Manaus – São Paulo

The crew (one captain under training, one instructor and one flight engineer) was completing a cargo flight from Manaus to São Paulo and the aircraft was carrying a load of 26 tons of electronic equipments. Initially cleared for an approach to runway 09L, the crew was instructed to change to runway 09R as runway 09L was blocked by an aircraft. The crew was aware of a notam saying that runway 09R would be closed to all traffic starting 1200LT due to maintenance. In such conditions, the instructor rushed the approach procedure, interrupted the instruction to the captain under supervision and commanded flaps and speed brake at the same time, causing the aircraft to descend. The left wing struck the roof of a house then crashed in a residential area located about 2,7 km short of runway, bursting into flames. All three crew members and 22 people on the ground were killed. 47 other people on the ground were seriously injured.

Flight / Schedule

Manaus – São Paulo

Aircraft

Boeing 707

Registration

PT-TCS

MSN

19354

Year of Manufacture

1966

Operator

Transbrasil

Date

March 21, 1989 at 11:55 AM

Type

CRASH

Flight Type

Cargo

Flight Phase

Landing (descent or approach)

Crash Site

City

Crash Location

São Paulo-Guarulhos São Paulo

Region

South America • Brazil

Coordinates

-23.4619°, -46.5528°

Crash Cause

Human factor

Narrative Report

On March 21, 1989 at 11:55 AM, Manaus – São Paulo experienced a crash involving Boeing 707, operated by Transbrasil, with the event recorded near São Paulo-Guarulhos São Paulo.

The flight was categorized as cargo and the reported phase was landing (descent or approach) at a city crash site.

3 people were known to be on board, 25 fatalities were recorded, 0 survivors were identified or estimated. This corresponds to an estimated fatality rate of 833.3%.

Crew on board: 3, crew fatalities: 3, passengers on board: 0, passenger fatalities: 0, other fatalities: 22.

The listed crash cause is human factor. The crew (one captain under training, one instructor and one flight engineer) was completing a cargo flight from Manaus to São Paulo and the aircraft was carrying a load of 26 tons of electronic equipments. Initially cleared for an approach to runway 09L, the crew was instructed to change to runway 09R as runway 09L was blocked by an aircraft. The crew was aware of a notam saying that runway 09R would be closed to all traffic starting 1200LT due to maintenance. In such conditions, the instructor rushed the approach procedure, interrupted the instruction to the captain under supervision and commanded flaps and speed brake at the same time, causing the aircraft to descend. The left wing struck the roof of a house then crashed in a residential area located about 2,7 km short of runway, bursting into flames. All three crew members and 22 people on the ground were killed. 47 other people on the ground were seriously injured.

Aircraft reference details include registration PT-TCS, MSN 19354, year of manufacture 1966.

Geospatial coordinates for this crash are approximately -23.4619°, -46.5528°.

Fatalities

Total

25

Crew

3

Passengers

0

Other

22

Crash Summary

The crew (one captain under training, one instructor and one flight engineer) was completing a cargo flight from Manaus to São Paulo and the aircraft was carrying a load of 26 tons of electronic equipments. Initially cleared for an approach to runway 09L, the crew was instructed to change to runway 09R as runway 09L was blocked by an aircraft. The crew was aware of a notam saying that runway 09R would be closed to all traffic starting 1200LT due to maintenance. In such conditions, the instructor rushed the approach procedure, interrupted the instruction to the captain under supervision and commanded flaps and speed brake at the same time, causing the aircraft to descend. The left wing struck the roof of a house then crashed in a residential area located about 2,7 km short of runway, bursting into flames. All three crew members and 22 people on the ground were killed. 47 other people on the ground were seriously injured.

Cause: Human factor

Occupants & Outcome

Crew On Board

3

Passengers On Board

0

Estimated Survivors

0

Fatality Rate

833.3%

Known people on board: 3

Operational Details

Schedule / Flight

Manaus – São Paulo

Operator

Transbrasil

Flight Type

Cargo

Flight Phase

Landing (descent or approach)

Crash Site

City

Region / Country

South America • Brazil

Aircraft Details

Aircraft

Boeing 707

Registration

PT-TCS

MSN

19354

Year of Manufacture

1966

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