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Accident
Last updated: 11 December 2017
Status:Definitief
Datum:vrijdag 29 november 2013
Tijd:13:16
Type:Silhouette image of generic E190 model; specific model in this crash may look slightly different
Embraer ERJ 190-100 IGW (ERJ-190AR)
Luchtvaartmaatschappij:Linhas Aéreas de Moçambique - LAM
Registratie: C9-EMC
Constructienummer: 19000581
Bouwjaar: 2012
Aantal vlieguren:2905
Aantal vluchten:1877
Motoren: 2 General Electric CF34-10E5
Bemanning:slachtoffers: 6 / inzittenden: 6
Passagiers:slachtoffers: 27 / inzittenden: 27
Totaal:slachtoffers: 33 / inzittenden: 33
Schade: Vernield
Gevolgen: Written off (damaged beyond repair)
Plaats:Bwabwata National Park (   Namibië)
Fase: Kruisvlucht (ENR)
Soort vlucht:Internationale lijnvlucht
Vliegveld van vertrek:Maputo International Airport (MPM/FQMA), Mozambique
Vliegveld van aankomst:Luanda Airport (LAD/FNLU), Angola
Vluchtnummer: 470
Beschrijving:
An Embraer ERJ-190 passenger plane, operating flight TM470 from Maputo, Mozambique to Luanda, Angola, crashed in the Bwabwata National Park in Namibia. The airplane was destroyed and all 27 passengers and six crew members were killed.
The flight departed Maputo at 11:26 local time (09:26 UTC) and was scheduled to land at Luanda at 14:10 local time (13:10 UTC). The airplane proceeded over Botswana at FL380 and was in contact with Gaborone ACC. At the EXEDU waypoint, about 13:09 local time (11:09 UTC), the aircraft commenced a sudden descent, which continued until the airplane impacted the ground at 11:16:26 UTC.
Minutes before the crash the co-pilot left the cockpit for the lavatory. The captain then manually changed the altitude preselector from 38,000 feet to an altitude of 4,288 feet. This was changed to 1,888 feet and then to 592 feet. The auto throttle was manually reengaged and throttle lever then automatically retarded and set to idle. The airspeed was manually selected several times until the end of the recording, which remained close to the Vmo (maximum operating limit speed). During the descent the captain used the speed brake handle to activate the spoilers.
On the cockpit voice recorder sounds were heard of someone pounding on the cockpit door.

It was discovered that the captain went through numerous life experiences ranging from uncompleted divorce process, the suspected suicide of his son on November 21, 2012 and a recent heart surgery of his youngest daughter.

Probable Cause:

Probable Cause:
The inputs to the auto flight systems by the person believed to be the Captain, who remained alone on the flight deck when the person believed to be the co-pilot requested to go to the lavatory, caused the aircraft to departure from cruise flight to a sustained controlled descent and subsequent collision with the terrain.
Contributing factors:
The non-compliance to company procedures that resulted in a sole crew member occupying the flight compartment.

Accident investigation:
cover
Investigating agency: DAAI Namibia
Status: Investigation completed
Duration: 2 years and 4 months
Accident number: ACCID/112913/1-12
Download report: Final report

Bronnen:
» Verdade
» List of aircraft accidents caused by pilot suicide
» LAM Press release
» SKYbrary 


Veiligheidsmaatregelen
The investigators recommended to the Mozambican Civil Aviation Authority that measures should be put in place to ensure that the procedure of two people in the flight deck is adhered to at all times.
It has also been recommended to the International Civil Aviation Organisation (ICAO) that a working group should be established to look into the operation and the threat management emanating from both sides of the cockpit door and that recommendation should be made to avert the locking out of the cockpit of authorised crew members.
It was further recommended that visual recording devices should be installed inside and outside the cockpit that provide information on who was in the cabin and who was controlling the plane at the time of an accident. It was also recommended that the research with regard to the implementation of aircraft tracking and localisation should be sped up.

DAAI issued 6 Safety Recommendations

Show all AD's and Safety Recommendations

Foto's

photo of Embraer ERJ 190-100 IGW (ERJ-190AR)
FDR readout of the final 12 minutes of flight
photo of Embraer ERJ 190-100 IGW (ERJ-190AR) C9-EMC
photo taken 17 days before ist fatal crash
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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 Maputo International Airport en Luanda Airport bedraagt 2778 km (1736 miles).
Accident location: Global; accuracy within tens or hundreds of 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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Embraer 190

  • 724+ built
  • 4e ongeval
  • 2e dodelijk ongeval
  • 2e zwaarste ongeval
» safety profile

 Namibië
  • 2e zwaarste ongeval
» safety profile