Estado: | Accident investigation report completed and information captured |
Fecha: | lunes 26 junio 1989 |
Hora: | 19:40 |
Tipo: | Douglas C-118A (DC-6) |
Operador: | Conifair Aviation |
Registración: | C-GBYA |
Numéro de série: | 43717/370 |
Año de Construcción: | 1953 |
Horas Totales de la Célula: | 24220 |
Motores: | 4 Pratt & Whitney R-2800-CB16 |
Tripulación: | Fatalidades: 4 / Ocupantes: 4 |
Pasajeros: | Fatalidades: 0 / Ocupantes: 0 |
Total: | Fatalidades: 4 / Ocupantes: 4 |
Daños en la Aeronave: | Destruido |
Consecuencias: | Written off (damaged beyond repair) |
Ubicación: | 48 km (30 milles) SE of St. Anne-des-Monts, QC ( Canadá)
|
Elevación del lugar del accidente: | 625 m (2051 feet) amsl |
Fase: | Maniobras (MNV) |
Naturaleza: | Agricultura |
Aeropuerto de Salida: | Bonaventure Airport, QC (YVB/CYVB), Canadá |
Aeropuerto de Llegada: | Bonaventure Airport, QC (YVB/CYVB), Canadá |
Descripción:A Douglas C-118A (DC-6A) fire fighting plane was destroyed in an accident near Sainte-Anne-des-Monts, QC, Canada. All four crew members were killed.
The Conifair plane took off from Bonaventure Airport, QC (YVB) at 19:15 for a spray operation 30 miles southeast of Sainte-Anne-des-Monts. This was to be the last spraying flight of the season out of the Bonaventure base. A crew of four was on board, including two flight engineers who were on a familiarization training flight.
The aircraft was carrying 2,952 U.S. gallons of Dipel 132, a non-toxic microbial insecticide.
The aircraft arrived over the spray area at 19:35. An inertial navigation system (INS) to follow pre-established spraying tracks. The first track was sprayed uneventfully. At the end of the first track, the aircraft made a 180-degree turn to spray the second track, which was parallel to and about 800 feet northeast of the first track. This meant that the aircraft had to fly from a valley at an elevation of 1,000 feet above sea level (asl) up a mountain consisting of two levels. The first level is about 1,800 feet asl and about 3,280 feet along the flight path. After the first level, the terrain rose within approximately 1,000 feet along the flight path, to the summit of the mountain at an elevation of 2,175 feet asl.
The two occupants of a Cessna 310 spotter aircraft observed a decrease of the DC-6A ground speed during the climb over the first level of the mountain. They then noticed that the aircraft yawed and started a steep, left turn. The spotter crew stated that, shortly after the start of the left turn, the DC-6A left wing began to strike trees. The aircraft nosed down, crashed on the side of the mountain, and exploded at an elevation of 2,050 feet asl.
Probable Cause:
PROBABLE CAUSE: "On a low-level spraying flight, the crew attempted a climb over rising terrain which exceeded the climb performance of the aircraft."
Fuentes:
» TSB Final Report
» ICAO Adrep Summary 4/89 (#28)
Subsiguiente / acciones de seguridad
TSB issued 2 Safety Recommendations
Issued: -- | To: | Minimum Altitudes for Spraying Operations |
Following this investigation, the Energy and Resources Department of Quebec, in cooperation with Conifair Aviation Inc., issued revised safety measures for DC-6A and DC-4 aircraft on spraying operations. The minimum flight altitude in the spraying operations manual issued by the Department was changed from the range of 100 to 300 feet to the range of 75 to 100 metres (246 to 321 feet) above the summits of hills. |
Issued: -- | To: | Take-off and Climb Performance Charts |
During the investigation of this accident, it appeared that the Supplemental Type Certificate (STC) regarding the installation of the spray equipment did not take into consideration the possible degradation of performance as a result of the installation. Therefore, an Aviation Safety Advisory was forwarded to Transport Canada suggesting that Transport Canada review the guidance provided in the Approved Flight Manual Supplement for DC-6A aircraft to ensure that any take-off and climb performance degradation caused by the additional drag associated with the spraying apparatus be considered adequately. |
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This information is not presented as the Flight Safety Foundation or the Aviation Safety Network’s opinion as to the cause of the accident. It is preliminary and is based on the facts as they are known at this time.