident mechanical malfunctions or failures with the airplane that would have precluded normal operation.
Probable cause:
The pilot's failure to maintain directional control during the landing roll, which resulted in a runway excursion.
Final Report:

Crash of a Cessna 421B Golden Eagle II in Clovis

Date & Time: Aug 9, 2015 at 0925 LT
Registration:
N726JB
Flight Type:
Survivors:
Yes
Schedule:
Melrose – Clovis
MSN:
421B-0020
YOM:
1970
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
3700
Captain / Total hours on type:
300.00
Circumstances:
The private pilot reported that he was approaching the airport for landing in the multi-engine airplane when both engines began to surge. The pilot attempted to switch to the auxiliary fuel tanks, but inadvertently switched the left engine fuel selector to the off position. The left engine subsequently experienced a total loss of engine power. On final approach for landing, the airplane impacted terrain and was subsequently consumed by a postimpact fire; the fuel onboard the airplane at the time of the accident could not be determined. An examination of the airplane's engines and systems revealed no mechanical anomalies that would have precluded normal operation.
Probable cause:
The pilot's improper management of fuel to the left engine during approach for landing, which resulted in a total loss of left engine power due to fuel starvation, and his subsequent failure to maintain control during the final landing approach, which resulted in collision with terrain.
Final Report:

Crash of a Cessna 421C Golden Eagle III in Las Cruces: 4 killed

Date & Time: Aug 27, 2014 at 1903 LT
Registration:
N51RX
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Las Cruces – Phoenix
MSN:
421C-0871
YOM:
1974
Crew on board:
1
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
4
Captain / Total flying hours:
2432
Captain / Total hours on type:
52.00
Aircraft flight hours:
8181
Circumstances:
According to the line service technician who worked for the fixed-base operator (FBO), before taking off for the air ambulance flight with two medical crewmembers and one patient onboard, the pilot verbally asked him to add 40 gallons of fuel to the airplane, but the pilot did not specify the type of fuel. The line service technician drove a fuel truck to the front of the airplane and added 20 gallons of fuel to each of the multiengine airplane's wing tanks. The pilot was present during the refueling and helped the line service technician replace both fuel caps. Shortly after takeoff, a medical crewmember called the company medical dispatcher and reported that they were returning to the airport because smoke was coming from the right engine. Two witnesses reported seeing smoke from the airplane Several other witnesses reported seeing or hearing the impact and then immediately seeing smoke or flames. On-scene evidence showed the airplane was generally eastbound and upright when it impacted terrain. A postimpact fire immediately ensued and consumed most of the airplane. Investigators who arrived at the scene the day following the accident reported clearly detecting the smell of jet fuel. The airplane, which was equipped with two reciprocating engines, should have been serviced with aviation gasoline, and this was noted on labels near the fuel filler ports, which stated "AVGAS ONLY." However, a postaccident review of refueling records, statements from the line service technician, and the on-scene smell of jet fuel are consistent with the airplane having been misfueled with Jet A fuel instead of the required 100LL aviation gasoline, which can result in detonation in the engine and the subsequent loss of engine power. Postaccident examination of the engines revealed internal damage and evidence of detonation. It was the joint responsibility of the line technician and pilot to ensure that the airplane was filled with aviation fuel instead of jet fuel and their failure to do so led to the detonation in the engine and the subsequent loss of power during initial climb.In accordance with voluntary industry standards, the FBO's jet fuel truck should have been equipped with an oversized fuel nozzle; instead, it was equipped with a smaller diameter nozzle, which allowed the nozzle to be inserted into the smaller fuel filler ports on airplanes that used aviation gasoline. The FBO's use of a small nozzle allowed it to be inserted in the accident airplane's filler port and for jet fuel to be inadvertently added to the airplane.
Probable cause:
The misfueling of the airplane with jet fuel instead of the required aviation fuel, and the resultant detonation and a total loss of engine power during initial climb. Contributing to the accident were the line service technician's inadvertent misfueling of the airplane, the pilot's inadequate supervision of the fuel servicing, and the fixed-base operator's use of a small fuel nozzle on its jet fuel truck.
Final Report:

