Accident description
Last updated: 19 May 2013
Status:Final
Date:09 DEC 1977
Time:ca 22:55 UTC
Type:de Havilland DH-125-400A
Operator:Churchill Falls Co.
Registration: CF-CFL
C/n / msn: 25213/NA741
First flight:
Crew:Fatalities: 2 / Occupants: 2
Passengers:Fatalities: 6 / Occupants: 6
Total:Fatalities: 8 / Occupants: 8
Airplane damage: Written off
Airplane fate: Written off (damaged beyond repair)
Location:Churchill Falls, NF (Canada)
Phase: Approach (APR)
Nature:Executive
Departure airport:Montreal (unknown airport), QC, Canada
Destination airport:Churchill Falls Airport, NF (ZUM), Canada
Narrative:
Optical illusion on a night time approach caused the plane to crash some 3km short of runway 14.

CONCLUSIONS:
1) Cockpit discipline was inadequate as the approach entered the final phase.
2) Distractions in the cockpit degraded crew performance.
3) The pilots deprived themselves of essential altitude information by not effectively monitoring the flight instruments during the final approach.
4) The Captain, by relying on visual cues from the runway environment lighting in conditions where those cues were degraded, became exposed to visual illusions.
5) The pilots permitted the aircraft to deviate below the safe approach profile until it struck the terrain.
6) On the assumptions that there had been at least one serviceable ELT on board, that it had been activated as a result of the impact or by other means, and that there was the capability at Churchill Falls of homing to the point of origin of the ELT signal, the rescue activity may have been expedited.

Events:


Sources:
» ICAO Circular 153-AN/56 (Accident Digest 23, p.181-193)

Photos
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