Crash of a Piper PA-61P Aerostar (Ted Smith 601P) in Lake of the Woods: 1 killed

Date & Time: Apr 27, 1997 at 1245 LT
Registration:
N30LL
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Bellingham – Midland
MSN:
61-0379-124
YOM:
1977
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
6550
Aircraft flight hours:
4000
Circumstances:
About three hours and twenty minutes after departing Bellingham, Washington, for Midland, Texas, the pilot contacted Klamath Falls (Oregon) Tower and told the controller of his intention to land. About 10 minutes later, while about 30 miles north of Klamath Falls, the pilot reported he was low on fuel and was not able to find the city. The tower responded with instructions that would take the pilot south to the airport. But because the pilot seemed not to be following the instructions, but was instead continuing to the west, he was switched to Seattle Center. Center provided the pilot with a southeasterly heading direct to Klamath Falls, but less than a minute later radar and radio contact with the aircraft was lost. Other pilots overheard the pilot transmit that he had lost power in one engine, and later state that he had lost power in both. Soon thereafter the aircraft was seen to descend to about 200 to 300 feet above the surface of Lake of the Woods. The aircraft then began to slow and its nose began to rise. As it was slowing, one of the engines surged back to a high power setting, and the aircraft almost immediately rolled quickly to the side and dove nearly straight down into the lake. During the post-accident inspection of the airframe, the throttle for the right engine was found retarded to idle, but the throttle for the left engine was found in the full-forward (maximum power) position. A review of the Aerostar owner's manual revealed that the Engine Failure/Restart checklist called for the throttle for a failed engine (both engines in this case) to be retarded to the 'Cracked 1/2 inch open' position. Toxicological results indicate the presence in the pilot's blood of chlordiazepoxide and three of its active metabolites, norchlordiazepoxide, nordiazepam, and oxazepam. Chlordiazepoxide (Librium) is a tranquilizer often used to treat anxiety and tension. At sufficient levels it can have significant adverse effects on judgement, alertness, and performance. It is known to cause drowsiness, mental dullness, and euphoria. The results also indicate the presence of diphenhydramine in the pilot's blood. Diphenhydramine is a sedating antihistamine, and in sufficient quantities is known to produce drowsiness, impaired coordination, blurred vision, and reduced mental alertness.
Probable cause:
The pilot's failure to set the throttle of his second failed engine to 'Cracked-1/2-Open' as called for in the Engine Failure/Restart checklist, followed by a high-power engine surge. Factors include the pilot's delay in landing for refueling, the pilot becoming lost/disoriented, drug impairment, and fuel exhaustion.
Final Report:

Crash of a Cessna 402B near Estacada: 1 killed

Date & Time: Feb 16, 1996 at 0746 LT
Type of aircraft:
Registration:
N5198J
Flight Phase:
Flight Type:
Survivors:
No
Site:
Schedule:
Troutdale - Redmond
MSN:
402B-0885
YOM:
1975
Flight number:
WCC1420
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
4600
Captain / Total hours on type:
1600.00
Aircraft flight hours:
10024
Circumstances:
Shortly after reaching a cruising altitude of 9,500 feet, the aircraft's course was observed on radar to change from southeasterly to southwesterly. Its average ground speed decreased from 170 knots to 108 knots during this track change. The pilot called ATC with his call sign, and about five seconds later, an unintelligible, one-second-long transmission was heard. At that same time, radar information showed the aircraft at 8,800 feet. Radar and radio contact were lost shortly thereafter. Three days later, wreckage was found where the aircraft had crashed. The crash site was 1,820 feet above sea level and 1/2 mile south-southwest of its last observed radar position; the aircraft's average descent angle from the 8,800-foot-altitude position to the crash site was about 51 degrees. The aircraft was extensively damaged during impact. No damage was noted on tall trees that surrounded the accident site. Also, no preimpact mechanical malfunction or failure of the aircraft or engines was found, and no pre-accident impairment of the pilot was found.
Probable cause:
Loss of aircraft control for undetermined reason(s).
Final Report:

Crash of a Rockwell Grand Commander 680 in North Bend: 3 killed

Date & Time: Jun 1, 1995 at 1554 LT
Operator:
Registration:
N6877S
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
North Bend - North Bend
MSN:
680-462-132
YOM:
1958
Crew on board:
1
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
3
Captain / Total flying hours:
1450
Aircraft flight hours:
4785
Circumstances:
Approximately two minutes after takeoff, witnesses saw the airplane pull up sharply into a steep climb from underneath an 800-foot ceiling. The airplane went into an uncontrolled, nearly vertical dive and impacted into a river. The pilot did not hold multi-engine or instrument ratings. Individuals who knew the pilot, including an instructor who had flown with him, stated that they had doubted the pilot's competence but that the pilot had been confident of his own flying ability.
Probable cause:
The pilot initiating flight into weather conditions beyond what he was capable of handling. The pilot's overconfidence in his personal ability and the low ceiling were factors in the accident.
Final Report:

Crash of a Cessna 421C Golden Eagle III in Wilsonville: 2 killed

Date & Time: Dec 12, 1992 at 1605 LT
Registration:
N98489
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Portland - Aurora
MSN:
421C-0067
YOM:
1968
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
4138
Captain / Total hours on type:
727.00
Aircraft flight hours:
2474
Circumstances:
Witnesses reported seeing the airplane flying in a normal cruise attitude when it rolled inverted and the nose dropped near vertical to the terrain. The airplane descended in a near vertical dive. The nose of the airplane started to come up horizontal to the terrain when it struck a 75-ft tree. During the post crash investigation, no evidence of a mechanical failure or malfunction was found. Both occupants were killed.
Probable cause:
The pilot-in-command's failure to maintain control of the aircraft.
Final Report:

Crash of a Cessna 402B in Baker: 1 killed

Date & Time: Feb 5, 1990 at 1130 LT
Type of aircraft:
Registration:
N50GP
Flight Phase:
Flight Type:
Survivors:
No
Site:
Schedule:
Pendleton - Baker
MSN:
402B-1088
YOM:
1976
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
3800
Captain / Total hours on type:
51.00
Aircraft flight hours:
9672
Circumstances:
During a scheduled cargo flight, the pilot diverted from the normal route and travelled through mountainous terrain. The radar plot indicated that the airplane was in a gradual climbing left turn when the collision occurred. The weather in the area at the time of the accident reported snow showers in the mountainous area. The pilot, sole on board, was killed.
Probable cause:
Pilot displayed poor inflight planning by selecting to fly into known adverse weather conditions. The pilot did not maintain an adequate visual lookout when operating in snow shower conditions and collided into the terrain.
Final Report:

Crash of a Beechcraft C90 King Air in Gold Beach: 3 killed

Date & Time: Aug 21, 1989 at 1250 LT
Type of aircraft:
Operator:
Registration:
N25ST
Survivors:
No
Schedule:
Medford - Gold Beach
MSN:
LJ-507
YOM:
1971
Crew on board:
3
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
3
Captain / Total flying hours:
4082
Aircraft flight hours:
6663
Circumstances:
Witnesses heard the airplane circle twice before the approach. A fog bank had just rolled into the area and visibility was reduced to approximately one mile with the bases at 200 to 300 feet. The airplane was observed emerging from the fog in a steep left turn and descending rapidly; right of center line, on a one mile final. The left bank angle increased to near 90° when the nose dipped down and the airplane collided with a parked vehicle 150 feet right of centerline and 50 feet short of the runway. Unicom not manned. No radio in ambulance on ground. Basic weather data shown from north bend, 60 miles north. All three pilots were killed.
Probable cause:
The pilot's failure to initiate a go-around after emerging from a fog bank on a short final which resulted in inadequate airspeed and a stall. Contributing to the accident was the pilot's poor judgement in attempting the vfr approach in imc conditions.
Final Report:

Crash of a Piper PA-61 Aerostar (Ted Smith 601) in Lakeview: 3 killed

Date & Time: Mar 4, 1989 at 1200 LT
Registration:
C-FHGH
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Portland - Reno
MSN:
61-0829-8163438
YOM:
1981
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
3
Captain / Total flying hours:
1300
Captain / Total hours on type:
108.00
Aircraft flight hours:
1297
Circumstances:
While en route, the pilot encountered headwinds and trace rime icing. He made a climb from 17,000 feet to FL190, then to FL210. After cruising at FL210 for about 27 minutes, the aircraft entered a descent (without ATC clearance). Radio and radar contact were lost in the vicinity of were the aircraft crashed. Just before impact, the aircraft was observed to descend out of low clouds in a spin. The pilot had been issued a Canadian instrument rating on 1/11/88, but it was valid for only 12 months. A person, who had given the pilot proficiency flight training in preparation for an instrument qualification check, reported that he had reservations about the pilot's ability to fly in instrument conditions without an autopilot. Avionics personnel at the departure airport reported the pilot had encountered an autopilot malfunction on the previous flight and that they had found an electrical short in the autopilot disconnect switch on the copilot control yoke. However, they were unable to repair it due to lack of a replacement part. Reportedly, the pilot borrowed a soldering iron to repair it himself. All three occupants were killed.
Probable cause:
Failure of the pilot to maintain control of the aircraft, which resulted in a spin and an uncontrolled descent. Factors related to the accident were: improper maintenance by the pilot, an autopilot malfunction, the adverse weather conditions, continued flight by the pilot into adverse weather conditions, and his lack of recent instrument experience.
Final Report:

Crash of a De Havilland DHC-6 Twin Otter 200 on Mt Battle Creek: 1 killed

Date & Time: Jul 14, 1988 at 1140 LT
Operator:
Registration:
C-GKBM
Flight Phase:
Flight Type:
Survivors:
No
Site:
Schedule:
Redmond - John Day
MSN:
417
YOM:
1974
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Circumstances:
The DHC-6 Twin Otter, C-GKBM, was under contract to the U.S. Forest Service. It was to be repositioned to John Day, OR to pick up passengers. At 11:35 PDT, the pilot checked in with John Day Dispatch and transmitted his expected time of arrival would be 12:15 PDT. About 11:40 the aircraft contacted three trees with the right wing at the 5,000-foot level of Battle Creek Mountain. This impact separated the wing into three sections before the aircraft "exited" over the mountain edge. The final impact site was on this ridgeline with the aircraft coming to final rest in a steep canyon to the east. There was a high mountain further east on the flight path that also needed to be crossed before a descent to John Day, Oregon could be commenced. The pilot's medical records indicated the he had been having medical problems, some of which he did not want brought to the attention of the Medical Doctor (MD) designated by the FAA to do flight physicals. In addition, he did not tell his supervisor that he was having medical problems. It was noted that he had complaints of chronic muscular neck pains, back problems, falling asleep, allergy problems, numbness in the top of his feet, feeling tired and run down, and pain in his legs. The flight track showed a gradual descent of about 400 feet per minute. He was off course to the right for about five minutes before impacting with trees. This flight tract strongly supported a very high probability of sleep-induced unconsciousness.
Probable cause:
The most probable cause of this mishap was determined to be the pilot’s acute in-flight incapacitation due to sleep.

Crash of a Beechcraft A100 King Air in Gold Beach

Date & Time: Sep 30, 1987 at 1435 LT
Type of aircraft:
Operator:
Registration:
N32RL
Flight Type:
Survivors:
Yes
Schedule:
Santa Ana - Gold Beach
MSN:
BE-117
YOM:
1981
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
22266
Captain / Total hours on type:
2500.00
Circumstances:
Shortly after the aircraft touched down on the runway, the right main gear collapsed. Despite the pilot's attempts to correct the situation with left rudder and braking, the aircraft veered to the right of the runway and collided with a building. Shortly after it struck the building, a fire erupted, which totally consumed the aircraft and the building. Due to the severity of the fire, the fracture surfaces of the right landing gear were obliterated.
Probable cause:
Occurrence #1: main gear collapsed
Phase of operation: landing - flare/touchdown
Findings
1. (c) landing gear, main gear - failure, total
----------
Occurrence #2: loss of control - on ground/water
Phase of operation: landing - roll
Findings
2. Directional control - not possible
3. Ground loop/swerve - uncontrolled
----------
Occurrence #3: on ground/water collision with object
Phase of operation: landing
Findings
4. (f) object - building (nonresidential)
Final Report:

Crash of a Rockwell Aero Commander 560A near Ashland: 4 killed

Date & Time: Jul 22, 1987 at 1230 LT
Operator:
Registration:
N2794B
Flight Phase:
Flight Type:
Survivors:
No
Site:
Schedule:
Medford – San Diego
MSN:
560-0294
YOM:
1956
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
4
Captain / Total flying hours:
923
Captain / Total hours on type:
206.00
Aircraft flight hours:
2175
Circumstances:
The non-instrument rated pilot took off in overcast weather conditions and flew toward a mountain pass that was obscured in clouds. When the flight failed to arrive at the destination, a search was initiated and the wreckage located in a box canyon on the side of a mountain ridgeline. The aircraft had impacted in a vertical nose down attitude. All four occupants were killed.
Probable cause:
Occurrence #1: in flight encounter with weather
Phase of operation: maneuvering
Findings
1. (f) weather condition - obscuration
2. (c) preflight planning/preparation - improper - pilot in command
3. (f) terrain condition - mountainous/hilly
4. (c) vfr flight into imc - continued - pilot in command
5. (f) terrain condition - rising
----------
Occurrence #2: loss of control - in flight
Phase of operation: maneuvering
Findings
6. (c) stall/spin - inadvertent - pilot in command
7. (f) lack of total instrument time - pilot in command
----------
Occurrence #3: in flight collision with terrain/water
Phase of operation: descent - uncontrolled
Final Report: