Incident Overview

Description
The Bandeirante descended below MDA in bad weather and impacted Taquari Hill at 3400 feet. The hill was hidden by clouds. Contributing factors a. Human Factor (1). Physiological Aspect – Did not contribute. (2). Psychological Aspect – Undetermined. b. Material Factor – Did not contribute. c. Operational Factor (1). Adverse Weather Conditions – Weather conditions along the entire route and in the area where the accident occurred were adverse to maintain visual flight. (2). Disabled Judgement – The pilot dropped below the region’s safety altitude, (5000 feet) when flying in instrument flight conditions. (3). Poor Planning – There was an inadequate preparation for the flight, the pilot did not plan his navigation accurately in relation to his speed, height, distance and time. (4). Disabled Supervision – The company had no mechanisms and instruments for monitoring personnel, making it impossible to record and correct the performance deficiencies presented. (5). Other Operational Aspects – The crew did not comply with the procedure adopted by the company in the Salvador /Guanambi route, unnecessarily increasing the risk margin. (6). Others – Possibility of deficiencies in organizational processes such as management, recruitment and selection, training and monitoring of personnel.
Primary Cause
Adverse Weather ConditionsAdverse Weather ConditionsShare on: