Vliegtuigongeval op 22 FEB 2014 met Boeing 737-86N (WL) OK-TVT - Terceira-Lajes Airport, Azores (TER)
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Status:Accident investigation report completed and information captured
Datum:zaterdag 22 februari 2014
Type:Silhouette image of generic B738 model; specific model in this crash may look slightly different
Boeing 737-86N (WL)
Luchtvaartmaatschappij:Travel Service Airlines
Registratie: OK-TVT
Constructienummer: 39394/3899
Bouwjaar: 2012-01-11 (2 years 1 months)
Aantal vlieguren:6742
Aantal vluchten:2185
Motoren: 2 CFMI CFM56-7B26
Bemanning:slachtoffers: 0 / inzittenden: 6
Passagiers:slachtoffers: 0 / inzittenden: 164
Totaal:slachtoffers: 0 / inzittenden: 170
Schade: Groot
Gevolgen: Repaired
Plaats:Terceira-Lajes Airport, Azores (TER) (   Portugal)
Fase: Landing (LDG)
Soort vlucht:Internationale charter
Vliegveld van vertrek:Praha-Ruzyne International Airport (PRG/LKPR), Tsjechische Republiek
Vliegveld van aankomst:Terceira-Lajes Airport, Azores (TER/LPLA), Portugal
Travel Service Flight TVS4130, a Boeing 737-800, operated on a commercial passenger flight from Prague (Czech Republic), to Montego Bay (Jamaica) with an en route refueling stop at Terceira, Azores. The captain was Pilot Flying.
The en route part of the first leg was uneventful. Runway in use at Terceira-Lajes Airport was runway 15. There was a partially cloudy sky, good visibility, a strong surface wind from southwest (190° at 22 kts gusting to 32 kts), with direction variations between 160° and 230° and the air temperature was 15°C.
The commander reported that the visual approach to runway 15 seemed normal until 5 NM from touchdown. Winds were registered at a speed of up to 50 kts and there was severe turbulence along the entire approach.
Below 1000 feet the crew noticed effects of down-drafts and up-drafts, with huge variations in intensity until short final. The captain stated that he opted to maintain an angle of descent (G/S) above the recommended, due to severe turbulence and to ensure a safety margin. The entire approach was flown with Auto Thrust connected, for effective and accurate speed control.
The aircraft developed a high sink rate and lost speed instantly. This was counteracted by the captain with increasing power and attitude, in an attempt to stabilize the sink-rate.
Touchdown occurred with a high rate of descent and a short flare, resulting in an impact on the main landing gear of 3.52 G vertical acceleration, followed by a bounce.
A forward push of the control column by the pilot flying resulted in a pitch-down attitude of -1.9° with a second impact of 2.75 G vertical acceleration over the nose wheel causing substantial damage in that area of the aircraft fuselage.

An inspection revealed the existence of some folded braces in the interior structure of the nose wheel bay with some bent struts, cracks found in fuselage frames that had suffered structural damage from the vertical loads applied in the contact with the runway.

Probable Cause:

1. Procedural
The flight crew did not comply with aircraft manufacturer procedures and company SOPs, which required a "go around" manoeuvre;
2. Actuation
The accident was due to an excessive control column forward input, causing aircraft negative pitch attitude which led to a very high impact loading on the nose undercarriage, leading to the severe damage of braces in the interior structure of the nose wheel bay, struts and fuselage frames. This followed a chain of events, which contributed to the accident including the wind gusts, turbulence, decision to fly above ILS G/P, the use of the A/T without A/P and the decision to land from an unstabilized final approach.
The following were considered as contributing factors:
1. The aircraft approach was conducted under turbulent conditions;
2. The PF established an approach profile of one dot of scale above the nominal ILS G/S;
3. The PF did not disconnect the A/T after disengagement of the A/P;
4. Deviation from aircraft "stabilized approach" profile;
5. The PM did not provide the required call outs for the "stabilized approach" deviations.

Accident investigation:

Investigating agency: GPIAA Portugal
Status: Investigation completed
Duration: 1 year and 8 months
Accident number: 04/ACCID/2014
Download report: Final report

METAR Weather report:
07:00 UTC / 06:00 local time:
LPLA 220700Z 19022G32KT 160V230 9999 FEW008 BKN012 14/13 Q1013=

08:00 UTC / 07:00 local time:
LPLA 220800Z 20018G28KT 9999 VCSH FEW008 BKN011 15/14 Q1011=


GPIAA issued 6 Safety Recommendations

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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 Praha-Ruzyne International Airport en Terceira-Lajes Airport, Azores bedraagt 3439 km (2149 miles).

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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