Accident Beechcraft 200 Super King Air Z3-BAB,
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ASN Wikibase Occurrence # 322666
 
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Date:Thursday 26 February 2004
Time:07:59
Type:Silhouette image of generic BE20 model; specific model in this crash may look slightly different    
Beechcraft 200 Super King Air
Owner/operator:Macedonian Government
Registration: Z3-BAB
MSN: BB-652
Year of manufacture:1980
Total airframe hrs:6048 hours
Cycles:4716 flights
Engine model:Pratt & Whitney Canada PT6A-41
Fatalities:Fatalities: 9 / Occupants: 9
Aircraft damage: Destroyed, written off
Category:Accident
Location:10 km SSE of Mostar Airport (OMO) -   Bosnia and Herzegovina
Phase: Approach
Nature:SF
Departure airport:Skopje Airport (SKP/LWSK)
Destination airport:Mostar Airport (OMO/LQMO)
Investigating agency: MKT
Confidence Rating: Accident investigation report completed and information captured
Narrative:
A Beechcraft 200 Super King Air of the Macedonian Government was destroyed when it impacted a mountainside near Mostar, Bosnia and Herzegovina.
The airplane carried Macedonian President Boris Trajkovski and other officials. All aboard were killed in the accident.

Based on the investigation and analysis of the collected evidence and documents available, the Commission concluded that the immediate cause of the aircraft accident of Beechcraft Super King Air 200 registration Z3-BAB was the following:
Descending below the minimum descent altitude-MDA of 1810 feet for the published procedure for precision approach for landing at the airport in Mostar: 1:06 Mostar-LQMO, VOR/DME RWY 34 (Jeppesen 13-1), resulting in a Controlled Flight Into Terrain-CFIT.
The main factors that have led to a descent below the minimum published heights are as follows:
a) Very poor quality and lack of preparation of the crew for the approach and landing;
b) Ignoring the information of air traffic controllers on the current meteorological situation at LQMO Airport;
c) Wrong determination of the FAF (Final Approach Final Fix- point of access) and its replacement with the IAF (Intermediate Approach Fix- Central point of access) which led to an earlier start of the descent.
d) To turn off the autopilot during the approach phase, taking into account the complex meteorological situation;
e) Low crew teamwork (CRM Crew Resource Management) - lack of communication and failure to follow standard operating procedures;
f) Failure to maintain level flight by Pilot Flying and inadequate response by pilots Assisting Pilot, at the stage of reaching the MDA Minimum Descent Altitude.

METAR:

07:00 UTC / 08:00 local time:

Wind from 340° at 10 kts; Visibility: 8 km; Scattered clouds at 600 feet; Broken clouds at 1600 feet and 7300 feet; Temperature: 5° C; Pressure: 1003 mb

Accident investigation:
cover
  
Investigating agency: MKT
Report number: Final report
Status: Investigation completed
Duration: 10 years and 9 months
Download report: Final report

Sources:


Location

Images:


photo (c) Karl Krämer, via Werner Fischdick; München-Franz Josef Strauss Airport (MUC/EDDM); February 2000

Revision history:

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