Google Translator; Final cause of crash of S-Air of RA-02807 a British Aerospace BAe-125-800B
Accident occurred October 2009, final report released July 2012. Location of crash; Minsk, Belarus.
http://www.saon.ru/forum/download/file.php?id=7780&sid=29d2eee12adefeeafe5870d081fda338&mode=view Photo of RA-02807
http://news.tut.by/otklik/150894.html photos and video from crash site.
http://aviation-safety.net/database/record.php?id=20091026-0
http://www.mak.ru/russian/russian.html Google translator as follows;
The
Commission of the Interstate Aviation Committee completed its
investigation of the accident with the aircraft BAe-125-800B RA-02807
JSC "C-Air" in the Minsk-2 airport Belarus 26.10.09.
The
cause of the crash BAe-125-800B RA-02807 when the approach procedure
ILS system (ILS), at night, in weather conditions that meet ICAO CAT I,
was the failure to take timely action on the crew missed, or alternate,
reduced out of sight landmarks
below the decision height for the transition to visual flight, as well
as the lack of appropriate response and action required when the
repeated alarm early warning system for approaching land (TAWS), which
led to the collision of aircraft with obstacles (forest) and land in a
controlled flight (CFIT), its destruction and death of people on board.
Contributing factors were:
-
Deficiencies in the type of retraining and training of the crew to fly,
especially in the use of automatic flight modes, and of director;
-
Erroneous actions of the crew commander, led to the implementation of
the approach is wrong with the ILS frequency set on the left set;
- Lack of preparation to the commander of the Sun approach in weather conditions that meet CAT I ICAO. The
values of the meteorological conditions under which was confirmed by
meteorological conditions, in most cases have been falsified;
- Poor communication in the crew and resource management (CRM) of the FAC;
-
Poor control of the level of training of the crew of the airline's
management and lack of organization in the airline's flight operations,
the Commission identified Rosaviation after the accident;
-
Psychological features of the pilots, crew unaccounted for in the
formation and, possibly, decreased performance commander of the Armed
Forces in a stressful situation because of his chronic coronary heart
disease with severe koronarosklerozom, which was not detected during the
passage of VLEK.
http://www.mak.ru/russian/investigations/2009/report_ra-02807.pdf 91 page pdf final report released July 2012
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