Country
Crash of an ATR42-312 near Kosovska Mitrovica: 24 killed
Date & Time:
Nov 12, 1999 at 1115 LT
Operator:
Registration:
F-OHFV
Survivors:
No
Schedule:
Rome - Pristina
MSN:
12
YOM:
1986
Flight number:
KSV3275
Crew on board:
3
Crew fatalities:
Pax on board:
21
Pax fatalities:
Other fatalities:
Total fatalities:
24
Captain / Total hours on type:
5000.00
Copilot / Total hours on type:
1500
Aircraft flight hours:
24930
Aircraft flight cycles:
32810
Circumstances:
Arriving from Rome, the aircraft chartered by the World Food Program was going to land at Pristina. The meteorological conditions at the aerodrome corresponded to visibility of 4,000 metres with a layer of compact clouds at 3,000 feet. In radar and radio contact with the military air traffic control organisation for an ILS approach, the aircraft, which was outbound to the north at an altitude of 4,600 feet, entered a sector where the minimum safety altitude is 6,900 feet and struck a mountain whose peak is at 4,650 while turning to return towards the airport. The wreckage was found about 15 metres below the summit, some 18 km northeast of Kosovska Mitrovica and 42 km north of Pristina Airport. All 24 occupants were killed.
Probable cause:
The collision of Flight KSV 3275 with high ground was due to:
- Teamwork which lacked procedural discipline and vigilance during maneuvers in a mountainous region with poor visibility,
- The aircraft being kept on its track and then forgotten by a military controller unused to the mountainous environment of the aerodrome and to preventing the risk of collisions with high ground, within the framework of the radar service he was providing,
- The operator's critical situation as a new company highly dependant on the lease contract, favoring a failure to respect procedures,
- The opening of the aerodrome to civil traffic without an advance evaluation of the operating conditions or of the conditions for distribution of aeronautical information.
The following factors contributed to the accident :
- Crew fatigue, favoring a lowering of vigilance,
- Undertaking the flight with an unserviceable or disconnected GPWS.
- Teamwork which lacked procedural discipline and vigilance during maneuvers in a mountainous region with poor visibility,
- The aircraft being kept on its track and then forgotten by a military controller unused to the mountainous environment of the aerodrome and to preventing the risk of collisions with high ground, within the framework of the radar service he was providing,
- The operator's critical situation as a new company highly dependant on the lease contract, favoring a failure to respect procedures,
- The opening of the aerodrome to civil traffic without an advance evaluation of the operating conditions or of the conditions for distribution of aeronautical information.
The following factors contributed to the accident :
- Crew fatigue, favoring a lowering of vigilance,
- Undertaking the flight with an unserviceable or disconnected GPWS.
Final Report:
Crash of an ATR42-320 in Gaborone: 1 killed
Date & Time:
Oct 11, 1999 at 0743 LT
Operator:
Registration:
A2-ABB
Survivors:
No
Schedule:
Gaborone - Gaborone
MSN:
101
YOM:
1988
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Circumstances:
In the early morning, an Air Botswana captain boarded a parked ATR42 and took off without permission. While circling over the Gaborone-Seretse Khama Airport, the pilot contacted ATC and wanted to talk to several people, among them the company's President who was not available at this time. Negotiation started between the pilot and local authorities but after two hours, he decided to crash the aircraft on the apron where two others ATR42 of the same operator were parked. The aircraft crashed at a speed of 200 knots and exploded on impact. The pilot was killed and all three aircraft were destroyed. The two other ATR42 were registered A2-ABC and A2-AJD. There were no casualties on the ground as the airport was evacuated.
Probable cause:
The pilot committed suicide after being grounded by the operator until February 2000 because of medical reasons.
