2 fatalities

1995-12-23: Piper PA-31-350 Navajo Chieftain (N27954) — Ameriflight — San Jose, United States of America

San Jose, United States of AmericaLanding (descent or approach)

On December 23, 1995, a Piper PA-31-350 Navajo Chieftain (registration N27954) operated by Ameriflight was involved in an aviation accident near San Jose, United States of America during landing or approach. 2 people were killed. Investigators recorded the probable cause as: The failure of the air traffic controller to comply with instructions contained in the Air Traffic Control Handbook, FAA Order 7110.65, which resulted in the flight being vectored at an altitude below the minimum vectoring altitude (MVA) and failure to issue… This summary draws on records from the Bureau of Aircraft Accidents Archives (B3A); 8 related events involving the same aircraft type or operator are linked below.

Sourcesthe Bureau of Aircraft Accidents Archives (B3A)Primary reportUpdated 1781207416Data APIEditorial standards

An aircraft impacted mountainous terrain during a Part 135 instrument competency check flight after an air traffic controller vectored it below the minimum vectoring altitude and failed to issue a safety alert.

Background

An aircraft was conducting a 14 CFR Part 135 instrument competency check flight under visual flight rules (VFR) during hours of darkness and marginal VFR conditions. The flight was being vectored for an instrument approach.

Accident Sequence

The aircraft impacted mountainous terrain in controlled flight. The flight was instructed by approach control to maintain VFR conditions and was assigned a heading and altitude that caused the aircraft to enter another airspace sector below the minimum vectoring altitude (MVA).

Controller Actions

FAA Order 7110.65, Section 5-6-1, requires that if a VFR aircraft is assigned both a heading and altitude simultaneously, the altitude must be at or above the MVA. The controller did not issue a safety alert. In an interview, the controller stated he was not concerned when the flight approached an area of higher MVA because the flight was VFR and that pilots fly VFR below the MVA every day. At the time of the accident, the controller was working six arrival sectors and experienced a surge of arriving aircraft. The approach control facility supervisor was monitoring the controller but did not detect and correct the vector below the MVA.

Probable Cause

The probable cause, as stated in the official findings, is the failure of the air traffic controller to comply with instructions contained in the Air Traffic Control Handbook, FAA Order 7110.65, which resulted in the flight being vectored at an altitude below the MVA and failure to issue a safety advisory. In addition, the controller's supervisor monitoring the controller's actions failed to detect and correct the vector below the MVA. A factor in the accident was the flightcrew's failure to maintain situational awareness of nearby terrain and failure to challenge the controller's instructions.