Date & Time:
Mar 19, 2016 at 1523 LT
Type of aircraft:
Comp Air CA-9
Operator:
Roger Agnelli
Registration:
PR-ZRA
Flight Phase:
Takeoff (climb)
Flight Type:
Private
Survivors:
No
Site:
City
Schedule:
Campo de Marte – Rio de Janeiro
MSN:
0420109T01
YOM:
2012
Country:
Brazil
Region:
South America
Crew on board:
1
Crew fatalities:
1
Pax on board:
6
Pax fatalities:
6
Other fatalities:
0
Total fatalities:
7
Circumstances:
Shortly after takeoff from Campo de Marte Airport runway 30, the single engine airplane entered a right turn without gaining altitude. Less than one minute after liftoff, the aircraft impacted a building located in the Frei Machado Street, some 370 metres from runway 12 threshold. The aircraft was totally destroyed by impact forces and a post crash fire and all seven occupants were killed. One people on the ground was slightly injured. Owned by the Brazilian businessman Roger Agnelli, the aircraft was on its way to Santos Dumont Airport in Rio de Janeiro. Among the victims was Roger Agnelli, his wife Andrea, his both children John and Anna Carolina, the pilot and two other friends. They were enroute to Rio to take part to the wedding of the nephew of Mr. Agnelli.
Probable cause:
Contributing factors
- Pilot judgment - undetermined
The absence of manuals and performance charts to guide the operation and actions based only on empirical knowledge about the aircraft may have taken to an inadequate evaluation of certain parameters related to its operation. In this case, the performance of the aircraft under conditions of weight, altitude and high temperatures may have provided its conduction with reduced margins of safety during takeoff that resulted in the on-screen accident.
- Flight planning - undetermined
The informality present in the field of experimental aviation, associated with the absence of support systems, may have resulted in an inadequacy in the work of flight preparation, particularly with regard to performance degradation in the face of adverse conditions (high weight, altitude and temperature), compromising the quality of the planning carried out, thus contributing to it being carried out a takeoff under marginal conditions.
- Project - undetermined
During the PR-ZRA assembly process, changes were incorporated into the Kit's original design that directly affected the airplane's take-off performance. Since the submission of documentation related to in-flight testing or performance graphics was not required by applicable law, it is possible that the experimental nature of the project has enabled the operation of the aircraft based on
empirical parameters and inadequate to their real capabilities.
- Support systems - undetermined
The absence of a support system, in the form of publications that allowed obtaining equipment performance data in order to carry out proper planning, added risk to operations and may have led to an attempt to take off under unsafe conditions.
- Pilot judgment - undetermined
The absence of manuals and performance charts to guide the operation and actions based only on empirical knowledge about the aircraft may have taken to an inadequate evaluation of certain parameters related to its operation. In this case, the performance of the aircraft under conditions of weight, altitude and high temperatures may have provided its conduction with reduced margins of safety during takeoff that resulted in the on-screen accident.
- Flight planning - undetermined
The informality present in the field of experimental aviation, associated with the absence of support systems, may have resulted in an inadequacy in the work of flight preparation, particularly with regard to performance degradation in the face of adverse conditions (high weight, altitude and temperature), compromising the quality of the planning carried out, thus contributing to it being carried out a takeoff under marginal conditions.
- Project - undetermined
During the PR-ZRA assembly process, changes were incorporated into the Kit's original design that directly affected the airplane's take-off performance. Since the submission of documentation related to in-flight testing or performance graphics was not required by applicable law, it is possible that the experimental nature of the project has enabled the operation of the aircraft based on
empirical parameters and inadequate to their real capabilities.
- Support systems - undetermined
The absence of a support system, in the form of publications that allowed obtaining equipment performance data in order to carry out proper planning, added risk to operations and may have led to an attempt to take off under unsafe conditions.
Final Report:
PR-ZRA.pdf1.73 MB
