Narrative:Approaching Campbell River, the pilot requested and received a special visual flight rules (SVFR) clearance to enter the Campbell River control zone. While on an intercept heading for the final approach and in straight-and-level flight, the aircraft crashed into the northwest side of a 1,047-foot mountain at about the 860-foot level.
Probable Cause:
CAUSES: "The pilot progressively lost situational awareness while attempting to navigate in conditions of low visibility or in cloud and was unaware of the rapidly rising terrain in his flight path. Contributing to this accident were the existing visual flight regulations and the prevailing industry attitudes and practices which did not provide adequate safety margins. Contributing to the severity of the injuries was the detachment of the passenger seats at impact."
Accident investigation:
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Investigating agency: | TSB Canada  |
Status: | Investigation completed |
Duration: | 11 months | Accident number: | TSB Report A95H0012 | Download report: | Final report
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Classification:
Loss of situational awareness
Controlled Flight Into Terrain (CFIT) - Mountain
Follow-up / safety actions
TSB issued 4 Safety Recommendations
Issued: 15-AUG-1996 | To: DoT Canada | A96-09 |
The Department of Transport sponsor research to establish on a scientific basis the ability of pilots to assess distances, make appropriate decisions, and control aircraft without reference to aircraft instruments in the marginal visibility conditions of VFR and SVFR minima. |
Issued: 15-AUG-1996 | To: DoT Canada | A96-10 |
The Department of Transport evaluate the adequacy of the margin of safety afforded by current VFR and SVFR regulations--particularly for commercial passenger-carrying operations. |
Issued: 15-AUG-1996 | To: DoT Canada | A96-11 |
The Department of Transport develop and implement a targeted national promotion campaign aimed at raising commercial operators\' awareness of the inherent risks associated with flight operations in marginal VFR flight conditions. |
Issued: 15-AUG-1996 | To: DoT Canada | A96-12 |
The Department of Transport require that pilots involved in air-taxi and commuter operations receive specialized training, including skills development, in making prudent decisions under deteriorating operational conditions. (Satisfactory intent) |
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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.