Incident Overview

Description
A CASA CN-235M-200 transport plane, F-RAIA, was destroyed in an accident near Suc-et-Sentenac, France. All seven on board were killed. The airplane was attached to the Escadron de transport 1/62 Vercors (ET 01.062) of the French Air Force. It was based at the Creil Air Base (BA 110). The CN-235 arrived at Toulouse-Francazal Air Base (BA 101) on December 15, 2003 where it would stay for three days, conducting flights with paratroopers. F-RAIA departed Francazal Air Base at 09:52 on December 17 on a mission to drop paratroopers over the Tour du Crieu drop zone. There were four crew members on board, the copilot in the left hand seat, a captain in the right hand seat, an instructor and a flight engineer. The passengers were eleven paratroopers and a jump master. Because of high winds the jump master delayed the jump. Finally, at 10:17 nine paratroopers jumped from an altitude of 12.000 feet. The captain then informed the controller that he would conduct a low-level navigation flight over the Pyrnes Mountains for a duration of ten to fifteen minutes. The airplane flew through several valleys until the crew encountered rising terrain of the Pic de Pioulou. The crew initiated a climb in order to cross the ridge. During the climb the airspeed decreased steadily until the airplane stalled. It struck terrain at an elevation of 1830 m, about 200 m below the crest. CAUSES OF THE ACCIDENT (translated from original French report): The accident, which occurred in a delicate aeronautical environment (mountain flying) sees its causes primarily related to the human factor. It occured during the execution of an unscheduled and unprepared flight phase, by decision of the captain during the flight. Meanwhile, several factors point to an improvable rigor in actions performed by some crew members of this unit. A decision to change the mission in flight combines several errors that led to the accident: – Over-confidence of the crew, unaccustomed to mountain flying, which engaged in a topography of which they underestimated the difficulty, the insidiously, because gradually, increasing slope, – A lack of decision in the cockpit that originated in the establishment of a “soft consensus” itself resulting from functions, qualifications and personalities of various crew members, – Incorrect assessment of the situation and the capabilities of the aircraft with regards to the topography, – A lack of reaction in a degraded situation.
Source of Information
http://www.aerosteles.net/fiche.php?code=casa-suc&lang=frhttp://www.aerosteles.net/fiche.php?code=casa-suc&lang=frPrimary Cause
Human factor ? specifically, a combination of overconfidence, inadequate training, and a lack of decisive judgment by the pilot and crew members during the flight, particularly in the challenging mountain flying conditions and the execution of the planned navigation flight.Human factor ? specifically, a combination of overconfidence, inadequate training, and a lack of decisive judgment by the pilot and crew members during the flight, particularly in the challenging mountain flying conditions and the execution of the planned navigation flight.Share on: