NYC91FA239

NTSB accident investigation · Convair CV-580 · Belvedere Ctr, VT · September 19, 1991

Accident · FatalField investigationFinal report
Date
September 18, 1991, 21:50 local (Sep 19, 1991, 01:50 UTC)
Place
Belvedere Ctr, VT
Injuries
2 fatal
Damage
Destroyed
Phase of flight
Enroute
Aircraft
CFICAConvair CV-580
Weather
Visual (VMC) · Night/dark
Status
Completed · report March 31, 1993
Report
Approved by Office Director
Case key
36811

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

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Probable cause

Failure of the first officer (co-pilot) to maintain control of the aircraft after becoming spatially disoriented, and his exceeding the design stress limits of the aircraft. Factors related to the accident were: the lack of two pilots in the cockpit, darkness, and instrument meteorological conditions (IMC) at flight altitude.

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 flightCruise - normal
Light condition - dark nightFactor
Weather condition - cloudsFactor
Aircraft control - not maintainedCopilot/second pilotCause
Spatial disorientationCopilot/second pilotCause
Airframe/component/system failure/malfunctionDescent - uncontrolled
Design stress limits of aircraft - exceededCopilot/second pilotCause
Horizontal stabilizer attachment - overload
Stabilizer - separation
Wing - overload
Wing - separation
In flight collision with terrain/waterDescent - uncontrolled

Analysis

The airplane was cruising in night instrument meteorological conditions when it entered a left turn and exceeded the design airframe limits. The airplane broke up in the descent due to aerodynamic forces and was destroyed.. The outboard wing panels had failed downward and center wing section separated from the fuselage. The horizontal stabilizer and elevators had failed down and aft. The captain was found out of the cockpit with no evidence of him being in the seat at impact a human factors study found the aircraft's last minute of flight matched a profile of a pilot experiencing spatial disorientation.

Aircraft

Registration
CFICA
Reported as
Convair CV-580
Category
Airplane
Serial number
98
Airframe hours
39,323
Engine
Allison 501-D13D, 3,750 horsepower, turbo prop
Damage
Destroyed
Flight
Part 129
Operator
Canair Cargo Ltd
Registered owner
Canair Cargo Ltd
Airworthiness certificate
Standard, Transport
Last inspection
AAIP · September 11, 1991 · 25 hours before
Departed
YQM · Moncton,N.B.
Destination
YHM · Hamilton,Ont
Flight plan
IFR

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
30
Certificate
Airline transport
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Toxicology
Performed
Flight hours
10,400 total · 1,200 in this make and model · 8,000 as pilot in command · 193 in the last 90 days · 80 in the last 30 days · 3 in the last 24 hours

Weather

Conditions
Visual (VMC) · Night/dark
Wind
150° at 11 knots
Visibility
10 statute miles
Lowest ceiling
12,000 ft overcast
Temperature
68 °F, dew point 63 °F
Altimeter
29.00 inHg
Observed at
BTV, 25 nm away