Statuts: | Accident investigation report completed and information captured |
Date: | lundi 13 avril 2015 |
Heure: | 07:09 |
Type/Sous-type: |  Swearingen SA226-TC Metro II |
Compagnie: | Carson Air |
Immatriculation: | C-GSKC |
Numéro de série: | TC-235 |
Année de Fabrication: | 1977 |
Heures de vol: | 33244 |
Moteurs: | 2 Garrett TPE331-10UA-511G |
Equipage: | victimes: 2 / à bord: 2 |
Passagers: | victimes: 0 / à bord: 0 |
Total: | victimes: 2 / à bord: 2 |
Dégats de l'appareil: | Détruit |
Conséquences: | Written off (damaged beyond repair) |
Lieu de l'accident: | 11 km (6.9 milles) N of North Vancouver, BC ( Canada)
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Élévation des lieux de l'accident: | 900 m (2953 feet) amsl |
Phase de vol: | En vol (ENR) |
Nature: | Cargo |
Aéroport de départ: | Vancouver International Airport, BC (YVR/CYVR), Canada |
Aéroport de destination: | Prince George Airport, BC (YXS/CYXS), Canada |
Numéro de vol: | CA66 |
Détails:The Carson Air Swearingen SA226-TC Metro II was operating as flight 66, a weekday cargo flight between Vancouver International Airport (CYVR) and Fort St. John (CYXJ), British Columbia, Canada, with planned stops in Prince George (CYXS) and Dawson Creek (CYDQ).
On the morning of the occurrence, CA66's first officer arrived at the airport at approximately 06:00. The first officer appeared to be in good spirits and spent about 5 minutes in the flight planning room before going to the aircraft to prepare it for that day's flights. The captain arrived at approximately 06:15 and went directly to the flight planning room to begin preparing the morning's flight plan. He appeared to be in a positive state of mind and spent a few minutes speaking with other company pilots who were also preparing to operate flights. He used a company computer to access weather information and placed a telephone call to NAV CANADA to file an instrument flight rules flight plan. No abnormal behaviour was observed by anyone with whom he had contact. The captain then walked to the aircraft and spent about 10 minutes in the flight deck before assisting the first officer with loading the flight's cargo. Final flight preparations were carried out by both flight crew members before they boarded the aircraft and started the engines, at about 06:45.
At 07:03, CA66 began its take-off run. The aircraft lifted off after an approximate ground-run distance of 2800 to 3000 feet. This was within the expected normal performance for the aircraft type.
Shortly after takeoff, CA66 contacted CYVR terminal departure control and was cleared to 9000 feet above sea level (ASL). A short time later, the air traffic controller assigned the flight a northbound heading. At 07:07, CYVR terminal departure control instructed CA66 to change radio frequencies and contact CYVR centre control. Upon initial contact with CYVR centre control, while climbing through 7500 feet, CA66 was again cleared to the aircraft's final flight planned altitude of flight level 200. At 07:08, the crew acknowledged a clearance to climb to flight level 200; this was CA66's last radio transmission. One minute and 20 seconds later, while climbing through an altitude of 8700 feet on an assigned heading of 350° magnetic, the aircraft disappeared from secondary surveillance radar displays at air traffic control.
CA66's radar track, from the time it first became visible on radar at 07:02 until a steep descent toward ground, was approximately 7 minutes. The track showed an apparently routine climb from CYVR, at an average climb rate of 1500 feet per minute. Aircraft speed during the climb increased gradually until a ground speed of approximately 185 knots was reached.
The last 3 radar returns from CA66 showed the aircraft beginning an abrupt, steep descent. At 07:09, a radar return showed that the aircraft was at 8700 feet; this was the highest altitude it reached. The 2 subsequent radar returns showed that the aircraft had dropped rapidly to 7600 feet and then 5000 feet while continuing in the direction of flight. There were no further returns.
During the initial stage of the descent, the aircraft pitched down at about 6° per second, and its vertical acceleration reached -0.6g. The descent to 5000 feet likely occurred within 10 to 14 seconds. During that period, the aircraft's descent rate exceeded 30 000 feet per minute, and aerodynamic forces caused structural disintegration of the aircraft (in-flight breakup). There was no Mayday call or other communication from the aircraft during this period.
Deteriorating weather conditions with low cloud and heavy snowfall hampered an air search; however, aircraft wreckage was found on steep, mountainous, snow-covered terrain by ground searchers at approximately 16:45. Both pilots had been fatally injured.
Investigation showed that the captain had 0.24% blood alcohol content [BAC]. To obtain this, the captain would have had to consume approximately 17 to 20 standard drinks over a 12-hour period.
An autopsy also identified focal severe coronary artery atherosclerosis and both steatosis and hepatitis in the captains liver. Finding these conditions in a 34-year-old person suggests excessive alcohol consumption over a significant period.
The captain had recently applied for the position of Vancouver base chief pilot for the companys cargo operation. On 26 March 2015, the company advised him that the position had been awarded to another candidate. Around the same period, on 24 March 2015, 20 days before this accident, a first officer who had been having symptoms of depression and psychosis deliberately flew a Germanwings Airbus A320 into terrain, killing all on board.
Although there were several coincidental factors, the investigation could not make any conclusions about the captains predisposition to committing an intentional act. Other scenario's like pitot system blockage or crew incapacitation were also considered, but deemed not very probable.
Probable Cause:
Findings as to causes and contributing factors:
1. For unknown reasons, the aircraft descended in the direction of flight at high speed until it exceeded its structural limits, leading to an in-flight breakup.
2. Based on the captain's blood alcohol content, alcohol intoxication almost certainly played a role in the events leading up to the accident.
Accident investigation:
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Investigating agency: | TSB Canada  |
Status: | Investigation completed |
Duration: | 2 years and 7 months | Accident number: | A15P0081 | Download report: | Final report
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Sources:
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Flightaware
METAR Weather report:
13:46 UTC / 06:46 local time:
SPECI CYVR 131346Z 09008KT 15SM -RA FEW033 SCT056 OVC069 07/04 A2989 RMK SC2SC2AC4 SLP12314:00 UTC / 07:00 local time:
CYVR 131400Z 15004KT 090V190 15SM -RA FEW033 SCT042 BKN054 OVC069 07/04 A2990 RMK SC2SC2SC3AC1 SLP124Wind 150 degrees at 4 knots, carying 90-190 degrees; visibility: 15 miles; rain; Few clouds at 3300 feet; Scattered clouds at 4200 feet; Broken clouds at 5400 feet; Overcast at 6900 feet; Temp. 7°C; Dew point 4°C
Opérations de secours
TSB issued 1 Safety Recommendation
Issued: -- | To: DoT Canada | A17-02 |
The Department of Transport, in collaboration with the Canadian aviation industry and employee representatives, develop and implement requirements for a comprehensive substance abuse program, including drug and alcohol testing, to reduce the risk of impairment of persons while engaged in safety-sensitive functions. These requirements should consider and balance the need to incorporate human rights principles in the Canadian Human Rights Act with the responsibility to protect public safety. (Satisfactory in part) |
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Photos

accident date:
13-04-2015type: Swearingen SA226-TC Metro II
registration: C-GSKC

accident date:
13-04-2015type: Swearingen SA226-TC Metro II
registration: C-GSKC

accident date:
13-04-2015type: Swearingen SA226-TC Metro II
registration: C-GSKC
Aircraft history
29 July 1977 |
N61Z |
Southern Airways |
delivered
|
1 July 1979 |
N61Z |
Republic Airlines |
airliner merger
|
July 1980 |
N61Z |
Britt Airways |
bought
|
5 April 1986 |
N61Z |
Britt Airways |
Bird strikes on short final Cape Girardeau, MO. Both engines replaced due to damage.
|
1 September 1990 |
N61Z |
Continental Express |
airliner merger
|
June 1992 |
N61Z |
Berry Aviation |
merged
|
July 1993 |
N235BA |
Berry Aviation |
new registration
|
May 1996 |
N235BA |
Superior Aviation |
bought
|
October 2006 |
C-GSKC |
Carson Air |
bought
|
16 February 2011 |
C-GSKC |
Carson Air |
outer glass ply of windshield failed following electrical arcing
|
Plan
Ce plan montre l'aéroport de départ ainsi que la supposée destination du vol. La ligne fixe reliant les deux aéroports n'est pas le plan de vol exact.
La distance entre Vancouver International Airport, BC et Prince George Airport, BC est de 520 km (325 miles).
Accident location: Approximate; accuracy within a few kilometers.
Les informations ci-dessus ne représentent pas l'opinion de la 'Flight Safety Foundation' ou de 'Aviation Safety Network' sur les causes de l'accident. Ces informations prélimimaires sont basées sur les faits tel qu'ils sont connus à ce jour.