Crash of a Short 360-200 off Sint Maarten: 2 killed

Date & Time: Oct 29, 2014 at 1840 LT
Type of aircraft:
Operator:
Registration:
N380MQ
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Sint Maarten - San Juan
MSN:
3702
YOM:
1986
Flight number:
SKZ7101
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
5318
Captain / Total hours on type:
361.00
Copilot / Total flying hours:
1040
Copilot / Total hours on type:
510
Aircraft flight hours:
25061
Aircraft flight cycles:
32824
Circumstances:
On October 29, 2014, at about 1840 Atlantic Standard Time, a Shorts SD3-60, United States registered N380MQ was destroyed when it crashed into the sea shortly after takeoff from Runway 28 at Princess Juliana International Airport, Sint Maarten, Dutch Antilles, Kingdom of the Netherlands. The two crewmembers on board sustained fatal injuries. The aircraft was operated by SkyWay Enterprises Inc. on a scheduled FedEx contract cargo flight to Luis Munoz Marin International Airport, San Juan, Puerto Rico. At 1839 local, Juliana Tower cleared the aircraft for takeoff Runway 28 - maintain heading 230 until passing 4000 feet. At 1840 local, Tower observed the aircraft descending visually and the radar target and data block disappeared. There were no distress calls. Night conditions and rain prevailed at the time of the accident. Coast Guard search crews discovered aircraft debris close to the shoreline about 1 ½ hours later. The Sint Maarten Civil Aviation Authority initiated an investigation in accordance with ICAO Annex 13. Local investigation authority personnel were joined by Accredited Representatives and advisors from the following states: the USA (NTSB/FAA), United Kingdom (AAIB and Shorts Brothers PLC), and Canada (TSB, TC, PWC). Organization of the investigation included the following groups: Operations, Accident Site and Wreckage, Powerplants, Aircraft Maintenance, Air Traffic Services, Meteorology, and GPS Study. The operator made available personnel for interviews but deferred to participate in the groups. Flight recorders were not installed nor required on this cargo configured aircraft. The original FDR and CVR were removed following conversion to cargo only operations. A handheld GPS recovered from submerged wreckage was successfully downloaded. Data revealed the aircraft past the departure runway threshold on takeoff and attained a maximum GPS recorded altitude of 433 feet at 119 knots groundspeed at 18:39:30. The two remaining data points were over the sea and recorded decreasing altitude and increasing airspeed. The wreckage was recovered from the sea and examined by technical experts. Assessment of the evidence concluded there were no airframe or engine malfunctions that would have affected the airworthiness of the aircraft. The experts concluded that the aircraft struck the sea while under normal engine operation. Operations and human performance investigators evaluated the evidence and analyzed extensive interviews. The investigation concluded that the aircraft departed from the expected flight path in an unusual attitude. The pilot flying most likely experienced a somatographic illusion as a result of a stressful takeoff and acceleration from flap retraction. The pilot’s reaction to pitch down while initiating a required heading change led to an extreme unusual attitude. Circumstances indicate the pilot monitoring did not perceive/respond/intervene to correct the flight path and recover from the unusual attitude. The aircraft exceeded the normal maneuvering parameters, the crew experienced a loss of control, and lacking adequate altitude for recovery, the aircraft crashed into the sea.
Probable cause:
The investigation believes the PF experienced a loss of control while initiating a turn to the required departure heading after take-off. Flap retraction and its associated acceleration combined to set in motion a somatogravic illusion for the PF. The PF’s reaction to pitch down while initiating a turn most likely led to an extreme unusual attitude and the subsequent crash. PM awareness to the imminent loss of control and any attempt to intervene could not be determined. Evidence show that Crew resource management (CRM) performance was insufficient to avoid the crash. Contributing factors to the loss of control were environmental conditions including departure from an unfamiliar runway with loss of visual references (black hole), night and rain with gusting winds.
Final Report:

Crash of a Britten-Norman BN-2A-26 Islander in Anguilla

Date & Time: Feb 2, 2008 at 1420 LT
Type of aircraft:
Operator:
Registration:
VP-AAG
Flight Type:
Survivors:
Yes
Schedule:
Anguilla - Sint Maarten
MSN:
88
YOM:
1969
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
4217
Captain / Total hours on type:
693.00
Circumstances:
The commander intended to fly the BN-2 Islander aircraft from Anguilla Wallblake International Airport (AXA) to the neighbouring island of St Maarten (SXM) to await cargo inbound on another flight. The cabin of the aircraft was configured for cargo operations with no passenger seats fitted, as the only other planned occupant was the operator’s Chief Engineer, who would be sitting beside the commander in the right hand seat. However, the commander asked the operator if he could take a family member with him to SXM. The operator agreed and an extra seat was fitted. Witnesses stated that the commander appeared "rushed" prior to departure. The commander stated that he partially carried out the normal pre-flight inspection. He then started the engines. Before taxiing he realised that the nose landing gear chocks were still in place so he shut down the left hand engine, removed and stowed the chocks and then restarted the left engine. The aircraft took off from runway 10 at 14:15 hrs. At between 100 ft and 150 ft the commander initiated a left turn but after some initial movement the ailerons jammed. When he discovered that he was unable to straighten the ailerons he attempted to return to land on runway 10. The other flight controls did not appear to be restricted. With the ailerons jammed, the aircraft continued to turn to the left, losing altitude as it flew over a settlement to the north of the aerodrome, until pointed directly at the Air Traffic Control tower, causing the Air Traffic Control Officer (ATCO) to abandon the tower. The commander judged that the aircraft was too fast and high to attempt a landing and therefore initiated a go-around, applying full power. He continued the left turn, losing height and speed to position the aircraft for another approach but, as the aircraft descended over the northern edge of the runway, its left wing struck the perimeter fence. On impact the aircraft spun about its vertical axis with its wings level and continued sliding sideways on its right side for approximately 80 ft before coming to rest facing north-west.
Probable cause:
The commander was probably distracted from his normal duties whilst arranging additional seating to accommodate the second passenger. He did not complete the requisite pre-flight check or the subsequent check of full and free movement of the flight controls, either of which would have revealed an obstruction to proper operation of the ailerons.
Final Report:

Crash of a Cessna 402C in Roseau: 11 killed

Date & Time: Aug 23, 1998 at 1740 LT
Type of aircraft:
Operator:
Registration:
N2748J
Survivors:
No
Schedule:
Saint Martin - Marigot
MSN:
402C-0244
YOM:
1980
Flight number:
DCF947
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
10
Pax fatalities:
Other fatalities:
Total fatalities:
11
Circumstances:
On August 23, 1998, at 1740 eastern daylight time a Cessna 402C, N2748J, impacted rising terrain following a go-around from runway 09, at the Melville Hall Airport, Dominica. The airplane was registered to Hartford Holding Corporation, Wilmington, Delaware, and operated by Air Anguilla, Incorporated, St Thomas, Virgin Islands as Cardinal Airlines Flight 947 Dominica. The airplane was operated under the provisions of Title 14 CFR Part 135, and visual flight rules. Visual meteorological conditions prevailed in heavy rain, and a VFR flight plan was filed. The commercial pilot and 10 passengers sustained fatal injuries and the airplane was destroyed. There was no fire. The airplane departed Princess Juliana Airport in St. Maarten, West Indies about 1600.

Crash of a De Havilland DHC-6 Twin Otter off Sint Maarten: 13 killed

Date & Time: Dec 21, 1972
Operator:
Registration:
F-OGFE
Survivors:
No
Schedule:
Pointe-à-Pitre - Sint Maarten
MSN:
258
YOM:
1969
Crew on board:
2
Crew fatalities:
Pax on board:
11
Pax fatalities:
Other fatalities:
Total fatalities:
13
Circumstances:
The Twin Otter was approaching Sint Maarten-Princess Juliana Airport by night when it crashed in unknown circumstances into the sea few km offshore. The aircraft was destroyed and all 13 occupants were killed.

Crash of a Beechcraft D18S in Sint Maarten

Date & Time: Aug 4, 1972 at 1117 LT
Type of aircraft:
Registration:
N103P
Survivors:
Yes
Schedule:
San Juan - Sint Maarten
MSN:
A-370
YOM:
1947
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
For unknown reason, the airplane landed hard and bounced several times. It went off runway and came to rest. While both occupants were uninjured, the aircraft was damaged beyond repair.
Final Report:

Crash of a Douglas DC-3-228C off Saint Martin

Date & Time: Oct 2, 1971 at 1310 LT
Type of aircraft:
Registration:
N1981W
Flight Type:
Survivors:
Yes
Schedule:
Christiansted - Sint Maarten
MSN:
2232
YOM:
1940
Crew on board:
2
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
5253
Captain / Total hours on type:
131.00
Circumstances:
The crew started the descent to Sint Maarten Island when he declared an emergency as both engines failed simultaneously. The captain elected to ditch the aircraft some 32 km offshore. All three occupants were quickly rescued by coast guards while the airplane sank and was lost.
Probable cause:
Double engine failure caused by a fuel starvation. The cause of the fuel starvation was undetermined.
Final Report: