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Download PDF [10.9 MB] - Flight Safety Foundation

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mechanical resistance. The first officer commented,<br />

“That’s what it was doing the other<br />

day, too.”<br />

The captain applied additional pressure to<br />

the power lever and heard a pop as the lever<br />

moved full forward, the NTSB report said. The<br />

lever jammed in this position, causing engine<br />

torque and temperature to exceed limits.<br />

The pilots shut down the left engine, declared<br />

an emergency and diverted the flight to<br />

Bishop International Airport in Flint, Michigan.<br />

“After the engine shutdown, both primary<br />

flight displays went blank,” the report said.<br />

“The captain reset the right generator, and the<br />

flight displays regained power.” However, the<br />

displayed heading information was erroneous<br />

because the gyros had been reset. The report<br />

said that the crew did not check the headings<br />

against the magnetic compass.<br />

VMC prevailed at the Flint airport, with<br />

surface winds from 290 degrees at 18 kt. The<br />

pilots were cleared by ATC to land on Runway<br />

27 but became confused about their heading<br />

and location while circling to land. The airport<br />

traffic controller then cleared the crew to<br />

land on any runway. The first officer replied,<br />

“We’re taking this one here. We’re turning<br />

base to final.”<br />

The Avanti touched down long on Runway<br />

18, which is 7,848 ft (2,392 m) long. “At the<br />

point of touchdown, there was about 5,000 feet<br />

[1,524 m] of runway remaining for the landing<br />

roll,” the report said.<br />

The captain applied reverse thrust from<br />

the right engine, and the airplane began turning<br />

right. He then reduced reverse thrust and<br />

applied full left rudder and left brake, but the<br />

airplane veered off the right side of the runway<br />

and flipped inverted. The pilots and the two<br />

passengers sustained minor injuries.<br />

“Examination of the left engine revealed that<br />

the Beta clevis pin was installed in reverse [during<br />

maintenance], which caused an interference<br />

with a fuel control unit interconnect rod,” the<br />

report said. “Due to the interference, the power<br />

lever control linkage was jammed in the fullforward<br />

position.”<br />

FLIGHTSAFETY.ORG | AEROSAFETYWORLD | MAY 2013<br />

Control Lost During EMS <strong>Flight</strong><br />

Pilatus PC-12/45. Destroyed. Ten fatalities.<br />

Two physicians and a nurse were aboard<br />

the PC-12 when the flight crew landed<br />

the emergency medical services aircraft in<br />

Patna, India, the night of May 25, 2011. After<br />

a critically ill patient and an attendant were<br />

boarded, the aircraft departed from Patna for<br />

the return trip to Delhi.<br />

“Weather in Delhi started deteriorating as the<br />

flight came close to Delhi,” said the report by the<br />

Committee of Inquiry formed by the Indian Directorate<br />

General of Civil Aviation. “Widespread<br />

thunderstorm activity was seen north-northeast<br />

of the Delhi airport [and] moving south.”<br />

The PC-12 was nearing the airport and<br />

descending through 12,500 ft when ATC radar<br />

showed abrupt and rapid altitude changes to<br />

14,100 ft, 13,100 ft and 14,600 ft before groundspeed<br />

decreased substantially; the aircraft then<br />

entered a steep right turn and descended at rates<br />

nearing 11,600 fpm. During this time, ATC<br />

received two weak radio transmissions from the<br />

crew, both indicating that the aircraft was “into bad<br />

weather.” Radar contact was lost at 1,600 ft, and attempts<br />

to hail the crew by radio were unsuccessful.<br />

The aircraft had struck a house in a residential<br />

area of Faridabad, about 15 nm (28 km) from<br />

the airport. All seven people aboard the aircraft<br />

were killed, as were three people in the house.<br />

The PC-12 was destroyed by the impact and<br />

a subsequent fire. Examination of the wreckage<br />

revealed that the aircraft was intact before<br />

it struck the house, and there was no sign of<br />

mechanical failure.<br />

“It is probable that a series of up- and downdrafts,<br />

turbulence (moderate to heavy) and the<br />

dark night conditions [had] caused the crew to<br />

become disoriented,” the report said. “The subsequent<br />

mishandling of [flight] controls caused<br />

the aircraft to [stall and] enter a spin.”<br />

Gear Lubrication Neglected<br />

Beech 99. Substantial damage. No injuries.<br />

After dropping parachutists near Cedartown,<br />

Georgia, U.S., the morning of April<br />

10, 2011, the pilot turned back toward the<br />

ONRECORD<br />

The pilots … became<br />

confused about their<br />

heading and location<br />

while circling to land.<br />

| 57

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