ASN Wikibase Occurrence # 325603
| Date: | Monday 3 February 1992 |
| Time: | 11:20 |
| Type: |  Embraer EMB-110C Bandeirante |
| Owner/operator: | Nordeste Linhas Aéreas |
| Registration: | PT-TBB |
| MSN: | 110005 |
| Year of manufacture: | 1973 |
| Fatalities: | Fatalities: 12 / Occupants: 12 |
| Aircraft damage: | Destroyed, written off |
| Category: | Accident |
| Location: | Caetité, BA -
 Brazil
|
| Phase: | En route |
| Nature: | Passenger - Scheduled |
| Departure airport: | Salvador-Dois de Julho International Airport, BA (SSA/SBSV) |
| Guanambi Airport, BA (GNM/SNGI) | |
| Investigating agency: | CENIPA |
| Confidence Rating: |  Accident investigation report completed and information captured |
The Bandeirante descended below MDA in bad weather and impacted Taquari Hill at 3400 feet. The hill was hidden by clouds.
Contributing factors
a. Human Factor
(1). Physiological Aspect - Did not contribute.
(2). Psychological Aspect - Undetermined.
b. Material Factor - Did not contribute.
c. Operational Factor
(1). Adverse Weather Conditions
- Weather conditions along the entire route and in the area where the accident occurred were adverse to maintain visual flight.
(2). Disabled Judgement
- The pilot dropped below the region's safety altitude, (5000 feet) when flying in instrument flight conditions.
(3). Poor Planning
- There was an inadequate preparation for the flight, the pilot did not plan his navigation accurately in relation to his speed, height, distance and time.
(4). Disabled Supervision
- The company had no mechanisms and instruments for monitoring personnel, making it impossible to record and correct the performance deficiencies presented.
(5). Other Operational Aspects
- The crew did not comply with the procedure adopted by the company in the Salvador /Guanambi route, unnecessarily increasing the risk margin.
(6). Others
- Possibility of deficiencies in organizational processes such as management, recruitment and selection, training and monitoring of personnel.
Accident investigation:
 |
|
Sources:
ICAO Adrep Summary 5/94 (#253)
Scramble 154
Location
Images:
photo (c) via Werner Fischdick; São Paulo-Congonhas Airport, SP (CGH); July 1988
Revision history:
| Date/time | Contributor | Updates |
|---|---|---|
| 22-Mar-2024 14:50 | ASN | Updated [Accident report] |
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