ASN Wikibase Occurrence # 163109
This information is added by users of ASN. Neither ASN nor the Flight Safety Foundation are responsible for the completeness or correctness of this information.
If you feel this information is incomplete or incorrect, you can submit corrected information.
| Date: | Monday 29 August 2011 |
| Time: | 15:33 |
| Type: |  de Havilland Canada DHC-8-402Q Dash 8 |
| Owner/operator: | Sky Regional Airlines |
| Registration: | C-FSRY |
| MSN: | 4174 |
| Year of manufacture: | 2007 |
| Fatalities: | Fatalities: 0 / Occupants: 29 |
| Aircraft damage: | None |
| Category: | Incident |
| Location: | Montreal-Pierre Elliott Trudeau International Airport, QC (YUL/CYUL) -
 Canada
|
| Phase: | Taxi |
| Nature: | Passenger - Scheduled |
| Departure airport: | Toronto-Pearson International Airport, ON (YYZ/CYYZ) |
| Montreal-Pierre Elliott Trudeau International Airport, QC (YUL/CYUL) | |
| Investigating agency: | TSB |
| Confidence Rating: |  Accident investigation report completed and information captured |
A Bombardier DHC-8 (registration C-FSRY) operating as Sky Regional Airlines Incorporated flight SKV7516 departed Toronto, Ontario, and landed on runway 24R at Montreal-Pierre Elliott Trudeau International Airport, QC (YUL/CYUL). The aircraft crew was then instructed by the ground controller to taxi on taxiway Echo and hold short of runway 28; SKV7516 read the instructions back correctly. As SKV7516 entered Taxiway Echo, the airport controller cleared a Beech A100 King Air (registration C-GJLJ) operating as Propair Incorporated flight PRO104 to take off from runway 28. Approximately 2 minutes later, SKV7516 reached the hold line of runway 28, and entered runway 28 without stopping. PRO104, which was approaching rotation speed, aborted take-off as soon as it saw SKV7516 on the runway. PRO104 veered to the right of the runway centreline and passed about 40 feet behind SKV7516.
Findings as to causes and contributing factors:
1. While the ground controller was instructing SKV7516 to hold short of Runway 28, the pilots’ attention was focused on an aircraft taxiing in the opposite direction. As a result, the SKV7516 pilots did not confirm between themselves the ground controller’s instruction to hold short of Runway 28, and resumed taxiing.
2. The SKV7516 flight crew members incorrectly believed that they were permitted to cross Runway 28 notwithstanding the first officer’s accurate readback of the instruction to hold short of Runway 28. As a result, SKV7516 did not stop at the hold line and entered the runway.
3. The visual scan conducted by the SKV7516 captain was ineffective and did not identify that PRO104 was on Runway 28.
4. SKV7516 crossed Runway 28 without permission in front of PRO104, which was approaching its take-off rotation speed. Consequently, the runway incursion resulted in an extremely serious risk of collision.
Findings as to risk:
1. If an aircraft inspection is not conducted following a high-speed rejected take-off, there is a risk that a flight crew may take off with a damaged aircraft.
2. If a flight crew is tuned to an incorrect frequency as that crew’s aircraft crosses a runway, there is an increased risk that the ground controllers and airport controllers will not be able to contact the flight crew.
3. In the absence of additional strategies to safeguard against runway incursions, the risk of collisions on runways will persist.
Accident investigation:
 |
|
Sources:
http://tsb.gc.ca/eng/rapports-reports/aviation/2011/a11q0170/a11q0170.asp
Revision history:
| Date/time | Contributor | Updates |
|---|---|---|
| 09-Jan-2014 19:39 | harro | Added |
Corrections or additions? ... Edit this accident description
The Aviation Safety Network is an exclusive service provided by:
Quick Links:
| ASN Home | Send Correction / Feedback |
| FSF Home | Disclaimer | Copyright |
| Contact Us | Privacy Policy |
| Press / Media |
CONNECT WITH US:
©2024 Flight Safety Foundation