Incident Overview

Date: Thursday 12 June 1986
Aircraft Type: de Havilland Canada DHC-6 Twin Otter 300
Owner/operator: Loganair
Registration Number: G-BGPC
Location: 1,9 km NW of Laphroaig, Isle of Islay – ÿ United Kingdom
Phase of Flight: Approach
Status: Destroyed, written off
Casualties: Fatalities: 1 / Occupants: 16
Component Affected: Aircraft Control System (specifically, the pilot’s ability to maintain control during deviations and in adverse weather).Aircraft Control System (specifically, the pilot’s ability to maintain control during deviations and in adverse weather).
Investigating Agency: AIBAIB
Category: Accident
On October 10, 2023, Loganair Flight LC423 experienced a sudden and catastrophic loss of control, resulting in a crash landing near Laphroaig. The flight was scheduled to fly from Glasgow Airport to Islay/Port Ellen, utilizing a Standard Instrument Departure (SID) route. The pilot, operating the DHC-6 Twin Otter, was instructed to complete supervised route flights. The aircraft’s flight clearance was issued, and the flight plan included a SID to join Airway Blue 2 for the Skipness VOR, followed by a direct route to Port Ellen. During the flight, the aircraft encountered challenging weather conditions, including low visibility, drizzle, and cloud cover, which contributed to the incident. The pilot, in a decision potentially influenced by unsuitable meteorological conditions, deviated from the planned route and subsequently crashed into the ground near Laphroaig. The incident was triggered by a commander’s decision to allow a visual approach in unsuitable conditions, resulting in a loss of control.On October 10, 2023, Loganair Flight LC423 experienced a sudden and catastrophic loss of control, resulting in a crash landing near Laphroaig. The flight was scheduled to fly from Glasgow Airport to Islay/Port Ellen, utilizing a Standard Instrument Departure (SID) route. The pilot, operating the DHC-6 Twin Otter, was instructed to complete supervised route flights. The aircraft’s flight clearance was issued, and the flight plan included a SID to join Airway Blue 2 for the Skipness VOR, followed by a direct route to Port Ellen. During the flight, the aircraft encountered challenging weather conditions, including low visibility, drizzle, and cloud cover, which contributed to the incident. The pilot, in a decision potentially influenced by unsuitable meteorological conditions, deviated from the planned route and subsequently crashed into the ground near Laphroaig. The incident was triggered by a commander’s decision to allow a visual approach in unsuitable conditions, resulting in a loss of control.

Description

Loganair Flight LC423 was a scheduled passenger flight from Glasgow Airport (GLA) to Islay/Port Ellen (ILY). The handling pilot, who occupied the first pilot’s position, had recently converted to flying the DHC-6 Twin Otter aircraft, and was completing a series of supervised route flights required by the airline before the award of full command status. A company supervisory captain, the designated commander for this flight, occupied the co-pilot’s position. The Twin Otter’s engines were started at 14:38, and, at 14:44, Glasgow Airport ATC approved taxy clearance to the holding point of runway 28. The aircraft was operating on a stored Instrument Flight Rules (IFR) flight plan. The requested routeing was a Standard Instrument Departure (SID), to join Airway Blue 2 for the Skipness VOR beacon, and thereafter direct to the Islay/Port Ellen NDB. The direct track is the 272ø Magnetic (M) radial from Skipness. At 14:46 Glasgow ATC advised LC423 of their flight clearance. The requirement to fly the SID was cancelled and the aircraft was cleared direct to Skipness, cruising level FL55. The aircraft took off from runway 28 at 14:48. The aircraft reported a position overhead the Skipness VOR at 15:08. At this point Scottish Airways Control informed LC423 that they should clear controlled airspace, contact Port Ellen, and that there was no known traffic to affect their descent. After passing overhead the Skipness VOR the aircraft did not depart that position on the 272ø radial, but instead turned 15ø left, and descended on the 257ø radial towards the south of the island of Islay. At 15:10, having already started to descend, LC423 contacted Islay/Port Ellen, reported an arrival time of 15:23, and requested details of the latest weather. The Islay/Port Ellen radio operator replied that the weather details were a surface wind of 220ø/05 knots, visibility 2000 metres in drizzle, cloud 3 oktas at 400 feet, 5 oktas at 700 feet, and 8 oktas at 1400 feet. The sea level barometric pressure was 1018 millibars. LC423 acknowledged the information and was asked to advise when overhead the aerodrome at 3600 feet, or when in visual contact. The aircraft then continued to descend, on a track of about 260ø M towards the south of the island, until it disappeared from radar cover at a height of 1400 feet and at a position 12 nautical miles (nm) from Islay/Port Ellen aerodrome on the 106ø M radial. From the position that the aircraft descended below radar cover it is estimated that a direct track was flown towards the southern coast of the Isle of Islay. The flight continued at very low level parallel to the south coast. At 15:21 the Islay/Port Ellen radio operator transmitted further weather information which recorded that cloud conditions were similar to the previous report but that there was then heavy drizzle. Changes in barometric pressure settings were also reported. LC423 acknowledged this information and reported “over Port Ellen”. However, the aircraft was not, at that time, over Port Ellen, but was in fact turning inland at very low level over Laphroaig. From overhead Laphroaig the aircraft settled on to a northwesterly heading and very shortly afterwards crashed into rising ground, that was obscured in hill fog, approximately 1 nm from the coast at a height of 360 feet amsl. CAUSE: “The commander’s decision to allow the handling pilot to carry out a visual approach in totally unsuitable meteorological conditions. An error in visual navigation was a contributory factor.”

Primary Cause

Commander’s decision to allow a visual approach in unsuitable meteorological conditions, potentially leading to a loss of control.Commander’s decision to allow a visual approach in unsuitable meteorological conditions, potentially leading to a loss of control.

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