CHI89MA057

NTSB accident investigation · Nihon YS-11A-600 · West Lafayette, IN · March 15, 1989

Accident · FatalMajor investigationFinal report
Date
March 15, 1989, 07:26 local (12:26 UTC)
Place
West Lafayette, IN
Injuries
2 fatal
Damage
Destroyed
Phase of flight
Approach
Aircraft
N128MPNihon YS-11A-600
Weather
Visual (VMC) · Dawn
Status
Completed · report September 14, 1990
Report
Approved by Office Director
Safety recommendations
Yes
FAA report
19890315004619A
Case key
14429

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

On this page

Probable cause

A loss of control due to the improper inflight decisions by the crew and the undetected accumulation of ice on the leading edge of the horizontal stabilizer, during flight in a forward center of gravity condition and exacerbated by the extension of full landing flaps.

Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

Loss of control - in flightApproach - vfr pattern - final approach
Weather condition - icing conditionsFactor
In-flight planning/decision - improperPilot in commandCause
Horizontal stabilizer surface - iceCause
Anti-ice/deice system - not usedCopilot/second pilotFactor
Lowering of flaps - excessiveFactor
In flight collision with terrain/waterDescent - uncontrolled
Terrain condition - dirt bank/rising embankmentFactor

Analysis

An IFR flight was terminated with a visual approach. Conditions were conducive to airframe icing. The aircraft was being positioned empty, with a CG at 22.1% mac. On short final, at approximately 400 ft AGL, 35 degrees of landing flap was selected. The aircraft was observed to pitch downward to an unusual attitude and to enter a steep descent. A partial recovery was observed before the aircraft impacted a dirt hill 500 ft short of rwy 28. Examination of the airframe after the accident revealed 1/2 to 3/4 inch of rime ice adhering to the leading edge of the horizontal stabilizer. No ice was found on any other portion of the airframe. Evidence in the cockpit indicated that engine, pitot, and windshield anti-ice systems were on, but wing/empennage deice was off. No evidence of a powerplant or systems malfunction was found.

Aircraft

Registration
N128MP
Reported as
Nihon YS-11A-600
Category
Airplane
Serial number
2139
Airframe hours
24,088
Engine
Rolls-Royce DART 542-10J, 2,680 horsepower, turbo prop
Damage
Destroyed
Fire
On-Ground
Flight
Part 121
Operator
Mid Pacific Airlines
Registered owner
Koa Holdings, Inc.
Airworthiness certificate
Standard, Transport
Last inspection
Continuous airworthiness · February 25, 1989 · 29 hours before
Departed
HUF · Terre Haute, IN
Destination
LAF · West Lafayette, IN
Flight plan
IFR
Airport
LAF · Purdue University Airport, runway 28, 6,600 × 150 ft, asphalt

Matched to the registry by N-number and the event date; the registry’s history has gaps, so older matches can be wrong. Compare the reported make and model.

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
36
Certificate
Airline transport
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Seat
Left
Toxicology
Performed
Flight hours
7,294 total · 2,097 in this make and model · 6,294 as pilot in command · 61 in the last 90 days · 21 in the last 30 days · 3 in the last 24 hours

Weather

Conditions
Visual (VMC) · Dawn
Wind
280° at 16 knots, gusting 23
Visibility
8 statute miles
Lowest ceiling
2,200 ft overcast
Temperature
32 °F, dew point 25 °F
Altimeter
29.00 inHg
Observed at
LAF, 1 nm away

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.