Vliegtuigongeval op 06 JUN 1992 met Boeing 737-204 Advanced HP-1205CMP - Tucutí
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Status:Accident investigation report completed and information captured
Datum:zaterdag 6 juni 1992
Tijd:21:00
Type:Silhouette image of generic B732 model; specific model in this crash may look slightly different
Boeing 737-204 Advanced
Luchtvaartmaatschappij:COPA Panama - Compañía Panameña de Aviación
Registratie: HP-1205CMP
Constructienummer: 22059/631
Bouwjaar: 1980-01-15 (12 years 5 months)
Aantal vlieguren:45946
Aantal vluchten:17845
Motoren: 2 Pratt & Whitney JT8D-15
Bemanning:slachtoffers: 7 / inzittenden: 7
Passagiers:slachtoffers: 40 / inzittenden: 40
Totaal:slachtoffers: 47 / inzittenden: 47
Schade: Vernield
Gevolgen: Written off (damaged beyond repair)
Plaats:13 km (8.1 mijl) SW of Tucutí (   Panama)
Fase: Kruisvlucht (ENR)
Soort vlucht:Internationale lijnvlucht
Vliegveld van vertrek:Panama City-Tocumen International Airport (PTY/MPTO), Panama
Vliegveld van aankomst:Cali-Alfonso Bonilla Aragón Airport (CLO/SKCL), Colombia
Vluchtnummer: 201
Beschrijving:
A Boeing 737-204 aircraft, operated by COPA Panama, was destroyed when it crashed near Tucutí, Panama. All 40 passengers and seven crew members were killed.
COPA Flight 201 took off from runway 21L at Panama City-Tocumen International Airport at 20:36. Destination of the flight was Cali, Colombia. The flight intercepted Airway A321 and climbed to the cruising altitude of FL250. At 20:46 the flight contacted the Panama City controller and requested weather information.
The controller reported that there was an area of very bad weather at 30-50 miles. Last radio contact was at 20:48 when the crew reported reaching FL250.
During the flight there was an intermittent failure of the main attitude indicator due to a short circuit. This was not noticed by the flight crew, who attempted to adjust the aircraft attitude based on the false information from the attitude indicator.
They lost control of the aircraft which entered a steep descent and started to disintegrate at FL100, and impacting the ground 80 degrees nose down.

Probable Cause:

The probable causes of this accident include:
a) loss of control of the aircraft because the flight crew followed false information from an attitude indicator that operated intermittently.
b) lack of visible horizon during cruise flight due to night and approaching bad weather.
c) insufficient cross-checking between the primary and emergency (stand-by) attitude indicators to identify intermittent attitude errors and to select a reliable source of (correct) attitude information.
d) non-standard cabin configurations between aircraft in the fleet of the company, which required the crew to determine how to set the switches based on the aircraft was being operated at the time.
e) incomplete ground crew training simulator, as it did not present "differences between aircraft" and "crew resource management" in sufficient detail to give the crew knowledge to overcome intermittent attitude indicator errors and to maintain control of the aircraft.

Bronnen:
» Final Report released by the Directorate of Civil Aviation, Panama


Foto's

photo of Boeing-737-204-G-BGYL
accident date: 06-06-1992
type: Boeing 737-204
registration: G-BGYL
 

Kaart
Deze kaart geeft het vliegveld van vetrek weer en de geplande bestemming van de vlucht. De lijn tussen de vliegvelden geeft niet de exacte vliegroute weer.
De afstand tussen Panama City-Tocumen International Airport en Cali-Alfonso Bonilla Aragón Airport bedraagt 695 km (434 miles).
Accident location: Exact; as reported in the official accident report.

This information is not presented as the Flight Safety Foundation or the Aviation Safety Network’s opinion as to the cause of the accident. It is preliminary and is based on the facts as they are known at this time.
languages: languages

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Boeing 737-200

  • 1114 built
  • 54e ongeval
  • 32e dodelijk ongeval
  • 16e zwaarste ongeval (toen het plaatsvond)
  • 33e zwaarste ongeval (op dit moment)
» safety profile

 Panama
  • The zwaarste ongeval
» safety profile

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