Incident Overview

Date: Wednesday 27 April 1966
Aircraft Type: Lockheed L-749A Constellation
Owner/operator: Lineas A‚reas Nacionales S.A. – LANSA
Registration Number: OB-R-771
Location: Mount Talaula – ÿ Peru
Phase of Flight: En route
Status: Destroyed, written off
Casualties: Fatalities: 49 / Occupants: 49
Component Affected: Pilot ? Specifically, the pilot’s error in route selection, climb performance calculations, and judgment regarding terrain assessment, particularly in the critical area of the Tamara and Pilas gap.Pilot ? Specifically, the pilot’s error in route selection, climb performance calculations, and judgment regarding terrain assessment, particularly in the critical area of the Tamara and Pilas gap.
Category: Accident
Flight 501 experienced a catastrophic crash during its descent from Lima runway 15 at 07:40. The aircraft rapidly descended to a low altitude, eventually impacting into the Mount Talaula. The probable cause was a combination of pilot error, specifically concerning route selection, climb performance, elevation calculations, and judgment under pressure. The pilot’s actions, including selecting a route that was too challenging for the aircraft’s weight and altitude, miscalculating climb performance, and failing to adequately assess the terrain around the mountains, contributed to the accident. The pilot’s insufficient rest and potentially altered mental state, compounded by the challenging route conditions, were also identified as factors.Flight 501 experienced a catastrophic crash during its descent from Lima runway 15 at 07:40. The aircraft rapidly descended to a low altitude, eventually impacting into the Mount Talaula. The probable cause was a combination of pilot error, specifically concerning route selection, climb performance, elevation calculations, and judgment under pressure. The pilot’s actions, including selecting a route that was too challenging for the aircraft’s weight and altitude, miscalculating climb performance, and failing to adequately assess the terrain around the mountains, contributed to the accident. The pilot’s insufficient rest and potentially altered mental state, compounded by the challenging route conditions, were also identified as factors.

Description

Flight 501 took off from Lima runway 15 at 07:40 and was instructed to climb in accordance with the no. 2 standard departure procedure. The aircraft was later observed flying at low altitude. The plane eventually crashed into the Mount Talaula at 12600 feet, 29nm North of the normal route. PROBABLE CAUSE: “The Commission considered that the probable cause of the accident was pilot error in that he: a) Incorrectly selected the route to be flown in violation of the provisions established by the Airline for operation of flight 501; b) Incorrectly calculated the climb performance of the aircraft in relation to its total weight of takeoff. This aircraft type, with a gross takeoff weight of 90,572 lb can’t within the 25 minutes of flight after takeoff attain the altitude required to fly over the peaks of the Cordillera which are encountered over the distance that can be covered in the above-indicated time along the route followed by the aircraft. Under such conditions the operation can be performed only by flying the aircraft. Under such conditions the operation can be performed only by flying the aircraft at lower levels between the mountains, in violation of the most elementary principles of flight safety; c) Erroneously estimated the elevation of the nearby peaks he had to clear along the route. The Commission considered that the critical moment of decision came in the area of the towns of Tamara and Pilas which are separated by a gap running into the Cordillera and joining in the same area another wide gap into which flows the Rio Omas and which leads to the coastal town of Asia. At this point the pilot could still have flown out to the east but this would have entailed continuing on this course, then turning to avoid Mount Huamantanga (12600ft), since he was flying below the elevation of the mountain so as to enter the gap and follow it up to the Cordillera even though it would have been flying below the elevation of surrounding peaks. The Tamara and Pilas gap, the entrance to which is in the area of the above mentioned villages, at a rather low elevation, is about 5 nm wide along its entire length up to the Cordillera, rises very steeply until it reaches elevations of more than 14000ft, which could not be cleared by the subject aircraft, considering its weight, the climb characteristics of the aircraft, the time to fly the 5nm length of the gap and the altitude of the aircraft when it entered the gap. d) In view of the flight experience of the pilot in command, who had completed 112 flights on the 501-502 route, one can only surmise that his judgment was affected by insufficient rest and his particular state of mind as a result of his assignment to perform the flight for which he was not rostered. He may have been further influenced in the selection of the direct route by the perfect weather conditions obtaining at the time. e) Finally, although there was no evidence of any mechanical failure the Commission could not definitely rule out the possibility of some ‘undetermined’ factor during the two minutes if flight from San Pedro de Pilas to the point of impact inside the gap. If such was the case, this would have only aggravated the situation, since it was considered that after having entered the Tamara-Pilas gap, the aircraft could not have been cleared the peaks along the route nor come back. In view of this circumstance, it was considered that an ‘undetermined factor did not necessarily cause the accident.”

Primary Cause

Pilot Error ? Route Selection, Climb Performance, Elevation Calculations, and JudgmentPilot Error ? Route Selection, Climb Performance, Elevation Calculations, and Judgment

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