Status: | Accident investigation report completed and information captured |
Date: | Monday 17 July 2000 |
Time: | 07:34 |
Type: |  Boeing 737-2A8 Advanced |
Operator: | Alliance Air |
Registration: | VT-EGD |
MSN: | 22280/671 |
First flight: | 1980-05-29 (20 years 2 months) |
Total airframe hrs: | 44087 |
Cycles: | 51278 |
Engines: | 2 Pratt & Whitney JT8D-17A |
Crew: | Fatalities: 6 / Occupants: 6 |
Passengers: | Fatalities: 49 / Occupants: 52 |
Total: | Fatalities: 55 / Occupants: 58 |
Ground casualties: | Fatalities: 5 |
Aircraft damage: | Damaged beyond repair |
Location: | 2 km (1.3 mls) SW of Patna Airport (PAT) ( India)
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Phase: | Approach (APR) |
Nature: | Domestic Scheduled Passenger |
Departure airport: | Calcutta-Netaji Subhas Chandra Airport (CCU/VECC), India |
Destination airport: | Patna Airport (PAT/VEPT), India |
Flightnumber: | 7412 |
Narrative:Flight 7412 departed Calcutta 21 minutes late, at 06:51, for a flight to Patna, Lucknow and Delhi. The crew had been cleared to land at runway 25 when they requested a 360-degree orbit because they were high on the approach. Permission was granted and a left turn was initiated. During the left turn, the aircraft stalled. The plane then grazed a few single-storied houses in a government residential housing estate at Aneeshabad and exploded into a ball of fire. The aircraft broke into four pieces. The accident site is located about 2 km southwest of the Patna Airport.
Weather reported at 07:30 included temperature 30deg C (86 F), dewpoint 27deg C (80 F); 997 mB; wind calm, haze, 4000 m visibility.
The aircraft in question, VT-EGD, had been involved in an accident 14 years ago. On January 15, 1986, the pilot of flight 529 attempted to land at Tiruchirapalli in conditions below weather minima. During a go-around the wing contacted the runway due to an excessive bank angle. The wing was substantially damaged, but there were no injuries among the 6 crew and 122 passengers.
Probable Cause:
PROBABLE CAUSE: "The cause of the accident was loss of control of the aircraft due Human Error (air crew). The crew had not followed the correct approach procedure, which resulted in the aircraft being high on approach. They had kept the engines at idle thrust and allowed the air speed to reduce to a lower than normally permissible value on approach. They then maneuvered the aircraft with high pitch attitude and executed rapid roll reversals. This resulted in actuation of the stick shaker stall warning indicating an approaching stall. At this stage, the crew initiated a Go Around procedure instead of Approach to Stall Recovery procedure resulting in an actual stall of the aircraft, loss of control and subsequent impact with the ground."
Accident investigation:
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Investigating agency: | MoCA India  |
Status: | Investigation completed |
Duration: | 257 days (9 months) | Accident number: | final report | Download report: | Final report
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Classification:
Non-adherence to procedures
Loss of control
Sources:
» India Today News
» PTI
» Reuters
» Times of India
» Tommy Maurer
» US National Weather Service
Follow-up / safety actions
India Court of Inquiry issued 8 Safety Recommendations
Issued: 31-MAR-2001 | To: Alliance Air | VT-EGD (1) |
Alliance Air should review their pilot training and following aspects should be emphasised.
- Discipline in the air
- Cockpit Resource Management (CRM)
- Adherence to Standard Operating Procedures (SOP)
- Training curricula should include procedures such as recovery from Approach to Stall and Clean Stall. |
Issued: 31-MAR-2001 | To: Indian Airlines and Alliance Air | VT-EGD (2) |
Indian Airlines and Alliance Air should review their Quality Control Organisation to streamline the maintenance of Boeing 737 aircraft in order to remove the duality in command and control with respect to this activity. |
Issued: 31-MAR-2001 | To: | VT-EGD (3) |
The Ministry of Civil Aviation, Govt. of India, Airports Authority of India and State Govt. of Bihar should ensure proper coordination to rid the approach funnel of R/W 25 of trees. Vehicular traffic on the airport road at Patna, which runs very close to the threshold of R/W 25, must be controlled. Only light vehicles should be allowed to ply on this road and even this traffic should be stopped during the arrival and departure of scheduled airline traffic. |
Issued: 31-MAR-2001 | To: | VT-EGD (3) |
The Ministry of Civil Aviation, Govt. of India, Airports Authority of India and State Govt. of Bihar should ensure proper coordination to rid the approach funnel of R/W 25 of trees. Vehicular traffic on the airport road at Patna, which runs very close to the threshold of R/W 25, must be controlled. Only light vehicles should be allowed to ply on this road and even this traffic should be stopped during the arrival and departure of scheduled airline traffic. |
Issued: 31-MAR-2001 | To: | VT-EGD (4) |
The above agencies [Ministry of Civil Aviation, Govt. of India, Airports Authority of India and State Govt. of Bihar] should also coordinate their efforts to extend the basic strip at R/W 07 end by acquiring railway land to the South and State Transport Corporation land to the North. |
Issued: 31-MAR-2001 | To: | VT-EGD (5) |
Keeping in view the future growth of air traffic and restrictions at the present Patna airport, the Govt. should consider development of Bihta Airport for civilian traffic by providing the necessary infrastructure in a time bound manner. |
Issued: 31-MAR-2001 | To: Airports Authority of India (AAI) | VT-EGD (6) |
The Airports Authority of India (AAI) should maintain airport equipment and navigational facilities at all airports in the country to the required standards. AAI should review availability of the necessary equipment such as aircraft for air-calibration, crash fire tenders and other equipment so as to maintain them within stipulated standards. |
Issued: 31-MAR-2001 | To: Patna Medical College Hospital | VT-EGD (7) |
The Patna Medical College Hospital (PMCH) should review its available facilities and provide a properly equipped mortuary. The routine maintenance of the facilities should be carried out. |
Show all...
Photos
Map
This map shows the airport of departure and the intended destination of the flight. The line between the airports does
not display the exact flight path.
Distance from Calcutta-Netaji Subhas Chandra Airport to Patna Airport as the crow flies is 469 km (293 miles).
Accident location: Exact; as reported in the official accident report.
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.