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Crash of a BAe 125-700A in Akron: 9 killed

Date & Time: Nov 10, 2015 at 1453 LT
Type of aircraft:
Operator:
Registration:
N237WR
Survivors:
No
Site:
Schedule:
Dayton – Akron
MSN:
257072
YOM:
1979
Flight number:
EFT1526
Crew on board:
2
Crew fatalities:
Pax on board:
7
Pax fatalities:
Other fatalities:
Total fatalities:
9
Captain / Total flying hours:
6170
Captain / Total hours on type:
1020.00
Copilot / Total flying hours:
4382
Copilot / Total hours on type:
482
Aircraft flight hours:
14948
Aircraft flight cycles:
11075
Circumstances:
The aircraft departed controlled flight while on a non precision localizer approach to runway 25 at Akron Fulton International Airport (AKR) and impacted a four-unit apartment building in Akron, Ohio. The captain, first officer, and seven passengers died; no one on the ground was injured. The airplane was destroyed by impact forces and post crash fire. The airplane was registered to Rais Group International NC LLC and operated by Execuflight under the provisions of 14 Code of Federal Regulations (CFR) Part 135 as an on-demand charter flight. Instrument meteorological conditions prevailed, and an instrument flight rules flight plan was filed. The flight departed from Dayton-Wright Brothers Airport, Dayton, Ohio, about 1413 and was destined for AKR. Contrary to Execuflight’s informal practice of the captain acting as pilot flying on flights carrying revenue passengers, the first officer was the pilot flying, and the captain was the pilot monitoring. While en route, the flight crew began preparing for the approach into AKR. Although company standard operating procedures (SOPs) specified that the pilot flying was to brief the approach, the captain agreed to the first officer’s request that the captain brief the approach. The ensuing approach briefing was unstructured, inconsistent, and incomplete, and the approach checklist was not completed. As a result, the captain and first officer did not have a shared understanding of how the approach was to be conducted. As the airplane neared AKR, the approach controller instructed the flight to reduce speed because it was following a slower airplane on the approach. To reduce speed, the first officer began configuring the airplane for landing, lowering the landing gear and likely extending the flaps to 25° (the airplane was not equipped with a flight data recorder, nor was it required to be). When the flight was about 4 nautical miles from the final approach fix (FAF), the approach controller cleared the flight for the localizer 25 approach and instructed the flight to maintain 3,000 ft mean sea level (msl) until established on the localizer. The airplane was already established on the localizer when the approach clearance was issued and could have descended to the FAF minimum crossing altitude of 2,300 ft msl. However, the first officer did not initiate a descent, the captain failed to notice, and the airplane remained level at 3,000 ft msl. As the first officer continued to slow the airplane from about 150 to 125 knots, the captain made several comments about the decaying speed, which was well below the proper approach speed with 25° flaps of 144 knots. The first officer’s speed reduction placed the airplane in danger of an aerodynamic stall if the speed continued to decay, but the first officer apparently did not realize it. The first officer’s lack of awareness and his difficulty flying the airplane to standards should have prompted the captain to take control of the airplane or call for a missed approach, but he did not do so. Before the airplane reached the FAF, the first officer requested 45° flaps and reduced power, and the airplane began to descend. The first officer’s use of flaps 45° was contrary to Execuflight’s Hawker 700A non precision approach profile, which required the airplane to be flown at flaps 25° until after descending to the minimum descent altitude (MDA) and landing was assured; however, the captain did not question the first officer’s decision to conduct the approach with flaps 45°. The airplane crossed the FAF at an altitude of about 2,700 ft msl, which was 400 ft higher than the published minimum crossing altitude of 2,300 ft msl. Because the airplane was high on the approach, it was out of position to use a normal descent rate of 1,000 feet per minute (fpm) to the MDA. The airplane’s rate of descent quickly increased to 2,000 fpm, likely due to the first officer attempting to salvage the approach by increasing the rate of descent, exacerbated by the increased drag resulting from the improper flaps 45° configuration. The captain instructed the first officer not to descend so rapidly but did not attempt to take control of the airplane even though he was responsible for safety of the flight. As the airplane continued to descend on the approach, the captain did not make the required callouts regarding approaching and reaching the MDA, and the first officer did not arrest the descent at the MDA. When the airplane reached the MDA, which was about 500 ft above the touchdown zone elevation, the point at which Execuflight’s procedures dictated that the approach must be stabilized, the airspeed was 11 knots below the minimum required airspeed of 124 knots, and the airplane was improperly configured with 45° flaps. The captain should have determined that the approach was unstabilized and initiated a missed approach, but he did not do so. About 14 seconds after the airplane descended below the MDA, the captain instructed the first officer to level off. As a result of the increased drag due to the improper flaps 45° configuration and the low airspeed, the airplane entered a stalled condition when the first officer attempted to arrest the descent. About 7 seconds after the captain’s instruction to level off, the cockpit voice recorder (CVR) recorded the first sounds of impact.
Probable cause:
The National Transportation Safety Board determines that the probable cause of this accident was the flight crew’s mismanagement of the approach and multiple deviations from company standard operating procedures, which placed the airplane in an unsafe situation and led to an unstabilized approach, a descent below minimum descent altitude without visual contact with the runway environment, and an aerodynamic stall. Contributing to the accident were Execuflight’s casual attitude toward compliance with standards; its inadequate hiring, training, and operational oversight of the flight crew; the company’s lack of a formal safety program; and the Federal Aviation Administration’s insufficient oversight of the company’s training program and flight operations.
Final Report:

Crash of a Piper PA-31-325 Navajo C/R in Dayton: 1 killed

Date & Time: Jun 19, 1996 at 0810 LT
Type of aircraft:
Operator:
Registration:
N62852
Flight Type:
Survivors:
No
Schedule:
Berrien Springs - Dayton
MSN:
31-7612089
YOM:
1976
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
1198
Captain / Total hours on type:
701.00
Aircraft flight hours:
3252
Circumstances:
The parents of the pilot/owner stated that he arrived late in the afternoon prior to the accident. They stayed up with their son until approximately 0100 the morning of the accident. They stated that their son was a doctor and kept a busy schedule. The son told the parents that he had to fly back in order to have new fuel cells installed in the airplane and to work at his clinic. The pilot was airborne by 0700. The weather at his destination had low ceilings and fog restricting the visibility. The pilot was cleared by ATC to fly the localizer approach to the runway. The pilot called his position at the outer marker on the unicom frequency and no further transmissions were heard. Witnesses on the airport heard and saw the bottom of the airplane and stated that the airplane's engines sounded normal as it went overhead. Radar data showed that the airplane's altitude fluctuated and ground speed decreased significantly during the missed approach flight path. The airplane impacted the ground in approximately 40- degree nose-low, right wing down attitude. The toxicology report revealed 0.005 ug/ml Tetrahydrocannabinol (Marihuana) in the blood, and 0.013 ug/ml and 0.017 ug/ml Tetrahydrocannabinol Carboxylic Acid (Marihuana) in the blood and kidney fluid respectively.
Probable cause:
The pilot's impairment of judgment and performance due to drugs which led to spatial disorientation and a loss of aircraft control. The weather was a factor.
Final Report:

Crash of a Beechcraft E18S in Dayton

Date & Time: Jul 11, 1979 at 1425 LT
Type of aircraft:
Operator:
Registration:
N136C
Flight Type:
Survivors:
Yes
Schedule:
Cleveland - Saint Louis
MSN:
BA-79
YOM:
1955
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
1850
Captain / Total hours on type:
773.00
Circumstances:
The pilot, sole on board, was completing a ferry flight from Cleveland to Saint Louis. While in normal cruise, he encountered engine problems, informed ATC and was vectored to Dayton-Wilbur Wright Field. On final approach, the airplane was too low, struck power cables and crashed. The pilot was seriously injured.
Probable cause:
Engine failure for undetermined reasons. The following contributing factors were reported:
- The pilot misused or failed to use flaps,
- Complete failure of one engine.
Final Report:

Crash of a Boeing B-17 Flying Fortress in Dayton: 2 killed

Date & Time: Oct 30, 1935
Operator:
Registration:
NX13372
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Dayton - Dayton
MSN:
1963
YOM:
1935
Crew on board:
4
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
2
Circumstances:
The crew was performing a local test flight on this first prototype of the Boeing 299 (registered NX13372 - 'X13372') which will be renamed later Boeing B-17 Flying Fortress. Shortly after take off from Wilbur Wright Field located near Dayton, the aircraft stalled and crashed in an open field located just past the runway end, bursting into flames. The pilot was killed while three other occupants were seriously injured. One of the survivor, the flight engineer, died few days later. Wilbur Wright Field became in 1948 Wright-Patterson Air Force Base. The captain who was killed was Major Ployer Peter Hill, an American aviator who will give his name to the Ogden Air Base in Utah on December 1, 1939. The flight engineer was Les Tower.
Probable cause:
It was determined that the loss of control after takeoff was the consequence of locked ailerons.