Crash of a Piper PA-31-350 Navajo Chieftain in Palwaukee: 3 killed

Date & Time: Nov 28, 2011 at 2250 LT
Registration:
N59773
Flight Type:
Survivors:
Yes
Schedule:
Jesup - Chicago
MSN:
31-7652044
YOM:
1976
Crew on board:
2
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
3
Captain / Total flying hours:
6607
Captain / Total hours on type:
120.00
Copilot / Total flying hours:
314
Aircraft flight hours:
17630
Circumstances:
The airplane was dispatched on an emergency medical services flight. While being vectored for an instrument approach, the pilot declared an emergency and reported that the airplane was out of fuel. He said the airplane lost engine power and that he was heading toward the destination airport. The airplane descended through clouds and impacted trees and terrain short of its destination. No preimpact anomalies were found during a postaccident examination. The postaccident examination revealed about 1.5 ounces of a liquid consistent with avgas within the airplane fuel system. Based on the three previous flight legs and refueling receipts, postaccident calculations indicated that the airplane was consuming fuel at a higher rate than referenced in the airplane flight manual. Based on this consumption rate, the airplane did not have enough fuel to reach the destination airport; however, a 20-knot tailwind was predicted, so it is likely that the pilot was relying on this to help the airplane reach the airport. Regardless, he would have been flying with less than the 45-minute fuel reserve that is required for an instrument flight rules flight. The pilot failed to recognize and compensate for the airplane’s high fuel consumption rate during the accident flight. It is likely that had the pilot monitored the gauges and the consumption rate for the flight he would have determined that he did not have adequate fuel to complete the flight. Toxicology tests showed the pilot had tetrahydrocannabinol and tetrahydrocannabinol carboxylic acid (marijuana) in his system; however, the level of impairment could not be determined based on the information available. However, marijuana use can impair the ability to concentrate and maintain vigilance and can distort the perception of time and distance. As a professional pilot, the use of marijuana prior to the flight raises questions about the pilot’s decision-making. The investigation also identified several issues that were not causal to the accident but nevertheless raised concerns about the company’s operational control of the flight. The operator had instituted a fuel log, but it was not regularly monitored. The recovered load manifest showed the pilot had been on duty for more than 15 hours, which exceeded the maximum of 14 hours for a regularly assigned duty period per 14 Code of Federal Regulations Part 135. The operator stated that it was aware of the pilot’s two driving while under the influence of alcohol convictions, but the operator did not request a background report on the pilot before he was hired. Further, the operator did not list the pilot-rated passenger as a member of the flight crew, yet he had flown previous positioning legs on the dispatched EMS mission as the pilot-in-command.
Probable cause:
The pilot's inadequate preflight planning and in-flight decision-making, which resulted in a loss of engine power due to fuel exhaustion during approach. Contributing to the accident was the pilot's decision to operate an airplane after using illicit drugs.
Final Report:

Crash of a Mitsubishi MU-2B-20 Marquise in Denver

Date & Time: Oct 12, 1986 at 1051 LT
Type of aircraft:
Registration:
N3MU
Flight Type:
Survivors:
Yes
Schedule:
Grand Junction – Denver – Chicago
MSN:
143
YOM:
1969
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
4186
Captain / Total hours on type:
38.00
Aircraft flight hours:
5780
Circumstances:
Aircraft had been repossessed and was being ferried from Grand Junction, CO, to Chicago, IL, with en route stop at Denver, CO. After takeoff from Denver, landing gear would not retract. Pilot made several attempts without success. He elected to return to Denver. Pilot said that on final approach the right engine began surging and the left engine would not increase power. Aircraft made hard landing on runway, breaking left wing. Investigation revealed both speed levers would not function because engine prop governors and underspeed fuel governor reset arms, splined onto underspeed fuel governor shafts, were positioned on opposite side of speed lever actuating arms. Landing gear functioned normally during swing tests. It was later learned that right main tire had blown on takeoff 3 days earlier and required repair. Maintenance personnel opened the landing gear circuit breakers to preclude inadvertent gear retraction. Pilot said he checked circuit breakers when gear failed to retract. Both occupants escaped uninjured.
Probable cause:
Occurrence #1: airframe/component/system failure/malfunction
Phase of operation: takeoff - initial climb
Findings
1. (f) electrical system,circuit breaker - not engaged
2. (f) maintenance - inadequate - company maintenance personnel
3. (c) aircraft preflight - inadequate - pilot in command
4. (f) lack of familiarity with aircraft - pilot in command
5. (f) landing gear - inoperative
6. Gear retraction - attempted - pilot in command
7. (f) lack of familiarity with aircraft - copilot/second pilot
8. (c) electrical system, circuit breaker - open
9. (f) landing gear, gear indicating system - false indication
----------
Occurrence #2: loss of engine power (partial) - nonmechanical
Phase of operation: approach - vfr pattern - final approach
Findings
10. Precautionary landing - performed - pilot in command
11. (c) checklist - not followed - pilot in command
12. (c) propeller governor control, linkage - incorrect
13. (c) maintenance - not corrected - company maintenance personnel
14. (c) maintenance, service of aircraft/equipment - inadequate - other maintenance personnel
----------
Occurrence #3: hard landing
Phase of operation: landing - flare/touchdown
Findings
15. (c) airspeed (vref) - below - pilot in command
16. (c) diverted attention - pilot in command
17. (c) stall - inadvertent - pilot in command
Final Report:

Crash of a Mitsubishi MU-2B-60 Marquise in Eola: 5 killed

Date & Time: Mar 5, 1986 at 1706 LT
Type of aircraft:
Operator:
Registration:
N513DC
Flight Phase:
Survivors:
No
Schedule:
Chicago – DuPage
MSN:
321
YOM:
1975
Location:
Crew on board:
2
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
5
Captain / Total flying hours:
4590
Captain / Total hours on type:
180.00
Circumstances:
Evidence shows copilot called, 'mayday, uncontrolled spin' after aIRCRAFT radar track showed decelERATION from 180 to 120 kNOts over 2 minUTES period while maintaining constant 4,000 feet cruise altitude. Constant altitude consistent with autopilot/autotrim use, particularly in view of reported turbulence/icing. Elevator trim found at approx 13° nose up. No evidence found of preimpact failure or malfunction in aircraft powerplants, structure or systems. Evidence suggests scenario of crew inattention after power reduction with autopilot altitude setting. On power application, aircraft pitched up from slow speed into uncontrolled flight. Duty day at time of mishap approaching 11 hours. All five occupants were killed.
Probable cause:
Occurrence #1: loss of control - in flight
Phase of operation: cruise
Findings
1. (c) aircraft handling - not maintained - pilot in command
2. (f) fatigue (flight and ground schedule) - pilot in command
3. (f) throttle/power control - improper use of - pilot in command
4. (f) trim setting - improper - pilot in command
5. (f) weather condition - icing conditions
6. (f) weather condition - turbulence
7. Stall/spin
Final Report:

Crash of a Boeing KC-135A-BN Stratotanker in Greenwood: 27 killed

Date & Time: Mar 19, 1982 at 2110 LT
Type of aircraft:
Operator:
Registration:
58-0031
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Sawyer - Chicago
MSN:
17776/246
YOM:
1959
Crew on board:
4
Crew fatalities:
Pax on board:
23
Pax fatalities:
Other fatalities:
Total fatalities:
27
Aircraft flight hours:
9249
Circumstances:
The four engine airplane departed Kenneth Ingalls Sawyer AFB on a flight to Chicago-O'Hare Airport, carrying 23 passengers and a crew of four. After being cleared to descend from 22,000 feet to 8,000 feet, the crew reduced his speed when at an altitude of 13,700 feet, at a speed of 313 knots, the airplane suffered an in-flight explosion. Both wings detached, all four engines separated as well as the stabs and out of control, the airplane dove into the ground and crashed in an open field located in Greenwood, about 37 miles northwest of Chicago Airport. The aircraft was totally destroyed and all 27 occupants were killed.
Probable cause:
The exact cause of the accident could not be determined with certainty. Considered as 'most probable' was an over-pressurization under the cargo floor, an area that houses fuel and other potential sources of ignition. An explosion caused by the ignition of accumulated combustible vapors occurring in that area could, in fact, rapidly propagate to adjacent areas where fuel is present. There was also 'strong evidence' of explosive over-pressures in the forward, aft and upper fuel tank areas. Significantly, investigation showed that were the walls or fittings of the rubber bladder cells containing the volatile liquid to fail, fuel or vapor could be released into the tank cavity and in turn migrate to other part of the aircraft.

Crash of a Beechcraft E90 King Air off Michigan City: 4 killed

Date & Time: Dec 7, 1980 at 1647 LT
Type of aircraft:
Registration:
N2181L
Survivors:
No
Schedule:
Chicago - Michigan City
MSN:
LW-181
YOM:
1976
Crew on board:
1
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
4
Captain / Total flying hours:
8700
Captain / Total hours on type:
1132.00
Circumstances:
While approaching Michigan City on a taxi flight from Chicago, the twin engine airplane went out of control and crashed into Lake Michigan few miles off shore. The aircraft was destroyed and all four occupants were killed.
Probable cause:
Loss of control on final approach due to inadequate maintenance and inspection. The following contributing factors were reported:
- Flight control surfaces: elevator assembly, attachments,
- Binding,
- Loose, part/fitting, missing
- Improper IFR operation,
- Low ceiling,
- Fog,
- Visibility half a mile or less,
- Pivot bolt, P/N AN4-23A found on floor of fuselage,
- Washer and nut missing,
- Destination altimeter setting not obtained.
Final Report:

Crash of a Cessna 207 Skywagon in Cedar Rapids: 2 killed

Date & Time: Oct 16, 1980 at 0135 LT
Registration:
N91026
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Cedar Rapids - Chicago
MSN:
207-0017
YOM:
1969
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
2910
Circumstances:
Few minutes after takeoff from Cedar Rapids, while cruising by night in marginal weather conditions, the single engine airplane entered an uncontrolled descent and crashed. Both occupants were killed.
Probable cause:
Uncontrolled descent and subsequent crash after the pilot suffered a spatial disorientation. The following contributing factors were reported:
- Physical impairment,
- Alcoholic impairment of efficiency and judgment,
- Low ceiling,
- Fog,
- Visibility half a mile or less,
- Pilot's blood alcohol level 1,06‰.
Final Report:

Crash of a Mitsubishi MU-2-40 Solitaire off New Orleans: 7 killed

Date & Time: Feb 23, 1980 at 1118 LT
Type of aircraft:
Operator:
Registration:
N962MA
Survivors:
No
Schedule:
Chicago - New Orleans
MSN:
401
YOM:
1979
Crew on board:
1
Crew fatalities:
Pax on board:
6
Pax fatalities:
Other fatalities:
Total fatalities:
7
Captain / Total flying hours:
10000
Captain / Total hours on type:
2500.00
Circumstances:
The approach to New Orleans-Lakefront Airport was completed in limited visibility due to low ceiling and foggy conditions. The twin engine airplane struck the water surface and crashed into Lake Pontchartrain. The wreckage was found about 400 yards to the left of the localizer and all seven occupants were killed.
Probable cause:
Controlled collision with water on final approach due to improper IFR operation. The following contributing factors were reported:
- Low ceiling,
- Fog,
- Visibility 1/4 mile or less,
- Weather conditions below minimums.
Final Report:

Crash of a Beechcraft 99 Airliner off Chicago: 2 killed

Date & Time: Jun 9, 1979 at 1451 LT
Type of aircraft:
Operator:
Registration:
N454SA
Flight Type:
Survivors:
No
Schedule:
Chicago - Chicago
MSN:
U-54
YOM:
1968
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
2195
Captain / Total hours on type:
300.00
Circumstances:
The pilot was completing a positioning flight to Chicago-Merrill C. Meigs Airport and while descending, he encountered poor weather conditions with low ceiling, fog and limited visibility. He lost control of the airplane that crashed into Lake Michigan. Few debris were found while the main wreckage was not recovered. Both occupants were presumed dead.
Probable cause:
Loss of control on final approach after the pilot suffered a spatial disorientation. The following contributing factors were reported:
- Initiated flight in adverse weather conditions,
- Low ceiling,
- Fog,
- Visibility limited to one mile or less.
Final Report:

Crash of a Beechcraft 65-80 Queen Air in Palwaukee: 1 killed

Date & Time: Mar 29, 1979 at 1745 LT
Type of aircraft:
Operator:
Registration:
N723Q
Survivors:
No
Schedule:
Wheeling - Chicago
MSN:
LD-112
YOM:
1963
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
8000
Circumstances:
After takeoff from Wheeling-Palwaukee Airport, while climbing, the pilot declared an emergency after an explosion on the left engine. He was cleared to return for an emergency landing and continued the approach when, upon touchdown, the airplane went out of control and crashed in flames. The pilot, sole on board, was killed.
Probable cause:
Failure of the left engine during climb due to master and connecting rods failure. The following contributing factors were reported:
- Fire and explosion in flight,
- Material failure,
- Leak,
- Fire in engine,
- Complete engine failure,
- N°5 connecting rod,
- Hole in oil sump,
- Left wing and left main gear failed on landing.
Final Report:

Crash of a Douglas C-47A-20-DK in Des Moines

Date & Time: Dec 2, 1978 at 1313 LT
Operator:
Registration:
N41447
Flight Type:
Survivors:
Yes
Schedule:
Chicago - Des Moines
MSN:
12987
YOM:
1944
Location:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
On final approach, the crew failed to realize his altitude was too low when the airplane struck an embankment located 300 feet short of runway 03 threshold. Upon impact, the undercarriage were torn off, the airplane nosed down and crashed. Both pilots were injured and the aircraft was damaged beyond repair.
Probable cause:
Collision with a dirt bank on final approach after the crew misjudged distance and altitude. The following contributing factors were reported:
- Airframe ice,
- Windshield covered by ice,
- Icing conditions including sleet, freezing rain,
- Visibility two miles or less,
- Wind gusting 20 knots.
Final Report: