Crash of a Beechcraft H18 in Morganton: 1 killed

Date & Time: Feb 26, 1992 at 0826 LT
Type of aircraft:
Operator:
Registration:
N347G
Flight Type:
Survivors:
No
Schedule:
Charlotte - Morganton
MSN:
BA-654
YOM:
1963
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
10000
Captain / Total hours on type:
3000.00
Aircraft flight hours:
13506
Circumstances:
The commercial pilot was on a part 135 cargo flight. Since the destination airport had no weather reporting facility, company policy and far 135 required a VFR descent and landing from the MVA. The pilot requested and received clearance for a localizer approach to the airport, although a nearby airport was reporting 400' broken/3 miles with fog. The pilot reported to ATC that he had missed his first approach, and requested a second approach to the same airport. After executing the missed approach, the aircraft impacted mountainous terrain while aligned with the extended centerline of the localizer. Cap personnel reported that the accident site was obscured in clouds at the time of the accident. The investigation revealed that the aircraft descended about 1,500 feet below a minimum altitude on the first approach attempt. Mode c altitude data was lost during the missed approach. Four years earlier, this pilot descended below glidepath on an ILS approach and crashed into trees with weather below approach minimums. The pilot, sole on board, was killed.
Probable cause:
The failure of the pilot to follow far and company procedures, and his failure to maintain proper altitude during the approach. Factors were the mountainous terrain conditions, and the foggy, low ceiling weather conditions existing at the time of the accident.
Final Report:

Crash of a Cessna 401 in Rutherfordton: 1 killed

Date & Time: Aug 1, 1991 at 1435 LT
Type of aircraft:
Registration:
N3298Q
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Rutherfordton - Salisbury
MSN:
401-0098
YOM:
1969
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
1310
Aircraft flight hours:
5975
Circumstances:
The accident occurred during the pilot's second attempt to fly to his destination. According to airport personnel, he did not refuel the airplane after he returned from the first attempt. He had onloaded 43.6 gallons of fuel before departing on the first flight. After departing Rutherfordton on the second flight, the airplane was observed about 400 feet above the ground and 4 miles north of Monroe. One witness reported that the right engine was sputtering as it flew overhead; seconds later, the airplane crashed into a wooded area. A wreckage examination disclosed that the fuel system was empty. No fuel was found in the left engine fuel flow divider. Airport personnel also reported the pilot was not knowledgeable of the aircraft fuel system. According to the owner's manual, the fuel consumption rate for cruise at 75% power was about 16 gallons per hour per engine. The pilot had operated the engines approximately 2 hours 10 minutes before they lost power. The pilot, sole on board, was killed.
Probable cause:
Inadequate preflight by the pilot, which resulted in fuel exhaustion, due to an inadequate supply of fuel. The pilot's lack of familiarity with the aircraft fuel system was a related factor.
Final Report:

Crash of a Beechcraft 60 Duke in Kinston: 3 killed

Date & Time: Apr 1, 1991 at 1326 LT
Type of aircraft:
Registration:
N311MC
Flight Type:
Survivors:
No
Schedule:
Kinston – Stuart
MSN:
P-366
YOM:
1976
Crew on board:
1
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
3
Captain / Total flying hours:
2345
Captain / Total hours on type:
500.00
Circumstances:
During takeoff from runway 22, the pilot reported that he had a problem, then there was no further communication from the aircraft. Several witnesses saw an object fall from the aircraft and one witness observed that a 'hood' had opened. The aircraft was maneuvered onto final approach to runway 36. A witness said that as the aircraft was lining up on final approach, it entered a steep bank and descended out of his sight. Subsequently, it collided with trees in a 27° descent, crashed and burned. A bag from the nose baggage compartment was found near the departure end of runway 22. No preimpact part failure or system malfunction of the aircraft was found. Before the flight, a ramp person observed the pilot servicing the left engine with oil, but he did not know if the pilot had secured the baggage door. An examination of the recovered door assembly failed to disclose a malfunction of the rear latch assembly. The forward latch assembly area was destroyed by fire. All three occupants were killed.
Probable cause:
The pilot diverted his attention and failed to maintain control of the aircraft, while maneuvering for a precautionary landing. Factors related to the accident were: the unsecured baggage compartment door and the pilot's inadequate preflight.
Final Report:

Crash of a Boeing 737-222 in Kinston

Date & Time: Jul 22, 1990 at 1455 LT
Type of aircraft:
Operator:
Registration:
N210US
Flight Phase:
Survivors:
Yes
Schedule:
Kinston - Charlotte
MSN:
19555
YOM:
1968
Crew on board:
5
Crew fatalities:
Pax on board:
22
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
10100
Captain / Total hours on type:
3300.00
Aircraft flight hours:
51264
Circumstances:
As engine power was increased for takeoff, the n°1 engine accelerated beyond target epr. Engine shut down had to be done with the fuel shut off lever. The asymmetric thrust was controlled with nose wheel steering. Before the airplane could be stopped the nose wheels separated from the landing gear. The investigation revealed that the fuel pump output spline to the fuel control had stripped. It occurred at such a time that the fuel control sensed an underspeed and increased Fuel flow. Misalignment of the spline shaft resulted from improper machining during pump modification. The nose gear inner cylinder failed in fatigue in an area of excessive grinding during overhaul. Two passengers were slightly injured.
Probable cause:
Failure of the fuel pump control shaft because of improper machining by the repair facility during maintenance modification of the pump and improper procedures during overhaul of the nose landing gear.
Final Report:

Crash of a GAF Nomad N.24A in Wilmington: 2 killed

Date & Time: May 4, 1990 at 0731 LT
Type of aircraft:
Operator:
Registration:
N418NE
Flight Type:
Survivors:
No
Schedule:
Raleigh - Wilmington
MSN:
89
YOM:
1980
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
2200
Aircraft flight hours:
3590
Circumstances:
During arrival, the pilot made an ILS localizer back course approach to runway 16 and was cleared to land. He reported he was initiating a missed approach. Approximately 10 seconds later, he reported the runway in sight and requested a visual approach to land on runway 34. The pilot was cleared to land and the aircraft was observed to maneuver to the right (west of the runway), then turn back left to a final approach. However, it crashed short of runway 34. An exam of the crash site revealed evidence that the aircraft was in a normal upright attitude on a heading of 340°, when it crashed. Initial impact was with the approach lighting system short of runway 34. A King Air pilot, who landed on runway 16 before the accident, estimated the cloud bases were about 400 feet agl. Minimum descent altitude (MDA) for the back course approach was 460 feet msl. MDA for a circling approach to runway 16 was 550 feet msl. The airport elevation was 32 feet. Both occupants were killed.
Probable cause:
The pilot's failure to maintain sufficient altitude during a circling maneuver for landing. Factors related to the accident were: weather conditions below minimums for a circling approach, and failure of the pilot to follow ifr procedures.
Final Report:

Crash of a Beechcraft C90 King Air in Burlington: 2 killed

Date & Time: Feb 13, 1990 at 1830 LT
Type of aircraft:
Operator:
Registration:
N110LT
Survivors:
No
Schedule:
Teterboro - Burlington
MSN:
LJ-729
YOM:
1977
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
13800
Aircraft flight hours:
5976
Circumstances:
The pilot transmitted on unicom that he was on final for runway 24. Following a double fuel starvation power loss the airplane impacted nose low with trees and terrain about 2.6 miles from runway 24. Last fueling occurred on the previous day at Albermarle, NC, the pilot's primary source of fuel, 50 miles from Burlington. The flight proceeded to Burlington, Teterboro, and was returning to Burlington. Total estimated flight time was 4 hours 32 minutes. Fuel burn was calculated to be 361 gallons. Usable fuel was 384 gallons and 24 gallons were recovered from the right center tank. If the fuel transfer pump does not operate 28 gallons will be unusable. That pump was found in the off position. No fuel spillage occurred at the scene. On 2/8/90 the pilot purchased 361 gallons of fuel for N110LT. Lower fuel prices at the favored location were the pilot's reason for fueling there. Examination of engines, propellers, fuel pumps, and other relative components did not reveal any significant discrepancy. Both occupants were killed.
Probable cause:
The double engine power loss due to fuel starvation, the pilot's failure to follow procedures and directives by not engaging the right fuel transfer pump, and the inadvertent stall during the forced landing approach. A factor was the pilot's failure to refuel before adequate fuel reserves were exhausted.
Final Report:

Crash of a Cessna 550 Citation II in Roxboro: 2 killed

Date & Time: Oct 1, 1989 at 2207 LT
Type of aircraft:
Operator:
Registration:
N53CC
Survivors:
No
Schedule:
Tampa - Roxboro
MSN:
550-0400
YOM:
1981
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
7986
Captain / Total hours on type:
2643.00
Aircraft flight hours:
5111
Circumstances:
During arrival, flight was vectored for NDB runway 06 approach, and advised Raleigh-Durham weather was 500 feet overcast, visibility 3 miles with fog, wind from 140° at 12 knots, altimeter 30.01. After clearance for approach, aircraft crossed final approach fix (faf) at 2,100 feet msl. Radar service was terminated and frequency change was approved. When aircraft did not arrive, search was initiated. The wreckage was found about 2.5 miles southwest of runway 06, where aircraft hit trees and crashed. Elevation of crash site was about 600 feet msl. MDA for approach was 1,160 feet msl (with local altimeter setting; 1,260 feet with Raleigh-Durham setting). Exam revealed aircraft hit trees, while on runway heading in wings level attitude; configured for landing. No preimpact part failure/malfunction was found. Toxicological check of pic's blood showed 0.10 mg/l of diazepam and 0.09 mg/l of nordiazepam. Check of his urine showed metabolite of marijuana (11- nor-delta-9-tetrahydrocannabinol-9-carboxylic acid) at level of 0.117 mg/l. After surgery for malignant lymphoma (feb 89), pic was restored to flight status on 8/9/89 and cleared for pic duty one week later. He continued flying tho he received maintenance chemotherapy and associates noted that he tired easily. Both occupants were killed.
Probable cause:
Impairment of the pilot-in-command (pic) due to drugs/medication, chemotherapy and fatigue; failure of the pic to assure that the IFR (instrument) approach procedure was followed; and his failure to maintain the minimum descent altitude (MDA). Inadequate surveillance of the operation by company/operator/management personnel was a related factor.
Final Report:

Crash of a Lockheed C-130H Hercules at Fort Bragg AFB: 1 killed

Date & Time: Aug 9, 1989 at 1900 LT
Type of aircraft:
Operator:
Registration:
74-1681
Flight Type:
Survivors:
Yes
Schedule:
Fort Bragg AFB - Fort Bragg AFB
MSN:
4654
YOM:
1976
Flight number:
USAF681
Crew on board:
7
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Circumstances:
The four engine aircraft was engaged in a training mission at Fort Bragg AFB. While dropping a M551 Sheridan tank over the Sicily Drop Zone, the tank go stuck with the parachute cables. The airplane became unstable, stalled and crashed. Six crew members were injured while a seventh occupant was killed.

Crash of a Cessna 208B Super Cargomaster in Rockingham County

Date & Time: Jan 11, 1989 at 0728 LT
Type of aircraft:
Operator:
Registration:
N9330B
Flight Type:
Survivors:
Yes
Schedule:
Roanoke - Greensboro
MSN:
208B-0053
YOM:
1987
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
2100
Captain / Total hours on type:
360.00
Aircraft flight hours:
896
Circumstances:
As the pilot was en route to Greensboro (his destination), he flew past Shiloh and noted that weather at the airport was clear, but from about 10 south of Shiloh, ground fog extended to the south. At 0634 est, he contacted Greensboro tower and was advised the RVR was 1,600 feet. His minimums were 1,800 feet. He held for a period of time, but the weather continued to deteriorate, so he diverted to the Rockingham County-Shiloh Airport, where no weather reporting facilities were available. After being vectored over the alternate airport, he was unable to get enough visual cues for a visual approach, so he elected to make an sdf approach. The pilot stated that when he reached the minimum descent altitude (MDA), he saw the runway and proceeded to make a visual approach. As he continued, patchy fog began to obscure the runway, so he maneuvered the aircraft to keep it in site, then elected to go around. However, as he began the go-around, the aircraft hit trees and crashed. Elevation of the crash site was approximately 700 feet. MDA for the approach was 1,120 feet msl.
Probable cause:
Improper IFR procedure by the pilot and his failure to maintain the minimum descent altitude (MDA). Contributing factors were: low ceiling, fog, delayed missed approach by the pilot, and trees.
Occurrence #1: in flight collision with object
Phase of operation: approach - faf/outer marker to threshold (ifr)
Occurrence #1: in flight collision with object
Phase of operation: approach - faf/outer marker to threshold (ifr)
Findings
1. (f) weather condition - low ceiling
2. (f) weather condition - fog
3. (f) missed approach - delayed - pilot in command
4. (c) ifr procedure - improper - pilot in command
5. (f) object - tree(s)
6. (c) minimum descent altitude - not maintained - pilot in command
Final Report:

Crash of a Swearingen SA227AC Metro III in Raleigh: 12 killed

Date & Time: Feb 19, 1988 at 2127 LT
Type of aircraft:
Operator:
Registration:
N622AV
Flight Phase:
Survivors:
No
Schedule:
Raleigh - Richmond
MSN:
AC-622
YOM:
1985
Flight number:
CE3378
Crew on board:
2
Crew fatalities:
Pax on board:
10
Pax fatalities:
Other fatalities:
Total fatalities:
12
Captain / Total flying hours:
3426
Captain / Total hours on type:
1836.00
Copilot / Total flying hours:
2080
Copilot / Total hours on type:
450
Aircraft flight hours:
4222
Circumstances:
The aircraft departed during low ceiling, low visibility, and night conditions. Shortly after takeoff the aircraft impacted a reservoir. Analysis of radar data indicated the aircraft was in a 45° descending turn. Examination of the aircraft trim system showed that the aircraft was trimmed for level flight. There was no voice or flight data recorder on board. A review of ATC communications indicated that the captain was communicating with ATC allowing the first officer to accomplish the flying duties. Examination of the wreckage revealed no indications of powerplant or system failures. However, there was evidence that the sas warning light was illuminated, the sas switch was in the off position, and no sas system malfunction could be found. Witnesses stated that before the flight the captain had complained of illness but he decided to report for duty. Company records showed instances of substandard performance by the first officer. The investigation found company oversight of training, operations, and inadequate faa supervision. All 12 occupants were killed.
Probable cause:
The National Transportation Safety Board determines that the probable cause of this accident was a failure of the flight crew to maintain a proper flightpath. Contributing to the accident were the ineffective management and supervision of flight crew training and flight operations, and ineffective FAA surveillance of AVAir.
Final Report: