Crash of an Embraer ERJ-190AR in Quito

Date & Time: Sep 16, 2011 at 1911 LT
Type of aircraft:
Operator:
Registration:
HC-CEZ
Survivors:
Yes
Schedule:
Loja - Quito
MSN:
190-00027
YOM:
2006
Flight number:
EQ148
Country:
Crew on board:
6
Crew fatalities:
Pax on board:
97
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
6160
Captain / Total hours on type:
1879.00
Copilot / Total flying hours:
4891
Copilot / Total hours on type:
2807
Aircraft flight hours:
8752
Aircraft flight cycles:
13285
Circumstances:
Following an uneventful flight from Loja, the crew started the descent to Quito-Mariscal Sucre Airport runway 35 by night and poor weather conditions. After touchdown on wet runway 35, the aircraft encountered difficulties to decelerate properly. Unable to stop within the remaining distance, the airplane overran, went down an embankment, collided with a brick wall and came to rest. There was no fire. All 103 occupants were rescued, among them four passengers were slightly injured. The aircraft named 'Ciudad de Cuenca' was damaged beyond repair.
Probable cause:
The Board of Inquiry estimated that the probable cause of this accident was the crew's decision to continue the approach and landing without carrying out the procedures (ABNORMAL AND EMERGENCY PROCEDURES) established by Embraer in the Quick Reference Handbook when a malfunction occurred with the slat/flap system, resulting in a wrong approach configuration.
The following findings were identified:
- The slats were inoperative during the approach and the crew performed five trouble shooting without success,
- Despite this situation, the crew decided to continue the approach, failed to follow the approach checklist and failed to input the reference speed and distance for landing according to circumstances,
- The aircraft landed too far down the runway, about 880 metres past the runway 35 threshold,
- The braking action was low because the runway surface was wet,
- In normal conditions, with flaps down in second position and slats out, the landing reference speed was 119 knots with a landing distance of 880 metres,
- Because the slats were inoperative, the landing reference speed should be 149 knots and a landing distance of 1,940 metres was needed,
- The aircraft passed over the runway threshold at a height of 50 feet and at an excessive speed of 163,8 knots,
- Spoilers were activated 9 seconds after touchdown, 950 metres after the runway threshold,
- Reverse thrust systems were activated 1,280 metres after the runway threshold,
- The crew started to use brakes 2,300 metres after the runway threshold (runway 35 is 3,125 metres long), with the antiskid system activated,
- Due to an excessive approach speed (15 knots above Vref), a too long flare and a too late application of the brake systems, the aircraft could not be stopped within the remaining distance,
- The slats malfunction was the consequence of the failure of several actuators which did not support negative temperatures met during the last flight,
- Since last July 19, the slats failed 53 times on this aircraft, six times during the approach and 47 times in flight,
- The crew failed to initiate a go-around procedure.

Crash of an Airbus A340-642 in Quito

Date & Time: Nov 9, 2007 at 1706 LT
Type of aircraft:
Operator:
Registration:
EC-JOH
Survivors:
Yes
Schedule:
Madrid - Quito
MSN:
731
YOM:
2006
Flight number:
IB6463
Country:
Crew on board:
14
Crew fatalities:
Pax on board:
345
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
14024
Captain / Total hours on type:
2375.00
Copilot / Total flying hours:
10095
Copilot / Total hours on type:
1742
Aircraft flight hours:
8704
Aircraft flight cycles:
965
Circumstances:
Following an uneventful flight from Madrid, the crew contacted Quito Approach at 1650LT and received descent instructions in preparation for an instrument approach no. 4 (VOR QIT DME/ILS) for runway 35. During the descent the crew were notified that preceding flights had reported braking action medium to poor. The flight crew selected auto braking to 'High'. At 17:05, the crew reported the runway in sight, after which the controller stated that the wind was 170° at 4 knots, the runway was wet and reported braking action was poor. The flight was cleared to land. The pilot in command, following the procedures established by Iberia, decided to leave the ILS glide path and captured the path of the PAPI lights. The aircraft touched down 200 metres past the threshold at a 3.09g side load. The spoilers deployed automatically and main gear tyres 3 and 8 blew. The flap lever was moved involuntarily by the copilot, from the full position to position 2. The crew applied full manual braking and select reverse thrust. The Auto Brake function failed, after which the crew disconnected the antiskid braking system and continued to apply manual braking. The aircraft passed the end of runway 35, with a ground speed of 90 knots, hit the ILS localizer and stopped 232 meters further. Passengers and crew were evacuated using the slide at door 2R, thirty minutes after the aircraft stopped. All occupants escaped uninjured while the aircraft was considered as damaged beyond repair.
Probable cause:
Wrong approach configuration on part of the crew who decided to continue the approach to Quito Airport, knowing the poor runway conditions, poor weather conditions and the aircraft weight, and his failure to initiate a go-around procedure while forcing the aircraft to intercept the PAPI, causing the aircraft to be unstabilized.
Contributing factors:
- On the date of the incident, the crew did not have specific regulations and operating procedures (the briefing of the operator for the airport in Quito was inappropriate to the existent conditions).
- The fact that the crew still being experienced similar airports in Quito and had not experienced similar weather situations, circumstances that would have allowed a strategy of approximation consistent with the terms of this operation, in particular as regards:
- Calculations in flight for landing runway length,
- Minimum altitude to start the maneuver of changing the path of ILS to PAPI,
- Carrying out a very detailed briefing that allowed unwanted deviations on approach,
- The weather conditions existing at the time of landing (visibility, tail wind and moderate rain).

