Incident Overview
Description
On September 22, 1994, a Purus Aerotaxi Embraer Bandeirante landed at Feij¢ Airport (FEJ). Upon landing the copilot inadvertently mishandled the engines. Reverse pitch was not applied. Directional control was lost and the left main landing gear ran off the side of the runway. The airplane came to rest 40 m past the end of the runway. It was towed to the ramp and the captain performed an inspection of the plane. He notified his company base and decided to continue to Tarauac (TRQ) and Rio Branco (RBR). The first stretch was a short 10-minute flight, which was to be flown with the landing gear down as a precaution. The aircraft took off from Feij¢ at 06:30, carrying a load of 635 kg. A couple of minutes after takeoff the no. 2 engine developed problems. Altitude could not be maintained and the aircraft descended towards some trees. To diminish the drag, pilot raised the gear, but it was already too late. The right wing tip collided with a tree, ripping off 3,20 meters of the wing. The airplane rolled and crashed inverted. CONCLUS?O Fator Humano – Aspecto Psicol¢gico – Contribuiu A determina?o de cumprir a etapa desviou a aten?o do Comandante dos cuidados exigidos para o planejamento do vo e normas de segurana. Havia um n¡vel de tens?o acima do normal nos tripulantes devido s ocorrncias do dia anterior. O co-piloto, inseguro quanto a operacionalidade da aeronave, n?o teve condi?es de impedir a decolagem. Havia passado a noite anterior em estado de ansiedade acarretada pelo problema e, contrariado, decolou operando como piloto. Fator Operacional (1). Deficiente Manuten?o – Indeterminado A falta de manuten?o preventiva para o filtro de P3, levando a uma poss¡vel rela?o com a perda de potncia observada no motor direito, pode ter contribu¡do para o acidente, apesar de n?o ter sido poss¡vel comprovar seu estado real devido aos danos do incndio. (2) Deficiente Planejamento do Vo – Contribuiu O vo com trem de pouso baixado, com a aeronave carregada e em condi?es meteorol¢gicas adversas s?o ind¡cios do deficiente planejamento. (3). Deficiente Aplica?o de Comandos – Contribuiu O posicionamento do compensador do leme direcional para a posi?o contr ria ao do vo monomotor com falha do motor direito indica deficiente aplica?o de comando, contribuiu para a dificuldade de controle da aeronave.
Primary Cause
Deficient Maintenance (Specifically, the failure of the P3 filter, potentially leading to power loss), Deficient Flight Planning (Due to the flight path, weather conditions, and inadequate maneuvering), and Deficient Command Application (Related to the aircraft’s position and control).Deficient Maintenance (Specifically, the failure of the P3 filter, potentially leading to power loss), Deficient Flight Planning (Due to the flight path, weather conditions, and inadequate maneuvering), and Deficient Command Application (Related to the aircraft’s position and control).Share on:
