Date & Time:
Apr 19, 2014 at 1946 LT
Type of aircraft:
BAe 125
Operator:
Lineas Aéreas Comerciales (LACSA)
Registration:
XA-UKR
Flight Phase:
Landing (descent or approach)
Flight Type:
Charter/Taxi (Non Scheduled Revenue Flight)
Survivors:
No
Site:
City
Schedule:
Cozumel - Saltillo
MSN:
257191
YOM:
1982
Country:
Mexico
Region:
Central America
Crew on board:
2
Crew fatalities:
2
Pax on board:
6
Pax fatalities:
6
Other fatalities:
0
Total fatalities:
8
Captain / Total hours on type:
4470
Copilot / Total hours on type:
67
Aircraft flight hours:
6166
Aircraft flight cycles:
4699
Circumstances:
Following an uneventful flight from Cozumel, the crew initiated an ILS/DME2 approach to Saltillo-Plan de Guadalupe Airport Runway 17. On final, the crew encountered poor visibility due to foggy conditions. Despite he was unable to establish a visual contact with the runway, the crew continued the approach and descended below the MDA when the aircraft collided with power cables and crashed on a building located in an industrial park, 1,448 metres short of runway. The aircraft was destroyed by impact forces and a post crash fire and all eight occupants were killed. The building was also destroyed by fire. At the time of the accident, the horizontal visibility was estimated to be 800 metres with a vertical visibility of 200 feet.
Probable cause:
The accident was the consequence of the decision of the crew to continue the approach below MDA in IMC conditions until the aircraft collided with power cables and impacted ground. The following contributing factors were identified:
- The approach was unstable,
- The decision of the crew to continue the approach below MDA without visual contact with the runway,
- Poor safety culture by the operator,
- The crew failed to comply with procedures related to an ILS/DME2 approach to runway 17,
- Lack of crew resources management,
- The crew failed to respond to the GPWS alarm,
- The crew did not monitor the altitude during the final approach,
- Poor weather conditions with a visibility below minimums,
- Inadequate maintenance controls,
- The crew failed to follow the SOP's.
- The approach was unstable,
- The decision of the crew to continue the approach below MDA without visual contact with the runway,
- Poor safety culture by the operator,
- The crew failed to comply with procedures related to an ILS/DME2 approach to runway 17,
- Lack of crew resources management,
- The crew failed to respond to the GPWS alarm,
- The crew did not monitor the altitude during the final approach,
- Poor weather conditions with a visibility below minimums,
- Inadequate maintenance controls,
- The crew failed to follow the SOP's.
Final Report:
XA-UKR.pdf4.53 MB
