ASN Wikibase Occurrence # 231033
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| Date: | Monday 2 December 2019 |
| Time: | 06:20 LT / 0 |
| Type: |  Beechcraft C90GT King Air |
| Owner/operator: | Setimio de Oliveira Sala |
| Registration: | PP-BSS |
| MSN: | LJ-1839 |
| Year of manufacture: | 2007 |
| Fatalities: | Fatalities: 1 / Occupants: 1 |
| Aircraft damage: | Destroyed |
| Category: | Accident |
| Location: | Serra da Cantareira, Caieiras, SP -
 Brazil
|
| Phase: | En route |
| Nature: | Private |
| Departure airport: | Jundiaí Airport, SP (QDV/SDJD) |
| São Paulo-Campo de Marte Airport, SP (SBMT) | |
| Investigating agency: | CENIPA |
| Confidence Rating: |  Accident investigation report completed and information captured |
The aircraft took off from Jundiaí Airport, SP (SBJD) to Campo de Marte Airport, SP (SBMT), in order to carry out a private flight, with a pilot on board. During the flight, the ATC lost contact with the aircraft. Search teams located the wreckage of the aircraft in a forest area in the city of Caieiras, SP. The aircraft was destroyed. The pilot suffered fatal injuries.
Contributing factors.
- Attention – undetermined.
It is likely that the pilot has experienced a lowering of his attention in relation to the available information and the stimuli of that operational context in face of the adverse conditions faced.
- Attitude – a contributor.
It was concluded that there was no reaction to the warnings of proximity to the ground (Caution Terrain) and evasive action to avoid collision (Pull Up), a fact that revealed difficulties in thinking and acting in the face of an imminent collision condition, in which the aircraft was found.
- Adverse meteorological conditions – a contributor.
The clouds height and visibility conditions did not allow the flight to be conducted, up to SBMT, under VFR rules.
- Piloting judgment – a contributor.
The attempt to continue with the visual flight, without the minimum conditions for such, revealed an inadequate assessment, by the pilot, of parameters related to the operation of the aircraft, even though he was qualified to operate it.
- Perception – a contributor
The ability to recognize and project hazards related to continuing flight under visual rules, in marginal ceiling conditions and forward visibility, was impaired, resulting in reduced pilot situational awareness, probable geographic disorientation, and the phenomenon known as "tunnel vision".
- Decision-making process – a contributor.
The impairment of the pilot's perception in relation to the risks related to the continuation of the flight in marginal safety conditions negatively affected his ability to perceive, analyze, choose alternatives and act appropriately due to inadequate judgments and the apparent fixation on keeping the flight under visual rules, which also contributed to this occurrence.
METAR/SPECI from SBMT:
SBMT 020900Z 11006KT 6000 SCT006 BKN009 BKN013 19/18 Q1017
SBMT 020916Z 17006KT 1000 -DZ BR FEW006 OVC009 19/17 Q1017
SBMT 020933Z 17007KT 5000 BR FEW006 BKN009 18/17 Q1017
Accident investigation:
 |
|
Sources:
1. https://www.jr.jor.br/2019/12/02/aviao-que-saiu-de-jundiai-cai-na-serra-da-cantareira/
2. https://sao-paulo.estadao.com.br/noticias/geral,aviao-cai-na-regiao-da-serra-da-cantareira,70003110340
3. https://www.correiodopovo.com.br/not%C3%ADcias/geral/avi%C3%A3o-cai-em-regi%C3%A3o-de-mata-na-serra-da-cantareira-em-s%C3%A3o-paulo-1.384124
4. https://g1.globo.com/sp/sao-paulo/noticia/2019/12/02/aviao-cai-na-serra-da-cantareira-em-sp.ghtml
5. https://www1.folha.uol.com.br/cotidiano/2019/12/aviao-cai-na-regiao-da-serra-da-cantareira-em-sp.shtml
6. https://cbn.globoradio.globo.com/media/audio/283877/aviao-de-pequeno-porte-cai-na-serra-da-cantareira-.htm
7. https://www.oantagonista.com/brasil/bombeiros-nao-encontram-sobreviventes-de-queda-de-aviao-na-serra-da-cantareira/
https://www.jetphotos.com/photo/8826155 (Photo)
Media:
09h27 A Aeronáutica solicitou o CB após perceber ausência do sinal de uma aeronave na região da Serra da Cantareira, o Helicóptero Águia confirmou a queda da aeronave, 08 equipes estão à caminho da Estrada da Santa Inês sem mais informações de vítimas, aguardando mais informes..
— Corpo de Bombeiros PMESP (@BombeirosPMESP) December 2, 2019
Revision history:
| Date/time | Contributor | Updates |
|---|---|---|
| 02-Dec-2019 17:40 | harro | Added |
| 02-Dec-2019 18:07 | Iceman 29 | Updated [Total fatalities, Total occupants, Other fatalities, Source, Embed code, Narrative] |
| 02-Dec-2019 19:58 | RobertMB | Updated [Time, Operator, Phase, Nature, Source, Embed code, Narrative] |
| 11-Dec-2019 18:35 | Anon. | Updated [Narrative] |
| 23-Jun-2021 17:29 | Lucas.L | Updated [Time, Location, Source, Embed code, Narrative] |
| 27-Jun-2022 11:51 | harro | Updated [Embed code, Narrative, Category, Accident report] |
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