Crash of a Gulfstream G650 in Roswell: 4 killed

Date & Time: Apr 2, 2011 at 0934 LT
Type of aircraft:
Operator:
Registration:
N652GD
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Roswell - Roswell
MSN:
6002
YOM:
2010
Crew on board:
2
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
4
Captain / Total flying hours:
11237
Captain / Total hours on type:
263.00
Aircraft flight hours:
434
Circumstances:
On April 2, 2011, about 0934 mountain daylight time, an experimental Gulfstream Aerospace Corporation GVI (G650), N652GD, crashed during takeoff from runway 21 at Roswell International Air Center, Roswell, New Mexico. The two pilots and the two flight test engineers were fatally injured, and the airplane was substantially damaged by impact forces and a post crash fire. The airplane was registered to and operated by Gulfstream as part of its G650 flight test program. The flight was conducted under the provisions of 14 Code of Federal Regulations Part 91. Visual meteorological conditions prevailed at the time of the accident. The accident occurred during a planned one-engine-inoperative (OEI) takeoff when a stall on the right outboard wing produced a rolling moment that the flight crew was not able to control, which led to the right wingtip contacting the runway and the airplane departing the runway from the right side. After departing the runway, the airplane impacted a concrete structure and an airport weather station, resulting in extensive structural damage and a post crash fire that completely consumed the fuselage and cabin interior.
Probable cause:
An aerodynamic stall and subsequent uncommanded roll during a one engine-inoperative takeoff flight test, which were the result of (1) Gulfstream’s failure to properly develop and validate takeoff speeds for the flight tests and recognize and correct the takeoff safety speed (V2) error during previous G650 flight tests, (2) the G650 flight test team’s persistent and increasingly aggressive attempts to achieve V2 speeds that were erroneously low, and (3) Gulfstream’s inadequate investigation of previous G650 uncommanded roll events, which indicated that the company’s estimated stall angle of attack while the airplane was in ground effect was too high. Contributing to the accident was Gulfstream’s failure to effectively manage the G650 flight test program by pursuing an aggressive program schedule without ensuring that the roles and responsibilities of team members had been appropriately defined and implemented, engineering processes had received sufficient technical planning and oversight, potential hazards had been fully identified, and appropriate risk controls had been implemented and were functioning as intended.
Final Report:

Crash of a Partenavia P.68 Observer in Anthony

Date & Time: Nov 10, 2010 at 1100 LT
Type of aircraft:
Operator:
Registration:
N44956
Flight Phase:
Survivors:
Yes
Site:
Schedule:
El Paso - El Paso
MSN:
318-13/OB
YOM:
1983
Crew on board:
1
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
4562
Captain / Total hours on type:
106.00
Aircraft flight hours:
7065
Circumstances:
While performing a low-level law enforcement patrol flight, the pilot crossed a ridge and observed a parked vehicle. To investigate further, he lowered the flaps and descended to approximately 200 feet, into a canyon. The pilot made a second pass over the vehicle and initiated a right turn, during which the airplane encountered a tailwind that resulted in a rapid loss of airspeed and a descent. The pilot leveled the airplane and increased the power; however, the airplane was too slow and low to turn out of the canyon. As a result, the airplane stalled and impacted terrain. The pilot stated there were no preflight mechanical malfunctions or anomalies with the airplane.
Probable cause:
The pilot's decision to conduct a low-level flight in mountainous terrain in an area where downdrafts were prevalent, resulting in the inadvertent loss of control and the collision with the terrain.
Final Report:

Crash of a Pilatus PC-12 in Santa Fe: 1 killed

Date & Time: Sep 29, 2008 at 2216 LT
Type of aircraft:
Registration:
N606SL
Flight Type:
Survivors:
No
Schedule:
New York - Lubbock - Santa Fe
MSN:
1020
YOM:
2008
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
2437
Captain / Total hours on type:
86.00
Aircraft flight hours:
130
Circumstances:
The pilot was approaching his home airport under dark night conditions. He reported that he was five miles from the airport and adjusted the airport lighting several times. He made no further radio calls, though his normal practice was to report his position several times as he proceeded in the landing pattern. The airplane approached the airport from the southeast in a descent, continued past the airport, and adjusted its course slightly to the left. One witness reported observing the airplane enter a left turn, then pitch down, and descend at a steep angle. The airplane impacted terrain in a steep left bank and cart wheeled. An examination of the airframe, airplane systems, and engine revealed no pre-impact anomalies. Flight control continuity was confirmed. The pilot had flown eight hours and 30 minutes on the day of the accident, crossing two time zones, and had been awake for no less than 17 hours when the accident occurred. The accident occurred at a time of day after midnight in the pilot's departure time zone. Post-accident toxicology testing revealed doxylamine and amphetamine in the pilot's tissues. The pilot had been diagnosed with attention deficit hyperactivity disorder (ADHD) almost five years prior to the accident and had taken prescription amphetamines for the disorder since that diagnosis. The FAA does not medically certify pilots who require medication for the control of ADHD. At the time of the accident, the pilot's blood level of amphetamines may have been falling, and he may have been increasingly fatigued and distracted. The use of doxylamine (an over-the-counter antihistamine, often used as a sleep aid) could suggest that the pilot was having difficulty sleeping.
Probable cause:
The pilot's incapacitation due to fatigue resulting in an in-flight collision with terrain.
Final Report: