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Ground accident of a Saab 340A in Mendoza

Date & Time: Jan 2, 2013 at 1011 LT
Type of aircraft:
Operator:
Registration:
LV-BMD
Flight Phase:
Survivors:
Yes
Schedule:
Mendoza - Neuquén
MSN:
123
YOM:
1988
Flight number:
OLS5420
Country:
Crew on board:
3
Crew fatalities:
Pax on board:
30
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
7000
Captain / Total hours on type:
600.00
Copilot / Total flying hours:
1818
Copilot / Total hours on type:
110
Aircraft flight hours:
47798
Circumstances:
While taxiing to runway 18 for a departure to Neuquén, the twin engine aircraft went out of control, veered off taxiway to the left and rolled onto a soft ground four about 40 metres before coming to rest. The nose gear sank in soft ground, causing both propeller blades to struck the ground and to be partially torn off. The fuselage was hit by debris. All 33 occupants evacuated safely and the aircraft was damaged beyond repair.
Probable cause:
The loss of control during taxiing was the consequence of the combination of the following factors:
- The electric pump which controls fluid pressure in the hydraulic system was not operational, generating a deficit of fluid pressure in the hydraulic system.
- The low fluid pressure warning in the hydraulic system was not recognized by the crew.
- The crew could not control the path of the aircraft due to the unavailability of nose wheel steering.
- The persistence of an informal practice among the crews of the operator on the operation of the hydraulic system, contrary to the concept of operation of the hydraulic system established by the manufacturer.
- The lack of detection of the informal practice on the operation of the hydraulic system by the operator's safety monitoring mechanisms.
Final Report:

Crash of a Saab 340A near Prahuaniyeu: 22 killed

Date & Time: May 18, 2011 at 2050 LT
Type of aircraft:
Operator:
Registration:
LV-CEJ
Flight Phase:
Survivors:
No
Schedule:
Rosario – Córdoba – Mendoza – Neuquén – Comodoro Rivadavia
MSN:
25
YOM:
1985
Flight number:
OSL5428
Country:
Crew on board:
3
Crew fatalities:
Pax on board:
19
Pax fatalities:
Other fatalities:
Total fatalities:
22
Captain / Total flying hours:
6133
Captain / Total hours on type:
2187.00
Copilot / Total flying hours:
1342
Copilot / Total hours on type:
288
Aircraft flight hours:
41422
Aircraft flight cycles:
44477
Circumstances:
On 18 May 2011, the pilot in command (PIC) and the crew - composed of the copilot (COP) and cabin crew members (CCM) - initiated the flight OSL5428 from Rosario International Airport (ROS) in the province of Santa Fe at 20:35, the final destination being the Comodoro Rivadavia International Airport (CRD), in the province of Chubut. The flight had scheduled intermediate stopovers at Córdoba International Airport (COR), Mendoza (MDZ), and Neuquén (NQN), according to the company's plans. The company designated aircraft Saab 340A, with registration number LV-CEJ, for the flight. After having made the intermediate stopovers in Córdoba (COR) and Mendoza (MDZ), the pilot landed the aircraft at the airport in Neuquén at 22:20. After refuelling and carrying out the planned dispatch, the crew and 19 passengers (18 adults and one minor) on board, prepared to make the last leg of the flight OSL5428, from Neuquén Airport (NQN) to the final destination: Comodoro Rivadavia International Airport (CRD). The flight took off at 23:05. After the take-off, the aircraft started to climb AWY T 105, to reach FL190, in accordance with the flight plan. After flying for 24 minutes, the pilot levelled the aircraft at 17,800 feet, and remained at this level for approximately 9 minutes. Due to the fact that the meteorological conditions at this level caused icing, the technical crew descended to FL (flight level) 140. Shifting to FL140 took five minutes. During this stage of the flight the icing conditions steadily worsened. By the time the aircraft had reached FL140, the icing conditions were severe. The aircraft flew for approximately two minutes with a straight and level flight attitude, increasing the accumulation of ice. Then the aircraft completely lost lift, which resulted in a loss of control, and the subsequent entry into abnormal flight attitude. The aircraft plunged towards the earth and impacted the ground, which resulted in a fire. Everyone on board perished and the aircraft was destroyed. The accident happened at night under IMC conditions.
Probable cause:
During a commercial, domestic passenger flight, while cruising, the crew lost control of the aircraft, which uncontrollably impacted the ground due to severe ice formation caused by the following factors:
- Entering an area with icing conditions without adequately monitoring the warning signals from the external environment (temperature, cloudiness, precipitation and ice accumulation) or the internal (speed, angle of attack), which allowed for prolonged operations in icing conditions to take place.
- Receiving a forecast for slight icing - given that the aircraft encountered sever icing conditions - which led to a lack of understanding regarding the specific meteorological danger.
- Inadequately evaluating the risks, which led to mitigating measures such as adequate briefing (distribution of tasks in the cockpit, review of the de-icing systems, limitations, use of power, use of autopilot, diversion strategy etc.) not being adopted.
- Levels of stress increasing, due to operations not having the expected effects, which led the crew to lose focus on other issues.
- Icing conditions that surpassed the aircraft's ice protection systems, which were certified for the aircraft (FAR 25 Appendix C).
- Inadequate use of speed, by maintaining the speed close to stall speed during flight in icing conditions.
- Inadequate use of the autopilot, by not selecting the IAS mode when flying in icing conditions.
- Partially carrying out the procedures established in the Flight Manual and the Operations Manual, when entering into areas with severe icing conditions.
- Realizing late that the aircraft had started to stall, because the buffeting that foretells a stall was confused with the vibrations that signify ice contamination on the propellers.
- Activation of the Stick Shaker and Stall Warning at a lower speed than expected in icing conditions.
- Using a stall recovery technique which prioritized the reduction of the angle of attack at the expense of altitude loss, and which was inappropriate for the flight conditions.
- The aileron flight controls reacting in an unusual manner when the aircraft lost control, probably due to the accumulation of ice in the surfaces of these, which made it impossible for the aircraft to recover. The increasingly stressful situation of the crew, which affected its operational decision-making.
Final Report:

Crash of a Mitsubishi MU-2B-60 Marquise in Neuquén: 2 killed

Date & Time: May 3, 1995 at 2050 LT
Type of aircraft:
Operator:
Registration:
LV-MOP
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Neuquén – Bahía Blanca – Buenos Aires
MSN:
742
YOM:
1979
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
2
Circumstances:
The twin engine aircraft was completing a cargo flight from Neuquén to Buenos Aires-Ezeiza Airport with an intermediate stop in Bahía Blanca, carrying two pilots on behalf of Encotesa. Shortly after departure from Neuquén-Juan Domingo Perón Airport, while climbing by night, the crew informed ATC about his ETA in Bahía Blanca when control was lost. The aircraft crashed in Chimpay, in the suburb of Neuquén, about 4 km northeast of the airport, bursting into flames. Both pilots were killed.
Crew:
Horacio Ovidio Filippini, pilot,
Valerio Augusto Diehl, pilot.
Probable cause:
The exact cause of the accident remains unclear. The crew did not send any distress call prior to the loss of control. It is believed that the accident was the consequence of a possible in-flight fire or toxic fumes emanating in the cabin due the presence of polyethylene stored in several boxes that were not properly packed according to dangerous goods transportation procedures.

Crash of a Rockwell Sabreliner 40A in Buenos Aires

Date & Time: Sep 3, 1993 at 2155 LT
Type of aircraft:
Operator:
Registration:
OB-1319
Survivors:
Yes
Schedule:
Neuquén – Buenos Aires
MSN:
282-127
YOM:
1973
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
After landing at Buenos Aires-Aeroparque-Jorge Newbury Airport, the crew started the braking procedure and activated the reverse thrust that failed to deploy. The crew used the emergency brakes but the aircraft failed to stop within the remaining distance, overran and collided with a support vehicle (pick up) that was parked outside the safety zone. The aircraft lost its undercarriage and both wings and all four occupants were injured.
Probable cause:
The brakes and reverse thrust systems were unserviceable following a failure of the primary hydraulic system. The auxiliary braking system was also unserviceable. For unknown reasons, the problem has not been identified by the flying crew neither the maintenance personnel.

Crash of a Fokker F28 Fellowship 1000C in San Carlos de Bariloche

Date & Time: Aug 16, 1989
Type of aircraft:
Operator:
Registration:
TC-51
Flight Phase:
Survivors:
Yes
Schedule:
San Carlos de Bariloche - Neuquén
MSN:
11076
YOM:
1973
Country:
Crew on board:
6
Crew fatalities:
Pax on board:
59
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
During the takeoff roll, the crew failed to realize that the aircraft was not properly aligned when the left main gear struck the snow covered shoulder of the runway. The aircraft lost speed and the crew did not abandon the takeoff procedure so liftoff was completed too late. After rotation, the aircraft struck the ILS antenna, crash landed, hit a ditch and came to rest. All 65 occupants were evacuated safely while the aircraft was damaged beyond repair.

Crash of a Rockwell Grand Commander 690B in San Martín: 7 killed

Date & Time: Sep 12, 1984
Operator:
Registration:
LV-MAV
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
San Martín – Neuquén
MSN:
690-11397
YOM:
1977
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
5
Pax fatalities:
Other fatalities:
Total fatalities:
7
Circumstances:
After takeoff from San Martín-Chapelco-Aviador Carlos Campos Airport runway 06, while climbing to a height of 150 feet, the aircraft lost height and crashed near the Río Quilquihué, about 5 km east of the airfield. The aircraft was destroyed and all seven occupants, en route to Neuquén on an ambulance flight, were killed. For unknown reasons, the captain decided to takeoff with only one engine (the right engine) operative.

Crash of a De Havilland DH.104 Dove 1 in Neuquén: 2 killed

Date & Time: Sep 18, 1954
Type of aircraft:
Operator:
Registration:
T-72
Flight Type:
Survivors:
Yes
Schedule:
Junín – Neuquén
MSN:
04204
YOM:
1948
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
5
Pax fatalities:
Other fatalities:
Total fatalities:
2
Circumstances:
On final approach to Neuquén Airport, the airplane hit the ground and crashed in Plottier, about five km short of runway 09. The captain and one passenger were killed while five other occupants were injured.