Zone

Crash of a Cessna 414 Chancellor in Enstone

Date & Time: Jun 26, 2018 at 1320 LT
Type of aircraft:
Operator:
Registration:
N414FZ
Flight Phase:
Flight Type:
Survivors:
Yes
Site:
Schedule:
Enstone – Dunkeswell
MSN:
414-0175
YOM:
1971
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
1194
Captain / Total hours on type:
9.00
Circumstances:
The aircraft departed Dunkeswell Airfield on the morning of the accident for a flight to Retford (Gamston) Airfield with three passengers on board, two of whom held flying licences. The passengers all reported that the flight was uneventful and after spending an hour on the ground the aircraft departed with two passengers for Enstone Airfield. This flight was also flown without incident.The pilot reported that before departing Enstone he visually checked the level in the aircraft fuel tanks and there was 390 ltr (103 US gal) on board, approximately half of which was in the wingtip fuel tanks. After spending approximately one hour on the ground the pilot was heard to carry out his power checks before taxiing to the threshold of Runway 08 for a flight back to Dunkeswell with one passenger onboard). During the takeoff run the left engine was heard to stop and the aircraft veered to the left as it came to a halt. The pilot later recalled that he had seen birds in the climbout area and this was a factor in the abandoned takeoff. The aircraft was then seen to taxi to an area outside the Oxfordshire Sport Flying Club, where the pilot attempted to start the left engine, during which time the right engine also stopped. The right engine was restarted, and several attempts appeared to have been made to start the left engine, which spluttered into life before stopping again. Eventually the left engine started, blowing out clouds of white and black smoke. After the left engine was running smoothly the pilot was seen to taxi to the threshold for Runway 08. The takeoff run sounded normal and the landing gear was seen to retract at a height of approximately 200 ft agl. The climbout was captured on a video recording taken by an individual standing next to the disused runway, approximately 400 m to the south of Runway 08. The aircraft was initially captured while it was making a climbing turn to the right and after 10 seconds the wings levelled, the aircraft descended and disappeared behind a tree line. After a further 5 seconds the aircraft came into view flying west over buildings to the east of the disused runway at a low height, in a slightly nose-high attitude. The right propeller appeared to be rotating slowly, there was some left rudder applied and the aircraft was yawed to the right. The left engine could be heard running at a high rpm and the landing gear was in the extended position. The aircraft appeared to be in a gentle right turn and was last observed flying in a north-west direction. The video then cut away from the aircraft for a further 25 seconds and when it returned there was a plume of smoke coming from buildings to the north of the runway. The pilot reported that the engine had lost power during a right climbing turn during the departure. He recovered the aircraft to level flight and selected the ‘right fuel booster’ pump (auxiliary pump) and the engine recovered power. He decided to return to Enstone and when he was abeam the threshold for Runway 08 the right engine stopped. He feathered the propeller on the right engine and noted that the single-engine performance was insufficient to climb or manoeuvre and, therefore, he selected a ploughed field to the north of Enstone for a forced landing. During the approach the pilot noticed that the left engine would only produce “approximately 57%” of maximum power, with the result that he could not make the field and crashed into some farm buildings. There was an immediate fire following the accident and the pilot and passenger both escaped from the wreckage through the rear cabin door. The pilot sustained minor burns. The passenger, who was taken to the John Radcliffe Hospital in Oxford, sustained burns to his body, a fractured vertebra, impact injuries to his chest and lacerations to his head.
Probable cause:
The pilot and the passengers reported that both engines operated satisfactory on the two flights prior to the accident flight. No problems were identified with the engines during the maintenance activity carried out 25 and 5 flying hours prior to the accident and the engine power checks carried out at the start of the flight were also satisfactory. It is therefore unlikely that there was a fault on both engines which would have caused the left engine to stop during the aborted takeoff and the right engine to stop during the initial climb. The aircraft was last refuelled at Dunkeswell Airfield and had successfully undertaken two flights prior to the accident flight. There had been no reports to indicate that the fuel at Dunkeswell had been contaminated; therefore, fuel contamination was unlikely to have been the cause. The pilot reported that there was sufficient fuel onboard the aircraft to complete the flight, which was evident by the intense fire in the poultry farm, most probably caused by the fuel from the ruptured aircraft fuel tanks. With sufficient fuel onboard for the aircraft to complete the flight, the most likely cause of the left engine stopping during the aborted takeoff, and the right engine stopping during the accident flight, was a disruption in the fuel supply between the fuel tanks and engine fuel control units. The reason for this disruption could not be established but it is noted that the fuel system in this design is more complex than in many light twin-engine aircraft. The AAIB calculated the single-engine climb performance during the accident flight using the performance curves3 for engines not equipped with the RAM modification. It was a hot day and the aircraft was operating at 280 lb below its maximum takeoff weight. Assuming the landing gear and flaps were retracted, the engine cowls on the right engine were closed and the aircraft was flown at 101 kt, then the single-engine climb performance would have been 250 ft/min. However, the circumstances of the loss of power at low altitude would have been challenging and, shortly before the accident, the aircraft was seen flying with the landing gear extended and the right engine still windmilling. These factors would have adversely affected the single-engine performance and might explain why the pilot was no longer able to maintain height.
Final Report:

Crash of a Piper PA-46-350P Malibu Mirage in Buttles Farm: 4 killed

Date & Time: Nov 14, 2015 at 1134 LT
Registration:
N186CB
Flight Type:
Survivors:
No
Schedule:
Fairoaks – Dunkeswell
MSN:
46-22085
YOM:
1989
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
4
Captain / Total flying hours:
600
Captain / Total hours on type:
260.00
Circumstances:
The aircraft was approaching Dunkeswell Airfield, Devon after an uneventful flight from Fairoaks, Surrey. The weather at Dunkeswell was overcast, with rain. The pilot held an IMC rating but there is no published instrument approach procedure at Dunkeswell. As the aircraft turned onto the final approach, it commenced a descent on what appeared to be a normal approach path but then climbed rapidly, probably entering cloud. The aircraft then seems to have stalled, turned left and descended to “just below the clouds”, before it climbed steeply again and “disappeared into cloud”. Shortly after, the aircraft was observed descending out of the cloud in a steep nose-down attitude, in what appears to have been a spin, before striking the ground. All four occupants were fatally injured.
Probable cause:
Whilst positioning for an approach to Dunkeswell Airfield, the aircraft suddenly pitched nose-up and entered cloud. This rapid change in attitude would have been disorientating for the pilot, especially in IMC, and, whilst the aircraft was probably still controllable, recovery from this unusual attitude may have been beyond his capabilities. The aircraft appears to have stalled, turned left and descended steeply out of cloud, before climbing rapidly back into cloud. It probably then stalled again and entered a spin from which it did not recover. All four occupants were fatally injured when the aircraft struck the ground. The investigation was unable to determine with certainty the reason for the initial rapid climb. However, it was considered possible that the pilot had initiated the preceding descent by overriding the autopilot. This would have caused the autopilot to trim nose-up, increasing the force against the pilot’s manual input. Such an out-of-trim condition combined with entry into cloud could have contributed to an unintentional and disorientating pitch-up manoeuvre.
Final Report:

Crash of a Piper PA-46-500TP Malibu Meridian in Dunkeswell

Date & Time: Dec 31, 2002 at 1749 LT
Registration:
N961JM
Survivors:
Yes
Schedule:
Chambéry – Dunkeswell
MSN:
46-97122
YOM:
2002
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
8899
Captain / Total hours on type:
2095.00
Circumstances:
The pilot was carrying out an IFR flight from Chambery in France to Dunkeswell Aerodrome using Exeter Airport as his diversion. Before departure from Chambery he had checked the weather conditions at Exeter and other airfields in its vicinity from the available TAFs and METARs covering the period of the flight and he was satisfied that conditions were suitable. He had also contacted a friend who was also a commercial pilot at about 1530 hrs. This friend lived near Dunkeswell Aerodrome and had estimated the cloud base to be approximately 1,500 feet. The aircraft departed Chambery at 1605 hrs and, apart from some airframe icing on departure, it had an uneventful transit at FL270. Approaching the south coast of England, the aircraft was descended to FL60 and it left controlled airspace at Southampton in good VMC with the lights along the south coast clearly visible. The weather at Exeter at 1720 hrs was: surface wind 130°/08 kt, varying between 110° and 170°; visibility 6,000 metres; cloud SCT 005, BKN 012; temperature +9° C; dew point +8° C and QNH 1011 mb. With approximately 50 miles to run to his destination, the pilot attempted to contact Dunkeswell Radio but received no reply so he assumed the airfield had closed for the night. The lights of Dunkeswell village and the industrial site at the north-eastern edge of the aerodrome were visible but they had a milky appearance as if shining through scattered mist pockets. The aircraft was descended to 2,600 feet on the Exeter QNH and the main altimeter was set to the Dunkeswell QFE by subtracting 31 mb from the Exeter QNH to allow for the Dunkeswell elevation of 850 feet. The pilot was utilising two GPS navigation systems programmed to provide him with centreline information for Runway 23 on a CDI (Course Deviation Indicator) scale of 0.3 nm for full deflection. Whilst there was no runway lighting at Dunkeswell, the pilot had placed white reflective panels on the right edge of Runway 23. When illuminated by the aircraft landing light, these panels would show the right hand edge of the runway and also indicate the touchdown zone of the runway. The panels measured 18 cm by 9.5 cm and were mounted vertically on low, black plastic supports. The threshold for Runway 23 is displaced 290 metres from the road which runs along the northern aerodrome boundary and the first reflector was 220 metres beyond the displaced threshold. The reflectors had been positioned over a distance of 460 metres with the distances between them varying between 15 and 49 metres. The white centreline markings would also have been visible in the landing light once the aircraft was low enough. The end of the 46 metre wide runway was 280 metres from the last reflector. The pilot had carried out night approaches and landings to Runway 23 at Dunkeswell using similar visual references on many previous occasions. The pilot identified the lights of the industrial site earlier than he expected at six miles whilst maintaining 2,600 feet on the Exeter QNH. He cancelled his radar service from Exeter, which had also provided him with ranges and bearings from Dunkeswell, and made blind transmissions regarding his position and intentions on the Dunkeswell Radio frequency. Having commenced his final approach, the pilot noticed there was scattered cloud in the vicinity of the approach path. At about 2.5 nm from the runway threshold and approximately 800 feet agl, the pilot noticed a mist pocket ahead of the aircraft and so he decided to initiate a go-around and divert to Exeter. At that point the aircraft was configured with the second stage of flap lowered, the landing gear down and the airspeed reducing through 135 kt with all three aircraft landing lights selected ON. The pilot increased power and commenced a climb but he became visual with the runway once more and so he reduced power and resumed the approach. A high rate of descent developed and the radio altimeters automatic 50 feet audio warning sounded. The pilot started to increase engine power but he was too late to prevent the severe impact with terrain that followed almost immediately. The aircrafts wings were torn off as it passed between two trees and the fuselage continued across a grass field, remaining upright until it came to a stop. The passenger vacated the aircraft immediately through the normal exit in the passenger cabin and then returned to assist the pilot. Having turned off the aircraft's electrical and fuel systems the pilot also left the aircraft through the normal exit. There was a leak from the oxygen system, which had been disrupted in the accident and the pilot was unable to remove the fire extinguisher from its stowage due to the deformation of the airframe. He contacted Exeter ATC using his mobile telephone to inform them of the accident and they initiated the response of the emergency services.
Probable cause:
The investigation concluded that the accident had occurred due to an attempt to land at night in fog, at an airfield with no runway lighting and only limited cultural lighting to provide visual
orientation; these visual references were lost when the fog was entered. The aircraft impacted the treeline at the top of the valley 1,600 metres short of the displaced threshold and 200 metres to the right of the centreline.
Final Report:

Crash of a Vickers 474 Warwick V off Swansea: 2 killed

Date & Time: Nov 9, 1945 at 1500 LT
Type of aircraft:
Operator:
Registration:
PN776
Flight Phase:
Survivors:
Yes
Schedule:
Dunkeswell - Dunkeswell
Region:
Crew on board:
3
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
2
Circumstances:
Enroute, both engines failed and the aircraft crashed into the Bristol Channel, off Swansea. A crew member was rescued by the crew of a boat while both other occupants were killed.
Crew (16th Flying Unit):
W/O Francis George Ford, †
W/O Paul William Lamy Hutchinson, †
W/O L. A. W Bell.
Probable cause:
Double engine failure.