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Last updated: 20 October 2020
Statuts:Enquête Officielle
Date:mercredi 11 janvier 2017
Heure:16:19
Type/Sous-type:Silhouette image of generic C560 model; specific model in this crash may look slightly different
Cessna 560 Citation Encore
Compagnie:Hesnes Air
Immatriculation: LN-IDB
Numéro de série: 560-0637
Année de Fabrication: 2003
Heures de vol:3847
Cycles:2730
Equipage:victimes: 0 / à bord: 2
Passagers:victimes: 0 / à bord: 0
Total:victimes: 0 / à bord: 2
Dégats de l'appareil: Substantiels
Conséquences: Written off (damaged beyond repair)
Lieu de l'accident:south of Oslo-Gardermoen Airport (OSL) (   Norvège)
Phase de vol: En montée initiale (ICL)
Nature:Convoyage
Aéroport de départ:Oslo-Gardermoen Airport (OSL/ENGM), Norvège
Aéroport de destination:Sandefjord-Torp Airport (TRF/ENTO), Norvège
Détails:
The Cessna Citation Encore had flown a passenger from Bern in Switzerland to Oslo-Gardermoen Airport in Norway. The crew had planned a shortest possible ground stop before flying to Torp Sandefjord Airport. The captain flew the aircraft (PF), while the First Officer monitored the flying (PM). During the ground stop at Gardermoen, only one engine was stopped while the First Officer completed an external inspection of the aircraft He did not observe any ice or anything out of the ordinary on the areas of the aircraft that could be inspected.
There were icing conditions at Gardermoen and in the airspace above the airport. After flying from Switzerland for more than two hours in approximately minus 50°C, the aircraft's surfaces (fuselage and wings) were more than likely chilled. When the crew requested taxi clearance, they were assigned a different runway than expected. This entailed a longer taxi time and thus longer exposure to the prevailing weather conditions. The aircraft's ground stop lasted approximately 15 minutes at an air temperature of 0°C. The taxiways and runway were covered with 3-6 mm of slush and it was snowing when the aircraft took off.
Initially, the take-off proceeded as normal. The landing gear was retracted and both pilots observed that the speed was rapidly approaching 200 kt, which is the maximum speed with flaps deployed.
As the flaps were retracted, the crew experienced a violent nose-down movement and the pilots were "hanging by their seat belts", while the aircraft started sharply banking to the left. The aircraft at this moment experienced negative 2.62 G.
The captain did not trust the instruments while the First Officer had better situational awareness. The First Officer quickly took control and started a pull-out from the dive. The aircraft descended below the cloud base, and even though it was dark, the pilots could glimpse the ground. Control was regained and the aircraft levelled off 170 ft above the ground. The aircraft was overstressed to 5.99 G during the pull-out. The crew called "MAYDAY" to the Air Traffic Control. Once control was regained, the "MAYDAY" was cancelled and the flight continued towards Torp where an approach and landing took place without further problems.

The aircraft was overstressed well above Ultimate Load Factor (-2.16 to +5.40 G) and considered not to be economically viable to repair.

Probable Cause:

Primary conclusion:
1. The probable explanation for the aircraft suddenly diving, is that the tailplane stalled. AIBN has not found other explanations for this than slush spray from the runway and falling snow and sleet settled on the tailplane's leading edge and underside during taxi and take-off. This contamination is presumed to have frozen to ice.
2. The aircraft's anti and de-icing systems on the wings and tailplane were switched on, but the tailplane de-icing system had completed a "cycle" before take-off and was in rest mode during take-off. In the assessment by AIBN, the aircraft's anti- and de-icing systems were not suitable to remove the type of ice and snow that had most likely settled on the aircraft's tailplane. The aircraft should have been de-iced before take-off, in line with the company's de-icing procedure, to avoid potential consequences of contamination on the tailplane.
3. This accident shows the significance of good crew resource management (CRM) in the cockpit when an unexpected and extreme flight situation occurs. In this instance, the First Officer's situational awareness and initial pull-out contributed to the aircraft not crashing.

Accident investigation:
cover
Investigating agency: AIBN
Status: Investigation completed
Duration: 3 years
Accident number: SL 2020/03
Download report: Final report

METAR Weather report:
15:20 UTC / 16:20 local time:
ENGM 111520Z 03005KT 350V100 4200 -SN BR OVC004 00/M01 Q0965 TEMPO 2500 -SN BKN006=

15:50 UTC / 16:50 local time:
ENGM 111550Z 03005KT 010V070 6000 -SNRA OVC004 00/M00 Q0965 TEMPO 3000 -SN=

16:20 UTC / 17:20 local time:
ENGM 111620Z 02007KT 350V050 6000 -SN SCT004 BKN007 00/M01 Q0965 TEMPO 3000 -SN=

16:50 UTC / 17:50 local time:
ENGM 111650Z 36006KT 5000 -RA BR SCT002 BKN015 00/M01 Q0965 TEMPO 3000 -SNRA BR BKN008=


Opérations de secours

AIBN issued 2 Safety Recommendations

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Photos

photo of Cessna-560-Citation-Encore-LN-IDB
accident date: 11-01-2017
type: Cessna 560 Citation Encore
registration: LN-IDB
 

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 Oslo-Gardermoen Airport et Sandefjord-Torp Airport est de 121 km (75 miles).

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.
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