What happened
A scheduled commuter flight, carrying a pilot and four passengers, crashed into trees and mountainous terrain during its approach to a destination. During the preflight briefing, the flight coordinator informed the pilot that several previous flights that morning had been cancelled due to adverse weather, yet no evidence was found that the pilot reviewed updated meteorological data before departure. The flight was expected to be a short 20-minute trip.
Data from the aircraft's ADS-B transmission indicated that the flight path deviated north of the standard route and failed to turn south toward the destination after crossing the channel. Onboard multi-function display records showed the aircraft performed erratic pitch and roll maneuvers as it approached the mountains. A passenger on board reported experiencing heavy turbulence, fog, clouds, and rain during the flight. Post-accident inspections of the engine and airframe showed no mechanical failures that would have prevented normal operation.
Findings
The investigation identified several critical failures in operational control and safety procedures. The pilot failed to complete the required Flight Risk Assessment (FRA) form, and the flight coordinator allowed the aircraft to depart despite the missing documentation. Furthermore, the flight coordinator did not adequately discuss weather risks or necessary safety information with the pilot, violating the company's General Operations Manual.
The pilot lost situational awareness after encountering instrument meteorological conditions, leading to the impact. The company lacked formal training programs for flight coordinators and had no system to verify their qualifications. Additionally, the company failed to maintain required glide distances to the shore and operated without established company minimums for visibility and ceilings. The investigation also noted that the FAA had previously identified operational deficiencies within the company but had not taken enforcement action to ensure these issues were corrected.