ASN Wikibase Occurrence # 241548
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| Date: | Thursday 16 February 2017 |
| Time: | 15:00 UTC |
| Type: |  Eurocopter Bo 105S |
| Owner/operator: | Heringer Air Taxi |
| Registration: | PR-MER |
| MSN: | S-916 |
| Year of manufacture: | 1996 |
| Total airframe hrs: | 3155 hours |
| Fatalities: | Fatalities: 0 / Occupants: 2 |
| Aircraft damage: | Destroyed |
| Category: | Accident |
| Location: | São Félix do Xingu, PA -
 Brazil
|
| Phase: | En route |
| Nature: | Passenger - Non-Scheduled/charter/Air Taxi |
| Departure airport: | São Felix do Xingu Aerodrome (SNFX) - PA |
| Pykany Village | |
| Investigating agency: | CENIPA |
| Confidence Rating: |  Accident investigation report completed and information captured |
The aircraft took off from the São Felix do Xingu Aerodrome (SNFX) - PA, to the Pykany Village, located in the municipality of Altamira - PA, at about 1445 (UTC).
After about fifteen minutes of flight, the pilot noticed a smell of burning and, after turning off the non-essential electrical equipment, decided to make a precautionary landing in an open area about 66km away from SNFX.
After landing, the pilot noticed a large amount of smoke coming out of the rear of the aircraft and directed the passenger for immediate evacuation.
During the abandonment, the pilot did not cut the engines. After a few moments, a fire started.
The aircraft was destroyed.
The pilot and the passenger left unharmed.
Contributing factors.
- Training – undetermined.
The training received by the pilot did not include the fire / smoke procedure on the aircraft, thus, it did not provide the adequate and necessary conditions to sediment the knowledge, which may have favored the adoption of practices divergent from the procedure.
- Organizational culture – undetermined.
In the organizational context, there was a collective acceptance of informal practices divergent from the manual, such as abandonment of the aircraft without the engine shutdown. This shared culture among the members of the organization may have fostered the non-standard performance of the pilot and favored the aggravation of the accident
consequences.
- Piloting judgment – a contributor.
There was an inadequate assessment of the emergency as a whole, so that instead of making an emergency landing with engine cut-off after touching the ground, as provided in the flight manual, a precautionary landing was performed to check the conditions of the aircraft.
- Perception – undetermined.
It is possible that an erroneous perception about the origin of the burning odor has led to the adoption of emergency procedures divergent from those adapted to the situation experienced in that flight, implying a low level of situational awareness of the present risks.
- Decision-making process – a contributor.
The abandonment of the aircraft without the engine cut-off meant an inadequate assessment of the risks involved in this circumstance and aggravated the consequences of the accident, as it allowed the fire to spread
Accident investigation:
 |
|
Sources:
CENIPA
Location
Revision history:
| Date/time | Contributor | Updates |
|---|---|---|
| 15-Sep-2020 08:51 | ASN Update Bot | Added |
| 17-Nov-2023 20:31 | harro | Updated [Time, Operator, Total fatalities, Total occupants, Other fatalities, Phase, Nature, Departure airport, Destination airport, Source, Damage, Narrative, Category] |
Corrections or additions? ... Edit this accident description
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