Region

Crash of a PZL-Mielec AN-2R near Lake Siljan-Kuel: 2 killed

Date & Time: Aug 30, 2019
Type of aircraft:
Operator:
Registration:
RA-33061
Flight Phase:
Survivors:
Yes
Site:
Schedule:
Us-Khatyn – Suordakh
MSN:
1G218-48
YOM:
1986
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
5
Pax fatalities:
Other fatalities:
Total fatalities:
2
Circumstances:
En route from Us-Khatyn to Suordakh, the crew was forced to attempt an emergency landing when the airplane crashed near Lake Siljan-Kuel, about 400 km north of Yakutsk. Two occupants were killed while five others were injured and evacuated to Yakutsk.

Crash of an Airbus A321-211 in Moscow

Date & Time: Aug 15, 2019 at 0615 LT
Type of aircraft:
Operator:
Registration:
VQ-BOZ
Flight Phase:
Survivors:
Yes
Schedule:
Moscow - Simferopol
MSN:
2117
YOM:
2003
Flight number:
U6178
Country:
Region:
Crew on board:
7
Crew fatalities:
Pax on board:
226
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
Shortly after takeoff from Moscow-Zukhovski Airport runway 12, while climbing to an altitude of 750 feet in excellent weather conditions, the airplane collided with a flock of birds (sea gulls). Some of them were ingested by both engines that lost power. It was later reported by the crew that the left engine stopped almost immediately while the right engine lost power and run irregularly. Unable to maintain a positive rate of climb, the captain decided to attempt an emergency landing in a cornfield. The airplane belly landed approximately 3,5 km past the runway end and slid for dozen meters before coming to rest with its both engines partially torn off. All 233 occupants were able to evacuate the cabin and it is reported that 23 people were slightly injured.

Crash of an Antonov AN-2 in Novoshchendrinskaya

Date & Time: Jul 16, 2019
Type of aircraft:
Operator:
Registration:
RA-3098K
Flight Phase:
Survivors:
Yes
Site:
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
The pilot, apparently sole on board, was engaged in a crop spraying mission when he was forced to attempt an emergency landing following engine problems. The aircraft crashed onto a farm located in Novoshchedrinskaya, about 15 km north of Gudermes. The pilot and four people in the farm were injured.

Crash of an Antonov AN-24RV in Nizhneangarsk: 2 killed

Date & Time: Jun 27, 2019 at 1024 LT
Type of aircraft:
Operator:
Registration:
RA-47366
Survivors:
Yes
Schedule:
Ulan-Ude - Nizhneangarsk
MSN:
77310804
YOM:
1977
Flight number:
2G200
Country:
Region:
Crew on board:
4
Crew fatalities:
Pax on board:
43
Pax fatalities:
Other fatalities:
Total fatalities:
2
Circumstances:
On a flight from Ulan-Ude to Nizhneangarsk, while descending to an altitude of 3,050 meters about 30 km from the destination airport, the crew contacted ATC and reported the failure of the left engine. The approach was continued to runway 22 and after touchdown, the crew started the braking procedure when the airplane veered off runway to the right. It rolled in a grassy area and eventually impacted the building of a sewage treatment plant located 380 meters to the right of the runway. The captain and the flight engineer were killed and the copilot was seriously injured. 22 other occupants were injured. The aircraft was destroyed by a post crash fire.

Crash of a PZL-Mielec AN-2R near Dabady

Date & Time: Jun 9, 2019 at 1645 LT
Type of aircraft:
Operator:
Registration:
RA-81519
Flight Phase:
Survivors:
Yes
Site:
Schedule:
Kyren - Kyren
MSN:
1G208-19
YOM:
1984
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Aircraft flight hours:
3690
Circumstances:
The crew departed Kyren Airport at 1600LT on a crop spraying mission to treat forests. About 40 minutes after departure, while flying at a speed of 140 km/h, the crew encountered downdrafts and the airplane lost height. Due to mountainous terrain, the crew made a turn to the right but the airplane continued to descend. The captain attempted an emergency landing when, at a speed of 85 km/h, the aircraft struck trees and crashed in a wooded area located 16 km southeast of Dabady. Both pilots were injured and evacuated to Irkutsk a day later.

Crash of a Sukhoi Superjet 100-95B in Moscow: 41 killed

Date & Time: May 5, 2019 at 1830 LT
Type of aircraft:
Operator:
Registration:
RA-89098
Survivors:
Yes
Schedule:
Moscow - Murmansk
MSN:
95135
YOM:
2017
Flight number:
SU1492
Country:
Region:
Crew on board:
5
Crew fatalities:
Pax on board:
73
Pax fatalities:
Other fatalities:
Total fatalities:
41
Circumstances:
The aircraft departed runway 24C at Moscow-Sheremetyevo Airport at 1803LT on a schedule service to Murmansk. Few minutes after takeoff, while climbing to an altitude of 10,000 feet, the crew encountered problems with the communication systems and informed ATC about an emergency situation via the transponder codes before returning to the airport. The crew completed a circuit then prepared for a landing on runway 24L. Upon touchdown, the airplane bounced then nosed down and landed a second time. On impact, the main landing gear collapsed and the airplane caught fire, slid for few hundred metres then veered off runway to the right and came to rest in flames. The aircraft was destroyed by fire. 37 occupants were evacuated while 41 people, among them a crew member, were killed.

Crash of a PZL-Mielec AN-2R near Arkhangelsk

Date & Time: Nov 8, 2018
Type of aircraft:
Operator:
Registration:
RA-84674
Flight Phase:
Survivors:
Yes
Site:
Schedule:
Arkhangelsk – Mezen
MSN:
1G191-52
YOM:
1981
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
11
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
En route from Arkhangelsk to Mezen, the crew encountered various problems and elected to make an emergency landing. The airplane struck trees and eventually crashed in a wooded area located about 50 km northeast of Arkhangelsk. All 13 occupants were rescued, two of them were injured. The aircraft was destroyed. It is believed that the crew encountered icing conditions.

Crash of a Boeing 737-8AS in Sochi

Date & Time: Sep 1, 2018 at 0257 LT
Type of aircraft:
Operator:
Registration:
VQ-BJI
Survivors:
Yes
Schedule:
Moscow - Sochi
MSN:
29937/1238
YOM:
2002
Flight number:
UT579
Country:
Region:
Crew on board:
6
Crew fatalities:
Pax on board:
164
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
Following an uneventful flight from Moscow-Vnukovo Airport, the crew started the descent to Sochi-Adler Airport by night and marginal weather conditions. On final to runway 02, at an altitude of 2,300 feet, the crew initiated a go-around after being informed about weather and wind component change. He started a second approach to runway 06 but again, once the altitude of 400 feet was reached on descent, the wind component changed again and the captain decided to make a second go-around manoeuvre. Eleven minutes later, following a third approach (second approach to runway 06), the aircraft landed on runway 06 but was unable to stop within the remaining distance. It overran, went through a perimeter fence and down an embankment. It lost its undercarriage and came to rest in a dry and rocky zone of the Reka Mzymta River. All 170 occupants were evacuated, 18 of them were injured, eight seriously. The aircraft was written off. At the time of the accident, weather conditions were difficult with the presence of a thunderstorm with CB's, low clouds, limited visibility, rain showers and a wind from 060 at 4 knots.

Crash of a Cessna 401 in Pelagiada

Date & Time: Apr 1, 2018 at 1530 LT
Type of aircraft:
Operator:
Registration:
RA-1272G
Flight Type:
Survivors:
Yes
Site:
MSN:
401-0112
YOM:
1968
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
Few minutes after takeoff from Stavropol Airport, the pilot informed ATC about an engine failure and elected to return. Unable to maintain a safe altitude, the pilot attempted an emergency landing when the airplane belly landed in an open field located in Pelagiada, about 10 km northwest of the airport, slid for dozen meters and came to rest. The pilot was injured and the aircraft was damaged beyond repair.

Crash of an Antonov AN-148-100B in Argunovo: 71 killed

Date & Time: Feb 11, 2018 at 1427 LT
Type of aircraft:
Operator:
Registration:
RA-61704
Flight Phase:
Survivors:
No
Site:
Schedule:
Moscow – Orsk
MSN:
27015040004
YOM:
2010
Flight number:
6W703
Country:
Region:
Crew on board:
6
Crew fatalities:
Pax on board:
65
Pax fatalities:
Other fatalities:
Total fatalities:
71
Captain / Total flying hours:
5039
Captain / Total hours on type:
1323.00
Copilot / Total flying hours:
860
Copilot / Total hours on type:
720
Aircraft flight hours:
16249
Aircraft flight cycles:
8397
Circumstances:
The twin engine aircraft departed runway 14R at Moscow-Domodedovo Airport at 1421LT. Six minutes later, while climbing to an altitude of 6,000 feet in light snow showers, the airplane descended then disintegrated in a snow covered field located in Argunovo, about 37 km southeast of the Airport, one minute later. The aircraft was totally destroyed and debris were scattered on more than one km. All 71 occupants were killed. Both recording systems have been recovered. A day after the crash, Russian Authorities confirmed that the aircraft was intact until the final impact with the ground. Preliminary reports indicates speed variations on all three ASI's three minutes after rotation. 50 seconds after the automatic pilot was disconnected, the airplane experienced vertical loads between 0,5 and 1,5 G. then pitched down to an angle of 35°. Five seconds prior to impact, the airplane banked right to 25°. Preliminary investigations shows that the incorrect data on ASI's was caused by icing of the Pitot tubes as the heating systems was off, apparently because the crew failed to activate it.
Probable cause:
The accident was the consequence of erroneous actions on part of the crew while climbing in instrument meteorological conditions at unreliable readings of instrument speed caused by icing (blockage with ice) of all three Pitot tubes. This caused the aircraft to become uncontrollable, enter a dive and eventually collide with the ground. The accident was then considered as a loss of control in flight (LOC-I). The investigation revealed systemic weaknesses in the identification of hazards and risk control, the inoperability of the airline's flight safety management system and the lack of control over the level of training of crew members by aviation authorities at all levels, which led to the issuance of certificates of aviation personnel and the admission to the flights of the crew, which did not fully meet the qualification requirements. The following contributing factors were reported:
- Hurry of the crew in preparation for the flight due to the late arrival of the aircraft from the previous flight and attempts to "catch up" with the time,
- Skipping by the crew of the operation to switch on the Pitot tube heating before takeoff and failing to comply with the section of the check list "BEFORE TAKE-OFF", which provides for the control of this action,
- Design features of the An-148 aircraft in terms of the restrictions on the duration of Pitot tube heating operation on the ground, which led to the need to carry out operations to control the inclusion of Pitot tube heating and compliance with the principle of "dark cockpit" in a separate section of the "BEFORE THE FLIGHT" check list, which is performed immediately before the start of the takeoff run, which creates additional risks of missing these operations. These actions are provided in the section "ON THE RUNWAY START",
- Systematic failure of the airline's crews to comply with the "dark cockpit" principle and the requirements of the radar, which contributed to "getting used" to the takeoff with the presence of emergency and warning messages on the Integrated system and alarm indicator (KISS) and did not allow to identify the fact that the Pitot tube heating was not included. In the accident flight before takeoff, six warning messages were displayed on the KISS, including three messages about the absence of Pitot tube heating,
- Design features of the An-148 aircraft, connected with the impossibility to disable the display of a number of warning messages on the KISS even when performing the whole range of works provided for by the MMEL while ensuring the flight with delayed defects,
- Low safety culture in the airline, which was manifested in: systematic failure to record in the flight log the failures detected during the flight, as well as in the performance of flights with the failures not eliminated and/or not included in the list of delayed failures, accompanied by the corresponding messages on the KISS,
- Failure to take necessary measures in case of detection of previous facts of untimely activation of Pitot tube heating by crews based on the results of express analysis of flight information,
- Unreadiness of the crew to take actions in case of triggering the alarm "Speed of Emergency" due to the lack of appropriate theoretical training in the airline and the impossibility to work out this special situation on the flight simulation device and / or during airfield training and, as a consequence, failure to comply with the procedures provided for after triggering of this alarm,
- Absence of federal aviation regulations for certification of flight simulators, the development of which is provided for by the Air Code of the Russian Federation,
- Approval for the existing AN-148 flight simulators of the IFC Training LLC and the CTC of the Saint-Petersburg State University of Civil Aviation without taking into account their actual capabilities to reproduce special flight cases, as well as the provisions of FAR-128,
- Absence of specific values of flight parameters (engine operation mode, pitch and roll angles, etc.) in the aircraft's flight manual, which must be maintained by the crew of the airspeed alarm system, as well as absence of the situation with unreliable instrument speed readings (Unreliable Airspeed Procedure) in the list of special flight cases,
- Increased psycho-emotional tension of crew members at the final stage of the flight due to inability to understand the causes of speed fluctuations and, as a consequence, the captain falling under the influence of the "tunnel effect" with the formation of the dominating factor of speed control according to the "own" (left) airspeed indicator without a comprehensive assessment of flight parameters,
- Insufficient training of pilots in the field of human factor, methods of threat and error control and management of crew resources,
- Individual psychological peculiarities of pilots (for the captain - reduction of intellectual and behavioral flexibility, fixation on their own position with the inability (impossibility) to "hear" prompts from the second pilot; for the second pilot - violation of the organization and sequence of actions), which in a stressful situation in the absence of proper level of management of the crew resources came to the fore; loss of the captain's psychological performance (psychological stupor, psychological incapacitation), which resulted in complete loss of spatial orientation and did not allow reacting to correct prompts and actions of the co-pilot, including when triggering the PULL UP warning of the EGPWS system,
- Absence of psychological incapacitation criteria in the airline's AFM, which prevented the second pilot from taking more drastic measures,
- High annual leave arrears for special conditions, which could lead to fatigue and negatively affect the performance of the captain,
- Operation of the aircraft control system in the longitudinal channel in the reconfiguration mode with unreliable signals of instrument speed, not described in the operational documentation, related to a double increase in the transfer coefficient from the hand wheel to the steering wheel in the flight configuration and constant deviation of the steering wheel for diving (without deviation of the steering wheel) for about 60 seconds, which reduced the time required for the crew to recognize the situation.
Final Report: