Crash of a Piper PA-31P Pressurized Navajo in Mosinee: 1 killed

Date & Time: Jan 2, 1992 at 1305 LT
Type of aircraft:
Operator:
Registration:
N500BH
Survivors:
No
Schedule:
Minneapolis - Mosinee
MSN:
31-7530024
YOM:
1975
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
8150
Captain / Total hours on type:
1500.00
Aircraft flight hours:
3520
Circumstances:
Pilot was cleared for an ILS approach at his destination, and requested to report altitude of 3,000 feet on the approach. This was the last radio transmission received from the pilot. Aircraft was found in soft field six miles from the airport. Landing gear was up, flaps were down. Fisherman nearby reported hearing the aircraft maneuvering at low altitude. He reported that the engines sounded fine, but the sound was changing in pitch and intensity. He reported that got quiet just a few seconds before he heard the impact. The investigation revealed that there was evidence of a fire in the nose baggage compartment. The cabin heater is located in the nose baggage compartment, and had a recent history of discrepancies. The pilot, sole on board, was killed.
Probable cause:
An inflight fire with the cabin heater as the origin, and unsuitable terrain in which to make a forced landing. A factor related to the accident was the soft terrain.
Final Report:

Crash of a Lockheed 12A Electra Junior in Oshkosh

Date & Time: Jul 31, 1990 at 1205 LT
Type of aircraft:
Operator:
Registration:
N12AT
Flight Type:
Survivors:
Yes
Schedule:
Oshkosh - Oshkosh
MSN:
1217
YOM:
1938
Crew on board:
1
Crew fatalities:
Pax on board:
4
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
31400
Captain / Total hours on type:
20.00
Aircraft flight hours:
9932
Circumstances:
The pilot was flying the twin engine airplane in the traffic pattern for a fly-by event at an air show. Two fly-by circuits had been completed, and the airplane was on the third downwind leg at an estimated altitude of 600 to 800 feet agl when the right engine lost power. The main landing gear had been previously extended, and the pilot elected not to retract the landing gear in anticipation of landing on the runway. The pilot reported that he performed emergency procedures by pushing the throttles forward and attempting to restart the right engine. The right engine did not restart, and the airplane collided with terrain short of the runway. The pilot did not claim to have feathered the inoperative right engine's propellers. Postaccident inspection of the right engine revealed no evidence of preimpact anomaly. The right engine's magnetos and carburetor were damaged and not functionally tested. The propeller of the right engine was found in an unfeathered, fine pitch position. All five occupants were injured, four seriously.
Probable cause:
The inadequate emergency procedure(s) by the pilot in command following a loss of engine power for undetermined reasons(s).
Final Report:

Crash of a Cessna 402A in Mosinee

Date & Time: Jan 16, 1990 at 2245 LT
Type of aircraft:
Operator:
Registration:
N4532Q
Flight Type:
Survivors:
Yes
Schedule:
Menominee – Mosinee – Milwaukee
MSN:
402A-0032
YOM:
1969
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
2628
Captain / Total hours on type:
120.00
Circumstances:
The on-demand air taxi airplane collided with trees and terrain during a third attempt at an ILS approach. The airplane crashed approximately two miles beyond the airport on the extended centerline of the landing runway. In an interview the pilot related that on his first approach to the airport he saw the runway and observed vehicles on the taxiway as he performed his missed approach. When he was asked the reason for the second missed approach he said it was because of instrument fluctuations on his course direction indicator. During this period he asked that the lights be set to high intensity because he could not see them. The lights were verified as being set for high intensity. He did not remember anything of the third approach after he passed the outer marker. Snow removal operations were in progress during the period the accident airplane was making approaches to the airport.
Probable cause:
The pilot disregarding the published decision height and not performing a missed approach.
Final Report:

Crash of a Cessna 402B in Appleton: 1 killed

Date & Time: Jan 16, 1990 at 2038 LT
Type of aircraft:
Operator:
Registration:
N87163
Flight Type:
Survivors:
No
Schedule:
Mosinee - Appleton
MSN:
402B-1005
YOM:
1975
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
1920
Captain / Total hours on type:
425.00
Circumstances:
The pilot received numerous weather briefings/updates before takeoff, which included two pilot reports of windshear by aircraft on the approach into Appleton. Shortly after takeoff convective sigmet 1E was transmitted by the radar controller on the same frequency he was working N87163. This sigmet called for embedded thunderstorms. About 10 minutes later, while being vectored for the approach into Appleton, the pilot was given heading deviations because of weather. The aircraft crashed 1/2 mile from the approach end of the runway. A witness whose residence is located between the OM and MM for the ILS approach reported a 'huge downpour' with 'very strong winds' at the time of the accident. Wreckage examination revealed that all power controls for both engines were in the full forward position, and that the left and right main landing gear mounting trunnions were displaced upward into the wing fuel tanks. The pilot, sole on board, was killed.
Probable cause:
The pilot's decision to continue flight into known adverse weather conditions resulting in a windshear encounter with insufficient altitude for recovery. The existing adverse weather conditions were factors.
Final Report:

Crash of a Beechcraft 200 Super King Air in Jefferson: 8 killed

Date & Time: Nov 16, 1987 at 0819 LT
Registration:
N334DP
Flight Phase:
Survivors:
No
Schedule:
Chicago - Baraboo
MSN:
BB-1188
YOM:
1984
Crew on board:
2
Crew fatalities:
Pax on board:
6
Pax fatalities:
Other fatalities:
Total fatalities:
8
Captain / Total flying hours:
18000
Captain / Total hours on type:
3000.00
Aircraft flight hours:
1050
Circumstances:
While cruising above freezing level at 12,000 feet, the flight was cleared to descend and maintain 9,000 feet. About 1-1/2 minute later, the flight declared a mayday (emergency). Radio and radar contacts were lost and the aircraft crashed in a near vertical descent. Radar data showed that after starting a descent, the aircraft entered a left/descending maneuver. Subsequently, the left outboard wing panel and both engines separated in flight. The last transponder reply was at 2,800 feet. An exam revealed the left wing panel had separated from positive overload. No fatigue or pre-existing crack was found on any fracture area. Also, damage was found on the left engine's inboard cowling that matched damage on the vertical and right horizontal stabilizers; however, sequence of cowling separation was not verified. The separated wing panel and parts of the engine cowling were found about 3/4 mile from the main wreckage. An NTSB trajectory study indicated an inflight separation occurred at an altitude of approximately 5,600 feet as aircraft was heading southeast in a 50 to 70° dive. Elevation trim indicator was found with a full nose up indication. Both pilots were instrument rated. All eight occupants were killed.
Probable cause:
Occurrence #1: loss of control - in flight
Phase of operation: descent
Findings
1. (c) reason for occurrence undetermined
----------
Occurrence #2: airframe/component/system failure/malfunction
Phase of operation: descent - uncontrolled
Findings
2. Wing - overload
3. (c) design stress limits of aircraft - exceeded
4. Wing - separation
5. Cooling system, cowling - separation
----------
Occurrence #3: in flight collision with terrain/water
Phase of operation: descent - uncontrolled
Final Report:

Crash of a Beechcraft G18S in Janesville

Date & Time: Feb 26, 1986 at 0516 LT
Type of aircraft:
Operator:
Registration:
N723T
Flight Type:
Survivors:
Yes
Schedule:
Detroit - Janesville
MSN:
BA-579
YOM:
1961
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
15000
Captain / Total hours on type:
5700.00
Aircraft flight hours:
11676
Circumstances:
The aircraft impacted the ground about 1,000 feet to the left of the runway. The pilot stated that he did not have visual contact with the ground and remembers attempting to make a missed approach. Conditions were IMC. The pilot was seriously injured and the aircraft was destroyed.
Probable cause:
Occurrence #1: in flight collision with terrain/water
Phase of operation: missed approach (ifr)
Findings
1. (c) decision height - below - pilot in command
2. (c) missed approach - delayed - pilot in command
3. Motivation - pilot in command
4. (f) weather condition - obscuration
5. (f) weather condition - low ceiling
6. Light condition - dawn
Final Report:

Crash of a Douglas DC-9-14 in Milwaukee: 31 killed

Date & Time: Sep 6, 1985 at 1521 LT
Type of aircraft:
Operator:
Registration:
N100ME
Flight Phase:
Survivors:
No
Schedule:
Milwaukee - Atlanta
MSN:
47309
YOM:
1968
Flight number:
YX105
Crew on board:
4
Crew fatalities:
Pax on board:
27
Pax fatalities:
Other fatalities:
Total fatalities:
31
Captain / Total flying hours:
5100
Captain / Total hours on type:
1100.00
Copilot / Total flying hours:
5197
Copilot / Total hours on type:
1640
Aircraft flight hours:
31892
Aircraft flight cycles:
48903
Circumstances:
Midwest Express Airlines Flight 206, DC-9 N100ME arrived at Milwaukee (MKE) at 13:15 on September 6, 1985. It departed Milwaukee at 13:36 and arrived in Madison at 13:55 after an uneventful flight. At Madison, N100ME was designated as flight 105 to Atlanta (ATL), with an intermediate stop in Milwaukee. Flight 105 departed Madison at 14:25 and arrived at Milwaukee, on time and without incident, at 14:41. About 14:49, the first officer of flight 105 contacted Milwaukee Tower to request an instrument flight rule (IFR) clearance to Atlanta. The clearance was received. The Atlanta forecast included a 1,000-foot ceiling, visibility 2 miles, thunderstorms and rain showers. At 15:12, the Before Engine Start Checklist was read and accomplished in accordance with Midwest Express operating procedures. Engine start was commenced at 15:14 and the After Start Checklist was accomplished. The first officer requested clearance to taxi to runway 19R for departure. About 15:17:50, the Taxi Checklist was completed, and the engine pressure ratio (EPR) and airspeed reference bugs were set to 1.91 and 133 knots, respectively. Both indications were correct for the departure conditions applicable to flight 105. At the conclusion of the Taxi Checklist, the captain advised the first officer "Standard briefing ..." At 15:19:15, the first officer reported to the tower local controller, "Milwaukee, Midex 105, ready on 19R." Flight 105 was cleared to "position and hold" on runway 19R. The captain called for the Before Takeoff Checklist, which was completed in accordance with the COM. Flight 105 was cleared for takeoff at 15:20:28; the first officer acknowledged the clearance. The captain operated the flight controls, and the first officer handled radio communications and other copilot responsibilities during the takeoff. The Midwest Express DC-9 Flight Operations Manual required the use of standard noise abatement takeoff procedures during all line operations, unless precluded by safety considerations or special noise abatement procedures. At the time flight 105 departed, noise abatement procedures were in effect. Midwest Express also utilized "reduced thrust" takeoff procedures (at the captain's discretion) to extend engine life. The flightcrew was complying with the reduced thrust and standard noise abatement takeoff procedures. The takeoff roll and liftoff were normal, with liftoff occurring near the intersection of the midfield taxiway and runway 19R, about 4,200 feet from the start of the takeoff roll. Rotation to the takeoff attitude occurred at 140 knots. The DC-9 accelerated to 168 knots with a rate of climb of about 3,000 feet/minute, indicating a normal two-engine initial takeoff flightpath. At 15:21:26 N100ME was about 7,600 feet down the runway, reaching a height of 450 feet above the ground. At that moment there was a loud noise and a noticeable decrease in engine sound. The captain then remarked "What the # was that?" The first officer did not respond. At 15:21:29, the local controller transmitted, "Midex 105, turn left heading 175." At the time of his transmission he observed smoke and flame emanating from the right airplane engine. The captain asked the first officer, "What do we got here, Bill?" The first officer did not respond to the captain but advised the local controller, "Midex 105, roger, we've got an emergency here." Two seconds later, the captain said, "Here"; again there was no response. Neither pilot made the call outs for "Max Power" or "Ignition Override-Check Fuel System," which were part of the Midwest Express "Engine Failure after V1" emergency procedure. Meanwhile the airplane began to deviate substantially to the right and the heading changed from 194 degrees to 260 degrees in eight seconds. The vertical acceleration dropped sharply to about 0.3 G and increased to a value of 1.8 G. At that point the airplane stalled. This accelerated stall occurred at a KIAS of about 156 kts.
Probable cause:
The flight crew's improper use of flight controls in response to the catastrophic failure of the right engine during a critical phase of flight, which led to an accelerated stall and loss of control of the airplane. Contributing to the loss of control was a lack of crew coordination in response to the emergency. The right engine failed from the rupture of the 9th to 10th stage removable sleeve spacer in the high pressure compressor because of the spacer's vulnerability to cracks.
Final Report:

Crash of a Dassault Falcon 50 in Lake Geneva

Date & Time: May 12, 1985 at 1700 LT
Type of aircraft:
Registration:
N1181G
Survivors:
Yes
Schedule:
Chicago - Lake Geneva
MSN:
72
YOM:
1981
Crew on board:
2
Crew fatalities:
Pax on board:
4
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
9200
Captain / Total hours on type:
1050.00
Aircraft flight hours:
1373
Circumstances:
High sink rate developed on short final. Acft touched down 13 feet prior to runway before sink rate could be arrested. Landing gear collapsed after contacting edge of runway which is 7 inches higher than surrounding terrain. Tail section of aircraft caught fire just prior to coming to a complete stop 2,900 feet down the runway. Pilots who frequently fly in and out of the airport stated, wind shifts near the runway are common in gusty conditions because of hilly terrain.
Probable cause:
Occurrence #1: undershoot
Phase of operation: landing - flare/touchdown
Findings
1. (f) terrain condition - mountainous/hilly
2. (f) weather condition - gusts
3. (c) judgment - poor - pilot in command
4. (c) proper descent rate - uncontrolled - pilot in command
5. Remedial action - attempted - pilot in command
6. (f) proper touchdown point - not obtained - pilot in command
----------
Occurrence #2: on ground/water encounter with terrain/water
Phase of operation: landing - roll
Findings
7. (f) terrain condition - runway
----------
Occurrence #3: gear collapsed
Phase of operation: landing - roll
Findings
8. Landing gear - overload
----------
Occurrence #4: fire
Phase of operation: landing - roll
Final Report:

Crash of a Cessna 421A Golden Eagle I in Birchwood: 3 killed

Date & Time: Jul 20, 1984 at 1020 LT
Type of aircraft:
Registration:
N14TC
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Kankakee – Winnipeg
MSN:
421A-0105
YOM:
1968
Crew on board:
1
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
3
Captain / Total flying hours:
1202
Captain / Total hours on type:
31.00
Aircraft flight hours:
6194
Circumstances:
During flight, the pilot transmitted to ARTCC 'we've got a problem, we're losing altitude.' The controller provided a vector to the nearest airport, but shortly after that, the pilot stated that he would not be able to reach the airport. The pilot did not inform ARTCC of his specific problem, except to say that the aircraft was descending rapidly. Subsequently, the aircraft crashed in a wooded area about 1/2 mile from an open area. During the investigation, about 1 quart of fuel was found remaining in the left inboard (aux) fuel tank. All of the other tanks were ruptured from impact. No evidence of fuel spillage was found at the accident site. The left prop was found in the feathered position and the right prop was found partially feathered. No preimpact part failure or malfunction was found. Both engines were started and both operated satisfactorily, after fuel was supplied by temporary tanks. The pilot and two passengers were killed while a fourth occupant was seriously injured.
Probable cause:
Occurrence #1: loss of engine power (total) - nonmechanical
Phase of operation: cruise - normal
Findings
1. (c) aircraft preflight - inadequate - pilot in command
2. (c) fluid, fuel - exhaustion
3. (c) fuel supply - inadequate - pilot in command
4. Aircraft performance, two or more engines - inoperative
----------
Occurrence #2: forced landing
Phase of operation: descent - emergency
----------
Occurrence #3: in flight collision with object
Phase of operation: landing - flare/touchdown
Findings
5. (f) object - tree(s)
----------
Occurrence #4: in flight collision with terrain/water
Phase of operation: landing
Final Report:

Crash of a SCAN-30 Pace Gannet off Fond du Lac

Date & Time: Aug 5, 1983 at 0837 LT
Type of aircraft:
Registration:
N7775C
Flight Type:
Survivors:
Yes
MSN:
21
YOM:
1949
Crew on board:
2
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total hours on type:
10.00
Circumstances:
After takeoff, the aircrew flew to the southern end of Lake winnebago where they made several uneventful water landings. They estimated that the wind was from the northeast at 5 to 6 knots. The water was described as smooth with only small ripples. On the 6th approach, the gear handle was checked in the up position and the amber gear up indicator light was illuminated. The amphibious aircraft touched down on the water with no bounce or porpoise. About 2 or 3 seconds after touchdown, the aircraft yawed violently to the right and rolled left. The left float and wing tip hit the water and the left wing separated. The hull rolled over, but the occupants egresed before the aircraft sank. A diver noted that the right gear was extended. After the aircraft was recovered, the right main gear actuator rod clevis was found to have fractured. The fracture surface had signs of overload failure. The lock nut had been screwed tightly against the clevis and the lock nut threads had produced gouge marks on the unthreaded portion of the shank of the clevis.
Probable cause:
Occurrence #1: airframe/component/system failure/malfunction
Phase of operation: landing
Findings
1. (c) landing gear, normal retraction/extension assembly - overload
2. Maintenance, installation - improper - other maintenance personnel
3. Landing gear, main gear - loose
----------
Occurrence #2: loss of control - on ground/water
Phase of operation: landing
Final Report: