Crash of a Cessna 208 Caravan I in Gransee: 1 killed

Date & Time: Sep 11, 2019 at 1505 LT
Type of aircraft:
Operator:
Registration:
D-FIDI
Survivors:
No
Schedule:
Gransee - Gransee
MSN:
208-0301
YOM:
1999
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
1553
Captain / Total hours on type:
288.00
Aircraft flight hours:
4066
Aircraft flight cycles:
4983
Circumstances:
At 1448 hrs, the pilot took off from Gransee Special Airfield with the Cessna 208 Caravan to a commercial flight in accordance with visual flight rules. On board were the pilot and 15 skydivers, which were dropped at flight level 130. On this day, the pilot had already conducted three flights dropping skydivers with a total flight time of 48 min. After having dropped the skydivers during the fourth flight, the airplane was last captured by the radar at 1505:49 hrs, during approach to land at the airfield, close to the accident site at about 550 ft AMSL. At the time, ground speed was 168 kt and heading 330°. The Flugleiter stated that he had observed the last phase of the approach. The airplane had been in a left-hand turn with a bank angle of up to 90° close to the ground. He assumed that the pilot might have “overshot” the extended centre line of runway 29 when he entered the final approach coming from the south. Then the airplane had vanished behind the trees. The pilot did not transmit an emergency call. The Flugleiter also stated that with the previous flight he had witnessed a similar manoeuvre. The radar recording of the third flight ended at 1417:54 hrs with a recorded altitude of about 1,400 ft AGL. At the time, ground speed was 168 kt and heading 355°. During both flights the skydivers had been dropped at flight level 130 at a heading of about 300° south of the airfield. After dropping the skydivers, at 1415:07 hrs and at 1502:52 hrs, respectively, the airplane entered a descent with a very high rate of descent and flew in a wide left-hand turn back to the airfield. During the third flight a right-left-hand turn with bank angles of about 50° to 60° occurred during descent.
Probable cause:
The air accident was due to a risky flight manoeuvre close to the ground which resulted in a controlled impact with the ground. The speed during the approach exceeded the operations limitations of the airplane. The approach was not stabilized.
Contributing Human Factors:
- Recurrent acceptance of risky flight manoeuvres close to the ground by the pilot (routine violations),
- Overconfidence and insufficient risk assessment of the pilot.
Contributing Operational Factors:
- Unsuitable wording in the operations manual in regard to approaches after dropping skydivers.
Final Report:

Crash of an Antonov AN-2 in Fakhrabad: 1 killed

Date & Time: Aug 4, 2019 at 1040 LT
Type of aircraft:
Operator:
Registration:
RT-15-305
Survivors:
Yes
Schedule:
Fakhrabad - Fakhrabad
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Circumstances:
The crew was completing a local skydiving mission in the region of Fakhrabad, about 30 km southwest of Dushanbe. After eight skydivers departed the cabin, the crew was returning to Fakhrabad Airfield when, on final approach, the airplane crashed in unknown circumstances. The copilot was seriously injured and the captain was killed.

Crash of a GippsAero GA8 Airvan in Umeå: 9 killed

Date & Time: Jul 14, 2019 at 1408 LT
Type of aircraft:
Operator:
Registration:
SE-MES
Flight Phase:
Survivors:
No
Schedule:
Umeå - Umeå
MSN:
GA8-TC320-12-178
YOM:
2012
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
8
Pax fatalities:
Other fatalities:
Total fatalities:
9
Captain / Total flying hours:
217
Captain / Total hours on type:
12.00
Aircraft flight hours:
1212
Circumstances:
The purpose of the flight was to drop eight parachutists from flight level 130 (an altitude of 13,000 feet, approximately 4,000 metres). The load sheet that the pilot received did not contain any information about the individual weights of the parachutists or the total mass of the load. The pilot could thus not, with any help from the load sheet, check or make his own calculation of mass and balance before the flight. The aeroplane was approaching the airport and, at 14:05 hrs, the pilot requested permission to drop the parachutists slightly higher because of clouds. The airspeed was decreasing in conjunction with the aeroplane’s approach to the airport. Just over a kilometre from the airport where the jump point was located, the aeroplane suddenly changed direction to the left and began descending rapidly in almost the opposite direction. The aeroplane then travelled just under one kilometre at the same time as it descended 1,500 metres, which is a dive angle of over 45 degrees. The aeroplane broke up in the air as both the airspeed and the g-forces exceeded the permitted values for the aeroplane. From an altitude of 2,000 metres, the aeroplane fell almost vertically with a descent velocity of around 60 m/s. The fact that no one was able to get out and save themselves using their parachute was probably due to the g-forces and the rotations that occurred. All those on board remained in the aeroplane and died immediately upon impact.
Probable cause:
The control of the aeroplane was probably lost due to low airspeed and that the aeroplane was unstable as a result of a tail-heavy aeroplane in combination with the weather conditions, and a heavy workload in relation to the knowledge and experience of the pilot. Limited experience and knowledge of flying without visual references and changes to the centre of gravity in the aeroplane have probably led to it being impossible to regain control of the aeroplane.
The following factors are deemed to be probable causes of the accident:
- The lack of a safe system for risk analyses and operational support, including data for making decisions concerning flights, termination or replanning of commenced flights.
- The lack of a standardised practical and theoretical training programme with approval of a qualified instructor.
- The lack of a safe system for determining centre of gravity prior to and in conjunction with parachuting jumps.
Final Report:

Crash of a Beechcraft 65-A90 King Air in Dillingham: 11 killed

Date & Time: Jun 21, 2019 at 1822 LT
Type of aircraft:
Operator:
Registration:
N256TA
Flight Phase:
Survivors:
No
Schedule:
Dillingham - Dillingham
MSN:
LJ-256
YOM:
1967
Crew on board:
1
Crew fatalities:
Pax on board:
10
Pax fatalities:
Other fatalities:
Total fatalities:
11
Captain / Total flying hours:
1086
Captain / Total hours on type:
214.00
Aircraft flight hours:
15104
Aircraft flight cycles:
24569
Circumstances:
On June 21, 2019, about 1822 Hawaii-Aleutian standard time, a Beech King Air 65-A90 airplane, N256TA, impacted terrain after takeoff from Dillingham Airfield (HDH), Mokuleia, Hawaii. The pilot and 10 passengers were fatally injured, and the airplane was destroyed. The airplane was owned by N80896 LLC and was operated by Oahu Parachute Center (OPC) LLC under the provisions of Title 14 Code of Federal Regulations (CFR) Part 91 as a local parachute jump (skydiving) flight. Visual meteorological conditions prevailed at the time of the accident. OPC had scheduled five parachute jump flights on the day of the accident and referred to the third through fifth flights of the day as “sunset” flights because they occurred during the late afternoon and early evening. The accident occurred during the fourth flight. The accident pilot was the pilot-in-command (PIC) for each of the OPC flights that departed on the day of the accident. The pilot and 8 of the 10 passengers initially boarded the airplane. These eight passengers comprised three OPC tandem parachute instructors, three passenger parachutists, and two OPC parachutists performing camera operator functions. The pilot began to taxi the airplane from OPC’s location on the airport. According to a witness (an OPC tandem instructor who was not aboard the accident flight), the two other passengers—solo parachutists who had been on the previous skydiving flight and were late additions to the accident flight—“ran out to the airplane and were loaded up at the last minute.” The pilot taxied the airplane to runway 8 about 1820, and the airplane departed about 1822. According to multiple witnesses, after the airplane lifted off, it banked to the left, rolled inverted, and descended to the ground. One witness stated that, before impact, the airplane appeared to be intact and that there were no unusual noises or smoke coming from the airplane. A security camera video showed that the airplane was inverted in a 45° nose-down attitude at the time of impact. The airplane impacted a grass and dirt area about 630 ft northeast of the departure end of the runway, and a postcrash fire ensued. The airplane was not equipped, and was not required to be equipped, with a cockpit voice recorder or a flight data recorder. The accident flight was not detected by radar at the Federal Aviation Administration’s (FAA) Hawaii Control Facility, which was the air traffic control (ATC) facility with jurisdiction of the airspace over HDH. The FAA found no audio communications between the accident airplane and ATC on the day of the accident.
Probable cause:
The National Transportation Safety Board determines that the probable cause of this accident was the pilot’s aggressive takeoff maneuver, which resulted in an accelerated stall and subsequent loss of control at an altitude that was too low for recovery.
Contributing to the accident were
1) the operation of the airplane near its aft center of gravity limit and the pilot’s lack of training and experience with the handling qualities of the airplane in this flight regime;
2) the failure of Oahu Parachute Center and its contract mechanic to maintain the airplane in an airworthy condition and to detect and repair the airplane’s twisted left wing, which reduced the airplane’s stall margin; and
3) the Federal Aviation Administration’s (FAA) insufficient regulatory framework for overseeing parachute jump operations. Contributing to the pilot’s training deficiencies was the FAA’s lack of awareness that the pilot’s flight instructor was providing substandard training.
Final Report:

Crash of a Lockheed C-130H Hercules in Biskra: 1 killed

Date & Time: Jun 3, 2018
Type of aircraft:
Operator:
Registration:
7T-WHT
Survivors:
Yes
Schedule:
Biskra - Biskra
MSN:
4911
YOM:
1981
Location:
Country:
Region:
Crew on board:
9
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Circumstances:
Following an uneventful paratroopers mission over the area of Biskra, the crew was returning to Biskra-Mohamed Khider Airport. On final approach, the airplane stalled and crashed few hundre metres short of runway, coming to rest broken in two. All nine crew members were injured and the aircraft was destroyed. A day later, one of the survivor died from his injuries.

Crash of a Cessna 208B Grand Caravan in Clonbullogue: 2 killed

Date & Time: May 13, 2018 at 1438 LT
Type of aircraft:
Operator:
Registration:
G-KNYS
Survivors:
No
Schedule:
Clonbullogue - Clonbullogue
MSN:
208B-1146
YOM:
2005
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
2157
Aircraft flight hours:
4670
Aircraft flight cycles:
6379
Circumstances:
The Cessna 208B aircraft took off from Runway 27 at Clonbullogue Airfield (EICL), Co. Offaly at approximately 13.14 hrs. On board were the Pilot and a Passenger (a child), who were seated in the cockpit, and 16 skydivers, who occupied the main cabin. The skydivers jumped from the aircraft, as planned, when the aircraft was overhead EICL at an altitude of approximately 13,000 feet. When the aircraft was returning to the airfield, the Pilot advised by radio that he was on ‘left base’ (the flight leg which precedes the approach leg and which is normally approximately perpendicular to the extended centreline of the runway). No further radio transmissions were received. A short while later, it was established that the aircraft had impacted nose-down into a forested peat bog at Ballaghassan, Co. Offaly, approximately 2.5 nautical miles (4.6 kilometres) to the north-west of EICL. The aircraft was destroyed. There was no fire. The Pilot and Passenger were fatally injured.
Probable cause:
Impact with terrain following a loss of control in a steeply banked left-hand turn. The following contributing factors were reported:
- The steeply banked nature of the turn being performed,
- Propeller torque reaction following a rapid and large increase in engine torque,
- The aircraft’s speed while manoeuvring during the steeply banked turn,
- Insufficient height above ground to effect a successful recovery.
Final Report:

Crash of a De Havilland DHC-6 Twin Otter 300 at Perris Valley

Date & Time: May 24, 2017 at 1515 LT
Operator:
Registration:
N708PV
Survivors:
Yes
Schedule:
Perris Valley - Perris Valley
MSN:
489
YOM:
1976
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
3358
Captain / Total hours on type:
2131.00
Copilot / Total flying hours:
1893
Copilot / Total hours on type:
12
Aircraft flight hours:
37885
Circumstances:
The pilot of the twin-engine, turbine-powered airplane reported that, while providing flights for skydivers throughout the day, he had a potential new hire pilot flying with him in the right seat. He added that, on the eighth flight of the day, the new pilot was flying during the approach and "approximately 200 feet south from the threshold of [runway] 15 at approximately 15 feet AGL [above ground level] the bottom violently and unexpectedly dropped out. [He] believe[d] some kind of wind shear caused the aircraft [to] slam onto [the] runway and bounce into the air at a 45 to 60-degree bank angle to the right." The prospective pilot then said, "you got it." The pilot took control of the airplane and initiated a go-around by increasing power, which aggravated the "off runway heading." The right wing contacted the ground, the airplane exited the runway to the right and impacted a fuel truck, and the right wing separated from the airplane. The impact caused the pilot to unintentionally add max power, and the airplane, with only the left engine functioning, ground looped to the right, coming to rest nose down.
Probable cause:
The prospective pilot's improper landing flare and the pilot's delayed remedial action to initiate a go-around, which resulted in a runway excursion.
Final Report:

Crash of a Pilatus PC-6/B2-H4 Turbo Porter in Cecina

Date & Time: May 20, 2017 at 1200 LT
Operator:
Registration:
S5-CEI
Survivors:
Yes
Schedule:
Cecina - Cecina
MSN:
778
YOM:
1977
Location:
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
The pilot, sole on board, was returning to Cecina Airfield following a skydiving flight in the area. After touchdown on a grassy area, the single engine aircraft veered to the left, impacted a drainage ditch and came to rest. The pilot escaped uninjured and the aircraft was damaged beyond repair.

Crash of a Pilatus PC-6/B2-H4 Turbo Porter in Ferreira do Alentejo: 1 killed

Date & Time: Jun 19, 2016 at 1750 LT
Operator:
Registration:
D-FSCB
Flight Phase:
Survivors:
Yes
Schedule:
Figueira dos Cavaleiros - Figueira dos Cavaleiros
MSN:
634
YOM:
1967
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
7
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
1400
Captain / Total hours on type:
900.00
Aircraft flight hours:
6556
Circumstances:
On the afternoon of the 19th of June 2016 a Pilatus PC-6 aircraft, German registration DFSCB, took off from the airfield of Figueira dos Cavaleiros (LPFC) for its 17th launch of skydivers that day. On this flight there were 8 persons on board: 1 pilot, 5 skydivers and 2 passengers that were jumping in tandem with two of the skydivers. The meteorology featured a day with clear sky, the wind blew from 040° with 10 kt and the air temperature was around 32° C. The Pilatus took off for a local skydiving training flight and started a climb to an altitude of 14.500 ft. During the initial climb at a rate of 1.000 feet per minute, when crossing 7.000 feet above mean sea level, according to some of the skydivers in the group, a sound similar to the cracking/ripping of a metal structure was heard, and simultaneously the aircraft pitched up to a high nose-up attitude while yawing to the right, causing a severe flight instability. Suddenly, the entire rear fuselage structure disintegrated. According to the reports, some occupants were pushed against the structure of the aircraft before they were thrown outside. During the following seconds the skydivers who did not suffer serious injuries, managed to jump out of the plane and triggered their parachutes. Two of them were seriously injured before leaving the aircraft, their emergency parachutes being automatically deployed by the barometric opening mechanism. As a result, the disintegration of the remaining aircraft parts continued until the impact with the ground. Fragments of the aircraft parts were found over a length of approximately 1.500 meters and a width of about 500 meters and were widely dispersed, with an alignment with the direction of flight from west to east. The pilot was thrown out of the remains of the cockpit and hit the ground at about 400 meters from the impact site of the cabin. He did not trigger his parachute and it was not, nor is it a procedure to be equipped with an emergency parachute with an automatic barometric opening mechanism.
Probable cause:
The investigation considers that, after the fracture of the HT-trim attachment accessory, the horizontal stabilizer was loose, uncontrolled and vibrated, causing the fracture of the left side of the horizontal stabilizer.
Contributing factors:
- Failure on the inspection method by part 145 organization to the critical parts identified on SB 53-001 R1.
- The weakness of regulator (ANAC) oversight to the aircraft operator.
Final Report:

Crash of a Pilatus PC-6/B2-H4 Turbo Porter in Cecina: 2 killed

Date & Time: Jun 11, 2016 at 1230 LT
Operator:
Registration:
S5-CMB
Flight Phase:
Survivors:
Yes
Schedule:
Cecina - Cecina
MSN:
932
YOM:
2000
Location:
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
7
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
670
Copilot / Total flying hours:
3300
Copilot / Total hours on type:
1700
Aircraft flight hours:
6705
Circumstances:
The aircraft, operated by Skydive Kalifornia (aka Skydive Toscana) was involved in a local skydiving flight from Cecina Airfield. When the aircraft reached the assigned altitude, six of the seven skydivers bailed out. When the seventh skydiver elected to jump, his auxiliary parachute accidentally opened while the skydiver was still in the cabin. He was sucked outside and collided with the right horizontal stabilizer that later detached. The aircraft entered an uncontrolled descent and crashed in a field. The aircraft was destroyed by impact forces and both pilots were killed. There was no fire. All seven skydivers were uninjured.
Probable cause:
The cause of the accident is attributable to the detachment of the horizontal stabilizer following the impact with a skydiver dragged by his auxiliary parachute that accidentally opened while he was still inside the aircraft. This detachment led to the loss of governability of the aircraft.
The following factors contributed to the incident:
- The conformation of the throwing material, with closing flap of the safety flap covering the pin, which, tending to come out of its seat, did not guarantee adequate protection of the locking pin from accidental interference.
- The conformation of the structure of the right front seat, which interferes with the closing system of the auxiliary parachute bag, which determined the opening.
- The non-optimal disposition of the skydivers and the DL on board the aircraft (first skydiver to go out not immediately to the door and DL with his back addressed to the skydiver student).
Final Report: