Crash of a Douglas C-47-DL off Guerrero Negro

Date & Time: Dec 20, 1997 at 1440 LT
Registration:
XA-CUC
Flight Phase:
Survivors:
Yes
Schedule:
Guerrero Negro - Isla de Cedros
MSN:
7377
YOM:
1943
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
Shortly after takeoff from Guerrero Negro Airport, while climbing, the aircraft nosed down and crashed in the San Jose estuary, few hundred metres offshore. All five occupants were rescued while the aircraft was damaged beyond repair.

Crash of a Douglas C-47A-1-DL in Boise: 2 killed

Date & Time: Dec 9, 1996 at 1803 LT
Operator:
Registration:
N75142
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Boise – Salt Lake City
MSN:
9173
YOM:
1943
Location:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
15447
Captain / Total hours on type:
5502.00
Aircraft flight hours:
34124
Circumstances:
The DC-3C took off on runway 10L and immediately executed a right turn followed by a left turn back toward the airport declaring a fire aboard. Dark night visual meteorological conditions existed. Witnesses observed 'flames' or an 'orange glow' coming from the right engine. A small number of aluminum fragments identified from the aft edge of the right engine accessory cowling were found along the ground just short of the ground impact site. These fragments displayed signs of heat distress but no significant melting. An examination of the right engine and accessory section revealed no evidence of a preimpact fire, and sooting and metal splatter on the leading edge of the right horizontal stabilizer was minimal. Spectral analysis of radio transmissions revealed no evidence of significant divergence of engine RPM between the two engines. Postcrash propeller examination revealed approximate blade pitch angles of 18-19° and 30-32° for the right and left propellers respectively upon impact. Propeller slash mark dimensions associated with the right propeller resulted in propeller RPM of approximately 1,750 to 2,570 over a range of 68 to 100 knots respectively. The first officer advised the PIC (broadcasting over the tower frequency) 'we're gonna stall' approximately 10 seconds before the impact. The aircraft was in a left turn back toward runways 28 left and right when the right wing struck the ground and the aircraft cartwheeled to a stop. A postcrash fire destroyed the cockpit area and inboard right wing.
Probable cause:
A fire within the right engine compartment of undetermined cause and the pilot-in-command's failure to maintain airspeed above the aircraft's minimum control speed. A factor contributing to the accident was the dark night environmental conditions.
Final Report:

Crash of a Douglas C-47A-70-DL off Den Oever: 32 killed

Date & Time: Sep 25, 1996 at 1637 LT
Operator:
Registration:
PH-DDA
Flight Phase:
Survivors:
No
Schedule:
Texel - Amsterdam
MSN:
19109
YOM:
1943
Country:
Region:
Crew on board:
6
Crew fatalities:
Pax on board:
26
Pax fatalities:
Other fatalities:
Total fatalities:
32
Captain / Total flying hours:
19070
Captain / Total hours on type:
400.00
Copilot / Total flying hours:
20273
Copilot / Total hours on type:
280
Aircraft flight hours:
38388
Circumstances:
The aircraft took off at 14.28 from Texel International Airport for the return flight to Amsterdam-Schiphol Airport. Before take-off the airport manager of Texel International Airport requested the crew of PH-DDA to squawk transponder-code 0060. The take-off was considered normal by several witnesses, including the Airport Manager, without deviations from what they had seen during previous take-offs from Texel. Several witnesses observed the aircraft passing outbound over the east coast of the island of Texel. One witness reported a short-lived orange colored fire streak emanating from the underside of the left engine, another mentioned a shrieking noise on one engine. The weather situation over the Waddenzee was : a visibility of about 1 .5 km in haze without a distinct horizon. The sun was obscured. There was a glassy smooth water surface without any references. At approximately 14.33, the crew reported to Texel Radio that they had problems with an engine. They were advised to switch over to De Kooy Approach. There is no radio telephony (RT) recording available of this phase of the flight. Naval Air Station (NAS) De Kooy is not equipped with primary radar. No primary radar recordings from other sources were available. The aircraft became visible on the secondary radar of NAS De Kooy at 14.34:33, squawking 0060 and flying at an altitude of 800 feet on a heading of 155°, which changed gradually to 175°. Most likely the transponder had been switched on at that time. Refer to the radar plot in Appendix 1. At 14.35:32 the flight crew reported to De Kooy Approach : "Uh, PDA is uh..., at 600 feet and approaching uh..., De Kooy, we want to make an emergency landing on De Kooy". The position of the aircraft at that moment was approximately 11 mn northeast of NAS De Kooy. Shortly thereafter the aircraft made a sudden left turn to a heading of 110°. The aircraft was then at an altitude of 700 feet. The flight crew reported that they had feathered the left engine. De Kooy Approach instructed to set Secondary Surveillance Radar (SSR) code 4321 instead of the then used VFR code 0060, gave QNH and reported that runway 22 was in use ; the pilot did not respond to this message. De Kooy Approach twice repeated the advise to squawk and advised to proceed inbound runway 22. During the transmission of this message the aircraft was turning to approximately the required heading of 225°, at an altitude of 500 feet. The aircraft maintained heading 225° at 500 feet and the airspeed decreased. After several inquiring calls concerning the correct squawk, at 14.36:52 the pilot confirmed squawking 4321 and asked for a heading. Some parts of the radio communication were hindered by a whistle tone. In response to the question, De Kooy Approach requested the position ; the pilot reported 11 nm out to the northeast. Seven seconds later De Kooy Approach confirmed radar contact and advised a heading of 240° . During this conversation the aircraft turned left to a heading of 180°. At that time the altitude was still 500 feet and the airspeed had further decreased. The crew confirmed the advised heading of 240°, but the aircraft did not turn to this direction. This was the last message from the aircraft. The radar recording showed that at 14.37:28 the aircraft started to turn to the left at an increasing rate. At 14.37:47 the last radar echo showed an altitude of 200 feet. The approach controller stated that the aircraft disappeared from the radar screen. There was no reply on repeated calls from De Kooy Approach, upon which the controller initiated an emergency status. The aircraft crashed onto a flooded sand bank in the Waddenzee, where at that time the water had a depth of about 1.2 meter. Forty seconds after the aircraft had disappeared from the radar, the controller contacted a KLM ERA helicopter, approaching NAS De Kooy, informed the pilot of the situation with the PHDDA and requested the pilot to have a look at the approximate position ; about seven minutes later the helicopter reported the wreckage in sight. That started an extensive rescue action; one severely injured passenger was taken to a hospital by a Naval helicopter, but died the same evening. The other 31 occupants to all probability died instantaneously in the crash. There was no fire.
Probable cause:
The accident was initiated by a combined failure of the left engine and the left feathering system. The accident became inevitable when the flight crew allowed the speed to decrease below stall speed and lost control of the aircraft at an altitude from which recovery was not possible.
The following contributing factors were reported:
- Serious degradation of controllability and performance.
- A high work load imposed on the flight crew by the multiple failure, further increased by unfavourable flight conditions and a suboptimal cockpit lay-out.
- The inadequate level of skill and experience of the flight crew on the DC-3 to be able to cope with this specific emergency situation.
Final Report:

Crash of a Douglas C-47B-20-DK in Villavicencio

Date & Time: Mar 30, 1996 at 0835 LT
Registration:
HK-2497
Survivors:
Yes
Schedule:
Villavicencio - La Macarena
MSN:
15634/27079
YOM:
1945
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
18
Pax fatalities:
Other fatalities:
Total fatalities:
0
Copilot / Total flying hours:
2107
Copilot / Total hours on type:
353
Aircraft flight hours:
20486
Circumstances:
After takeoff from Villavicencio-La Vanguardia Airport, while climbing to an altitude of 1,900 feet, the captain reported severe vibrations with the left engine and was cleared to return. The crew shut down the left engine and started the approach to runway 22. But on final, he realized he could reach the airport so he completed a belly landing one km short of runway threshold. The aircraft came to rest in a field and was damaged beyond repair. All 20 occupants escaped uninjured.
Probable cause:
It was determined that the vibrations and the subsequent failure of the left engine was the consequence of a bad adjustment of the intake valves on cylinders n°8 and 9, which remained stuck in open position, causing high temperature and a loss of power.
Final Report:

Crash of a Douglas C-47B-1-DL in Vancouver: 1 killed

Date & Time: Aug 19, 1995 at 0906 LT
Operator:
Registration:
C-GZOF
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Vancouver – Whitehorse
MSN:
20833
YOM:
1944
Country:
Crew on board:
3
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Circumstances:
The DC-3 aircraft, with the captain, first officer, and an apprentice aircraft maintenance engineer on board, was to be ferried from Vancouver, British Columbia, to Whitehorse, Yukon. Just after take-off from runway 08, as the first officer was setting the engine power, the right propeller began to over-speed. The captain told the first officer to shut down and feather the right engine. The first officer did as instructed, and advised the Vancouver tower controller of the engine problem and that they would return to the airport to land on runway 08. The captain turned the aircraft to the right, onto downwind for runway 08; however, because the aircraft's altitude and airspeed were decreasing, the first officer advised the tower controller that they would land on runway 30. The aircraft continued to lose height, narrowly avoiding buildings in its path, and crashed to the ground, one mile short of runway 30. The three occupants were seriously injured during the impact and the post-crash fire; the captain died of his injuries eight days after the accident.
Probable cause:
The aircraft's right engine oil system malfunctioned for reasons that were not determined, and the right propeller did not completely feather during the emergency shutdown. The aircraft was unable to maintain flight because of the drag generated by the windmilling right propeller.

Crash of a Douglas C-47A-75-DL in Independence: 1 killed

Date & Time: Jul 19, 1995 at 1050 LT
Registration:
N54NA
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Elmira - Kansas City
MSN:
19475
YOM:
1944
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
12534
Captain / Total hours on type:
2865.00
Aircraft flight hours:
16700
Circumstances:
The new owner/co-pilot of the 50-year-old airplane and another pilot, who was typed rated in the airplane, departed on a 1,700 mile ferry flight. After the first 250 mile leg, the airplane was landed at another airport with a right engine problem. The owner replaced the right engine and continued the ferry flight. Twenty minutes into the second flight, the replacement right engine lost power. The owner stated that they applied maximum power to the left engine, were unable to feather the right propeller, and performed a forced landing to a field. However, the airplane collided with trees before reaching the field, then burned after impact. Investigation revealed that during the past 5 years, the airplane had neither flown nor had an annual inspection, except for 3 recent maintenance flights, totaling 1.5 Hours. The right propeller blades had chordwise scratches. The left propeller blades had no chordwise scratches. Examination of the wreckage revealed three propeller strikes in the ground, near the right engine ground scar, and no propeller strikes in the ground, near the left engine ground scar. The right engine mixture was locked in the auto-cruise position, while the left was locked in the emergency position. Airplane charts listed the single-engine rate of climb with a feathered propeller to be 350 feet per minute, and 10 feet per minute with a windmilling propeller.
Probable cause:
The loss of engine power for undetermined reasons, and the pilot's shutdown of the wrong engine, which resulted in a forced landing and collision with trees.
Final Report:

Crash of a Douglas C-47A-80-DL in Antananarivo: 36 killed

Date & Time: Jul 18, 1995
Registration:
5R-MMG
Flight Type:
Survivors:
No
Schedule:
Maintirano - Antananarivo
MSN:
19525
YOM:
1944
Country:
Region:
Crew on board:
6
Crew fatalities:
Pax on board:
30
Pax fatalities:
Other fatalities:
Total fatalities:
36
Circumstances:
On final approach to Antananarivo-Ivato Airport, the aircraft suffered a double engine failure, stalled and crashed 500 metres short of runway 11 threshold. Two passengers were seriously injured while 34 other occupants were killed. The day after the accident, both survivors died from their injuries. All occupants, except the military crew, were doctors, dentists and nurses coming from the island of La Réunion. There were returning to Antananarivo after taking part to a humanitarian mission at Maintirano. The aircraft had the dual registration 5R-MMG (civil) and 525 (military).
Probable cause:
Double engine failure on approach, possibly due to fuel exhaustion.

Crash of a Douglas C-47B-DL in Lake Manitou

Date & Time: Mar 12, 1995
Operator:
Registration:
C-FDTT
Flight Type:
Survivors:
Yes
Schedule:
Mingan - Lake Manitou
MSN:
14170/25615
YOM:
1944
Country:
Crew on board:
3
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
Upon landing, one of the ski struck an ice ridge on the ground and cartwheeled. All three crew members escaped uninjured and the aircraft was damaged beyond repair.

Crash of a Douglas C-47B-DK in Puerto la Victoria

Date & Time: Nov 24, 1994
Operator:
Registration:
2028
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Puerto la Victoria - Asunción
MSN:
16667/33415
YOM:
1945
Country:
Crew on board:
3
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
During the takeoff roll, the aircraft deviated to the left then veered off runway and came to rest. All three crew members escaped uninjured while the aircraft was damaged beyond repair.

Crash of a Douglas C-47D in Bahía Negra: 1 killed

Date & Time: Sep 26, 1994
Operator:
Registration:
2009
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Bahía Negra – Asunción
MSN:
17079/34346
YOM:
1945
Country:
Crew on board:
4
Crew fatalities:
Pax on board:
25
Pax fatalities:
Other fatalities:
Total fatalities:
1
Circumstances:
Shortly after liftoff, one of the engine failed. The aircraft lost height and crashed near the runway end. All occupants evacuated safely except the captain who was killed by the propellers of the left engine that detached and penetrated the cockpit.
Probable cause:
Engine failure for unknown reasons.