Crash of a Britten-Norman BN-2A-27 near Vega Baja: 1 killed

Date & Time: Sep 29, 2004 at 1859 LT
Type of aircraft:
Operator:
Registration:
N902GD
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Mayaguez – San Juan
MSN:
905
YOM:
1981
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Circumstances:
On September 29, 2004, about 1859, Atlantic standard time, the accident airplane, N902GD, operating as an "on demand" air taxi flight, transporting bank financial documents, departed
Mayaguez, Puerto Rico, and was later reported as not having arrived at its destination. Search and rescue assets later discovered airplane related debris, specific to the missing airplane, floating in the Atlantic Ocean, in the vicinity of geographic position 18 degrees 29 minutes north latitude, 066 degrees 27 minutes west longitude. The NTSB evaluated radar and weather data, and radar track data for the flight showed that after departure the accident airplane climbed to 1,700 feet, and then descended to 1,300 feet at 1840. From 1840 to 1850, the radar data indicated that the flight was proceeding east along the northern coast of Puerto Rico, at an altitude of 1,100 feet. About 1855, the data showed that the airplane climbed to 1,400 feet, and about 1856, it descended to about 1,000 feet. About 1858, the airplane descended to 800 feet, and then to 600 feet, before disappearing from radar at 18:59:18. Weather data showed that a weak upper air trough, a moist low level southeasterly flow and associated showers and thunderstorms had formed over Puerto Rico during the time of the accident flight. The weather data showed that at departure visual meteorological conditions existed, but doppler weather radar data showed that a 50 dBz (level 5) rain shower was positioned about 3 to 5 miles off the airplane's right wing from 1837 to 1838, and from 1855 to 1901 there was a level 4-5 (45-50 dBZ) rain shower along the accident airplane's track, and the radar track data along with the doppler weather radar data was consistent with the flight having penetrated the rain shower corresponding to the time radar contact with the flight was lost. The NTSB Weather Group Chairman's Report has been included as an attachment to the factual report.
Probable cause:
The pilot's improper inflight planning which resulted in an inflight encounter with weather (low ceilings and thunderstorms), his loss of aircraft control, and an inflight collision with the ocean during uncontrolled descent.
Final Report:

Crash of an ATR72-212 in San Juan

Date & Time: May 9, 2004 at 1450 LT
Type of aircraft:
Operator:
Registration:
N438AT
Survivors:
Yes
Schedule:
Mayaguez - San Juan
MSN:
438
YOM:
1995
Flight number:
AA5401
Country:
Crew on board:
4
Crew fatalities:
Pax on board:
22
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
6071
Captain / Total hours on type:
3814.00
Copilot / Total flying hours:
2000
Copilot / Total hours on type:
20
Aircraft flight hours:
19276
Aircraft flight cycles:
18086
Circumstances:
Flight 5401 departed Mayagüez, Puerto Rico, for San Juan about 14:15. The captain was the nonflying pilot for the flight, and the first officer was the flying pilot. The takeoff, climb, and en route portions of the flight were uneventful. At 14:37, as the flight approached the San Juan traffic area, the ATIS reported that winds were 060 degrees at 17 knots and gusting at 23 knots. Shortly thereafter, the captain briefed a Vref (the minimum approach airspeed in the landing configuration before the airplane reaches the runway threshold) of 95 knots and told the first officer to "stand by for winds." At 14:43 SJU Terminal Radar Approach Control cautioned the pilots of possible wake turbulence from a preceding Boeing. The captain told the first officer to slow down to about 140 kts. At 14:46, the local controller cleared the airplane to land on runway 08. The first officer turned the airplane left toward runway 08 and transitioned to the visual approach slope indicator. At 14:49, the captain stated, "you better keep that nose down or get some power up because you're gonna balloon." The airplane descended below the glideslope, causing a GPWS "glideslope" alert. The airplane was about 45 feet above ground level and traveling at 110 knots indicated airspeed when it crossed the runway 08 threshold. After the airplane crossed the runway threshold, the captain stated, "power in a little bit, don't pull the nose up, don't pull the nose up." At 14:49:39, the captain stated, "you're ballooning," and the first officer replied, "all right." The airplane touched down for the first time about 14:49:41 and about 1,600 feet beyond the runway 08 threshold with vertical and lateral loads of about 1.3 Gs and -0.10 G, respectively. Upon touchdown the captain stated, "get the power," and, 1 second later, "my aircraft." The first officer responded, "your airplane." The airplane had skipped to an altitude of about 4 feet and touched down again two seconds later about 2,200 feet beyond the runway 08 threshold. The airplane then pitched up to an angle of 9° while climbing to an altitude of 37 feet and the engine torque increased from 10 to 43 percent. About 14:49:49, the pitch angle decreased to -3°, and the engine torque started to decrease to 20 percent with the pitch angle decreasing to -10°. The airplane touched down a third time about 14:49:51 at a bank angle of 7° left wing down and about 3,300 feet beyond the runway 08 threshold and with vertical and lateral loads of about 5 Gs and 0.85 G. The ATR pitched up again to 24 feet and landed a fourth time about 14:49:56 (about 15 seconds after the initial touchdown) and about 4,000 feet beyond the runway 08 threshold. This time the airplane pitched down to -7° and that it was banked 29° left wing down. The airplane came to a complete stop on a grassy area about 217 feet left of the runway centerline and about 4,317 feet beyond the runway threshold.
Probable cause:
The captain’s failure to execute proper techniques to recover from the bounced landings and his subsequent failure to execute a go-around.
Final Report:

Crash of a Casa 212 Aviocar 200 in Mayaguez: 5 killed

Date & Time: Jun 7, 1992 at 1434 LT
Type of aircraft:
Operator:
Registration:
N355CA
Survivors:
No
Schedule:
San Juan - Mayaguez
MSN:
234
YOM:
1982
Flight number:
AA5456
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
5
Captain / Total flying hours:
6634
Captain / Total hours on type:
2634.00
Aircraft flight hours:
14135
Circumstances:
The airplane crashed on approach 3/4 mile southwest of the airport. A witness heard sound he associated with props going into reverse, then observed airplane emerge from clouds in a nose-low attitude. CVR tape revealed sound of an abrupt change in frequency and amplitude 10 seconds prior to impact. Exam of the left engine beta indicator lamp revealed heavy oxide deposit and stretched coils indicative of the lamp being illuminated at impact; right engine beta lamp was destroyed. Power levers and (beta mode) trigger locks operated normally; trigger return springs intact. Flight idle stops showed no evidence of excessive wear or deformation. The power lever (beta) blocking device lockout solenoid was tested electrically and functioned normally. The rigging of the beta lockout device could not be checked due to impact damage. The operator conducted a funct test of the electrical or backup beta blocking devices on the remaining 8 Casa 212 airplanes; 3 were found to be inoperative. Neither the manufacturing nor operator had an inspection or funct test requirement for the blocking devices. All five occupants were killed.
Probable cause:
The failure of the beta blocking device for undetermined reason(s), and the second-pilot's inadvertent activation of the power lever, or levers, aft of the flight idle position and into the beta range, resulting in a loss of airplane control.
Final Report:

Crash of a Casa 212 Aviocar 200 in Mayaguez: 2 killed

Date & Time: May 8, 1987 at 0650 LT
Type of aircraft:
Operator:
Registration:
N432CA
Survivors:
Yes
Schedule:
San Juan - Mayaguez
MSN:
271
YOM:
1982
Flight number:
AA5452
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
4
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
9802
Captain / Total hours on type:
473.00
Copilot / Total flying hours:
4473
Copilot / Total hours on type:
459
Aircraft flight hours:
6264
Aircraft flight cycles:
11774
Circumstances:
On May 8, 1987, flight 5452, a commuter flight regularly scheduled to depart from San Juan, Puerto Rico, at 0615 local time, for a flight to Mayaguez, Puerto Rico, departed at 0620 with four passengers and two crewmembers. The captain was 15 minutes late when he arrived for the flight at 0600. The first officer arrived on time at 0545. The airplane, a CASA C-212~CC, was operated by Executive Air Charter, Inc., doing business as American Eagle. The flight was on a visual flight rules flight plan, and communications with the flight en route were reported to have been routine. The first officer handled the initial radio communications, and the captain made subsequent radio communications. While in the vicinity of Mayaguez, the captain cancelled the flight plan and proceeded to make a visual approach to runway 9. The captain did not make the customary in-range call to the operations agent at Mayaguez to report the flight’s arrival estimate and fuel requirements. Witnesses who observed the airplane on its downwind leg reported that it appeared normal. One witness said the airplane seemed too fast on the approach and appeared to overshoot the extended centerline on the baseleg turn to final. Another said the airplane “turned tighter” and did not extend the downwind leg as normal. He said as the airplane came toward him, the nose rose up quickly and then the airplane rolled to the right and nosed over. A third witness said the airplane made a violent turn, and he thought the engine noise was louder than normal. A fourth confirmed that the airplane made a shortened downwind leg, making a continuous left turn and sinking fast. He said that it turned rapidly to the right and nosed down and struck the ground. He then saw it pivot around and slide backwards. He stated that fire began when the right wing and engine separated from the airplane. A fifth witness, a company baggage handler, said he heard an explosion and saw flames come out of the right engine before it turned twice and struck the ground. A crop duster pilot reported that everything appeared normal until the airplane was about 1,000 feet from the runway and about 100 feet above the ground. He said at that point, he heard a sound similar to that of a turbo propeller airplane going into reverse pitch to slow down after landing. He said the airplane then yawed to the right, followed by a roll to the left, as if the pilot had attempted to counteract the yaw. The airplane then rolled back to the right and the right wing tip struck the ground. A fire erupted immediately, the airplane turned about 1800, and it came to rest upright. The four passengers on board reported that the flight was routine until the approach into Mayaguez. One passenger seated in 3A noticed that the noise from the engines was lower than usual and that it was not the normal engine sound. He thought afterward that perhaps an engine had stopped and that the noise was different on the right. He said the airplane was not shaking or vibrating. A second passenger seated in 4C reported that the airplane lost altitude abruptly and that it fell rapidly as it banked to the left on the approach. He said he heard strange sounds from the left side and that it was an engine or scraping noise. He stated that he saw a 1 l/2- to 2-foot long flame come from the left engine, but that it did not appear to be spreading. He reported that the airplane jerked before it hit the ground. The third passenger, seated in 6A, reported that she heard an unusual metallic sound similar to a landing gear retracting or extending immediately before the crash. The fourth passenger in seat 78 was asleep and did not awaken until the crash. He said that he thought the airplane made a hard or gear-up landing.
Probable cause:
Improper maintenance in setting propeller flight idle blade angle and engine fuel flow resulting in a loss of control from an asymmetric power condition. A factor contributing to the accident was the pilot's unstabilized visual approach.
Final Report: