Accident
Last updated: 23 May 2013
Status:Definitief
Datum:13 JUN 2000
Tijd:22:50 EDT
Type:Dassault Falcon 20
Luchtvaartmaatschappij:Grand Aire Express
Registratie: N184GA
Constructienummer: 266
Bouwjaar: 1972
Aantal vlieguren:15798
Motoren: 2 General Electric CF700-2D2
Bemanning:slachtoffers: 0 / inzittenden: 2
Passagiers:slachtoffers: 0 / inzittenden: 0
Totaal:slachtoffers: 0 / inzittenden: 2
Schade: Afgeschreven
Gevolgen: Written off (damaged beyond repair)
Plaats:1 km (0.6 mijl) W of Peterborough, ON (Canada)
Fase: Nadering (APR)
Soort vlucht:Vracht
Vliegveld van vertrek:Detroit-Willow Run Airport, MI (YIP/KYIP), Verenigde Staten
Vliegveld van aankomst:Peterborough Airport, ON (YPQ/CYPQ), Canada
Beschrijving:
Nearing the Peterborough in IMC, the flight crew received a clearance to conduct an NDB runway 09 approach. The flight crew did not acquire the runway environment during this approach and conducted a missed approach procedure. They obtained another clearance for the same approach from Toronto Area Control Centre. During this approach, the flight crew acquired the runway environment and manoeuvred the aircraft for landing on runway 09. The aircraft touched down near the runway midpoint, and the captain elected to abort the landing. The captain then conducted a left visual circuit to attempt another landing. As the aircraft was turning onto the final leg, the approach became unstabilized, and the flight crew elected to overshoot; however, the aircraft pitched nose-down, banked left, and struck terrain. As it travelled 400 feet through a ploughed farm field, the aircraft struck a tree line and came to rest about 2000 feet before the threshold of runway 09, facing the opposite direction.

FINDINGS AS TO CAUSES AND CONTRIBUTING FACTORS:
1) The captain's attempt to continue the landing during the second approach was contrary to company standard operating procedures and Federal Aviation Regulations, in that the approach was unstable and the aircraft was not in a position to land safely.
2) Following the aborted landing, the flight crew proceeded to conduct a circling approach to runway 09, rather than the missed approach procedure as briefed.
3) The pilot lost situational awareness during the overshoot after the third failed attempt to land, likely when he was subjected to somatogravic illusion.
4) Breakdown in crew coordination after the aborted landing, lack of planning and briefing for the subsequent approach, operating in a dark, instrument meteorological conditions environment with limited visual cues, and inadequate monitoring of flight instruments contributed to the loss of situational awareness

Bronnen:
» TSB

Official accident investigation report
investigating agency: Transportation Safety Board (TSB) - Canada
report status: Final
report number: TSB Report A00O0111
report released:17-MAY-2001
duration of investigation:338 days (11.3 months)
download report: Controlled Flight into Terrain, Grand Aire Express Inc., Dassault-Breguet Falcon 20E N184GA, Peterborough Airport, Ontario 0.5 nm W (TSB Report A00O0111)
cover

Foto's
photo of Dassault Falcon 20 PH-ILX
PH-ILX was sold in 1994 and went to the U.S. as N4115B. It was later registered N184GA.
 

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 Detroit-Willow Run Airport, MI en Peterborough Airport, ON bedraagt 470 km (294 miles).

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