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ASN Wikibase Occurrence # 190655
Last updated: 26 July 2021
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Date:13-OCT-2016
Time:c. 20:50
Type:Silhouette image of generic AT76 model; specific model in this crash may look slightly different
ATR 72-500 (72-212A)
Owner/operator:TAROM
Registration: YR-ATI
MSN: 867
Fatalities:Fatalities: 0 / Occupants: 42
Other fatalities:0
Aircraft damage: Minor
Category:Serious incident
Location:Bucharest Henri Coanda International Airport (OTP) -   Romania
Phase: Take off
Nature:Passenger - Scheduled
Departure airport:Bucharest Henri Coanda International Airport Romania OTP/LROP
Destination airport:Iasi International Airport Romania IAS/LRIA
Investigating agency: CIAS Romania
Narrative:
Flight RO717,an ATR 72-500 from Bucharest to Iasi was scheduled to depart at 20:35.
After obtaining taxi approval, the flight crew did not apply the Sterile Cockpit concept Upon entering runway 08L, the aircraft initially followed the yellow centre line of taxiway W. After entering the runway it turned left leaving the yellow line, then turned right and aligned with the direction of the runway right edge lights;
The aircraft initiated take-off, and after approximately 700 m, at an indicated airspeed of 82 kt, the crew aborted the take-off, the stated reason being the reported vibration of the nose wheel. After the rejected take-off, the aircraft cleared the runway and taxied to the parking area.
A runway inspection did not reveal anything abormal.
Between 21:29 and 21:33, three more commercial flights took off from runway 08L during which the runway lighting system had 3 malfunction alarms.
During a thorough check of runway 08L, pieces of lights (metal elements and glass fragments) were found and identified as runway edge lights. A number of 6 lights were found completely missing from their positions (numbers 3, 4, 5, 6, 14 and 16), all on the right-hand side of runway 08L.

Cause of the serious incident
The cause of the serious incident was the alignment and taxiing for take-off on the line of the runway's right edge lights.
Contributory causes:
- Crew inattention during this phase of flight;
- Distraction of crew attention during this phase of flight;
- The aircraft did not follow the line marking the centre of taxiway W.


Weather about the time of the incident (20:50 LT / 17:50 Z):
LROP 131700Z 08010KT CAVOK 09/09 Q1018 RMK WS ALL RWY NOSIG
LROP 131800Z 11007KT CAVOK 08/07 Q1019 RMK WS ALL RWY NOSIG

Sunset at Bucharest was at 18:35 hours LT.


Sources:

https://www.digi24.ro/stiri/actualitate/evenimente/un-avion-tarom-a-fost-intors-din-drum-dupa-15-minute-de-la-decolare-587900
https://www.flightradar24.com/data/aircraft/yr-ati
https://www.bea.aero/en/investigation-reports/notified-events/detail/event/aliignement-sur-la-bordure-laterale-droite-de-la-piste-vibrations-importantes-du-train-avant-interruption-du-decollage/
http://www.aias.gov.ro/index.php/en/publicatii/rapoarte-de-investigatie-privind-siguranta/133-2016-10-13-incident-grav-atr-72-500-yr-ati-aeroportul-international-henri-coanda-bucuresti-otopeni-ilfov-romania

Accident investigation:
cover
  
Investigating agency: CIAS Romania
Status: Investigation completed
Duration: 4 years and 8 months
Download report: Final report


Revision history:

Date/timeContributorUpdates
14-Oct-2016 19:40 Stefan T Added
14-Oct-2016 19:41 harro Updated [Registration, Narrative]
15-Oct-2016 08:56 Anon. Updated [Source, Damage]
20-Oct-2016 12:22 harro Updated [Time, Aircraft type, Registration, Cn, Location, Source, Narrative]
20-Oct-2016 12:22 harro Updated [Damage]
04-Oct-2020 13:49 Aerossurance Updated [Total occupants, Source]
20-Jun-2021 11:37 harro Updated [Narrative, Accident report]
20-Jun-2021 14:34 harro Updated [Narrative]
20-Jun-2021 16:00 harro Updated [Accident report]

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