Crash of a Boeing 727-134 on Mt El Cumbal: 94 killed

Date & Time: Jan 28, 2002 at 1024 LT
Type of aircraft:
Operator:
Registration:
HC-BLF
Flight Phase:
Survivors:
No
Site:
Schedule:
Quito - Tulcán - Cali
MSN:
19692
YOM:
1967
Flight number:
EQ120
Country:
Crew on board:
7
Crew fatalities:
Pax on board:
87
Pax fatalities:
Other fatalities:
Total fatalities:
94
Captain / Total flying hours:
12091
Captain / Total hours on type:
8263.00
Copilot / Total flying hours:
7058
Copilot / Total hours on type:
3457
Aircraft flight hours:
64001
Aircraft flight cycles:
49819
Circumstances:
The aircraft departed Quito-Mariscal Sucre Airport runway 17 at 1001LT on a flight to Cali with an intermediate stop in Tulcán, carrying 87 passengers and 7 crew members. The flight was completed at an altitude of 18,000 feet on airway G-675 towards Ipiales, south Colombia. At a distance of 29 NM from Tulcán, the crew was cleared to descend to 14,000 feet and was briefed about the last weather conditions at destination. For unknown reasons, the crew failed to comply with the company SOP's and started the descent at an excessive speed of 230 knots while the approach procedure called for a speed of 180 knots. Also, the crew was not following the proper approach track for the Tulcán-Teniente Coronel Luis A. Mantilla Airport. In poor visibility due to clouds, at an altitude of 14,700 feet, the aircraft struck the slope of Mt El Cumbal located about 30 km northwest of Ipiales. The aircraft disintegrated on impact and all 94 occupants were killed. The wreckage was found 1,400 feet below the summit.
Probable cause:
The probable cause was:
- The decision of the instructor captain and his crew to initiate and continue the operation towards Tulcán Airport below minima weather conditions as established in the company's SOPs.
- Inadequate navigation and operation of the aircraft by the pilot-in-command and directed by the instructor captain, consisting of entering the holding pattern of the Tulcán radio beacon with a speed of 230 knots (IAS) and with a banking of 15° exceeding the maximum stipulated speed limit of 180 knots during the entire procedure including the holding pattern and using a banking below the recommended range of 25° to 30°, thus exceeding the lateral navigation and obstacle protection limits of the holding pattern, leading this operation to the collision with Mt El Cumbal.
Final Report:

Crash of a Boeing 737-3Q8 in Yogyakarta: 1 killed

Date & Time: Jan 16, 2002 at 1200 LT
Type of aircraft:
Operator:
Registration:
PK-GWA
Survivors:
Yes
Schedule:
Mataram-Jogjakarta
MSN:
24403
YOM:
1989
Flight number:
GA421
Country:
Region:
Crew on board:
6
Crew fatalities:
Pax on board:
54
Pax fatalities:
Other fatalities:
Total fatalities:
1
Aircraft flight hours:
27701
Aircraft flight cycles:
24139
Circumstances:
On January 16, 2002, at approximately 09:24 UTC, a Boeing 737-300, PK-GWA, ditched into the waters of the Bengawan Solo River, Central Java during a forced landing, following loss of power on both engines as the aircraft was descending through 19,000 ft. The dual engine flame out occurred shortly after the aircraft entered severe cumulonimbus cloud formations with turbulence and heavy rain and ice. The aircraft, owned and operated by PT Garuda Indonesia as Flight GA 421, had departed Ampenan at 08:32 UTC, on a regular scheduled commercial flight with destination Yogyakarta. At departure VMC conditions prevailed. The flight from Ampenan was reported uneventful until its arrival in the Yogyakarta area. The crew stated that they observed cumulonimbus cloud formations on their weather radar. The aircraft descended from cruise altitude of 31,000 ft to 28,000ft as instructed by BALI ATC at 09.08 UTC due to traffic on eastbound at FL290. As they began their descent from FL 280 at 09.13 UTC, prior to entering the clouds at 23,000 feet, the crew noted at the radar screen red cells with two green and yellow areas to the left and right of their intended flight path. The Pilot Flying decided to take the left opening above PURWO NDB. The flight crew prepared to enter turbulence by setting turbulence speed at 280 knots, seatbelt on, engine ignitions on FLT and anti-ice on. Then the Pilot Flying requested to BALI ATC to descend to FL 190 and was cleared by Semarang APP at 09.13 UTC. Shortly after the aircraft entered the area covered by Cumulonimbus cells, the crew noted severe turbulence and heavy precipitation. According to the flight crew interview, the crew noted aircraft electrical power generators loss and they were only having primary engine instrument indications and captain flight instruments, which finally identified both engines flame-out. While in the precipitation, the flight crew attempted at least two engine relights, and one attempt of APU start. As the APU start was initiated, the crew noted total electrical loss of the aircraft. The aircraft descended into VMC conditions at about 8,000 ft altitude. The PIC spotted the Bengawan Solo River and decided to land the aircraft on the river. The crew announced to the flight attendant to prepare emergency landing procedure. The aircraft landed successfully between two iron bridges in the upstream direction, and came to a stop with its nose pointing to the right of the landing path. The aircraft settled down on its belly, with the wings and control surfaces largely intact, and was partially submerged. The evacuation following the landing was successful. Twelve passengers suffered injuries, the flight crew and two flight attendants were uninjured, one flight attendant suffered serious injuries, and another flight attendant was found in the waters of the river and fatally injured.
Probable cause:
The NTSC determines that the probable causes of the accident were the combination of:
1) The aircraft had entered severe hail and rain during weather avoidance which subsequently caused both engines flame out;
2) Two attempts of engine-relight failed because the aircraft was still in the precipitation beyond the engines’ certified capabilities; and
3) During the second attempt relight, the aircraft suffered run-out electrical power.
Final Report:

Crash of a Boeing 737-291 in Pekanbaru

Date & Time: Jan 14, 2002 at 1015 LT
Type of aircraft:
Operator:
Registration:
PK-LID
Flight Phase:
Survivors:
Yes
Schedule:
Pekanbaru - Batam
MSN:
20363
YOM:
1969
Flight number:
JT386
Country:
Region:
Crew on board:
7
Crew fatalities:
Pax on board:
96
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
17266
Copilot / Total flying hours:
3700
Copilot / Total hours on type:
2500
Aircraft flight hours:
68133
Aircraft flight cycles:
66998
Circumstances:
The flight was a second route of four routes on a first day of two days schedule flight for the crew. All crew have flight schedule on the previous day and returned to Jakarta. The first flight was from Jakarta to Pekanbaru with departure schedule on 08.00 LT (01.00 UTC). All crew did the pre-flight check completely but did not check the audio warning and departed Jakarta on schedule. The flight was normal and landed in Pekanbaru on schedule. There was no problem reported. Transit in Pekanbaru for about 30 minutes and the flight was ready to continue the next flight to Batam. At 10.15 LT (03.05) the boarding process has been completed and all flight documents have ready. First Officer asked for start clearance and received weather information in Syarif Kasim Airport. The weather was fine, wind calm and clear. After start completed, the aircraft taxi to the beginning of runway 18. Flight crews have set the V1, VR, V2 and V2+15 speed bugs according to the load sheet. Take off power decide to use “reduced take off power” with assumed temperature 35o C while the actual temperature was 27° C. flight Attendant have completed the passenger briefing includes rearrange seat for the seats near the “over wing exit windows”. The checklist was done, but flight crews were not sure the indication of flap setting. When ready for take off, flight crew gave a warning to the flight attendants to take their seats. First Officer acted as “Pilot Flying”. PIC opened the power and adjusted to the required take off power setting. The aircraft rolled normal and there was no abnormal indication. PIC called “V1” and “ROTATE” at speed bugs value setting, and the First Officer rotated the control column and set to 150 ANU (Aircraft Nose Up) pitch. The aircraft’s nose was lifted up but the aircraft did not airborne. Flight attendant who was sitting at the rear felt that the nose was higher than normal. Officer also felt stick shaker, warning for approaching stall. First Officer suddenly noticed a warning light illuminated and cross-checked. He found than the warning came from the problem on the air conditioning system. Both pilots also felt pain in the ear. Recognizing this situation, PIC decided to continue the take off and called to the First Officer “disregard”. Realized that the aircraft did not airborne PIC added the power by moving power levers forward. The speed was increasing and passed the speed bug setting for V2+15 ( ± 158 KIAS) but the aircraft did not get airborne. PIC noticed that the runway end getting closer and he thought that the aircraft would not airborne, he decided to abort the take off and called “STOP”. PIC retarded the power levers to idle and set to reverse thrust, extended the speed brake and applied brake. Nose of the aircraft went down hard and made the front left door (L1) opened and 2 trolleys at front galley move forward and blocked the cockpit door. Flight crew turns the aircraft slightly to the right to avoid approach lights ahead. The aircraft moved out or the runway to the right side of the approach lights. After hit some trees the aircraft stopped at ± 275 meters from the end of runway on heading 285°. One passenger had serious injury and the rest had minor injury, all crew were safe and not injured. No one killed in this accident, while the aircraft considered total loss.
Probable cause:
Findings:
1. The flight crews have proper qualification to fly the aircraft.
2. The aircraft did not exceed its Maximum Take-Off Weight limitation specified in the AOM.
3. Cockpit area microphone did not function at the time of the accident. Therefore, the only sounds/conversations recorded were only when there were radio transmissions.
4. FDR data show that the engines operated normally.
5. FDR data show similar trajectory with an aircraft of the type and loading condition tried to take-off with zero flap.
6. The aircraft flap system was found to function normally. Therefore, should the flap selector moved to non-zero position, the flap should move to the selected position.
7. The crew did not perform Before Take-off Checklist as stated in the Boeing 737-200 Pilot’s Handbook, Chapter Normal Operating Procedures.
8. The aural warning system, except its circuit breaker, function normally. Therefore, the cause of the absence of take-off warning is the wear out latch on the CB that caused it to open.
9. The food trolley safety lock and food trolley safety strap on the front galley did not function properly that the trolley loose upon impact and blocking the cockpit door.
10. The escape slides fail to deploy. All the slides have no expiration date or marked last inspection date-as regulated in CASR 121.309.
11. Shear pins on the engines mounting function properly to separate the engine from the wing and therefore minimize the risk of fire in the accident.
Final Remarks:
Since there is no indication that flaps system failure or flap asymmetry contributes in the failure of flap to travel to take-off configuration, the most probable cause for the failure is the improper execution of take-off checklist. Failure of the maintenance to identify the real problem on the aural warning CB, causes the CB to open during the accident and therefore is a contributing factor to the accident.
Final Report:

Crash of a Britten-Norman BN-2B-26 Islander in Bremerhaven: 8 killed

Date & Time: Dec 26, 2001 at 1013 LT
Type of aircraft:
Registration:
D-IAAI
Flight Phase:
Survivors:
Yes
Schedule:
Bremerhaven - Wangerooge
MSN:
2167
YOM:
1985
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
8
Pax fatalities:
Other fatalities:
Total fatalities:
8
Circumstances:
The departure from Bremerhaven to the Wangerooge Island was delayed for 30 minutes due to snow showers over the airport. Prior to departure, the pilot manually removed snow from the windshield, leading edge and wings. After takeoff from runway 34, the twin engine aircraft climbed slowly to a height of about 195 feet then stalled and crashed in the Weser River. The crew of a ferry was quickly on the scene to rescue a passenger while eight other occupants were killed.
Probable cause:
It was determined that the snow over the wings was not properly removed prior to takeoff, causing a loss of lift and disturbing the airflow. There were no defined procedures about deicing in the Standard Operating Procedures (SOP) manual of the operator.

Crash of a Let L-410UVP-E near Medellín: 16 killed

Date & Time: Dec 16, 2001 at 1025 LT
Type of aircraft:
Operator:
Registration:
HK-4175X
Flight Phase:
Survivors:
No
Site:
Schedule:
Medellín – Quibdó
MSN:
86 16 18
YOM:
1986
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
14
Pax fatalities:
Other fatalities:
Total fatalities:
16
Captain / Total flying hours:
10482
Captain / Total hours on type:
2340.00
Copilot / Total flying hours:
250
Copilot / Total hours on type:
42
Aircraft flight hours:
1863
Circumstances:
After takeoff from Medellín-Enrique Olaya Herrera Airport runway 01, the crew initiated a turn to the right and continued to climb. In poor visibility due to clouds, at an altitude of 9,200 feet, the twin engine aircraft struck the slope of Mt El Silencio near San Antonio de Prado. The aircraft was destroyed by impact forces and a post crash fire and all 16 occupants were killed. At the time of the accident, weather was poor with towering cumulus and rain falls.
Probable cause:
Controlled flight into terrain after the crew failed to comply with the departure route and the company standard operating procedures.
Final Report:

Crash of a BAe 3101 Jetstream 31 in Skien

Date & Time: Nov 30, 2001 at 1828 LT
Type of aircraft:
Operator:
Registration:
SE-LGA
Survivors:
Yes
Schedule:
Bergen - Skien
MSN:
636
YOM:
1984
Flight number:
EXC204
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
11
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
6590
Captain / Total hours on type:
600.00
Copilot / Total flying hours:
1700
Copilot / Total hours on type:
390
Aircraft flight hours:
14074
Aircraft flight cycles:
16666
Circumstances:
The aircraft was on its way to Skien with a crew of two and 11 passengers. During the flight, ice was observed on the aircraft’s wings, but the ice was considered to be too thin to be removed. During descent towards runway 19 at Geiteryggen the aircraft’s ground proximity warning system (GPWS) sounded a total of three times. The aircraft was then in clouds and the crew did not have visual contact with the ground. The warnings, combined with somewhat poorly functioning crew coordination, resulted in the crew forgetting to actuate the system for removing ice from the wings. The subsequent landing at 1828 hrs was unusually hard, and several of the passengers thought that the aircraft fell the last few metres onto the runway. The hard landing caused permanent deformation of the left wing so that the left-hand landing gear was knocked out of position, and the left propeller grounded on the runway. The crew lost directional control and the aircraft skewed to the left and ran off the runway. The aircraft then hit a gravel bank 371 metres from the touchdown point. The collision with the gravel bank was so hard that the crew and several of the passengers were injured and the aircraft was a total loss. It was dark, light rain and 4 °C at Geiteryggen when the accident occurred. The wind was stated to be 120° 10 kt. The investigation shows that it is probable that ice on the wings was the initiating factor for the accident. The AIBN has not formed an opinion on whether the ice resulted in the high sink rate after the first officer reduced the power output of the engines, or whether the aircraft stalled before it hit the runway. Investigation has to a large extend focused on the crew composition and training. A systematic investigation of the organisation has also taken place. In the opinion of the AIBN, the company has principally based its operations on minimum standards, and this has resulted in a number of weaknesses in organisation, procedures and quality assurance. These conditions have indirectly led to the company operating the route Skien – Bergen with a crew that, at times, did not maintain the standard that is expected for scheduled passenger flights. The investigation has also revealed that procedures for de-icing of the aircraft wings could be improved.
Probable cause:
Significant investigation results:
a) The decision was made to wait to remove the ice from the wings because, according to the SOP, it should only be removed if it had been “typically half an inch on the leading edge”. This postponement was a contributory factor in the ice being forgotten.
b) At times, the relationship between the flight crew members was very tense during the approach to Skien. This led to a breakdown in crew coordination.
c) Among the consequences of the warnings from the GPWS was a very high workload for the crew. In combination with the defective crew coordination, this contributed to the ice on the wings being forgotten.
d) It is probable that the aircraft hit the runway with great force because the wings were contaminated with ice. The AIBN is not forming a final opinion on whether the wings stalled, whether the aircraft developed a high sink rate due to ice accretion or whether the hard landing was due to a combination of the two explanatory models.
e) The company could only provide documentary evidence to show that the Commander had attended an absolute minimum of training after being employed within the company. Parts of the mandatory training had taken place by means of self-study without any form of formal verification of achievement of results.
f) The company’s operation was largely based on minimum solutions. This reduced the safety margins within company operations.
g) The company’s quality system contributed little to ensuring ‘Safe Operational Practices’ in the company.
h) Authority inspection of the company was deficient.
Final Report:

Crash of a Cessna 208B Grand Caravan near Quepos: 3 killed

Date & Time: Nov 29, 2001 at 1148 LT
Type of aircraft:
Operator:
Registration:
HP-1405APP
Survivors:
Yes
Site:
Schedule:
San José – Quepos – Puerto Jiménez
MSN:
208B-0788
YOM:
1999
Flight number:
LRS1625
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
6
Pax fatalities:
Other fatalities:
Total fatalities:
3
Captain / Total flying hours:
5000
Copilot / Total flying hours:
800
Aircraft flight hours:
1955
Circumstances:
The single engine airplane departed San José Airport on a schedule flight to Puerto Jiménez with an intermediate stop in Quepos, carrying six passengers (3 Americans, 2 Germans and one Dutch) and two pilots. While descending in clouds to Quepos Airport, the aircraft collided with trees and crashed on the slope of a wooded mountain located about 13 km from Quepos Airport. Both pilots and one passenger were killed while five other passengers were seriously injured. The aircraft was totally destroyed by impact forces.
Probable cause:
Collision with terrain after the captain failed to ensure that the vertical, horizontal and lateral separation was sufficient to fly over the mountains while descending under VMC conditions. Also the crew failed to take appropriate corrective actions to prevent the aircraft to continue the descent until it impacted ground, resulting in a controlled flight into terrain. The following contributin factors were identified:
- Momentary loss of situational awareness on the part of the flight crew,
- Inadequate supervision by the pilot-in-command,
- Non-compliance with standard operating procedures published by the operator,
- Use of flight procedures neither written down in manuals nor approved by the authority,
- Violation of safety rules,
- Non-application of visual flight rules by the flight crew,
- Shortcomings in the crew resources management,
- Adverse weather conditions.
Final Report:

Crash of an Avro RJ100 in Zurich: 24 killed

Date & Time: Nov 24, 2001 at 2207 LT
Type of aircraft:
Operator:
Registration:
HB-IXM
Survivors:
Yes
Schedule:
Berlin - Zurich
MSN:
E3291
YOM:
1996
Flight number:
LX3597
Country:
Region:
Crew on board:
5
Crew fatalities:
Pax on board:
28
Pax fatalities:
Other fatalities:
Total fatalities:
24
Captain / Total flying hours:
19555
Captain / Total hours on type:
287.00
Copilot / Total flying hours:
490
Copilot / Total hours on type:
348
Aircraft flight hours:
13194
Aircraft flight cycles:
11518
Circumstances:
On 24 November 2001 at 20:01 UTC the aircraft AVRO 146 RJ 100, registered as HB-IXM of the Crossair airline company took off in darkness from runway 26L at Berlin-Tegel airport as scheduled flight CRX3597 to Zurich. At 20:58:50 UTC, after an uneventful flight, the aircraft received the clearance for a standard VOR/DME approach 28 at Zurich airport.Ahead of the aircraft involved in the accident, an Embraer EMB 145, flight CRX3891, landed on runway 28 at Zurich airport. The crew informed the control tower that the weather was close to the minimum for this runway. At 21:05:21 UTC flight CRX3597 reported on the aerodrome control frequency. When the aircraft reached the minimum descent altitude (MDA) of 2,390 feet QNH at 21:06:10, the commander mentioned to the copilot that he had certain visual ground contact and continued the descent. At 21:06:36 UTC the aircraft collided with treetops and subsequently crashed into the ground. The aircraft caught fire on impact. Twenty-one passengers and three crew members died from their injuries at the site of the accident; seven passengers and two crew members survived the accident. The wreckage was found in the Geissbühl forest, 4,050 metres short of runway 28.
Probable cause:
The accident is attributable to the fact that on the final approach, in own navigation, of the standard VOR/DME approach 28 the aircraft flew controlled into a wooded range of hills (controlled flight into terrain – CFIT), because the flight crew deliberately continued the descent under instrument flight conditions below the minimum altitude for the approach without having the necessary prerequisites. The flight crew initiated the go around too late.
The investigation has determined the following causal factors in relation to the accident:
• The commander deliberately descended below the minimum descent altitude (MDA) of the standard VOR/DME approach 28 without having the required visual contact to the approach lights or the runway.
• The copilot made no attempt to prevent the continuation of the flight below the minimum descent altitude.
The following factors contributed to the accident:
• In the approach sector of runway 28 at Zurich airport there was no system available which triggers an alarm if a minimum safe altitude is violated (minimum safe altitude warning – MSAW).
• Over a long period of time, the responsible persons of the airline did not make correct assessments of the commander’s flying performance. Where weaknesses were perceptible, they did not take appropriate measures.
• The commander’s ability to concentrate and take appropriate decisions as well as his ability to analyse complex processes were adversely affected by fatigue.
• Task-sharing between the flight crew during the approach was not appropriate and did not correspond to the required procedures by the airline.
• The range of hills which the aircraft came into contact with was not marked on the approach chart used by the flight crew.
• The means of determining the meteorological visibility at the airport was not representative for the approach sector runway 28, because it did not correspond to the actual visibility.
• The valid visual minimums at the time of the accident were inappropriate for a decision to use the standard VOR/DME approach 28.
Final Report:

Crash of a PZL-Mielec AN-28 in Kärdla: 2 killed

Date & Time: Nov 23, 2001 at 1835 LT
Type of aircraft:
Operator:
Registration:
ES-NOV
Survivors:
Yes
Schedule:
Tallinn - Kärdla
MSN:
1AJ003-03
YOM:
1986
Flight number:
ENI1007
Location:
Country:
Region:
Crew on board:
3
Crew fatalities:
Pax on board:
14
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
9840
Captain / Total hours on type:
192.00
Copilot / Total flying hours:
472
Copilot / Total hours on type:
106
Aircraft flight hours:
1690
Circumstances:
En route from Tallinn to Kärdla, at an altitude of 6,000 feet, the crew obtained the last weather bulletin for Kärdla Airport. The actual conditions were as follow: wind 020° at 24 knots, visibility 8,000 metres, snow, overcast 1,200 feet, broken 600 feet, temperature 0°, dewpoint 0°, QNH 1001, braking action is good, runway in use 32. One minute later, the crew was cleared to descend to 1,400 feet and reported this altitude at a distance of 11 km from the airport. The airplane continued on a heading of 240° towards the OZ NDB beacon, which was the Final Approach Fix (FAF) located about 4 km from the runway threshold. The crew continued the descent and initiated a slow turn towards the runway some 2,5 km short of the FAF. The aircraft descended into trees some 1,500 metres short of runway threshold and crashed in a wooded area. Two passengers were killed and 15 other occupants were injured, some seriously. The aircraft was totally destroyed.
Probable cause:
The accident was the consequence of an incorrect assessment of the situation by the commander of the aircraft during the approach, which resulted in errors in the piloting techniques, expressed in:
- Transition from intense icing conditions to active descent with a transition from the originally planned instrument approach to a visual approach;
- Failure to take into account the possibility of complex meteorological conditions in preparation for the approach and during the approach - the crew did not consider the possibility of going around or returning to the point of departure;
- Maintaining an unjustified low airspeed and high vertical descent speed during an approach with poor altitude control;
Associated factors were:
- Difficult weather conditions due to severe icing conditions;
- Reassessment by the aircraft commander of his knowledge and experience in controlling the An-28 aircraft in adverse weather conditions;
- Failure to comply with the requirements of the Airplane Flight Manual of the An-28 aircraft for the operation of aircraft systems and crew resource management;
- Failure to comply with the Airplane Flight Manual in terms of timely termination of the approach and transition to climb;
- The copilot, taking into account the large flying experience of the aircraft commander and overestimating his flight and navigation skills, behaved passively and did not provide him with adequate assistance in difficult conditions during the approach;
- Transition from an instrument approach to a visual approach without ATC clearance;
- The lack of 32 visual assessment of the angle of the descent trajectory (PAPI system) on the runway.
Final Report:

Crash of an Airbus A300-600 in New York: 265 killed

Date & Time: Nov 12, 2001 at 0916 LT
Type of aircraft:
Operator:
Registration:
N14053
Flight Phase:
Survivors:
No
Site:
Schedule:
New York - Santo Domingo
MSN:
420
YOM:
1988
Flight number:
AA587
Crew on board:
9
Crew fatalities:
Pax on board:
251
Pax fatalities:
Other fatalities:
Total fatalities:
265
Captain / Total flying hours:
8050
Captain / Total hours on type:
1723.00
Copilot / Total flying hours:
4403
Copilot / Total hours on type:
1835
Aircraft flight hours:
37550
Aircraft flight cycles:
14934
Circumstances:
On November 12, 2001, about 0916:15 eastern standard time, American Airlines flight 587, an Airbus Industrie A300-605R, N14053, crashed into a residential area of Belle Harbor, New York, shortly after takeoff from John F. Kennedy International Airport, Jamaica, New York. Flight 587 was a regularly scheduled passenger flight to Las Americas International Airport, Santo Domingo, Dominican Republic, with 2 flight crewmembers, 7 flight attendants, and 251 passengers aboard the airplane. The airplane's vertical stabilizer and rudder separated in flight and were found in Jamaica Bay, about 1 mile north of the main wreckage site. The airplane's engines subsequently separated in flight and were found several blocks north and east of the main wreckage site. All 260 people aboard the airplane and 5 people on the ground were killed, and the airplane was destroyed by impact forces and a post crash fire. Flight 587 was operating under the provisions of 14 Code of Federal Regulations Part 121 on an instrument flight rules flight plan. Visual meteorological conditions prevailed at the time of the accident.
Probable cause:
The in-flight separation of the vertical stabilizer as a result of the loads beyond ultimate design that were created by the first officer's unnecessary and excessive rudder pedal inputs. Contributing to these rudder pedal inputs were characteristics of the Airbus A300-600 rudder system design and elements of the American Airlines Advanced Aircraft Maneuvering Program.
Final Report: