Incident Overview

Date: Sunday 26 August 2018
Aircraft Type: Harbin Y-12E
Owner/operator: SATENA
Registration Number: HK-5036
Location: Santaf‚ del Cagu n – ÿ Colombia
Phase of Flight: En route
Status: Substantial, written off
Casualties: Fatalities: 0 / Occupants: 20
Component Affected: Aircraft structureAircraft structure
Investigating Agency: AerocivilAerocivil
Category: Accident
A Y-12E aircraft experienced a sudden and uncontrolled descent due to severe cumulonimbus clouds during a flight between Araracuara (SKAC) and Florencia (SKFL). The crew, despite warnings of the hazard, crossed the formation, resulting in a loss of situational awareness and decision-making leading to a significant structural damage. The incident highlights a failure to mitigate a recognized weather risk, compounded by reckless behavior, poor resource management, and complacency.A Y-12E aircraft experienced a sudden and uncontrolled descent due to severe cumulonimbus clouds during a flight between Araracuara (SKAC) and Florencia (SKFL). The crew, despite warnings of the hazard, crossed the formation, resulting in a loss of situational awareness and decision-making leading to a significant structural damage. The incident highlights a failure to mitigate a recognized weather risk, compounded by reckless behavior, poor resource management, and complacency.

Description

During a regular flight between Araracuara (SKAC) and Florencia (SKFL), the crew of the Y-12E aircraft encountered cumulonimbus clouds. The crew decided to cross the formation, assuming they would only experience light turbulence; however, the effect of the turbulence caused the aircraft to descend 5500 ft uncontrolled, in a few seconds, to an altitude of 5000 ft. The crew regained control, and landed without further problems at 16:09. As a result of the event, one passenger suffered minor injuries. Due to the cumulonimbus crossing the aircraft suffered severe structural damage. The investigation determined that the probable cause of the accident was loss of situational awareness (SAW) and decision-making ability (ADM) on the part of the Commander, who failed to prevent the flight from crossing through a severe weather condition (cumulonimbus), despite having warned of this hazard and having been detected and clearly identified on the weather radar. As contributing factors were found: – A reckless attitude of the crew in underestimating a clearly detected and recognized weather hazard and in boasting of their ability to fly through those conditions – Poor management of resources in the cockpit, by not using the right tools such as leadership, assertive communication and proper decision making based on risk assessment. – And, finally, complacency on the part of the First Officer as a Pilot Flying, who executed the Commander’s orders without considering the risk or consequences of entering into known bad weather conditions.

Primary Cause

Loss of situational awareness and decision-making due to Commander’s failure to prevent the flight through a severe weather condition (cumulonimbus).Loss of situational awareness and decision-making due to Commander’s failure to prevent the flight through a severe weather condition (cumulonimbus).

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