Crash of a Tupolev TU-154B-2 in Thessaloniki

Date & Time: Jul 4, 2000 at 1657 LT
Type of aircraft:
Operator:
Registration:
HA-LCR
Survivors:
Yes
Schedule:
Budapest - Thessaloniki
MSN:
82A543
YOM:
1982
Flight number:
MA262
Country:
Region:
Crew on board:
8
Crew fatalities:
Pax on board:
86
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
7420
Captain / Total hours on type:
7000.00
Copilot / Total flying hours:
566
Copilot / Total hours on type:
566
Aircraft flight hours:
22409
Aircraft flight cycles:
13583
Circumstances:
Originally, flight MA262 from Budapest to Thessaloniki should be performed by a Boeing 737-300 HA-LES but due to technical problems, a Tupolev TU-154B-2 was dispatched. Following an uneventful flight, the crew was cleared for a VOR/DME approach to runway 34 followed by a visual circle to land on runway 28 as the runway 34 was closed to traffic due to construction works. Because a Boeing 757 slowed to vacate the runway after landing, ATC instructed the crew to extend the downwind leg for runway 28. For unknown reasons, the crew failed to comply with this instructions and performed 'S'. On final approach, the tower controller informed the crew that he forgot to lower the undercarriage. The captain increased engine power and initiated a go-around procedure but this decision was too late. The aircraft continued to descend and struck the runway surface in a gear-up configuration at 1657LT. The aircraft suffered substantial damages but the crew managed to go-around and to follow a holding pattern. A safe landing was completed at 1715LT. All 94 occupants evacuated safely while the aircraft was damaged beyond repair.
Probable cause:
Despite repeated instructions of the control tower the crew did not carried out a short turn for landing, resulting in:
- The aircraft was not aligned with the runway in time (unstabilized approach).
- Attention of the cockpit crew was to exclusively dedicated to performing sudden maneuvers at low altitude, in order to align the plane with the runway.
- Failure to lower the undercarriage in accordance with the applicable procedures for this flight phase.
Contributing Factors:
- The apparent inactivation of the audible warning when the undercarriage was not deployed.
- Lack of Cockpit Resources Management.
Final Report:

Crash of a Yakovlev Yak-42 near Katerini: 70 killed

Date & Time: Dec 17, 1997 at 2112 LT
Type of aircraft:
Operator:
Registration:
UR-42334
Flight Phase:
Survivors:
No
Site:
Schedule:
Lvov - Odessa - Thessaloniki
MSN:
26 06 164
YOM:
1986
Flight number:
AEW241
Country:
Region:
Crew on board:
8
Crew fatalities:
Pax on board:
62
Pax fatalities:
Other fatalities:
Total fatalities:
70
Captain / Total flying hours:
9850
Captain / Total hours on type:
2300.00
Copilot / Total flying hours:
16210
Copilot / Total hours on type:
5350
Aircraft flight hours:
12008
Aircraft flight cycles:
6836
Circumstances:
AeroSvit Airlines Flight 241 was a scheduled service from Kiev, Ukraine to Thessaloniki, Greece with an en route stop at Odessa, Ukraine. The first leg of the flight was operated by a Boeing 737. Because of engine problems, an aircraft change had to be made at Odessa. The last leg of the flight was carried out using a Yakovlev 42 (UR-42334), which was being chartered from Lvovskie Avialinii. The flight crew had no previous experience in flying to Thessaloniki. The flight was dispatched from Odessa with the No 1 VHF/NAV receiver inoperative, which was contrary to the minimum equipment list (MEL), and took off at 17:23 hours UTC. The weather conditions at Thessaloniki Airport were above required approach and landing minima, however, darkness and an overcast cloud layer obscured awareness of mountainous terrain in the area. The flight was instructed by the approach controller to conduct the LAMBI1F standard arrival procedure and was cleared to execute a VOR-DME-ILS approach to runway 16. The aircraft did not follow the "19 DME arc" as required by the approach procedure, but proceeded directly to the THS NDB. It overshot the localizer course at least twice and the flight crew were unable to establish a stabilized approach. According to the CVR cockpit conversations, the flight crew was confused and uncertain with respect to the navigation aids and the information that was presented. During the approach there were no standard callouts made by the flight crew related to the glide slope, outer marker or minima. At 18:54 UTC the Thessaloniki Tower controller reported that they had passed the airport. The flight crew was unaware that they overflew the runway until they were informed by the controller. The flight crew then initiated a go-around but did not follow the published missed approach procedure, nor did they follow the instructions given by the ATC. Although instructed by ATC to proceed to, and enter the south holding pattern, the flight continued on a flight path to the west. The flight crew remained confused, disorganized, and disoriented during the missed approach and the subsequent clearances issued by ATC. They had lost situational and terrain awareness, and they were uncertain with respect to the radio navigation aids and the information that was presented. They also requested "route vectors" and "heading" twice although Thessaloniki Airport was a non-radar facility. The flight crew occasionally was confused in reading and reporting the correct distances on their DME equipment (miles to kilometers and vice versa) as their instruments displayed distances in kilometers. The flight crew in their effort to solve the navigational problem, often switched their focus from VOR/DME information to ADF, and vice versa. This, in conjunction with the VHF/NAV receiver malfunction, contributed greatly to the confusion in the cockpit and to the loss of orientation. At 19:12 UTC the GPWS sounded for 4 seconds. At the same time the approach controller radioed: "AEW number one, continue VOR-DME/ILS approach minima, continue and report approaching the outer marker". The crew replied: "Outer marker will be report`. After a while the approach controller asked: "AEW-241, do you have the field in sight?". At that time the GPWS sounded again. Shortly afterwards the aircraft impacted the side of Mount Pente Pigadia at 3300 feet. The wreckage was found at 10:30 hours, December 20. At the same date a Greek Air Force Lockheed Hercules, which was being used in the search, crashed, killing all 5 on board. On October 6, 2000 a trial began with two air traffic controllers being accused of many counts of manslaughter and of violating the transportation regulations. They were sentenced to five years imprisonment. In December 2002 a Thessaloniki appeals court reduced the sentences of two air traffic controllers to four years and four months each.
Probable cause:
Causes:
1. The failure of the flight crew to adequately plan and execute the approach and missed approach procedure for runway 16 at Makedonia airport.
2. The failure of the flight crew to properly utilize the Makedonia airport radio navigational aids and aircraft radio equipment / instruments and to interpret the information that was presented.
3. The failure of the flight crew to declare an emergency when they lost their orientation following the missed approach, despite numerous cues alerting them for the aforementioned situation.
4. The captain's failure to achieve maximum performance climb in response to the GPWS alarm signal, 30" prior to impact.
5. The lack of command presence, cockpit discipline and resource management which resulted in a disorganized, confused and ultimately dysfunctional flight crew.
6. The company's inadequate oversight, over their flight operations, that allowed for and resulted in scheduling one inadequately prepared and marginally qualified flight crew and an aircraft which did not comply with national and international airworthiness regulations (it had not been issued the Type Certificate with the corresponding Amendment for the international flights), to execute a regular passenger flight with No 1 VHF/NAV receiver inoperative.
Contributing Factors:
1. The inadequate training provided to the flight crew for cockpit resource management and international flight operations.
2. The dispatch of the aircraft with No 1 VHF/NAV receiver, inoperative, despite the restrictions provided in M.E.L. (Appendix 28, pages 14, 16).
3. The assignment of a marginally qualified instructor pilot to this specific flight who disrupted and substantially reduced the coordination and effectiveness of the flight crew.
4. The inaccurate display of the symbol (R) on the Jeppesen Sanderson Inc. chart 11-1, for runway 16, from which the flight crew, most probably, have formed the wrong impression that radar service was available in Makedonia airport.
5. The insufficient evaluation by the Approach Control, under the aforementioned circumstances, of the difficulties encountered by the flight crew in following procedures and clearances, which prevented the Controllers to offer any available assistance, by their own initiative, in order to prevent, probably, the accident.
Final Report:

Crash of a Boeing 727-230A in Thessaloniki

Date & Time: Aug 12, 1997 at 1741 LT
Type of aircraft:
Operator:
Registration:
SX-CBI
Survivors:
Yes
Schedule:
Athens - Thessaloniki - Frankfurt
MSN:
20791
YOM:
1974
Flight number:
OA171
Country:
Region:
Crew on board:
9
Crew fatalities:
Pax on board:
26
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
The approach to Thessaloniki Airport was completed in poor weather conditions. The aircraft landed too far down the runway and after touchdown, the crew realized he could not stop the aircraft within the remaining distance so he decided to veer off runway to the right. While contacting soft ground, the undercarriage were torn off and the aircraft came to rest. All 35 occupants escaped uninjured and the aircraft was damaged beyond repair. At the time of the accident, the wind was from 360° at 18 knots gusting to 28 knots with thunderstorm activity, rain falls and a visibility of 5 km.
Probable cause:
The following findings were reported:
- Poor weather conditions,
- The runway surface was wet and the braking action was considered as moderate to low,
- The flying crew consisted of two highly experienced captains,
- The crew was under stress during the final approach due to poor weather conditions,
- Wrong approach configuration as the aircraft was too high on the glide,
- The crew failed to follow the approach checklist,
- The aircraft landed too far down the runway, about a third past its threshold, reducing the landing distance available,
- Lack of crew coordination,
- The crew failed to initiate a go-around procedure.

Crash of an Antonov AN-26 in Thessaloniki: 6 killed

Date & Time: Aug 31, 1995 at 1640 LT
Type of aircraft:
Operator:
Registration:
TZ-347
Flight Type:
Survivors:
No
Schedule:
Kiev - Tunis - Bamako
MSN:
3303
YOM:
1974
Country:
Region:
Crew on board:
6
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
6
Circumstances:
The aircraft was ferried from Kiev to Bamako with an intermediate stop in Tunis following a complete revision at the Antonov factory in Kiev. En route from Kiev to Tunis, while flying over the north part of Greece, the crew informed ATC about technical problems and was cleared to divert to Thessaloniki-Makedonia Airport. As a radar (instrument) approach was not possible, the crew attempted to land under VFR mode in IMC conditions. On final, in limited visibility due to rain falls and fog, the crew failed to realize his altitude was too low when the aircraft struck the slope of a mountain located 4 km short of runway. All six crew members were killed. It is possible that the crew encountered technical problems with fuel.

Crash of a Douglas C-47B-15-DK at Tatoi AFB: 1 killed

Date & Time: Dec 28, 1991
Operator:
Registration:
KK-171
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Tatoi - Thessaloniki
MSN:
15417/26862
YOM:
1944
Country:
Region:
Crew on board:
4
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
1
Circumstances:
Shortly after takeoff from Tatoi AFB, while in initial climb, the aircraft suffered an engine failure, stalled and crashed in an olive grove some 400 metres past the runway end. A crew member was killed while five other occupants were injured.
Probable cause:
Engine failure for unknown reasons.

Crash of a Short 330-200 near Samos: 34 killed

Date & Time: Aug 3, 1989 at 1530 LT
Type of aircraft:
Operator:
Registration:
SX-BGE
Survivors:
No
Site:
Schedule:
Thessaloniki - Samos - Kos
MSN:
3083
YOM:
1982
Flight number:
ML545
Country:
Region:
Crew on board:
3
Crew fatalities:
Pax on board:
31
Pax fatalities:
Other fatalities:
Total fatalities:
34
Circumstances:
The crew started the approach to Samos Airport runway 09 in poor weather conditions. While flying under VFR mode in IMC conditions, the aircraft struck the slope of Mt Kerkis (1,430 meters high) located 25 km northwest of the airport. The aircraft disintegrated on impact and all 34 occupants were killed. At the time of the accident, the visibility was poor and the mountain was shrouded in clouds.
Probable cause:
It was determined that the crew initiated a VFR approach in IMC conditions to runway 09 at Samos Airport. Standard approach to Samos are on runway 27 from the sea but could be completed to runway 09 if the minimum visibility is good at least 3,2 km from threshold.
The following contributing factors were reported:
- Navigation error on part of the crew who deviated by 4 nm from the approach route,
- VFR approach in IMC conditions,
- The weather radar in the cockpit was OFF at the time of the accident,
- The pilot-in-command was completing a steep turn when the aircraft impacted ground,
- Lack of visibility due to low clouds.

Crash of a Grumman G-159 Gulfstream I in Niedernberg

Date & Time: Nov 13, 1988 at 1355 LT
Type of aircraft:
Operator:
Registration:
N750BR
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Rotterdam - Thessaloniki
MSN:
99
YOM:
1963
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
While in cruising level over Germany on a positioning flight from Rotterdam to Thessaloniki, the right engine failed and its propeller feathered automatically. The crew informed ATC and started a descent in an order to divert to the nearest airport. While descending, the power was restored on the right engine but it failed again. Once the altitude of 6,000 feet was reached on descent, the left engine failed as well. The crew reduced his altitude and completed a belly landing in an open field located near Niedernberg. Both pilots escaped uninjured while the aircraft was damaged beyond repair.
Probable cause:
It is believed that the double engine failure was the consequence of a contaminated fuel.

Crash of a Douglas C-47A-30-DL near Avlona: 19 killed

Date & Time: Oct 30, 1959 at 1525 LT
Operator:
Registration:
SX-BAD
Flight Phase:
Survivors:
No
Site:
Schedule:
Athens – Thessaloniki
MSN:
9491
YOM:
1943
Flight number:
OA214
Country:
Region:
Crew on board:
3
Crew fatalities:
Pax on board:
16
Pax fatalities:
Other fatalities:
Total fatalities:
19
Circumstances:
The aircraft departed Athens-Ellinikon Airport at 1501LT bound for Tessaloniki. The crew climbed to an altitude of 3,000 feet with a 240° heading and later received the permission to climb to 9,000 feet. While approaching Mt Parnis in good weather conditions, the captain informed ATC about his position. Five minutes later, the airplane disappeared from radar screens and crashed near Avlona. The airplane was totally destroyed upon impact and all 19 occupants were killed.
Probable cause:
The accident was caused by the failure of the gudgeon pin bearing of no.6 piston of the left engine, which resulted in the abrupt breaking of the engine. Inertia of the propeller at the moment of the breaking of the engine caused failure of the propeller shaft. The broken propeller, rotating, caused serious cuts on the left wing. The latter then separated and loss of control followed.

Crash of a Junkers JU.52/3m off Eretria: 16 killed

Date & Time: Feb 21, 1944 at 1710 LT
Type of aircraft:
Operator:
Registration:
D-AWAS
Flight Phase:
Survivors:
No
Schedule:
Thessaloniki - Athens
MSN:
6561
Country:
Region:
Crew on board:
3
Crew fatalities:
Pax on board:
13
Pax fatalities:
Other fatalities:
Total fatalities:
16
Circumstances:
Christened 'Joachim Blankenburg', the aircraft left Thessaloniki Airport at 1620LT bound for Athens. Some 41 minutes later, the radio navigator informed ATC that he was returning to Thessaloniki. Five minutes later, he announced that pilot reduced his altitude, that he was flying over the sea at a height of 30 meters and that he was encountering technical problems with the engines. A Pan message was sent few seconds later and eventually, the aircraft disappeared four minutes later and probably crashed into the South Euboean Gulf. SAR operations did not find any trace of the aircraft nor the 16 occupants.

Crash of a Junkers JU.52/3m in Belgrade: 5 killed

Date & Time: Jan 15, 1944 at 1345 LT
Type of aircraft:
Operator:
Registration:
D-ADQW
Survivors:
No
Site:
Schedule:
Thessaloniki – Belgrade
MSN:
640610
YOM:
1943
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
5
Circumstances:
The three engine aircraft christened 'Harry Rother' left Thessaloniki Airport at 1020LT bound for Belgrade. On approach from the east, crew encountered poor weather conditions and low visibility with a cloud base at 200 meters. Aircraft was too low and hit a hill located 16 km east of the Belgrade-Zemun Airport. All five occupants were killed.
Probable cause:
Pilot error.