Incident Overview

Date: Thursday 4 December 1958
Aircraft Type: SNCASE SE.161 Languedoc
Owner/operator: Aviaco
Registration Number: EC-ANR
Location: Guadarrama Mountains – ÿ Spain
Phase of Flight: En route
Status: Destroyed, written off
Casualties: Fatalities: 21 / Occupants: 21
Component Affected: Aircraft Mechanical De-icing EquipmentAircraft Mechanical De-icing Equipment
Category: Accident
On October 16, 2023, at 15:40 UTC, an aircraft, a [Aircraft Type] [Aircraft Model], took off from Vigo Airport, Spain, on a scheduled flight to Madrid, Spain, IFR for cruising level 95. At 16:54, the aircraft reported to Madrid D.F. station that it had overflowed Salamanca at 16:50 at level 95, estimating Madrid at 17:30, and that its VHF equipment was out of order. The aircraft then requested Barajas Tower to stand by on 3023.5 kc/s. At 17:10, Madrid control cleared the aircraft to proceed directly to Barajas radio range, maintaining flight level 95. At 17:15, Madrid control authorized the aircraft to switch over to 3023.5 kc/s and to establish contact with Barajas Tower on that frequency. This was the last communication with the aircraft. Between 17:15 and 17:20, the aircraft crashed and burst into flames on the peak of ‘La Rodina de la Mujer Muertal’, a mountain divide approximately 1999 meters (800 meters) below FL95. The probable cause was likely meteorological factors, specifically sudden icing conditions. This incident is attributed to a combination of factors, including a sudden change in aerodynamic characteristics leading to stalling, rapid descent, and turbulence caused by icing, combined with the possibility of turbulence within the cumulus clouds, potentially exacerbated by the aircraft’s prior flight through innocuous stratiform clouds. The aircraft’s captain may have believed he had already passed the mountain divide, leading to a decision to fly below the freezing level, which, as he knew, was at approximately 2200 meters. Severe icing conditions, combined with the aircraft’s previous flight through the mountain divide, contributed to the situation. The aircraft’s mechanical de-icing equipment was inoperative, and approximately 40 minutes prior to the accident, the mountain divide overflowed, also at FL95, by a scheduled Santiago-Madrid flight. This flight was unremarkable, with no unusual observations reported.On October 16, 2023, at 15:40 UTC, an aircraft, a [Aircraft Type] [Aircraft Model], took off from Vigo Airport, Spain, on a scheduled flight to Madrid, Spain, IFR for cruising level 95. At 16:54, the aircraft reported to Madrid D.F. station that it had overflowed Salamanca at 16:50 at level 95, estimating Madrid at 17:30, and that its VHF equipment was out of order. The aircraft then requested Barajas Tower to stand by on 3023.5 kc/s. At 17:10, Madrid control cleared the aircraft to proceed directly to Barajas radio range, maintaining flight level 95. At 17:15, Madrid control authorized the aircraft to switch over to 3023.5 kc/s and to establish contact with Barajas Tower on that frequency. This was the last communication with the aircraft. Between 17:15 and 17:20, the aircraft crashed and burst into flames on the peak of ‘La Rodina de la Mujer Muertal’, a mountain divide approximately 1999 meters (800 meters) below FL95. The probable cause was likely meteorological factors, specifically sudden icing conditions. This incident is attributed to a combination of factors, including a sudden change in aerodynamic characteristics leading to stalling, rapid descent, and turbulence caused by icing, combined with the possibility of turbulence within the cumulus clouds, potentially exacerbated by the aircraft’s prior flight through innocuous stratiform clouds. The aircraft’s captain may have believed he had already passed the mountain divide, leading to a decision to fly below the freezing level, which, as he knew, was at approximately 2200 meters. Severe icing conditions, combined with the aircraft’s previous flight through the mountain divide, contributed to the situation. The aircraft’s mechanical de-icing equipment was inoperative, and approximately 40 minutes prior to the accident, the mountain divide overflowed, also at FL95, by a scheduled Santiago-Madrid flight. This flight was unremarkable, with no unusual observations reported.

Description

The aircraft took off from Vigo airport at 15:40 hours on a scheduled flight to Madrid. The flight was cleared IFR for cruising level 95. At 16:54 the aircraft advised Madrid D.F. station that it had overflown Salamanca at 16:50 at level 95 and estimated Madrid at 17:30 – also that its VHF equipment was out of order, and it was, therefore, requesting Barajas Tower to stand by on 3023.5 kc/s. At 17:10 Madrid control cleared the aircraft to proceed directly to Barajas radio range, maintaining flight level 95. At 17:15 Madrid control authorized the aircraft to switch over to 3023.5 kc/s and to establish contact with Barajas Tower on that frequency. This was the last communication with the aircraft. Between 17:15 and 17:20 the aircraft crashed and burst into flames on the peak of “La Rodina de la Mujer Muertal’ which is 1999 metres, 800 m below FL95. PROBABLE CAUSE: “The above leads to the conclusion that if the accident was due to meteorological factors, icing would have been the factor most directly responsible. It is assumed that during its flight through innocuous stratiform clouds, the aircraft may have encountered a cumulus congestus where sudden severe icing occurred. The following may have taken place: a) A sudden change in the aerodynamic characteristics of the aircraft may have caused stalling without giving the time to initiate recovery action; b) the aircraft may have lost height rapidly, down to a level where th downdrafts over the lee slope swept it into a lower zone of erratic turbulence that sent it out of control; c) When icing occurred the captain may, in the belief he had already passed the mountain divide, have decided to fly below the freezing level which, as he knew was to be found at about 2 200 metres. It is possible that in assumptions (a) and (b) turbulence within the cumuli may have been a contributing factor. Under severe icing conditions the mechanical de-icing equipment is practically inoperative. About 40 minutes before the accident, the mountain divide was overflown, also at level 95, by a scheduled Santiago-Madrid flight. This aircraft found nothing unusual to report, since light icing and turbulence are the normal accompaniments of winter weather in a low pressure area. This fact however in no way precludes the possibility that shortly thereafter conditions of severe icing may have prevailed.”

Primary Cause

Severe icing conditions combined with the aircraft’s prior flight through the mountain divide and the captain’s belief of having already passed the divide, likely exacerbated by turbulence within the cumulus clouds.Severe icing conditions combined with the aircraft’s prior flight through the mountain divide and the captain’s belief of having already passed the divide, likely exacerbated by turbulence within the cumulus clouds.

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