Crash of a Fokker 100 in Campinas

Date & Time: Aug 30, 2002 at 1205 LT
Type of aircraft:
Operator:
Registration:
PT-MRL
Survivors:
Yes
Schedule:
Salvador – São Paulo
MSN:
11441
YOM:
1993
Flight number:
JJ3499
Country:
Crew on board:
5
Crew fatalities:
Pax on board:
33
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
6500
Captain / Total hours on type:
3600.00
Copilot / Total flying hours:
4300
Copilot / Total hours on type:
145
Circumstances:
The aircraft departed Salvador-Deputado Luís Eduardo Magalhães Airport at 0846LT on a schedule service JJ3499 to São Paulo-Guarulhos Airport, carrying 33 passengers and five crew members. En route, while cruising at an altitude of 35,000 feet, the crew encountered technical problems with the primary hydraulic system. He contacted ATC and was cleared to divert to Campinas-Viracopos Airport for an emergency landing. On approach, the crew was unable to lower the undercarriage that remained blocked in their wheel well. The crew elected to lower the gear manually and several troubleshootings were unsuccessful. The decision was taken to complete a belly landing on runway 33. After touchdown, the aircraft slid for few dozen metres and eventually came to rest. All 38 occupants evacuated safely and the aircraft was damaged beyond repair. It was later transferred to the TAM Museum.
Probable cause:
A loss of hydraulic fluids occurred on a hose separating a fitting from a pump on the right engine, causing the malfunction of the primary hydraulic system and resulting in the degradation of the mechanical system of the landing gear control command.
Final Report:

Crash of a Fokker 100 in Birigui

Date & Time: Aug 30, 2002 at 1045 LT
Type of aircraft:
Operator:
Registration:
PT-MQH
Flight Phase:
Survivors:
Yes
Schedule:
São Paulo – Campo Grande
MSN:
11512
YOM:
1994
Flight number:
JJ3804
Country:
Crew on board:
5
Crew fatalities:
Pax on board:
24
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
7300
Captain / Total hours on type:
4000.00
Copilot / Total flying hours:
4000
Copilot / Total hours on type:
1200
Circumstances:
The aircraft departed São Paulo-Guarulhos Airport on a schedule flight (JJ3804) to Campo Grande, carrying 24 passengers and five crew members. Less than an hour into the flight, while cruising at FL350, the crew encountered technical problems with the fuel system, declared an emergency and was cleared to divert to Araçatuba Airport. On approach, at an altitude of 1,639 feet, both engines failed. The captain realized he could not reach Araçatuba Airport so he attempted an emergency landing in a prairie located 29,5 km from the airport. Upon landing, the aircraft lost its undercarriage, slid on the ground, killed a cow and came to rest. All 29 occupants evacuated, among them four were slightly injured. The aircraft was damaged beyond repair.
Probable cause:
While cruising at FL350, the crew noticed a technical problem with the 'fuel filter' and a 'fuel pressure low' was observed on the right engine. Following a check of the flight manual, the crew reported a fuel transfer issue and attempted an emergency diversion. It was determined that both engine stopped following the rupture of a fuel line connected to the right engine, causing a major fuel leak. The disconnection of the fuel line was the consequence of the rupture of a aluminium ring.
Final Report:

Ground accident of an Embraer EMB-120RT Brasília in Manaus

Date & Time: Aug 13, 2002 at 1225 LT
Type of aircraft:
Operator:
Registration:
PT-WGE
Flight Phase:
Survivors:
Yes
Schedule:
Humaitá – Manaus
MSN:
120-004
YOM:
1986
Flight number:
RLE4847
Country:
Crew on board:
3
Crew fatalities:
Pax on board:
22
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
13474
Captain / Total hours on type:
518.00
Copilot / Total flying hours:
4110
Copilot / Total hours on type:
3660
Aircraft flight hours:
26756
Circumstances:
Following an uneventful flight from Humaitá, the crew completed the landing at Manaus-Eduardo Gomes Airport. After taxi, the crew was approaching the apron when he feathered the propellers and applied the brakes as they wanted to stop the aircraft. There was no deceleration despite both crew applied brakes. The copilot suggested to use reverse thrust but this was not possible as the propellers were already feathered. Out of control, the aircraft struck a brick building, damaging the left engine, and the right landing gear fell into a drainage ditch, approximately one meter deep. All 25 occupants evacuated safely while the aircraft was damaged beyond repair.
Probable cause:
The following factors were identified:
- The crew did not have sufficient training to enable the desired assertiveness for the correct use of aircraft resources, which would probably have prevented the accident, since, instead of applying the emergency brake, they applied reverse with the feathered props, contrary to the procedure provided for in the Aircraft Manual.
- The maintenance services were not efficient, as they did not comply with the Aircraft Maintenance Manual in relation to the dimensional adjustment of the Hub Cap Drive Clips' drive clips, and the Service Bulletin incorporated stickers to the outer doors of the main landing gear, as a reminder to the mechanic to check the clearances.
- The copilot failed to apply the reverse pitch on the propellers as they were feathered, and at that moment the emergency brake should be commanded to brake the aircraft.
- The company failed to adequately check the execution of the actions provided for in the Aircraft Maintenance Manual regarding the 'Antiskid' system and to verify the application of all service bulletins issued by the manufacturer.
Final Report:

Crash of A Embraer EMB-820C Navajo in Fernandópolis: 1 killed

Date & Time: Jul 28, 2002 at 1630 LT
Registration:
PT-ETT
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Fernandópolis - Fernandópolis
MSN:
820-093
YOM:
1979
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
5
Pax fatalities:
Other fatalities:
Total fatalities:
1
Aircraft flight hours:
3834
Circumstances:
The twin engine aircraft departed Fernandópolis Airport in the afternoon on a panoramic flight over the city with five passengers and one pilot on board. At this time, the visibility was poor due to fog down to 40 metres above the ground. Shortly after takeoff, the pilot lost control of the airplane that crashed, bursting into flames. A passenger was killed while five other occupants were injured, two seriously. The aircraft was destroyed.
Probable cause:
It was determined that the pilot was not qualified to pilot such type of aircraft. Investigations revealed he did not have any licence nor medical documents to prove he was able to conduct such flight with such aircraft. A poor flight planning and a poor evaluation of the weather conditions were considered as contributing factors.
Final Report:

Crash of a Rockwell Shrike Commander 500S in Fortaleza

Date & Time: Jul 2, 2002 at 1640 LT
Operator:
Registration:
PT-KZD
Flight Phase:
Flight Type:
Survivors:
Yes
Site:
Schedule:
Fortaleza - Fortaleza
MSN:
500-3140
YOM:
1972
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
8000
Captain / Total hours on type:
2900.00
Aircraft flight hours:
9960
Circumstances:
The twin engine aircraft departed Fortaleza-Pinto Martins Airport on a local post maintenance test flight (50 hours), carrying two passengers and one pilot. After takeoff, while climbing to a height of 200 feet, the power on the left engine fluctuated. The pilot modified the position of the fuel selector but the situation did not change. As the aircraft was losing height, the pilot shut down the left engine and feathered its propeller when the aircraft rolled to the left, causing the left wing to struck a concrete wall. Out of control, the aircraft struck the roof of a house, then a second one and eventually crashed on a third residence. All three occupants were injured as well as one people on the ground.
Probable cause:
The fuel pump and the servo-injectors had faults which certainly contributed to the accident as the left engine was not properly supplied with fuel.
Final Report:

Crash of a Boeing 727-30C in Belo Horizonte

Date & Time: Mar 18, 2002 at 2218 LT
Type of aircraft:
Operator:
Registration:
PP-VLV
Flight Type:
Survivors:
Yes
Schedule:
Salvador - Belo Horizonte
MSN:
19009
YOM:
1967
Flight number:
VLO9051
Country:
Crew on board:
3
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
After touchdown on runway 16 at Belo Horizonte-Tancredo Neves-Confins Airport, the three engine aircraft went out of control, veered off runway at high speed, lost its undercarriage and came to rest. All three crew members evacuated safely while the aircraft was damaged beyond repair.

Crash of a Beechcraft 100 King Air in Buriti Alegre

Date & Time: Nov 25, 2001 at 1205 LT
Type of aircraft:
Registration:
PT-DNP
Flight Type:
Survivors:
Yes
Schedule:
Goiânia – Buriti Alegre
MSN:
B-56
YOM:
1970
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
5
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
13316
Captain / Total hours on type:
1500.00
Circumstances:
On final approach to Buriti Alegre Airfield runway 05, following an uneventful flight from Goiânia-Santa Genoveva Airport, the pilot attempted to lower the flaps twice but the circuit breakers opened. He decided to continue the approach in a flapless configuration when, on short final, the aircraft stalled and collided with a wall located 15 metres short of runway. On impact, the undercarriage were torn off and the airplane landed on its belly, slid for 500 metres and came to rest, bursting into flames. All six occupants escaped uninjured while the aircraft was destroyed by fire.
Probable cause:
The pilot decided to continue the approach in a flapless configuration and at an insufficient speed, which caused the aircraft to stall on short final.
Final Report:

Crash of an Embraer EMB-820C Navajo in Brasília: 1 killed

Date & Time: Nov 23, 2001 at 1645 LT
Operator:
Registration:
PT-RAZ
Flight Type:
Survivors:
Yes
Schedule:
Bom Jesus da Lapa – Brasília
MSN:
820-114
YOM:
1980
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
3000
Captain / Total hours on type:
2700.00
Aircraft flight hours:
2633
Circumstances:
Following an uneventful flight from Bom Jesus da Lapa, the pilot started the descent to Brasília Airport runway 29. On final approach, in a gear and flaps down configuration, the aircraft suffered an engine failure. The pilot elected to restart the engine when the aircraft deviated from the approach path to the right, lost height and struck a promontory located 61 metres from the runway threshold. Both occupants were seriously injured and the aircraft was damaged beyond repair. 23 days later, the passenger died from his injuries.
Probable cause:
No technical anomalies were found on both engines. The fuel selector was positioned on the auxiliary tanks who had sufficient fuel at the time of the accident. It was reported that the pilot elected to continue the approach on one engine, letting himself be carried away by the luck factor that he benefited in the past in other similar situations.
Final Report:

Crash of a Lockheed C-130E Hercules near Campo dos Afonsos AFB: 9 killed

Date & Time: Sep 27, 2001 at 1215 LT
Type of aircraft:
Operator:
Registration:
2455
Flight Type:
Survivors:
No
Site:
MSN:
4202
YOM:
1967
Country:
Crew on board:
9
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
9
Circumstances:
While descending to Campo dos Afonsos AFB, the crew encountered poor weather conditions with limited visibility due to fog and rain falls. Too low, the four engine aircraft struck the slope of a mountain located about 15 km southeast of the airbase. All nine occupants were killed.

Crash of a Britten-Norman BN-2A-27 in Bujari

Date & Time: Sep 22, 2001 at 1207 LT
Type of aircraft:
Operator:
Registration:
PT-KTQ
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Rio Branco - Rio Branco
MSN:
493
YOM:
1976
Location:
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
4
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
12000
Captain / Total hours on type:
300.00
Circumstances:
The twin engine aircraft departed Rio Branco with four passengers and one pilot on board. The goal of the flight was to carry four Japanese journalists who wanted to perform aerial views from various tribes located in the region of Santa Rosa do Purus. About 30 minutes into the flight, an oil leak occurred on the left engine that lost power. The pilot reduced his altitude and attempted an emergency landing when the aircraft crashed near Bujari, about 39 km from Rio Branco. The wreckage was found near motorway BR364 and all five occupants were slightly injured.
Probable cause:
The following findings were identified:
- It is likely that the pilot did not use the controls properly to maintain an adequate control of the airplane in a single-engine configuration while the airplane was operated within weight and balance limits,
- The left propeller retainer had been replaced by similar but not original equipment, using glue to ensure its tightness, which was non compliant with the engine manufacturer's procedures,
- The aircraft maintenance documents were not kept up to date by the operator,
- Poor flight preparation on the part of the pilot who did not notice that the maintenance documents were not up to date,
- The operator was not compliant with the current Brazilian Civil Aviation Authority legislation.
Final Report: