Crash of a McDonnell Douglas MD-83 in Bandar-e Mahshahr

Date & Time: Jan 27, 2020 at 0736 LT
Type of aircraft:
Operator:
Registration:
EP-CPZ
Survivors:
Yes
Schedule:
Tehran - Bandar-e Mahshahr
MSN:
53464
YOM:
1994
Flight number:
RV6936
Country:
Region:
Crew on board:
8
Crew fatalities:
Pax on board:
136
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
18430
Captain / Total hours on type:
7840.00
Copilot / Total flying hours:
300
Copilot / Total hours on type:
124
Circumstances:
On Jan. 27, 2020, at 03:12 UTC Caspian Airlines (CPN) Flight 6936, an MD83, EP-CPZ took off from Mehrabad International Airport and climbed to FL320 as final cruising level. At about 03:45:37 UTC, the aircraft was flying according to the flight plan route on Airway B417 at an assigned FL320. Due to another traffic departing flight, an A320, IRA356 from Abadan Airport (OIAA) to destination Mashhad International Airport (OIMM), the ACC controller issued direct routing to the flight CPN 6936 position GODMO. At 03:49:34 UTC, CPN6936 requested descent clearance, so the flight was cleared to FL100. At 03:52:30 UTC, the pilot called Mahshahr AFISO and reported position 50 nm inbound GODMO and estimated time over GODMO at 03:59 UTC. At 03:52:51 UTC, Mahshahr AFISO reported necessary information as below: "RWY active is 31; wind is now 280/08kts, CAVOK, temperature +06, DP 04 and QNH 1023, expected VOR approach RWY 31 via GODMO 1E ARRIVAL" At 03:53: 33 UTC, the pilot requested RWY 13 and Mahshahr AFISO performed VOR/DME approach RWY 13, via GODMO 1F arrival. At 03:59:39 UTC, the pilot reported, “we are approaching position GODMO in contact with destination Mahshahr.” At 04:00:41UTC, the pilot reported his position “GODMO” to Mahshahr AFISO. At 04:02:46 UTC, the pilot reported leaving of IAF and received landing clearance for RWY13. Finally, at 04:06:11 UTC, the aircraft landed on RWY 13, passed two-thirds of RWY length and ran off the end of runway13 after landing at Mahshahr Airport at 04:06 UTC, Khuzestan province. The accident flight was being operated on an Instrument Flight Rules (IFR) flight plan in a Visual Meteorological Condition (VMC). The main door of the accident aircraft was opened in emergency condition, but the slide skid did not operate automatically. The cabin floor was just too close to the ground (grass surface) due to the impact of the nose and main landing gears strut which were broken after the runway overrun. The evacuation was performed from the main door, and all 136 passengers and 8 crew members disembarked.
Probable cause:
The Aircraft Accident Investigation Board determines that the probable causes of this accident were the pilots’ failures below, resulting in a runway overrun:
- Poor decision-making for acceptance of the risk of high-speed landing;
- Un-stabilized approach against the normal flight profile;
- Poor CRM in the cockpit; and
- Poor judgment and not accomplishing go-around while performing an unstabilized approach.

Contributing Factors:
- Loading of 5 tons of extra fuel, which increased the landing distance required.
- Decision to make a landing on RWY 13 with tailwind.
- Inability of the copilot (PM) to take control of the aircraft and proper action to execute goaround.
Final Report:

Crash of a McDonnell Douglas MD-83 in Kiev

Date & Time: Jun 14, 2018 at 2040 LT
Type of aircraft:
Operator:
Registration:
UR-CPR
Survivors:
Yes
Schedule:
Antalya - Kiev
MSN:
49946/1898
YOM:
1991
Flight number:
BAY4406
Country:
Region:
Crew on board:
7
Crew fatalities:
Pax on board:
160
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
11548
Captain / Total hours on type:
5580.00
Copilot / Total flying hours:
12514
Copilot / Total hours on type:
3580
Aircraft flight hours:
43105
Aircraft flight cycles:
46810
Circumstances:
On June 14, 2018, according to the flight assignment, BAY 4406 charter flight en-route Antalya - Kyiv (Zhulyany) on MD-83 aircraft, state and registration number UR-CPR of Bravo Airways, was operated by PIC, co-pilot and five flight attendants. According to PIC’s Statement, the flight was delayed by 6 hours (departure time - 03:30 pm.) The Investigation Team did not establish the departure time from Antalya Airport. According to the PIC, the crew arrived at the airport at 02:00 pm. The takeoff time was 03:41 pm. The airline said the flight was delayed because of the aircraft non-arrival. Bravo Airways is the aircraft operator responsible for the flight and technical operation of the aircraft, maintaining its airworthiness and ensuring the flight safety. The Pilot Flying duties were performed by the PIC, and the Pilot Monitoring was the co-pilot. In accordance with the flight assignment, the PIC cross checked the copilot. According to his Statement, the flight preparation of the crew was carried out one and a half hours before the actual departure at Antalya Airport (PIC received aeronautical and meteorological information from a representative of Turkish Ground Services), after which, the PIC took a decision to perform the flight. Climb and level flight were performed in a normal mode. Landing approach was carried out to RW08 in the conditions of thunderstorm activity with ILS system. At 05:40 pm, at landing on the aerodrome of the Kyiv International Airport (Zhulyany) (hereinafter – Kyiv (Zhulyany) Aerodrome), during the landing run, at the distance of 1260 m from the entrance threshold, the aircraft suffered a runway excursion to the left of the air strip and stopped outside the cleared and graded area of the air strip at the distance of 123 m from the runway center line (according to the tire footprints at the occurrence site.) As a result of the accident, the aircraft has sustained substantial damage, in particular, to the structural elements. None of passengers or crew members received serious injuries.
Probable cause:
The cause of the accident, i.e. runway excursion of MD-83 UR-CPR aircraft operated by Bravo Airways, which took place on June 14, 2018 at the Kyiv (Zhulyany) Aerodrome at performance of flight BAY 4406 en-route Antalya-Kyiv (Zhulyany) – was the PIC’s decision to continue the landing at the Kyiv (Zhulyany) Aerodrome in the thunderstorm conditions with the following main factors:
- non-stabilized approach for landing, starting from the height of 1,000 feet;
- spoiler non-deployment by the crew;
- incorrect crew actions in application of the reverse thrust on a wet runway (EPR>1.3).
Contributing Factors:
- Air traffic control service in the classified airspace of Ukraine, which is required by the Order of the Ministry of Transport of Ukraine dated April 16, 2003, No. 293, was not provided to the crew in full;
- Wind variable in strength and direction;
- Probably, the crew’s failure to listen to the latest ATIS reports for the Kyiv (Zhulyany) Aerodrome;
- Bravo Airways Operator's Manual does not contain landing approach procedures;
- Low-quality pre-flight preparation, pre-landing preparation, checklist reading and completion at all flight stages.
Final Report:

Crash of a McDonnell Douglas MD-83 in Alexandria

Date & Time: Apr 20, 2018 at 1420 LT
Type of aircraft:
Operator:
Registration:
N807WA
Survivors:
Yes
Schedule:
Chicago - Alexandria
MSN:
53093/2066
YOM:
1993
Flight number:
WAL708
Crew on board:
7
Crew fatalities:
Pax on board:
94
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
13335
Captain / Total hours on type:
6466.00
Copilot / Total flying hours:
4590
Copilot / Total hours on type:
2474
Aircraft flight hours:
43724
Circumstances:
The airplane suffered a right main landing gear collapse during landing at the destination airport. The airplane sustained substantial damage to the right lower wing skin when it contacted the runway after the landing gear collapse. The crew stopped the airplane on the runway and an emergency evacuation was performed through three of the four doors on the airplane. The escape slide at the left forward door did not deploy or inflate due to the depletion of the gas charge in the reservoir. The reservoir depleted due to a leak in the valve assembly and was not caught during multiple inspections since installation of the slide assembly in the airplane. The landing gear cylinder fractured under normal landing loads due to the presence of a fatigue crack on the forward side of the cylinder in an area subject to an AD inspection for cracks. The most recent AD inspection of the cylinder was performed 218 landings prior when the fatigue crack was large enough to be detectable. A previous AD inspection performed 497 landings prior to the accident also did not detect the crack that would have been marginally detectable at the time.
Probable cause:
The failure of the right main landing gear under normal loads due to fatigue cracking in an area subject to an FAA Airworthiness Directive that was not adequately inspected.
Final Report:

Crash of a McDonnell Douglas MD-83 in Detroit

Date & Time: Mar 8, 2017 at 1452 LT
Type of aircraft:
Operator:
Registration:
N786TW
Flight Phase:
Survivors:
Yes
Schedule:
Detroit - Washington DC
MSN:
53123/1987
YOM:
1992
Flight number:
7Z9363
Crew on board:
6
Crew fatalities:
Pax on board:
110
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
15518
Captain / Total hours on type:
8495.00
Copilot / Total flying hours:
9660
Copilot / Total hours on type:
2462
Aircraft flight hours:
41008
Aircraft flight cycles:
39472
Circumstances:
A McDonnell Douglas MD-83, registration N786TW, suffered a runway excursion following an aborted takeoff from runway 23L at Detroit-Willow Run Airport, Michigan, USA. The aircraft had been chartered by the University of Michigan Basketball team for a flight to a game in Washington, DC. The flight crew prepared for take-off and calculated V-speeds (V1, VR, V2) using "Normal Thrust Takeoff", a 10 kts headwind, and a take-off weight of 146,600 lbs. The V-speeds for this configuration were 139 kts, 142 kts, and 150 kts, respectively. However, the flight crew chose to increase VR to 150 kts to allow for more control during take-off in the presence of windshear. During takeoff roll, at 14:51:56 (about 3,000 ft down the runway) and about 138 kts of airspeed, the control column was pulled back slightly from a non-dimensional value of -7 to -5.52. The airplane’s left elevator followed the control input and moved from a position of -15° trailing edge down to -13° trailing edge down. The right elevator did not change and stayed at approximately -16° trailing edge down. At 14:52:01 a large control column input was made (151 kts and 4100 ft down the runway) to a non-dimensional 18.5 and the left elevator moves to a position near 15° trailing edge up. After 14:52:05 the right elevator moves to -13° trailing edge down, but no more. The airplane does not respond in pitch and does not rotate. The captain decided to abort the takeoff. The maximum ground speed was 163 kts (173 kts airspeed) and the airplane began to decelerate as soon as the brakes were applied at 14:52:08. Spoilers were deployed at 14:52:10 and thrust reversers were deployed between 14:52:13 and 14:52:15. The aircraft could not be stopped on the runway. The airplane’s ground speed was 100 kts when it left the paved surface. The aircraft overran the end of the runway, damaged approach lights, went through the perimeter fence and crossed Tyler Road. It came to rest on grassy terrain, 345 meters past the end of the runway, with the rear fuselage across a ditch. The nose landing gear had collapsed. Runway 23L is a 7543 ft long runway.
Probable cause:
The NTSB determines that the probable cause of this accident was the jammed condition of the airplane’s right elevator, which resulted from exposure to localized, dynamic wind while the airplane was parked and rendered the airplane unable to rotate during takeoff. Contributing to the accident were (1) the effect of a large structure on the gusting surface wind at the airplane’s parked location, which led to turbulent gust loads on the right elevator sufficient to jam it, even though the horizontal surface wind speed was below the certification design limit and maintenance inspection criteria for the airplane, and (2) the lack of a means to enable the flight crew to detect a jammed elevator during preflight checks for the Boeing MD-83 airplane. Contributing to the survivability of the accident was the captain’s timely and appropriate decision to reject the takeoff, the check airman’s disciplined adherence to standard operating procedures after the captain called for the rejected takeoff, and the dimensionally compliant runway safety area where the overrun occurred.
Final Report:

Crash of a McDonnell Douglas MD-83 in Mashhad

Date & Time: Jan 28, 2016 at 1937 LT
Type of aircraft:
Operator:
Registration:
EP-ZAB
Survivors:
Yes
Schedule:
Isfahan – Mashhad
MSN:
49930/1720
YOM:
1990
Flight number:
ZV4010
Country:
Region:
Crew on board:
8
Crew fatalities:
Pax on board:
154
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
9224
Captain / Total hours on type:
4341.00
Copilot / Total flying hours:
633
Copilot / Total hours on type:
471
Aircraft flight hours:
51446
Aircraft flight cycles:
30255
Circumstances:
Following an uneventful flight from Isfahan, the crew initiated the approach to Mashhad Airport by night and poor weather conditions with low visibility due to snow falls. After touchdown on runway 31R, the crew started the braking procedure and activated the reverse thrust systems. The aircraft skidded then veered off runway to th left, lost its both main undercarriage and came to rest 55 metres to the left of the runway, some 1,311 metres from the runway threshold. All 162 occupants evacuated safely while the aircraft was damaged beyond repair.
Probable cause:
The following findings were identified:
- Loss of control after touchdown due to an abnormal use by the captain of the reverse thrust systems, which caused the aircraft to slid and to become out of control,
- Weather conditions deteriorated with a sudden drop in temperature and a reduced visibility,
- Limited RVR to 811 metres,
- The crew failed to initiate a go-around procedure,
- Overconfidence on part of the captain due to his high experience,
- Poor crew resource management,
- The braking coefficient was low due to an excessive deposit of rubber on the runway surface, combined with a layer of snow that the airport authorities did not consider necessary to clear in due time.
Final Report: