Crash of a Cessna 208B Caravan in Fazenda Vera Paz

Date & Time: Mar 29, 2005 at 0724 LT
Type of aircraft:
Operator:
Registration:
PT-MPA
Flight Type:
Survivors:
Yes
Schedule:
Itaituba – Fazenda Vera Paz
MSN:
208B-0627
YOM:
1997
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
15000
Captain / Total hours on type:
4200.00
Circumstances:
The single engine airplane departed Itaituba-Mundico Coelho Airport on a cargo flight to Fazenda Vera Paz, a private airstrip located 360 km southwest from Itaituba Airport, carrying one pilot and a load of foods. After touchdown on runway 32, the pilot lost control of the aircraft that veered off runway to the left and came to rest in a drainage ditch, bursting into flames. The pilot escaped uninjured while the aircraft was destroyed by fire.
Probable cause:
Loss of control on landing for unknown reasons. It was not possible to determine whether the heavy rainfall that occurred in the region effectively contributed to the loss of control of the aircraft on the ground. In addition to the narrowing of the runway, the position of the drainage ditch became an obstacle, which prevented the aircraft from decelerating safely, culminating in the collision of the front landing gear against it and the impact of the propeller on the ground.
Final Report:

Crash of an Embraer EMB-110 Bandeirante in Uberaba: 3 killed

Date & Time: Dec 11, 2004 at 0516 LT
Operator:
Registration:
PT-WAK
Flight Type:
Survivors:
No
Site:
Schedule:
São Paulo – Uberaba
MSN:
110-071
YOM:
1975
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
3
Captain / Total flying hours:
4920
Captain / Total hours on type:
596.00
Copilot / Total flying hours:
659
Copilot / Total hours on type:
459
Aircraft flight hours:
11689
Circumstances:
When the crew departed São Paulo-Guarulhos Airport, weather conditions at destination were considered as good. These conditions deteriorated en route and when the crew started the approach to Uberaba Airport by night, the visibility was below IFR minimums. Nevertheless, the crew attempted to land, continued the approach, descended below the MDA by 240 feet when the aircraft struck two houses and crashed in the district of Conjunto Pontal, bursting into flames. The wreckage was found about 800 metres short of runway 17 threshold. Both pilots as well as one people in a house were killed.
Probable cause:
The decision of the crew to descend below MDA in below weather minimums. The following contributing factors were identified:
- Low visibility (night),
- Poor judgment on part of the crew,
- Poor approach planning,
- Lack of supervision,
- The pilot acted on the controls of the aircraft to allow it to stall during the approach, losing its control and colliding with the obstacles,
- Poor crew coordination,
- Lack of discipline.
Final Report:

Crash of a Boeing 707-330C in Manaus

Date & Time: Oct 23, 2004 at 0840 LT
Type of aircraft:
Operator:
Registration:
PP-BSE
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Manaus – São Paulo
MSN:
19317
YOM:
1967
Country:
Crew on board:
3
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
9487
Captain / Total hours on type:
6600.00
Copilot / Total flying hours:
14180
Copilot / Total hours on type:
3180
Aircraft flight hours:
95933
Circumstances:
Ready for takeoff on runway 10 at Manaus-Eduardo Gomes Airport, the crew released brakes and increased engine power when a loud noise was heard coming from the right side of the aircraft. The captain decided to reject takeoff and applied brakes when the aircraft started to deviate to the right. It veered off runway and came to rest. All three crew members escaped uninjured while the aircraft was considered as damaged beyond repair after the right main gear punctured the wing.
Probable cause:
The right main gear collapsed during takeoff following a structural failure caused by the presence of fatigue cracks that were not detected by the maintenance crew because of poor maintenance. The aircraft already suffered an accident in Guarulhos Airport, causing damages to the right main gear.
Final Report:

Crash of an Embraer EMB-120ER Brasília near Manaus: 33 killed

Date & Time: May 14, 2004 at 1835 LT
Type of aircraft:
Operator:
Registration:
PT-WRO
Survivors:
No
Schedule:
São Paulo de Olivença – Tabatinga – Tefé – Manaus
MSN:
120-070
YOM:
1988
Flight number:
RLE4815
Location:
Country:
Crew on board:
3
Crew fatalities:
Pax on board:
30
Pax fatalities:
Other fatalities:
Total fatalities:
33
Captain / Total flying hours:
19069
Captain / Total hours on type:
5819.00
Copilot / Total flying hours:
11927
Copilot / Total hours on type:
4637
Circumstances:
While descending to Manaus-Eduardo Gomes Airport following an uneventful flight from Tefé, the aircraft was correctly established on the ILS when the crew was instructed by ATC to initiate a go-around and to follow a holding pattern as the priority was given to an ambulance flight. The crew made a left turn heading 060° and continued the descent after passing 2,000 feet when the aircraft struck the ground and crashed about 33 km from the airport. The aircraft disintegrated on impact and all 33 occupants were killed.
Probable cause:
Controlled flight into terrain after the crew continued the descent below 2,000 feet until the aircraft impacted ground. The following contributing factors were identified:
- The crew reported his altitude at 2,000 feet while the real altitude of the airplane was 1,300 feet,
- The crew continued the descent until final impact,
- The crew did not react to the GPWS alarm that sounded four times when the aircraft reached the altitude of 400 feet,
- No corrective action was taken by the crew,
- Lack of crew coordination,
- Poor approach planning that led the aircraft descending to a critical altitude,
- Lack of supervision,
- Operational deficiencies.
Final Report:

Crash of an Embraer EMB-820C Navajo in Monsenhor Gil: 2 killed

Date & Time: Feb 23, 2004 at 1100 LT
Registration:
PT-EBU
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Picos – Teresina
MSN:
820-005
YOM:
1975
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
2
Circumstances:
Following several flights during the last days, the crew departed Picos on the last leg to Teresina. While descending to Teresina-Senador Petrônio Portella Airport, the crew informed ATC about the failure of the left engine and reduced his altitude to attempt an emergency landing. The aircraft struck a tree and crashed in an open field located about 800 metres from a road. The wreckage was found 51 km southeast of Teresina Airport. Both pilots were killed.
Probable cause:
Failure of the left engine due to fuel exhaustion. The following findings were identified:
- Poor flight preparation,
- Complacency, overconfidence,
- Contempt for published procedures and poor judgment,
- The copilot's licence and medical documents were expired.
Final Report:

Crash of a Fokker F27 Friendship 600 in Tarauacá

Date & Time: Oct 20, 2003 at 1132 LT
Type of aircraft:
Operator:
Registration:
PT-TVA
Survivors:
Yes
Schedule:
Cruzeiro do Sul – Tarauacá – Rio Branco
MSN:
10334
YOM:
1967
Flight number:
TVJ6167
Location:
Country:
Crew on board:
3
Crew fatalities:
Pax on board:
20
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
12000
Captain / Total hours on type:
3797.00
Copilot / Total hours on type:
2682
Aircraft flight hours:
55725
Aircraft flight cycles:
60270
Circumstances:
After landing at Tarauacá Airport, the crew started the braking procedure when control was lost. The aircraft veered off runway, collided with several obstacles and came to rest in a ditch. All 23 occupants escaped uninjured while the aircraft was damaged beyond repair.
Probable cause:
Loss of control after landing after the crew selected the power levers on 'ground fine pitch', combined with the failure of the antiskid system due to poor maintenance. The operator was facing enormous financial difficulties which affected the motivation of the maintenance, flight and cabin crew, which was considered as a contributing factor.
Final Report:

Crash of a Cessna 551 Citation II/SP in Sorocaba: 1 killed

Date & Time: Jul 23, 2003 at 0840 LT
Type of aircraft:
Operator:
Registration:
PT-LME
Flight Type:
Survivors:
Yes
Schedule:
Lins - Sorocaba
MSN:
551-0023
YOM:
1980
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
3920
Captain / Total hours on type:
1300.00
Copilot / Total flying hours:
1000
Copilot / Total hours on type:
90
Aircraft flight hours:
8761
Circumstances:
The aircraft departed Lins Airport on a ferry flight to Sorocaba with two pilots on one passenger (the owner) on board. The aircraft was transferred to Sorocaba Airport for maintenance purposes. While descending, the crew was informed that runway 36 was in use and that three small aircraft were completing local training in the circuit. In good weather conditions, the captain decided to complete a straight-in approach to runway 18. After touchdown, the aircraft was unable to stop within the remaining distance. It overran, crossed a road and came to rest into a ravine. The passenger escaped uninjured, the copilot was seriously injured and the captain was killed. The aircraft was destroyed.
Probable cause:
Wrong approach configuration on part of the crew who completed an unstabilized approach and landed too far down the runway (about a half way down) at an excessive speed. In such conditions, the aircraft could not be stopped within the remaining distance. The following contributing factors were identified:
- The crew did not make any approach briefing,
- The crew failed to follow the approach checklist,
- The aircraft had deficiencies in maintenance, particularly with regard to the brakes systems,
- The techlogs were out of date,
- Maintenance was periodic but insufficient,
- Although the runway 36 was in use, the captain preferred to land on runway 18,
- The aircraft was unstable on short final and landed too far down the runway, reducing the landing distance available,
- The aircraft' speed upon landing was excessive, preventing the reverse thrust systems to be activated,
- The captain took over control and activated the reverse thrust system on the right engine only,
- Poor crew coordination,
- The crew was operating in a conflict environment after touchdown,
- Poor judgment of the situation,
- Poor flight planning,
- Lack of crew discipline.
Final Report:

Crash of a Mitsubishi MU-2B-35 Marquise in Belém: 4 killed

Date & Time: Jul 1, 2003 at 1957 LT
Type of aircraft:
Operator:
Registration:
PT-LFX
Survivors:
No
Schedule:
São Luis – Belém
MSN:
650
YOM:
1974
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
4
Captain / Total flying hours:
11236
Captain / Total hours on type:
4886.00
Copilot / Total flying hours:
1015
Copilot / Total hours on type:
359
Circumstances:
The twin engine aircraft was completing a taxi flight from São Luis to Belém, carrying two passengers, two pilots and a load of briefcases with bank documents. On approach to Belém-Val de Cans Airport by night, the crew encountered poor weather conditions with limited visibility, CB's, rain falls and severe turbulences. On final approach, the aircraft went out of control and crashed on the Ilha das Onças Island, about 5,5 km west of runway 06 threshold. The aircraft was destroyed and all four occupants were killed.
Probable cause:
It was determined that both engines were running normally at impact and no technical anomalies were found on the aircraft and its equipments. Both pilots were properly licenced and experienced on this type of aircraft. At the time of the accident, weather conditions were poor with CB's, rains falls, severe turbulences, strong winds and probable windshear that may have been a contributing factor.
Final Report:

Crash of an Embraer EMB-820C Navajo in Belo Horizonte: 4 killed

Date & Time: Jun 11, 2003 at 1600 LT
Registration:
PT-EHH
Survivors:
No
Schedule:
Belo Horizonte – Juiz de Fora
MSN:
820-044
YOM:
1977
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
4
Captain / Total flying hours:
180
Copilot / Total flying hours:
150
Circumstances:
The twin engine aircraft departed Belo Horizonte-Pampulha Airport at 1522LT on a taxi flight to Juiz de Fora, carrying two pilots, two passengers and a load of valuables. While cruising about 35 nm south of Belo Horizonte, the crew encountered technical problems with the engines and elected to return for an emergency landing. On approach to runway 13, the aircraft was too high and the crew was cleared to make a 360 turn to reduce his altitude. Doing so and after he completed 270° of this turn, the aircraft entered an uncontrolled descent and crashed 2 km short of runway, bursting into flames. The aircraft was totally destroyed by impact forces and a post crash fire and all four occupants were killed.
Probable cause:
The right engine suffered a oil leak in flight following the failure of a hose due to poor maintenance. The following contributing factors were identified:
- Both pilots did not have sufficient experience nor training on this type of aircraft,
- The copilot was flying for this operator for the first time,
- The operator was unable to provide any maintenance documentation nor crew training documentation to investigators,
- Both engines were running at impact but with limited power,
- The right propeller was feathered at impact.
Final Report:

Crash of a Mitsubishi MU-300 Diamond 1A in Santos

Date & Time: Mar 23, 2003 at 1025 LT
Type of aircraft:
Registration:
PT-LNN
Survivors:
Yes
Schedule:
Rio de Janeiro – Santos
MSN:
0048
YOM:
1982
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
12500
Captain / Total hours on type:
35.00
Copilot / Total flying hours:
4500
Copilot / Total hours on type:
19
Circumstances:
The aircraft departed Rio de Janeiro-Santos Dumont Airport on a flight to Santos, carrying one passenger and two pilots. Following an approach via the local NDB, the crew started the descent to Santos Airport but was forced to initiate a go-around procedure because he was not properly aligned. A second attempt to land was started to runway 35 with a tailwind component. Following an unstabilized approach, the aircraft landed 450 metres past the runway threshold (runway 35 is 1,390 metres long). Unable to stop within the remaining distance, the aircraft overran and came to rest in the Bertioga Canal. All three occupants evacuated safely while the aircraft was damaged beyond repair.
Probable cause:
Wrong approach configuration on part of the crew who continued the descent while the aircraft was unstable and moreover with a tailwind component. The aircraft landed at an excessive speed about 450 metres past the runway threshold, reducing the landing distance available. The tailwind component and the crew inexperience was contributing factors.
Final Report: