Crash of a Swearingen SA226TC Metro II in Des Moines

Date & Time: Aug 19, 1997 at 2221 LT
Type of aircraft:
Operator:
Registration:
N224AM
Flight Type:
Survivors:
Yes
Schedule:
Wichita - Des Moines
MSN:
TC-227
YOM:
1977
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
2436
Captain / Total hours on type:
93.00
Aircraft flight hours:
51119
Circumstances:
During a landing approach, the pilot noted that the right engine remained at a high power setting, when he moved the power levers to reduce power. He executed a missed approach and had difficulty keeping the airplane straight and level. The pilot maneuvered for a second approach to land. After landing, he could not maintain directional control of the airplane and tried to go around, but the airplane went off the end of the runway and impacted the localizer antenna. The pilot did not advise ATC of the problem nor did he declare an emergency. The Pilot's Operating Handbook stated that for a power plant control malfunction, the affected engine should be shut down, and a single engine landing should be made. The power control cable was found disconnected from the anchoring point. A safety tab was broken off the housing, allowing it to unscrew. About one month before the accident, maintenance had been performed on the right engine to correct a discrepancy about the right engine power lever being stiff. The mechanic re-rigged the right engine power cable.
Probable cause:
The pilot's improper in-flight planning/decision and failure to perform the emergency procedure for shut-down of the right engine. Factors relating to the accident were: the power lever cable became disconnected from the fuel control unit, due to improper maintenance; and reduced directional control of the airplane, when one engine remained at a high power setting.
Final Report:

Crash of a Canadair RegionalJet CRJ-100ER in Byers: 3 killed

Date & Time: Jul 26, 1993 at 1352 LT
Operator:
Registration:
C-FCRJ
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Wichita - Wichita
MSN:
7001
YOM:
1991
Location:
Crew on board:
3
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
3
Captain / Total flying hours:
3836
Captain / Total hours on type:
875.00
Aircraft flight hours:
771
Aircraft flight cycles:
800
Circumstances:
The crew was performing a lateral and directional stability test. Changes from earlier tests combined new leading edge fairing, new flap setting, lower reference airspeed, and trial settings for the stall protection system (shaker and pusher). Engineers had briefed the crew data would be sufficient if the steady heading sideslip (shss) maneuver ended at a 15° sideslip, or at onset of stall warning; crew agreed to end at stall warning. During the test the capt continued past stall warning to 21° sideslip at full rudder. The airplane rolled rapidly through 360 deg° and entered a deep stall. The copilot attempted to deploy the anti-spin chute. However, all the chute system cockpit switches were not properly preset; instead of assisting recovery, the chute parted from the airplane. Full control was not regained before impact. The chute system design allowed deployment of the chute even when the hyd lock switch was in the unlocked position and the hooks clasping the chute shackle to the airframe were open. System tested ok before flight. All three crew members were killed.
Probable cause:
The captain's failure to adhere to the agreed upon flight test plan for ending the test maneuver at the onset of prestall stick shaker, and the flightcrew's failure to assure that all required switches were properly positioned for anti-spin chute deployment. A factor which contributed to the accident was the inadequate design of the anti-spin chute system which allowed deployment of the chute with the hydraulic lock switch in the unlocked position. (When in the unlocked position, the hooks clasping the chute shackle to the airframe are open).
Final Report:

Crash of a Rockwell Grand Commander 690 in Wichita: 2 killed

Date & Time: Nov 2, 1991 at 1206 LT
Registration:
N799V
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Wichita - Phoenix
MSN:
690-11407
YOM:
1977
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
4900
Captain / Total hours on type:
1078.00
Aircraft flight hours:
3480
Circumstances:
The pilot and his wife departed Wichita, Kansas with a destination of Phoenix, Arizona. Eight minutes after takeoff, while in a climb to 15,000 feet, the passenger contacted departure control and communicated that she thought that her husband might be dead. While departure control was getting a pilot to assist in the situation, the passenger, who was not a pilot attempted to fly the aircraft. A witness reported a rapid series of climbs and descents just before both horizontal stabilizers and the rudder separated from the aircraft. The aircraft then entered a spin terminating with ground impact. The aircraft was consumed by a post-crash fire. Both occupants were killed.
Probable cause:
Incapacitation of the pilot in command, followed by the loss of control and an inflight breakup with a unqualified person on the controls.
Final Report:

Crash of a Boeing 707-351C in Kansas City: 4 killed

Date & Time: Apr 13, 1987 at 2155 LT
Type of aircraft:
Operator:
Registration:
N144SP
Flight Type:
Survivors:
No
Schedule:
Oklahoma City – Wichita – Kansas City – Fort Wayne
MSN:
19209
YOM:
1966
Flight number:
BV721
Crew on board:
3
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
4
Captain / Total flying hours:
10000
Captain / Total hours on type:
3500.00
Circumstances:
Buffalo Airways flight 721, a regularly scheduled cargo flight, was operating between Oklahoma City, OK, and Fort Wayne, IN (FWA), with en route stops at Wichita, KS (ICT), and Kansas City, MO (MCI). The flight to Wichita was routine. En route to Kansas City, the crew deviated from course to avoid thunderstorms, but the descent into the terminal area was routine. At 21:42 flight 721 contacted the TRACON arrival radar controller. The controller directed the flight to turn to 060 degrees and told the flightcrew that they were being vectored to the ILS localizer for the ILS approach to runway 1. About 21:47 while the airplane was descending through about 6,500 feet, the first officer, who had been flying the airplane, turned the controls over to the captain. Buffalo Airways' regulations required captains to make all the approaches and landings whenever the ceilings and visibilities were less than 400 feet and 1 mile, respectively. At 21:50, after several intermediate descent clearances, flight 721 was cleared to descend to 2,400 feet. At 21:51, the controller told flight 721 that it was "five miles from DOTTE (the LOM), turn left zero four zero, maintain two thousand four hundred until established, cleared ILS runway one approach." The crew had completed the before-landing checklist, the landing gear was down and locked, and the flaps had been extended to 25 degrees, as required, for landing. At 21:52:40, the local controller advised flight 721 that it was No. 2 to land and that the winds were zero four zero at eight knots, and that the RVR on runway 1 was more than 6,000 feet. At 21:52:47, the first officer stated, "Localizer alive." The first office reported the airplane's altitude during the descent in 100-foot increments above "minimums (DH)" until the airplane reached the decision height. At 21:53:07, the first officer called, "Marker inbound." The flightcrew then received ATIS information "Sierra" which stated that the weather at the airport was in part: ceiling--100 feet, overcast; visibility 1/2 mile, fog; wind 40° at 8 knots. At 21:53:24, the captain remarked, "Already started the approach." At 21:53:32, 4 seconds after reporting that the airplane was 200 feet above minimums, the first officer told the local controller that, "Seven twenty-one is the marker inbound." The local controller acknowledged receipt of the message. At 21:53:41, after receiving a low-altitude alert generated by the Automated Radar Tracking System III (ARTS III) computer's Minimum Safe Altitude Warning (MSAW) function, the local controller warned flight 721 to "check altitude immediately should be two thousand four hundred, altimeter two nine six one." Flight 721 did not respond. However, the captain said "Call the radar (radio) altimeter please." At 21:53:46, the first officer responded, "Okay, there's twelve hundred on the (radio) altimeter." At 21:53:50, the local controller again called the flight and warned, "I have a low altitude alert, climb and maintain two thousand four hundred." Again, the flightcrew did not acknowledge receipt of the warning. At 21:53:51, a crewmember called out "pull it up," and at 2153:52, the captain applied power followed almost simultaneously by sounds of initial impact. Flight 721 struck the tops of trees on a 950-foot-high ridge about 3 nmi short of the approach end of runway 1. The airplane cut a relatively level 750- to 800-foot-long swath through the tree tops about 20 to 30 feet above the ground. The swath ended as the ridge and tree tops sloped downward. The airplane then rolled and turned to the right as it descended into the main impact area 2,000 feet beyond the initial impact site. All four occupants were killed.
Probable cause:
The Safety Board determines that the probable cause of this accident was the captain’s intentional descent below the DH. Contributing to the accident was the breakdown in flightcrew coordination procedures which contributed to the failure of the captain and the first officer to detect that the airplane had not intercepted and was below the ILS glideslope. Also contributing to the accident was the failure, for unknown reasons, of the airplane’s GPWS to provide an unsafe deviation below the ILS glideslope warning.
Final Report:

Crash of a Cessna 500 Citation I in Wichita

Date & Time: Apr 26, 1983 at 1454 LT
Type of aircraft:
Operator:
Registration:
N22FM
Flight Phase:
Survivors:
Yes
Schedule:
Wichita - Chicago
MSN:
500-0229
YOM:
1974
Crew on board:
2
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
6725
Captain / Total hours on type:
2300.00
Aircraft flight hours:
4112
Circumstances:
The aircraft collided with the ground during takeoff. The fuel tank in the right wing ruptured and the aircraft burned while sliding to a stop. The day before the accident the aircraft was washed and the thrust reverser doors were polished. After the service, the reverser doors circuit breakers which had been pulled were not reset. It was company policy to leave circuit breakers out that were pulled during servicing. Prior to flight, the aircraft was loaded and the engines started. The reversed unlock lights on both reverser annunciator panels illuminated. The pilot discussed the situation with the copilot and elected to go. He pushed the light assemblies which unlatched the light housing and put out the 'unlock' lights. After takeoff while the gear was retracting the aircraft yawed right and impacted the ground. All occupants evacuated and after the fire was put out a Cessna Aircraft investigator observed the two thrust reverser circuit breakers in the 'out', open position and partially covered by a flight chart. Both thrust reversers were deployed.
Probable cause:
Occurrence #1: loss of control - in flight
Phase of operation: takeoff - initial climb
Findings
1. (c) thrust reverser,door - unlocked
2. (c) maintenance - inadequate - company maintenance personnel
3. (c) thrust reverser,door - deployed inadvertently
4. (c) aircraft preflight - inadequate - pilot in command
5. (c) electrical system,circuit breaker - popped/tripped
6. (c) operation with known deficiencies in equipment - attempted - pilot in command
7. (c) annunciator panel light(s) - switched off
8. (c) checklist - not followed - pilot in command
----------
Occurrence #2: in flight collision with terrain/water
Phase of operation: descent - uncontrolled
Final Report:

Crash of a Cessna 501 Citation I in Wichita

Date & Time: Nov 12, 1982 at 1404 LT
Type of aircraft:
Operator:
Registration:
N2627U
Flight Type:
Survivors:
Yes
Schedule:
Wichita - Wichita
MSN:
501-0247
YOM:
1982
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Aircraft flight hours:
179
Circumstances:
A non-pilot mechanic employed at the manufacturer's facility took off in the aircraft. The aircraft was observed entering a very steep climb and appeared to stall. The nose was lowered and the aircraft turned left and entered a downwind leg to runway 01R. It then turned onto a low base leg and continued to a very low final. After several oscillations in roll the aircraft touched down 557 feet short of the runway and collided with approach light stanchions. The mechanic had been and was, at the time of the accident, under psychiatric care (schizophrenia).
Probable cause:
Occurrence #1: loss of control - in flight
Phase of operation: approach - VFR pattern - final approach
Findings
1. (c) aircraft handling - improper - unqualified person
2. (f) stolen aircraft/unauthorized use - intentional - unqualified person
----------
Occurrence #2: in flight collision with object
Phase of operation: landing - flare/touchdown
Findings
3. Object - approach light/navaid
Final Report: