Crash of an Embraer EMB-120 Brasilía in Moscow

Date & Time: Jul 31, 2015 at 1810 LT
Type of aircraft:
Operator:
Registration:
VQ-BBX
Survivors:
Yes
Schedule:
Ulyanovsk - Moscow
MSN:
120-205
YOM:
1990
Flight number:
7R226
Country:
Region:
Crew on board:
3
Crew fatalities:
Pax on board:
28
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
Following an uneventful flight from Ulyanovsk, the crew started the descent to Moscow-Domodedovo Airport. While following the approach checklist, the crew realized that the nose gear failed to deploy and remained stuck in its wheel well. Several attempts to lower the gear manually failed and the crew eventually decided to carry out a nose gear-up landing on runway 32L. After a holding circuit of about 45 minutes, the aircraft landed then slid on its nose for few dozen metres before coming to rest. All 31 occupants evacuated safely and the aircraft was damaged beyond repair.

Crash of an Embraer EMB-120RT Brasília in Lucapa

Date & Time: Feb 25, 2014 at 1000 LT
Type of aircraft:
Operator:
Registration:
D2-FFZ
Survivors:
Yes
Schedule:
Luanda – Lucapa
MSN:
120-212
YOM:
1990
Country:
Region:
Crew on board:
3
Crew fatalities:
Pax on board:
14
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
On final approach to Lucapa, the crew encountered technical problems and was forced to shut an engine down for unknown reason. After touchdown, the aircraft went out of control and veered off runway to the left. While contacting rough terrain, the aircraft lost its undercarriage and came to rest on its belly with severe damages to both wings, engines and fuselage. Three passengers were slightly injured.

Crash of an Embraer EMB-120ER Brasília in Lagos: 16 killed

Date & Time: Oct 3, 2013 at 0932 LT
Type of aircraft:
Operator:
Registration:
5N-BJY
Flight Phase:
Survivors:
Yes
Schedule:
Lagos - Akure
MSN:
120-174
YOM:
1990
Flight number:
SCD361
Country:
Region:
Crew on board:
7
Crew fatalities:
Pax on board:
13
Pax fatalities:
Other fatalities:
Total fatalities:
16
Captain / Total flying hours:
20068
Captain / Total hours on type:
1309.00
Copilot / Total flying hours:
4660
Copilot / Total hours on type:
3207
Aircraft flight hours:
27362
Aircraft flight cycles:
34609
Circumstances:
The crew discussed some concerns about the aircraft prior to departure but at this time we are not prepared to elaborate on those concerns as there remains a lot of work to complete on the CVR analysis in order to determine the specific nature of the crew’s concerns. Associated 361 was cleared for take-off on runway one eight left at Lagos international airport. The wind was calm and weather is not considered a factor in this accident. Approximately 4 seconds after engine power was advanced to commence the take-off roll, the crew received an automated warning from the onboard computer voice which consisted of three chimes followed by “Take-off Flaps…Take-off Flaps”. This is a configuration warning that suggests that the flaps were not in the correct position for take-off and there is some evidence that the crew may have chosen not to use flaps for the take-off. The warning did not appear to come as any surprise to the crew and they continued normally with the take-off. This warning continues throughout the take-off roll. As we are in the process of verifying the accuracy of the flight data, we have not yet been able to confirm the actual flap setting however we expect to determine this in the fullness of time. It was determined from the CVR that the pilot flying was the Captain and the pilot monitoring and assisting was the First Officer. The ‘set power‘ call was made by the Captain and the ‘power is set’ call was confirmed by the First Officer as expected in normal operations. Approximately 3 seconds after the ‘power is set’ call, the First Officer noted that the aircraft was moving slowly. Approximately 7 seconds after the ‘power is set’ call, the internal Aircraft Voice warning system could be heard stating ‘Take off Flaps, Auto Feather’. Auto feather refers to the pitch of the propeller blades. In the feather position, the propeller does not produce any thrust. The FDR contains several engine related parameters which the AIB is studying. At this time, we can state that the Right engine appears to be producing considerably less thrust than the Left engine. The left engine appeared to be working normally. The aircraft automated voice continued to repeat ‘Take-off Flaps, Auto Feather’. The physical examination of the wreckage revealed that the right engine propeller was in the feather position and the engine fire handle was pulled/activated. The standard ‘eighty knots’ call was made by the First Officer. The first evidence that the crew indicated that there was a problem with the take-off roll was immediately following the ‘eighty knots’ call. The First Officer asked if the take- off should be aborted approximately 12 seconds after the ‘eighty knots’ callout. Our investigation team estimates the airspeed to be approximately 95 knots. Airspeed was one of the parameters that, while working in the cockpit, appeared not to be working on the Flight Data Recorder. We were able to estimate the speed based on the radar data that we synchronized to the FDR and CVR but it is very approximate because of this. In response to the First Officer’s question to abort, the Captain indicated that they should continue and they continued the take-off roll. The crew did not make a ‘V1’ call or a Vr’ call. V1 is the speed at which a decision to abort or continue a take-off is made. Vr is the speed at which it is planned to rotate the aircraft. Normally the non-flying pilot calls both the V1 and the Vr speeds. When Vr is called the flying pilot pulls back on the control column and the aircraft is rotated (pitched up) to climb away from the runway. During the rotation, the First Officer stated ‘gently’, which we believe reflects concern that the aircraft is not performing normally and therefore needs to be rotated very gently so as not to aerodynamically stall the aircraft. The First Officer indicated that the aircraft was not climbing and advised the Captain who was flying not to stall the aircraft. Higher climb angles can cause an aerodynamic stall. If the aircraft is not producing enough overall thrust, it is difficult or impossible to climb without the risk of an aerodynamic stall. Immediately after lift-off, the aircraft slowly veered off the runway heading to the right and was not climbing properly. This aircraft behavior appears to have resulted in the Air Traffic Controller asking Flight 361 if operation was normal. Flight 361 never responded. Less than 10 seconds after rotation of the aircraft to climb away from the runway, the stall warning sounded in the cockpit and continued to the end of the recording. The flight data shows characteristics consistent with an aerodynamic stall. 31 seconds after the stall warning was heard, the aircraft impacted the ground in a nose down near 90° right bank.
Probable cause:
The accident was the consequence of the decision of the crew to continue the take-off despite the abnormal No. 2 Propeller rpm indication and a low altitude stall as a result of low thrust at start of roll for take-off from No. 2 Engine caused by an undetermined malfunction of the propeller control unit.
The following contributing factors were identified:
- The aircraft was rotated before attaining V1.
- The decision to continue the take-off with flap configuration warning and auto- feather warning at low speed.
- Poor professional conduct of the flight crew.
- Inadequate application of Crew Resource Management (CRM) principles.
- Poor company culture.
- Inadequate regulatory oversight.
Final Report:

Crash of an Embraer EMB-120ER Brasília off Moroni

Date & Time: Nov 27, 2012 at 1329 LT
Type of aircraft:
Operator:
Registration:
D6-HUA
Flight Phase:
Survivors:
Yes
Schedule:
Moroni - Ouani
MSN:
120-149
YOM:
1989
Flight number:
INZ170
Region:
Crew on board:
4
Crew fatalities:
Pax on board:
25
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
5000
Captain / Total hours on type:
2000.00
Copilot / Total flying hours:
5000
Circumstances:
The aircraft was on its way from Moroni-Hahaya-Iconi-Prince Saïd Ibrahim Airport to the Ouani Airport located on the neighboring island of Anjouan. Shortly after take off from runway 20, while in initial climb, the captain informed ATC about technical problem and elected to return. He realized he could not make it so he attempted to ditch the aircraft some 200 metres off shore, about 5 km from the airport. All 29 occupants were rescued, among them five were slightly injured.

Crash of an Embraer EMB-120ER Brasília in Port Gentil

Date & Time: Oct 12, 2011 at 0800 LT
Type of aircraft:
Operator:
Registration:
ZS-PYO
Survivors:
Yes
Schedule:
Libreville - Port Gentil
MSN:
120-245
YOM:
1991
Country:
Region:
Crew on board:
3
Crew fatalities:
Pax on board:
27
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
The aircraft was performing a regular schedule flight from Libreville to Port Gentil. The approach was completed in poor weather conditions with low visibility (1,000 metres) due to heavy rain falls. After touchdown, the aircraft did not decelerate as expected, skidded on runway, overran and came to rest down a slight embankment in shallow water. Both engines caught fire and both wings were partially torn off. All 30 occupants evacuated safely while the aircraft was damaged beyond repair. A thunderstorm was passing over the area at the time of the accident.

Crash of an Embraer EMB-120ER Brasília in Huambo: 17 killed

Date & Time: Sep 14, 2011 at 1130 LT
Type of aircraft:
Operator:
Registration:
T-500
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Huambo - Luanda
MSN:
120-359
YOM:
2002
Country:
Region:
Crew on board:
4
Crew fatalities:
Pax on board:
19
Pax fatalities:
Other fatalities:
Total fatalities:
17
Circumstances:
Shortly after take off from Huambo-Albano Machado Airport, the twine engine aircraft stalled and crashed near the runway end, bursting into flames. All four crew and two passengers survived while 17 passengers were killed. There were 11 officers, three generals and six civilians on board. This Embraer Brasilia was the most recent built in service.