Crash of a Swearingen SA227AC Metro III in Durango: 9 killed

Date & Time: Jan 19, 1988 at 1920 LT
Type of aircraft:
Operator:
Registration:
N68TC
Survivors:
Yes
Schedule:
Denver - Durango
MSN:
AC-457
YOM:
1981
Flight number:
VJ2286
Crew on board:
2
Crew fatalities:
Pax on board:
15
Pax fatalities:
Other fatalities:
Total fatalities:
9
Captain / Total flying hours:
4184
Captain / Total hours on type:
3028.00
Copilot / Total flying hours:
8500
Copilot / Total hours on type:
305
Aircraft flight hours:
11895
Circumstances:
The aircraft was operating as Continental Express flight 2286. During the approach in IFR conditions, the aircraft went below the minimum descent altitude then struck the terrain at 7,180 feet msl. Examination of the aircraft did not disclose any pre-impact failures or system malfunctions. The evidence indicated that the copilot was flying the airplane during the approach. Evaluation of the radar data showed an excessive rate of descent before the collision with terrain. Postmortem toxicological examination showed that the captain had used cocaine prior to this flight. The safety board concluded that this use had adversely affected his ability to monitor the unstabilized approach flown by the copilot. Records of both crewmembers revealed prior traffic violations and accidents, and, in the case of the captain, a previous aircraft accident. Evaluation of the weather conditions indicated that a 10 to 15 knot tailwind condition existed throughout the approach.
Probable cause:
The first officer's flying and the captain's ineffective monitoring of an unstabilized approach, which resulted in a descent below the published descent profile. Contributing to the accident was the captain's performance resulting from his use of cocaine before the accident.
Final Report:

Crash of a Douglas DC-9-14 in Denver: 28 killed

Date & Time: Nov 15, 1987 at 1415 LT
Type of aircraft:
Operator:
Registration:
N626TX
Flight Phase:
Survivors:
No
Schedule:
Denver - Boisé
MSN:
45726
YOM:
1966
Flight number:
CO1713
Crew on board:
5
Crew fatalities:
Pax on board:
77
Pax fatalities:
Other fatalities:
Total fatalities:
28
Captain / Total flying hours:
12125
Captain / Total hours on type:
133.00
Copilot / Total flying hours:
3186
Copilot / Total hours on type:
36
Aircraft flight hours:
42184
Aircraft flight cycles:
54759
Circumstances:
Weather conditions were moderate snow and freezing temperatures. Following a 27 minute delay between deicing and departure, on takeoff the aircraft was over-rotated by the first officer. Aircraft control was lost, the aircraft stalled and impacted off the right side of the runway. Company procedures called for repeat deicing when in icing conditions if a delay exceeds 20 minutes. Confusion between the tower and the flight crew due to procedural errors resulted in the delayed takeoff clearance. Both pilots were inexperienced in their respective crew positions. The captain had 33 hours experience as a DC-9 captain. The first officer had 36 hours jet experience, all in the DC-9. First officer demonstrated weak scan in training and had pilot performance problems with previous employers. First officer was on reserve, and had not flown for 24 days. The trip was assigned to the first officer for proficiency. Flight was first officer's 2nd trip as DC-9 first officer. Wing vortices from a landing aircraft on a parallel runway were not a factor in the accident.
Probable cause:
The captain's failure to have the airplane de-iced a second time after delay before take-off that led to upper wing surface contamination and a loss of control during rapid take-off rotation by the first officer.
Contributing was the absence of regulatory or management controls governing operations by newly qualified flight crew members and the confusion that existed between the flight crew and air traffic controllers that led to the delay in departure.
Final Report:

Crash of a Mitsubishi MU-2B-20 Marquise in Denver

Date & Time: Oct 12, 1986 at 1051 LT
Type of aircraft:
Registration:
N3MU
Flight Type:
Survivors:
Yes
Schedule:
Grand Junction – Denver – Chicago
MSN:
143
YOM:
1969
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
4186
Captain / Total hours on type:
38.00
Aircraft flight hours:
5780
Circumstances:
Aircraft had been repossessed and was being ferried from Grand Junction, CO, to Chicago, IL, with en route stop at Denver, CO. After takeoff from Denver, landing gear would not retract. Pilot made several attempts without success. He elected to return to Denver. Pilot said that on final approach the right engine began surging and the left engine would not increase power. Aircraft made hard landing on runway, breaking left wing. Investigation revealed both speed levers would not function because engine prop governors and underspeed fuel governor reset arms, splined onto underspeed fuel governor shafts, were positioned on opposite side of speed lever actuating arms. Landing gear functioned normally during swing tests. It was later learned that right main tire had blown on takeoff 3 days earlier and required repair. Maintenance personnel opened the landing gear circuit breakers to preclude inadvertent gear retraction. Pilot said he checked circuit breakers when gear failed to retract. Both occupants escaped uninjured.
Probable cause:
Occurrence #1: airframe/component/system failure/malfunction
Phase of operation: takeoff - initial climb
Findings
1. (f) electrical system,circuit breaker - not engaged
2. (f) maintenance - inadequate - company maintenance personnel
3. (c) aircraft preflight - inadequate - pilot in command
4. (f) lack of familiarity with aircraft - pilot in command
5. (f) landing gear - inoperative
6. Gear retraction - attempted - pilot in command
7. (f) lack of familiarity with aircraft - copilot/second pilot
8. (c) electrical system, circuit breaker - open
9. (f) landing gear, gear indicating system - false indication
----------
Occurrence #2: loss of engine power (partial) - nonmechanical
Phase of operation: approach - vfr pattern - final approach
Findings
10. Precautionary landing - performed - pilot in command
11. (c) checklist - not followed - pilot in command
12. (c) propeller governor control, linkage - incorrect
13. (c) maintenance - not corrected - company maintenance personnel
14. (c) maintenance, service of aircraft/equipment - inadequate - other maintenance personnel
----------
Occurrence #3: hard landing
Phase of operation: landing - flare/touchdown
Findings
15. (c) airspeed (vref) - below - pilot in command
16. (c) diverted attention - pilot in command
17. (c) stall - inadvertent - pilot in command
Final Report:

Crash of a Piper PA-60 Aerostar (Ted Smith 600) in Denver

Date & Time: Aug 10, 1985 at 1947 LT
Operator:
Registration:
N3643R
Flight Phase:
Survivors:
Yes
Schedule:
Denver - Chandler
MSN:
60-0837-8161240
YOM:
1981
Crew on board:
1
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
1529
Captain / Total hours on type:
97.00
Aircraft flight hours:
1040
Circumstances:
Pilot-in-command stated that he waited approximately 90 seconds after a B727 departed on runway 08R due to possible wake turbulence. Pilot continued to state that he used a short field takeoff procedure to climb above the flight path of the B727. He stated that during climbout N3643R began an uncommanded roll to the left at approximately 600 feet. The pilot regained roll control just prior to ground impact. The Piper Aerostar is certificated without a stall warning device. The wind at Stapleton Airport at the time N3643R took off was 170° at 20 knots with gusts to 28 knots. According to the pilot operating handbook, the demonstrated crosswind component is 15 knots. All four occupants were injured, one seriously.
Probable cause:
Occurrence #1: loss of control - in flight
Phase of operation: takeoff - initial climb
Findings
1. (c) aircraft weight and balance - exceeded - pilot in command
2. (c) company-induced pressure - pilot in command
3. (c) wind information - disregarded - pilot in command
4. (c) airspeed - not maintained - pilot in command
5. (c) stall/mush - not corrected - pilot in command
----------
Occurrence #2: in flight collision with terrain/water
Phase of operation: descent - emergency
Final Report:

Crash of a Rockwell Turbo Commander 681B in Calhan: 1 killed

Date & Time: Mar 28, 1985 at 1930 LT
Registration:
N772CB
Flight Phase:
Survivors:
Yes
Site:
Schedule:
Van Nuys - Denver
MSN:
681-6050
YOM:
1970
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
411
Captain / Total hours on type:
376.00
Aircraft flight hours:
4500
Circumstances:
During a cross country flight from WI to CA and return, the non instrument, low experienced private pilot, flew into IMC conditions. The aircraft impacted flat snow-covered ground, destroying the aircraft and fatally injuring his passenger. Examination of wreckage revealed no evidence of pre-accident malfunction of the aircraft or its powerplants. A passenger was killed while three other occupants were injured.
Probable cause:
Occurrence #1: in flight encounter with weather
Phase of operation: descent - normal
Findings
1. (f) light condition - night
2. (c) in-flight planning/decision - improper - pilot in command
3. (c) inadequate transition/upgrade training - pilot in command
4. (f) weather condition - turbulence
5. (c) flight into known adverse weather - initiated - pilot in command
6. (c) lack of familiarity with aircraft - pilot in command
7. (f) weather condition - night
8. (c) vfr flight into imc - continued - pilot in command
9. (c) became lost/disoriented - inadvertent - pilot in command
----------
Occurrence #2: loss of control - in flight
Phase of operation: descent - normal
Findings
10. (c) airspeed - uncontrolled - pilot in command
11. (c) altitude - uncontrolled - pilot in command
----------
Occurrence #3: in flight collision with terrain/water
Phase of operation: descent - uncontrolled
Findings
12. (f) terrain condition - open field
13. (f) terrain condition - snow covered
Final Report:

Crash of a Handley Page H.P.137 Jetstream III in Loveland: 13 killed

Date & Time: Apr 17, 1981 at 1601 LT
Operator:
Registration:
N11360
Flight Phase:
Survivors:
No
Schedule:
Denver - Gillette
MSN:
238
YOM:
1969
Flight number:
US716
Crew on board:
2
Crew fatalities:
Pax on board:
11
Pax fatalities:
Other fatalities:
Total fatalities:
13
Captain / Total flying hours:
4784
Captain / Total hours on type:
1784.00
Copilot / Total flying hours:
2280
Copilot / Total hours on type:
210
Aircraft flight hours:
3795
Aircraft flight cycles:
3791
Circumstances:
Air US Flight 716 departed Denver-Stapleton, CO at 15:46 for a flight to Gillette, WY. At 15:59 Flight 716 contacted Denver Center to request to maintain FL130, which was approved. In the same area a Cessna TU206 (N4862F, operated by Sky's West Parachute Center) was climbing in a racetrack pattern over Fort Collins/Loveland Municipal Airport to an altitude of FL155. The Cessna had departed this airport at 15:30 for the second parachute jump flight of the day. The Cessna was in a climbing left turn on a north-westerly heading when it was hit by the Air US Jetstream. The No. 1 propeller of the Jetstream cut through the aft fuselage section of the Cessna resulting in immediate loss of control to both aircraft. Two of the skydivers were killed inside the aircraft during the collision. The pilot and three parachutists fell free of the aircraft and parachuted to the ground. The remains of the Cessna descended out of control and crashed in an open field. The Jetstream impacted the ground in a nearly vertical pitch attitude in an open field about 4,000 feet northeast of the Cessna wreckage.
Probable cause:
The failure of the Cessna pilot to establish communications with the Denver Center and his climbing into controlled airspace above 12,500 feet without an authorised deviation from the altitude encoding transponder (Mode-C) requirement, the practice of the Denver Center of routinely condoning Sky's West parachute jump operations above 12,500 feet without a Mode-C transponder and the failure of the pilots of both aircraft to "see and avoid" each other. Contributing to the accident was the fact that existing regulations do not prohibit parachute jumping in, or immediately adjacent to, Federal airways.
Final Report:

Crash of a Douglas DC-8-61 in Portland: 10 killed

Date & Time: Dec 28, 1978 at 1815 LT
Type of aircraft:
Operator:
Registration:
N8082U
Survivors:
Yes
Site:
Schedule:
New York - Denver - Portland
MSN:
45972/357
YOM:
1968
Flight number:
UA173
Crew on board:
8
Crew fatalities:
Pax on board:
181
Pax fatalities:
Other fatalities:
Total fatalities:
10
Captain / Total flying hours:
27638
Captain / Total hours on type:
5517.00
Copilot / Total flying hours:
5209
Copilot / Total hours on type:
247
Aircraft flight hours:
33114
Circumstances:
United Airlines Flight 173, departed New York-JFK on a scheduled flight to Portland International Airport (PDX), with an en route stop at Denver (DEN). The DC-8-61 took off from Denver about 14:47. The planned time en route was 2 hrs 26 min. The planned arrival time at Portland was 17:13. There was 46,700 lb of fuel on board the aircraft when it departed the gate at Denver. This fuel included the Federal Aviation Regulation requirement for fuel to destination plus 45 min and the company contingency fuel of about 20 min. At 17:05, Flight 173 called Portland Approach and advised that its altitude was 10,000 ft and its airspeed was being reduced. Portland responded and told the flight to maintain its heading for a visual approach to runway 28. Flight 173 acknowledged the approach instructions and stated, "...we have the field in sight." At 17:07, Portland Approach instructed the flight to descend and maintain 8,000 ft. Flight 173 acknowledged the instructions and advised that it was "leaving ten." At 17:09, Flight 173 received and acknowledged a clearance to continue its descent to 6,000 ft. When the DC-8 was descending through about 8,000 ft, the first officer, who was flying the aircraft, requested the wing flaps be extended to 15 degrees, then asked that the landing gear be lowered. As the landing gear extended, an unusual sound was heard and the aircraft yawed. At 17:12, Portland Approach requested, "United one seven three heavy, contact the tower, one one eight point seven." The flight responded, "negative, we'll stay with you. We'll stay at five. We'll maintain about a hundred and seventy knots. We got a gear problem. We'll let you know." Portland Approach replied, "United one seventy-three heavy roger, maintain five thousand. Turn left heading two zero zero." The flight acknowledged the instructions. At 17:14, Portland Approach advised, "United one seventy three heavy, turn left heading, one zero zero and I'll just orbit you out there 'til you get your problem." Flight 173 acknowledged the instructions. For the next 23 min, while Portland Approach was vectoring the aircraft in a holding pattern south and east of the airport, the flight crew discussed and accomplished all of the emergency and precautionary actions available to them to assure themselves that all landing gear was locked in the full down position. The second officer checked the visual indicators on top of both wings, which extend above the wing surface when the landing gear is down-and-locked. About 17:38, Flight 173 contacted the United Airlines Systems Line Maintenance Control Center in San Francisco. The captain explained to company dispatch and maintenance personnel the landing gear problem and what the flight crew had done to assure that the landing gear was fully extended. He said they were planning to land in about twenty minutes. About 17:44, the captain and the first flight attendant discussed passenger preparation, crash landing procedures, and evacuation procedures. At 17:46, the first officer asked the flight engineer, "How much fuel we got...?" The flight engineer responded, "Five thousand." About 17:50, the captain asked the flight engineer to "Give us a current card on weight. Figure about another fifteen minutes." The first officer responded, "Fifteen minutes?" To which the captain replied, "Yeah, give us three or four thousand pounds on top of zero fuel weight." The flight engineer then said, "Not enough. Fifteen minutes is gonna really run us low on fuel here." Some calculations were made and at 17:52 the flight engineer talked to Portland and discussed the aircraft's fuel state, the number of persons on board the aircraft, and the emergency landing precautions at the airport. A fuel check at 17:57 learned that there were 1,000 lb in each tank, totalling 4,000 lb of fuel. From 17:57 until 18:00, the captain and the first officer engaged in a conversation which included discussions of giving the flight attendants ample time to prepare for the emergency, cockpit procedures in the event of an evacuation after landing, whether the brakes would have antiskid protection after landing, and the procedures the captain would be using during the approach and landing. At 18:01, the flight engineer reported that the cabin would be ready in "another two or three minutes." At 18:02, the flight engineer advised, "We got about three on the fuel and that's it." The aircraft was then about 5 nmi south of the airport on a southwest heading. Portland Approach then asked Flight 173 for a status report. The first officer replied, "Yeah, we have indication our gear is abnormal. It'll be our intention, in about five minutes, to land on two eight left. We would like the equipment standing by. Our indications are the gear is down and locked. We've got our people prepared for an evacuation in the event that should become necessary." At 18:03 Portland Approach asked that Flight 173 advise them when the approach would begin. The captain responded, "...They've about finished in the cabin. I'd guess about another three, four, five minutes." At this time the aircraft was about 8 nmi south of the airport on a southwesterly heading. At 18:06, the first flight attendant entered the cockpit and reported that they were ready in the passenger cabin. At this time the aircraft was about 17 nmi south of the airport on a southwesterly heading. The captain then said, "Okay. We're going to go in now. We should be landing in about five minutes." Almost simultaneous with this comment, the first officer said, "I think you just lost number four ..." followed immediately by advice to the flight engineer, "... better get some crossfeeds open there or something." At 18:06:46, the first officer told the captain, "We're going to lose an engine..." At 18:06:49, the first officer again stated, "We're losing an engine." Again the captain asked, "Why?" The first officer responded, "Fuel." The captain replied, "Why?" Between 18:06:52 and 18:07:06, the CVR revealed conflicting and confusing conversation between flight crewmembers as to the aircraft's fuel state. At 18:07:06, the first officer said, "It's flamed out." At 18:07:12, the captain called Portland Approach and requested, "...would like clearance for an approach into two eight left, now." The aircraft was about 19 nmi south southwest of the airport and turning left. This was the first request for an approach clearance from Flight 173 since the landing gear problem began. Portland Approach immediately gave the flight vectors for a visual approach to runway 28L. The flight turned toward the vector heading of 010 degrees. At 18:09:21, the captain advised Portland Approach, "United, seven three is going to turn toward the airport and come on in." After confirming Flight 173's intentions, Portland Approach cleared the flight for the visual approach to runway 28L. At 18:10:17, the captain requested that the flight engineer "reset that circuit breaker momentarily. See if we get gear lights." The flight engineer complied with the request. At 18:10:47, the captain requested the flight's distance from the airport. Portland approach responded, "I'd call it eighteen flying miles." At 18:12:42, the captain made another request for distance. Portland Approach responded, "Twelve flying miles." The flight was then cleared to contact Portland tower. At 18:13:21, the flight engineer stated, "We've lost two engines, guys." At 18:13:25, he stated, "We just lost two engines - one and two." At 1813:38, the captain said, They're all going. We can't make Troutdale." The first officer said, "We can't make anything." At 18:13:46, the captain told the first officer, "Okay. Declare a mayday." At 18:13:50, the first officer called Portland International Airport tower and declared, "Portland tower, United one seventy three heavy, Mayday. We're--the engines are flaming out. We're going down. We're not going to be able to make the airport." This was the last radio transmission from Flight 173. About 18:15, the aircraft crashed into a wooded section of a populated area of suburban Portland about 6 nmi east southeast of the airport. There was no fire. The wreckage path was about 1,554 ft long and about 130 ft wide. Two crew members and eight passengers were killed, 34 other occupants were injured.
Probable cause:
The failure of the captain to monitor properly the aircraft's fuel state and to properly respond to the low fuel state and the crew member's advisories regarding fuel state. This resulted in fuel exhaustion to all engines. His inattention resulted from preoccupation with a landing gear malfunction and preparations for a possible emergency landing. Contributing to the accident was the failure of the other two flight crewmembers either to fully comprehend the criticality of the fuel state or to successfully communicate their concern to the captain. The following findings were reported:
- Except for the failure of the piston rod on the right main landing gear retract cylinder assembly, with the resulting damage to the landing gear position indicating system switch, there was no evidence of a failure or malfunction of the aircraft’s structure, powerplants, flight controls, or systems,
- All of the aircraft’s engines flamed out because of fuel exhaustion about 1815, one hour and 3 minutes after it entered into hold and 3 hrs 27 min after it departed Denver,
- Fuel exhaustion was predictable. The crew failed to equate the fuel remaining with time and distance from the airport,
- No pertinent malfunctions were found during examinations of the fuel quantity measuring system,
- The captain failed to make decisive timely decisions,
- The captain failed to relate time, distance from the airport, and the aircraft’s fuel state as his attention was directed completely toward the diagnosis of the gear problem and preparation of the passengers for an emergency landing. The gear problem had a disorganizing effect on the captain's performances,
- Neither the first officer nor the flight engineer conveyed any concern about fuel exhaustion to the captain until the accident was inevitable.
Final Report:

Crash of a De Havilland DHC-6 Twin Otter in Steamboat Springs: 2 killed

Date & Time: Dec 4, 1978 at 1945 LT
Operator:
Registration:
N25RM
Flight Phase:
Survivors:
Yes
Site:
Schedule:
Steamboat Springs - Denver
MSN:
387
YOM:
1973
Flight number:
JC217
Crew on board:
2
Crew fatalities:
Pax on board:
20
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
7340
Captain / Total hours on type:
3904.00
Copilot / Total flying hours:
3816
Copilot / Total hours on type:
320
Aircraft flight hours:
15145
Circumstances:
The flight departed Steamboat Springs-Bob Adams Airport at 1855LT on a scheduled flight to Denver-Stapleton, carrying 20 passengers and a crew of two. After takeoff, while climbing, the crew encountered severe icing conditions and was cleared to return when the flight crashed into a mountain at the 10,530 feet level. Rescuers arrived on scene the following morning. A pilot and a passenger died while 20 other occupants were injured, most of them seriously. According to official observations, the weather at Steamboat Springs about 25 minutes before the accident consisted of an estimated 2,000 feet overcast ceiling and 6 miles visibility in freezing rain. According to surviving passengers, after the accident, snow was falling at the crash site and a strong wind was blowing and gusting from the west.
Probable cause:
The probable cause of the accident was severe icing and strong downdrafts associated with a mountain wave which combined to exceed the aircraft's capability to maintain flight. Contributing to the accident was the captain's decision to fly into probable icing conditions that exceeded the conditions authorised by company directive.
Final Report:

Crash of a Dassault Falcon 10 in Denver: 4 killed

Date & Time: Apr 3, 1977 at 0452 LT
Type of aircraft:
Operator:
Registration:
N60MB
Flight Phase:
Survivors:
Yes
Schedule:
Denver - Cheyenne
MSN:
15
YOM:
1974
Location:
Crew on board:
2
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
4
Captain / Total flying hours:
16122
Captain / Total hours on type:
800.00
Aircraft flight hours:
1425
Circumstances:
Few minutes after takeoff from Denver-Stapleton Airport, while climbing to an altitude of 12,000 feet, the crew reported hydraulic problems and was cleared to return. Shortly later, the airplane entered an uncontrolled descent and crashed in a field located 10 miles northeast of Stapleton Airport. A passenger was seriously injured while four other occupants were killed.
Probable cause:
Uncontrolled descent for undetermined reasons.
Final Report: