Crash of a Beechcraft 200 Super King Air in Bamako

Date & Time: Jun 14, 2017 at 1405 LT
Operator:
Registration:
TZ-DDG
Survivors:
Yes
Schedule:
Bamako - Bamako
MSN:
BB-589
YOM:
1979
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
Following an uneventful cloud seeding mission over the region of Mopti, the pilot was returning to Bamako-Senou Airport. For unknown reasons, the aircraft made a belly landing and slid for few dozen metres before coming to rest on the right side of runway 06/24. The pilot escaped uninjured and the aircraft was damaged beyond repair.

Crash of a Beechcraft B200 Super King Air in Melbourne: 5 killed

Date & Time: Feb 21, 2017 at 0858 LT
Registration:
VH-ZCR
Flight Phase:
Survivors:
No
Site:
Schedule:
Melbourne - King Island
MSN:
BB-1544
YOM:
1996
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
4
Pax fatalities:
Other fatalities:
Total fatalities:
5
Captain / Total flying hours:
7681
Captain / Total hours on type:
2400.00
Aircraft flight hours:
6997
Circumstances:
On 21 February 2017, the pilot of a Beechcraft B200 King Air aircraft, registered VH-ZCR (ZCR), and operated by Corporate & Leisure Aviation, was conducting a charter passenger flight from Essendon Airport, Victoria to King Island, Tasmania. There were four passengers on board. ZCR had been removed from a hangar and parked on the apron the previous afternoon in preparation for the flight. The pilot was first seen on the apron at about 0706 Eastern Daylight-saving Time. Closed-circuit television recorded the pilot walking around the aircraft and entering the cabin, consistent with conducting a pre-flight inspection of the aircraft. At about 0712, the pilot entered ZCR’s maintenance provider’s hangar. A member of staff working in the hangar reported that the pilot had a conversation with him that was unrelated to the accident flight. The pilot exited the hangar about 0715 and had a conversation with another member of staff who reported that their conversation was also unrelated to the accident flight. The pilot then returned to ZCR, and over the next 4 minutes he was observed walking around the aircraft. The pilot went into the cabin and re-appeared with an undistinguishable item. The pilot then walked around the aircraft one more time before re-entering the cabin and closing the air stair cabin door. At about 0729, the right engine was started and, shortly after, the left engine was started. Airservices Australia (Airservices) audio recordings indicated that, at 0736, the pilot requested a clearance from Essendon air traffic control (ATC) to reposition ZCR to the southern end of the passenger terminal. ATC provided the clearance and the pilot commenced taxiing to the terminal. At the terminal, ZCR was refueled and the pilot was observed on CCTV to walk around the aircraft, stopping at the left and right engines before entering the cabin. The pilot was then observed to leave the aircraft and wait for the passengers at the terminal. The passengers arrived at the terminal at 0841 and were escorted by the pilot directly to the aircraft. At 0849, the left engine was started and, shortly after, the right engine was started. At 0853, the pilot requested a taxi clearance for King Island, with five persons onboard, under the instrument flight rules. ATC instructed the pilot to taxi to holding point 'TANGO' for runway 17, and provided an airways clearance for the aircraft to King Island with a visual departure. The pilot read back the clearance. Airservices Automatic Dependent Surveillance Broadcast (ADS-B) data (refer to section titled Air traffic services information - Automatic Dependent Surveillance Broadcast data) indicated that, at 0854, ZCR was taxied from the terminal directly to the holding point. The aircraft did not enter the designated engine run-up bay positioned near holding point TANGO. At 0855, while holding at TANGO, the pilot requested a transponder code. The controller replied that he did not have one to issue yet. Two minutes later the pilot contacted ATC and stated that he was ready and waiting for a transponder code. The controller responded with the transponder code and a clearance to lineup on runway 17. At 0858, ATC cleared ZCR for take-off on runway 17 with departure instructions to turn right onto a heading of 200°. The pilot read back the instruction and commenced the takeoff roll. The aircraft’s take-off roll along runway 17 was longer than expected. Witnesses familiar with the aircraft type observed a noticeable yaw to the left after the aircraft became airborne. The aircraft entered a relatively shallow climb and the landing gear remained down. The shallow climb was followed by a substantial left sideslip, while maintaining a roll attitude of less than 10° to the left. Airservices ADS-B data indicated the aircraft reached a maximum height of approximately 160 ft above ground level while tracking in an arc to the left of the runway centreline. The aircraft’s track began diverging to the left of the runway centreline before rotation and the divergence increased as the flight progressed. Following the sustained left sideslip, the aircraft began to descend and at 0858:48 the pilot transmitted on the Essendon Tower frequency repeating the word ‘MAYDAY’ seven times in rapid succession. Approximately 10 seconds after the aircraft became airborne, and 2 seconds after the transmission was completed, the aircraft collided with the roof of a building in the Essendon Airport Bulla Road Precinct - Retail Outlet Centre (outlet centre), coming to rest in a loading area at the rear of the building. CCTV footage from a camera positioned at the rear of the building showed the final part of the accident sequence with post-impact fire evident; about 2 minutes later, first responders arrived onsite. At about 0905 and 0908 respectively, Victoria Police and the Metropolitan Fire Brigade arrived. The pilot and passengers were fatally injured and the aircraft was destroyed. There was significant structural, fire and water damage to the building. Additionally, two people on the ground received minor injuries and a number of parked vehicles were damaged.
Probable cause:
From the evidence available, the following findings are made with respect to the collision with terrain involving Beechcraft B200 King Air, registered VH-ZCR that occurred at Essendon Airport, Victoria on 21 February 2017. These findings should not be read as apportioning blame or liability to any particular organisation or individual.

Contributing factors:
- The aircraft's rudder trim was likely in the full nose-left position at the commencement of the take-off.
- The aircraft's full nose-left rudder trim setting was not detected by the pilot prior to take-off.
- Following a longer than expected ground roll, the pilot took-off with full left rudder trim selected. This configuration adversely affected the aircraft's climb performance and controllability, resulting in a collision with terrain.

Other factors that increased risk:
- The flight check system approval process did not identify that the incorrect checklist was nominated in the operator’s procedures manual and it did not ensure the required checks, related to the use of the cockpit voice recorder, were incorporated.
- The aircraft's cockpit voice recorder did not record the accident flight, resulting in a valuable source of safety related information not being available.
- The aircraft's maximum take-off weight was likely exceeded by about 240 kilograms.
- Two of the four buildings within the Bulla Road Precinct Retail Outlet Centre exceeded the obstacle limitation surface (OLS) for Essendon Airport, however, the OLS for the departure runway was not infringed and VH-ZCR did not collide with those buildings.

Other findings:
- The presence of the building struck by the aircraft was unlikely to have increased the severity of the outcome of this accident.
- Both of the aircraft’s engines were likely to have been producing high power at impact.
Final Report:

Crash of a Beechcraft B200 Super King Air in Unalaska

Date & Time: Feb 14, 2017 at 1323 LT
Operator:
Registration:
N313HS
Survivors:
Yes
MSN:
BB-1300
YOM:
1988
Crew on board:
2
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
Following an uneventful flight, the aircraft belly landed at Unalaska-Tom Madsen Airport runway 13/31. The airplane slid for few dozen metres before coming to rest and was damaged beyond repair. All three occupants evacuated safely.
Probable cause:
There were no investigations about this event. Nevertheless, it was reported that the pilot was distracted and forgot to lower the landing gear on final approach.

Crash of a Beechcraft 200T Super King Air in West Palm Beach

Date & Time: Jan 27, 2017 at 1750 LT
Registration:
N60RA
Flight Type:
Survivors:
Yes
Schedule:
Treasure Cay - West Palm Beach
MSN:
BT-7
YOM:
1979
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
14414
Captain / Total hours on type:
631.00
Copilot / Total flying hours:
1560
Aircraft flight hours:
15782
Circumstances:
The airline transport pilot reported that, before landing following an uneventful flight, he extended the wing flaps to the approach position and extended the landing gear; the gear indicator lights showed "3 green." After touchdown, he heard noises, and the airplane started to sink. After the airplane came to a stop on the right side of the runway, he noticed that the landing gear handle was up. The pilot stated to the copilot, "How did the gear handle get up?" then placed the handle to the down position and the flight crew exited the airplane. The copilot reported that he was acting as an observer during the flight and that he also saw three green landing gear down-and-locked indicator lights before landing. The airframe sustained substantial damage from contact with the runway. All three landing gear were found in a partially-extended position. Skid marks from all three tires were observed on the runway leading up to the main wreckage. Both propeller assemblies were damaged due to contact with the runway. The pressure vessel was compromised from contact with a propeller blade. The nose landing gear actuator was forced up, into the nose gear well and penetrated the upper nose skin. Examination of the landing gear components did not reveal evidence of a preexisting mechanical malfunction or malfunction. The skid marks leading to the wreckage and the partially-extended gear were inconsistent with the pilot's account that the gear handle was up after the airplane came to rest and was then lowered. The gear handle consisted of an electrical switch that required it to be pulled out of a detent before placing it up or down. There was no mechanical linkage between the gear handle and the landing gear, as the gear were driven by an electric motor. It is likely that the pilot realized that the gear were not extended just before touchdown and then tried to lower the gear, resulting in a touchdown with the gear only partially extended. The pilot reported that he had experienced several interruptions to his sleep the night before the accident. He also reported that he flew 7 legs on the day of the accident for a total of 5.2 hours, only eating a banana for breakfast during this time period. It is likely that the pilot's fatigue contributed to his failure to ensure that the landing gear were down and locked before landing.
Probable cause:
The pilot's failure to ensure that the landing gear were down and locked before touchdown. Contributing to the accident was the pilot's self-reported fatigue at the time of the accident.
Final Report: