Crash of a Cessna 550 Citation II in Manteo

Date & Time: Oct 1, 2010 at 0830 LT
Type of aircraft:
Operator:
Registration:
N262Y
Survivors:
Yes
Schedule:
Tampa - Manteo
MSN:
550-0291
YOM:
1981
Crew on board:
2
Crew fatalities:
Pax on board:
5
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
9527
Captain / Total hours on type:
2025.00
Copilot / Total flying hours:
3193
Copilot / Total hours on type:
150
Aircraft flight hours:
9643
Circumstances:
According to postaccident written statements from both pilots, the pilot-in-command (PIC) was the pilot flying and the copilot was the pilot monitoring. As the airplane approached Dare County Regional Airport (MQI), Manteo, North Carolina, the copilot obtained the current weather information. The automated weather system reported wind as 350 degrees at 4 knots, visibility at 1.5 miles in heavy rain, and a broken ceiling at 400 feet. The copilot stated that the weather had deteriorated from the previous reports at MQI. The PIC stated that they would fly one approach to take a look and that, if the airport conditions did not look good, they would divert to another airport. Both pilots indicated in phone interviews that, although they asked the Washington air route traffic control center controller for the global positioning system (GPS) runway 5 approach, they did not expect it due to airspace restrictions. They expected and received a GPS approach to runway 23 to circle-to-land on runway 5. According to the pilots' statements, the airplane was initially fast on approach to runway 23. As a result, the copilot could not deploy approach flaps when the PIC requested because the airspeed was above the flap operating range. The PIC subsequently slowed the airplane, and the copilot extended flaps to the approach setting. The PIC also overshot an intersection but quickly corrected and was on course about 1 mile prior to the initial approach fix. The airplane crossed the final approach fix on speed (Vref was 104) at the appropriate altitude, with the flaps and landing gear extended. The copilot completed the approach and landing checklist items but did not call out items because the PIC preferred that copilots complete checklists quietly. The PIC then stated that they would not circle-to-land due to the low ceiling. He added that a landing on runway 23 would be suitable because the wind was at a 90-degree angle to the runway, and there was no tailwind factor. Based on the reported weather, a tailwind component of approximately 2 knots existed at the time of the accident, and, in a subsequent statement to the Federal Aviation Administration, the pilot acknowledged there was a tailwind about 20 degrees behind the right wing. The copilot had the runway in sight about 200 feet above the minimum descent altitude, which was 440 feet above the runway. The copilot reported that he mentally prepared for a go around when the PIC stated that the airplane was high about 300 feet above the runway, but neither pilot called for one. The flight crew stated that the airplane touched down at 100 knots between the 1,000-foot marker and the runway intersection-about 1,200 feet beyond the approach end of the 4,305-foot-long runway. The speed brakes, thrust reversers, and brakes were applied immediately after the nose gear touched down and worked properly, but the airplane departed the end of the runway at about 40 knots. According to data extracted from the enhanced ground proximity warning system, the airplane touched down about 1,205 feet beyond the approach end of the 4,305-foot-long wet runway, at a ground speed of 127 knots. Data from the airplane manufacturer indicated that, for the estimated landing weight, the airplane required a landing distance of approximately 2,290 feet on a dry runway, 3,550 feet on a wet runway, or 5,625 feet for a runway with 0.125 inch of standing water. The chart also contained a note that the published limiting maximum tailwind component for the airplane is 10 knots but that landings on precipitation-covered runways with any tailwind component are not recommended. The note also indicates that if a tailwind landing cannot be avoided, the above landing distance data should be multiplied by a factor that increases the wet runway landing distance to 3,798 feet, and the landing distance for .125 inch of standing water to 6,356 feet. All distances in the performance chart are based on flying a normal approach at Vref, assume a touchdown point 840 feet from the runway threshold in no wind conditions, and include distance from the threshold to touchdown. The PIC's statement about the airplane being high at 300 feet above the runway reportedly prompted the copilot to mentally prepare for a go around, but neither pilot called for one. However, the PIC asked the copilot what he thought, and his reply was " it's up to you." The pilots touched down at an excessive airspeed (23 knots above Vref), more than 1,200 feet down a wet 4,305-foot-long runway, leaving about 3,100 feet for the airplane to stop. According to manufacturer calculations, about 2,710 feet of ground roll would be required after the airplane touched down, assuming a touchdown speed at Vref; a longer ground roll would be required at higher touchdown speeds. Although a 2 knot crosswind component existed at the time of the accident, the airplane's excessive airspeed at touchdown (23 knots above Vref) had a much larger effect on the outcome of the landing.
Probable cause:
The pilot-in-command's failure to maintain proper airspeed and his failure to initiate a go-around, which resulted in the airplane touching down too fast on a short, wet runway and a subsequent runway overrun. Contributing to the accident was the copilot's failure to adequately monitor the approach and call for a go around and the flight crew's lack of proper crew resource management.
Final Report:

Crash of a Beechcraft 60 Duke in Edenton: 1 killed

Date & Time: Jun 7, 2010 at 1932 LT
Type of aircraft:
Registration:
N7022D
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Edenton - Edenton
MSN:
P-13
YOM:
1968
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
1558
Captain / Total hours on type:
343.00
Copilot / Total flying hours:
30000
Aircraft flight hours:
3562
Circumstances:
The pilot was receiving instruction and an instrument proficiency check (IPC) from a flight instructor. Following an hour of uneventful instruction, the IPC was initiated. During the first takeoff of the IPC, the pilot was at the flight controls, and the flight instructor controlled the throttles. Although the pilot normally set about 40 inches of manifold pressure for takeoff, the flight instructor set about 37 inches, which resulted in a longer than expected takeoff roll. Shortly after takeoff, at an altitude of less than 100 feet, with the landing gear extended, the flight instructor retarded the left throttle at 83 to 85 knots indicated airspeed; 85 knots was the minimum single engine control speed for the airplane. The pilot attempted to advance the throttles, but was unable since the flight instructor’s hand was already on the throttles. The airplane veered sharply to the left and rolled. The pilot was able to level the wings just prior to the airplane colliding with trees and terrain. The pilot reported that procedures for simulating or demonstrating an engine failure were never discussed. Although the flight instructor’s experience in the accident airplane make and model was not determined, he reported prior to the flight that he had not flown that type of airplane recently. The flight instructor was taking medication for type II diabetes. According to his wife, the flight instructor had not experienced seizures or a loss of consciousness as a result of his medical condition.
Probable cause:
The flight instructor’s initiation of a simulated single engine scenario at or below the airplane’s minimum single engine control speed, resulting in a loss of airplane control. Contributing to the accident was the flight instructor’s failure to set full engine power during the takeoff roll and the flight instructor’s lack of recent experience in the airplane make and model.
Final Report:

Crash of a Cessna 550 in Wilmington

Date & Time: Jan 4, 2009 at 0209 LT
Type of aircraft:
Operator:
Registration:
N815MA
Survivors:
Yes
Schedule:
La Isabela - Wilmington
MSN:
550-0406
YOM:
1982
Crew on board:
2
Crew fatalities:
Pax on board:
5
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
6914
Captain / Total hours on type:
1400.00
Copilot / Total flying hours:
1717
Aircraft flight hours:
11123
Circumstances:
During a night, northbound, international over water flight that paralleled the east coast of the southeast United States, the airplane encountered headwinds. Upon arrival at the intended destination, the weather was below forecasted conditions, resulting in multiple instrument approach attempts. After the first missed approach, the controller advised the crew that there was an airport 36 miles to the north with "much better" weather, but the crew declined, citing a need to clear customs. During the third missed approach, the left engine lost power, and while the airplane was being vectored for a fourth approach, the right engine lost power. Utilizing the global positioning system, the captain pointed the airplane toward the intersection of the airport's two runways. Approximately 50 feet above the ground, he saw runway lights, and landed. The captain attempted to lower the landing gear prior to the landing, but it would not extend due to a lack of hydraulic pressure from the loss of engine power, and the alternate gear extension would not have been completed in time. The gear up landing resulted in damage to the underside of the fuselage and punctures of the pressure vessel. The captain stated that the airplane arrived in the vicinity of the destination with about 1,000 pounds of fuel on board or 55 minutes of fuel remaining. However, air traffic and cockpit voice recordings revealed that the right engine lost power about 14 minutes after arrival, and the left engine, about 20 minutes after arrival. Federal air regulations require, for an instrument flight rules flight plan, that an airplane carry enough fuel to complete the flight to the first airport of landing, fly from that airport to an alternate, and fly after that for 45 minutes at normal cruising speed. The loss of engine power was due to fuel exhaustion, with no preaccident mechanical anomalies noted to the airplane.
Probable cause:
A loss of engine power due to the crew's inadequate in-flight fuel monitoring.
Final Report:

Crash of a Beechcraft C90A King Air in Mount Airy: 6 killed

Date & Time: Feb 1, 2008 at 1128 LT
Type of aircraft:
Registration:
N57WR
Flight Type:
Survivors:
No
Schedule:
Cedartown - Mount Airy
MSN:
LJ-1678
YOM:
2003
Crew on board:
1
Crew fatalities:
Pax on board:
5
Pax fatalities:
Other fatalities:
Total fatalities:
6
Captain / Total flying hours:
780
Aircraft flight hours:
800
Circumstances:
While flying a non precision approach, the pilot deliberately descended below the minimum descent altitude (MDA) and attempted to execute a circle to land below the published circling minimums instead of executing the published missed approach procedure. During the circle to land, visual contact with the airport environment was lost and engine power was never increased after the airplane had leveled off. The airplane decelerated and entered an aerodynamic stall, followed by an uncontrolled descent which continued until ground impact. Weather at the time consisted of rain, with ceilings ranging from 300 to 600 feet, and visibility remaining relatively constant at 2.5 miles in fog. Review of the cockpit voice recorder (CVR) audio revealed that the pilot had displayed some non professional behavior prior to initiating the approach. Also contained on the CVR were comments by the pilot indicating he planned to descend below the MDA prior to acquiring the airport visually, and would have to execute a circling approach. Moments after stating a circling approach would be needed, the pilot received a sink rate aural warning from the enhanced ground proximity warning system (EGPWS). After several seconds, a series of stall warnings was recorded prior to the airplane impacting terrain. EGPWS data revealed, the airplane had decelerated approximately 75 knots in the last 20 seconds of the flight. Examination of the wreckage did not reveal any preimpact failures or malfunctions with the airplane or any of its systems. Toxicology testing detected sertraline in the pilot’s kidney and liver. Sertraline is a prescription antidepressant medication used for anxiety, obsessive-compulsive disorder, panic disorder, posttraumatic stress disorder, and social phobia. The pilot’s personal medical records indicated that he had been treated previously with two other antidepressant medications for “anxiety and depression” and a history of “impatience” and “compulsiveness.” The records also documented a diagnosis of diabetes without any indication of medications for the condition, and further noted three episodes of kidney stones, most recently experiencing “severe and profound discomfort” from a kidney stone while flying in 2005. None of these conditions or medications had been noted by the pilot on prior applications for an airman medical certificate. It is not clear whether any of the pilot’s medical conditions could account for his behavior or may have contributed to the accident.
Probable cause:
The pilot's failure to maintain control of the airplane in instrument meteorological conditions. Contributing to the accident were the pilot's improper decision to descend below the minimum descent altitude, and failure to follow the published missed approach procedure.
Final Report:

Crash of a Cessna 500 Citation in Greensboro

Date & Time: Feb 1, 2006 at 1145 LT
Type of aircraft:
Operator:
Registration:
N814ER
Flight Type:
Survivors:
Yes
Schedule:
Asheville - Greensboro
MSN:
500-0280
YOM:
1975
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
2500
Captain / Total hours on type:
700.00
Copilot / Total flying hours:
13000
Copilot / Total hours on type:
1000
Aircraft flight hours:
12008
Circumstances:
The right main landing gear collapsed on landing. According to the flight crew, after departure they preceded to Mountain Air Airport, where they performed a "touch-and-go" landing. Upon raising the landing gear following the touch-and-go landing, they got an "unsafe gear" light. The crew stated they cycled the gear back down and got a "three green" normal indication. They cycled the gear back up and again got the "gear unsafe" light. They diverted to Greensboro, North Carolina, and upon landing in Greensboro the airplane's right main landing gear collapsed. After the accident, gear parts from the accident airplane were discovered on the runway at Mountain Air Airport. Metallurgical examination of the landing gear components revealed fractures consistent with overstress separation and there was no evidence of fatigue. Examination of the runway at Mountain Air Airport by an FAA Inspector showed evidence the accident airplane had touched down short of the runway.
Probable cause:
The pilot's misjudged distance/altitude that led to an undershoot and the pilot's failure to attain the proper touchdown point.
Final Report:

Crash of a Beechcraft B60 Duke in Asheville: 4 killed

Date & Time: Oct 27, 2004 at 1050 LT
Type of aircraft:
Operator:
Registration:
N611JC
Flight Phase:
Survivors:
No
Site:
Schedule:
Asheville – Greensboro
MSN:
P-496
YOM:
1979
Crew on board:
1
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
4
Captain / Total flying hours:
13400
Aircraft flight hours:
2144
Circumstances:
At about the 3,000-foot marker on the 8,000-foot long runway witnesses saw the airplane at about 100 to 150-feet above the ground with the landing gear retracted when they heard a loud "bang". They said the airplane made no attempt to land on the remaining 5,000 feet of runway after the noise. The airplane continued climbing and seemed to gain a little altitude before passing the end of the runway. At that point the airplane began a right descending turn and was in a 60 to 80 degree right bank, nose low attitude when they lost sight of it. The airplane collided with the ground about 8/10 of a mile from the departure end of runway 34 in a residential area. Examination of the critical left engine found no pre-impact mechanical malfunction. Examination of the right engine found galling on all of the connecting rods. Dirt and particular contaminants were found embedded on all of the bearings, and spalling was observed on all of the cam followers. The oil suction screen was found clean, The oil filter was found contaminated with ferrous and non-ferrous small particles. The number 3 cylinder connecting rod yoke was broken on one side of the rod cap and separated into two pieces. Heavy secondary damage was noted with no signs of heat distress. Examination of the engine logbooks revealed that both engine's had been overhauled in 1986. In 1992, the airplane was registered in the Dominican Republic and the last maintenance entry indicated that the left and right engines underwent an inspection 754.3 hours since major overhaul. There were no other maintenance entries in the logbooks until the airplane was sold and moved to the United States in 2002. All three blades of the right propeller were found in the low pitch position, confirming that the pilot did not feather the right propeller as outlined in the pilot's operating handbook, under emergency procedures following a loss of engine power during takeoff.
Probable cause:
The pilot's failure to follow emergency procedures and to maintain airspeed following a loss of engine power during takeoff, which resulted in an inadvertent stall/spin and subsequent uncontrolled impact with terrain. Contributing to the cause was inadequate maintenance which resulted in oil contamination.
Final Report:

Crash of a Grumman C-2A Greyhound at Cherry Point MCAS

Date & Time: Mar 12, 2003
Type of aircraft:
Operator:
Registration:
162153
Survivors:
Yes
MSN:
33
Crew on board:
0
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
After landing at Cherry Point MCAS, the aircraft went out of control, lost its undercarriage and both wings and came to rest, bursting into flames. There were no casualties.

Crash of a Fokker F27 Friendship 500RF in Kinston

Date & Time: Mar 8, 2003 at 1027 LT
Type of aircraft:
Operator:
Registration:
N712FE
Flight Type:
Survivors:
Yes
Schedule:
Greensboro - New Bern
MSN:
10613
YOM:
1981
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
8130
Captain / Total hours on type:
1450.00
Copilot / Total flying hours:
2911
Copilot / Total hours on type:
955
Aircraft flight hours:
26665
Aircraft flight cycles:
28285
Circumstances:
According to the pilot, an unsafe right gear indication was received during the approach, and the control tower controller confirmed the right gear was not fully extended. On landing roll the right main landing gear collapsed and the airplane slid off of the runway. Examination of the right main landing gear revealed the drag brace was fractured. The fracture was located at the lower side of a transition from a smaller internal diameter on the upper piece to a larger internal diameter on the lower piece. The region of the fracture surface was flat and perpendicular to the tube longitudinal axis. The region had a smooth, curving boundary, also consistent with fatigue. The fatigue features emanated from multiple origins at the inner surface of the tube. The Federal Aviation Administration (FAA) issued an Airworthiness Directive (AD) requiring an inspections of main landing gear drag stay units. The AD was prompted by the fracture of a drag stay tube from fatigue cracking that initiated from an improperly machined transition radius at the inner surface of the tube. According to Fokker ,the Fokker F27 Mark 500 airplanes (such as the incident airplane) were not equipped with drag stay units having part number 200261001, 200485001, or 200684001. One tube, part number 200259300, had a change in internal diameter (stepped bore), and the other tube, part number 200485300, had a straight internal bore. AD 97-04-08 required an ultrasonic inspection to determine if the installed tube had a straight or stepped bore. A review of maintenance records revealed that the failed drag stay tube had accumulated 28, 285 total cycles.
Probable cause:
The fatigue failure of the main drag stay tube. A factor is no inspection procedure required.
Final Report:

Crash of a Beechcraft 1900D in Charlotte: 21 killed

Date & Time: Jan 8, 2003 at 0849 LT
Type of aircraft:
Operator:
Registration:
N233YV
Flight Phase:
Survivors:
No
Schedule:
Charlotte - Greenville
MSN:
UE-233
YOM:
1996
Flight number:
US5481
Crew on board:
2
Crew fatalities:
Pax on board:
19
Pax fatalities:
Other fatalities:
Total fatalities:
21
Captain / Total flying hours:
2790
Captain / Total hours on type:
1100.00
Copilot / Total flying hours:
706
Copilot / Total hours on type:
706
Aircraft flight hours:
15003
Aircraft flight cycles:
21332
Circumstances:
On January 8, 2003, about 0847:28 eastern standard time, Air Midwest (doing business as US Airways Express) flight 5481, a Raytheon (Beechcraft) 1900D, N233YV, crashed shortly after takeoff from runway 18R at Charlotte-Douglas International Airport, Charlotte, North Carolina. The 2 flight crewmembers and 19 passengers aboard the airplane were killed, 1 person on the ground received minor injuries, and the airplane was destroyed by impact forces and a post crash fire. Flight 5481 was a regularly scheduled passenger flight to Greenville-Spartanburg International Airport, Greer, South Carolina, and was operating under the provisions of 14 Code of Federal Regulations Part 121 on an instrument flight rules flight plan. Visual meteorological conditions prevailed at the time of the accident.
Probable cause:
The airplane’s loss of pitch control during takeoff. The loss of pitch control resulted from the incorrect rigging of the elevator control system compounded by the airplane’s aft center of gravity, which was substantially aft of the certified aft limit.
Contributing to the cause of the accident was:
1) Air Midwest’s lack of oversight of the work being performed at the Huntington, West Virginia, maintenance station,
2) Air Midwest’s maintenance procedures and documentation,
3) Air Midwest’s weight and balance program at the time of the accident,
4) the Raytheon Aerospace quality assurance inspector’s failure to detect the incorrect rigging of the elevator system,
5) the FAA’s average weight assumptions in its weight and balance program guidance at the time of the accident, and
6) the FAA’s lack of oversight of Air Midwest’s maintenance program and its weight and balance program.
Final Report:

Crash of a Cessna 208B Super Cargomaster in Manteo: 1 killed

Date & Time: Dec 25, 2002 at 0100 LT
Type of aircraft:
Operator:
Registration:
N1122Y
Flight Type:
Survivors:
No
Schedule:
Elizabeth City - Manteo
MSN:
208B-0392
YOM:
1994
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
19091
Captain / Total hours on type:
500.00
Aircraft flight hours:
5229
Circumstances:
At 0029, the pilot contacted Norfolk Approach and stated he was ready for takeoff on runway 01 at Elizabeth City. The controller instructed the pilot to fly runway heading and climb to 3,000 feet. At 0032, the controller advised the pilot that the flight was radar contact and for the pilot to fly heading 160 degrees. At 0034, the Norfolk Approach controller instructed the pilot to contact the FAA Washington Air Route Traffic Control Center. At 0034, the pilot of N1122Y contacted the controller at Washington Center, stating he was coming up on 3,000 feet. The controller acknowledged, and the pilot requested the non-directional beacon (NDB) approach to runway 5 at Dare County Airport, Manteo. At 0036, the controller instructed the pilot to fly heading 145 degrees for Manteo and fly direct to the NDB when he receives the signal. The pilot acknowledged and the controller also asked the pilot if he had the current weather for Manteo. The pilot responded that he did have the current weather. At 0043, the controller cleared the pilot for the NDB runway 5 approach at Manteo and to maintain 2,000 feet until the flight crossed the beacon outbound. The pilot acknowledged. At 0046, the controller informed the pilot that radar contact with the flight was lost and for the pilot to report a cancellation or a downtime on his radio frequency. The pilot acknowledged. At 0057:21, the controller called the pilot and the pilot responded by reporting the flight was procedure turn inbound. No further transmissions were received from the pilot. When the pilot did not report that he was on the ground, and further radio contact could not be established, controllers initiated search and rescue efforts. The wreckage of the airplane was located in the waters of Croatan Sound, about 1.5 miles west of the Dare County Regional Airport about 1000. The pilot was not located in the airplane. The body of the pilot was located in the waters of Croatan Sound on February 11, 2003. Post crash examination of the airplane, flight controls, and engine showed no evidence of precrash failure or malfunction. The propeller separated from the airplane and was not located after the accident. Damage to the mounting bolts for the propeller was consistent with the propeller separating due to impact with the water. Postmortem examination of the pilot showed no findings which could be considered causal to the accident.
Probable cause:
The pilot's continued descent below the minimum descent altitude, for undetermined reasons, while performing a NDB approach, resulting in the airplane crashing into water 1.5 miles from the airport. A factor in the accident was a cloud ceiling below the minimum descent altitude and low visibility.
Final Report: