Crash of a Piper PA-31-350 Navajo Chiefain in Medford: 1 killed

Date & Time: Dec 5, 2021 at 1652 LT
Registration:
N64BR
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Medford - Fallon
MSN:
31-7752124
YOM:
1977
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
2167
Captain / Total hours on type:
1520.00
Aircraft flight hours:
8809
Circumstances:
The airplane was departing into instrument meteorological conditions using a standard instrument departure. The takeoff instructions consisted of making a climbing right turn direct to a nondirectional beacon. After departing, the pilot made a radio communication to an air traffic controller asking if he will tell him when to turn. The controller replied that he would not be calling his turn and that the pilot should fly the departure as published making a climbing right turn to overfly the approach end of the runway. The pilot acknowledged the communication, which was his last transmission. The airplane made a 360° turn and descended below the cloud layer. The airplane then climbed back into the cloud layer and made an inverted loop, descending into the ground in a near-vertical attitude. A postaccident examination of the airplane revealed no evidence of preimpact mechanical malfunctions or failures. Recorded audio of the airplane before the accident was consistent with the engines operating. The signatures on both propellers were consistent with one another and consistent with the engines operating at a similar rpm. The pilot was qualified and recently underwent recurrent training. The reasons the pilot became spatially disoriented could not definitely determined. The pilot left the anti-collision lights on while in the clouds, which may have resulted in him having flicker vertigo.
Probable cause:
The pilot’s failure to maintain aircraft control during the initial climb into clouds due to spatial disorientation, which resulted in an uncontrolled descent and collision with terrain.
Final Report:

Crash of a Cessna 207 Stationair 8 in Bethel

Date & Time: Nov 20, 2021 at 1755 LT
Operator:
Registration:
N9794M
Survivors:
Yes
Schedule:
Bethel – Kwethluk
MSN:
207-0730
YOM:
1981
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
5
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
1480
Captain / Total hours on type:
659.00
Aircraft flight hours:
15727
Circumstances:
The pilot was conducting a scheduled air taxi flight with five passengers onboard. Shortly after departure, the pilot began to smell an electrical burn odor, and he elected to return to the airport. About 1 minute later, the electrical burn smell intensified, which was followed by visible smoke in the cockpit, and the pilot declared an emergency to the tower. After landing and all the passengers had safely departed the airplane, heavy smoke filled the cockpit and passenger compartment, and the pilot saw a candle-like flame just behind the pilot and co-pilot seats, just beneath the floorboards of the airplane. Moments later, the airplane was engulfed in flames. Postaccident examination of the airframe revealed the origin of the fire to be centered behind the pilot’s row of seats, where a wire harness was found improperly installed on top of the aft fuel line from the left tank. Examination of the wire harness found a range of thermal and electrical damage consistent with chafing from the fuel line. It is likely that the installation of the wire harness permitted contact with the fuel line, which resulted in chafing, arcing, and the subsequent fire.
Probable cause:
The improper installation of an avionics wire harness over a fuel line, which resulted in chafing of the wire harness, arcing, and a subsequent fire.
Final Report:

Crash of a Beechcraft E90 King Air in Boyne City: 2 killed

Date & Time: Nov 15, 2021 at 1245 LT
Type of aircraft:
Operator:
Registration:
N290KA
Flight Type:
Survivors:
No
Schedule:
Pontiac - Boyne City
MSN:
LW-59
YOM:
1973
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
13000
Captain / Total hours on type:
700.00
Aircraft flight hours:
10491
Circumstances:
While on final approach, the airplane gradually slowed to near its stall speed. About 600 ft beyond the last recorded data, the airplane impacted the ground in a nose-down attitude that was consistent with a stall. Postaccident examination revealed no preaccident mechanical failures or malfunctions that would have contributed to the accident. Witnesses near the accident site reported very heavy sleet with low visibility conditions, whereas a witness located near the final approach flightpath, about 2 miles before the accident site observed the airplane fly by below an overcast cloud layer with no precipitation present. Based on the witness accounts and weather data, the airplane likely entered a lake effect band of heavy sleet during the final portion of the flight. The airplane was modified with 5-bladed propellers, and other pilots reported it would decelerate rapidly, especially when the speed/propeller levers were moved to the high rpm (forward) position. The pilot usually flew a larger corporate jet and had not flown the accident airplane for 8 months. The passenger was a student pilot with an interest in becoming a professional pilot. The pilot’s poor airspeed control on final approach was likely influenced by a lack of recency in the turboprop airplane. The workload of inflight deicing tasks may have also contributed to the poor airspeed control. The aerodynamic effects of the heavy sleet that was encountered near the accident site likely contributed to the stall to some degree.
Probable cause:
The pilot’s failure to maintain sufficient airspeed and his exceedance of the airplane’s critical angle of attack while in icing conditions, which resulted in an aerodynamic stall and subsequent ground impact.
Final Report:

Crash of a Britten Norman BN-2A-6 Islander in Beaver Island: 4 killed

Date & Time: Nov 13, 2021 at 1349 LT
Type of aircraft:
Operator:
Registration:
N866JA
Survivors:
Yes
Schedule:
Charlevoix – Beaver Island
MSN:
185
YOM:
1970
Crew on board:
1
Crew fatalities:
Pax on board:
4
Pax fatalities:
Other fatalities:
Total fatalities:
4
Captain / Total flying hours:
2949
Captain / Total hours on type:
136.00
Aircraft flight hours:
20784
Circumstances:
A pilot-rated witness observed the airplane during the final approach to the destination airport and stated that the airplane was flying slowly, with a high pitch attitude, and was “wallowing” as if nobody was flying. The airplane stalled and impacted the ground about 300 ft from the runway. GPS and automatic dependent surveillance-broadcast (ADS-B) data captured the accident flight, but the ADS-B data ended about 0.24 miles before the accident. GPS data showed that the airplane’s speed was at or near the published stall speed for the airplane’s given loading condition. The airplane sustained substantial damage to the fuselage and both wings. Examination of the airplane verified flight and engine control continuity. No preimpact anomalies were found with respect to the airplane, engines, or systems. The pilot allowed the airspeed to decrease during the approach, increased pitch attitude, and exceeded critical angle of attack, which resulted in an aerodynamic stall and spin into terrain.
Probable cause:
The pilot's exceedance of the airplane's critical angle of attack during final approach, which resulted in an aerodynamic stall and loss of control at an altitude too low to recover.
Final Report:

Crash of a Beechcraft C90A King Air in Caratinga: 5 killed

Date & Time: Nov 5, 2021 at 1515 LT
Type of aircraft:
Operator:
Registration:
PT-ONJ
Survivors:
No
Schedule:
Goiânia – Caratinga
MSN:
LJ-1078
YOM:
1984
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
5
Captain / Total flying hours:
16352
Copilot / Total flying hours:
2768
Circumstances:
The twin engine airplane departed Goiânia-Santa Genoveva Airport on a taxi flight to Caratinga, carrying three passengers and two pilots. On final approach to Caratinga-Ubaporanga Airport in VFR conditions, the airplane collided with a lightning rod located on the top of a high-voltage pylon. Upon impact, the left engine was torn off and the airplane stalled before crashing in a river bed located about 4,1 km short of runway 02. The airplane was destroyed by impact forces and all five occupants were killed, among them the Brazilian singer Marília Mendonça aged 26.
Probable cause:
The following factors were identified:
- Attention – undetermined.
It was found the possibility that the PT-ONJ aircraft crew had their attention (focused vision) on the runway at the expense of maintaining proper separation with the terrain on a visual approach.
- Piloting judgment – a contributor.
Regarding the approach to landing profile, there was an inadequate assessment of the aircraft's operating parameters, since the downwind leg was elongated by a significantly greater distance than that expected for a "Category B" aircraft in landing procedures under VFR.
- Memory – undetermined.
It is likely that, based on the experience of ten years of operation in a company governed by the RBAC 121, the PIC procedural memory has influenced the decisions made concerning the conduct of the aircraft. The habit of performing long final approaches in another type of operation may have activated his procedural memory, involving cognitive activities and motor skills, making the actions automated in relation to the profile performed in the accident.
- Flight planning – undetermined.
A possible non-use of the available aeronautical charts (CAP 9453 and WAC 3189), which were intended to meet the needs of visual flight, may have contributed to low situational awareness about the characteristics of the relief around the SNCT Aerodrome and the presence of the power grid that interfered with the aircraft's landing approach.
Final Report:

Crash of an Antonov AN-12BK in Irkutsk: 9 killed

Date & Time: Nov 3, 2021 at 1945 LT
Type of aircraft:
Operator:
Registration:
EW-518TI
Flight Type:
Survivors:
No
Schedule:
Yakutsk - Irkutsk
MSN:
8 34 61 07
YOM:
1968
Flight number:
GRX1252
Country:
Region:
Crew on board:
5
Crew fatalities:
Pax on board:
4
Pax fatalities:
Other fatalities:
Total fatalities:
9
Captain / Total flying hours:
14624
Captain / Total hours on type:
10214.00
Copilot / Total flying hours:
5169
Copilot / Total hours on type:
3899
Aircraft flight hours:
13750
Circumstances:
Following an uneventful flight from Yakutsk, the crew started a night descent to Irkutsk-Intl Airport. The airplane was carrying four passengers, five crew members and a load of consisting of foods. On approach, the crew was instructed to contact tower and one minute later, was cleared to land on runway 30. At that time, the visibility was limited due the night and snow falls. Unable to establish a visual contact with the ground, the captain decided to initiate a go around procedure. Shortly later, the airplane contacted trees and crashed in a dense wooded area located 3 km short of runway, bursting into flames. The airplane was totally destroyed by impact forces and a post crash fire and all nine occupants were killed.
Probable cause:
The accident occurred during a night landing in instrument flight conditions due to failure to follow the established descent path (premature descent), resulting in a collision with obstacles and a controlled flight into terrain.
The following contributing factors were identified:
- Lack of training for the captain and first officer due to long breaks in their duties.
- Unsatisfactory crew resource management (CRM) by the captain.
- Lack of appropriate interaction within the crew.
- Incorrect setting of the KURSM-2 equipment for actual landing conditions, which resulted in a lack of indication of the aircraft's deviation from its flight path.
- Execution of an approach using a satellite navigation system, which is not provided for in the regulations.
- The operational minimums and crew working technique for such an approach were not defined.
- The approach configuration adopted by the crew reduced their situational awareness and led to a narrowing of the flight picture.
- Errors and inaccuracies in the indication of barometric altitude and flight heading increased the crew's workload.
- Failure to check the stability of the approach and, consequently, failure to comply with the go around procedure due to an unstable approach.
- Premature transition to radio altimeter altitude control (premature descent).
- Failure to comply with published procedures for the go around maneuver.
- Lack of visual contact with the ground.
- Distraction due to “searching for the ground”.
- A period of 19 seconds elapsed between the decision to initiate the go around maneuver and the action to increase altitude.
- The ground proximity warning system alarm did not activate for reasons that investigations were unable to determine.
Final Report:

Ground fire of a Transall C-160NG in Dolow

Date & Time: Nov 3, 2021
Type of aircraft:
Operator:
Registration:
EY-360
Flight Type:
Survivors:
Yes
Schedule:
Mogadishu - Dolow
MSN:
F233
YOM:
1985
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
The crew was completing a cargo flight from Mogadishu to Dolow. After landing, the crew stopped the aircraft on the runway and was able to evacuate the cabin before the aircraft would be partially destroyed by fire.

Crash of an Antonov AN-26 in Juba: 5 killed

Date & Time: Nov 2, 2021 at 1237 LT
Type of aircraft:
Operator:
Registration:
TR-NGT
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Juba - Maban
Country:
Region:
Crew on board:
5
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
5
Circumstances:
The airplane departed Juba Airport Runway 13 at 1233LT on a cargo flight to Maban, carrying five crew members and a load consisting of 28 drums of diesel. Three minutes after takeoff, while climbing, the crew declared an emergency. One minute later, the entered an uncontrolled descent and crashed less than 2 km past the runway end, bursting into flames. The aircraft was destroyed and all five occupants were killed. Registration and MSN to be confirmed. It is believed that the aircraft was operated on behalf of Euro Airlines.

Crash of a Cessna 208B Grand Caravan in Dagi Baru

Date & Time: Oct 29, 2021 at 1030 LT
Type of aircraft:
Registration:
PK-RVH
Flight Type:
Survivors:
Yes
Schedule:
Dekai - Dagi Baru
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
The single engine aircraft departed Dekai-Nop Goliat Airport for a short cargo flight to the Dagi Baru Airstrip with two pilots on board. Weather conditions were considered as good upon arrival. After landing, the aircraft went out of control, veered off runway and came to rest down a ravine. Both occupants were injured and the aircraft was destroyed.

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

Date & Time: Oct 25, 2021 at 0725 LT
Type of aircraft:
Operator:
Registration:
PK-SNN
Flight Type:
Survivors:
Yes
Schedule:
Timika - Ilaga
MSN:
208-0556
YOM:
2014
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
25441
Copilot / Total flying hours:
494
Aircraft flight hours:
3658
Aircraft flight cycles:
3399
Circumstances:
The single engine airplane was on an unscheduled cargo flight from Moses Kilangin Airport, Timika (WAYY) to Ilaga Airport in Puncak district of Papua, Indonesia (WAYL). On board in this flight were two pilots and the flight carried 2,352 lbs (1,067 kg) of cargo. The flight departed from Moses Kilangin Airport, Timika on 24 October 2021 at 2154 UTC (25 October 2021 at 0654 LT) on day light. The Pilot in Command (PIC) acted the Pilot Flying (PF) and the Second in Command (SIC) acted the Pilot Monitoring (PM). The flight until commenced the approach at Ilaga was uneventful. According to the witness that was on the Ilaga apron, stated that the short final area of the Runway 25 partially covered by ground fog. Two aircraft that were making approach landing before PK-SNN cancelled the approach and made go around. About 0725 LT, PK-SNN made approach and impacted to the embankment about 15 meters before the runway. The aircraft stopped about 90 meters from the beginning runway 25. A pilot was killed and a second was injured.