1996 Croatia USAF CT-43 Crash - Crash Details

Crash Details

Tuzla Airport Dubrovnik Čilipi Airport Crash Site St John's Hill Location of crash site and departure and destination airports

The official Air Force accident investigation board report noted several reasons that led the CT-43, callsign IFO-21 (short for Implementation Force), to crash. Chief among the findings was a "failure of command, aircrew error and an improperly designed instrument approach procedure". Notably the inclement weather was not deemed a substantial contributing factor in the crash.

The CT-43A used for this flight had formerly been a training aircraft that had been converted for distinguished visitor travel. The flight had been on an IFR NDB approach, which is a non-precision type of instrument approach, to Runway 12 when it strayed off course. Non-precision approaches are those that do not incorporate vertical guidance. While NDB approaches are essentially obsolete in the U.S. they are still used widely in other parts of the world. Because of their infrequent use in the U.S. many American pilots are not fully proficient in performing them (a NASA survey showed that 60% of U.S. transport-rated pilots had not flown an NDB approach in the last year). The investigation board determined that the approach used was not approved for Department of Defense aircraft, and should not have been used by the aircraft crew. The board determined that the particular NDB approach used required two operating ADF, the instrument used to fly such an approach, on board the aircraft, but this aircraft only had one. One was required to track the outbound course of 119° from the Kolocep NDB (KLP). Another was required to observe when the aircraft had flown beyond the Cavtat NDB (CV) which marked the missed approach point. Further, the board noted that the approach was rushed, with the aircraft flying at 80 knots (150 km/h) above the proper final approach speed, and had not received the proper landing clearance from the control tower.

The crash site, on a 2,300 ft (701 m) hill, was 1.6 miles (2.6 km) northeast of where the aircraft should have been on the inbound course to the NDB. The published NDB approach brings the inbound aircraft down a valley, and has a minimum descent height of 2,150 feet (655 m) at the missed approach point (where they should have climbed and turned to the right if the runway was not in view), which is below the elevation of the hills to the north. The runway is at 510 feet (155.4 m) MSL. Five other aircraft had landed prior to the CT-43A and had not experienced any problems with the navigational aids. There was no emergency call from the pilots, and they did not initiate a missed approach, even though they were beyond the missed approach point when they hit the hill at 2:57 PM local time.

The area of the crash site is identified by a large (10 meter tall) stainless steel cross on Stražišće peak. Hikers can reach the peak via the Ronald Brown path which is named in commemoration of the U.S. Secretary of Commerce who died in the crash.

The crash is featured in episode 10 of the 4th season of the air-crash investigation television show Mayday, entitled Fog of War.