Date: March 10th, 1989
Type: Fokker F-28 Fellowship 1000
Registration: C-FONF
Operator: Air Ontario
Where: Dryden (Canada)
Report No.: Not Available
Report Date: -
Pages: -
This is not an accident investigation report.
At 11.55 EST Flight 1363 departed Thunder Bay about one hour behind
schedule. The aircraft landed at Dryden at 11.39 CST. The aircraft was
being refuelled with one engine running, because of an unserviceable APU.
Although a layer of 1/8-1/4 inch of snow had accumulated on the wings, no
deicing was done because deicing with either engine running was prohibited
by both Fokker and Air Ontario. Since no external power unit was available
at Dryden, the engines couldn't be restarted in case of engine shutdown on
the ground.
At 12.09h CST the aircraft started it's take-off roll using the slush-
covered Runway 29. The Fokker settled back after the first rotation and
lifted off for the second time at the 5700ft point of the 6000ft runway. No
altitude was gained and the aircraft mushed in a nose-high attitude,
striking trees. The aircraft crashed and came to rest in a wooded area,
3156ft past the runway end and caught fire.
PROBABLE CAUSE: After a 20-month investigation, it was concluded that
"Captain Morwood, as the pilot-in-comman, must bear responsibility for the
decision to land and take off in Dryden on the day in question. However, it
is equally clear that the air transportation system failed him by allowing
him to be placed in a situation where he did not have all the necessary
tools that should have supported him in making the proper decision."
Source: A301(22); Beyond aviation human factors / Maurino
[et al.] p. 57-85; ICAO Journal Sept. 1995 p. 14-17,
26