Crash of a Piper PA-46-310P Malibu near Niekerkshoop: 2 killed

Date & Time: Apr 22, 2014 at 1121 LT
Operator:
Registration:
ZS-LLD
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Cape Town – Swartwater
MSN:
46-8408063
YOM:
1984
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
1569
Captain / Total hours on type:
163.00
Aircraft flight hours:
2029
Circumstances:
On 22 April 2014 at approximately 0716Z the Commercial pilot accompanied by a passenger departed Cape Town International Airport (FACT) on an IFR flight to Swartwater in the Limpopo Province. Approximately 16 minutes after take-off with the aircraft climbing through an altitude of 13500 feet to 17000 feet, the Air Traffic Controller advised the pilot that the aircraft’s Mode C transponder started transmitting erroneous altitude data and indicating that the aircraft was descending whereas the pilot thought he was ascending. The pilot notified the ATC that the aircraft was not descending and attempted to rectify the problem by recycling the Mode C transponder that however didn’t resolve the problem. As the transponder information was intermittent during the IFR flight to Swartwater, the ATC requested the pilot to descent to the VFR flight level FL 135. The pilot then requested Area West for approval to ascent to flight level (FL 195) which was approved. It appears that the pilot was unaware that the pitot static tube system that supplies both pitot and static air pressure for the airspeed indicator, altimeter and triple indicator was most probably blocked by dust or sand. The aircraft exceeded the Maximum Structural Air Speed (VNO) of the aircraft and the VNE air speed of 1 hour 44 minutes and 9 minutes respectively. The VNO of 173 airspeed and VNE of 203 airspeed exceedance resulted in the catastrophic inflight breakup of the aircraft. The wreckage was found scattered in a 1.58km path in mountainous terrain. Both occupants on board the aircraft sustained fatal injuries.
Probable cause:
The aircraft exceeded the Maximum Structural Cruising Speed (VNO) and Calibrated Never Exceed Speed VNE airspeed due to the fact that erroneous airspeed and altitude data information indicated on the cockpit instruments as a result of blockage of the pitot tube by dust and sand. The fact that the pilot switched off the transponder was considered as a contributory factor.
Final Report:

Crash of a Beechcraft C90GTx King Air in Lanseria: 3 killed

Date & Time: Feb 3, 2014 at 0654 LT
Type of aircraft:
Operator:
Registration:
ZS-CLT
Survivors:
No
Schedule:
Johannesburg – Lanseria
MSN:
LJ-2011
YOM:
2011
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
3
Captain / Total flying hours:
1936
Captain / Total hours on type:
101.00
Aircraft flight hours:
500
Circumstances:
The pilot and two passengers were planning to fly from Rand Airport to Lanseria International Airport (FALA) in the early hours of the morning with the intention to clear customs. It was still dark and the weather forecast thunderstorms with rain for most areas of Gauteng. Rand Tower requested clearance from FAOR approach before departure. The aircraft took off from Runway 29 following the clearance given and proceeded in a westerly direction. At 6500 feet above mean sea level (AMSL), Rand handed the aircraft over to Approach for further clearances. Reported visibility at FALA was 600m and the cloud base was 600 feet AGL. The pilot then requested a VHF Omnidirectional range (VOR) Z approach for Runway 07. He started the approach at 8000 feet and approximately 14nm from LIV. At 12nm and established on Radial 245 Approach handed him over to FALA. Once in contact with FALA the pilot was advised of the heading to turn to at missed approach point (MAP). At MAP the pilot did not have the runway in sight and advised tower that they were going around. They turned left 360° and climbed to 8000 feet as instructed by FALA. FALA handed them back to Approach for repositioning for Radial 245. Approach advised the aircraft that visibility at Wonderboom was better but the pilot said if not successful they would route to Polokwane. At 12nm the aircraft was handed over to FALA. During the descent, the pilot started repeating messages more than twice. Close to MAP the pilot indicated that he had the field in sight. FALA gave them landing clearance. Soon after, the pilot said he did not have it in sight. When FALA instructed him to go around and route Polokwane, the pilot came back on frequency indicating that the aircraft was in distress. After that, the tower heard a loud bang accompanied by black smoke from behind a hangar.
Probable cause:
The accident was the consequence of a stall in adverse weather conditions after the pilot suffered a spatial disorientation during a missed approach procedure.
Final Report:

Ground accident of a Boeing 747-436 in Johannesburg

Date & Time: Dec 22, 2013 at 2243 LT
Type of aircraft:
Operator:
Registration:
G-BNLL
Flight Phase:
Survivors:
Yes
Schedule:
Johannesburg – London
MSN:
24054/794
YOM:
1990
Flight number:
BA034
Country:
Region:
Crew on board:
17
Crew fatalities:
Pax on board:
185
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
20050
Captain / Total hours on type:
12500.00
Copilot / Total flying hours:
5700
Copilot / Total hours on type:
1400
Aircraft flight hours:
110578
Aircraft flight cycles:
12832
Circumstances:
The British Airways aircraft B747-400, flight number BA034 with registration G-BNLL, was going to embark on a commercial international air transportation long haul flight from FAOR to EGLL. The ATC gave the crew instructions to push back, start and face south, then taxi using taxiway Bravo to the Category 2 holding point for Runway 03L. During the taxi, instead of turning to the left to follow Bravo, the crew continued straight ahead, crossing the intersection of taxiway Bravo and aircraft stand taxilane Mike. After crossing the intersection, still being on Mike, the aircraft collided with a building. An investigation was conducted and several causal factors were determined. Amongst others, it was determined that the crew erred in thinking they were still taxiing on Bravo while in fact they were taxiing on Mike. This mistake, coupled with other contributory factors such as the briefing information, taxi information, ground movement visual aids, confusion and loss of situational awareness led to the collision. All 202 occupants evacuated safely while four people in the building were injured. The aircraft was damaged beyond repair.
Probable cause:
The loss of situational awareness caused the crew to taxi straight ahead on the wrong path, crossing the intersection/junction of Bravo and Mike instead of following Bravo where it turns off to the right and leads to the Category 2 holding point. Following aircraft stand taxilane Mike; they collided with a building on the right-hand side of Mike.
Contributory Factors:
- Failure of the crew to carry out a briefing after they had received instruction from ATC that the taxi route would be taxiway Bravo.
- The lack of appropriate knowledge about the taxiway Bravo layout and relevant information (caution notes) on threats or risks to look out for while taxiing on taxiway Bravo en route to the Cat 2 holding point.
- The aerodrome infrastructure problems (i.e. ground movement navigation aids anomalies), which created a sense of confusion during the taxi.
- Loss of situation awareness inside the cockpit causing the crew not to detect critical cues of events as they were gradually unfolding in front of them.
- Failure of the other crew members to respond adequately when the Co-pilot was commenting on the cues (i.e. narrowness and proximity to the building).
- The intersection/junction of Bravo and Mike not being identified as a hotspot area on the charts.
Final Report:

Crash of a Casa 212 Aviocar 300 in Bloemfontein

Date & Time: Jan 17, 2013 at 1030 LT
Type of aircraft:
Operator:
Registration:
8020
Survivors:
Yes
Schedule:
Bloemfontein - Bloemfontein
MSN:
371
YOM:
1988
Country:
Region:
Crew on board:
5
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
The twin engine aircraft was engaged in a local paratroopers/skydiving mission at Bloemspruit AFB that shares a runway with Bloemfontein-Bram Fischer International Airport. For unknown reasons, the aircraft landed hard on its nose, veered off runway and came to rest with its left wing on the ground. All five crew members escaped uninjured while the aircraft was damaged beyond repair.

Crash of an AMI Turbo C-47TP in the Drakensberg Mountains: 11 killed

Date & Time: Dec 5, 2012 at 0945 LT
Operator:
Registration:
6840
Flight Phase:
Flight Type:
Survivors:
No
Site:
Schedule:
Waterkloof - Mthatha
MSN:
13866/25311
YOM:
1944
Country:
Region:
Crew on board:
6
Crew fatalities:
Pax on board:
5
Pax fatalities:
Other fatalities:
Total fatalities:
11
Circumstances:
The aircraft departed Waterkloof AFB south of Pretoria around 0745LT on a flight to Mthatha. While cruising between 10,000 and 11,000 feet, the crew encountered poor weather conditions. in IMC conditions, the aircraft Giant's Castle in the Drakensberg Mountain Range and disintegrated on impact. The wreckage was found a day later and all 11 occupants were killed. The minimum safe altitude for the area was 13,800 feet.
Crew:
Major K. Misrole
Captain Z.M. Smith
Sergeant B.K. Baloyi
Sergeant E. Boes
Sergeant J.M. Mamabolo
Corporal L. Mofokeng
Passengers:
Sergeant L. Sobantu
Corporal N.W. Khomo
Corporal A. Matlaila
Corporal M.J. Mthomben
Lance-corporal N.K. Aphane.
Probable cause:
The crew filed a flight plan with an incorrect flight level (FL) and routing. Contributing causes are given as the weather and lack of situational awareness among the aircrew. The inquiry further found the lack of an aircrew pre-flight briefing was a key issue and that unnecessary time pressure and insufficient flight planning also played a part. The aircrew did not adhere to standard checks and procedures and failed to do a proper risk assessment.

Crash of a Piper PA-31-350 Navajo Chieftain in Grand Central

Date & Time: Nov 25, 2012 at 1027 LT
Registration:
ZS-JHN
Flight Type:
Survivors:
Yes
Schedule:
Grand Central – Tzaneen
MSN:
31-7405496
YOM:
1974
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
1699
Captain / Total hours on type:
1.00
Aircraft flight hours:
8029
Circumstances:
On the morning of 25 November 2012 at 0902Z the pilot, sole occupant on board the aircraft, took off from FAGC to FATZ. He filed an IFR flight plan to cruise at F110 in controlled airspace. The take-off roll and initial climb from RWY 17 was uneventful and passing FL075 FAGC Tower Controller transferred the aircraft to Johannesburg Approach Control (Approach) on 124.5 MHz. On contact with Approach the pilot was cleared to climb to FL110. On the climb approaching FL090 the aircraft lost power on the left engine, oil pressure dropped and the cylinder head temperature increased. He then advised Approach of the problem and requested to level out at FL090 to attempt to identify the problem. He requested radar vectors from Approach to route direct to FAGC and proceeded to shut down the left engine. The pilot continued routing FAGC using the right engine but was unable to maintain height. He noticed the oil pressure and manifold pressure on the right engine dropping. The pilot also reported seeing fire through the cooling vents of the right engine cowling. The pilot requested distance to FAGC from Approach and was told it is 2.5nm (nautical miles) and the aircraft continued loosing height. An update from Approach seconds later indicated that the aircraft was 1nm from FAGC. The pilot decided to do a wheels up forced landing on an open field when he realized that the aircraft was too low. He landed wheels up in a wings level attitude. The aircraft impacted and skidded across an uneven field and came to a stop 5m from Donovan Street. The pilot disembarked the aircraft and attempted to put out the fire which had started inflight on the right engine but without success. Eventually the right wing and the fuselage were engulfed by fire. Minutes later the FAGC fire department using two vehicles extinguished the fire. The pilot escaped with no injuries and the aircraft was destroyed by the ensuing fire.
Probable cause:
An inspection the left wings outboard tank was full and the main tank was empty. Both fuel selectors were also found on main tanks (left and right) position. Unsuccessful forced landing due to fuel starvation and the cause of the fire was undetermined. The left engine failed because of fuel exhaustion and the cause of fire could not be determined.
Final Report:

Crash of a Piaggio P.166S Albatross near Tzaneen: 6 killed

Date & Time: Aug 14, 2011 at 1030 LT
Type of aircraft:
Registration:
ZS-NJX
Flight Phase:
Flight Type:
Survivors:
No
Site:
Schedule:
Tzaneen - Johannesburg
MSN:
446
YOM:
1973
Location:
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
5
Pax fatalities:
Other fatalities:
Total fatalities:
6
Captain / Total flying hours:
4286
Aircraft flight hours:
6180
Circumstances:
Two aircraft, ZS-NJX and ZU-MMI, with 6 and 7 people on board respectively, took off from Tzaneen aerodrome (FATZ) on 14 August 2011 at approximately 0820Z, engaged in private flights with the intention of landing at Rand Airport (FAGM) on the same day. As both aircraft had not arrived at Rand Airport at their expected time of arrival, numerous attempts were made to contact the aircraft and these were unsuccessful. The search and rescue mission was initiated to try and locate these aircraft. The search and rescue mission was based around the area where the aircraft were believed to have had last contact with each other and with other traffic. Unfortunately due to bad weather in and around the area of last contact of these aircraft, they could only be located approximately two days after they had collided with a mountain in the Lekgalametse valley. Both aircraft were destroyed by post-impact fire and all the occupants of both aircraft were fatally injured.
Probable cause:
The accident was the consequence of a controlled flight into terrain.
Contributory factors:
- Lack of proper flight planning,
- Low Clouds.
Final Report:

Crash of a Piaggio P.166S Albatross near Tzaneen: 7 killed

Date & Time: Aug 14, 2011 at 1030 LT
Type of aircraft:
Operator:
Registration:
ZU-MMI
Flight Phase:
Flight Type:
Survivors:
No
Site:
Schedule:
Tzaneen - Johannesburg
MSN:
462
YOM:
1973
Location:
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
6
Pax fatalities:
Other fatalities:
Total fatalities:
7
Captain / Total flying hours:
2893
Aircraft flight hours:
4501
Circumstances:
Two aircraft, ZS-NJX and ZU-MMI, with 6 and 7 people on board respectively, took off from Tzaneen aerodrome (FATZ) on 14 August 2011 at approximately 0820Z, engaged in private flights with the intention of landing at Rand Airport (FAGM) on the same day. As both aircraft had not arrived at Rand Airport at their expected time of arrival, numerous attempts were made to contact the aircraft and these were unsuccessful. The search and rescue mission was initiated to try and locate these aircraft. The search and rescue mission was based around the area where the aircraft were believed to have had last contact with each other and with other traffic. Unfortunately due to bad weather in and around the area of last contact of these aircraft, they could only be located approximately two days after they had collided with a mountain in the Lekgalametse valley. Both aircraft were destroyed by post-impact fire and all the occupants of both aircraft were fatally injured.
Probable cause:
The accident was the consequence of a controlled flight into terrain.
Contributory factors:
- Lack of proper flight planning,
- Low Clouds.
Final Report:

Crash of a Cessna 208 Caravan I in Kei Mouth

Date & Time: Jul 23, 2011
Type of aircraft:
Operator:
Registration:
3009
Flight Type:
Survivors:
Yes
Schedule:
Swartkop AFB - Kei Mouth
MSN:
208-0159
YOM:
1989
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
On final approach to Kei Mouth Airport in the Eastern Cape Province, the single engine aircraft crashed in unknown circumstances. While both occupants were uninjured, the aircraft was damaged beyond repair. The crew was completing a positioning flight from Swartkop AFB.

Crash of a Pilatus PC-12/47 off Plettenberg Bay: 9 killed

Date & Time: Feb 8, 2011 at 1633 LT
Type of aircraft:
Registration:
ZS-GAA
Survivors:
No
Schedule:
Queenstown - Plettenberg Bay
MSN:
858
YOM:
2007
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
7
Pax fatalities:
Other fatalities:
Total fatalities:
9
Captain / Total flying hours:
2662
Captain / Total hours on type:
582.00
Copilot / Total flying hours:
351
Copilot / Total hours on type:
112
Aircraft flight hours:
1096
Circumstances:
The aircraft, which was operated under the provisions of Part 91 of the Civil Aviation Regulations (CARs), departed from Queenstown Aerodrome (FAQT) at 1329Z on an instrument flight plan for Plettenberg Bay Aerodrome (FAPG). On board the aircraft were two (2) crew members and seven (7) passengers. The estimated time of arrival for the aircraft to land at FAPG was 1430Z, however the aircraft never arrived at its intended destination, nor did the crew cancel their search and rescue as per flight plan/air navigation requirements. At ±1600Z an official search for the missing aircraft commenced. The search was coordinated by the Aeronautical Rescue Co-ordination Centre (ARCC). The first phase of the search, which was land based, was conducted in the Robberg Nature Reserve area. Progress was slow due to poor visibility associated with dense mist and night time. A sea search was not possible following activation of the official search during the late afternoon and night time, but vessels from the National Sea Rescue Institute (NSRI) were able to launch at first light the next morning. Floating debris (light weight material) was picked up from the sea and along the western shoreline of the Robberg Nature Reserve where foot patrols were conducted. On 11 February 2011 the South African Navy joined the search for the missing wreckage by utilizing side scan sonar equipment to scan the sea bed for the wreckage. All the occupants on board the aircraft were fatally injured in the accident.
Probable cause:
The aircraft crashed into the sea following a possible in flight upset associated with a loss of control during IMC conditions.
The following contributory factors were identified:
- Deviation from standard operating procedures by the crew not flying the published cloud-break procedure for runway 30 at FAPG, but instead opted to attempt to remain visual with the ground/sea (comply with VMC requirements) by descending over the sea and approaching the aerodrome from the southeast (Robberg Nature Reserve side).
- Inclement weather conditions prevailed in the area, which was below the minima to comply with the approved cloud-break procedure for runway 30 at FAPG (minimum safety altitude of 844 feet according to cloud-break procedure) as published at the time of the accident.
- Judgement and decision making lacking by the crew. (The crew continued from the seaward side with the approach during IMC conditions and not diverting to an alternative aerodrome with proper approach facilities timeously although a cell phone call in this regard indicate such an intention).
- The possibility that the pilot-flying at the time became spatially disorientated during the right turn while encountering / entering IMC conditions in an attempt to divert to FAGG should be regarded as a significant contributory factor to this accident.
- This was the first time as far as it could be determined that the two crew members flew together.
Final Report: