Status: | Accident investigation report completed and information captured |
Date: | Saturday 3 January 2004 |
Time: | 04:45 |
Type: |  Boeing 737-3Q8 |
Operator: | Flash Airlines |
Registration: | SU-ZCF |
MSN: | 26283/2383 |
First flight: | 1992-10-09 (11 years 3 months) |
Total airframe hrs: | 25603 |
Cycles: | 17976 |
Engines: | 2 CFMI CFM56-3C1 |
Crew: | Fatalities: 13 / Occupants: 13 |
Passengers: | Fatalities: 135 / Occupants: 135 |
Total: | Fatalities: 148 / Occupants: 148 |
Aircraft damage: | Destroyed |
Aircraft fate: | Written off (damaged beyond repair) |
Location: | 15 km (9.4 mls) S off Sharm el Sheikh ( Egypt)
|
Phase: | En route (ENR) |
Nature: | Domestic Non Scheduled Passenger |
Departure airport: | Sharm el Sheikh-Ophira Airport (SSH/HESH), Egypt |
Destination airport: | Cairo International Airport (CAI/HECA), Egypt |
Flightnumber: | 604 |
Narrative:Weather was perfect (excellent visibility, 17 degrees C and a light breeze) when Flash Air flight 604 departed the Red Sea resort of Sharm el Sheikh for a flight to Paris-CDG with an intermediate stop at Cairo. On board were 135, mostly French, holidaymakers who were heading home.
At 04:38 the flight was cleared to taxi to runway 22R for departure. After takeoff, at 04:42, the plane climbed and maneuvered for a procedural left turn to intercept the 306 radial from the Sharm el-Sheikh VOR station. When the autopilot was engaged the captain made an exclamation and the autopilot was immediately switched off again. The captain then requested Heading Select to be engaged. The plane then began to bank to the right. The copilot then warned the captain a few times about the fact that the bank angle was increasing. At a bank angle of 40 degrees to the right the captain stated "OK come out". The ailerons returned briefly to neutral before additional aileron movements commanded an increase in the right bank.
The aircraft had reached a maximum altitude of 5460 feet with a 50 degrees bank when the copilot stated: "Overbank". Repeating himself as the bank angle kept increasing. The maximum bank angle recorded was 111 degrees right. Pitch attitude at that time was 43 degrees nose down and altitude was 3470 feet.
The observer on the flight deck, a trainee copilot, called "Retard power, retard power, retard power". Both throttles were moved to idle and the airplane gently seemed to recover from the nose-down, right bank attitude. Speed however increased, causing an overspeed warning. At 04:45 the airplane struck the surface of the water in a 24 degrees right bank, 24 degrees nose-down, at a speed of 416 kts and with a 3,9 G load.
The wreckage sank to a depth of approx. 900 metres.
Probable Cause:
CONCLUSION: "No conclusive evidence could be found from the findings gathered through this investigation to determin the probable cause. However, based on the work done, it could be concluded that any combination of these findings could have caused or contributed to the accident.
Although the crew at the last stage of this accident attempted to correctly recover, the gravity upset condition with regards to attitude, altitude and speed made this attempt insufficient to achieve a successful recovery."
Accident investigation:
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Investigating agency: | ECAA  |
Status: | Investigation completed |
Duration: | 2 years and 3 months | Accident number: | Report su-f040103a | Download report: | Final report
|
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Classification:
Loss of control
Sources:
»
SKYbrary » AFP
» BEA
» Reuters
Follow-up / safety actions
issued 9 Safety Recommendations
Issued: -- | To: | SU-ZCF(1) |
Joint effort should be made to minimize MEL-CDL-DDL allowances to avoid lowering safety standards by overloading pilots, and ensure that whenever found necessary to maintain such items, very clear procedures addressing pilots and maintenance crews to be made available |
Issued: -- | To: | SU-ZCF(2) |
Efforts should be made to enhance the function and reliability of FDR and CVR due to the importance of the data obtained to the safety of the aviation industry |
Issued: -- | To: | SU-ZCF(3) |
Clear engagement status indication for the autopilot should be made available to the crew to avoid any possibility of incorrect perception or ambiguity. |
Issued: -- | To: | SU-ZCF(4) |
Based on data collected from different operators using this autopilot and the number of reports of unexpected autopilot behavior some of which are unexplained, re-assessment of this autopilot system is recommended and operators should be made aware of any problems and manufacturers analysis actions and recommendations. |
Issued: -- | To: CAA Egypt | SU-ZCF(5) |
Ensure that all operators strictly adhere to CAA regulations and requirements, especially in remote stations |
Issued: -- | To: | SU-ZCF(6) |
Emphasis should be made in pilot training on early detection and recognition of conditions that could lead to upset condition. |
Issued: -- | To: | SU-ZCF(7) |
Emphasis should be made in pilot training on timely and appropriate recovery action from upset conditions to counteract sudden unknown abnormal conditions. |
Issued: -- | To: | SU-ZCF(8) |
Recommend in depth studies of the Spatial Disorientation, ways of early recognition between crew members and appropriate crew action to overcome it and increase crew awareness of this phenomena |
Issued: -- | To: | SU-ZCF(9) |
Although a level of CRM was observed, it is clear that more emphasis in this area of training will achieve earlier recognition and recovery from abnormal conditions |
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Photos

SU-ZCF

accident date:
03-01-2004type: Boeing 737-3Q8
registration: SU-ZCF

accident date:
03-01-2004type: Boeing 737-3Q8
registration: SU-ZCF
Map
This map shows the airport of departure and the intended destination of the flight. The line between the airports does
not display the exact flight path.
Distance from Sharm el Sheikh-Ophira Airport to Cairo International Airport as the crow flies is 374 km (233 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.