Final Report: King Air destroyed in Canadian crash

Aviation International News » December 2009
November 25, 2009, 5:56 AM

Hawker Beechcraft King Air A100, Sandy Bay, Saskatchewan, Canada, Jan. 7, 2007–The Transportation Safety Board of Canada has recommended mandatory regular crew resource management (CRM) training for all operators in Canada as a result of the accident that destroyed the King Air after an aborted landing attempt. According to the accident report, the aircraft, which was operating as a medical transport, did not maintain a positive rate of climb during the attempted go-around and struck trees beyond the end of the runway.

The first officer, who was flying at the time of the accident, suggested a go-around at an appropriate time, according to the Board. However, the captain overruled him, as a result of ineffective CRM coupled with inadequate preparation by the crew, the Board concluded. When the captain decided to discontinue the landing attempt, his communication to the first officer was non-standard and ambiguous, and as a result the first officer did not immediately increase the engine power to initiate the go-around.

Investigators determined “the crew did not employ basic strategies that could have helped prevent the chain of events leading to this accident.” The Board stated the crewmembers did not assess the aircraft performance and did not identify runway length as a threat. Consequently, they did not discuss and agree on a point at which a safe landing was no longer possible and were unprepared to make and execute a timely go-around decision. The captain died soon after the crash, while the two medical technicians suffered serious injuries. The copilot received minor injuries.

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