ASN Wikibase Occurrence # 274481
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Date: | Thursday 20 January 2022 |
Time: | 17:32 UTC |
Type: | Air Tractor AT-602 |
Owner/operator: | Private |
Registration: | PS-RAF |
MSN: | 602-1326 |
Fatalities: | Fatalities: 1 / Occupants: 1 |
Aircraft damage: | Destroyed |
Category: | Accident |
Location: | Mimoso Do Oeste-Luíz Eduardo Magalhães Airport, BA (SSQZ) -
Brazil
|
Phase: | Manoeuvring (airshow, firefighting, ag.ops.) |
Nature: | Ferry/positioning |
Departure airport: | Mimoso Do Oeste-Luíz Eduardo Magalhães Airport, BA (SSQZ) |
Destination airport: | Mimoso Do Oeste-Luíz Eduardo Magalhães Airport, BA (SSQZ) |
Investigating agency: | CENIPA |
Confidence Rating: | Accident investigation report completed and information captured |
Narrative:The aircraft took off from Luís Eduardo Magalhães Airport (SSQZ) on a ferry flight destined for the airstrip of Fazenda Ipiranga, São Desidério, State of Bahia.
According to reports from witnesses on the ground, the aircraft got airborne and remained close to the ground until crossing over the departure end of the runway.
Then, it initiated a steep climb with a significant pitch-up angle. At the highest point of the maneuver, the aircraft made a rotation of the wings to the right until reaching an upside-down position.
Subsequently, the aircraft lost control, and impacted the ground, without horizontal displacement, at a distance of approximately 390 m past the departure end of the runway.
Contributing factors.
Attitude – a contributor.
The behavior observed in relation to the type of takeoff, in addition to the maneuver performed, denoted an inappropriate posture, characterized by improvisation, showiness, non-compliance with procedures, and overconfidence.
Handling of aircraft flight controls – a contributor.
A low takeoff was performed in the direction of the departure end of the runway. Upon crossing the runway’s longitudinal limit, the aircraft began a climb at a high pitch-up angle, wings level, until reaching an estimated height between 300 and 500 ft. Then, an abrupt maneuver was performed until the aircraft reached an upside-down flight attitude. In that condition, control of the aircraft was lost, and the airplane lost height until colliding with the ground.
Piloting judgment – a contributor.
The recommended parameters for a normal takeoff were not observed, as well as the operating limits established by the manufacturer (abrupt maneuvers).
Motivation – undetermined.
Despite reports from fellow workers that the PIC did not have a show-off profile, it is possible that the presence of observers interested in the aircraft's performance influenced his behavior, leading him to adopt, during the takeoff, an inappropriate posture characterized by improvisation, non-compliance with procedures, and excessive self-confidence.
Perception – undetermined.
It is possible that the pilot was not able to adequately recognize the characteristics of the stall, thus resulting in late and/or insufficient actions to recover from the abnormal attitude.
Decision-making process – undetermined.
The inappropriate decision to perform a takeoff not recommended by the manufacturer, as well as the rotation of the wings at low height, may have resulted from an inaccurate analysis of the risks involved in that type of maneuver.
Accident investigation:
|
| |
Investigating agency: | CENIPA |
Report number: | A-011/CENIPA/2022 |
Status: | Investigation completed |
Duration: | 1 year and 11 months |
Download report: | Final report |
|
Sources:
https://www.metropoles.com/sem-categoria/piloto-morre-apos-queda-de-aviao-em-luis-eduardo-magalhaes-na-bahia https://g1.globo.com/ba/bahia/noticia/2022/01/20/aviao-agricola-cai-no-oeste-da-bahia.ghtml https://g1.globo.com/google/amp/ba/bahia/noticia/2022/01/20/aviao-agricola-cai-no-oeste-da-bahia.ghtml https://www.ibahia.com/bahia/detalhe/noticia/piloto-morre-em-queda-de-aviao-agricola-no-oeste-da-bahia/amp https://jornaldachapada.com.br/2022/01/21/bahia-piloto-de-35-anos-morre-apos-queda-de-aviao-agricola-em-luis-eduardo-magalhaes/ Location
Revision history:
Date/time | Contributor | Updates |
21-Jan-2022 19:53 |
Victor |
Added |
21-Jan-2022 19:58 |
harro |
Updated [Aircraft type, Registration, Cn, Operator, Nature, Source] |
21-Jan-2022 21:47 |
Iceman 29 |
Updated [Time, Departure airport, Destination airport, Source, Embed code, Narrative] |
22-Jan-2022 08:42 |
cleberjc |
Updated [Time, Location, Departure airport, Destination airport, Source, Embed code, Narrative] |
08-Jan-2024 10:48 |
harro |
Updated [Time, Other fatalities, Nature, Departure airport, Destination airport, Narrative, Accident report] |
08-Jan-2024 10:50 |
harro |
Updated [Other fatalities, Location, Destination airport, Embed code, Category] |
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