Narrative:The Jetstream aircraft was scheduled to perform a charter flight from El Caraño Airport (SKUI), in the city of Quibdó, to José Celestino Mutis Airport (SKBS), in the municipality of Bahía Solano, Colombia.
The landing took place apparently in a normal way, and as the speed decreased below 70 knots, the crew activated the reversers and selected the propellers in "taxi" position.
The crew noticed that the plane was beginning to drift to the left side of the the runway. The pilot unsuccessfully tried to control the deviation with differential braking and with the nose wheel steering control system. The crew was unable to correct the deviation due to the condition of the runway which was wet and highly contaminated.
The plane left the runway to the left side, moved over the safety zone and finally stopped 115 meters from the threshold of runway 18 and approximately 9.5 meters from the edge of the runway, in muddy and uneven terrain with an approximate heading of 343°.
All occupants left the aircraft unharmed. There was no fuel leakage; there was no fire.
Probable Cause:
Probable cause(s):
Lateral runway excursion as a result of loss of directional control of the aircraft during the landing run, caused by the condition of the runway, contaminated with slurry and waterlogging, conditions which produced viscous hydroplaning.
Contributing factors
Precarious condition of the runway of the Bahía Solano airfield, which has an irregular surface, with two types of bearing material, concrete and asphalt, accumulated humidity and the presence of slurry in all its extension, which makes it slippery.
Deficient conditions in the safety area of the Bahía Solano airfield, which presents unevenness and flooding, which contributed to the damage of the aircraft during the runway excursion.
Lack of planning on the part of the operator for not carrying out a complete risk analysis for operating on a runway in precarious conditions such as that of Bahía Solano.
Lack of situational awareness of the crew, to anticipate and correct control difficulties of the aircraft during the landing run.
Accident investigation:
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Investigating agency: | Aerocivil  |
Status: | Investigation completed |
Duration: | 11 months | Accident number: | COL-19-35-GIA | Download report: | Final report
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Classification:
Runway excursion (veer-off)
Follow-up / safety actions
Aerocivil issued 7 Safety Recommendations
Issued: -- | To: SARPA | REC. 01-201935-1 |
Include in simulator training and crew proficiency checks the assessment of specific procedures related to the directional control of the aircraft during take-off and landing phases. |
Issued: -- | To: SARPA | REC. 02-201935-1 |
Review crew landing techniques on wet, flooded or contaminated runways, how to anticipate a hydroplaning condition and procedures and techniques to deal with such an occurrence. |
Issued: -- | To: SARPA | REC. 03-201935-1 |
Perform a risk analysis for each of the tracks where the company operates, determining the safety margins required for the operation. Plan operations according to the results of this analysis and instruct crews accordingly. |
Issued: -- | To: Aerocivil | REC. 04-201935-1 |
Through the Secretariat of Operational Safety and Civil Aviation, require the administration of the José Celestino Mutis airfield in Bahía Solano to comply with the requirements of RAC 14.2.5.1.1, in the sense of implementing an Operational Safety Management System acceptable to the Secretariat of Operational Safety and Civil Aviation, in order to bring the airfield into acceptable conditions for safe operation, and which at least contemplates the following actions
1. Identify safety hazards.
2. Ensure that corrective action is taken to maintain an acceptable level of safety.
3. Provide for ongoing monitoring and periodic evaluation of the level of operational safety achieved.
4. Aims at continuously improving the overall level of safety.
5. Strictly comply with the provisions of RAC 14 and establish an Emergency Action Plan (EAP) for the aerodrome, corresponding to the type of operation and the type of aircraft taking place there.
6. Perform cleaning, removal of obstacles and levelling of safety areas at the aerodrome.
7. Assign a Platform Inspector to work continuously during aerodrome operating hours to supervise the movement of aircraft, persons, vehicles and equipment.
8. Equip the Volunteer Firefighters stationed at the airport with primary and alternate means of communication with the Control Tower, since currently, in case of a reaction, the controller must leave his post during an emergency to go in search of them.
9. Perform permanent cleaning of the runway surface to prevent the accumulation of mud, grass growth and slat formation that contribute to the deterioration of the braking characteristics of the aircraft.
10. Improve the safety and welfare conditions of the controllers stationed at José Celestino Mutis airport. |
Issued: -- | To: Aerocivil | REC. 05-201935-1 |
Through the Secretary of Operational Safety and Civil Aviation, promote compliance with RAC 14.2.5.1.1., in the sense of implementing an Operational Safety Management System to aerodromes operated by territorial entities, governments or municipalities. |
Issued: -- | To: Aerocivil | REC. 06-201935-1 |
Through the Secretariat of Operational Systems, manage the installation of a weather station at José Celestino Mutis Aerodrome in Bahía Solano and/or the necessary equipment to have the wind and altimeter adjustment information. |
Issued: -- | To: Aerocivil | REC. 07-201935-1 |
Through the Secretariat of Operational Safety and Civil Aviation, to disseminate this investigation report to the Regular and Non-Regular Aviation Operators so that they can implement the recommendations as appropriate and take the report into account to improve the Operational Safety Management Systems. |
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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 Quibdó-El Caraño Airport to Bahía Solano-José Celestino Mutis Airport as the crow flies is 100 km (63 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.