Crash of a Yakovlev Yak-40 in Tigil

Date & Time: Sep 23, 2001
Type of aircraft:
Operator:
Registration:
RA-87481
Survivors:
Yes
MSN:
9 44 09 38
YOM:
1974
Country:
Region:
Crew on board:
3
Crew fatalities:
Pax on board:
18
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
For unknown reasons, the aircraft landed hard and bounced several times before landing firmly. On touchdown, the nose gear collapsed and the airplane slid for few dozen metres before coming to rest. All 21 occupants escaped uninjured while the aircraft was damaged beyond repair.

Crash of an Ilyushin II-86 in Dubai

Date & Time: Sep 21, 2001 at 2009 LT
Type of aircraft:
Operator:
Registration:
RA-86074
Survivors:
Yes
Schedule:
Moscow - Dubai
MSN:
51483205041
YOM:
1985
Flight number:
SU521
Location:
Region:
Crew on board:
15
Crew fatalities:
Pax on board:
307
Pax fatalities:
Other fatalities:
Total fatalities:
0
Aircraft flight hours:
23711
Aircraft flight cycles:
7132
Circumstances:
Following an uneventful flight from Moscow, the crew started a night approach to Dubai Intl Airport. Despite this was a non standard procedure, the captain requested that the landing gear circuit breaker be switched off so he could extend the flaps earlier and prior to gear extension. Later on approach, the flight engineer completed the checklist and mistakenly confirmed that gear were down after the crew forgot to turn the circuit breaker on again. The captain continued the approach without proceeding to a verification/confirmation that gear were down, causing the aircraft to land on its belly. It slid for few dozen metres and came to rest with both engines n°2 and 3 on fire as well as the rear part of the cargo compartment. All 321 occupants were evacuated safely while the aircraft was damaged beyond repair.
Probable cause:
Poor approach configuration on part of the crew and violation of published standard operational procedures. Lack of crew coordination and poor crew resources management were considered as contributing factors.

Crash of a Swearingen SA226AT Merlin IV in Kuujjuaq

Date & Time: Sep 20, 2001 at 1757 LT
Operator:
Registration:
C-GWSL
Flight Type:
Survivors:
Yes
Schedule:
Kangiqsualujjuaq – Kuujjuaq
MSN:
AT-028
YOM:
1975
Flight number:
MAX226
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
The approach to Kuujjuaq-Fort Chimo Airport was stable but slightly below the VASIS descent profile. Just before the flare when power was reduced to idle, the crew was surprised by how rapidly the aircraft decelerated. Touchdown on the runway was hard. After the engines were shut down at the terminal, the crew noted structural deformations around the nose wheel attachment point and on the wings, where the deformations caused fuel to leak. Runway 31 slopes upward 1.3%. The landing was made at twilight, and the runway environment appeared very dark to the crew due to the lack of reflection from the gravel surface.

Crash of a Boeing 737-2C3 in Goiânia

Date & Time: Sep 16, 2001 at 1053 LT
Type of aircraft:
Operator:
Registration:
PP-CJN
Survivors:
Yes
Schedule:
São Paulo – Goiânia
MSN:
21012
YOM:
1974
Flight number:
RG2240
Location:
Country:
Crew on board:
5
Crew fatalities:
Pax on board:
62
Pax fatalities:
Other fatalities:
Total fatalities:
0
Aircraft flight hours:
68500
Aircraft flight cycles:
65500
Circumstances:
On final approach to Goiânia-Santa Genoveva Airport, the crew encountered poor weather conditions with a limited visibility due to rain. The aircraft landed about 500 metres past the runway threshold but as it was misaligned, the right main gear touched down on the left side of the runway. The crew attempted to steer the plane back onto the runway when the right main gear collapsed. The aircraft went out of control, lost its right engine then its nose gear and came to rest on the runway. All 67 occupants evacuated safely.
Probable cause:
Wrong approach configuration on part of the crew who continued the approach while the aircraft was not properly aligned with the runway centerline.

Crash of a Boeing 707-323C in Lubumbashi

Date & Time: Sep 7, 2001
Type of aircraft:
Operator:
Registration:
TN-AGO
Flight Type:
Survivors:
Yes
Schedule:
Lubumbashi – Kinshasa
MSN:
19519
YOM:
1967
Region:
Crew on board:
3
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
During the takeoff roll at Lubumbashi-Luano Airport, a deflector located on the right main gear failed. The crew continued the takeoff procedure and after liftoff, the right main gear could not be raised in its wheel well. Initially, the crew decided to continue to Kinshasa in a 'gear down' configuration but eventually decided to return to Lubumbashi for a safe landing. After touchdown, the aircraft deviated to the right of the runway centerline then veered off runway and came to rest in a ditch. All three crew members escaped uninjured while the aircraft was damaged beyond repair.

Crash of a Saab 340B in Tijuana

Date & Time: Sep 6, 2001 at 1235 LT
Type of aircraft:
Operator:
Registration:
XA-ACK
Survivors:
Yes
Schedule:
Ciudad Juárez – Tijuana
MSN:
183
YOM:
1990
Flight number:
SLI2130
Country:
Crew on board:
3
Crew fatalities:
Pax on board:
29
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
While descending to Tijuana-General Abelardo L. Rodríguez Airport in good weather conditions, the crew informed ATC about the failure of both engines. The captain attempted an emergency landing in an open field located in the Las Palmas Valley, about 24 km from Tijuana Airport. The aircraft slid on its belly for few dozen metres and came to rest. All 32 occupants escaped uninjured and the aircraft was damaged beyond repair.
Probable cause:
Double engine failure in flight for unknown reasons.

Crash of a De Havilland DHC-4 Caribou in Port Alsworth

Date & Time: Aug 29, 2001 at 1900 LT
Type of aircraft:
Operator:
Registration:
N2225C
Flight Type:
Survivors:
Yes
Schedule:
Iliamna - Port Alsworth
MSN:
215
YOM:
1964
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
6200
Captain / Total hours on type:
559.00
Copilot / Total flying hours:
10000
Circumstances:
The captain and the first officer were landing a short takeoff and landing (STOL) cargo airplane on a private, dirt and gravel surface runway. The airplane was configured for landing with 40 degrees of flaps. During the landing approach, variations in indicated airspeed and ground speed indicated windshear conditions. About 100 to 200 feet above the ground, the airplane encountered a downdraft and began to drift to the right of the runway centerline. The captain said she increased engine power and applied full left aileron and rudder, but could not gain directional or pitch control of the airplane. The right wing struck trees, short of the runway threshold, increasing the airplane's right yaw. The captain said that as the airplane neared the ground, she pulled the engine throttles off. The airplane struck the ground with the right main landing gear and right front portion of the fuselage. The airplane then pivoted to the right, 180 degrees from the approach heading. The owner of the airport reported that wind conditions from the east may produce downdrafts in the area of runway 05. He indicated that at the time of the accident, the wind was blowing from the east about 15 knots. The first officer reported the captain appeared to be attempting to maintain a stabilized approach angle by varying the pitch attitude of the airplane. A review of company training literature revealed that the airplane is especially sensitive to slight wind shear, and wind gusts as low as 5 knots when operating at low airspeeds. Pilots are cautioned that when flying the aircraft at low speeds, a large application of the aileron control may be required to maintain wings level. During gusty wind conditions, the threshold airspeed should be increased by one-half the gust factor, and any lateral displacement should be corrected rapidly. If a wing is allowed to drop beyond corrective action of full aileron, power should be increased immediately to regain level flight.
Probable cause:
The captain's failure to maintain the proper glidepath, and improper short field landing procedures. Factors in the accident were a downdraft, and the captain's inadequate evaluation of the weather conditions.
Final Report:

Crash of a Casa-Nurtanio CN-235-200 (IPTN) in Málaga: 4 killed

Date & Time: Aug 29, 2001 at 1016 LT
Operator:
Registration:
EC-FBC
Survivors:
Yes
Schedule:
Melilla – Málaga
MSN:
C-033
YOM:
1990
Flight number:
AX8261
Country:
Region:
Crew on board:
3
Crew fatalities:
Pax on board:
44
Pax fatalities:
Other fatalities:
Total fatalities:
4
Captain / Total flying hours:
7372
Captain / Total hours on type:
4166.00
Copilot / Total flying hours:
8485
Copilot / Total hours on type:
4885
Aircraft flight hours:
14577
Aircraft flight cycles:
20780
Circumstances:
Following an uneventful flight from Melilla, the crew was cleared to descend to Málaga-Pablo Ruiz Picasso Airport. On final approach to runway 32, the crew encountered an unexpected situation when the engine fire warning light came on in the cockpit panel, indicating a fire on the left engine. The copilot informed ATC and after he declared an emergency, was cleared to land on runway 32. On short final, both engines stopped. The aircraft stalled and crashed 538 metres short of runway threshold and came to rest against the embankment of a motorway. The captain and three passengers were killed while all other occupants were injured, some of them seriously. The aircraft was destroyed.
Probable cause:
It is considered that the cause of the accident was the incorrect execution, by the crew, of the emergency procedure of fire or serious damage to an engine contained in the Flight Operations Manual that was on board the aircraft, causing the consecutive shutdown of both engines with the consequent total loss of thrust, so that the progression of the flight was impeded. The activation of the emergency procedure occurred as a consequence of a left engine fire warning which turned out to be false. The appearance of the false fire warning could be caused by the presence of moisture and/or dirt in the connectors of the fire detector circuit. It is considered that a contributing factor to these circumstances could be the definition of maintenance tasks for that system in the Aircraft Maintenance Manual, which was not compliant to the methods recommended by the manufacturer of the fire detection system to avoid the existence of humidity in the installation. As factors that could have contributed to the incorrect performance of the crew during the application of the emergency procedure, the following are considered:
- A lack of coordination in the piloting tasks, carried out in the absence of 'Crew Resource Management" criteria.
- Insufficient training for the cockpit change received by the copilot, which did not include simulator training for the application of emergency procedures.
Final Report:

Crash of a Dassault Falcon 20C in Detroit

Date & Time: Aug 28, 2001 at 1805 LT
Type of aircraft:
Operator:
Registration:
N617GA
Flight Type:
Survivors:
Yes
Schedule:
Detroit – Rockford
MSN:
88
YOM:
1967
Flight number:
GAE617
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
24000
Captain / Total hours on type:
900.00
Copilot / Total flying hours:
5700
Copilot / Total hours on type:
200
Aircraft flight hours:
13282
Circumstances:
The airplane sustained substantial damage on impact with terrain and objects after traveling off the end of the runway during a main wheels up landing. The captain reported that prior to takeoff, he closed the cargo door and the copilot confirmed the door light was out. After takeoff at an altitude of about 600 feet, the cockpit door popped open and the crew noticed the cargo door was open. The captain elected to return to land. The captain reported he requested repeatedly for gear and flaps extension, but the copilot was late in doing so and it "caused us to overshoot the runway centerline." The copilot then began calling for a go around/missed approach at which time he raised the gear and the retracted some of the flaps. The copilot reported the captain continued to descend toward the runway and overshot the runway centerline to the right. The copilot reported that at this time he lowered the gear. The nose gear extended prior to touchdown, however the main gear did not. The airplane touched down approximately 1/2 way down the runway and traveled off the end. A witness reported noticing that the exterior door latch was not down as the airplane taxied to the runway.
Probable cause:
The wheels up landing performed by the flightcrew during the emergency landing and improper aircraft preflight by the pilot in command. Factors were the unsecured cargo door, the cemetery fence, and the lack of crew coordination during the flight.
Final Report:

Crash of a BAc 111-412EB in Libreville

Date & Time: Aug 28, 2001
Type of aircraft:
Registration:
5N-BDC
Survivors:
Yes
MSN:
111
YOM:
1967
Country:
Region:
Crew on board:
0
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
After landing at Libreville-Léon M'Ba Airport, the aircraft encountered difficulties to stop within the remaining distance. It overran, lost its nose gear and came to rest few dozen metres further. There were no casualties but the aircraft was damaged beyond repair.
Probable cause:
It was reported that both thrust reverser systems were inoperative.