Incident Overview

Date: Monday 21 December 1992
Aircraft Type: McDonnell Douglas DC-10-30CF
Owner/operator: Martinair Holland
Registration Number: PH-MBN
Location: Faro Airport (FAO) – ÿ Portugal
Phase of Flight: Landing
Status: Destroyed, written off
Casualties: Fatalities: 56 / Occupants: 340
Component Affected: Autopilot (CMD) and Control-Wheel Steering (CWS)Autopilot (CMD) and Control-Wheel Steering (CWS)
Investigating Agency: GPIAGPIA
Category: Accident
On January 17, 2023, a DC-10-30CF aircraft, flight MP495, crashed during landing at Faro Airport, Portugal, resulting in the deaths of 56 passengers and 284 survivors. The aircraft was cleared to descend to FL70, and shortly after, Faro Approach Control provided weather conditions of wind 15ø/18 kts, visibility 2500m, thunderstorms with 3/8 clouds at 500ft, 7/8 clouds at 2300ft, and 1/8 cumulonimbus at 2500ft, temp. 16øC. At 08:29, the crew informed of a flooded runway. The approach became unstable, and the crew switched from CMD to CWS, resulting in a rapid loss of control. The aircraft experienced a 25ø bank, left wing up, and elevator was pulled to pitch up, leading to a 900ft descent rate. The aircraft slid down the runway, resulting in a 25deg bank and a 900ft descent rate. The aircraft subsequently came to rest 1100m from the runway threshold and 100m to the right of the centreline.On January 17, 2023, a DC-10-30CF aircraft, flight MP495, crashed during landing at Faro Airport, Portugal, resulting in the deaths of 56 passengers and 284 survivors. The aircraft was cleared to descend to FL70, and shortly after, Faro Approach Control provided weather conditions of wind 15ø/18 kts, visibility 2500m, thunderstorms with 3/8 clouds at 500ft, 7/8 clouds at 2300ft, and 1/8 cumulonimbus at 2500ft, temp. 16øC. At 08:29, the crew informed of a flooded runway. The approach became unstable, and the crew switched from CMD to CWS, resulting in a rapid loss of control. The aircraft experienced a 25ø bank, left wing up, and elevator was pulled to pitch up, leading to a 900ft descent rate. The aircraft slid down the runway, resulting in a 25deg bank and a 900ft descent rate. The aircraft subsequently came to rest 1100m from the runway threshold and 100m to the right of the centreline.

Description

Martinair flight 495, a DC-10-30CF, crashed during landing at Faro Airport, Portugal, killing 56 occupants; 284 survived the accident. At 05:52 LT Flight MP495 took off from Amsterdam for a flight to Faro. The flight had been delayed for 40 minutes due to no. 2 engine reverser problems. After a flight of 2 and 17 minutes a the flight was cleared to descend to FL70. Shortly afterwards Faro Approach Control provided the crew with the following weather: wind 15deg./18 kts; 2500 m visibility; thunderstorms with 3/8 clouds at 500 feet, 7/8 clouds at 2300 feet and 1/8 cumulonimbus at 2500 feet, temp. 16deg. C. Clearance to descend to 1220 m was given at 08:20, followed by a clearance to 915 m and 650 m 4, resp. 6 minutes later. At 08:29 the crew were informed that the runway was flooded. At an altitude of 303 m and 140 knots speed the approach became unstable and at 177 m the first officer switched the autopilot from CMD (command mode) to CWS (control-wheel steering). One minute later it was switched from CWS to manual and the airspeed began falling below approach reference speed. About 3-4 seconds short of touchdown elevator was pulled to pitch up and engine power was increased. When the no. 3 and 5 spoilers extended, the aircraft had a 25deg. bank, left wing up. The right main gear contacted the runway with a 900 feet/min descent rate at 126 knots, +8.79deg. pitch up, +5.62deg roll and 1,9533G. The right wing separated while the aircraft slid down the runway. The aircraft came to rest 1100 m from the runway 11 threshold and 100 m to the right of the centreline and caught fire. PROBABLE CAUSES: “The high rate of descent in the final phase of the approach and the landing made on the right landing gear, which exceeded the structural limitations of the aircraft.; The crosswind, which exceeded the aircrafts limits and which occurred in the final phase of the approach and during landing. The combination of both factors determined stresses which exceeded the structural limitations of the aircraft. Contributing factors were: The instability of the approach; the premature power reduction, and the sustaining of this condition, probably due to crew action; the incorrect wind information delivered by Approach Control; the absence of an approach light system; the incorrect evaluation by the crew of the runway conditions; CWS mode being switched off at approx. 80ft RA, causing the aircraft to be in manual control in a critical phase of the landing; the delayed action of the crew in increasing power; the degradation of the lift coefficient due to heavy showers.” (DGAC Portugal) The Netherlands Aviation Safety Board commented that the probable cause should read: “a sudden and unexpected wind variation in direction and speed (windshear) in the final stage of the approach. Subsequently a high rate of descent and an extreme lateral displacement developed, causing a hard landing on the right-hand main gear, which in combination with a considerable crab angle exceeded the aircraft structural limitations. Contributing factors: From the forecast and the prevailing weather the crew of MP495 did not expect the existence of windshear phenomena.; The premature large power reduction and sustained flight idle thrust, most probable due to crew action.; CWS mode being disengaged at approx. 80ft RA, causing the aircraft to be in manual control at a critical stage in the landing phase.”

Source of Information

http://www.flightsafety.org/ap/ap_aug96.pdfhttp://www.flightsafety.org/ap/ap_aug96.pdf

Primary Cause

The combination of high descent rate, the crosswind exceeding the aircraft’s limits, and the crew’s actions ? specifically the switch from CMD to CWS ? led to instability and a loss of control during the final phase of the approach, exceeding the aircraft’s structural limitations and contributing to the rapid descent and runway impact.The combination of high descent rate, the crosswind exceeding the aircraft’s limits, and the crew’s actions ? specifically the switch from CMD to CWS ? led to instability and a loss of control during the final phase of the approach, exceeding the aircraft’s structural limitations and contributing to the rapid descent and runway impact.

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