SA228
1968-APR-20 · Near J.G. Strijdom International Airport (now Hosea Kutako International Airport), Windhoek, South West Africa

South African Airways — Flight SA228

A Boeing 707 crashed into the desert shortly after a night takeoff from Windhoek, Namibia. The aircraft, which was only six weeks old, climbed to approximately 650 feet before entering a steady descent and impacting the ground at high speed. The investigation revealed that the crew, likely disoriented by the 'black hole' conditions of the moonless desert night, failed to monitor their instruments and inadvertently trimmed the aircraft into a descent while believing they were still climbing.

Aircraft
Boeing 707-344C
Registration
ZS-EUW
Phase
Initial climb
Cause
Controlled Flight Into Terrain (CFIT)
Souls on Board
128
Fatalities
123
Origin → Dest
Jan Smuts International Airport, Johannesburg, South Africa → Heathrow Airport, London, United Kingdom
Report
Final report

Investigation Summary

The accident occurred during a scheduled multi-stop flight from Johannesburg to London. After a routine stop in Windhoek, the aircraft took off from Runway 08 at 20:49 local time. The environment was exceptionally dark, with no moon and virtually no ground lights, creating a 'black hole' effect. The flight crew was highly experienced on earlier Boeing 707 models, but had limited flight hours on the newer -344C variant. Following a standard takeoff, the crew began retracting the flaps from 20 degrees to 0 degrees and reduced power. During this transition, the aircraft's pitch attitude changed. The pilot, Eric Ray Smith, likely misinterpreted the aircraft's state due to spatial disorientation and a lack of external visual references. He adjusted the stabilizer trim to what he believed was a climbing attitude, but was actually a nose-down descent. The co-pilot, John Peter Holliday, failed to monitor the flight instruments to detect the loss of altitude. The aircraft struck the ground in a clean configuration at 271 knots, just 50 seconds after takeoff.

Final Conclusions

The primary cause was determined to be human factors, specifically the crew's failure to maintain a safe climb profile due to spatial disorientation. Contributing factors included the total darkness of the environment, the pilot's preoccupation with after-takeoff checks, and potential confusion regarding the instrument layout. The Boeing 707-344C 'Pretoria' had a different instrument arrangement (specifically the vertical speed indicator) compared to the A and B models the crew was more familiar with. Additionally, the drum-type altimeter was noted for being susceptible to ambiguous interpretation.

Video Analysis

No video analysis linked for this case file yet.

Systems & Failure Modes

i

Stabilizer Trim

Used by the pilot to maintain pitch, but inappropriately adjusted during the climb, leading to a descent.

i

Drum-type Altimeter

An instrument noted by investigators for its susceptibility to ambiguous interpretation on the thousands scale.

i

Inertial-lead Vertical Speed Indicator

The layout of this instrument differed from previous 707 models, potentially confusing the crew.

Interesting Facts

  • 01The aircraft was only six weeks old and had logged only 238 airframe hours.
  • 02The crash remains the deadliest aviation accident in Namibian history.
  • 03The impact occurred at a point 179 feet below the airport's elevation.
  • 04Five passengers survived the initial impact and subsequent fire.
  • 05The investigation highlighted that the drum-type altimeter could be misread by 1,000 feet.

Safety Actions & Advisories

GPWS Development

The accident highlighted the need for Ground Proximity Warning Systems (GPWS) to alert crews of unintended descents near terrain, which Boeing later recognized as a necessary design inclusion.

Instrument Standardization

The investigation led to recommendations regarding the standardization of flight deck layouts to prevent confusion when pilots transition between different variants of the same aircraft type.

Location

Near J.G. Strijdom International Airport (now Hosea Kutako International Airport), Windhoek, South West Africa · -22.4494, 17.5339

Case File History

  1. CorrectionUpdated investigation summary.

Related Cases

Case ID · saa228-1968Last updated · Filed

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