2014-01-20 SSAC BN-2A Islander crashed in Romania – Final Report

2014-01-20 SSAC BN-2A Islander crashed in Romania – Final Report
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2014-01-20 SSAC BN-2A Islander crashed in Romania – Final Report

INVESTIGATION UPDATE:

2014-01-20

YR-BNP, BN-2A Islander, Scoala Superiora de Aviatie Civila

Location:  Horea area, Alba Mountains, Romania

Final Report of Centrul de Investigatii si Analiza pentru Siguranta Aviatiei Civile – CIAS out

2014-01-20_YR_BNP_BN2A_SSCA@AlbaMts_REPORT COVER

Images from the CIAS Report:

2014-01-20_YR_BNP_BN2A_SSCA@AlbaMts_MAP1


2014-01-20_YR_BNP_BN2A_SSCA@AlbaMts_WRECKAGE


Images from the CIAS Report:

 

2014-01-20_YR_BNP_BN2A_SSCA@AlbaMts_METAR


Probable Cause (translated from CIAS report):

The cause of this accident was a loss of power in both engines due to severe carburetors icing.

 

Contributing Factors (translated from CIAS report):

  • incorrect assessment of specific risk factors
  • inexperience of the crew on the aircraft BN-2A-27 class included in the MEP;
  • Aircraft commander’s erroneous decision to continue flight despite weather conditions that favored carburetor icing;
  • Aircraft commander’s erroneous decision to fly a long time in icing conditions;
  • Erroneous decision to continue the flight under the AMA (minimum sector altitude), under
    BMI flight after flight rules IFR;
  • Aircraft commander’s erroneous decision to take-off above the maximum take-off weight and maximum allowable center of gravity off limits calculated and imposed by the manufacturer

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Abbreviations

AP = Airport / AL = Airlines / Avn = Aviation / AW = Airways / C/N: Construction Number / DSP = Domestic Scheduled Passenger / DNP = Domestic Non-Scheduled Passenger / DSC = Domestic Scheduled Cargo / DNC= Domestic Non-Scheduled Cargo / GND = On the ground / parked, stored / FMN= Flying Mission, Air Work / FRY = Ferry-, Positioning Flight / IMC = Intrument Meteorological (flying) Conditions / ISP = International Scheduled Passenger / ISC=International Scheduled Cargo / INP = International Non-Scheduled Passenger / INC =International Non-Scheduled Cargo/ OPS = Flight Operation(s) / NRV = Non-revenue, Private Flight / TRN =Training Flight /  TST = Test & Certification Flight / VMC = Visual Meteorological (flying) Conditions