Wyoming

The commercial pilot was conducting an instrument approach following a 3.5-hour cross-country instrument flight rules (IFR) flight in a single-engine turboprop airplane. About 1.6 miles from the runway threshold, the airplane began a climb consistent with the published missed approach procedure; however, rather than completing the slight left climbing turn toward the designated holding point, the airplane continued in an approximate 270° left turn, during which the airplane's altitude varied, before entering a descending right turn and impacting terrain. Tree and ground impact signatures were consistent with a 60° nose-low attitude at the time of impact. No distress calls were received or recorded from the accident flight. A postimpact fire consumed a majority of the cockpit and fuselage. Weather information for the time of the accident revealed that the pilot was operating in IFR to low IFR conditions with gusting surface winds, light to heavy snow, mist, cloud ceilings between 700 and 1,400 ft above ground level with clouds extending through 18,500 ft, and the potential for low-level wind shear and clear air turbulence. The area of the accident site was under AIRMETs for IFR conditions, mountain obscuration, moderate icing below 20,000 ft, and moderate turbulence below 18,000 ft. In addition, a winter storm warning was issued about 6 hours before the flight departed. Although the pilot received a weather briefing about 17 hours before the accident, there was no indication that he obtained updated weather information before departure or during the accident flight. Examination of the airframe and engine did not reveal any preimpact anomalies that would have precluded normal operation; however, the extent of the fire damage precluded examination of the avionics system. The airplane was equipped with standby flight instruments. An acquaintance of the pilot reported that the pilot had experienced an avionics malfunction several months before the accident during which the airplane's flight display went blank while flying an instrument approach. During that occurrence, the pilot used ForeFlight on his iPad to maneuver back to the northeast and fly the approach again using his own navigation. During the accident flight, the airplane appeared to go missed approach, but rather than fly the published missed approach procedure, the airplane also turned left towards to northeast. However, it could not be determined if the pilot's actions were an attempt to fly the approach using his own navigation or if he was experiencing spatial disorientation. The restricted visibility and turbulence present at the time of the accident provided conditions conducive to the development of spatial disorientation. Additionally, the airplane's turning flight track and steep descent profile are consistent with the known effects of spatial disorientation.

The air ambulance was dispatched from Steamboat Springs, Colorado (SBS), to pick up and transport a patient in serious condition from Rawlins Municipal Airport/Harvey Field (RWL) to Casper, Wyoming. Approaching RWL, the pilot initiated a right turn outbound to maneuver for the final approach course of the VOR/GPS approach to runway 22. On the inbound course to the airport, the airplane impacted mountainous terrain, approximately 2.5 nautical miles east-northeast of the airport. The airplane, configured for landing, struck the terrain wings level, in a 45-degree nose-down dive, consistent with impact following an aerodynamic stall. Approximately 5 minutes before the accident, RWL reported broken ceilings at 1,100 and 1,800 feet above ground level (agl), 3,100 feet agl overcast, visibility 2.5 statute miles with light snow and mist, temperature 33 degrees Fahrenheit (F), dew point 30 degrees F, winds 240 degrees at 3 knots, and altimeter 29.35 inches. Before departing SBS, the pilot received a weather briefing from Denver Flight Service. The briefer told the pilot that there was a band of light to moderate snow shower activity halfway between Rock Springs and Rawlins, spreading to the northeast. The briefer told the pilot there were adverse conditions and flight precautions along his route for occasional mountain or terrain obscurations. The pilot responded that he planned to fly instrument flight rules for the entire flight. The National Weather Service, Surface Analysis showed a north-south stationary front positioned along the front range of the Rocky Mountains beginning at the Wyoming/Montana border and extending south into north-central Colorado. Station plots indicated patchy snow over western Colorado and Wyoming. The most recent AIRMET reported, "Occasional moderate rime or mixed icing in clouds and precipitation between the freezing level and flight level 220." The freezing level for the area encompassing the route of flight began at the surface. Witnesses in the vicinity of RWL reported surface weather conditions varying from freezing rain to heavy snow. An examination of the airplane showed clear ice up to 1 ½ inches thick adhering to the vertical stabilizer, the left and right wings, the right main landing gear tire, and the right propeller. The airplane's aerodynamic performance was degraded due to the ice contamination, leading to a stall. An examination of the airplane's systems revealed no anomalies. A human factors review of interviews and other materials showed insufficient evidence that the company placed pressure on the pilot to take the flight; however, the review did not rule out the pilot inducing pressure on himself. FAA Advisory Circular (AC) 135-15, Emergency Medical Services/Airplane (EMS/A) addresses several subject areas not practiced by the operator, including, "Additional considerations when planning IFR flights include the following: (1) Avoid flight in icing weather whenever possible."

ARTCC asked the pilot of Airspur 8773 if he would be able to execute the VOR instrument approach. The pilot said he could, but he wanted to "hold for a while to see if [the weather] gets a little better" [according to the METAR, visibility was 1.75 statute miles and there was a 200-foot overcast ceiling]. He was cleared to hold north of the VOR at 12,000 feet msl. While holding, the pilot filed the following PIREP indicating light rime icing. Shortly thereafter, he was cleared for the approach. Three witnesses saw the airplane on the downwind leg, just past midfield, at an estimated altitude of 500 feet. Shortly thereafter, one of them heard the engine "spool up to high power...[like reversing] the pitch of the propeller to slow down," and he thought the airplane had landed. Five witnesses said the airplane emerged from the overcast and banked "sharply to the left, then back to the right, then back to the left, then took a hard bank to the right," rolled inverted and struck the highway just south of the airport perimeter. The airplane slid down the embankment and out into a lake, becoming partially submerged. Witnesses said it was "snowing hard" and the highway was covered with 1 to 2 inches of slush. Wreckage examination revealed the flaps were down 30 degrees, the wing deice boots were "ribbed," and the inertial separator was open. According to the toxicological report, chlorpheniramine, desmethylsertraline, sertraline, and pseudoephedrine were detected in blood. In addition, chlorpheniramine, sertraline, phenylpropanolamine, and pseudoephedrine were detected in the urine. The urine also contained acetaminophen. Sertraline (trade name Zoloft) is a prescription antidepressant medication. According to the Guide for Aviation Medical Examiners, "The use of a psychotropic medication is considered disqualifying. This includes all... antidepressant drugs..." Chlorpheniramine is an over-the-counter sedating antihistamine used primarily for the treatment of allergies. Pseudophedrine (trade name Sudafed) is a decongestant. Acetaminophen (trade name Tylenol) is an over-the-counter pain reliever and fever-reducer. According to Dr. Stanley R. Mohler's "Medication and Flying: A Pilot's Guide," the adverse side effects of chlorpheniramine include drowsiness, dizziness, and lessened coordination. The side effects of pseudophedrine are usually mild and infrequent, but may include sleepiness, dizziness, restlessness, headache, and perhaps some loss of coordination and alertness or confusion.

The airplane was en route to an air show and was making a refueling stop. The tower controller cleared the pilot to land. The airplane was observed on a 3-mile straight-in final approach when it began a left turn. The controller asked the pilot what his intentions were. The pilot replied, "We just lost our left engine." The pilot then reported that he wasn't going to make it to the airport. Witnesses observed the airplane flying "low to the ground and under-speed for [a] good 4 minutes." The right propeller was turning, but the left propeller was not turning. There was no fire or smoke coming from the left engine. The pilot was "obviously trying to pull up." The airplane "dipped hard left," then struck the ground left wing first. It slid through a chain link fence, struck a parked automobile, and collided with a school bus wash barn. The ensuing fire destroyed the airplane, parked car, and wash barn. Disassembly and examination of both engines disclosed no anomalies that would have been causal or contributory to the accident. According to the Airplane Flight Manual, "Maximum power will probably be required to maintain flight with one engine inoperative. Maximum power at slow air speed may cause loss of directional control."

The airplane had just taken off and was climbing through 9,000 feet when the pilot heard "a very loud explosive sound" that came from the right side of the aircraft. He returned to the airport and landed. When the airplane touched down, it began veered to the right and the pilot attempted to correct. The airplane departed the right side of the runway and the right main landing gear collapsed, driving it through the top of the wing. Half of the right main tire (30 hours total time in service) and most of its inner tube (with a round section blown out) were found at the point of touch down. Missing was the valve stem. Continuous S-shaped marks indicated the tire came off the rim.

The airplane was flying a full instrument landing system (ILS) approach to runway 18 at a high altitude airport (elevation 6,445 feet), in a mountainous area, at night. The control tower was closed for the night. The airport was located in a national park, and, therefore, the runway lights were not left on during the night. During non-tower operation hours, the procedure for turning on the runway lights called for the pilot to key the microphone multiple times on the Common Traffic Advisory Frequency (CTAF), which was the tower frequency. The copilot of the accident airplane made multiple attempts to turn on the runway lights using the UNICOM frequency, which had been the CTAF until about 6 months before the accident. The captain continued his landing approach below approach minimums without the runway lights being on. While in the landing flare, the captain reported that strong cross-winds and blowing snow created a "white-out" weather condition. The airplane touched down 195 feet left of the runway centerline in snow covered terrain between the runway and taxiway. Two ILS Runway 18 approach plates were found in the airplane. One was out of date and showed the UNICOM frequency as the CTAF. The other was current and showed the tower frequency as the CTAF. All four occupants escaped uninjured, among them the actress Sandra Bullock and the musician Bob Schneider.

The captain said the airplane felt 'sluggish' during the takeoff roll. At V1/Vr, the airplane was rotated for liftoff. It climbed 10 feet, 'shuddered,' and sank. The captain elected to abort the takeoff. He landed the airplane on the runway, applied brakes and deployed the drag chute. The drag chute separated and the airplane went off the runway, down a hill, through a fence, across a road and grassy area, across another road, through a chain link fence, and collided with a power pole. The captain said they had calculated the takeoff performance using inappropriate tables, and failed to consider the wet runway and wind shift. The drag chute riser fractured at a point where it passed through a lightning hole. The lightning hole bore no evidence of a nylon grommet having been installed.

During the initial climb after takeoff, while executing a dark-night departure, the pilot failed to maintain clearance from rising terrain about one and one-quarter mile off the end of the runway. Operator records indicated that the pilot had flown out of this airport in the past, and that the aircraft was approximately 600 pounds below maximum certificated gross weight at the time of departure. A teardown inspection of both engines revealed no pre-impact anomalies, and visual and teardown inspections of the propellers showed damage signatures consistent with ground contact in a flat pitch under significant power.

The aircraft departed Jackson Hole Airport at 2245LT on a flight to New York-JFK, carrying eight crew members and a U.S. Secret Service agent. The purpose of the flight was to transport a U.S. Secret Service communications vehicle to New York after President Bill Clinton spent some vacations in Jackson Hole. Five minutes after takeoff, while climbing by night, the four engine aircraft struck the slope of Mt Sleeping Indian (Mt Sheep - 3,427 metres high) located about 18 km southeast of the airport. The aircraft disintegrated on impact and all nine occupants were killed.

Shortly after takeoff, the pilot reported he had 'a problem...an overboost situation,' and wanted to return for landing. Instrument meteorological conditions prevailed, so the pilot was cleared for the ILS runway 26 approach. A witness saw the airplane emerge from the low overcast in a wings level descent, then pitch over to a near vertical attitude and impact a shopping center sign. The left turbocharger wastegate was found in the open (low boost) position, and the right turbocharger wastegate was found in the closed (high boost) position. The right turbocharger butterfly valve was severely eroded, the pin was missing, and the valve was free to rotate on the shaft. A hole was burnt through the right engine number 1 cylinder exhaust valve. Both propellers were in the low pitch-high rpm range. Both engines and turbochargers were original equipment and had not been overhauled in 21 years. A toxicology test showed 0.564 mcg/ml of sertraline (antidepressant) in the pilot's blood. Sertraline was not approved for use while flying an aircraft.