Crash of a Rockwell Aero Commander 720 in Alcoa: 2 killed

Date & Time: Dec 9, 1988 at 0600 LT
Operator:
Registration:
N120G
Flight Type:
Survivors:
No
Schedule:
Fort Lauderdale – Alcoa
MSN:
720-630-3
YOM:
1958
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
4103
Circumstances:
After encountering icing conditions in flight and experiencing problems maintaining altitudes and headings, the pilot elected to divert from his planned destination of Dayton, OH to Knoxville, TN. While on final approach after descending 1,300 feet below minimum procedure turn altitude followed by being told the aircraft was well above the glideslope, ATC instructed the pilot to maintain 3,000 feet. Shortly thereafter, ATC reported the mode C indicated 1,900. The pilot responded with 'engine quit'. The aircraft crashed in a pasture about 1 mile from the airport. The investigation revealed that the aircraft was not equipped to operate in icing conditions. The evidence indicated that the flaps and landing gear were extended. Approximately 40 lbs of cocaine were found onboard the aircraft. The tox report for the pilot disclosed .05 mg/l benzoylecognite (cocaine metabolite) in his blood. The pilot had received a weather briefing which included a freezing level at 7,000 feet and filed a flight plan requesting a cruising altitude of 14,000 feet. Both occupants were killed.
Probable cause:
Occurrence #1: loss of engine power (total) - nonmechanical
Phase of operation: approach - iaf to faf/outer marker (ifr)
Findings
1. (f) weather condition - icing conditions
2. (f) weather evaluation - poor - pilot in command
3. 1 engine
4. (c) induction air control/system - ice
5. (c) in-flight planning/decision - poor - pilot in command
6. (f) impairment (drugs) - pilot in command
----------
Occurrence #2: loss of control - in flight
Phase of operation: missed approach (ifr)
Findings
7. (c) emergency procedure - improper - pilot in command
8. (f) gear retraction - not performed - pilot in command
9. (f) raising of flaps - not performed - pilot in command
----------
Occurrence #3: in flight collision with terrain/water
Phase of operation: descent - uncontrolled
Final Report:

Crash of a Cessna T207 Skywagon in Petros: 1 killed

Date & Time: Jul 2, 1988 at 2303 LT
Operator:
Registration:
N1724U
Flight Phase:
Flight Type:
Survivors:
No
Site:
Schedule:
Savannah - Knoxville - Terre Haute
MSN:
207-0324
YOM:
1976
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
291
Captain / Total hours on type:
61.00
Aircraft flight hours:
2190
Circumstances:
The relatively low time, non-instrument rated, private pilot flew passengers to Savannah, GA. On the return flight, he made a refueling stop at Knoxville, TN. He filed no flight plan at Knoxville and no record of an en route weather briefing was found. At 2236 edt, the pilot contacted the tower and said he would 'like to VFR to Louisville with a heading of 330°. He took off at 2249 and received departure vectors until cleared on course. Radar service was terminated, 23 miles northwest of Knoxville. Subsequently, the aircraft hit trees and crashed on rising terrain near the top of a ridge, 30 miles northwest of Knoxville. Impact occurred at approximately 3,000 feet msl on a heading of 290°. Weather at Knoxville (elev 930 feet) was in part: 3,700 feet overcast, visibility 5 miles with fog and rain. No evidence of a preimpact part failure or malfunction was found during the investigation. Mountain peaks in the vicinity of the crash site were up to 3,390 feet. The pilot, sole on board, was killed.
Probable cause:
Occurrence #1: in flight encounter with weather
Phase of operation: cruise
Findings
1. (f) preflight planning/preparation - inadequate - pilot in command
2. (f) light condition - dark night
3. (f) weather condition - clouds
4. (f) weather condition - low ceiling
5. (f) weather condition - fog
6. (f) weather condition - rain
7. (c) flight into known adverse weather - continued - pilot in command
----------
Occurrence #2: in flight collision with object
Phase of operation: cruise
Findings
8. (f) terrain condition - high terrain
9. (f) terrain condition - rising
10. (f) object - tree(s)
11. (c) proper altitude - not maintained - pilot in command
Final Report:

Crash of a Cessna 421B Golden Eagle II near Knoxville: 1 killed

Date & Time: Jun 9, 1988 at 1203 LT
Registration:
N700SC
Flight Phase:
Survivors:
No
Schedule:
Indianapolis - Jacksonville
MSN:
421B-0910
YOM:
1975
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
435
Captain / Total hours on type:
250.00
Aircraft flight hours:
3516
Circumstances:
During an IFR flight at FL170, the pilot reported airframe icing and requested a higher altitude. The pilot climbed to FL210 where he started a descent and reported loss of manifold pressure in the left engine. The pilot indicated that weather was in his flight path and descent was required to avoid icing. 90 seconds later the pilot transmitted '...losing it...'. Radar data indicated aircraft had an inflight breakup at approximately 17,000 feet msl. There was no evidence of mechanical or structural malfunction prior to the breakup. The aircraft did not have a complete current annual and de-ice equipment was inoperative. The pilot had no actual instrument experience and was not certified for multi engine IFR flight. The pilot had a medical history of anxiety attacks and had been taking prescription medication, Xanax and Tofranil, for approximately three years prior to the accident. The blood contained 1.2 mcg/ml of imipramine (Tofranil) and 2.6 mcg/ml desipramine (metabolite of Tofranil). Xanax (alprazolam) was not reported in blood toxicology. These drugs have been known to produce side effects that include poor judgement. The pilot, sole on board, was killed.
Probable cause:
Occurrence #1: in flight encounter with weather
Phase of operation: cruise - normal
Findings
1. (f) weather condition - thunderstorm
2. (f) weather condition - icing conditions
3. (f) flight control surfaces/attachments - ice
4. (f) weather condition - rain
5. (f) weather condition - turbulence
6. (c) in-flight planning/decision - poor - pilot in command
7. (c) impairment (drugs) - pilot in command
8. (c) flight into known adverse weather - intentional - pilot in command
9. (f) lack of total instrument time - pilot in command
10. (f) operation with known deficiencies in equipment - performed - pilot in command
----------
Occurrence #2: loss of engine power (partial) - nonmechanical
Phase of operation: cruise
Findings
11. 1 engine
12. Engine assembly - undetermined
----------
Occurrence #3: airframe/component/system failure/malfunction
Phase of operation: descent - uncontrolled
Findings
13. (f) operation with known deficiencies in equipment - performed - pilot in command
14. (c) design stress limits of aircraft - exceeded - pilot in command
----------
Occurrence #4: in flight collision with terrain/water
Phase of operation: descent - uncontrolled
Findings
15. Terrain condition - residential area
Final Report:

Crash of a Volpar Turboliner 18 in Memphis: 1 killed

Date & Time: Oct 9, 1987 at 2215 LT
Type of aircraft:
Operator:
Registration:
N9231
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Memphis - Cincinnati
MSN:
3829
YOM:
1971
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
1913
Captain / Total hours on type:
64.00
Aircraft flight hours:
18702
Circumstances:
After takeoff pic was told by tower that tail stand, used to prevent aircraft from tipping on tail when loaded, was still attached to aircraft. Pic requested teardrop turn back to departure runway. Approach controller stated he saw mode C indication of 700 feet. Airport elevation is 332 feet. Aircraft was returning to runway 36R when it stalled, recovery was attempted, and aircraft impacted ground prior to completion of level off. Aircraft was 379 lbs over max takeoff weight and cg was at least 3 inches forward of the limit. No record of load manifest was found. Pic had low pic experience and received 2.7 documented flight hours with the operator's instructor pilot including his 135 competency check ride of 1.1 hours. Operator's initial training certification of pic showed 5 hours of flight training. Aircraft was a modified Beechcraft TC-45J initially built in 1943 and rebuilt by Hamilton in 1971. The pilot, sole on board, was killed.
Probable cause:
Occurrence #1: loss of control - in flight
Phase of operation: maneuvering - turn to reverse direction
Findings
1. (f) aircraft preflight - inadequate - pilot in command
2. (f) aircraft weight and balance - not performed - pilot in command
3. (f) lack of total experience in type of aircraft - pilot in command
4. Light condition - bright night
5. (f) inadequate initial training - company/operator management
6. (f) diverted attention - pilot in command
7. (c) airspeed (vs) - not maintained - pilot in command
8. (c) stall - inadvertent - pilot in command
----------
Occurrence #2: in flight collision with terrain/water
Phase of operation: descent - uncontrolled
Final Report:

Crash of a Piper PA-60 Aerostar (Ted Smith 600) in Dickson: 2 killed

Date & Time: May 29, 1986 at 0350 LT
Operator:
Registration:
N260A
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Dickson – Palm Beach
MSN:
60-0496-161
YOM:
1978
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
1022
Captain / Total hours on type:
6.00
Aircraft flight hours:
1602
Circumstances:
The aircraft contacted electrical wires and trees shortly after takeoff. The aircraft then descended to impact with the terrain. Examination of the wreckage revealed the elevator trim actuator rod was extended 2.5 inches which correlates with a full nose down setting. Further examination showed the buss wire for the actuator retract switch was disconnected at the retract switch post. Splattered copper was found on the retract switch indicating the buss wire had been subjected to high amperage. The limitations section of the pilot operating handbook for this aircraft does not state that takeoff is prohibited with inoperative pitch trim. Both occupants were killed.
Probable cause:
Occurrence #1: loss of control - in flight
Phase of operation: takeoff - initial climb
Findings
1. Weather condition - obscuration
2. Weather condition - fog
3. Light condition - night
4. (c) flt control syst, elevator trim/tab control - failure, total
5. (c) electrical system, electric wiring - disconnected
6. (c) electrical system, electric wiring - overtemperature
7. (c) trim setting - not performed - pilot in command
8. (f) improper transition/upgrade training - pilot in command
9. (c) climb - not attained - pilot in command
----------
Occurrence #2: in flight collision with object
Phase of operation: takeoff - initial climb
Findings
10. Object - tree(s)
11. Object - wire, transmission
----------
Occurrence #3: in flight collision with terrain/water
Phase of operation: descent - uncontrolled
Final Report:

Crash of a Beechcraft G18S in Copperhill: 1 killed

Date & Time: Feb 22, 1986 at 0627 LT
Type of aircraft:
Operator:
Registration:
N74FA
Flight Phase:
Flight Type:
Survivors:
No
Site:
Schedule:
Kenosha - Milwaukee - Atlanta
MSN:
BA-504
YOM:
1960
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
7500
Captain / Total hours on type:
2500.00
Aircraft flight hours:
14640
Circumstances:
The pilot was alerted at 0100 for 0200 flight from Kenosha to Milwaukee, WI to pick up cargo for a flight to Atlanta, GA. At 0310, the aircraft departed Milwaukee in VFR. En route, the pilot obtained weather and an IFR clearance. Some of his radio transmissions were not standard. At 0433, he complied with ATC request for frequency change, but his radio transmissions were not clear. Approximately 5 minutes later, ATC asked the pilot to change frequency again, but 5 calls were made before he replied. His last transmission was at 0445:48; he didn't respond to further ATC calls. The aircraft continued cruising at 11,000 feet until 0621, then it descended without clearance. Radar contact was lost at 0627 cst (0727 est). Shortly thereafter, it impacted trees on a mountain, then crashed to the ground and burned. A witness believed the engines were throttled back before impact. Also, the witness reported low clouds and fog, but said the mountain was visible and was not obscured. The pilot had a 1,58‰ alcohol level in blood, no sleep for 21.5 hours, history of alcohol abuse, 7 prior dwi convictions (and ndr rec). Also, he falsified FAA medical applications. FAA was advised in 1984, but took no action.
Probable cause:
Occurrence #1: loss of control - in flight
Phase of operation: cruise - normal
Findings
1. (c) preflight planning/preparation - inadequate - pilot in command
2. (c) impairment (alcohol) - pilot in command
3. (f) fatigue - pilot in command
4. (f) fatigue (flight schedule) - company/operator management
5. (f) insuff standards/requirements, operation/operator - company/operator mgmt
6. (f) inadequate surveillance of operation - faa (organization)
7. (c) judgment - poor - pilot in command
8. (f) company-induced pressure - company/operator management
9. (f) procedures/directives - not followed - pilot in command
10. (c) descent - uncontrolled - pilot in command
11. (f) fatigue (lack of sleep) - pilot in command
----------
Occurrence #2: in flight collision with object
Phase of operation: descent - uncontrolled
Findings
12. Terrain condition - mountainous/hilly
13. Object - tree(s)
----------
Occurrence #3: in flight collision with terrain/water
Phase of operation: descent - uncontrolled
Final Report:

Crash of a BAe 125-731 in Sparta

Date & Time: Nov 7, 1985 at 0735 LT
Type of aircraft:
Operator:
Registration:
N100HF
Survivors:
Yes
Schedule:
Rocky Mount - Sparta
MSN:
25183
YOM:
1969
Crew on board:
2
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
5161
Captain / Total hours on type:
1802.00
Aircraft flight hours:
8461
Circumstances:
Ten minutes prior to landing heavy rain fell on airport. Aircraft made normal touchdown, spoilers and lift dump activated. Pilot-in-command delayed brake application as usual and did not get thrust levers in idle. After aircraft passed mid-field taxiway pic reported brakes became ineffective. Aircraft hydroplaned on water-covered runway and overran departure end, down and embankment, and hit a ditch. Runway had an off center crown, grass was about two feet tall at runway edge, and a dam had formed from previously cut grass which prevented water drainage. Airport manager said he was not aware water would stand on runway.
Probable cause:
Occurrence #1: overrun
Phase of operation: landing - roll
Findings
1. Weather condition - rain
2. (c) airport facilities, runway/landing area condition - foreign substance covered
3. (c) information - not identified - airport personnel
4. Facility inadequate - airport personnel
5. (c) unsafe/hazardous condition warning - not issued - airport personnel
6. (c) terrain condition - wet
7. (c) runway maintenance - inadequate - airport personnel
8. (c) aircraft performance, hydroplaning condition - water
9. (f) landing gear, tire - pressure too low
10. (c) brakes (normal) - delayed - pilot in command
----------
Occurrence #2: on ground/water encounter with terrain/water
Phase of operation: landing - roll
Findings
11. Terrain condition - ditch
Final Report:

Crash of a Grumman G-159 Gulfstream I in Nashville: 2 killed

Date & Time: May 31, 1985 at 2300 LT
Type of aircraft:
Registration:
N181TG
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Nashville - Indianapolis
MSN:
181
YOM:
1967
Flight number:
GNL115
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
2300
Captain / Total hours on type:
877.00
Aircraft flight hours:
1363
Circumstances:
The aircraft was being operated as general aviation flight 115 and was departing on a routine night flight. During takeoff/initial climb, the left engine lost power. The flight crew attempted to control the climb-out, but following the application of water-methanol, the pilot lost directional control. Subsequently, the aircraft banked to the left, entered a descent and impacted between the parallel runway. An investigation disclosed that the left propeller's blade angle was 21°. No preimpact system malfunction or failure was found. The cockpit voice recording indicated that the flight crew did not complete all of the items on the before taxi/takeoff checklist. One of the items (presumably not completed) was a check of the h.p. cock levers. The checklist required that the h.p. cock levers be in 'cruise lockout' for takeoff. The left h.p. cock lever was found between the 'fuel off' and 'feather' positions. Movement to this position would have deactivated the auto-feather sys and shut down the left engine. Both pilots were killed.
Probable cause:
Occurrence #1: loss of engine power (total) - nonmechanical
Phase of operation: takeoff - initial climb
Findings
1. (f) light condition - night
2. (c) preflight planning/preparation - inadequate - pilot in command
3. (c) checklist - not followed
4. (c) powerplant controls - improper use of - pilot in command
5. (c) fluid, fuel - starvation
----------
Occurrence #2: loss of control - in flight
Phase of operation: takeoff - initial climb
Findings
6. (c) emergency procedure - improper - pilot in command
7. (c) propeller feathering - not performed - pilot in command
8. (c) remedial action - not attained - copilot/second pilot
9. (c) airspeed (vmc) - not maintained - pilot in command
10. Directional control - not possible
11. Descent - uncontrolled
----------
Occurrence #3: in flight collision with terrain/water
Phase of operation: takeoff
Findings
12. Terrain condition - ground
Final Report:

Crash of a Piper PA-60 Aerostar (Ted Smith 602P) in Dayton: 1 killed

Date & Time: Sep 14, 1984 at 1008 LT
Registration:
N6897L
Survivors:
No
Schedule:
Lenoir – Dayton
MSN:
62-0932-8165055
YOM:
1981
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
2600
Aircraft flight hours:
676
Circumstances:
On arrival at destination, pilot found airport obscured by fog, reported by unicom as one mile visibility. Pilot circled to await improvement. 15 minutes later, visibility improved to 1-1/2 mi. Aircraft observed briefly through breaks, then heard maneuvering to north and seen once on approximate downwind heading. Aircraft heard approaching airport then appeared in diving left turn below fog and to right of runway before impact. Approved ndb/vor dme/rnav approaches to airport have 700 feet ceiling minimum. Aircraft found configured for landing. No record of request for instrument approach. The pilot, sole on board, was killed.
Probable cause:
Occurrence #1: in flight encounter with weather
Phase of operation: approach - vfr pattern - final approach
Findings
1. (f) in-flight planning/decision - improper - pilot in command
2. (f) not selected - pilot in command
3. (f) ifr procedure - not selected - pilot in command
4. (c) vfr flight into imc - initiated - pilot in command
5. (f) weather condition - fog
----------
Occurrence #2: in flight collision with terrain/water
Phase of operation: maneuvering
Findings
6. (c) proper alignment - not attained - pilot in command
7. (c) clearance - misjudged - pilot in command
Final Report:

Crash of a Douglas C-47A-20-DK in Memphis: 3 killed

Date & Time: Aug 11, 1984 at 0101 LT
Registration:
N70003
Flight Type:
Survivors:
No
Schedule:
Memphis - Chicago
MSN:
12938
YOM:
1944
Crew on board:
2
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
3
Aircraft flight hours:
11247
Circumstances:
Moments after the DC-3 took off, the tower controller noted the left engine was torching and asked the flight if it was 'having a problem.' The crew replied 'affirmative,' then the controller cleared the flight to land on any runway. The aircraft began turning left at the end of the runway and continued turning at low altitude until it struck utility poles and crashed thru a warehouse roof about 2 miles from the airport. A witness reported the aircraft was at an altitude of approximately 100 to 150 feet agl, the left propeller was feathered and the right engine was at full power. An exam of the left engine disclosed the #14 cylinder was missing a spark plug from the front spark plug hole. The spark plug lead and 'b' nut were attached to the ignition harness, but no plug was attached to the lead. The spark plug hole and b-nut threads were undamaged. A white deposit was found inside the cylinder spark plug threads and outside the cylinder, adjacent to the hole. The deposit was identified to contain high concentrations of lead and bromine, most likely formed from exhaust gases and fuel during cylinder operation. A company mechanic reportedly worked on the plugs on the previous day. The aircraft was destroyed and all three occupants were killed.
Probable cause:
Occurrence #1: loss of engine power (partial) - mech failure/malf
Phase of operation: takeoff - initial climb
Findings
1. (f) ignition system, spark plug - loose
2. (f) maintenance - improper - company maintenance personnel
3. (f) ignition system, spark plug - separation
4. Propeller feathering - performed - pilot in command
----------
Occurrence #2: loss of control - in flight
Phase of operation: takeoff
Findings
5. (c) reason for occurrence undetermined
6. Airspeed - not maintained
7. Directional control - not maintained
8. Climb - not possible
----------
Occurrence #3: in flight collision with object
Phase of operation: takeoff
Findings
9. (f) light condition - dark night
10. (f) object - utility pole
11. (f) object - building (nonresidential)
Final Report: