Investigation Summary
The flight was a non-scheduled charter transporting 12 passengers from Manaus to Barcelos. Upon arrival, the crew encountered severe weather with heavy rainfall and visibility below the airport's operating minimums. Despite these conditions and the fact that other aircraft had diverted, the crew attempted a second landing approach. The aircraft touched down approximately 560 meters past the threshold of the 1,200-meter runway, leaving insufficient distance to stop on the water-contaminated surface. The investigation highlighted that the crew did not execute a second go-around despite the unstable approach and the late touchdown. The lack of standardized callouts and poor CRM contributed to the captain's decision to continue the landing. The aircraft overran the runway, breached the perimeter fence, and impacted an embankment, resulting in the destruction of the airframe.
Final Conclusions
The CENIPA final report (A-116/CENIPA/2023) identified the primary causes as inadequate crew coordination and poor operational decision-making. The crew continued the approach in weather conditions below the minimum visibility required for the airport. The late touchdown, occurring nearly halfway down the runway, made a successful stop impossible on the wet surface. Contributing factors included a lack of adherence to standard operating procedures (SOPs) and the failure to perform a go-around when the landing became clearly unstable. The investigation also noted that the pressure to complete the mission for the fishing tourists may have influenced the crew's decision to land despite the adverse conditions.
Video Analysis
No video analysis linked for this case file yet.
Systems & Failure Modes
PT6A-34 Engines
The aircraft was powered by two Pratt & Whitney Canada turboprop engines.
Braking System
The effectiveness of the wheel brakes was likely compromised by the heavy rain and standing water on the runway.
Interesting Facts
- 01All 12 passengers were Brazilian tourists traveling for a sport fishing competition on the Rio Negro.
- 02The aircraft touched down 560 meters beyond the threshold of the 1,200-meter runway.
- 03Visibility at the time of the accident was below the minimums required for Barcelos Airport.
- 04The crew failed to perform a second go-around despite the late touchdown and unstable approach.
- 05There was no post-crash fire despite the total destruction of the aircraft.
Safety Actions & Advisories
CENIPA Investigation
The Brazilian aeronautical accident investigation body launched a full inquiry to determine the roles of weather, human factors, and aircraft performance in the excursion.