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Last updated: 17 December 2018
Status:Definitief
Datum:dinsdag 25 december 2012
Tijd:08:53
Type:Silhouette image of generic F100 model; specific model in this crash may look slightly different
Fokker 100
Luchtvaartmaatschappij:Air Bagan
Registratie: XY-AGC
Constructienummer: 11327
Bouwjaar: 1991-02-22 (21 years 10 months)
Aantal vlieguren:27378
Aantal vluchten:32584
Motoren: 2 Rolls-Royce Tay 650-15
Bemanning:slachtoffers: 0 / inzittenden: 6
Passagiers:slachtoffers: 1 / inzittenden: 65
Totaal:slachtoffers: 1 / inzittenden: 71
Slachtoffers op de grond:slachtoffers: 1
Schade: Vernield
Gevolgen: Written off (damaged beyond repair)
Plaats:ca 1 km S of Heho Airport (HEH) (   Myanmar)
Fase: Nadering (APR)
Soort vlucht:Binnenlandse lijnvlucht
Vliegveld van vertrek:Mandalay-Annisaton Airport (MDL/VYMD), Myanmar
Vliegveld van aankomst:Heho Airport (HEH/VYHH), Myanmar
Vluchtnummer:W9011
Beschrijving:
An Air Bagan Fokker 100 aircraft registered XY-AGC departed Yangon International Airport, Myanmar on a domestic scheduled passenger flight to Mandalay International Airport with the captain as pilot flying. The aircraft was refueled at Mandalay after 60 passengers disembarked and 46 passengers boarded. The captain made the briefing and completed the aircraft checks. At 08:26 local time, the flight departed Mandalay to Heho Airport. The first officer was designated as the Pilot Flying for the flight.
The aircraft climbed to FL130 and the captain contacted Heho ATC at 50 NM from Heho. Heho ATC provided the present weather condition (wind calm, visibility 3000 m, distinct fog, temperature 17°C, QNH 1018 mb, runway 36 in use). At about 08:36 local time, the first officer started the crew briefing. The aircraft started descend to 9000 ft and continued to overhead the Heho NDB. At about 08:47 local time, while heading 220 degrees and descending to 6000 ft the flight commenced a non-precision Non Directional Beacon (NDB) approach to runway 36.
During the final inbound track at about 2.5 NM to the runway at 08:52, the EGPWS aural warning called out "500". The captain initiated "Alt hold" at about 08:53, just before the EGPWS alert "100" "50" 40" "30" and the aircraft struck 66 KV power lines, trees, telephone cables, a fence and collided with terrain short of the runway, coming to rest approximately 0.7 NM from the threshold. During the ground collision, both wings separated and a fire commenced almost immediately. An emergency evacuation was initiated by the cabin crews. One aircraft occupant and one motorcyclist on the ground were fatally injured, 70 of the occupants and one motorcyclist survived and the aircraft was destroyed by fire.

Probable Cause:

Primary Cause:
- During the final approach, the aircraft descended below the MDA and the crew did not follow the operator SOP's.
- The pilots had no corrective action against to change VMC to IMC during bad weather condition and insufficient time for effective respond to last moment.
Secondary Cause:
- Captain of the aircraft had insufficient assessment on the risk that assigned the FO as PF.
- There may be under pressure by the following aircrafts as the first plane on that day to Heho.

Accident investigation:
cover
Investigating agency: MAIB
Status: Investigation completed
Accident number: Final report
Download report: Final report

Bronnen:
» Two confirmed dead in Shan State plane crash (Mizzima, 25-12-2012)
» Air Bagan
» Burmese authorities promise investigation into fatal plane crash (Mizzima, 26-12-2012)
» Myanmar Accident Investigation Bureau (MAIB) Final Report


Veiligheidsmaatregelen

MAIB issued 3 Safety Recommendations

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Foto's

photo of Fokker 100 XY-AGC
XY-AGC at Heho; flight W9-011 from Mandalay.
photo of Fokker 100 G-BXWE
G-BXWE moved to Air Bagan as XY-AGC in June 2005 after flying nine years for British Midland
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Aircraft history
date registration operator remarks
22 FEB 1991 PH-EZL Fokker Aircraft BV first flight
25 JUN 1991 PH-CFE Fokker Aircraft BV registered
1991 (G-FIOX) (Air Europe) destined for Air Europe, but the airline went bankrupt in 1991
29 OCT 1993 F-GJAO Air Littoral registered
30 NOV 1995 PH-CFE Fokker Aircraft BV registered
13 MAY 1996 PH-CFE British Midland Airways
06 JUL 1998 G-BXWE British Midland Airways registered
29 OCT 2003 G-BXWE British Midland Airways incident: returned to landed following drop in cabin pressure (AAIB)
14 AUG 2004 G-BXWE British Midland Airways incident: landed at London-Heathrow with nose landing gear unsafe indication (AAIB)
01 JUL 2005 XY-AGC Air Bagan registered

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 Mandalay-Annisaton Airport en Heho Airport bedraagt 135 km (84 miles).
Accident location: Approximate; accuracy within a few kilometers.

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.
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