Status: | Accident investigation report completed and information captured |
Date: | Thursday 10 July 2008 |
Time: | 10:25 |
Type: |  Beechcraft 99A Airliner |
Operator: | Aerocord |
Registration: | CC-CFM |
MSN: | U-145 |
First flight: | 1971 |
Total airframe hrs: | 5985 |
Engines: | 2 Pratt & Whitney Canada PT6A-27 |
Crew: | Fatalities: 1 / Occupants: 1 |
Passengers: | Fatalities: 8 / Occupants: 8 |
Total: | Fatalities: 9 / Occupants: 9 |
Aircraft damage: | Destroyed |
Aircraft fate: | Written off (damaged beyond repair) |
Location: | 1,5 km (0.9 mls) NW of Puerto Montt-Marcel Marchant Airport ( Chile)
|
Phase: | Approach (APR) |
Nature: | Domestic Scheduled Passenger |
Departure airport: | Puerto Montt-Marcel Marchant Airport (SCPF), Chile |
Destination airport: | Melinka Airport (SCMK), Chile |
Narrative:A Beechcraft 99A passenger plane, operated by Aerocord, was destroyed in an accident near Puerto Montt-Marcel Marchant Airport, Chile. All eight passengers and the pilot were killed.
The airplane took off from Puerto Montt-Marcel Marchant Airport's runway 01 at 10:23, bound for Melinka Airport. Immediately after takeoff the cowling of engine number two unlatched, causing the cowling to open. The pilot levelled off at a height of about 200-300 feet and turned downwind for an emergency landing back on runway 01. The airplane stalled as the pilot turned to finals. It impacted the ground with a nose down attitude and burst into flames.
Probable Cause:
MOST PROBABLE CAUSE (translated from Spanish):
Operational error of the pilot in command by not applying normal approach procedures recommended by the manufacturer and loss control of the aircraft (stall) while returning to land with the left engine cowling open.
CONTRIBUTING FACTORS:
- During preflight inspection it was not discovered that the left engine cowl was not latched.
- Return with the intendion of landing with a speed very close to the stall speed, possibly to avoid the detachment of the cowl due to the wind force.
- Probable increased stall speed by altering the left wing aerodynamics due to the engine open cowl.
- Not having high enough altitude to recover from a stall condition.
- Possible decreased physiological capabilities of the commander of the aircraft, due to the presence of alcohol in his system.
- Possible pilot distraction due to:
* Weather conditions, and
* Open engine cowl.
Accident investigation:
|
Investigating agency: | DGAC Chile  |
Status: | Investigation completed |
Duration: | 1 year and 4 months | Accident number: | Accidente 1489 | Download report: | Final report
|
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Classification:
Flightcrew member's alcohol, drug usage
Loss/opening of engine cowling
Loss of control
Sources:
» Nueve fallecidos al estrellarse avión en cercanías de aeródromo en Puerto Montt (El Mercurio, 10-7-2008)
Follow-up / safety actions
DGAC Chile issued 4 Safety Recommendations
Issued: 02-NOV-2009 | To: | CC-CFM (1) |
Reinforce in workshops and seminars held for commercial and general aviation pilots, strict compliance in relation to not drink alcohol before flying activities. |
Issued: 02-NOV-2009 | To: | CC-CFM (2) |
To emphasize the importance of complying with the checklists before, during and after the flight. |
Issued: 02-NOV-2009 | To: | CC-CFM (3) |
Reinforce with operators that when facing the possibility of opening hoods, covers or doors in flight, you should always keep a positive control of the aircraft, not allowing these situations to become a factor distraction to the flight crew. |
Issued: 02-NOV-2009 | To: | CC-CFM (4) |
Reinforce with operators that when facing emergencies, to respect the procedures established by the manufacturer both in the flight manual as safety bulletins. |
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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 Puerto Montt-Marcel Marchant Airport to Melinka Airport as the crow flies is 279 km (174 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.