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Accident description
Last updated: 11 December 2017
Status:Final
Date:Sunday 10 November 2013
Time:18:29
Type:Silhouette image of generic SW4 model; specific model in this crash may look slightly different
Swearingen SA227-AC Metro III
Operator:Bearskin Airlines
Registration: C-FFZN
C/n / msn: AC-785B
First flight: 1991
Total airframe hrs:35474
Engines: 2 Garrett TPE331-11U-612G
Crew:Fatalities: 2 / Occupants: 2
Passengers:Fatalities: 3 / Occupants: 5
Total:Fatalities: 5 / Occupants: 7
Airplane damage: Destroyed
Airplane fate: Written off (damaged beyond repair)
Location:ca 0,8 km S of Red Lake Airport, ON (YRL) (   Canada)
Phase: Approach (APR)
Nature:Domestic Scheduled Passenger
Departure airport:Sioux Lookout Airport, ON (YXL/CYXL), Canada
Destination airport:Red Lake Airport, ON (YRL/CYRL), Canada
Flightnumber:JV311
Narrative:
Bearskin Airlines Flight JV311 crashed while on approach to runway 26 at Red Lake Airport, Ontario, Canada. Both pilots and three of the five passengers were killed in the accident.
Flight 311 was a scheduled flight between Thunder Bay, Ontario, and Winnipeg, Manitoba, with stops in Sioux Lookout, Ontario, and Red Lake, Ontario. The flight from Thunder Bay and the subsequent departure from Sioux Lookout were uneventful.
At 18:16, Winnipeg ACC cleared Bearskin 311 to the Red Lake Airport for the VOR/DME runway 26 approach, and advised the pilots to contact Kenora Flight Service Station (FSS).
The descent checklist was carried out and, at 18:17, the crew advised Kenora FSS that they had been cleared by Winnipeg ACC for an approach to runway 26 at the Red Lake Airport. Because the crew were expecting to encounter visual conditions prior to landing, a full approach briefing was not carried out.
The landing checklist was completed and, at 18:27, the crew advised Kenora FSS that they were 5 nautical miles (nm) on final approach for runway 26 at the Red Lake Airport. At 18:28, at approximately 500 feet above ground level and approximately 1.4 nm from the runway, the crew noted an aircraft malfunction but did not immediately identify the nature of it. Maximum power was applied to one or both engines, and the landing gear was initially selected up and then re-selected down before it could fully retract. The crew declared an emergency with Kenora FSS and unsuccessfully attempted to initiate a climb. Shortly afterwards, the aircraft veered and rolled to the left, descended, and struck trees with its left wing. The aircraft continued through the trees and struck a series of hydro lines that ran parallel to Ontario Highway 125, before coming to rest in a wooded area adjacent to the highway.
A post-crash fire erupted.

Probable Cause:

Findings as to causes and contributing factors:
1. A first-stage turbine wheel blade in the left engine failed due to a combination of metallurgical issues and stator vane burn-through.
2. As a result of the blade failure, the left engine continued to operate but experienced a near-total loss of power at approximately 500 feet above ground level, on final approach to Runway 26 at the Red Lake Airport.
3. The crew were unable to identify the nature of the engine malfunction, which prevented them from taking timely and appropriate action to control the aircraft.
4. The nature of the engine malfunction resulted in the left propeller being at a very low blade angle, which, together with the landing configuration of the aircraft, resulted in the aircraft being in an increasingly high drag and asymmetric state. When the aircraft’s speed reduced below minimum control speed (VMC), the crew lost control at an altitude from which a recovery was not possible.

Findings as to risk:
1. If pilots believe that the negative torque sensing (NTS) system in the SA227 aircraft will activate in the event of any power loss or that NTS activation alone can provide adequate anti-drag protection in the event of an engine power loss, there is a risk that flight crews operating these aircraft types may not initiate the Engine Failures In Flight checklist in a timely manner.
2. If there is no requirement for a boroscope inspection of the TPE331-11U-612G’s internal engine components in conjunction with the 450-hour fuel nozzle inspection, there is an increased risk that premature internal engine damage will not be detected.
3. If there are discrepancies between the fuel nozzle testing procedures described in the TPE331-11U-612G maintenance manual and the corresponding fuel nozzle overhaul manual, there is a risk that unserviceable fuel nozzles may be evaluated as serviceable and re-installed on aircraft.

Accident investigation:
cover
Investigating agency: TSB Canada
Status: Investigation completed
Duration: 1 year and 5 months
Accident number: A13C0150
Download report: Final report

Classification:

Loss of control

Sources:
» CADORS 2013O3414

METAR Weather report:
00:00 UTC / 18:00 local time:
CYRL 110000Z 30014G22KT 10SM -SN DRSN OVC018 M10/M13 A3008 RMK SC8 SLP212

00:44 UTC / 18:44 local time:
CYRL 110044Z 32010KT 8SM -SN DRSN SCT020 RMK SC3 ACCIDENT CHECK VIA CYPL
Wind 320 degrees at 10 knots; Visibility: 8 miles; Light snow, low drifting snow; Scattered clouds at 2000 feet AGL.

01:00 UTC / 19:00 local time:
CYRL 110100Z 32010KT 8SM -SN DRSN SCT020 M11/M13 A3011 RMK SC3 VIA CYPL SLP224


Photos

photo of Swearingen SA227-AC Metro III C-FFZN
photo of Swearingen SA227-AC Metro III C-FFZN
photo of Swearingen SA227-AC Metro III C-FFZN
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Map
This map shows the airport of departure and the intended destination of the flight. The line between the airports does not display the exact flight path.
Distance from Sioux Lookout Airport, ON to Red Lake Airport, ON as the crow flies is 169 km (106 miles).
Accident location: Approximate; accuracy within a few kilometers.

This information is not presented as the Flight Safety Foundation or the Aviation Safety Network’s opinion as to the cause of the accident. It is preliminary and is based on the facts as they are known at this time.
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