Incident Overview

Date: Sunday 5 August 2001
Aircraft Type: Dassault Falcon 20C
Owner/operator: Naske Air
Registration Number: D-CBNA
Location: 8 km SW of Narsarsuaq – ÿ Greenland
Phase of Flight: Approach
Status: Destroyed, written off
Casualties: Fatalities: 3 / Occupants: 3
Component Affected: Aircraft systems (GPWS, flight controls, navigation systems, and potentially the aircraft’s flight control software).Aircraft systems (GPWS, flight controls, navigation systems, and potentially the aircraft’s flight control software).
Category: Accident
A Falcon 20 aircraft experienced a near-miss incident during a chartered cargo flight from Poland to Louisville, Kentucky. The flight initially proceeded without incident until descent to Narsarsuaq, Iceland. The crew, during a briefing on the approach, failed to adhere to standard operating procedures, including altitude calls and checklist reading. The GPWS was non-functional, and the crew experienced significant fatigue, leading to a prolonged flight duty. The aircraft descended into a high ground position to the left of the runway 07 approach path, resulting in a breakup. The incident highlights a critical failure in situational awareness and adherence to established procedures.A Falcon 20 aircraft experienced a near-miss incident during a chartered cargo flight from Poland to Louisville, Kentucky. The flight initially proceeded without incident until descent to Narsarsuaq, Iceland. The crew, during a briefing on the approach, failed to adhere to standard operating procedures, including altitude calls and checklist reading. The GPWS was non-functional, and the crew experienced significant fatigue, leading to a prolonged flight duty. The aircraft descended into a high ground position to the left of the runway 07 approach path, resulting in a breakup. The incident highlights a critical failure in situational awareness and adherence to established procedures.

Description

The Falcon 20 operated on a chartered cargo flight from Gdansk, Poland to Louisville, KY (USA). Intermediate stops were planned at Copenhagen (Denmark), Keflavik (Iceland), Narsarsuaq (Greenland) and Sept-?les (Canada). The flight was uneventful until the approach to Narsarsuaq. The crew made a briefing on the runway 07 NDB/DME approach while descending to FL195. At 04:27 UTC, while descending through FL130, Narsarsuaq cleared the crew for an approach at their own discretion. Weather at the time was: wind 080deg at 24 knots, visibility 10 km with broken clouds at 6000 feet and overcast at 9000 feet, light rain. While flying the approach, the crew did not adhere to the Standard Operating Procedures a.o. with regards to altitude calls and checklist reading. Furthermore the GPWS was inoperative and the crew were exposed to peak fatigue. They were awake for 22 hours and were on duty for 16:56 hours. Flight duty time was exceeded by almost three hours. While attempting a visual approach to runway 07 the aircraft descended into a high ground to the left of the runway 07 approach path and broke up. CAUSAL FACTOR: “A combination of non-adherence to the approach procedure and the lack of vertical position awareness was the causal factor to this CFIT accident.”

Source of Information

http://www.skybrary.aero/index.php/FA20,_vicinity_Narsarsuaq_Greenland,_2001_(CFIT_HF)http://www.skybrary.aero/index.php/FA20,_vicinity_Narsarsuaq_Greenland,_2001_(CFIT_HF)

Primary Cause

Failure to adhere to standard operating procedures regarding altitude calls and checklist reading during a critical approach.Failure to adhere to standard operating procedures regarding altitude calls and checklist reading during a critical approach.

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