Crash of a Beechcraft 1900C in La Paz

Date & Time: Nov 30, 2011 at 1527 LT
Type of aircraft:
Operator:
Registration:
FAB-043
Flight Type:
Survivors:
Yes
Schedule:
Uyuni - La Paz
MSN:
UA-3
YOM:
1983
Country:
Crew on board:
3
Crew fatalities:
Pax on board:
4
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
The twin engine aircraft departed Uyuni-La Joya Andina Airport on a flight to La Paz, carrying four passengers and three crew members. On approach to El Alto Airport, the crew encountered an unexpected situation. The captain decided to attempt an emergency landing in an open field. Upon touchdown, the undercarriage were torn off and the aircraft slid for few dozen metres before coming to rest 6 km from the airport. All seven occupants escaped uninjured while the aircraft was damaged beyond repair.

Crash of a Beechcraft 1900C-1 in Maputo

Date & Time: Dec 3, 2010 at 2340 LT
Type of aircraft:
Operator:
Registration:
C9-AUO
Survivors:
Yes
Schedule:
Nampula - Maputo
MSN:
UC-148
YOM:
1991
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
15
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
The flight from Nampula was uneventful until the approach to Maputo. Due to bad weather conditions at destination, the crew was vectored to a holding pattern. After two circuits, the captain decided to start the descent despite ATC informed him about very poor conditions. At this time, the visibility was reduced due to the night, heavy rain falls, thunderstorm activity with turbulences and lightnings. On final approach to runway 23, the aircraft was too low and impacted ground short of runway in a slight nose-up attitude. Upon impact, the aircraft broke in two and came to rest in a field. All 17 occupants escaped with minor injuries and the aircraft was destroyed.

Crash of a Beechcraft 1900C-1 in Karachi: 21 killed

Date & Time: Nov 5, 2010 at 0706 LT
Type of aircraft:
Operator:
Registration:
AP-BJD
Flight Phase:
Survivors:
No
Schedule:
Karachi - Bhit Shah
MSN:
UC-157
YOM:
1991
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
19
Pax fatalities:
Other fatalities:
Total fatalities:
21
Captain / Total flying hours:
8114
Captain / Total hours on type:
1820.00
Copilot / Total flying hours:
1746
Copilot / Total hours on type:
1338
Aircraft flight hours:
18545
Aircraft flight cycles:
24990
Circumstances:
0C-1 aircraft Reg # AP-BJD was scheduled to fly chartered flight from Jinnah International Airport (JIAP), Karachi to Bhit Shah Oil Fields to convey 17 employees of M/s Eni company including one foreign national from Italy. The flight crew included two cockpit crew ie Captain and First Officer (FO), one JS (Air) ground crew (technician) and one Airport Security Force staff. The Mishap Aircraft (MA) took off from JIAP, Karachi at 02:04:31 UTC. The reported weather was fit for the conduct of ill-fated flight to Bhit Shah Oil Fields. After takeoff aircraft experienced Engine No 2 abnormal operation and cockpit crew decided to land back at JIAP Karachi after calling right hand downwind for runway 25R. While joining for right hand downwind for 25R the mishap aircraft could not sustain flight and crashed at a distance of around 1 nm from runway 07R beginning JIAP, Karachi. All souls (21) onboard got fatally injured as a result of aircraft ground impact and extensive post impact ground fire.
Probable cause:
Detailed investigation and analyses of the examinable evidence confirmed that the aircraft had developed some problem with its Engine No.2 (Right) immediately after takeoff which was observed by the cockpit crew as propeller feathering on its own. No concrete evidence could be found which would have led to the engine’s propeller malfunction as observed. The only probable cause of propeller feathering on its own could be the wear & tear of the beta valve leading to beta system malfunction. However, this anomaly at the most could have led to the non availability of one engine and making a safe landing with a single engine since the aircraft was capable of landing with a single engine operation. Some of the actions by the cockpit crew before takeoff and subsequent to the observed anomaly in the Engine No.2 were not according to the QRH / FCOM which aggravated the situation and resulted into the catastrophic accident.
The following factors contributed to the accident:
The aircraft accident took place as a result of combination of various factors which directly and indirectly contributed towards the causation of accident.
The primary cause of accident includes, inappropriate skill level of Captain to handle abnormal operation of engine No 2 just after takeoff, failure of cockpit crew to raise the landing gears after experiencing the engine anomaly, execution of remedial actions by FO before the attainment of minimum safe altitude of 400 ft AGL resulted in non conformance and non compliance of cockpit crew to OEM recommended procedures to handle such situations.
The lack of situational awareness and CRM failure directly contributed towards ineffective management of the flight deck by the cockpit crew.
The contributory factors include inadequate cockpit crew simulator training monitoring mechanism both at operator and CAA Pakistan levels in respect of correlation of previous / current performance and skill level of cockpit crew during the simulator training sessions along with absence of conduct of recurrent / refresher simulator training between two annual simulator checks in accordance with ICAO Annex-6 guidelines and CAA Pakistan (applicable ANOs) requirements for specific type of aircraft in a year.
Final Report:

Crash of a Beechcraft 1900C-1 off Sand Point: 2 killed

Date & Time: Jan 21, 2010 at 2345 LT
Type of aircraft:
Operator:
Registration:
N112AX
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Sand Point - Anchorage
MSN:
UC-45
YOM:
1988
Flight number:
AER22
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
3700
Captain / Total hours on type:
3080.00
Copilot / Total flying hours:
1000
Copilot / Total hours on type:
280
Aircraft flight hours:
56184
Aircraft flight cycles:
45158
Circumstances:
The crew departed on a commercial cargo flight during dark night, visual meteorological conditions on an instrument flight rules flight plan. The departure end of the runway is adjacent to an ocean bay, and wind gusts up to 26 knots were reported. Local residents north of the airport reported stronger wind, estimated between 50 and 60 knots. A fuel truck operator, who was familiar with the crew’s normal routine, reported that, before the airplane taxied to the runway, it remained on the ramp for 6 or 8 minutes with both engines operating, which he described as very unusual. There were no reports of radio communications with the flight crew after the airplane departed. The airplane crashed about 1 mile offshore, and the fragmented wreckage sank in ocean water. Because of the fragmented nature of the wreckage and ocean current, the complete wreckage was not recovered. The cockpit area forward of the wings was extensively fragmented, thus the validity of any postaccident cockpit and instrument findings was unreliable. Likewise, structural damage to the airframe precluded determining flight control continuity. Both propellers had witness marks consistent with operating under engine power and within their normal operating range. A postaccident examination of the engines and recovered components did not disclose any evidence of a mechanical malfunction. Due to the lack of mechanical deficiencies of the engines and propellers, and the extensive airframe fragmentation consistent with a high-speed water impact, it is likely that the crew had an in-flight loss of control of an unknown origin before impact.
Probable cause:
An in-flight loss of control for an undetermined reason, which resulted in an uncontrolled descent.
Final Report:

Crash of a Beechcraft 1900C-1 near Bukavu: 17 killed

Date & Time: Sep 1, 2008 at 1600 LT
Type of aircraft:
Operator:
Registration:
ZS-OLD
Flight Type:
Survivors:
No
Site:
Schedule:
Kinshasa - Mbandaka - Kisangani - Bukavu - Goma
MSN:
UC-137
YOM:
1900
Location:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
15
Pax fatalities:
Other fatalities:
Total fatalities:
17
Captain / Total flying hours:
2031
Circumstances:
The aircraft departed Kinshasa on a humanitarian flight to Goma with intermediate stops in Mbandaka, Kisangani and Bukavu. While approaching Bukavu-Kamembe Airport, the crew encountered poor visibility due to bad weather conditions. At an altitude of about 10,800 feet, the aircraft struck the slope of Mt Kahuzi located some 15 km northwest of Bukavu. The wreckage was found a day later in a wooded area. All 17 occupants were killed, among them emissaries.
Probable cause:
Controlled flight into terrain after the crew initiated the descent prematurely. The lack of visibility was a contributing factor.

Crash of a Beechcraft 1900C in Billings: 1 killed

Date & Time: May 23, 2008 at 0124 LT
Type of aircraft:
Operator:
Registration:
N195GA
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Billings - Great Falls
MSN:
UB-65
YOM:
1986
Flight number:
AIP5008
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
4770
Captain / Total hours on type:
362.00
Aircraft flight hours:
34651
Circumstances:
About one minute after takeoff on a night Instrument Flight Rules (IFR) contract cargo flight, the tower controller advised the pilot that he was squawking the wrong transponder code. Although the pilot reset the transponder to the correct code, he was advised that he was still squawking the wrong code. He then realized that he had selected the wrong transponder, and then switched to the correct one. During the time the pilot was dealing with this issue, the airplane drifted about 30 degrees right of the assigned heading, but the pilot returned to the correct heading as he was contacting the departure controller. The departure controller cleared him to continue his climb and instructed him to turn left about 120 degrees, which he did. About 40 seconds after initiating his left turn of about 120 degrees, while climbing straight ahead through an altitude about 4,700 feet above ground level (AGL), the pilot was instructed to turn 20 degrees further left. Almost immediately thereafter, the airplane began turning to the right, and then suddenly entered a rapidly descending right turn. The airplane ultimately impacted the terrain in a nearly wings-level nose-down attitude of greater than 45 degrees. At the moment of impact the airplane was on a heading about 220 degrees to the right of the its last stabilized course. The investigation did not find any indication of an airframe, control system, or engine mechanical failure or malfunction that would have precluded normal flight, and no autopsy or toxicological information could be acquired due to the high amount of energy that was released when the airplane impacted the terrain. The determination of the initiating event that led to the uncontrolled descent into the terrain was not able to be determined.
Probable cause:
The pilot's failure to maintain aircraft control during the initial climb for undetermined reasons.
Final Report:

Crash of a Beechcraft 1900C-1 near Rumbek: 21 killed

Date & Time: May 2, 2008 at 1010 LT
Type of aircraft:
Operator:
Registration:
5Y-FLX
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Wau – Rumbek – Juba
MSN:
UC-65
YOM:
1989
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
19
Pax fatalities:
Other fatalities:
Total fatalities:
21
Circumstances:
Chartered by Southern Sudan Air Connection to Flex Air Kenya, the aircraft departed Wau on a special flight to Juba with an intermediate stop in Rumbek, carrying a delegation of the South Sudan Government. While approaching Rumbek, the crew reported engine problems and elected to make an emergency landing when the aircraft crashed in a field located 45 km northwest from Rumbek, bursting into flames. All 21 occupants were killed, among them Justin Yak, personal adviser of the President of South Sudan, Dominic Dim Deng, Ministry of Defense, and 17 military officers.

Crash of a Beechcraft 1900C in Lihue: 1 killed

Date & Time: Jan 14, 2008 at 0508 LT
Type of aircraft:
Operator:
Registration:
N410UB
Flight Type:
Survivors:
No
Schedule:
Honolulu - Lihue
MSN:
UC-070
YOM:
1989
Flight number:
AIP253
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
3098
Captain / Total hours on type:
1480.00
Aircraft flight hours:
19123
Circumstances:
The pilot was flying a night, single-pilot, cargo flight over water between two islands. He had routine contact with air traffic control, and was advised by the controller to maintain 6,000 feet at 0501 hours when the airplane was 11 miles from the destination airport. Two minutes later the flight was cleared for a visual approach to follow a preceding Boeing 737 and advised to switch to the common traffic advisory frequency at the airport. The destination airport was equipped with an air traffic control tower but it was closed overnight. The accident flight's radar-derived flight path showed that the pilot altered his flight course to the west, most likely for spacing from the airplane ahead, and descended into the water as he began a turn back toward the airport. The majority of the wreckage sank in 4,800 feet of water and was not recovered, so examinations and testing could not be performed. As a result, the functionality of the altitude and attitude instruments in the cockpit could not be determined. A performance study showed, however, that the airspeed, pitch, rates of descent, and bank angles of the airplane during the approach were within expected normal ranges, and the pilot did not make any transmissions during the approach that indicated he was having any problems. In fact, another cargo flight crew that landed just prior to the accident airplane and an airport employee reported that the pilot transmitted that he was landing on the active runway, and was 7 miles from landing. Radar data showed that when the airplane was 6.5 miles from the airport, at the location of the last recorded radar return, the radar target's mode C altitude report showed an altitude of minus 100 feet mean sea level. The pilot most likely descended into the ocean because he became spatially disoriented. Although visual meteorological conditions prevailed, no natural horizon and few external visual references were available during the visual approach. This increased the importance of monitoring flight instruments to maintain awareness of the airplane attitude and altitude. The pilot's tasks during the approach, however, included maintaining visual separation from the airplane ahead and lining up with the destination runway. These tasks required visual attention outside the cockpit. These competing tasks probably created shifting visual frames of reference, left the pilot vulnerable to common visual and vestibular illusions, and reduced his awareness of the airplane's attitude, altitude and trajectory.
Probable cause:
The pilot's spatial disorientation and loss of situational awareness. Contributing to the accident were the dark night and the task requirements of simultaneously monitoring the cockpit instruments and the other airplane.
Final Report: