Crash of a Rockwell Shrike Commander 500S in Des Moines: 7 killed

Date & Time: Nov 25, 1985 at 1742 LT
Operator:
Registration:
N81589
Flight Type:
Survivors:
No
Schedule:
Milwaukee - Des Moines
MSN:
500-3297
YOM:
1976
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
6
Pax fatalities:
Other fatalities:
Total fatalities:
7
Captain / Total flying hours:
7020
Captain / Total hours on type:
1553.00
Aircraft flight hours:
3185
Circumstances:
N81589 was following a Boeing 727 on ILS approach in IFR conditions. Approximately 2.5 miles from runway, N81589 suddenly deviated left nearly 90°. 39 seconds later, pilot reported he encountered severe turbulences, then said he was trying to climb. N81589 subsequently flew thru tree tops on rising terrain for approximately 2 city blocks, then hit power lines and a pole and crashed against a tree. No evidence of turbulences due to weather at/near approach altitude. Investigation showed 4.7 miles separation between aircraft when the 727 passed the point of deviation (pod). At pod, the 727 was on the ILS glide slope at 850 feet; N81589's altitude was not determined. Wind was from 120° at 3 to 6 knots, shifting more southerly withalt. Prevailing visibility was 1/2 mile; RVR for runway 12L was 6,000 feet; light rime icing was reported. Witnesses heard power interruption of one engine at pod; but there was no indication of power loss where aircraft hit trees. Radar data showed aircraft slowed to 80 knots at pod, accelerated to 100 knots during deviation, slowed to 70 knots before impact; vmca was 74 knots. Safety board believes the pilot most likely lost control due to slow speed and light airframe icing; possibly encountered wake turbulences. No reason found for loss of engine power. All seven occupants were killed.
Probable cause:
Occurrence #1: loss of control - in flight
Phase of operation: approach - faf/outer marker to threshold (ifr)
Findings
1. (f) light condition - dark night
2. (f) weather condition - low ceiling
3. (f) weather condition - fog
4. (f) weather condition - rain
5. (f) weather condition - icing conditions
6. (c) wing - ice
----------
Occurrence #2: altitude deviation,uncontrolled
Phase of operation: approach - faf/outer marker to threshold (ifr)
Findings
7. (f) airspeed - reduced - pilot in command
8. (c) airspeed - inadequate - pilot in command
9. (c) aircraft handling - not maintained - pilot in command
10. Descent - uncontrolled
11. Directional control - not maintained
12. Remedial action - initiated
13. Level off - performed
----------
Occurrence #3: loss of engine power
Phase of operation: approach
Findings
14. (f) reason for occurrence undetermined
----------
Occurrence #4: in flight collision with object
Phase of operation: approach
Findings
15. (f) terrain condition - rising
16. Proper climb rate - not possible
17. Stall/mush
18. (f) object - tree(s)
19. (f) object - wire, transmission
20. (f) object - utility pole
----------
Occurrence #5: in flight collision with terrain/water
Phase of operation: descent - uncontrolled
Final Report:

Crash of a Piper PA-31-350 Navajo Chieftain in Dubuque: 2 killed

Date & Time: Dec 24, 1982 at 2030 LT
Operator:
Registration:
N4091U
Flight Type:
Survivors:
No
Schedule:
Des Moines - Dubuque
MSN:
31-8152159
YOM:
1981
Location:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
1230
Aircraft flight hours:
2548
Circumstances:
At 2015 the flight contacted ARTCC and requested Dubuque weather. They were advised that Dubuque was 500 feet indefinite ceiling, sky obscured, visibility 1/2 mi fog and they would be vectored for a back course runway 13 approach. The flight then requested the front course approach to runway 31 and the controller advised the flight that it would be vectored to the ILS front course approach to runway 31. Approximately 40 seconds later the flight advised the controller that it would take the back course approach to runway 13. The landing minima for a straight-in ILS runway 31 is 1/2 mile visibility and for a straight-in LOC/DME back course approach to runway 13 3/4 mile visibility. The aircraft's wreckage was found in a valley about 3/4 mile short of runway 13 and approximately 100 feet below the runway elevation about two days after the crash. Both occupants were killed.
Probable cause:
Occurrence #1: in flight collision with terrain/water
Phase of operation: approach - FAF/outer marker to threshold (IFR)
Findings
1. (f) light condition - dark night
2. (f) weather condition - fog
3. (f) weather condition - low ceiling
4. (f) weather condition - below approach/landing minimums
5. (c) IFR procedure - improper - pilot in command
6. (c) minimum descent altitude - below - pilot in command
Final Report:

Crash of a Cessna 421A Golden Eagle I in Kansas City: 3 killed

Date & Time: Feb 22, 1979 at 0955 LT
Type of aircraft:
Registration:
N77PM
Survivors:
No
Schedule:
Des Moines - Kansas City
MSN:
421A-0129
YOM:
1968
Crew on board:
1
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
3
Captain / Total flying hours:
16000
Captain / Total hours on type:
420.00
Circumstances:
On approach to Kansas City-Charles B. Wheeler-Downtown Airport, the pilot encountered very bad weather conditions with low ceiling, fog and windshear. In a zero visibility, he failed to realize his altitude was too low when the airplane struck trees and crashed in flames few miles short of runway 19 threshold. The aircraft was destroyed upon impact and all three occupants were killed.
Probable cause:
Collision with trees on final approach due to improper IFR operation. The following contributing factors were reported:
- Low ceiling,
- Fog,
- Windshear,
- Visibility at zero.
Final Report:

Crash of a Learjet 25D in Detroit: 6 killed

Date & Time: Jan 19, 1979 at 1934 LT
Type of aircraft:
Operator:
Registration:
N137GL
Survivors:
No
Schedule:
Des Moines – South Bend – Detroit – Toronto
MSN:
25-237
YOM:
1978
Crew on board:
2
Crew fatalities:
Pax on board:
4
Pax fatalities:
Other fatalities:
Total fatalities:
6
Captain / Total flying hours:
7171
Captain / Total hours on type:
550.00
Copilot / Total flying hours:
3740
Copilot / Total hours on type:
96
Aircraft flight hours:
299
Circumstances:
The airplane crashed while landing on runway 09 at Detroit-Metropolitan-Wayne County Airport. The airplane was returning executives of Massey-Ferguson, Inc., to South Bend, Indiana, Detroit, Michigan, and Toronto, Canada, following a meeting at the company's headquarters in Des Moines, Iowa. During the descent, the aircraft flew in light to moderate, occasionally severe icing conditions. Shortly before the Learjet was to land, a McDonnell Douglas DC-9 was cleared for takeoff. Witnesses saw the Learjet cross the threshold in a normal landing attitude and seconds later roll violently. The airplane was in a steep right bank when the wing tip tank struck the runway 2,440 feet from the threshold and the airplane burst into flames. The two pilots and four passengers were killed.
Probable cause:
The National Transportation Safety Board determines that the probable cause of the accident was the pilot's loss of control. The loss of control may have caused by an accumulation of wing ice, by a delayed application of engine thrust been caused by wake turbulence of a departing aircraft, by a premature stall during an attempted go-around, or by any combination of these factors.
Final Report:

Crash of a Douglas C-47A-20-DK in Des Moines

Date & Time: Dec 2, 1978 at 1313 LT
Operator:
Registration:
N41447
Flight Type:
Survivors:
Yes
Schedule:
Chicago - Des Moines
MSN:
12987
YOM:
1944
Location:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
On final approach, the crew failed to realize his altitude was too low when the airplane struck an embankment located 300 feet short of runway 03 threshold. Upon impact, the undercarriage were torn off, the airplane nosed down and crashed. Both pilots were injured and the aircraft was damaged beyond repair.
Probable cause:
Collision with a dirt bank on final approach after the crew misjudged distance and altitude. The following contributing factors were reported:
- Airframe ice,
- Windshield covered by ice,
- Icing conditions including sleet, freezing rain,
- Visibility two miles or less,
- Wind gusting 20 knots.
Final Report:

Crash of a Beechcraft E18S in Muscatine: 1 killed

Date & Time: Nov 27, 1973 at 2200 LT
Type of aircraft:
Operator:
Registration:
N262AA
Flight Type:
Survivors:
No
Schedule:
Des Moines - Chicago
MSN:
BA-370
YOM:
1958
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
8305
Captain / Total hours on type:
2830.00
Circumstances:
While cruising by night on a cargo flight from Des Moines to Chicago, the pilot encountered engine problems and decided to divert to Muscatine for an emergency landing. Due to lack of visibility, he was unable to locate the runway and completed three low passes then started an approach to runway 12. On final, the airplane struck the ground and crashed about 1,245 feet short of runway. The aircraft was destroyed and the pilot was killed.
Probable cause:
Engine failure in flight. The following factors were reported:
- Improper operation of powerplant and powerplant controls,
- Improper operation or failed to use anti-icing and deicing equipment,
- Carburetor icing,
- Failed to maintain flying speed,
- Conditions conducive to carburetor / induction system icing,
- Icing conditions including sleet and freezing rain,
- Partial loss of power on both engines,
- Airport Manager heard the aircraft making three low passes as though attempting NDB approach to runway 05,
- Hit ABT 1,245 feet before runway 12.
Final Report:

Crash of a Hawker-Siddeley HS.125-1A in Des Moines

Date & Time: Feb 24, 1966 at 1357 LT
Type of aircraft:
Operator:
Registration:
N1135K
Flight Phase:
Survivors:
Yes
Schedule:
Des Moines – Omaha
MSN:
25019
YOM:
1965
Location:
Crew on board:
2
Crew fatalities:
Pax on board:
4
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
7330
Captain / Total hours on type:
375.00
Circumstances:
During the takeoff roll, the pilot-in-command attempted to rotate when an unexpected situation was encountered. The captain decided to abort the takeoff and started an emergency braking procedure. Unable to stop within the remaining distance, the airplane overran and struck ditches before coming to rest in a field. While all four passengers were unhurt, both pilots were seriously injured. The aircraft was written off.
Probable cause:
Inadequate preflight preparation on part of the crew who attempted to takeoff with the gust locks still engaged. Delayed action in aborting the takeoff was considered as a contributing factor.
Final Report:

Crash of a Convair CV-340-13 near Dexter

Date & Time: Jan 19, 1955 at 1625 LT
Type of aircraft:
Operator:
Registration:
N73154
Flight Phase:
Survivors:
Yes
Schedule:
Newark – Allentown – Youngstown – Akron – Cleveland – Chicago – Moline – Iowa City – Des Moines – Omaha – Lincoln
MSN:
180
YOM:
1954
Flight number:
UA329
Location:
Crew on board:
3
Crew fatalities:
Pax on board:
36
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
7578
Captain / Total hours on type:
750.00
Copilot / Total flying hours:
2123
Copilot / Total hours on type:
1147
Aircraft flight hours:
1502
Circumstances:
Flight 329 departed Des Moines on a VFR (Visual Flight Reed) night plan at 1608 for Omaha, Nebraska. The gross weight of the aircraft was 45,215 pounds 1,685 pounds less than the allowable 46,900 pounds. According to company records, the load was properly distributed with respect to the canter of gravity of the aircraft. The climb to 5,000 feet was uneventful but at that altitude the crew noticed vibration and a slight fore-and-aft movement of the control column. The climb was continued to 6,000 feet, where the aircraft was leveled off and power was reduced. As the vibration was still present at this time, the captain attempted to dampen it by engaging the autopilot; however, this was unsuccessful and it was immediately disengaged. The first officer next lowered the flaps, first to 5 degrees and then to 15 degrees, without any noticeable effect. The “Fasten Seat Belt" sign was turned on and the captain told the first officer to advise the company of their difficulty via radio. About this time a sudden failure in the control system was felt and it was with extreme difficulty that any semblance of elevator control was maintained. The first officer again tried lowering the flaps, this time to the 24-degree position, but as this did not help to maintain control he returned them to the 15-degree position, where it was found the most favorable results were attained. Accordingly, the first officer transmitted "Mayday” (distress call) on the radio and said that they were attempting to return to Des Moines but were experiencing control trouble. The buffeting became so severe it was then necessary for the copilot to help the can hold the control column. However, the buffeting lessened and the captain advised the first officer to depressurize the aircraft and tell the stewardess to prepare the passengers for an emergency landing. This was done. By that time the aircraft had descended below 3,000 feet. Both throttles were retarded in turn to see if the trouble could possibly be caused by one of the engines. This also proved to no avail. The vibration built up to high level and suddenly another failure in the control system was felt and the air-plane went into a steep climb. As it seemed that a stall was imminent, the captain quickly moved the propellers to a high r. p. m. and pushed the throttles forward until about 50 inches of manifold pressure was seen on the gauges. The airplane then nosed over and began to dive at a very steep angle. During this rapid descent the captain reduced power and headed toward open country to his right. When the aircraft reached 500 feet above the ground the captain was successful in flaring the aircraft and it struck the ground in a flat attitude. All occupants were quickly deplaned as soon as the aircraft stopped.
Probable cause:
The Board determines that the probable cause of this accident was a series of omissions made by maintenance personnel during a scheduled inspection which resulted in the release of the aircraft in an unairworthy condition and an almost complete loss of elevator control during flight. The following findings were reported:
- During a routine maintenance inspection of the aircraft an explanation was not written on the non-routine job card that the bolt had been removed and replaced finger-tight pending the arrival of a new bolt,
- Final inspection of the servo tab system failed to disclose its unairworthy condition and the aircraft was released for service,
- Vibration backed off an unsafetied not in the servo tab system resulting in a sequence of structural failures that ended in almost complete loss of control of the aircraft elevators.
Final Report:

Crash of a Douglas C-47-DL near Mason City: 12 killed

Date & Time: Aug 22, 1954 at 1703 LT
Operator:
Registration:
N61451
Survivors:
Yes
Schedule:
Memphis – Little Rock – Fort Smith – Muskogee – Tulsa – Kansas City – Des Moines – Waterloo – Mason City – Austin – Rochester – Minneapolis
MSN:
4630
YOM:
1942
Flight number:
BN152
Location:
Crew on board:
3
Crew fatalities:
Pax on board:
16
Pax fatalities:
Other fatalities:
Total fatalities:
12
Captain / Total flying hours:
11077
Captain / Total hours on type:
8000.00
Copilot / Total flying hours:
5682
Copilot / Total hours on type:
2700
Aircraft flight hours:
23062
Probable cause:
The Board determines that the probable cause of this accident was that the flight while endeavouring to traverse a thunderstorm area encountered very heavy rain, divergent winds, and strong downdrafts that forced the aircraft to the ground. The following findings were reported:
- The flight was observed to enter and disappear in a thunderstorm,
- The aircraft crashed in an area where severe storm ground damage occurred,
- The US Weather Bureau Kansas City received the USAF severe weather advisories but considered their forecast in effect at the time to be adequate,
- The weather forecast issued by the Weather Bureau and Braniff did not indicate the severity of the storm that was encountered.
Final Report:

Crash of a Curtiss C-46F-1-CU Commando near Des Moines: 2 killed

Date & Time: May 22, 1953 at 0413 LT
Type of aircraft:
Operator:
Registration:
N1669M
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
New York – Cheyenne – Chicago
MSN:
22536
YOM:
1945
Location:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
8106
Captain / Total hours on type:
3622.00
Copilot / Total flying hours:
2593
Copilot / Total hours on type:
393
Aircraft flight hours:
6867
Circumstances:
The aircraft arrived at Cheyenne, Wyoming at 0038, May 22, on a Civil Air Movement flight (military contract) from New York International Airport. The incoming pilots had no mechanical or radio discrepancies to report. After the aircraft was serviced, Captain Bowen F. Marshall and Copilot Samuel B. Aronson relieved the incoming crew for the purpose of ferrying the aircraft to Chicago, at which point, the pilots were to turn it over to another crew. Both pilots visited the U. S. Weather Bureau Airport Station at Cheyenne for weather briefing; all current weather information through 2330 (including three severe weather warnings) was on file and available to them. The aircraft departed Cheyenne at 0132, on an instrument flight plan to O’Hare Airport, Chicago, via Green Airway 3 and Red Airway 42 at 7,000 feet. Neither passengers nor cargo was carried and the center of gravity was within permissible limits. Routine position reports were made over Sidney, North Platte, Grand Island, and Omaha, Nebraska. In the last position report, at 0337, the flight reported to Omaha INSAC (Interstate Airways Communication Station) that it was over Omaha at 7,000 feet, estimating over Des Moines at Ohio. Three minutes later, the pilot again contacted Omaha INSAC and requested a change of altitude to 3,000 feet. Air Route Traffic Control, through Omaha INSAC, advised the flight that the 3,000-foot altitude was unavailable until arrival over Des Moines owing to a westbound flight proceeding at 2,600 feet between Des Moines and Omaha, and the request for descent would have to be disapproved. The flight was given the latest weather information between Omaha and Chicago, and the Des Moines 0327 weather, and there were no further radio contacts after this. Des Moines tower personnel received a telephone call at 0517 notifying them of the crash. The aircraft was destroyed and both pilots were killed.
Probable cause:
The Board determines that the probable cause of this accident was separation of the right aileron tab motor from its support bracket due to loss of its outboard trunnion while the aircraft was an the severe turbulence of a thunderstorm. These conditions resulted in a tendency to roll erratically, and an conjunction with the extreme turbulence, caused loss of control and subsequent overloading of the wing to the point of failure. The following findings were pointed out:
- The pilots had knowledge of expected weather conditions between Cheyenne and Chicago, including severe thunderstorms,
- The aircraft flew into a severe thunderstorm in the vicinity of Des Moines, and structural failure occurred In flight,
- Prior to impact the outboard trunnion supporting the right aileron tab motor backed out of the airport bracket due to inadequate safetying,
- The right aileron tab motor tore loose from its bracket, punched through the wing, and was lost when the aileron tore loose,
- The right wing panel failed at the attach angles to the center section due to a strong downward force which exceeded the design strength of the wing,
- The tall group was struck by the right wing panel prior to the tail disintegration,
- All radio contacts were routine and no declaration of emergency was received from the flight,
- There was no malfunctioning or failure of the engines or propellers.
Final Report: