ASN Aircraft accident Embraer EMB-145ER (ERJ-145ER) PT-SPE Curitiba-Afonso Pena Airport, PR (CWB)
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Status:Accident investigation report completed and information captured
Date:Monday 28 December 1998
Time:08:47
Type:Silhouette image of generic E145 model; specific model in this crash may look slightly different
Embraer EMB-145ER (ERJ-145ER)
Operator:Rio Sul Serviços Aéreos Regionais
Registration: PT-SPE
MSN: 145032
First flight: 1997
Engines: 2 Allison AE3007A
Crew:Fatalities: 0 / Occupants: 4
Passengers:Fatalities: 0 / Occupants: 36
Total:Fatalities: 0 / Occupants: 40
Aircraft damage: Damaged beyond repair
Location:Curitiba-Afonso Pena Airport, PR (CWB) (   Brazil)
Phase: Landing (LDG)
Nature:Domestic Scheduled Passenger
Departure airport:São Paulo/Campinas-Viracopos International Airport, SP (VCP/SBKP), Brazil
Destination airport:Curitiba-Afonso Pena International Airport, PR (CWB/SBCT), Brazil
Flightnumber: 310
Narrative:
Flight 310 arrived at Curitiba following a flight from Rio de Janeiro and São Paulo. Instrument meteorological conditions existed, with a cloud base at 300 feet. The Embraer made a heavy landing on runway 15 causing extensive structural damage. The crew managed to steer the aircraft onto taxiway India; an emergency evacuation was then ordered.
FDR data shows that engine power had been reduced significantly during the last 11 seconds of flight.

Probable Cause:

CONCLUSION:
Human Factor - Psychological Aspect - Contributed.
There was the participation of factors, with their own characteristics, that caused failures of attention, judgment and perceptual evaluation of distances and temporality.
The qualitative training deficiency, the lack of cabin resource management and the low situational alert were significant contributing factors to the accident.

Operational Factor
(1) Deficient Instruction - Contributed
PF has performed poorly in the use of the correct piloting technique in the combination of Speed x Ratio of Descent parameters.
(2) Deficient Supervision - Contributed
The instructor assigned by the company to supervise the acquisition of operational experience on route had not received specific instruction for the performance of this task. Technical and operational supervision was lacking.
(3) Little Flight Experience in the Aircraft - Contributed
PF had good flight experience, but not in this type of aircraft. It was in the phase of acquiring operational experience in route. The inadequate action was also due to the little experience in the aircraft and in the circumstance of the operation, which required a quick correction close to the ground.
(4) Weak Cockpit Coordination - Contributed
The pilots did not adequately utilize the resources available in the cockpit for the proper operation of the aircraft. PF did not make the necessary corrections to modify the aircraft's trajectory, which was its assignment. The instructor (PNF), in turn, did not effectively correct or interfere with the PF flight, which would have been his responsibility since he was the supervisor of the operation.
The pilots did not observe, yet, the technical-operational procedure foreseen in the Flight Operations Manual (MOV), regarding the GPWS warning. The crew did not observe that the warning determined an unsafe condition close to the touch.
It was characterized an ineffective fulfillment of the tasks assigned to each crew member, besides the non-observance of the operational rules.
(5) Influence of the Environment - Contributed
On the IMC approach made, the PF varied the parameters, remaining high on the ramp. Upon reaching visual conditions, the PF increased the descent rate of the aircraft. The PNF, concerned with locating the runway, did not consider an inadequate PF correction.
(6) Weak Command Application - Contributed
The PF, with the intention of reducing the drop ratio, did not apply correctly, in amplitude and in time, the power available in the engines.
Near the touch, the PF increased the pitch angle, trying to reduce the drop ratio. Considering the low height (approximately 80 ft) and engine power (IDLE), the aircraft continued with a high rate of descent (approximately 1,800 ft/min), without the action taken by the PF altering its path. The PNF did not interfere in the application of the commands. Therefore, there was inadequate use of the aircraft commands by the crew members, in conditions for which they were qualified.
(7) Deficient Judgement - Contributed
The PF, even being alerted by the PNF about the low speed and high rate of descent, thought it was applying an adequate correction, however it kept the aircraft in an incompatible performance for landing.
The PNF, despite having experience in flight and in the aircraft, showed a lack of knowledge of its limits regarding the point of irreversibility of an unsafe situation.
The PNF was limited to alerting the PF about the situation, not guiding it on the correct way to make the corrections.
The PNF overestimated PF's capacity and did not take or try to take over the controls.
(8) Other Operational Aspects - Undetermined
The pilots were not aware of the maximum rate of descent during the touch for which the aircraft was certified, nor were they aware of the variation of that rate with respect to weight.
The availability of the autopilot to the MDA could have minimized the ramp deviation observed.

Accident investigation:

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Investigating agency: CENIPA Brazil
Status: Investigation completed
Accident number: final report
Download report: Final report

Classification:
Heavy landing
Runway mishap

Sources:
» CENIPA - Centro de Investigação e Prevenção de Acidentes Aeronáuticos


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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 São Paulo/Campinas-Viracopos International Airport, SP to Curitiba-Afonso Pena International Airport, PR as the crow flies is 347 km (217 miles).

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.
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