Accident
Last updated: 31 July 2014
Statuts:Enquête Officielle
Date:lundi 31 janvier 2005
Heure:18:56
Type/Sous-type:Silhouette image of generic C208 model; specific model in this crash may look slightly different
Cessna 208B Super Cargomaster
Compagnie:Nord-Flyg
Immatriculation: SE-KYH
Numéro de série: 208B-0817
Année de Fabrication: 2000
Heures de vol:6126
Moteurs: 1 Pratt & Whitney Canada PT6A-114A
Equipage:victimes: 0 / à bord: 1
Passagers:victimes: 0 / à bord: 0
Total:victimes: 0 / à bord: 1
Dégats de l'appareil: Perte Totale
Conséquences: Written off (damaged beyond repair)
Lieu de l'accident:Helsinki-Vantaa Airport (HEL) (   Finlande) show on map
Phase de vol: En montée initiale (ICL)
Nature:Cargo
Aéroport de départ:Helsinki-Vantaa Airport (HEL/EFHK), Finlande
Aéroport de destination:Örebro-Bofors Airport (ORB/ESOE), Suède
Détails:
The Cessna 208 aircraft landed at Helsinki-Vantaa (HEL) at 04:47 on January 31, 2005. After landing, the pilot taxied to apron number four in the southeastern corner of the aerodrome and unloaded the cargo from Sweden. After having done that he left the airport and went to a suite the company reserves for the crew to rest before the return leg to Sweden, which was planned for the following afternoon. As per standard policy, the company operates the aircraft with a two person crew. On the day in question the co-pilot had taken ill and the pilot had flown alone. The return leg to Sweden was also planned as a one-person crew flight. The following morning the aircraft was refuelled with 420 l of Jet A-1, in accordance with the pilot’s instructions. All in all ca. 725 kg of fuel was reserved for the return leg. It had been snowing at the airport until 11:20 and the temperature was hovering at around zero degrees Celsius. After having arrived at the airport at 16:30, the pilot began to brush the accumulated snow and frozen snow melt off the upper surfaces of the aircraft. As per his account, there was a great deal of snow and ice on the aircraft. He did not, however, manage to brush all of the impurities off of the surfaces of the aircraft. The cargo going to Sweden did not arrive in time for him to fly it to Skavsta, his primary destination. Therefore, he phoned in a change to the flight plan choosing Örebro instead as his destination.
At 18:52:45 the pilot acknowledged on Helsinki Control Tower (TWR) that he was taxiing to takeoff position runway 22L at intersection Y. At 16:54:40 TWR gave him takeoff clearance from that intersection and gave him the wind direction. The pilot later said that he executed a normal takeoff, using 10 degrees of flaps. The aircraft lifted off at the normal speed of 80-90 kts. All went well until he reached the height of 800-1000 ft (250-300 m) and retracted the trailing edge flaps. Immediately after flap retraction, the pilot lost control of the aircraft, which began turning to the right. The pilot attempted to fly the aircraft to the end section of runway 22R to make an emergency landing but the aircraft crashed into the terrain between the runways.


DIRECT CAUSAL FACTORS: "The chain of events can be regarded as having begun when the aeroplane stood overnight on the tarmac, exposed to the weather. Snowfall accumulated on the upper surfaces of the fuselage, wings and stabilizers during the night forming a thick coat of ice and snow as it partly melted during the day and refroze when the ambient temperature dropped towards the evening.
The pilot noticed the impurities when he performed a walkaround check. However, he did not order a de-icing. Instead, he tried to remove the ice with a brush. It is only possible to remove dry and loose snow by brushing. In this case the frozen water that had trickled down remained stuck to surfaces.
The pilot executed a takeoff with an aircraft whose aerodynamic properties were fundamentally degraded due to impurities. During the initial climb, immediately after flap retraction, airflow separated from the surface of the wing and the pilot did not manage to regain control of the aircraft. The pilot did not recognize the stall for what is was and did not act in the required manner to recover or, then again, it could be that he had not received sufficient training for these kinds of situations."

cONTRIBUTING CAUSAL FACTORS: "Several factors are considered to have affected the pilot’s actions. He was either
ignorant or negligent as to the effect of impurities on the aeroplane’s aerodynamic properties. Furthermore, the pressure of keeping to the schedule during the early preflight briefing activities may have affected his decision, even though a change in the flight plan eliminated the actual rush. It is the impression of the investigation commission that these factors were the principal ones that contributed to the omission of proper deicing.
A probable contributing factor, albeit one difficult to verify, could have been the financial aspect. The company may have considered buying de-icing services from an external service provider as an additional expense. Investigations showed that the operator in question had ordered aeroplane de-icing at Helsinki–Vantaa airport only once during the previous and ongoing winter season.
The company regularly flew to this airport. Processes were in place for pre-flight briefing as well as for freight forwarding. However, the flight schedules with reference to the opening times of the company’s primary destination airport did not allow for long delays in ground operations. This may have partly put pressure on the pilot to complete the other pre-flight activities as soon as possible.
As for the flap setting, the pilot’s takeoff technique was not proper for the existing circumstances. Moreover, when the aeroplane stalled, the pilot did not execute any effective corrective action to regain control of the aircraft. These would have been, among other things: having reset the flaps to the position prior to the stall as well as having taken advantage of the engine power reserve. As per his account, the pilot did not utilize all available engine power. Instead, he stuck to the maximum value prescribed for normal operations as specified in the aircraft operations manual. The fact that the said flight was flown, contrary to normal operations with only a one person crew, can be considered a contributing factor."

Sources:

Official accident investigation report
investigating agency: AIB Finland
report status: Final
report number: B2/2005L
report released:13-FEB-2007
duration of investigation:743 days (2 years )
download report: Aircraft accident at Helsinki–Vantaa airport on 31 January, 2006 (AIB Finland B2/2005L)
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Opérations de secours

AIB Finland issued 4 Safety Recommendations

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Plan
Ce plan montre l'aéroport de départ ainsi que la supposé destination du vol. La ligne fixe reliant les deux aéroports n'est pas le plan de vol exact.
La distance entre Helsinki-Vantaa Airport et Örebro-Bofors Airport est de 564 km (352 miles).

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