Incident Overview

Date: Sunday 20 September 1998
Aircraft Type: Embraer EMB-110
Owner/operator: Manaus Aerot xi Ltda
Registration Number: PT-WAW
Location: Campo de Pouso de Canutama, Canutama, AM – ÿ Brazil
Phase of Flight: Standing
Casualties: Fatalities: 0 / Occupants:
Component Affected: AircraftAircraft
Investigating Agency: CENIPACENIPA
Category: Accident
A person running from the crowd near the aircraft’s propeller caused a fatal accident due to inadequate supervision, disciplinary action, judgment, coordination, and a potential invasion of the aircraft’s area of operation.A person running from the crowd near the aircraft’s propeller caused a fatal accident due to inadequate supervision, disciplinary action, judgment, coordination, and a potential invasion of the aircraft’s area of operation.

Description

One person, holding a sign in his hand, ran from the crowd to near the aircraft, on the right side, where the propeller was turning. Then there was contact directly from the person with the propeller, causing fatal injuries. The airplane is not damaged. Contributing Factors (1). Deficiente Supervis?o – Contribuiu A opera‡?o em campo de pouso n?o homologado vinha sendo realizada pela empresa constantemente, sem que houvesse mecanismo de supervis?o adequada em n¡vel administrativo para evitar essas irregularidades. (2). Indisciplina de V“o – Contribuiu A pista de pouso foi utilizada pelos pilotos sem que estivesse devidamente homologada, contrariando intencionalmente, e sem motivo justific vel, a legisla‡?o vigente. (3). Deficiente Julgamento ? Contribuiu O comandante julgou ser mais conveniente a manuten‡?o do motor direito em funcionamento, ao inv‚s de efetuar o corte de imediato, dado ao aglomerado de pessoas. (4). Deficiente Coordena‡?o de Cabine ? Contribuiu Os recursos dispon¡veis na tripula‡?o para a opera‡?o de uma maneira mais segura n?o foram utilizados. (5). Outros ? Contribuiu A invas?o da  rea de giro da h‚lice por pessoa em vis¡vel estado de embriaguez culminou na ocorrˆncia do acidente.

Primary Cause

Deficiente Supervis?oDeficiente Supervis?o

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