Crash of a Fokker F28 Fellowship 4000 in Quito

Date & Time: Jan 17, 2003 at 0940 LT
Type of aircraft:
Operator:
Registration:
HC-BMD
Flight Phase:
Survivors:
Yes
Schedule:
Quito – Tulcán – Cali
MSN:
11220
YOM:
1984
Flight number:
EQ120
Country:
Crew on board:
5
Crew fatalities:
Pax on board:
72
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
7085
Captain / Total hours on type:
4103.00
Copilot / Total flying hours:
1666
Copilot / Total hours on type:
124
Aircraft flight hours:
21547
Aircraft flight cycles:
40084
Circumstances:
During the takeoff roll on runway 35, at a speed of 125 knots, after a course of 2,110 metres, both tyres on the left main gear burst. The crew rejected the takeoff procedure but the aircraft was unable to stop within the remaining distance (runway 35 is 3,120 metres long). It overran, causing the nose gear to collapse, and came to rest 81 metres further. All 77 occupants escaped uninjured while the aircraft was damaged beyond repair.
Probable cause:
Lack of a positive actions and reaction on part of the crew following the bursting of both tires on the left main gear, causing the aircraft to overrun the runway.
Final Report:

Crash of a Tupolev TU-154M in Quito: 80 killed

Date & Time: Aug 29, 1998 at 1303 LT
Type of aircraft:
Operator:
Registration:
CU-T1264
Flight Phase:
Survivors:
Yes
Schedule:
Quito - Guayaquil - Havana
MSN:
85A720
YOM:
1985
Flight number:
CU389
Country:
Crew on board:
14
Crew fatalities:
Pax on board:
77
Pax fatalities:
Other fatalities:
Total fatalities:
80
Aircraft flight hours:
9256
Circumstances:
While parked on the apron at Quito-Mariscal Sucre Airport, the crew started the engine when a pneumatic valve blocked. The problem was resolved and two engines were started with ground power unit while the third engine was started during taxi. During the takeoff roll on runway 17, at Vr speed, the pilot-in-command started the rotation but the aircraft failed to respond. For unknown reasons, the crew took 10 seconds to decide to abort the takeoff. The captain initiated an emergency braking procedure but the remaining distance of 800 metres was insufficient. Unable to stop, the aircraft overran, struck a concrete wall, an auto spare parts building and crashed near a soccer field, bursting into flames. Seventy people in the aircraft was well as 10 people on the ground were killed while 21 people in the airplane and 15 on the ground were injured, some seriously. At the time of the accident, the total weight of the aircraft was 73,309 kilos, within limits.
Probable cause:
It is believed that the crew failed to follow the taxi and pre-takeoff checklist and forgot to select the switches for the hydraulic valves of the control system. No technical anomalies were found on the aircraft and engines.

Crash of a Boeing 727-2B6 in Quito

Date & Time: May 1, 1996 at 1656 LT
Type of aircraft:
Operator:
Registration:
PP-LBY
Flight Phase:
Survivors:
Yes
Schedule:
Quito - Guayaquil
MSN:
21297
YOM:
1976
Country:
Crew on board:
11
Crew fatalities:
Pax on board:
79
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
During the takeoff roll from runway 35 at Quito-Mariscal Sucre Airport, just before V1 speed, the captain decided to abandon the takeoff procedure and initiated an emergency braking manoeuvre. Unable to stop within the remaining distance, the aircraft overran, collided with the ILS antenna, went down an embankment, struck a concrete wall and came to rest. All 90 occupants evacuated safely while the aircraft was damaged beyond repair. On board were all staff and players of the Brazilian soccer team Corinthians.
Probable cause:
At the time of the accident, the total weight of the aircraft was 69,620 kilos, some 9,700 kilos above the MTOW. The crew had been told by the operator that MTOW was 70,000 kilos.

Crash of a Rockwell Sabreliner 75 in Quito: 13 killed

Date & Time: Dec 10, 1992 at 1845 LT
Type of aircraft:
Operator:
Registration:
AEE-402
Flight Type:
Survivors:
No
Site:
Schedule:
Machala - Quito
MSN:
380-45
YOM:
1975
Flight number:
FAE001A
Country:
Crew on board:
3
Crew fatalities:
Pax on board:
7
Pax fatalities:
Other fatalities:
Total fatalities:
13
Circumstances:
The descent to Quito-Mariscal Sucre Airport was completed by night and poor weather conditions. On short final, the crew failed to realize his altitude was insufficient when the aircraft struck a 10-floor building under construction and crashed about 3 km short of runway 35. All 10 occupants as well as three people on the ground were killed, among them General Carlomagno Andrade, Chief of the Ecuadorian Armed Forces.

Crash of a Cessna 421C Golden Eagle III in Machala: 10 killed

Date & Time: Sep 8, 1988 at 0900 LT
Flight Phase:
Survivors:
No
Schedule:
Machala - Quito
Location:
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
8
Pax fatalities:
Other fatalities:
Total fatalities:
10
Circumstances:
Three minutes after takeoff from Machala Airport, while in initial climb, the crew encountered technical problems (engines?) when the aircraft went out of control and crashed in a shrimp pond. All 10 occupants were killed.

Crash of a Rockwell Sabreliner 40R in Quito: 11 killed

Date & Time: Jun 3, 1988
Type of aircraft:
Operator:
Registration:
FAE068
Flight Type:
Survivors:
No
MSN:
282-68
YOM:
1966
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
9
Pax fatalities:
Other fatalities:
Total fatalities:
11
Circumstances:
On final approach to Quito-Mariscal Sucre Airport by night, the aircraft struck the top of a hill and crashed few km from the airfield. All 11 occupants were killed, among them General Angel Augusto Flores, Chief of the Ecuadorian Air Force, General Raul Cousin, Colonel Galo.

Crash of an Avro 748-285-2A in Quito

Date & Time: Jun 23, 1987 at 1227 LT
Type of aircraft:
Operator:
Registration:
HC-BAZ
Survivors:
Yes
MSN:
1738
YOM:
1975
Country:
Crew on board:
4
Crew fatalities:
Pax on board:
34
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
After landing at Mariscal Sucre Airport, the crew encountered technical problems and the aircraft was unable to stop within the remaining distance. It overran and came to rest few dozen meters further. All 38 occupants were evacuated safely and the aircraft was damaged beyond repair and later transferred to the Museum of the Ecuadorian Air Force in Quito.
Probable cause:
The accident was the consequence of the failure of the electrical system.

Crash of a Douglas DC-8-55F in Quito: 53 killed

Date & Time: Sep 18, 1984 at 1104 LT
Type of aircraft:
Operator:
Registration:
HC-BKN
Flight Phase:
Flight Type:
Survivors:
No
Site:
Schedule:
Miami – Quito – Guayaquil
MSN:
45754
YOM:
1965
Flight number:
2A103
Country:
Crew on board:
4
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
53
Aircraft flight hours:
60070
Aircraft flight cycles:
17003
Circumstances:
The DC-8 landed at Quito at 06:52 after a flight from Miami. Shortly after scheduled departure time of 09:00 members of the Ecuadorian Federation of Aircrews (FEDTA) requested and were granted permission to board the aircraft and discuss subjects relating to the aircrews' strike. The four Aeroservicios Ecuatorianos crew members didn't comply with the strike, after consulting AECA management. After a delay of about two hours, the n°4 engine was started. The crew then ordered the aircraft to be towed to the runway, perhaps in order to hasten the departure. The other engines were started during the towing operation. Pre-takeoff checks were not (or improperly) carried out. This caused the 0.5° horizontal stabilizer nose-up to go undetected, while 8° nose-up is required for takeoff. The DC-8 thus barely climbed after a ground run, extended to 48 meters beyond the runway end. The horizontal stabilizer struck the wooden structure of the ILS aerial, 83 meters past the runway 35 end. The aircraft then crashed into houses, 460 meters past the runway end and 35 meters to the right of the extended centreline. A total of 25 houses were demolished. All four crew members as well as 49 people on the ground were killed. At least 50 other people on the ground were injured, some of them seriously.
Probable cause:
The incorrect position of the horizontal stabilizer in relation to the aircraft's centre of gravity, which prevented the aircraft from reaching rotation and lift-off speed within the runway distance available. The following contributing factors were reported:
- Clearance of the aircraft from Quito was done incorrectly, since the MTOW permissible for the existing runway, wind and temperature conditions, the real take-off weight, the useful load distribution and the position of the aircraft's centre of gravity were not determined,
- The crew's state of mind may have been a contributing factor in the accident. It is assumed that it prevented the crew from concentrating on all aspects of the operation they were performing.