Incident Overview

Description
During the landing run on a wet runway 35L at Congonhas Airport, the aircraft aquaplaned. The pilot decided to veer to the runway intersection. Unable to decelerate, the aircraft ran down a 5 meter embankment and went through a fence. It hit a barbecue stand, destroying it and slightly injuring the vendor. The aircraft suffered serious damage to its wings. Contributing factors a. Human Factor (1) Physiological – Did not contribute. (2) Psychological – Contributed By the presence, as a contributing factor, of the perceptive aspects, the decision making and the overconfidence of the crew; and as suspected aspects, the complacency and attention. b. Material Factor Did not contribute. c. Operational Factor (1) Adverse Weather Conditions – Contributed The rain that fell over Congonhas, moments before the accident, contributed to the occurrence of aquaplaning due to the high speed of the aircraft, culminating with the loss of control on the ground. (2) Poor Cabin Coordination – Contributed The lack of assertiveness of the co-pilot in not commanding the flight or taking commands when checking that the aircraft was outside the appropriate parameters for landing in the existing conditions. (3) Weak Judgment – Contributed For not performing a go around as a solution to the mistakes and failures committed during the approach, among which we can mention the excessively high descent gradient, the excessive speed, the non perception of hydroplaning and the cutting of the right engine. (4) Deficient Planning – Contributed Even informed that the runway was wet, the crew members did not outline any reaction in order to replan the procedures to be followed, adapting them to the new landing conditions, especially with regard to possible aquaplaning. (5) Little experience in the aircraft – contributed The pilot’s limited experience in the aircraft influenced the mistakes made on the final approach and landing. (6) Poor Oversight – Contrived The company allowed a pilot without an employment relationship and without an adequate adaptation to the aircraft to exercise the function of pilot, which influenced the errors made during landing
Primary Cause
Human Factors ? Primarily due to the crew’s presence of physiological, psychological, and operational errors, including a lack of decisive action, complacency, and overconfidence. The pilot’s decision-making process, particularly regarding descent rate, speed, and sensor awareness, was flawed.Human Factors ? Primarily due to the crew’s presence of physiological, psychological, and operational errors, including a lack of decisive action, complacency, and overconfidence. The pilot’s decision-making process, particularly regarding descent rate, speed, and sensor awareness, was flawed.Share on: