ASN Wikibase Occurrence # 168787
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| Date: | Saturday 16 August 2014 |
| Time: | 05:12 LT |
| Type: |  Piper PA-31-325 Navajo |
| Owner/operator: | Atlantic Charters |
| Registration: | C-GKWE |
| MSN: | 31-7812037 |
| Year of manufacture: | 1978 |
| Engine model: | Avco Lycoming TIO-540-A2C |
| Fatalities: | Fatalities: 2 / Occupants: 4 |
| Aircraft damage: | Destroyed |
| Category: | Accident |
| Location: | Grand Manan Island, New Brunswick -
 Canada
|
| Phase: | Approach |
| Nature: | Ambulance |
| Departure airport: | Saint John, New Brunswick (YSJ/CYSJ) |
| Grand Manan Airport, New Brunswick (CCN2) | |
| Investigating agency: | TSB |
| Confidence Rating: |  Information verified through data from accident investigation authorities |
The PA-31 Navajo crashed in a wooded area 0.5nm from the Grand Manan Airport.
While attempting to land at Grand Manan the pilot carried out a missed approach. During the second approach with the landing gear extended, the aircraft touched down on a road that was perpendicular to the runway about 450 metres from the threshold. The aircraft departed the road and continued through about 30 metres of brush before becoming airborne. The aircraft impacted the ground left of the runway centreline about 300 metres from the threshold. One pilot and one passenger sustained fatal injuries. The other pilot and passenger sustained serious injuries. The aircraft was destroyed;
The pilot was badly injured in a similar accident in 1997 in C-FZVC Navajo (see http://www.tsb.gc.ca/eng/rapports-reports/aviation/1997/a97a0173/a97a0173.asp).
Registered to Manan Air Services Inc. operated by Atlantic Charters (http://www.atlanticcharters.ca/)
Findings as to causes and contributing factors:
*The captain commenced the flight with only a single headset on board, thereby preventing a shared situational awareness among the crew.
*It is likely that the weather at the time of both approaches was such that the captain could not see the required visual references to ensure a safe landing.
*The first officer was focused on locating the runway and was unaware of the captain's actions during the descent.
*For undetermined reasons, the captain initiated a steep descent 0.56 nautical mile from the threshold, which went uncorrected until a point from which it was too late to recover.
The aircraft contacted a road 0.25 nautical mile short of the runway and struck terrain.
The paramedic was not wearing a seatbelt and was not restrained during the impact sequence.
Accident investigation:
 |
|
Sources:
1. Cadors Number: 2014A0764
2. TSB Occurrence No:A14A0067 at http://www.tsb.gc.ca/eng/rapports-reports/aviation/2014/a14a0067/a14a0067.asp
3. http://web.archive.org/web/20150316100824/http://www.baaa-acro.com:80/2014/archives/crash-of-a-piper-pa-31-310-navajo-in-grand-manan-island-2-killed/
4. http://www.cbc.ca/news/canada/new-brunswick/grand-manan-plane-crash-kills-2-1.2738460
5. https://www.thestar.com/news/canada/2014/08/16/two_people_die_in_new_brunswick_air_ambulance_plane_crash.html
6. https://www.ctvnews.ca/canada/paramedic-pilot-dead-after-n-b-air-ambulance-crash-1.1962513_
7. http://aerossurance.com/safety-management/fatal-flaws-medevac/
8. http://www.cbc.ca/news/canada/new-brunswick/grand-manan-air-crash-lawsuit-1.3728392
Images:
Grand Manan
Media:
#OTD in 2014: Investigators uncovered mods, maintenance, training, W&B and briefing discrepancies. Highlights importance of mindful contracting for air services.https://t.co/HnfCor6bWx #airabmulance #accident #flightsafety #aviationsafety pic.twitter.com/cOoQ2L8MBD
— Aerossurance (@Aerossurance) August 16, 2021
Revision history:
| Date/time | Contributor | Updates |
|---|---|---|
| 16-Aug-2014 14:55 | harro | Added |
| 16-Aug-2014 16:22 | bizjets101 | Updated [Registration, Cn, Narrative] |
| 16-Aug-2014 17:31 | Anon. | Updated [Departure airport] |
| 16-Aug-2014 19:42 | Alpine Flight | Updated [Time, Aircraft type, Damage] |
| 16-Aug-2014 23:23 | bizjets101 | Updated [Registration, Cn, Narrative] |
| 17-Aug-2014 03:35 | Geno | Updated [Location, Departure airport, Destination airport, Source] |
| 17-Aug-2014 06:21 | Aerossurance | Updated [Source] |
| 17-Aug-2014 08:11 | Dmitriy | Updated [Aircraft type, Registration, Cn] |
| 17-Aug-2014 14:38 | Twotterpilot | Updated [Photo, ] |
| 19-Aug-2014 06:10 | Aerossurance | Updated [Source, Narrative] |
| 19-Aug-2014 23:56 | bizjets101 | Updated [Narrative] |
| 30-Aug-2014 08:13 | Aerossurance | Updated [Narrative] |
| 13-Feb-2016 07:10 | peterj | Updated [Source] |
| 04-Jul-2016 18:52 | Aerossurance | Updated [Time, Location, Departure airport, Source, Narrative] |
| 22-Oct-2017 18:09 | Dr. John Smith | Updated [Location, Departure airport, Destination airport, Source, Narrative] |
| 16-Aug-2021 08:05 | Aerossurance | Updated [Source, Embed code] |
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