Serious incident British Aerospace ATP SE-MAF,
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ASN Wikibase Occurrence # 180868
 
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Date:Thursday 25 September 2014
Time:22:19 UTC
Type:Silhouette image of generic ATP model; specific model in this crash may look slightly different    
British Aerospace ATP
Owner/operator:West Air Sweden
Registration: SE-MAF
MSN: 2002
Year of manufacture:1986
Fatalities:Fatalities: 0 / Occupants: 2
Aircraft damage: None
Category:Serious incident
Location:c 20nm NNE of Lillehammer -   Norway
Phase: En route
Nature:Cargo
Departure airport:Oslo
Destination airport:Trondheim
Investigating agency: AIBN
Confidence Rating: Accident investigation report completed and information captured
Narrative:
The problems started with a loss of airspeed in icing conditions. The crew activated the aircraft's system for de-icing, however, the speed continued to drop. Suddenly the aircraft started buffeting and made uncontrolled attitude changes. The crew disconnected the autopilot, picked up speed in a descent and regained control. The cruising flight level was reduced by 2000 ft, and the ice disappeared. The loss of altitude was not critical in relation to terrain.

The flight continued to the destination without further problems.

Findings made during the investigation indicate that the loss of speed was caused by a combination of icing and mountain waves. The airspeed dropped below the recommended speed in icing conditions, and the plane was about to stall. The phenomenon was well known before this incident occurred, and was described in Aircraft Flight Manual as well as in other documentation. Despite this, the investigation revealed shortcomings in the Operator’s knowledge in this area. A potential for improvement in documentation from the type certificate holder was also identified.

Accident investigation:
cover
  
Investigating agency: AIBN
Report number: 
Status: Investigation completed
Duration:
Download report: Final report

Sources:

https://www.aibn.no/Aviation/Published-reports/2015-09-eng
http://aerossurance.com/safety-management/atp-loc-in-icing

Media:

Revision history:

Date/timeContributorUpdates
01-Nov-2015 12:53 Aerossurance Added
01-Nov-2015 12:55 Aerossurance Updated [Aircraft type]
25-Sep-2021 08:41 Aerossurance Updated [Location, Source, Embed code]

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