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Crash of a Boeing 737-2B7 in Abuja: 96 killed

Date & Time: Oct 29, 2006 at 1130 LT
Type of aircraft:
Operator:
Registration:
5N-BFK
Flight Phase:
Survivors:
Yes
Schedule:
Abuja – Sokoto
MSN:
22891
YOM:
1983
Flight number:
ADK053
Country:
Region:
Crew on board:
5
Crew fatalities:
Pax on board:
100
Pax fatalities:
Other fatalities:
Total fatalities:
96
Captain / Total flying hours:
8545
Captain / Total hours on type:
353.00
Copilot / Total flying hours:
6497
Aircraft flight hours:
56411
Aircraft flight cycles:
44465
Circumstances:
The B737-200 aircraft which night-stopped at Calabar on Saturday the 28th of October, 2006, departed for Lagos in the morning of the 29th of October, 2006, and landed in Lagos at 0825 hrs. While on ground in Lagos, it uplifted some fuel. There was only cabin crew change. The aircraft departed Lagos on scheduled passenger service as ADK 063 at 0929 hrs and landed in Abuja at 1020 hrs. The aircraft uplifted 5000 litres of fuel and had 11000kg fuel for departure as ADK 053, a scheduled service to Sokoto. After boarding, it started raining and this compelled the crew to close the aircraft doors. Shortly after the rain had subsided, the doors were opened for the ground personnel to disembark. The crew then requested for start-up clearance. At 1115 hrs the aircraft was given a start up clearance for Sokoto. At 1121 hrs, the aircraft was given taxi clearance to holding position Runway 22. The pilot immediately requested for the wind, which was given as “210 variable at 8 kts”. Shortly after, the Control Tower transmitted the wind as south-westerly at 15 kts. While taxiing, the control tower advised Flight ADK 053 of gusty wind. The wind was initially given as 35 kts and then changed to 28 kts within 1 minute. At 1125 hrs while the aircraft was at the holding point, the crew was again advised of South-Westerly wind at 15 kts. At this juncture, the pilot of Virgin Nigeria 042 was heard on the radio saying “it looks like 35 kts to me” and then stated that he was going to wait for improvement in the weather, which he did. Thereafter, the ADK 053 crew requested for takeoff clearance and was cleared with right turn-out on course. Flight ADK 053 was airborne at 1129 hrs and was transferred to the Approach Control on 119.8MHZ but there was no acknowledgement from the crew. After three unsuccessful attempts to contact the aircraft, the Tower advised the Approach Control to call ADK 053. Other aircraft on the apron (Virgin Nigeria 042 and Trade Wings 2401), which were on that frequency were also asked to assist in contacting the aircraft but all attempts were unsuccessful. Kano and Lagos Area Controls were requested to contact ADK 053, but there was no response from the aircraft. Abuja Flight Communication Centre was then advised to inform National Emergency Management Agency (NEMA) in Kano about the loss of contact with the aircraft. At 1138 hrs, Flight Communication Centre called the Control Tower that someone came from a nearby village (Tungar Madaki) near the radar site and reported that a plane had crashed in their village. A search party from the airport was dispatched and they found and confirmed that the plane had crashed shortly after takeoff. The accident resulted in 96 fatalities out of 105 persons on board (POB). The accident occured at latitude N 08 59.691’ longitude E 007 14.772’ on an elevation of 1123 ft (ASL). The time of the accident was 1130 hrs during daylight and in rain.
Probable cause:
Causal Factor:
The pilot’s decision to take-off in known adverse weather conditions and failure to execute the proper windshear recovery procedure resulted in operating the aircraft outside the safe flight regime, causing the aircraft to stall very close to the ground from which recovery was not possible.
Contributory Factors:
1) Inability of the flight crew to apply windshear recovery procedures and the use of inappropriate equipment for windshear recovery procedure during simulator recurrency. Lack of company Standard Operating Procedures (SOP) for flight operations in adverse weather conditions.
2) The coordination of responsibilities between the pilot-flying (PF) and pilot not flying(PNF) during their encounter with adverse weather situation was inconsistent with Standard Operating Procedures (SOP) for the duties of the pilot-flying (PF) and pilot not flying(PNF) resulting in the inadequate control of the aircraft.
Final Report:

Crash of a BAc 111-203AE in Calabar: 1 killed

Date & Time: Jul 29, 1997
Type of aircraft:
Operator:
Registration:
5N-BAA
Survivors:
Yes
Schedule:
Lagos - Calabar
MSN:
041
YOM:
1965
Country:
Region:
Crew on board:
6
Crew fatalities:
Pax on board:
49
Pax fatalities:
Other fatalities:
Total fatalities:
1
Circumstances:
The approach to Calabar Airport runway 03 was completed in poor weather conditions with heavy rain falls, turbulences, clouds down to 240 metres and a visibility limited to 2,800 metres. On final, the aircraft was unstable and not properly aligned with the runway centerline. Upon touchdown, the left main gear landed on the grassy area to the left of the runway. The captain attempted to correct when the aircraft veered to the right back onto the runway and overran. It struck a ditch and came to rest 1,500 metres further, bursting into flames. A crew member was killed and 10 other occupants were injured.
Probable cause:
The following findings were reported:
- Poor weather conditions,
- Limited visibility and low ceiling,
- The aircraft was unstable on final approach and misaligned on runway 03,
- The aircraft landed at an excessive speed,
- The crew failed to initiate a go-around procedure,
- Poor planned approach.

Crash of a Boeing 727-231 off Ejirin: 144 killed

Date & Time: Nov 7, 1996 at 1703 LT
Type of aircraft:
Operator:
Registration:
5N-BBG
Flight Phase:
Survivors:
No
Schedule:
Port Harcourt - Lagos
MSN:
20054
YOM:
1969
Flight number:
ADK086
Location:
Country:
Region:
Crew on board:
10
Crew fatalities:
Pax on board:
134
Pax fatalities:
Other fatalities:
Total fatalities:
144
Aircraft flight hours:
64956
Aircraft flight cycles:
44613
Circumstances:
After takeoff from Port Harcourt Airport, the crew was cleared to climb to FL240. At 15:47 the flight established initial contact with Lagos Approach Control, and was assigned a transponder code. At 15:54 the flight reported crossing SEPER point. After this position report, the flight appeared not to be maintaining a listening watch, as it gave no reply to two consecutive calls from Approach Control, and then after some time replied to a transmission not meant for it. At the same time a Triax Airlines Boeing 727 (Flight TIX185) had departed Lagos and was flying at FL160 towards Enugu. The Lagos controller had terminated contact with the Triax aircraft when the ADC crew requested to descend. The permission to descend was delayed to allow a corporate jet (5N-APN) to pass beneath the 727 at FL210. At 15:59 Lagos Approach Control then cleared the flight to FL160 and subsequently requested the flight to contact Lagos Radar. The flight was identified by Lagos Radar 41 miles south-east of the airport, and instructed it to fly the heading of 320° to avoid Triax flight 185, and to descend to FL50. At 16:02.50 Lagos Radar instructed the aircraft two times in succession to maintain heading 300. The captain then took over control from the copilot by stating: "I have it." At 16:03.08 the flight reported: "I have the traffic... and I continue my heading to 330 to avoid him". This was the last transmission. The records of the FDR show that flight 086 was maintaining a steady coordinated turn towards heading 330 for the first 10 seconds of the last 50 seconds of the flight. After 15 seconds, the airplane was put in bank angle of 43.2°. It maintained this configuration for 10 seconds before the bank angle increased to 68.8 degrees. This attitude was observed for 5.5 seconds before it was further increased to 83 degrees. The airplane must have suffered from high speed stall and gone into a roll with a nose down attitude. The aircraft appeared to be recovering just before it impacted the lagoon water because it succeeded in reducing the vertical acceleration from 8.44 to 2.1 G and the bank angle to 61.6°. But it did not have sufficient height to make a full recovery and crashed in the lagoon about 7,5 km west of Ejirin. The wreckage was found in the afternoon of the following day. The aircraft disintegrated on impact and all 144 occupants were killed.
Probable cause:
It was determined that the accident was the consequence of the untidy traffic separation by the radar controller which resulted from the vectoring of ADK086 towards the track of the opposite traffic TIX185. The error of judgement by the pilot of ADK086 to continue his turn to heading 330 to avoid TIX185 and his subsequent collision avoidance manoeuvre constituted the remote causes of this accident.

Crash of a Douglas DC-9-31 in Monrovia

Date & Time: Jul 26, 1995
Type of aircraft:
Operator:
Registration:
5N-BBA
Survivors:
Yes
Schedule:
Kano – Lagos – Accra – Monrovia
MSN:
47217
YOM:
1968
Country:
Region:
Crew on board:
9
Crew fatalities:
Pax on board:
82
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
The approach to Monrovia-James Spriggs Payne Airport was completed in poor weather conditions with a visibility limited due to heavy rain falls. On final, the aircraft struck the ground short of runway threshold, causing the undercarriage to be torn off. The aircraft slid on its belly for about 500 metres before coming to rest on the runway. All 91 occupants evacuated safely and the aircraft was damaged beyond repair.
Probable cause:
In poor weather conditions, the crew continued the approach below the minimum safe altitude until the aircraft impacted terrain short of runway threshold. The lack of visibility caused by the heavy rain falls remains a contributing factor, but the crew should have made the decision to initiate a go-around procedure since the landing was obviously missed.

Crash of a Douglas DC-9-31 in Monrovia

Date & Time: Aug 18, 1994 at 1058 LT
Type of aircraft:
Operator:
Registration:
5N-BBE
Survivors:
Yes
Schedule:
Banjul – Freetown – Monrovia – Accra – Lagos
MSN:
45872
YOM:
1968
Flight number:
ADK018
Country:
Region:
Crew on board:
11
Crew fatalities:
Pax on board:
74
Pax fatalities:
Other fatalities:
Total fatalities:
0
Aircraft flight hours:
62484
Circumstances:
The aircraft departed Banjul, Gambia, on an international scheduled service to Lagos with intermediate stops in Freetown, Monrovia and Accra. The approach to Monrovia-James Spriggs Payne Airport runway 23 was completed in poor weather conditions with heavy rain falls. On final, at a distance of 4 km from the runway threshold, the captain confirmed that visual contact with the runway was established and continued the approach. At an excessive speed, the airplane passed over the runway threshold at a height of 150 feet and landed too far down the runway, about 3,000 feet past its threshold. On a wet runway surface, despite full brakes and reverse thrusts were deployed, the aircraft could not be stopped within the remaining distance. It overran at a speed of 80 knots and came to rest 120 metres further, bursting into flames. All 85 occupants were rescued, among them few were slightly injured. The aircraft was destroyed by fire.
Probable cause:
Wrong approach configuration on part of the crew who completed the approach at an excessive speed and well above the glide, causing the aircraft to land too far down runway 23 which is 1,800 metres long. Poor braking action due to wet runway surface was considered as a contributing factor as well as the fact that the crew failed to initiate a go-around procedure as the landing maneuver was obviously missed.