Ground fire of a Boeing 737-322 in Aktau

Date & Time: Jun 16, 2015 at 1900 LT
Type of aircraft:
Operator:
Registration:
LY-FLB
Flight Phase:
Survivors:
Yes
Schedule:
Aktau - Mineralnye Vody
MSN:
24667/1893
YOM:
1990
Flight number:
DV831
Location:
Country:
Region:
Crew on board:
0
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
After completing flight DV742 from Astana, the aircraft was parked at a gate, waiting for its passengers to complete the flight DV831 to Mineralnye Vody. The aircraft landed at 1818LT and was scheduled to depart around 1915LT when an explosion occurred in the forward baggage compartment (between STA 380 and STA 440). A fire spread into the cabin and partially destroyed the fuselage. Nobody was hurt in this incident but the aircraft was damaged beyond repair.
Probable cause:
The cause of the fire and the fire on board the aircraft, was the spontaneous destruction of the oxygen hose with compressed oxygen, used for filling the aircraft using a ground source with pressurized oxygen.
Contributing causes of fire and the fire were:
Instant spontaneous combustion of dynamically disturbed and oxygen-enriched air-flow in a fine dust environment in the front luggage compartment in the area of the aircraft oxygen bottle due to constant pressure of oxygen coming from an open oxygen cylinder.

Crash of a PZL-Mielec AN-2P in Shatyrkul: 6 killed

Date & Time: Jan 20, 2015 at 1540 LT
Type of aircraft:
Operator:
Registration:
UP-A0314
Survivors:
Yes
Schedule:
Karaganda – Balkhach – Shatyrkul
MSN:
1G149-70
YOM:
1973
Country:
Region:
Crew on board:
3
Crew fatalities:
Pax on board:
4
Pax fatalities:
Other fatalities:
Total fatalities:
6
Aircraft flight hours:
13227
Circumstances:
The single engine aircraft was approaching Shatyrkul in foggy conditions when it crashed in a snow covered field located 1,2 km south of the landing zone area, some 20 km north of Shatyrkul. SAR arrived on scene at 1701LT. A female passenger was seriously injured and was evacuated to a local hospital while six other occupants were killed. The four passengers were employees of the Kazakhmys Mining Company. At the time of the accident, the visibility was poor due to fog.
Probable cause:
The crew descended without visual contact to the ground and without having fed the air pressure of the airstrip into the barometric altimeter, causing the aircraft to impact the ground on final approach.

Crash of a PZL-Mielec AN-2R in Terenozek: 1 killed

Date & Time: Jun 28, 2013 at 1940 LT
Type of aircraft:
Registration:
UP-A0190
Flight Phase:
Survivors:
Yes
MSN:
1G220-21
YOM:
1986
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Circumstances:
The crew was engaged in a crop spraying flight in Terenozek. While flying at low height, the pilot-in-command initiated a left turn when the aircraft crashed in a field, bursting into flames. The copilot was seriously injured and the captain was killed.
Probable cause:
The accident was caused by the combination of the following factors:
- Violation by the crew of the airplane flight control of the An-2,
- Loss of speed while making a turn,
- Unsatisfactory knowledge of the work area by the crew.

Crash of a Canadair RegionalJet CRJ-200ER in Almaty: 21 killed

Date & Time: Jan 29, 2013 at 1310 LT
Operator:
Registration:
UP-CJ006
Survivors:
No
Schedule:
Kokshetau - Almaty
MSN:
7413
YOM:
2000
Flight number:
VSV760
Country:
Region:
Crew on board:
5
Crew fatalities:
Pax on board:
16
Pax fatalities:
Other fatalities:
Total fatalities:
21
Captain / Total flying hours:
18194
Captain / Total hours on type:
1010.00
Copilot / Total flying hours:
3507
Copilot / Total hours on type:
132
Aircraft flight hours:
25707
Aircraft flight cycles:
22975
Circumstances:
Following an uneventful flight from Kokshetau, the crew started the descent to Almaty Airport and was cleared for an ILS approach (Cat IIIb approach) to runway 23R. At this time, the horizontal visibility was 200 metres, the vertical visibility 40 metres and the RVR for runway 23R was 275-250-225 metres respectively. Due to this poor weather conditions at destination, the captain got stressed, creating a strong emotional reaction. On short final, at an altitude of 180 metres, the captain decided to abandon the landing procedure and initiated a go-around manoeuvre. The automatic pilot system was deactivated and the TO/GA mode was activated. Four seconds later, the captain pushed the control column forward, causing the aircraft to descend. The EGPWS alarm sounded in the cockpit but there was no response from the flying crew. In a pitch angle of -16° and with a descent rate of about 20-30 metres per second, the aircraft impacted ground and disintegrated in a snow covered field. The wreckage was found some 1,400 metres short of runway. All 21 occupants were killed. Due to the actual weather conditions, the crew should perform a Cat IIIc approach.
Probable cause:
The accident with aircraft CRJ-200 UP-CJ006 occurred during the execution of a go-around, in instrument meteorological conditions, without the possibility of visual contact with ground reference points (vertical visibility in the fog did not exceed 40 m), the necessity of which was caused by the mismatch between the actual weather conditions and the minimum conditions for which the crew was certified to land. As a result, the deflection of the elevator towards a dive of the aircraft caused a descent and collision with the ground. It was not possible to uniquely identify the causes of the aircraft's transfer to a dive from the available data. The Commission did not find evidence of failures of aviation equipment, as well as external to the aircraft (icing, wind shear, wake turbulence) when trying to perform a go-around.
The most likely factors that led to the accident, were:
- Partial loss performance of the pilot in command, which at the time of aircraft impact with the ground was not in a working position;
- The lack of CRM levels in the crew, and violation of the Fly-Navigate-Communicate principle, which manifested itself in diverting attention by the co-pilot to conduct external radio communication and lack of control of the flight instrument parameters;
- The lack of response to the EGPWS and the actions required;
- The impact somatogravic illusions of perception of the pitch angle (a nose-up illusion);
- Increased emotional stress by the crew members associated with the unjustified expectations of improved weather conditions at the time of landing;
- Failure to comply with the requirements for health examination of flight personnel, which led to the pilot in command flying without the rehabilitation period and without assessment of his health status after undergoing surgery.
Final Report:

Crash of an Antonov AN-72 in Shymkent: 27 killed

Date & Time: Dec 25, 2012 at 1854 LT
Type of aircraft:
Registration:
UP-72859
Flight Phase:
Flight Type:
Survivors:
No
Site:
Schedule:
Astana - Shymkent
MSN:
36576092859
YOM:
1990
Country:
Region:
Crew on board:
7
Crew fatalities:
Pax on board:
20
Pax fatalities:
Other fatalities:
Total fatalities:
27
Circumstances:
The aircraft was completing a flight on behalf of the Kazakh Border Guard Corp. While approaching Shymkent in low visibility due to the night and heavy snow falls, the aircraft hit a mountain slope located 21 km from the airport and was destroyed by impact forces. All 27 occupants were killed, among them Tourganbek Stambekov, Chief of the Kazakhtan Border Guards. It appears that the automatic pilot system failed shortly after take off from Astana and the captain decided to continue the flight. Two minutes and 40 seconds later, the radio altimeter failed as well and the crew continued the flight, referring to the barometric altimeter. But these suffered a momentary failure 19 minutes later and several differences were observed with the altitude parameters. During the descent to Shymkent in poor weather conditions, the captain failed to set the correct pressure in the barometric altimeters so the setting he was taking for reference was wrong. At the time of the accident, the aircraft was 385 meters too low and as a result, the Board concluded that the accident was the consequence of a controlled flight into terrain (CFIT).
Probable cause:
Controlled flight into terrain (CFIT).

Crash of a PZL-Mielec AN-2R in Sarybulak: 2 killed

Date & Time: Jun 24, 2010 at 1730 LT
Type of aircraft:
Operator:
Registration:
UP-A0161
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Taiynsha - Sorochinskiy
MSN:
1G206-40
YOM:
1984
Country:
Region:
Crew on board:
3
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
2
Circumstances:
The crew was on a positioning flight for a crop-spraying mission in North Kazakhstan when he lost his orientation between the villages of Taiynsha and Sorochinskiy. He landed on a small field near the village of Sarybulak to establish his position. After takeoff with a slight tail wind, at a height of 15 metres, the pilot-in-command initiated a left turn when the left lower wing struck a tree. The aircraft stalled and crashed, bursting into flames. Both pilots were killed while the engineer was seriously injured. The aircraft was totally destroyed by a post crash fire.
Probable cause:
The following findings were identified:
- Takeoff from a limited area,
- Failure to take into account obstacles by the crew during takeoff,
- Incorrect selection of the take-off site;
- High outside air temperature and tailwind component.

Crash of a Canadair CL-604-2B16 Challenger in Almaty: 1 killed

Date & Time: Dec 26, 2007 at 0302 LT
Type of aircraft:
Operator:
Registration:
D-ARWE
Flight Phase:
Survivors:
Yes
Schedule:
Hanovre – Almaty – Macao
MSN:
5454
YOM:
2000
Flight number:
JCX826
Country:
Region:
Crew on board:
3
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
7200
Captain / Total hours on type:
1258.00
Copilot / Total flying hours:
2650
Copilot / Total hours on type:
60
Aircraft flight hours:
7882
Aircraft flight cycles:
4556
Circumstances:
On December 25, 2007 a crew of JetConnection Businessflight AG airline including the PIC, the co-pilot and a flight attendant was conducting a charter flight JCX826 routed Hannover (Germany), Astana (Republic of Kazakhstan) – Macao (China) on a CL-604 aircraft (registration D-ARWE). Apart from the crew there was one passenger on board. At 12:10 (hereinafter UTC time is used) on December 25, 2007 the crew took off at Hannover Airport. During the flight the crew was informed that there was no fuel available for refueling the aircraft at Astana Airport. Due to this the crew decided to change the flight route and refuel the aircraft at Almaty International Airport (Republic of Kazakhstan). The flight from Hannover to Almaty in accordance with the PIC explanations was normal. No faults in the operation of the aircraft systems or equipment were detected. At 18:46 the crew landed at Almaty Airport. The ground handling service at Almaty Airport was provided by Bercut Air Services KZ based at the airport. The departure from Almaty to Macao according to the schedule was planned for 20:50 on December 25, 2007. The ground handling and servicing was provided by Bercut Air Services KZ Company. In accordance with the work order the Almaty ground services conducted refueling and anti-icing. The Pre-Flight Check was conducted by the PIC. He also monitored the refueling and stabilizer and wing anti-icing. According to the PIC interrogation there were no faults detected in the operation of aircraft systems and equipment. 8460 liters (6827 kg) of TC-1 condition fuel was refueled. According to the estimations, total fuel on board was 7605 kg. The refueled fuel was distributed in the fuel tanks in accordance with the AFM of the CL-604 aircraft. In accordance with the estimations the aircraft weight was 20659 kg, CG 33,1%, which was within the CL-604 AFM limitations. During the pre-flight preparation for the flight to Macao the crew of the CL-604 D-ARWE did not receive the meteorological consultation or documentation at the Almaty Meteorological Center. According to BFU information the crew of the JCX826 flight had received the integrated meteorological consultation for the flight to Macao before the takeoff from Hannover. In Almaty PIC has received updated data through the Internet from the website of the German Meteorological Service (DWD) and also from the PPS provider of the JetConnection Businessflight AG (Billund, Denmark). According to the ATC tape recorder data containing the communication of the СL-604 D-ARWE crew with the ATC offices of Almaty airport, at 20:17:55 the crew informed the Ground Control that they were ready to startup and taxi right after the completion of the anti-icing procedure. At 20:18:24 the Ground Control instructed the crew: “JCX826, expect start up in 5 minutes.” At 20:20:48 in reply to the Controller’s request if they were ready for start-up the crew reported: “We are expecting anti-icing which is about to start now”. While waiting for the anti-icing the crew received the ATC clearance for departure. In accordance with the DE-ICING\ANTI-ICING REQUEST from the 25.12.2007, signed by the PIC and the Bercut Air Servises KZ manager the processing with using Type 1 and Type 2 fluids was conducted in two steps. On the first stage Type 1 deicing fluid (Killfrost DF Plus) was applied to remove the icing with the estimated fluid to water ratio of 70/30%. According to the enquiry of the de-icing operator the temperature of the Type 1 fluid in the tank of the SIMON GLOBAL 2110 machine used for the fluid application was about + 80˚ С, and at the outlet of the sprayer it was not less than +60˚ С. Note: The check of the SIMON GLOBAL 2110 machine conducted by the investigation team after the accident revealed that the temperature of the Type 1 fluid at the outlet of the sprayer is +66˚ С, which complies with the СL-604 OM (Part 1, page 06-12-17). On the second stage of the anti-icing procedure the Type 2 anti-icing fluid was used (Killfrost ABC 2000) with the estimated fluid to water ratio of 100/0%. Note: In the fluid Type 1 and Type 2 delivery receipt No.4002014 by mistake was shown unreal concentration 70/00 for the Type 2 fluid instead of its real concentration 100/00. The OM of the CL-604 does not suggest preliminary heating and heating monitoring of Type 2 fluid. According to the record in the aircraft fuelling receipt the amount of the applied Type 2 fluid was 250 liters. According to the requirements of Annex A, page XXI of the AEA, Training Recommendation and background Information for de-icing/anti-icing of aircraft on the ground, Edition 2, September 2005 the recommended anti-icing fluid minimum for the wing and stabilizer of a CL-604 type aircraft was 100 liters. Thus enough Type 2 fluid was applied for the anti-icing of CL-604 D-ARWE. The inspection of the fluid samples used for the de-icing/anti-icing of the CL-604 D-ARWE aircraft conducted at Almaty airport laboratory revealed that the Type 1 fluid had an actual fluid to water ratio of 67/33% while the Type 2 fluid 99/1%. Provided the OAT at Almaty airport at the time of the fluid application was minus 13˚ С, the mentioned ratios were within the requirements of the CL-604 OM (Part 1, Section VI, Cold Weather Operations). The actual weather at Almaty airport according to the request of the Approach Control for 20:49 was as follows: surface wind 360˚ 2 m/sec, RVR 2900 m, light snow, mist, clouds 8 oktas, nimbostratus, fractonimbus, cloudbase 150 m, QFE 718 mm mercury, OAT minus 12,9˚ С, dewpoint minus 13,7˚, moisture content 93%, QFE 718 mm mercury. In accordance with the de-icing/anti-icing operator the de-/anti-icing procedure was conducted in compliance with the CL-604 OM recommendations in the following order: stabilizer, left wing, right wing. Every surface was applied first with Type 1 and then Type 2 fluid. The time between the completion of the Type 1 application and the beginning of the Type 2 application in accordance with the operator’s explanations did not exceed 1.5-2 minutes which is suggested in Section VI of the CL0604 OM. According to the estimations conducted by the investigation team the application of the Type 2 fluid was started at 20:37. Note: In accordance with the CL-604 OM (Part 1, page 06-12-13), the holdover time of the Type 2 fluid with the fluid to water ration of 100/0 in the OAT range of -3…-20˚ С, with precipitation in the form of snow and snow grain is 15…30 minutes. According to the information recorded by the FDR, during the de-/anti-icing the aircraft flaps were retracted while the stabilizer deflection was minus 4,7˚. By 20:43 the de-/anti-icing procedure was completed. On leaving the aircraft the PIC made a visual and tactile (by touching the wing surface) inspection of the anti-icing quality, admitted that it was satisfactory by signing in the de-/anti-icing receipt. After that the PIC returned to the aircraft and the crew began the engine start-up. In accordance with the FDR information, by 20:46 the crew had started up first the right engine and then the left engine. The N2 of the right and left engine in the idle mode was 61,5 % and 62,0 % respectively. In 10 seconds after the left engine start-up the Cowl Anti-Ice was engaged. In accordance with the CVR information, a check at a stage After Engine Start was performed by the flight crew in a volume which stipulated by the JetConnection Businessflight AG “ABBRIVIATED CHECKLIST”. However a comparison of this checklist with the CL-604 D-ARWE AFM checklist (Chapter 4 “Normal Procedures” Section “Consolidated Checklists” Item L “After Engine Start Check”) shows the absences of WAI and CAI systems checks. Note: For a number of other preflight preparation stages the JetConnection Businessflight AG “ABBRIVIATED CHECKLIST” also doesn’t cover all procedures stipulated by the CL-604 AFM. At 20:47:42 the crew reported the Ground Control that they were ready for taxiing. At 20:48:25 the Ground Control cleared the crew for the holding point following the leader van. Within 20:51:17 – 20:51:45, the crew checked the rudder, the ailerons and elevators and extended the flaps to the takeoff position (Flaps 20). The stabilizer position (-4,7˚) did not change. At 20:51:55 the crew was instructed by the Ground Control to expect further instructions at the holding point and contact the Tower Control. At 20:52:17 after contacting the Tower Control the crew was instructed to wait on the holding point as there was an MD-83 aircraft making Flight UKM 109 on final at a distance of 14 km. At 20:57:15, after the MD-83 landed the Tower Control cleared the CL-604 D-ARWE to line up at RWY 05 and at 21:01:30 they were cleared for takeoff. During the takeoff an increasing right bank started developing. As the aircraft was banking to the right it touched the right runway edge with its right wing tip. Then the aircraft, leaning on the right wing, moved to the graded airfield to the right of the runway and hit its surface with the right main landing gear and nose landing gear. During the further movement the aircraft hit the reinforced fence of the airdrome and shifting on the ground 190 m beyond the airdrome finally stopped. At the final stage of movement a fire occurred which was extinguished by the airport fire brigades. The actual weather at Almaty airport checked after the accident alert at 21:04 was as follows: wind 350° 4 m/sec, visibility 1200 m (RVR 2500 m), snow, mist, clouds 8 oktas, nimbostratus, fractonimbus, cloudbase 120 m, OAT minus 14° С, dewpoint minus 15° С, moisture content 92%, pressure 718 mm mercury. Runway 05 condition – dry snow up to 10 mm, friction factor 0.32. The accident occurred on December 25, 2007 at 21:02 UTC (26.12.2007 at 03:02 local time).
Probable cause:
The accident involving a CL-604 aircraft registered D-ARWE was caused by the asymmetric lift loss at takeoff which led to aircraft stall right after the liftoff, collision with the ground and obstacles, aircraft destruction and ground fire. The lift loss was most probably caused by the contamination of the wing leading edge with precipitation in the form of snow after the anti-icing which occurred as the crew did not engage the Wing Anti-Ice before the takeoff which is a mandatory requirement of the CL-604 AFM in the actual weather conditions (moderate snow, OAT minus 14° С, moisture content 92 %, dewpoint minus 15° С, dry snow on the runway, 10 mm thick). Significant violation of the CL-604 AFM/OM limitations concerning the rate of rotation (pitch rate) when taking off with contaminated wing provided it was impossible to monitor this parameter instrumentally could have contributed to the situation. The inefficiency of the availably stall protection system at takeoff due to the hypersensitive wing as to contamination of its leading edge cannot completely guarantee prevention of similar accidents in the future.
Final Report:

Crash of an Antonov AN-2P in Novobratskoye: 1 killed

Date & Time: Aug 12, 2006
Type of aircraft:
Operator:
Registration:
UN-02683
Survivors:
Yes
Schedule:
Novobratskoye - Novobratskoye
MSN:
1G123-49
YOM:
1971
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Circumstances:
Following a crop spraying flight, the crew was returning to Novobratskoye when the captain suddenly died on final approach. As the copilot was unable to regain control in time, the aircraft entered a dive and crashed, bursting into flames. The copilot was injured and the captain was killed.
Probable cause:
Loss of control on approach after the pilot-in-command died.

Crash of a PZL-Mielec AN-2P in Tayinsha: 1 killed

Date & Time: Jun 17, 2006 at 0630 LT
Type of aircraft:
Operator:
Registration:
UN-70367
Flight Phase:
Survivors:
Yes
Schedule:
Tayinsha - Tayinsha
MSN:
1G141-21
YOM:
1973
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Circumstances:
The crew was completing a crop-spraying flight in the region of Tayinsha, North Kazakhstan. While flying at a height of about 10-15 metres, the crew wanted to impress a group of women working in the field, initiated risky manoeuvres and eventually lost control of the aircraft that rolled steeply to the left and crashed upside down. The aircraft was destroyed and both pilots were seriously injured. Few days later, one of them died from his injuries.

Crash of a PZL-Mielec AN-2R in Bozoy: 1 killed

Date & Time: May 19, 2004 at 1040 LT
Type of aircraft:
Operator:
Registration:
UN-70276
Flight Phase:
Survivors:
Yes
Schedule:
Kyzylorda – Bozoy – Vozrozhdeniya Island
MSN:
1G139-35
YOM:
1972
Location:
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
10
Pax fatalities:
Other fatalities:
Total fatalities:
1
Circumstances:
The single engine aircraft departed Kyzylorda on a charter flight to the island of Vozrozhdeniya with an intermediate stop in Bozoy, carrying 10 doctors and two pilots. They were taking part to a plague control program. After takeoff from Bozoy, while climbing to a height of about 50 metres, the aircraft stalled and crashed in an open field. All 12 occupants were rescued, among them three passengers were seriously injured. Few hours later, one of them died from his injuries.
Probable cause:
Stall and loss of control after the cargo shifted during initial climb. It was determined that the cargo was not properly secured in the cabin and moved to the rear during initial climb. The distance between the aircraft and the ground was insufficient to expect recovery. It was also reported that the aircraft has been refueled with AI-96 motor gasoline instead of aviation fuel.