Serious incident BAe Jetstream 32 ES-PJR,
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ASN Wikibase Occurrence # 156079
 
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Date:Friday 3 May 2013
Time:
Type:Silhouette image of generic JS32 model; specific model in this crash may look slightly different    
BAe Jetstream 32
Owner/operator:Avies
Registration: ES-PJR
MSN: 949
Year of manufacture:1991
Fatalities:Fatalities: 0 / Occupants: 16
Aircraft damage: None
Category:Serious incident
Location:Sveg Airport -   Sweden
Phase: Initial climb
Nature:Passenger - Scheduled
Departure airport:EVG - ESND
Destination airport:ARN - ESSA
Investigating agency: SHK
Confidence Rating: Accident investigation report completed and information captured
Narrative:
The aircraft departed from Sveg airport for a scheduled flight to Stockholm/Arlanda airport. Shortly after takeoff, at an altitude of about 500 feet, engine problems occurred on both engines with substantial fluctuations in power (torque) and engine speed (RPM). The commander stated that during the time that the disturbances lasted it was hard to keep the aircraft flying and that an emergency landing in the terrain could be necessary. The disturbances ceased however after about a minute and the aircraft could return to Sveg airport and perform a normal landing.

Findings
a) The pilots were qualified to perform the flight.
b) The aircraft had had a Certificate of Airworthiness and valid ARC.
c) Oscillations to both engines occurred soon after take-off.
d) Corrosion was found when inspecting the aircraft in question.
e) During the inspection, technical remarks were found that were not noted in the aircraft’s log book.
f) Power to the Cockpit Voice Recorder (CVR) was not cut, which means that no sound recordings were available for the investigation.
g) The operator was missing mandatory documentation necessary to convert the digitally saved FDR-information into engineering units.
h) Take-off and initial climb were carried out at an RPM which was too low.
i) It is known that engine oscillations can occur during take-off in connection with a too low RPM.
j) The pilots were not aware of the risks of a too low RPM during take-off.
k) Some information in the company's – and TC holder’s – operations manuals was not concordant.
l) This aircraft type has no warning system for take-off with an incorrect engine configuration.

Causes/Contributing Factors
The incident was likely caused by a too low RPM during take-off. A contributing factor was that the aircraft type has no warning system for take-off with an incorrect engine configuration.

Accident investigation:
cover
  
Investigating agency: SHK
Report number: L-46/13
Status: Investigation completed
Duration:
Download report: Final report

Sources:

https://www.op.se/artikel/jamtland/harjedalen/morgonflyg-fran-sveg-tvingades-nodlanda-1
https://www.havkom.se/news.asp?newsID=666&language=1
http://www.flygtorget.se/Forum/Detaljer.aspx?ForumKatID=1&ID=102965
http://www.havkom.se/virtupload/reports/RL_2014_07e.pdf Crash investigation

History of this aircraft

Other occurrences involving this aircraft
31 January 2014 ES-PJR AS Avies 0 Torsby Airport - ESST non

Revision history:

Date/timeContributorUpdates
25-May-2013 11:27 Masen63 Added
12-Jun-2014 11:14 Masen63 Updated [Registration, Cn, Total occupants, Source, Narrative]
21-Oct-2016 18:12 harro Updated [Damage, Narrative]

Corrections or additions? ... Edit this accident description

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