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Crash of a Beechcraft C99 Airliner in Butte: 2 killed

Date & Time: Mar 18, 2006 at 1455 LT
Type of aircraft:
Operator:
Registration:
N54RP
Flight Type:
Survivors:
No
Schedule:
Helena - Butte
MSN:
U-218
YOM:
1983
Flight number:
AMF2591
Location:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
5219
Captain / Total hours on type:
2616.00
Aircraft flight hours:
22169
Aircraft flight cycles:
35539
Circumstances:
The cargo flight collided with mountainous terrain in controlled flight while executing an instrument approach procedure. Two pilots were aboard; the company's training and check captain/pilot-in-command in the right seat, and a newly hired commercial pilot in left seat, who was in training for captain The flight had been cleared for the VOR or GPS-B approach via the 7 DME arc. According to the approach plate, the transition to the approach is via a DME arc at 9,000 feet with no procedure turn. The flight is to track inbound on the 127 degree radial, descending down to, but no lower than, 7,700 feet to the initial approach fix (IAF). After crossing the IAF, the flight is to turn to 097 degrees for 10 nautical miles and descend to 6,900 feet. The remainder of the 1.5 nautical miles to the runway is to be flown under visual conditions. Documentation of the accident site indicated that the aircraft collided with trees and subsequently the mountainous terrain on a heading of approximately 127 degrees and about 6,900 feet mean sea level. The initial impact point was located approximately nine nautical miles on a magnetic bearing of 130 degrees from the IAF. Documentation of the horizontal situation indicator (HSI) on the left side instrument panel indicated that the course arrow was positioned to approximately 127 degrees, the inbound heading to the IAF. The copilot (right side) course arrow was positioned to 115 degrees. The location of the wreckage and the 127 degree heading on the HSI indicate that the pilots failed to follow the approach procedure and turn to a heading of 097 degrees after crossing the IAF. Instrument meteorological conditions were reported in the area consisting of icing conditions, heavy snow fall, with poor visibility and mountain obscuration. No pre-impact mechanical malfunctions or failures were identified.
Probable cause:
The second pilot's failure to follow the published instrument approach procedure and the captain/PIC's inadequate supervision. Snow and mountain obscuration were factors.
Final Report:

Crash of a Rockwell Grand Commander 680FL in Helena: 1 killed

Date & Time: Jun 16, 1998 at 1800 LT
Operator:
Registration:
N446JR
Flight Type:
Survivors:
No
Schedule:
Kalispell - Helena
MSN:
680-1325-10
YOM:
1963
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
1506
Captain / Total hours on type:
344.00
Aircraft flight hours:
17972
Circumstances:
The pilot of the Part 135 cargo flight was executing the 'full' ILS runway 27 approach at Helena Regional Airport in a non-radar environment. Although the approach calls for the pilot to maintain 7,000 feet until intercepting the glideslope, the aircraft impacted the terrain at 5,300 about 1.5 miles prior to reaching the point where the pilot should have crossed the Hauser NDB at an altitude of 6,741 feet. According to the approach plate, the aircraft should not have descended to an altitude below 5,400 feet until reaching the outer marker, which is located about five and one-half miles west of the impact site.
Probable cause:
The pilot's failure to maintain the correct altitude while turning inbound during a procedure turn to the ILS final approach course. Factors include hilly/mountainous terrain and clouds in the area where the course reversal was performed.
Final Report:

Crash of a Cessna 421A Golden Eagle I in Helena: 3 killed

Date & Time: Feb 3, 1988 at 2000 LT
Type of aircraft:
Registration:
N517S
Survivors:
No
Schedule:
Missoula - Helena
MSN:
421A-0002
YOM:
1967
Location:
Crew on board:
2
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
3
Captain / Total flying hours:
4900
Captain / Total hours on type:
119.00
Aircraft flight hours:
4758
Circumstances:
This accident occurred during a night, ILS approach to runway 27 in IMC. The aircraft collided with a mountain 12 nm east-southeast of the airport while turning inbound to intercept the localizer course. Investigation revealed that one VOR receiver was set on the destination ILS frequency, the second VOR was set on an en route VOR 51 nm west of the destination airport, and the DME radio, a separate transceiver, was set on the destination DME transmitter. The frequencies of the en route VOR and the destination VOR were 117.1 and 117.7, respectively. The outbound course for the ILS approach procedure was 088° and the accident site was located on the 088 radial of the en route VOR. Investigation also revealed that the pic was occupying the right front seat and an experienced pilot who was not current in this aircraft was occupying the left seat. The second VOR receiver control head was located in the lower right portion of the instrument panel, in a location where the selected frequency was difficult to read. All three occupants were killed.
Probable cause:
Occurrence #1: in flight collision with terrain/water
Phase of operation: approach - iaf to faf/outer marker (ifr)
Findings
1. Terrain condition - mountainous/hilly
2. (f) light condition - dark night
3. (c) ifr procedure - improper - pilot in command
4. (c) navigation receiver - improper use of - pilot in command
Final Report:

Crash of a Cessna 421C Golden Eagle III in Butte: 1 killed

Date & Time: Nov 6, 1986 at 0436 LT
Operator:
Registration:
N421AR
Flight Type:
Survivors:
No
Schedule:
Helena - Butte
MSN:
421C-0254
YOM:
1977
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
4000
Aircraft flight hours:
2890
Circumstances:
Pilot was attempting the VOR-B instrument approach to Butte, MT Airport. Pilot reported over the Coppertown vortac inbound on the airport. The procedure turn inbound course to the vortac is 124°. The inbound course to the airport is 094°. The aircraft wreckage was found on the 124° radial 5 miles southwest of the airport. The wind was reported to be 340° at 9 knots. The VOR-B approach terminates at runway 11. Runway 33 is 9,000 feet long and equipped with mirl's and reil's. The pilot, sole on board, was killed.
Probable cause:
Occurrence #1: in flight encounter with weather
Phase of operation: approach
Findings
1. (f) weather condition - low ceiling
2. (c) in-flight planning/decision - poor - pilot in command
3. (f) weather condition - snow
4. (c) ifr procedure - not followed - pilot in command
----------
Occurrence #2: in flight collision with terrain/water
Phase of operation: approach
Findings
5. (f) terrain condition - mountainous/hilly
6. (c) altitude - improper - pilot in command
7. (c) clearance - not possible - pilot in command
8. (f) visual/aural perception - pilot in command
Final Report:

Crash of a Swearingen SA226AT Merlin IV in Billings: 1 killed

Date & Time: May 7, 1986 at 2345 LT
Registration:
N577KA
Flight Type:
Survivors:
No
Schedule:
Helena - Billings
MSN:
AT-008
YOM:
1972
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Aircraft flight hours:
2950
Circumstances:
While on an IFR flight plan in IMC, the pilot executed a missed approach after flying a localizer back course 27 approach. During a subsequent ILS runway 09L approach, radio and radar contact with the aircraft were lost. The aircraft wreckage was located on the inbound approach course 1/2 mile east of the Saige locator outer marker. The aircraft was destroyed by impact forces and a post impact fire. The autopsy and medical history of the pilot led to a conclusion that he was incapacitated at the time of impact. The pilots flight time was not reported and his logs were not located. The pilot, sole on board, was killed.
Probable cause:
Occurrence #1: loss of control - in flight
Phase of operation: approach - faf/outer marker to threshold (ifr)
----------
Occurrence #2: in flight collision with terrain/water
Phase of operation: approach - faf/outer marker to threshold (ifr)
Findings
1. (c) physical impairment (other cardiovascular) - pilot in command
Final Report:

Crash of a Rockwell Aero Commander 500B in Great Falls: 1 killed

Date & Time: Sep 6, 1978 at 0251 LT
Operator:
Registration:
N6112X
Flight Type:
Survivors:
No
Schedule:
Helena - Great Falls
MSN:
500-963-18
YOM:
1960
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
3166
Captain / Total hours on type:
650.00
Circumstances:
The pilot, sole on board, was completing a night cargo flight from Helena to Great Falls. On approach, he encountered poor weather conditions when the airplane struck the ground and crashed few miles short of runway threshold. The aircraft was destroyed and the pilot was killed. At the time of the accident, weather conditions were below minimums.
Probable cause:
Controlled collision with ground on final approach due to improper IFR operation. The following contributing factors were reported:
- Fog,
- Visibility half a mile or less,
- Failed to establish on approach certification specification,
- Excessive approach speed,
- Excessive descent rate,
- Descended below minimums.
Final Report:

Crash of a Douglas C-47A-75-DL Skytrain near Helena: 6 killed

Date & Time: Jan 26, 1962 at 1530 LT
Operator:
Registration:
42-100861
Flight Phase:
Flight Type:
Survivors:
No
Site:
Schedule:
Helena – Cut Bank
MSN:
19324
YOM:
1943
Crew on board:
3
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
6
Circumstances:
On behalf of the Montana Air National Guard, the aircraft departed Helena Airport bound for Cut Bank, carrying a crew of three and three members of the Montana Government who were en route to a speaking engagement. Weather conditions worsened and the crew encountered heavy winds and snow falls. Control was lost and the airplane crashed in the Wolf Creek Canyon located about 25 miles north of Helena. The aircraft was destroyed and all six occupants were killed.
Crew:
Maj Clifford Hanson, pilot,
Maj Joseph Devine, copilot,
M/Sgt Charles Ballard, mechanic.
Passengers:
Donald Grant Nutter, Governor of Montana,
Dennis Gordon, executive secretary,
Edward Wren, commissioner of agriculture.
Probable cause:
Winds exceeding 100 mph sheared off one of the wings of the plane, causing it to crash in Wolf Creek Canyon north of Helena.

Crash of a Martin 202 in Butte: 21 killed

Date & Time: Nov 7, 1950 at 0815 LT
Type of aircraft:
Operator:
Registration:
N93040
Survivors:
No
Schedule:
Chicago – Minneapolis – Billings – Great Falls – Helena – Butte – Seattle
MSN:
9161
YOM:
1947
Flight number:
NW115
Location:
Crew on board:
4
Crew fatalities:
Pax on board:
17
Pax fatalities:
Other fatalities:
Total fatalities:
21
Captain / Total flying hours:
8291
Captain / Total hours on type:
610.00
Copilot / Total flying hours:
2873
Copilot / Total hours on type:
80
Aircraft flight hours:
6166
Circumstances:
The flight left Helena at 0753LT, using Runway 29. The flight plan, amended before takeoff, specified an altitude of 10,500 feet MSL under instrument flight rules via Amber Airway number 2 to the Whitehall (Montana) Range Station and from there to the Butte Airport via Red Airway number 2. Also, before taking off, the pilot asked the Helena Tower if the Homestake Fan normally and was informed that Butte Radio advised that it was. Following takeoff from Runway 29, the aircraft was flown in a climbing right turn so that it passed approximately over the Station as it headed south toward the Whitehall Range Station. At 0801 the flight reported to Helena that it had reached its cruising altitude. This message was acknowledged. The next message from the flight was to Butte at 0814 stating that it was over Whitehall (Range Station) at 0811 and starting descent. Butte acknowledged this message, gave that flight the station altimeter setting of 29.97, advised that the wind was south, calm, and that the Weather Bureau advised what the ceiling was lower to the east and north and better to the south and southwest. Flight 115 replied that it had vertical visibility at 10,500 feet. This was the last radio contact with the flight. A search was instituted after several futile attempts to contact the aircraft. On the following morning, the wreckage was sighted from a local search aircraft at about 0900. Ground parties immediately started for the crash site. All debris were found in a snow covered wooded area and all 21 occupants were killed.
Probable cause:
The Board determines that the probable cause of this accident was the failure of the captain to conduct the flight in accordance with the proscribed approach procedure. The following findings were reported:
- The pilot failed to follows the carrier's prescribed number 2 instrument approach procedure to the Butte Airport, which procedure is approved by the Civil Aeronautics Administration,
- The aircraft struck a mountain at about the 8,250-foot level, while on a heading of approximately 290 degrees magnetic,
- The accident occurred during a local snowstorm and under conditions of variable ceiling and visibility.
Final Report:

Crash of a Waco YKC near Glendo: 3 killed

Date & Time: Aug 15, 1935 at 2005 LT
Type of aircraft:
Registration:
NC14140
Flight Phase:
Survivors:
No
Site:
Schedule:
Helena – Denver
MSN:
4204
YOM:
1934
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
3
Circumstances:
Prior to departure, the pilot was informed about poor weather conditions en route and was instructed to follow the normal route which is longer. The aircraft departed Helena at 1600LT then the pilot failed to follow the instructions and continued through a mountainous region at an altitude of 8,500 feet. Later, while cruising at a height of some 10,000 feet in low visibility due to fog and rain, the single engine aircraft impacted the slope of the Lamario Peak, some 43 miles west of Glendo. The wreckage was found few hours later. All three occupants were killed.
Probable cause:
It is the opinion of the Accident Board that the probable cause of this accident was poor judgment on the part of the pilot for attempting to unnecessarily fly over a hazardous route.