Narrative:A National Aeronautical Laboratories Saras prototype, an Indian designed light civilian transport aircraft, registered VT-XRM, was destroyed in a accident during a test flight. All three crew members were killed.
The Saras airplane was scheduled for carrying out test flight no 49, which would include inflight engine shut down and relight procedure at 10000 feet AMSL.
The aircraft took-off from Bangalore-Hindustan Airport (BLR) at 14:55. The flight was cleared to flight level 100. After completing general handling checks at 9000AMSL without any events, a single engine simulated approach was carried out on runway 09. At about 15:11 the crew were cleared to perform an overshoot.
The crew contacted the Bangalore Radar controller, who cleared them back to FL100 and proceed to sector Southwest 2 for carrying out the engine relight test procedure. The crew reported reaching 9000AMSL in sector Southwest at about 15:18.
The no. 1 engine was then shut down and secured following the test procedure at about 15:31. After about 47 seconds, the no. 1 engine relight procedure was initiated at around 9200AMSL.
After a successful left engine shut down and its securing procedure, at about 15:31 left engine relight procedure was initiated at about 9200AMSL. The propeller blade pitch was selected from feathered to fine. This led to an increased in propeller rpm from 5 to 55%. Side slip increased up to 28 degrees and bank angle changed from 8 deg right to 70 degrees left. The pitch attitude was seen reaching -42 degrees. Propeller rpm continued to increase to 91%. Then the aircraft went into a sudden dive from 9200 to 7300 for about 13 secs. The aircraft was brought under control at this altitude. The crew continued their attempt to relight the engine but this was not successful. Meanwhile the side slip remained at 22 degrees with a pitch attitude of about -15 deg. The speed remained at 130 kt and altitude reduced from 7000 feet to 5200 feet.
A second relight attempt was successful but the airplane was still in a rapid descent passing 4800 feet. Rudder pedal forces
increased to as high as 90 kg with aileron forces raising to 40 kg. The crew were not able to fully control the airplane and arrest the descent. It impacted the ground. The aircraft was completely destroyed due impact and fire.
Probable Cause:
PROBABLE CAUSE(S):
Incorrect relight procedure devised by the designer and adopted by the crew at insufficient height leading to rapid loss of altitude and abnormal behavior of aircraft resulted into accident.
Contributory factors:
a) Lack of crew coordination and cockpit procedures
b) Handling of the controls
c) Non-aborting of flight by the crew in coordination with the flight test Director after failure of first relight attempt.
d) Devising engine relight procedures by NAL without consulting the propeller manufacturer.
Accident investigation:
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Investigating agency: | DGCA India  |
Status: | Investigation completed |
Duration: | 275 days (9 months) | Accident number: | final report | Download report: | Final report
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Classification:
Loss of control
Sources:
» NAL Saras crashes at Bangalore - crew dead (Bangalore Aviation 6-3-2009)
Follow-up / safety actions
DGCA India issued 11 Safety Recommendations
Issued: -- | To: | VT-XRM(1) |
Saras Project shall be monitored by the high level group consisting of eminent personnel from aircraft design, safety and operational discipline on regular basis. |
Issued: -- | To: | VT-XRM(10) |
Telemetry system, its facilities and their personnel are required to be brought under DGCA approval system for proper monitoring. |
Issued: -- | To: | VT-XRM(11) |
Engine shutdown and relight procedures shall be revised taking into consideration of all the relevant factors. |
Issued: -- | To: | VT-XRM(2) |
Any abnormality reported/observed by the crew has to be rectified immediately prior to the subsequent flight. |
Issued: -- | To: | VT-XRM(3) |
Since Saras is the national project, utmost vigil and care shall be taken by CSIR, India while implementing project and the concept of employing the private contractor involving in each and every stage of the design and development of Saras project requires to be discontinued immediately and only the support for the parts and appliances shall be obtained from them) The contracting system followed by NAL is to be reviewed by competent authority. |
Issued: -- | To: | VT-XRM(4) |
DGCA should get the project overseen regularly by team of officers from Airworthiness, R & D and Air Safety). IAF representative may be associated. |
Issued: -- | To: | VT-XRM(5) |
Appropriate action shall be taken on the findings pertaining to NAL, IAF (ASTE) and other agencies. |
Issued: -- | To: | VT-XRM(6) |
NAL should explore all the possibilities of having more safer SSR housing unit from the point of fire proof and crash proof till the Saras aircraft is released for production flight. |
Issued: -- | To: | VT-XRM(7) |
Synchronization of propeller control and fuel control in the cockpit should be explored by NAL for better flight management. |
Issued: -- | To: | VT-XRM(8) |
ELTs capable of operating on 406 MHz frequency be installed for monitoring purpose on the Saras aircraft at suitable location. |
Issued: -- | To: | VT-XRM(9) |
Suitable modifications on Saras aircraft Pitot system or Nose Landing Gear D-Door mechanism are to be incorporated by NAL so that the re is no mismatch of CAS between the two EFIS in flight. |
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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.