Status: | Accident investigation report completed and information captured |
Date: | Wednesday 21 October 2009 |
Time: | 15:31 |
Type: |  Boeing 707-330C |
Operating for: | Sudan Airways |
Leased from: | AZZA Transport |
Registration: | ST-AKW |
MSN: | 20123/788 |
First flight: | 1969 |
Total airframe hrs: | 77484 |
Cycles: | 26888 |
Engines: | 4 Pratt & Whitney JT3D-3B |
Crew: | Fatalities: 3 / Occupants: 3 |
Passengers: | Fatalities: 3 / Occupants: 3 |
Total: | Fatalities: 6 / Occupants: 6 |
Aircraft damage: | Destroyed |
Aircraft fate: | Written off (damaged beyond repair) |
Location: | 1,6 km (1 mls) NW of Sharjah Airport (SHJ) ( United Arab Emirates)
|
Phase: | Initial climb (ICL) |
Nature: | Cargo |
Departure airport: | Sharjah Airport (SHJ/OMSJ), United Arab Emirates |
Destination airport: | Khartoum-Civil Airport (KRT/HSSS), Sudan |
Flightnumber: | 2241 |
Narrative:A Boeing 707 cargo plane, owned by Azza Transport, was destroyed when it crashed in a desert area immediately after takeoff from Sharjah Airport (SHJ). The airplane operated on Sudan Airways flight SUD2241 and was carrying air conditioning units, auto parts, computers and personal effects. The flight took off from runway 30 at 15:29. During initial climb, the core cowls of engine no. 4 separated and fell on the runway.
The aircraft continued in a shallow climb with level wings when the pilot informed the ATC that he lost engine no.4. He assumed this because the no. 4 Engine Pressure Ratio (EPR) manifold flex line had ruptured, leading to erroneous reading on the EPR indicator. The crew interpreted the EPR reading as a failure of no. 4 engine; accordingly they declared engine loss and requested the tower to return to the airport.
The aircraft went into a right turn, banked and continuously rolled to the right at a high rate, sunk, and impacted the ground with an approximately 90° right wing down attitude.
Probable Cause:
CAUSES:
(a) the departure of the No. 4 engine core cowls;
(b) the consequent disconnection of No. 4 engine EPR Pt7 flex line;
(c) the probable inappropriate crew response to the perceived No. 4 engine power loss;
(d) the Aircraft entering into a stall after the published maximum bank angle was exceeded; and
(e) the Aircraft Loss of Control ("LOC") that was not recoverable.
Contributing Factors to the Accident were:
(a) the Aircraft was not properly maintained in accordance with the Structure Repair Manual where the cowls had gone through multiple skin repairs that were not up to aviation standards;
(b) the Operator's maintenance system failure to correctly address the issues relating to the No. 4 engine cowls failure to latch issues;
(c) the failure of the inspection and maintenance systems of the maintenance organization, which performed the last C-Check, to address, and appropriately report,
the damage of the No. 4 engine cowls latches prior to issuing a Certificate of Release to Service;
(d) the Operator's failure to provide a reporting system by which line maintenance personnel report maintenance deficiencies and receive timely and appropriate guidance and correction actions;
(e) the Operator's quality system failure to adequately inspect and then allow repairs that were of poor quality or were incorrectly performed to continue to remain on the Aircraft; and
(f) the SCAA safety oversight system deficiency to adequately identify the Operator's chronic maintenance, operations and quality management deficiencies.
Accident investigation:
|
Investigating agency: | GCAA UAE  |
Status: | Investigation completed |
Duration: | 3 years and 5 months | Accident number: | 10/2009 | Download report: | Final report
|
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Classification:
Loss/opening of engine cowling
Sources:
» UAE General Civil Aviation Authority (GCAA)
Follow-up / safety actions
AZZA Transport was temporarily banned by the UAE General Civil Aviation Authority (GCAA) as of October 25, 2009. This was considered a preventive measure until investigations into the cause of the accident are completed.
GCAA issued 9 Safety Recommendations
Issued: 13-MAR-2013 | To: Sudan CAA | SR 01/2013 |
Enhance its safety oversight system to assure the operations and airworthiness of Sudan operators and Sudan registered aircraft are in compliance with the current applicable Air Navigation egulations and in conformity with the Annexes to the Convention on International Civil Aviation. |
Issued: 13-MAR-2013 | To: Sudan CAA | SR 02/2013 |
Ensure that all operators\' maintenance management systems are in compliance with the applicable current Air Navigation Regulationsin that:
(a) Aircraft defects are properly entered into the logbooks, corrected and recorded.
(b) Maintenance programs are implemented.
(c) Inspection, maintenance and repairs are performed in accordance with the Aircraft Maintenance Manual and Approved Maintenance Program.
(d) Aircraft and engine records are maintained.
(e) The fleet is equipped with flight recorders which are maintained and fully functional in accordance with the Aircraft Maintenance Manuals and the Approved Maintenance Programs. |
Issued: 13-MAR-2013 | To: Sudan CAA | SR 03/2013 |
Ensure that all operators\' operations management systems are in compliance with the applicable current Air Navigation Regulationsin that:
(a) Company and aircraft manuals are maintained.
(b) Crew training programs are set and maintained.
(c) Crew training records are maintained. |
Issued: 13-MAR-2013 | To: Sudan CAA | SR 04/2013 |
Ensure that all operators have a quality system to assure that the operations and maintenance functions are performed in accordance with the applicable regulations. |
Issued: 13-MAR-2013 | To: Egyptian Company for Aircraft Maintenance | SR 05/2013 |
Assure that the inspection,maintenance and quality functions are improved to that:
(a) Proper troubleshooting and corrective repair actions are made according to the applicable Aircraft Maintenance Manual.
(b) "Unairwothy conditions" are properly reported to the local Civil Aviation Authority. |
Issued: 13-MAR-2013 | To: GCAA | SR 06/2013 |
Take necessary measures to facilitate adequate aviation pathology testings on deceased crew bodies and remains. |
Issued: 13-MAR-2013 | To: GCAA | SR 07/2013 |
Improve the Civil Aviation Regulations to contain provisions for more proactive approach to safety in regards to foreign operators. |
Issued: 13-MAR-2013 | To: Sudan CAA | SR 26/2009 |
Ensure that all flight recorders installations and operation comply with the appropriate International Standards. |
Issued: 13-MAR-2013 | To: Sudan CAA | SR 27/2009 |
Review the maintenance procedures for the FDR and CVR installed on the Operators aircraft, to ensure that their installation and operation meet the current International Standards. |
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Photos

accident date:
21-10-2009type: Boeing 707-330C
registration: ST-AKW

accident date:
21-10-2009type: Boeing 707-330C
registration: ST-AKW

accident date:
21-10-2009type: Boeing 707-330C
registration: ST-AKW

accident date:
21-10-2009type: Boeing 707-330C
registration: ST-AKW
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 Sharjah Airport to Khartoum-Civil Airport as the crow flies is 2604 km (1628 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.