West Air Sweden Flight 294

West Air Sweden Flight 294 was a cargo flight of a Canadair CRJ200 from Oslo to Tromsø, Norway that crashed on 8 January 2016. A malfunction in one of the inertial reference units had produced erroneous attitude indications on one of the instrument displays. The crew's subsequent response resulted in spatial disorientation, leading to the loss of control of the aircraft.[1][2][3]

West Air Sweden Flight 294
The aircraft involved in the crash at Tromsø Airport, photo taken on July 7, 2014.
Accident
Date8 January 2016 (2016-01-08)
SummaryInstrument malfunction, spatial disorientation, pilot error
SiteNear Akkajaure, Sweden
67°43′N 16°54′E
Aircraft
Aircraft typeBombardier CRJ200
OperatorWest Air Sweden
ICAO flight No.SWN294
Call signAir Sweden 294
RegistrationSE-DUX
Flight originOslo Airport, Gardermoen, Oslo, Norway
DestinationTromsø Airport, Tromsø, Norway
Occupants2
Passengers0
Crew2
Fatalities2
Survivors0

Aircraft and crew

The aircraft was built in 1993 and was operated by Lufthansa CityLine as D‑ACLE until the end of 2006. It had a manufacturer's serial number (MSN) of 7010 and had two General Electric CF34-3B1 engines.[4] The aircraft then underwent a cargo conversion re‑designating, it as a CRJ200-PF (Package Freighter). The aircraft had been operated by West Air Sweden since 2007 as SE‑DUX.[5] At the time of the crash, it had accumulated more than 38,600 flight hours and 31,000 flight cycles.[6]

The 42‑year‑old Spanish captain had around 3,200 flying hours, of which 2,016 were on this aircraft type; the 33‑year‑old French first officer had 3,050 flying hours, of which 900 were on this aircraft type.[3]

Flight

Oslo
Tromsø
Crash site
Map of Norway with location of the crash site, between the departure airport (Oslo) and intended destination (Tromsø).

The aircraft departed Oslo-Gardermoen Airport at 23:11 hours local time for a flight to Tromsø Airport. The aircraft carried 4.5 tonnes (4,500 kg; 9,900 lb) of mail. While in cruise at Flight Level 330, at approximately 23:31, the aircraft transmitted a Mayday call before communication and radar tracking were lost by air traffic control.

Aircraft tracking service Flightradar24 reported that the aircraft fell 6,485 metres (21,275 ft) over a period of 60 seconds (389 km/h; 242 mph) at 00:18, based upon data transmitted by the aircraft's transponder.[7]

Both Norwegian and Swedish authorities searched for the aircraft, discovering the wreckage at 03:10 in the morning. The crash site was located at an elevation of 1,000 metres (3,300 ft) in a remote area near Lake Akkajaure, approximately 10 kilometres (6.2 mi) from the Norwegian border. The aircraft remains were spread in a circle approximately 50 metres (160 ft) in diameter, which was said to suggest a high‑energy impact.[8]

Investigation

The difference between the pitch angle data provided by the FDR and the calculated pitch angle data.

The Swedish Accident Investigation Authority (Swedish: Statens Haverikommission, or SHK) opened an investigation into the crash.[9] On 9 January 2016, the flight data recorder (FDR) was found severely damaged as well as parts of the Cockpit Voice Recorder (CVR). The unit was, however, not intact, and the part containing the memory functions was missing. The following day, the missing parts of the CVR were found, alongside human remains.[10][11] On 12 January, SHK reported that the distress call from the pilots contained the word "Mayday" repeated, with no further information. On 26 January, Statens Haverikommission reported that they had managed to read both CVR and FDR, and were analysing and validating the recordings.[8]

On 19 March, in their interim report, SHK revealed:

After 17 seconds from the start of the event, the maximum speed (VMO) of 315 knots was exceeded. The overspeed warning was activated and the vertical acceleration turned to positive values.

Another 16 seconds later, the first officer transmitted a "MAYDAY" message that was confirmed by air traffic control. The indicated airspeed then exceeded 400 knots and the stabilizer trim was reactivated and reduced to 0.3 degrees nose down. The Pilot in Command called "Mach trim" after which engine power was reduced to idle.

During the further event, the last valid FDR value shows that the speed continued to increase up to 508 knots while the vertical acceleration values were positive, with maximum values of approximately +3G. FDR data shows that the aircraft's ailerons and spoilerons mainly were deflected to the left during the event.[12]

The final report was published by SHK on 12 December 2016.[3] The inquiry reached the following conclusion:

The accident was caused by insufficient operational prerequisites for the management of a failure in a redundant system.

Contributing factors were:

  • The absence of an effective system for communication in abnormal and emergency situations.
  • The flight instrument system provided insufficient guidance about malfunctions that occurred.
  • The initial manoeuver that resulted in negative G-load probably affected the pilots' ability to manage the situation in a rational manner.

The accident is featured in the second episode of Season 20 of Mayday, also known as Air Crash Investigation. The episode is titled "Impossible Pitch".[13]

References

  1. Hradecky, Simon. "Crash: West Atlantic Sweden CRJ2 near Akkajaure on Jan 8th 2016, lost height after emergency call". AvHerald. The Aviation Herald. Retrieved 8 January 2016.
  2. "Swedish firm 'sorrow' over Nordic plane crash". Thelocal.no. 8 January 2016.
  3. "Final report RL 2016:11e Accident in Oajevágge, Norrbotten County, Sweden on 8 January 2016 involving the aeroplane SE-DUX of the model CL-600-2B19, operated by West Atlantic Sweden AB" (PDF). www.havkom.se. Swedish Accident Investigation Authority. 12 December 2016. Retrieved 2016-12-12.
  4. "Interim statement SRL 2016:01e: Accident in Oajevágge, Norrbotten County, Sweden, the 8 January 2016 involving the aircraft SE-DUX of the model CL-600-2B19, operated by West Atlantic AB" (PDF). www.havkom.se. Swedish Accident Investigation Authority.
  5. "SE‑DUX West Air Sweden Canadair CL‑600‑2B19 Regional Jet CRJ‑200PF — cn 7010". www.planespotters.net. Retrieved 2016-01-08.
  6. "West Atlantic's CRJ200PF crashes in Sweden". aviationtribune.com. Archived from the original on 2016-01-09. Retrieved 2016-01-08.
  7. Flightradar24 [@flightradar24] (8 January 2016). "ModeS data from flight #PT294 shows that it was falling very fast – from 33,000 to 11,725 feet [10,058 to 3,574 m] in 60 seconds t.co/f3Z8Gy10O5" (Tweet). Archived from the original on 10 January 2016 via Twitter.
  8. Hradecky, Simon (26 January 2016). "Crash: West Atlantic Sweden CRJ2 near Akkajaure on Jan 8th 2016, lost height after emergency call". The Aviation Herald.
  9. "Aircraft accident in the Swedish mountains". www.havkom.se. Archived from the original on 2016-03-04. Retrieved 2016-01-09.
  10. "Accident in the arctic north of Sweden to a Canadair CRJ 200 aircraft (SE-DUX)". Retrieved 10 January 2016.
  11. "Fynd vid flygplansvraket, Akkajaure" [Find at the plane wreck, Akkajaure] (in Swedish). Retrieved 14 January 2016.
  12. "Interim Report released on 9 March, 2016" (PDF). www.havkom.se. Swedish Accident Investigation Authority. Retrieved 2016-03-10.
  13. West Air Sweden Flight 294 at IMDb
This article is issued from Wikipedia. The text is licensed under Creative Commons - Attribution - Sharealike. Additional terms may apply for the media files.