Status: | Accident investigation report completed and information captured |
Datum: | maandag 20 maart 2017 |
Tijd: | 22:45 |
Type: |  ATR 42-500 |
Luchtvaartmaatschappij: | TOTAL Linhas Aéreas |
Registratie: | PR-TTH |
Constructienummer: | 506 |
Bouwjaar: | 1996 |
Aantal vlieguren: | 31686 |
Aantal vluchten: | 33979 |
Motoren: | 2 Pratt & Whitney Canada PW127E |
Bemanning: | slachtoffers: 0 / inzittenden: 4 |
Passagiers: | slachtoffers: 0 / inzittenden: 0 |
Totaal: | slachtoffers: 0 / inzittenden: 4 |
Schade: | Groot |
Gevolgen: | Written off (damaged beyond repair) |
Plaats: | Coari-Urucu Airport, AM ( Brazilië)
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Fase: | Landing (LDG) |
Soort vlucht: | Ferry |
Vliegveld van vertrek: | Manaus-Eduardo Gomes International Airport, AM (MAO/SBEG), Brazilië |
Vliegveld van aankomst: | Coari-Urucu Airport, AM (SWUY), Brazilië |
Beschrijving:The ATR 42-500 veered off runway 09 during landing at Coari-Urucu Airport, AM, Brazil. There were no injuries, but the aircraft sustained substantial damage.
After approximately one hour and ten minutes of flight time, during the descent procedure, the no.2 propeller rpm suddenly increased. The crewmembers performed the procedures set out in the aircraft manuals and proceeded to their destination.
The crew carried out an NDB approach to runway 09 at Coari-Urucu Airport in light rain conditions.
After touchdown the right propeller did not assume the reverse pitch with the throttle in position below Ground Idle. The aircraft then yawed to the left and veered off the runway approximately 500 m after the touchdown point, traveling about 180 m through the grass.
Probable Cause:
Contributing factors.
- Attention a contributor.
The lack of attention to the lighting of the Low Pitch lights contributed to the application of reverse in both engines, with only one of the lights on.
Thus, this action contributed to the asymmetric reverse condition, which allowed the aircraft to exit the runway on the left.
- Emotional state undetermined.
The feeling of apprehension experienced by the crewmembers in relation to the length of the runway, associated with the condition of night operation and in the rain, may have affected their performance, so that, in an attempt to anticipate the engines entering the reverse regime, the standard landing procedures were not properly performed.
- Aircraft maintenance undetermined.
The series of discrepancies identified in the Microswitch Box, PN 11S76180650-10, SN 0199, indicating that the unit could have been opened in an unauthorized location, raised doubts about the quality standard of the services performed on the aircraft, which may have allowed an aircraft grounding condition fault that has affected several aircraft electrical components and caused the Np Cancel function to fail.
Accident investigation:
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Investigating agency: | CENIPA  |
Status: | Investigation completed |
Duration: | 5 years and 7 months | Accident number: | A-053/CENIPA/2017 | Download report: | Final report
|
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Veiligheidsmaatregelen
CENIPA issued 1 Safety Recommendation
Issued: 21-SEP-2022 | To: ANAC | A-053/CENIPA/2017 - 01 |
Work with Total Airlines S.A, in order to verify the compliance of the maintenance services performed by that company, aiming to increase the levels of competence and operational safety required for the performance of the activities for which such organization is certified. |
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Kaart
Deze kaart geeft het vliegveld van vetrek weer en de geplande bestemming van de vlucht. De lijn tussen de vliegvelden geeft
niet de exacte vliegroute weer.
De afstand tussen Manaus-Eduardo Gomes International Airport, AM en Coari-Urucu Airport, AM bedraagt 620 km (388 miles).
Accident location: Approximate; accuracy within a few kilometers.
This information is not presented as the Flight Safety Foundation or the Aviation Safety Network’s opinion as to the cause of the accident. It is preliminary and is based on the facts as they are known at this time.