Incident Overview

Date: Wednesday 19 April 2000
Aircraft Type: Boeing 737-2H4
Owner/operator: Air Philippines
Registration Number: RP-C3010
Location: 8 km NE of Davao City-Francisco Bangoy International Airport (DVO) – ÿ Philippines
Phase of Flight: Approach
Status: Destroyed, written off
Casualties: Fatalities: 131 / Occupants: 131
Component Affected: Boeing 737-200 aircraftBoeing 737-200 aircraft
Category: Accident
An Air Philippines Boeing 737-200 crashed on approach to Davao City Airport, Philippines, killing all 131 passengers and crew. The aircraft was performing an ILS approach to runway 05, and a pilot maneuvered to deviate from the standard approach procedure. The aircraft subsequently entered clouds and descended below the expected altitude, resulting in a crash into a coconut plantation.An Air Philippines Boeing 737-200 crashed on approach to Davao City Airport, Philippines, killing all 131 passengers and crew. The aircraft was performing an ILS approach to runway 05, and a pilot maneuvered to deviate from the standard approach procedure. The aircraft subsequently entered clouds and descended below the expected altitude, resulting in a crash into a coconut plantation.

Description

Air Philippines Flight 541, a Boeing 737-200, struck a hillside on approach to Davao City Airport, Philippines, killing all 131 on board. Flight 541 departed Manila (MNL) at 05:21 hours and was due to land at Davao (DVO), Philippines, around 06:45. The aircraft was being flown as a route check for a captain. Another captain was acting as Pilot Monitoring on the flight. The en route part of the flight was uneventful. The aircraft was conducting an ILS approach to runway 05 and the controller reported that they would be behind Philippine Airlines flight 809, an Airbus A319. As the Boeing 737 broke out of clouds, the A319 was observed on runway 05. The Pilot Flying informed ATC of his intention to perform a 360ø maneuver, but the Pilot Monitoring advised ATC of the opposite, stating that the aircraft would turn right instead of following the missed approach procedure, which called for a left hand turn to a 020ø heading. The aircraft re-entered clouds and attempted to fly visually at a lower altitude in instrument conditions when in fact it should have climbed to 4000 feet. The flight continued over Samal Island and the flight requested a VOR/DME approach and landing in the opposite direction (runway 23), which was approved by the controller. After having aligned with the runway heading, the aircraft descended below the normal glide path for this approach. It continued down to 570 feet at a point where the aircraft should have been at 1500 feet. The aircraft crashed into a coconut plantation on a hillside in Barangay San Isidro, disintegrated and caught fire.

Source of Information

http://nolan-law.com/pdf/Nolan-101808.pdfhttp://nolan-law.com/pdf/Nolan-101808.pdf

Primary Cause

Pilot error ? deviation from standard approach procedure during a critical phase of flight.Pilot error ? deviation from standard approach procedure during a critical phase of flight.

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