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Crash of a Cessna T207 Skywagon in Homer: 1 killed

Date & Time: Feb 6, 1998 at 1245 LT
Operator:
Registration:
N91029
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Homer - English Bay
MSN:
207-0020
YOM:
1969
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
1358
Captain / Total hours on type:
48.00
Aircraft flight hours:
11192
Circumstances:
The certificated commercial pilot was departing on a 14 CFR 135 cargo flight. The airplane lifted off and climbed to about 200 feet. Instead of turning right toward the intended destination, the airplane began a left turn toward the runway. The angle of bank increased to about 45 degrees. The airplane then nosed down, and descended into snow covered terrain, about 200 yards north of the runway. Examination of the engine revealed the number six cylinder head was fractured, and slightly separated from the cylinder barrel. The area around the point of separation was blackened and oily. Similar discoloration was noted on the inside of the engine cowl. A metallurgical examination of the cylinder head revealed a fatigue fracture along a large segment of the thread root radius between the 5th and 6th threads. The engine's cylinder compression is part of the operator's approved airworthiness inspection program. The number six cylinder compression, recorded 121 hours before the accident, was noted as 60 PSI. The last engine inspection, 27 hours before the accident, did not include a record of the engine compression.
Probable cause:
A fatigue failure, and partial separation of the number 6 engine cylinder head assembly, the operator's inadequate progressive inspection performed by company maintenance personnel, and the pilot's inadvertent stall during a maneuvering turn toward an emergency landing area.
Final Report:

Crash of a De Havilland DHC-4A Caribou in Sparrevohn: 1 killed

Date & Time: Jan 29, 1997 at 2310 LT
Type of aircraft:
Operator:
Registration:
N702SC
Flight Type:
Survivors:
Yes
Schedule:
Saint Mary's - Kenai
MSN:
126
YOM:
1963
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
4987
Captain / Total hours on type:
220.00
Aircraft flight hours:
13923
Circumstances:
The CFR Part 135 cargo flight departed at night on an IFR flight with a load of mining equipment. Route of flight was over remote/mountainous terrain. About 2 hours after takeoff, while cruising at 12,000' feet msl, the right engine and propeller began to overspeed. The captain feathered the #2 engine and declared an emergency. He began to divert to an alternate destination, about 120 miles away in an area of lower terrain, but the aircraft would not maintain altitude (single engine service ceiling, as loaded, was about 8,700 feet). The captain increased power to the left engine, but it began to produce banging and coughing noises. The captain elected to perform an emergency landing at a nearby, remote, military airfield (A/F). The A/F was located in mountainous terrain and had a one-way, daylight only approach. The captain lowered the gear and flaps, and began a visual approach while attempting to keep the runway end identifier lights (REIL) in view. The aircraft encountered severe turbulence, and the captain applied full throttle to the left engine in an attempt to climb. The REIL disappeared from view, and the aircraft collided with snow covered terrain about 2 miles west of the A/F. Ground personnel at the A/F reported high winds and blowing snow with limited visibility. Postcrash exam of the right engine revealed a loss of the propeller control system hydraulic oil. Flight at 12,000 feet was conducted without crew oxygen. The crew had exceeded their maximum allowable duty day without adequate crew rest.
Probable cause:
Loss of the right engine propeller control oil, which led to an overspeed of the right engine and propeller, and necessitated a shut-down of the right engine; and failure of the pilot to maintain adequate altitude/distance from terrain during visual approach for a precautionary landing at an alternate airport. Factors relating to the accident were: fluctuation of the left engine power, premature lowering of the airplane flaps, and an encounter with adverse weather conditions (including high winds, severe turbulence, and white-out conditions) during the approach.
Final Report:

Crash of a Cessna 207A Stationair 7-II near Kenai: 1 killed

Date & Time: Oct 16, 1993 at 0630 LT
Operator:
Registration:
N208SC
Flight Phase:
Flight Type:
Survivors:
No
Site:
Schedule:
Kenai - Homer
MSN:
207-0445
YOM:
1978
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
1487
Captain / Total hours on type:
175.00
Aircraft flight hours:
9067
Circumstances:
The pilot reportedly flew a route along the power lines between Kenai and Homer. The flight took place on a dark moonless night over rising terrain. The accident site was located 200 yards east of the power lines. Radar data shows the airplane in the area of the crash site at a steady state heading, airspeed, and level altitude. This flight marked the first time that the pilot did not complete a company flight plan. On his off days, the pilot got 9-11 hours of sleep. His wife said he was not a morning person. The pilot had commented to her that when away from home, the quality of his sleep was poor. On the day of the accident, the pilot was awake at 0340 for the 0500 departure; he had about 6 hours of sleep.
Probable cause:
The pilot's failure to maintain adequate altitude for terrain clearance. Factors which contributed to the accident were: the pilot's lack of usual sleep, the night light condition and hilly terrain.
Final Report:

Crash of a Piper PA-31-T3-T1040 Cheyenne III near Ninilchik: 1 killed

Date & Time: Dec 13, 1991 at 1907 LT
Type of aircraft:
Operator:
Registration:
N307SC
Flight Phase:
Survivors:
No
Schedule:
Kodiak - Kenai
MSN:
31-8275009
YOM:
1982
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
9425
Captain / Total hours on type:
1900.00
Aircraft flight hours:
9745
Circumstances:
The flight was level at 10,000 feet msl in IMC conditions when the controller noticed the airplane take a sharp right turn and descend rapidly. Attempts to contact the flight were negative. Examination of the accident showed all the major components present, however, impact damage precluded any flight control continuity check. The engines could not be recovered from the impact crater. The accident site was not accessible with specialized equipment. The pilot, sole on board, was killed.
Probable cause:
The exact cause of the accident could not be determined.
Final Report:

Crash of a Piper PA-31T3-T1040 Cheyenne III in Homer: 1 killed

Date & Time: Dec 22, 1989 at 1810 LT
Type of aircraft:
Operator:
Registration:
N302SC
Flight Type:
Survivors:
No
Schedule:
Kenai - Homer
MSN:
31-8275004
YOM:
1982
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
2500
Captain / Total hours on type:
40.00
Aircraft flight hours:
9266
Circumstances:
The aircraft was on an IFR flight from Kenai to the Beluga Airport. The airport did not have an instrument approach procedure, a co-located navaid or a co-located intersection or fix. Reportedly, pilots would routinely file IFR for the route, fly outbound from Kenai for 34.5 miles, then atmt visibility acquisition of the airport. On this flight, ARTCC cleared the pilot to fly direct to the airport at an altitude of 2,000 feet. Before reaching the airport, the pilot acknowledged receipt of a clearance to cruise at 2,000 feet and to report cancellation of IFR, then there was no further communication between ARTCC and the flight. Mode C radar data showed the aircraft descended to 600 feet as it was approaching about 5 miles south of the Beluga Airport. Subsequently, the aircraft flew past the uncontrolled airport and crashed into trees about 8 miles northwest of the airport. Marks on the trees showed the aircraft was in a right descending turn on an easterly heading, when it crashed. Elevation of the crash site was 560 feet. Minimum safe (IFR) altitude for the Beluga Airport area was 2,000 feet. There were indications that the destination weather was below VFR conditions. No preimpact mechanical problem was found that would have resulted in the accident. The pilot, sole on board, was killed.
Probable cause:
Failure of the pilot to maintain proper altitude. Darkness and adverse weather conditions were related factors.
Final Report:

Crash of a Piper PA-31-350 Navajo Chieftain in Kenai: 6 killed

Date & Time: Dec 23, 1987 at 0611 LT
Operator:
Registration:
N496SC
Flight Phase:
Survivors:
Yes
Schedule:
Kenai - Anchorage
MSN:
31-7752077
YOM:
1977
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
7
Pax fatalities:
Other fatalities:
Total fatalities:
6
Captain / Total flying hours:
14500
Circumstances:
The pilot had just departed the runway when he reported to the flight service station that he had engine problems. The aircraft was observed by witnesses to be about 300 feet on a descending downwind. The pilot stated that he was circling for runway 01. Surviving passengers described the engines as running rough and uneven. The investigation revealed that the aircraft's weight was more than the pilot had calculated and the CofG was 3.4 inches further aft than was calculated. However, the weight and CofG were within limits. Examination of the engine disclosed that the right engine had an extensive cylinder head crack, a partially disconnected intake pipe, and was capable of producing 55% of rated power. The left engine had seven severely worn cam lobes. The rudder trim was deflected full left at impact. The evidence indicated that the pilot had retarded the throttle for the left engine and was using only the right engine to sustain flight. Exam of company checklist usage revealed several different improper versions. The pilot and five passengers were killed. Two others passengers and two people on the ground were injured.
Probable cause:
Occurrence #1: loss of engine power (partial) - mech failure/malf
Phase of operation: takeoff - initial climb
Findings
1. 1 engine - failure, partial
2. (c) engine assembly, cylinder - failure,total
3. (c) engine assembly, cylinder - fatigue
4. (f) induction air control, intake manifold - separation
----------
Occurrence #2: loss of engine power
Phase of operation: maneuvering
Findings
5. (f) 1 engine - failure, partial
6. (f) engine assembly, camshaft - worn
7. (f) maintenance, 100-hour inspection - inadequate - company maintenance personnel
8. (c) emergency procedure - improper - pilot in command
9. (c) throttle/power control - improper use of - pilot in command
----------
Occurrence #3: forced landing
Phase of operation: descent - emergency
----------
Occurrence #4: in flight collision with terrain/water
Phase of operation: descent - emergency
Findings
10. (f) trim setting - improper - pilot in command
11. Lowering of flaps - performed
12. Object - tree(s)
13. Object - residence
Final Report:

Crash of a Cessna 207A Stationair 7 in Anchorage

Date & Time: Jan 28, 1987 at 0515 LT
Operator:
Registration:
N7393U
Flight Type:
Survivors:
Yes
Schedule:
Kenai - Anchorage
MSN:
207-0436
YOM:
1978
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
1842
Captain / Total hours on type:
557.00
Aircraft flight hours:
10351
Circumstances:
The aircraft crashed one mile short of the runway. The accident occurred during an ILS approach in instrument meteorological conditions. During a post accident interview with the pilot he stated that he did not recognize and react in a timely manner to the gross deviation of the decision height. He continued down until striking the ground short of the runway.
Probable cause:
Occurrence #1: undershoot
Phase of operation: approach - faf/outer marker to threshold (ifr)
Findings
1. (c) weather condition - fog
2. (c) ifr procedure - improper - pilot in command
3. (c) weather condition - low ceiling
4. (c) procedures/directives - not followed - pilot in command
5. (f) overconfidence in personal ability - pilot in command
6. (f) light condition - dark night
7. (c) planned approach - not followed - pilot in command
8. (c) decision height - disregarded - pilot in command
Final Report:

Crash of a Piper PA-31-350 Navajo Chieftain in Anchorage

Date & Time: Dec 23, 1983 at 1406 LT
Operator:
Registration:
N35206
Flight Phase:
Survivors:
Yes
Schedule:
Anchorage - Kenai
MSN:
31-7952193
YOM:
1979
Flight number:
XE059
Crew on board:
1
Crew fatalities:
Pax on board:
8
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
5115
Captain / Total hours on type:
3550.00
Circumstances:
A Piper PA-31, N35206, (South Central Air flight 59) was cleared to taxi to runway 06L. The weather at that time was foggy with about 1/8 mile visibility, but the RVR was improving and the airport was expected soon to be acceptable for takeoffs. The PA-31 crew taxied and waited in the holding area for the visibility to improve. A Douglas DC-10, HL7339, Korean Air Lines flight 084, was cleared to runway 32; however, while taxiing in the fog, the DC-10 crew inadvertently taxied to runway 06L/24R. Tower personnel were unable to see the aircraft in the fog and were unaware of the DC-10's position. The DC-10 was cleared to take-off on runway 32 and the PA-31 was cleared to hold on runway 06L. The DC-10 crew taxied on runway 24R and began taking off toward the PA-31 with 2,400 feet of runway remaining. Its estimated takeoff distance was 8,150 feet. Subsequently, the DC-10 collided with the PA-31, continued off the runway and hit stanchion lights, small trees and rough terrain. An investigation revealed the DC-10 pilot did not confirm his position by using his compass and that there was a lack of legible taxiway and runway signs.
Probable cause:
The failure of the pilot of Korean Air Lines Flight 084 to follow accepted procedures during taxi, which caused him to become disoriented while selecting the runway; the failure of the pilot to use the compass to confirm his position; and the decision of the pilot to take off when he was unsure that the aircraft was positioned on the correct runway. Contributing to the accident was the fog, which reduced visibility to a point that the pilot could not ascertain his position visually and the control tower personnel could not assist the pilot. Also contributing to the accident was a lack of legible taxiway and runway signs at several intersections passed by Flight 084 while it was taxiing.
Final Report: