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Crash of a Short 360-200 off Sint Maarten: 2 killed

Date & Time: Oct 29, 2014 at 1840 LT
Type of aircraft:
Operator:
Registration:
N380MQ
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Sint Maarten - San Juan
MSN:
3702
YOM:
1986
Flight number:
SKZ7101
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
5318
Captain / Total hours on type:
361.00
Copilot / Total flying hours:
1040
Copilot / Total hours on type:
510
Aircraft flight hours:
25061
Aircraft flight cycles:
32824
Circumstances:
On October 29, 2014, at about 1840 Atlantic Standard Time, a Shorts SD3-60, United States registered N380MQ was destroyed when it crashed into the sea shortly after takeoff from Runway 28 at Princess Juliana International Airport, Sint Maarten, Dutch Antilles, Kingdom of the Netherlands. The two crewmembers on board sustained fatal injuries. The aircraft was operated by SkyWay Enterprises Inc. on a scheduled FedEx contract cargo flight to Luis Munoz Marin International Airport, San Juan, Puerto Rico. At 1839 local, Juliana Tower cleared the aircraft for takeoff Runway 28 - maintain heading 230 until passing 4000 feet. At 1840 local, Tower observed the aircraft descending visually and the radar target and data block disappeared. There were no distress calls. Night conditions and rain prevailed at the time of the accident. Coast Guard search crews discovered aircraft debris close to the shoreline about 1 ½ hours later. The Sint Maarten Civil Aviation Authority initiated an investigation in accordance with ICAO Annex 13. Local investigation authority personnel were joined by Accredited Representatives and advisors from the following states: the USA (NTSB/FAA), United Kingdom (AAIB and Shorts Brothers PLC), and Canada (TSB, TC, PWC). Organization of the investigation included the following groups: Operations, Accident Site and Wreckage, Powerplants, Aircraft Maintenance, Air Traffic Services, Meteorology, and GPS Study. The operator made available personnel for interviews but deferred to participate in the groups. Flight recorders were not installed nor required on this cargo configured aircraft. The original FDR and CVR were removed following conversion to cargo only operations. A handheld GPS recovered from submerged wreckage was successfully downloaded. Data revealed the aircraft past the departure runway threshold on takeoff and attained a maximum GPS recorded altitude of 433 feet at 119 knots groundspeed at 18:39:30. The two remaining data points were over the sea and recorded decreasing altitude and increasing airspeed. The wreckage was recovered from the sea and examined by technical experts. Assessment of the evidence concluded there were no airframe or engine malfunctions that would have affected the airworthiness of the aircraft. The experts concluded that the aircraft struck the sea while under normal engine operation. Operations and human performance investigators evaluated the evidence and analyzed extensive interviews. The investigation concluded that the aircraft departed from the expected flight path in an unusual attitude. The pilot flying most likely experienced a somatographic illusion as a result of a stressful takeoff and acceleration from flap retraction. The pilot’s reaction to pitch down while initiating a required heading change led to an extreme unusual attitude. Circumstances indicate the pilot monitoring did not perceive/respond/intervene to correct the flight path and recover from the unusual attitude. The aircraft exceeded the normal maneuvering parameters, the crew experienced a loss of control, and lacking adequate altitude for recovery, the aircraft crashed into the sea.
Probable cause:
The investigation believes the PF experienced a loss of control while initiating a turn to the required departure heading after take-off. Flap retraction and its associated acceleration combined to set in motion a somatogravic illusion for the PF. The PF’s reaction to pitch down while initiating a turn most likely led to an extreme unusual attitude and the subsequent crash. PM awareness to the imminent loss of control and any attempt to intervene could not be determined. Evidence show that Crew resource management (CRM) performance was insufficient to avoid the crash. Contributing factors to the loss of control were environmental conditions including departure from an unfamiliar runway with loss of visual references (black hole), night and rain with gusting winds.
Final Report:

Crash of a Short 330-200 in DuBois

Date & Time: Apr 9, 2003 at 0715 LT
Type of aircraft:
Operator:
Registration:
N805SW
Flight Type:
Survivors:
Yes
Schedule:
Pittsburgh – DuBois
MSN:
3055
YOM:
1980
Flight number:
SKZ1170
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
3470
Captain / Total hours on type:
2100.00
Copilot / Total flying hours:
1347
Copilot / Total hours on type:
431
Aircraft flight hours:
24401
Circumstances:
The airplane was on an instrument landing system (ILS) approach in instrument meteorological conditions. The captain initially stated that the airplane was on the ILS approach with the engine power set at flight idle. About 300 feet above the ground, and 1/4 to 1/2 mile from the threshold, the captain made visual contact with the runway. The captain stated that the left engine then surged, which caused the airplane to yaw right and drift left. At the time, the airplane was in visual conditions, and on glideslope, with the airspeed decreasing through 106 knots. The captain aligned the airplane with the runway and attempted to go-around, but the throttles were difficult to move. The airplane began to stall and the captain lowered the nose. The airplane subsequently struck terrain about 500 feet prior to the runway. After the captain was informed that the engine power should not be at flight idle during the approach, he amended his statement to include the approach power setting at 1,000 lbs. of torque. The co-pilot initially reported that the engine anomaly occurred while at flight idle. However, the co-pilot later amended his statement and reported that the anomaly occurred as power was being reduced toward flight idle, but not at flight idle. Examination of the left engine did not reveal any pre-impact mechanical malfunctions. Examination of the airplane cockpit did not reveal any anomalies with the throttle levers. Review of a flight manual for the make and model accident airplane revealed that during a normal landing, 1,100 lbs of torque should be set prior to turning base leg. The manual further stated to reduce the power levers about 30 feet agl, and initiate a gentle flare. The reported weather at the airport about 5 minutes before the accident included a visibility 3/4 mile in mist, and an overcast ceiling at 100 feet. The reported weather at the airport about 7 minutes after the accident included visibility 1/4 mile in freezing fog and an overcast ceiling at 100 feet. Review of the terminal procedure for the respective ILS approach revealed that the decision height was 200 feet agl, and the required minimum visibility was 1/2 mile.
Probable cause:
The captain's failure to maintain the proper glidepath during the instrument approach, and his failure to perform a go-around. Factors were a low ceiling and reduced visibility due to mist.
Final Report: