Statuts: | Accident investigation report completed and information captured |
Date: | mardi 25 décembre 2012 |
Heure: | 08:53 |
Type/Sous-type: | Fokker 100 |
Compagnie: | Air Bagan |
Immatriculation: | XY-AGC |
Numéro de série: | 11327 |
Année de Fabrication: | 1991-02-22 (21 years 10 months) |
Heures de vol: | 27378 |
Cycles: | 32584 |
Moteurs: | 2 Rolls-Royce Tay 650-15 |
Equipage: | victimes: 0 / Ã bord: 6 |
Passagers: | victimes: 1 / Ã bord: 65 |
Total: | victimes: 1 / Ã bord: 71 |
Victimes au sol: | victimes: 1 |
Dégats de l'appareil: | Détruit |
Conséquences: | Written off (damaged beyond repair) |
Lieu de l'accident: | ca 1 km S of Heho Airport (HEH) ( Birmanie (Myanmar))
|
Phase de vol: | En approche (APR) |
Nature: | Transport de Passagers Nat. |
Aéroport de départ: | Mandalay International Airport (MDL/VYMD), Birmanie (Myanmar) |
Aéroport de destination: | Heho Airport (HEH/VYHH), Birmanie (Myanmar) |
Numéro de vol: | W9011 |
Détails:An Air Bagan Fokker 100 aircraft registered XY-AGC departed Yangon International Airport, Myanmar on a domestic scheduled passenger flight to Mandalay International Airport with the captain as pilot flying. The aircraft was refueled at Mandalay after 60 passengers disembarked and 46 passengers boarded. The captain made the briefing and completed the aircraft checks. At 08:26 local time, the flight departed Mandalay to Heho Airport. The first officer was designated as the Pilot Flying for the flight.
The aircraft climbed to FL130 and the captain contacted Heho ATC at 50 NM from Heho. Heho ATC provided the present weather condition (wind calm, visibility 3000 m, distinct fog, temperature 17°C, QNH 1018 mb, runway 36 in use). At about 08:36 local time, the first officer started the crew briefing. The aircraft started descend to 9000 ft and continued to overhead the Heho NDB. At about 08:47 local time, while heading 220 degrees and descending to 6000 ft the flight commenced a non-precision Non Directional Beacon (NDB) approach to runway 36.
During the final inbound track at about 2.5 NM to the runway at 08:52, the EGPWS aural warning called out "500". The captain initiated "Alt hold" at about 08:53, just before the EGPWS alert "100" "50" 40" "30" and the aircraft struck 66 KV power lines, trees, telephone cables, a fence and collided with terrain short of the runway, coming to rest approximately 0.7 NM from the threshold. During the ground collision, both wings separated and a fire commenced almost immediately. An emergency evacuation was initiated by the cabin crews. One aircraft occupant and one motorcyclist on the ground were fatally injured, 70 of the occupants and one motorcyclist survived and the aircraft was destroyed by fire.
Probable Cause:
Primary Cause:
- During the final approach, the aircraft descended below the MDA and the crew did not follow the operator SOP's.
- The pilots had no corrective action against to change VMC to IMC during bad weather condition and insufficient time for effective respond to last moment.
Secondary Cause:
- Captain of the aircraft had insufficient assessment on the risk that assigned the FO as PF.
- There may be under pressure by the following aircrafts as the first plane on that day to Heho.
Accident investigation:

|
Investigating agency: | MAIB Myanmar |
Status: | Investigation completed |
Accident number: | Final report | Download report: | Final report
|
|
Sources:
» Two confirmed dead in Shan State plane crash (Mizzima, 25-12-2012)
»
Air Bagan» Burmese authorities promise investigation into fatal plane crash (Mizzima, 26-12-2012)
» Myanmar Accident Investigation Bureau (MAIB) Final Report
Opérations de secours
MAIB issued 3 Safety Recommendations
Issued: -- | To: DCA Myanmar | XY-AGC (1) |
Department of Civil Aviation ensure the Air Operator\'s implementation of FDR analyses Programmes. |
Issued: -- | To: Air Bagan | XY-AGC (2) |
Air Bagan operation ensure the qualitative requirements of operational personal with non-precision NDB approach training with IMC, awareness of MDA, and EGPWS alert. |
Issued: -- | To: Air Bagan | XY-AGC (3) |
Air Bagan operation ensure to access multi-crew operation of CRM training, supervision of captain and the risk FO to perform the PF. |
Show all...
Photos
accident date:
25-12-2012type: Fokker 100
registration: XY-AGC
accident date:
25-12-2012type: Fokker 100
registration: G-BXWE
Video, social media
Aircraft history
22 FEB 1991 |
PH-EZL |
Fokker Aircraft BV |
first flight
|
25 JUN 1991 |
PH-CFE |
Fokker Aircraft BV |
registered
|
1991 |
(G-FIOX) |
(Air Europe) |
destined for Air Europe, but the airline went bankrupt in 1991
|
29 OCT 1993 |
F-GJAO |
Air Littoral |
registered
|
30 NOV 1995 |
PH-CFE |
Fokker Aircraft BV |
registered
|
13 MAY 1996 |
PH-CFE |
British Midland Airways |
|
06 JUL 1998 |
G-BXWE |
British Midland Airways |
registered
|
29 OCT 2003 |
G-BXWE |
British Midland Airways |
incident: returned to landed following drop in cabin pressure (AAIB)
|
14 AUG 2004 |
G-BXWE |
British Midland Airways |
incident: landed at London-Heathrow with nose landing gear unsafe indication (AAIB)
|
01 JUL 2005 |
XY-AGC |
Air Bagan |
registered |
Plan
Ce plan montre l'aéroport de départ ainsi que la supposée destination du vol. La ligne fixe reliant les deux aéroports n'est pas le plan de vol exact.
La distance entre Mandalay International Airport et Heho Airport est de 135 km (84 miles).
Accident location: Approximate; accuracy within a few kilometers.
Les informations ci-dessus ne représentent pas l'opinion de la 'Flight Safety Foundation' ou de 'Aviation Safety Network' sur les causes de l'accident. Ces informations prélimimaires sont basées sur les faits tel qu'ils sont connus à ce jour.