Crash of an Airbus A321-211 in Moscow

Date & Time: Aug 15, 2019 at 0615 LT
Type of aircraft:
Operator:
Registration:
VQ-BOZ
Flight Phase:
Survivors:
Yes
Schedule:
Moscow - Simferopol
MSN:
2117
YOM:
2003
Flight number:
U6178
Country:
Region:
Crew on board:
7
Crew fatalities:
Pax on board:
226
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
4275
Captain / Total hours on type:
4125.00
Copilot / Total flying hours:
780
Copilot / Total hours on type:
624
Aircraft flight hours:
48980
Aircraft flight cycles:
20132
Circumstances:
The airplane departed Moscow-Zukhovski (Ramenskoye) Airport runway 12 at 0615LT on a flight to Simferopol, carrying 226 passengers and a crew of 7. Immediately after takeoff, while climbing to a height estimated between 60 cm and 1,2 meter, the airplane collided with a flock of birds (sea gulls). Some of them were ingested by both engines that lost power. It was later reported by the crew that the left engine stopped almost immediately while the right engine lost power and run irregularly. Unable to maintain a positive rate of climb, the captain decided to attempt an emergency landing in a cornfield. The airplane belly landed approximately 3,5 km past the runway end and slid for few dozen metres before coming to rest with its both engines partially torn off. All 233 occupants were able to evacuate the cabin and it is reported that 23 people were slightly injured. The airplane was damaged beyond repair.
Probable cause:
The accident occurred during takeoff, in daytime (06:15 local time), under visual meteorological conditions, as a result of the aircraft striking a flock of seagulls immediately after liftoff, at an altitude of 0.6–1.2 m (2–4 ft). Some of the birds had an individual mass exceeding 1.13 kg (2.5 lbs), which corresponds to the certification category of a “large bird.” The bird strike caused mechanical damage to both engines, reducing their combined available thrust to a level below that of a single functioning engine operating at FLEX 49 (the takeoff setting used). This made it impossible to continue the flight in the aircraft’s actual configuration (landing gear not yet retracted), resulting in a forced landing outside the airport. In terms of available engine thrust, the situation exceeded the operational conditions anticipated during the aircraft type certification. Given the extent of the engine damage, even maintaining the limited available thrust could not be guaranteed had the crew attempted to continue the flight. Taking into account that the situation exceeded expected operational conditions—meaning there were no standard operating procedures for such circumstances—and considering the aircraft manufacturer’s position during the investigation that the ability to safely continue the flight would have depended critically on extremely precise pilot handling (control inputs during maneuvering, turns, etc.) and external factors (wind gusts, turbulence), it is not possible to unambiguously classify the hazards identified in the investigation as contributing factors. However, because these hazards pose clear risks to flight safety and require risk-reduction measures, they are listed below:
- Non-compliance of the main regulatory document in force at the time of the accident (ROOP GA-89, governing wildlife hazard management at civil aerodromes of the Russian Federation) with ICAO documentation, best international practice, and modern ornithological knowledge. This document was declared invalid by the Russian Ministry of Transport on 04.12.2020 (Order No. 541). No replacement document defining the procedure for airport wildlife hazard management has been issued, creating unacceptable risks given the complex bird-strike environment at many Russian aerodromes.
- The presence of a significant number of bird-attracting features (bodies of water, landfills, agricultural fields, etc.) in close proximity to the aerodrome, and landfills located in violation of the requirements of the Ramenskoye Airport Wildlife Hazard Management Instruction.
- Deficiencies in the organization of wildlife hazard management at Ramenskoye Airport, including ecological-ornithological assessment, implementation of bird-scaring measures, and runway inspections.
- A widespread practice (not only at Ramenskoye) of routinely informing crews about “bird movements” regardless of the actual threat level, which caused the warnings to lose their alerting value and become mere background noise.
- Lack of regulatory provisions and/or standard operating procedures describing required crew actions when the presence of birds on or near the runway is suspected (but cannot be visually confirmed) that could pose a risk to flight safety.
- Limited ability of airlines to assess avian-hazard risks due to the lack of reliable data sources on the bird environment at the aerodrome, resulting in insufficient information provided to flight crews about ornithological hazards at Ramenskoye.
- A discrepancy between the actual in-flight situation and scenarios practiced in simulators, caused by a false momentary indication of an “open thrust-reverser door” on the left engine triggered by the bird strike. This contributed to a psychophysiological surge (stress spike) and temporary disorganization of the crew’s actions during the continued takeoff procedure, including the omission of landing gear retraction.
Final Report:

Crash of a Beriev Be-103 in Moscow: 1 killed

Date & Time: Aug 18, 1997
Type of aircraft:
Registration:
RA-37019
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Moscow - Moscow
MSN:
30 01
YOM:
1996
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Circumstances:
The pilot, sole on board, was completing a demonstration flight while taking part to the MAKS-97 Airshow at Moscow-Zhukovsky Airport. On takeoff, he lost control of the airplane that crashed by the runway. The pilot was killed.

Crash of an Ilyushin II-76TD in Anadyr

Date & Time: Jan 25, 1997 at 1454 LT
Type of aircraft:
Operator:
Registration:
RA-76834
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Anadyr – Magadan – Moscow
MSN:
10234 09319
YOM:
1992
Country:
Region:
Crew on board:
9
Crew fatalities:
Pax on board:
16
Pax fatalities:
Other fatalities:
Total fatalities:
0
Aircraft flight hours:
3309
Aircraft flight cycles:
1083
Circumstances:
During the takeoff roll, at a speed of 290 km/h, the copilot started the rotation. The aircraft lifted off, reached a height of 7 metres then entered a left bank of 3,5°. Following a course of 665 metres, the aircraft entered a critical angle of attack, nosed up to 35° then landed back on the runway while the undercarriage have just been retracted. The aircraft slid on its belly and came to rest 270 metres further, about 120 metres to the left of the runway centerline. All 25 occupants were rescued, among them two were seriously injured. The aircraft was damaged beyond repair.
Probable cause:
It was determined that the captain decided to seat on the right front seat, letting the command to the copilot seating in the left front seat, which was against the published procedures because the copilot was not authorized and did not have sufficient experience. The copilot forgot to extend the flaps in an appropriate angle for the takeoff procedure, which caused the aircraft to adopt a critical angle of attack after liftoff and to stall. Successives errors and poor crew coordination were considered as contributing factors as well as the fact that the crew failed to follow the pre-takeoff checklist and failed to identify that the aircraft was not properly configured for the takeoff procedure.

Crash of an Ilyushin II-114 in Moscow: 7 killed

Date & Time: Jul 5, 1993
Type of aircraft:
Operator:
Registration:
RA-54001
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Moscow - Moscow
MSN:
01-03
YOM:
1989
Country:
Region:
Crew on board:
9
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
7
Circumstances:
The aircraft was engaged in a local test flight, carrying nine engineers and pilots. Shortly after takeoff from Moscow-Zhukovsky Airport, while climbing to a height of 45 metres, the right propeller autofeathered. The aircraft started to roll left and right then reached a critical angle of attack. Out of control, it stalled and crashed 400 metres past the runway end, bursting into flames. Two people were seriously injured while seven others were killed. The aircraft was supposed to perform a series of five 7-minutes flights to test the noise from ground. At the time of the accident, the total weight of the aircraft was near the limit.
Probable cause:
It was determined that the right engine autofeathered immediately after lift-off due to an electronic malfunction.

Crash of a Tupolev TU-134IK at Severomorsk-Safonovo NAS: 15 killed

Date & Time: Jun 17, 1982
Type of aircraft:
Registration:
CCCP-65687
Flight Type:
Survivors:
Yes
Schedule:
Moscow - Severomorsk
MSN:
62400
YOM:
1979
Country:
Region:
Crew on board:
6
Crew fatalities:
Pax on board:
10
Pax fatalities:
Other fatalities:
Total fatalities:
15
Circumstances:
The aircraft departed Moscow-Zhukovsky Airport on a flight to Severomorsk-Safonovo NAS, carrying 16 people. On approach, the crew encountered bad weather conditions and the visibility was poor. On final, the Ground Proximity Warning System (GPWS) alarm sounded in the cockpit, informing the pilot his altitude was too low. The navigator also informed the captain that the aircraft deviated from the approach path to the left by one km but the captain ignored these messages as well as ATC instructions. At an altitude of 206 meters, the left wing struck an electric pole. The aircraft lost height and crashed, bursting into flames. The captain survived and was slightly injured while 15 other occupants were killed.
Probable cause:
The captain failed to follow the approach procedures and ignored ATC instructions as well as GPWS and other crew member warnings. In such conditions, he led the aircraft deviating from the approach path and descending below the minimum safe altitude until impact.

Crash of an Ilyushin II-62 in Moscow

Date & Time: Feb 25, 1965
Type of aircraft:
Operator:
Registration:
CCCP-06156
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Moscow – Tashkent – Ashgabat
MSN:
3 00 01
YOM:
1963
Country:
Region:
Crew on board:
17
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
10
Circumstances:
The crew was engaged in a test flight from Moscow to Ashgabat with an intermediate stop at Tashkent Airport. The takeoff was attempted with a total weight near the MTOW. After liftoff, the airplane nosed up then lost speed and height. At a height of 4-5 meters, the airplane struck a concrete wall, stalled then crashed in flames. Ten crew members were killed while seven others were injured. The aircraft, first prototype built in 1962, was destroyed. It made its first successful test flight on January 2, 1963.