Incident Overview

Date: Thursday 26 February 2004
Aircraft Type: Beechcraft 200 Super King Air
Owner/operator: Macedonian Government
Registration Number: Z3-BAB
Location: 10 km SSE of Mostar Airport (OMO) – ÿ Bosnia and Herzegovina
Phase of Flight: Approach
Status: Destroyed, written off
Casualties: Fatalities: 9 / Occupants: 9
Component Affected: Aircraft ? Beechcraft Super King Air 200 registration Z3-BABAircraft ? Beechcraft Super King Air 200 registration Z3-BAB
Investigating Agency: MKTMKT
Category: Accident
A Beechcraft Super King Air, registration Z3-BAB, crashed near Mostar, Bosnia and Herzegovina, resulting in the deaths of all onboard passengers. The accident was attributed to a pilot’s failure to maintain the required descent altitude (MDA) of 1810 feet during a precision approach to the airport, leading to a Controlled Flight Into Terrain (CFIT) situation.A Beechcraft Super King Air, registration Z3-BAB, crashed near Mostar, Bosnia and Herzegovina, resulting in the deaths of all onboard passengers. The accident was attributed to a pilot’s failure to maintain the required descent altitude (MDA) of 1810 feet during a precision approach to the airport, leading to a Controlled Flight Into Terrain (CFIT) situation.

Description

A Beechcraft 200 Super King Air of the Macedonian Government was destroyed when it impacted a mountainside near Mostar, Bosnia and Herzegovina. The airplane carried Macedonian President Boris Trajkovski and other officials. All aboard were killed in the accident. Based on the investigation and analysis of the collected evidence and documents available, the Commission concluded that the immediate cause of the aircraft accident of Beechcraft Super King Air 200 registration Z3-BAB was the following: Descending below the minimum descent altitude-MDA of 1810 feet for the published procedure for precision approach for landing at the airport in Mostar: 1:06 Mostar-LQMO, VOR/DME RWY 34 (Jeppesen 13-1), resulting in a Controlled Flight Into Terrain-CFIT. The main factors that have led to a descent below the minimum published heights are as follows: a) Very poor quality and lack of preparation of the crew for the approach and landing; b) Ignoring the information of air traffic controllers on the current meteorological situation at LQMO Airport; c) Wrong determination of the FAF (Final Approach Final Fix- point of access) and its replacement with the IAF (Intermediate Approach Fix- Central point of access) which led to an earlier start of the descent. d) To turn off the autopilot during the approach phase, taking into account the complex meteorological situation; e) Low crew teamwork (CRM Crew Resource Management) – lack of communication and failure to follow standard operating procedures; f) Failure to maintain level flight by Pilot Flying and inadequate response by pilots Assisting Pilot, at the stage of reaching the MDA Minimum Descent Altitude.

Primary Cause

Descent below the minimum descent altitude-MDA of 1810 feet for the published procedure for precision approach for landing at the airport in Mostar.Descent below the minimum descent altitude-MDA of 1810 feet for the published procedure for precision approach for landing at the airport in Mostar.

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