Crash of a Cessna 208B Grand Caravan off Eureka

Date & Time: Feb 6, 2020 at 0656 LT
Type of aircraft:
Operator:
Registration:
N24MG
Flight Type:
Survivors:
Yes
Schedule:
Sacramento – Eureka
MSN:
208B-0850
YOM:
2000
Flight number:
BXR1966
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
10156
Captain / Total hours on type:
1282.00
Aircraft flight hours:
19184
Circumstances:
While the pilot was on a visual approach to the airport and descending over water on the left base leg, about 100 ft above the water's surface, the airplane entered instrument meteorological conditions with no forward visibility. The pilot looked outside his left window to gauge the airplane's altitude and saw "black waves of water approaching extremely rapidly." He tried to pull back on the yoke to initiate a climb, but the nosewheel contacted the water. Subsequently, the airplane nosed over and came to rest inverted in the water. The pilot reported that there were no preaccident mechanical malfunctions or failures with the airplane that would have precluded normal operation.
Probable cause:
The pilot's delayed response to initiate a go-around during a night visual approach over water after the airplane entered instrument meteorological conditions, which resulted in a loss of forward visibility and subsequent impact with the water.
Final Report:

Crash of a Beechcraft B200 King Air off Dutch Harbor

Date & Time: Jan 16, 2020 at 0806 LT
Operator:
Registration:
N547LM
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Dutch Harbor - Adak
MSN:
BB-1642
YOM:
1998
Crew on board:
1
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
6470
Captain / Total hours on type:
756.00
Aircraft flight hours:
7058
Circumstances:
According to the pilot, when the airplane’s airspeed reached about 90 knots during the takeoff roll, he applied back pressure to the control yoke to initiate the takeoff and noted a brief positive rate of climb followed by a sinking sensation. The airspeed rapidly decayed, and the stall warning horn sounded. To correct for the decaying airspeed, he lowered the nose then pulled back on the airplane’s control yoke and leveled the wings just before impacting the ocean. The pilot stated there were no pre accident mechanical malfunctions or anomalies that would have precluded normal operation. Wind about the time of the accident was recorded as 110º downwind of the airplane at 15 knots gusting to 28 knots. The passengers recalled that the pilot’s preflight briefing mentioned the downwind takeoff but included no discussion of the potential effect of the wind conditions on the takeoff. The airplane’s estimated gross weight at the time of the accident was about 769.6 pounds over its approved maximum gross weight, and the airplane’s estimated center of gravity was about 8.24 inches beyond the approved aft limit at its maximum gross weight. It is likely that the pilot’s decision to takeoff downwind and operate the airplane over the maximum gross weight with an aft center of gravity led to the aerodynamic stall during takeoff and loss of control. Downwind takeoffs result in higher groundspeeds and increase takeoff distance. While excessive aircraft weight increases the takeoff distance and stability, and an aft center of gravity decreases controllability. Several instances of the operator’s noncompliance with its operational procedures and risk mitigations were discovered during the investigation, including two overweight flights, inaccurate and missing information on aircraft flight logs, and the accident pilot’s failure to complete a flight risk assessment for the accident flight. The operator had a safety management system (SMS) in place at the time of the accident that required active monitoring of its systems and processes to ensure compliance with internal and external requirements. However, the discrepancies noted with several flights, including the accident flight, indicate that the operator’s SMS program was inadequate to actively monitor, identify, and mitigate hazards and deficiencies.
Probable cause:
The pilot’s improper decision to takeoff downwind and to load the airplane beyond its allowable gross weight and center of gravity limits, which resulted in an aerodynamic stall and loss of control. Contributing to the accident was the inadequacy of the operator’s safety management system to actively monitor, identify, and mitigate hazards and deficiencies.
Final Report:

Crash of a Lockheed C-130H Hercules in the Drake Passage: 38 killed

Date & Time: Dec 9, 2019 at 1813 LT
Type of aircraft:
Operator:
Registration:
990
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Punta Arenas - Teniente Marsh
MSN:
4776
YOM:
1978
Country:
Region:
Crew on board:
17
Crew fatalities:
Pax on board:
21
Pax fatalities:
Other fatalities:
Total fatalities:
38
Circumstances:
The four engine airplane departed Santiago de Chile at 1021LT and landed at Punta Arenas for a technical stop at 1444LT. It took off at 1653LT on a leg to Teniente Rodolfo Marsh-Presidente Eduardo Frei Montalva Airport located on King George Island, Antarctica, carrying 21 passengers and 17 crew members. After flying a distance of about 390 NM, while in cruising altitude, the radar contact was lost, vertical to the Drake Passage. SAR operations were initiated jointly by the Chilean, Uruguay and Argentine Air Forces which dispatched several aircraft over the area. Two days later, debris were found floating on water. It seems that none of the 38 occupants survived the crash.

Crash of a De Havilland DHC-3 Otter off Little Grand Rapids: 3 killed

Date & Time: Oct 26, 2019 at 0845 LT
Type of aircraft:
Operator:
Registration:
C-GBTU
Survivors:
No
Schedule:
Bissett - Little Grand Rapids
MSN:
209
YOM:
1957
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
3
Captain / Total flying hours:
9500
Captain / Total hours on type:
5800.00
Aircraft flight hours:
16474
Circumstances:
At approximately 0745 Central Daylight Time on 26 October 2019, the Blue Water Aviation float-equipped deHavillandDHC-3 Otteraircraft (registration C-GBTU, serial number 209) departed Bissett Water Aerodrome, Manitoba, with the pilot, 2 passengers, and approximately 800 pounds of freight on board. The destination was Little Grand Rapids, Manitoba, on the eastern shore of Family Lake. At approximately 0845, while on approach to Family Lake, the aircraft’s right wing separated from the fuselage. The aircraft then entered a nose-down attitudeand struck the water surface of the lake. The pilot and the 2 passengers were fatally injured. The aircraft was destroyed by impact forces. The emergency locator transmitter activated momentarily.
Probable cause:
Findings as to causes and contributing factors:
These are conditions, acts or safety deficiencies that were found to have caused or contributed to this occurrence.
1. A fatigue fracture originated in the bolt hole bore of the right-hand wing lift strut’s upper outboard lug plate, and eventually led to an overstress fracture of the right-hand wing lift strut’s upper outboard and inboard lug plates during the left turn prior to the final approach.
2. The failure of the outboard and inboard lug plates led to the separation of the righthand wing lift strut from the wing and, subsequently, the separation of the right wing from the aircraft.

Findings as to risk:
These are conditions, unsafe acts or safety deficiencies that were found not to be a factor in this occurrence but could have adverse consequences in future occurrences.
1. If operational flight plans data and load calculations are not available, there is a risk that, in the event of a missing aircraft or accident, aircraft information, including its number of occupants, route, cargo, and weight and balance information, will not be available for search and rescue operations or accident investigation.

Other findings:
These items could enhance safety, resolve an issue of controversy, or provide a data point for future safety studies.
1. The detailed visual inspection prescribed in the Viking Air Ltd. Supplementary Inspection and Corrosion Control Manual, and required by Airworthiness DirectiveCF2018-4, did not identify cracks that could form in the right-hand wing strut’s upper outboard lug plate.
Final Report:

Crash of a Cessna 401A in Las Juntas: 6 killed

Date & Time: Oct 23, 2019 at 1800 LT
Type of aircraft:
Registration:
XB-JZF
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Durango - Acapulco
MSN:
401A-0051
YOM:
1969
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
5
Pax fatalities:
Other fatalities:
Total fatalities:
6
Circumstances:
En route from Durango to Acapulco, the twin engine airplane crashed in unknown circumstances in the Infiernillo River, in the region of Las Juntas. The wreckage was found inverted and partially submerged in water. All six occupants were killed.

Crash of a Douglas DC-3C off Nassau

Date & Time: Oct 18, 2019 at 1630 LT
Type of aircraft:
Operator:
Registration:
N437GB
Flight Type:
Survivors:
Yes
Schedule:
Miami - Nassau
MSN:
19999
YOM:
1944
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
On the 18th October 2019, at approximately 4:30 PM local time, a Douglas DC-3C aircraft, registration N437GB crashed in the ocean; at coordinates 25°05.55N 077°30.29W, approximately 2.87miles from Runway 14 at the Lynden Pindling International Airport (MYNN) Nassau, Bahamas. There were 2 souls on board. The pilot reported that the left engine failed approximately 25-30 nautical miles from MYNN. The pilot further stated that during single engine operation, the aircraft performance was not optimal so the decision was made to land the aircraft in the ocean. The Air Traffic Control tower was notified by the crew of N437GB, that they will be performing a control water landing. The Royal Bahamas Defense Force was notified. Rescue efforts were then put into place. No injuries were received by the occupants of the aircraft. Aircraft could not be located for physical analysis to be carried out. The weather at the time of the accident was visual meteorological conditions and not a factor in this accident. A limited scope investigation was conducted, no safety message or recommendations were issued.
Probable cause:
Failure of the left engine on approach for unknown reasons.
Final Report:

Crash of a Piper PA-46-350P Malibu Mirage off Boothville

Date & Time: Sep 15, 2019 at 1146 LT
Operator:
Registration:
N218MW
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Titusville – Ozona – Santee
MSN:
46-36470
YOM:
2010
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
3500
Captain / Total hours on type:
2000.00
Aircraft flight hours:
1116
Circumstances:
On September 15, 2019, at 1146 central daylight time, a Piper PA-46-350P, N218MW, lost engine power while maneuvering over the Gulf of Mexico, and the pilot was forced to ditch. The private pilot was not injured. The airplane was registered to and operated by Mailworks, Inc., Spring Valley, California, under Title 14 Code of Federal Regulations Part 91 as a personal flight. Visual meteorological conditions existed near the accident site at the time of the accident, and the flight was operated on a visual flight rules flight plan. The flight originated at 0830 eastern daylight time from Space Coast Regional Airport (TIX), Titusville, Florida, and was en route to Ozona Municipal Airport (OZA), Ozona, Texas. His final destination was Gillespie Field Airport (SEE), El Cajon, California. According to the pilot's accident report, he departed TIX with 140 gallons of fuel. After crossing Gulfport (GPT), Mississippi's Terminal Radar Service Area (TRSA) at 10,500 ft, he initiated a slow descent over Boothville, Louisiana, and proceeded southbound towards the mouth of the Mississippi River, descending to 1,500 ft. He then configured the airplane for climb. The engine did not respond to the application of power and the airplane began losing altitude. After going through the emergency checklist, he was unable to restore engine power, and declared an emergency to Houston air route traffic control center (ARTCC) and on frequency 121.5 mHz. He also activated the emergency locator transmitter (ELT) prior to ditching. After ditching, the pilot put on his life jacket, exited the airplane, and remained on its wing until it sank. About an hour later, a U.S. Coast Guard helicopter rescued the pilot and transported him to a hospital in New Orleans, Louisiana. He was discharged a few hours later. The airplane has not been recovered.
Probable cause:
A loss of engine power for undetermined reasons.
Final Report:

Crash of a De Havilland DHC-2 Beaver off Sechelt

Date & Time: Jul 30, 2019 at 1248 LT
Type of aircraft:
Registration:
C-GPZP
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Vancouver - Pender Harbour
MSN:
722
YOM:
1954
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
En route from Vancouver to Pender Harbour, the pilot encountered engine problems and elected to ditch the aircraft about three miles off Sechelt. All three occupants were able to evacuate the cabin before the aircraft sank and was lost. All three occupants were rescued.

Crash of an Antonov AN-72P off Kribi

Date & Time: Jul 30, 2019
Type of aircraft:
Registration:
032
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Malabo – Bata
MSN:
36576096926
YOM:
1992
Location:
Country:
Region:
Crew on board:
7
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
En route from Malabo to Bata, the crew encountered poor weather conditions when the airplane crashed in unknown circumstances into the sea few km off Kribi, South Cameroon. All seven occupants were rescued while the aircraft sank and was lost.

Crash of a De Havilland DHC-2 Beaver off Seldovia: 1 killed

Date & Time: Jul 19, 2019 at 1010 LT
Type of aircraft:
Operator:
Registration:
N68083
Flight Phase:
Survivors:
Yes
Schedule:
Seldovia – Anchorage
MSN:
1254
YOM:
1958
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
6
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
2689
Captain / Total hours on type:
150.00
Aircraft flight hours:
29448
Circumstances:
The pilot stated that, during takeoff in the float-equipped airplane, he saw the left float begin to move into his peripheral vision from the left cockpit window and the airplane began to yaw to the left. The left wing subsequently impacted the water and the airplane nosed over, separating the right wing from the fuselage. The passengers consistently reported choppy water conditions at the time of the accident; one passenger reported that white caps were visible on the ocean waves in the distance. The passengers said that, during the takeoff, the airplane impacted a swell or wave and nosed over abruptly, and the cabin rapidly filled with water. Examination of the float assembly revealed fractures in the left front flying wire attachment fitting and the right rear flying wire attachment strap and hole elongation in the left rear flying wire attachment fitting. Additionally, the bolts attaching the two left flying wire attachment fittings to the left float were bent, and the two flying wires that had been attached to the fractured attachment fitting and attachment strap were buckled. While some areas of corrosion were observed on the fractured left forward fitting, the total area of corrosion was a small percentage of the total cross-section, and the remainder of the fracture and associated deformation of the lug was consistent with ductile overstress fracture. Similar areas of corrosion were also observed on each of the intact flying wire attachment fittings. Post-accident testing completed by the float manufacturer revealed that buckling of flying wires similar to that observed on the accident airplane was only reproduced at strap and fitting failure loads above 9,000 pounds force; the design specification load was 3,453 pounds of force. This indicates that the small amount of corrosion present on the fractured flying wire attachment fitting did not reduce its loadcarrying capability below the design specification load of 3,453 pounds of force, and that both the flying wire attachment fitting and flying wire attachment strap fractured due to overload. Therefore, it is likely that the accident airplane floats were subject to forces that exceeded their design limitations, resulting in overload of the flying wires attached to the left float. It is also likely that, given the lack of damage on either float, the force was due to impact with an ocean wave or swell and not by striking an object.
Probable cause:
The airplane's floats impact with an ocean wave or swell, which exceeded the design load specifications of the flying wire assemblies and resulted in a partial separation of the float assemblies.
Final Report: