Bhavnagar - Mumbai

As per the NOTAM, Runway 14/32 was under permanent maintenance on every Tuesdays since 10/11/2009 runway 27 was available only after runway intersection as runway 27A. To carry out operations on this reduced runway 27 a NOTAM ‘G’ No. G 0128/08 was issued by AAI on the same day of accident i.e. 10-11-2009 and designated as runway 27A for visual approach only. As per the NOTAM Landing Distance Available (LDA)/take off Distance available (TODA) was 1703 m. The weather conditions prevailing at the time of accident was winds 070/07 knots visibility 2800 m with feeble rain. Prior to Kingfisher aircraft, Air India aircraft IC-164, Airbus 319 had landed and reported to ATC that it had aquaplaned and broken two runway edge lights. The ATC acknowledged it and sent runway inspection vehicle to inspect the runway. The ATC person was not familiar with the terminology of ‘aquaplaning’ and not realizing the seriousness of it, cleared kingfisher aircraft for landing. At the time of accident there were water patches on the runway. ATC also did not transmit to the Kingfisher aircraft the information regarding aquaplaning reported by the previous aircraft. The DFDR readout revealed that kingfisher aircraft was not on profile as per localizer procedure laid down in NOTAM ‘G’ and was high and fast. The aircraft landed late on the runway and the runway length available was around 1000 m from the touchdown point. In the prevailing weather conditions this runway length was just sufficient to stop the aircraft on the runway. During landing the kingfisher aircraft aquaplaned and did not decelerate even though reversers and full manual braking was applied by both the cockpit crew. The aircraft started skidding toward the left of center line. On nearing the runway end, the pilot initiated a 45 ° right turn, after crossing ‘N 10’ Taxi track, the aircraft rolled into unpaved wet area. Aircraft rolled over drainage pipes & finally came to a stop near open drain. There was no fire. All the passenger safely deplaned after the accident.

Flight / Schedule

Bhavnagar - Mumbai

Aircraft

ATR72-200

Registration

VT-KAC

MSN

729

Year of Manufacture

2006

Date

November 10, 2009 at 04:40 PM

Type

CRASH

Flight Type

Scheduled Revenue Flight

Flight Phase

Landing (descent or approach)

Crash Site

Airport (less than 10 km from airport)

Crash Location

Mumbai-Chhatrapati Shivaji (Santa Cruz) Maharashtra

Region

Asia • India

Crash Cause

Human factor

Narrative Report

On November 10, 2009 at 04:40 PM, Bhavnagar - Mumbai experienced a crash involving ATR72-200, operated by Kingfisher Airlines, with the event recorded near Mumbai-Chhatrapati Shivaji (Santa Cruz) Maharashtra.

The flight was categorized as scheduled revenue flight and the reported phase was landing (descent or approach) at a airport (less than 10 km from airport) crash site.

42 people were known to be on board, 0 fatalities were recorded, 42 survivors were identified or estimated. This corresponds to an estimated fatality rate of 0.0%.

Crew on board: 4, crew fatalities: 0, passengers on board: 38, passenger fatalities: 0, other fatalities: 0.

The listed crash cause is human factor. As per the NOTAM, Runway 14/32 was under permanent maintenance on every Tuesdays since 10/11/2009 runway 27 was available only after runway intersection as runway 27A. To carry out operations on this reduced runway 27 a NOTAM ‘G’ No. G 0128/08 was issued by AAI on the same day of accident i.e. 10-11-2009 and designated as runway 27A for visual approach only. As per the NOTAM Landing Distance Available (LDA)/take off Distance available (TODA) was 1703 m. The weather conditions prevailing at the time of accident was winds 070/07 knots visibility 2800 m with feeble rain. Prior to Kingfisher aircraft, Air India aircraft IC-164, Airbus 319 had landed and reported to ATC that it had aquaplaned and broken two runway edge lights. The ATC acknowledged it and sent runway inspection vehicle to inspect the runway. The ATC person was not familiar with the terminology of ‘aquaplaning’ and not realizing the seriousness of it, cleared kingfisher aircraft for landing. At the time of accident there were water patches on the runway. ATC also did not transmit to the Kingfisher aircraft the information regarding aquaplaning reported by the previous aircraft. The DFDR readout revealed that kingfisher aircraft was not on profile as per localizer procedure laid down in NOTAM ‘G’ and was high and fast. The aircraft landed late on the runway and the runway length available was around 1000 m from the touchdown point. In the prevailing weather conditions this runway length was just sufficient to stop the aircraft on the runway. During landing the kingfisher aircraft aquaplaned and did not decelerate even though reversers and full manual braking was applied by both the cockpit crew. The aircraft started skidding toward the left of center line. On nearing the runway end, the pilot initiated a 45 ° right turn, after crossing ‘N 10’ Taxi track, the aircraft rolled into unpaved wet area. Aircraft rolled over drainage pipes & finally came to a stop near open drain. There was no fire. All the passenger safely deplaned after the accident.

Aircraft reference details include registration VT-KAC, MSN 729, year of manufacture 2006.

Fatalities

Total

0

Crew

0

Passengers

0

Other

0

Crash Summary

As per the NOTAM, Runway 14/32 was under permanent maintenance on every Tuesdays since 10/11/2009 runway 27 was available only after runway intersection as runway 27A. To carry out operations on this reduced runway 27 a NOTAM ‘G’ No. G 0128/08 was issued by AAI on the same day of accident i.e. 10-11-2009 and designated as runway 27A for visual approach only. As per the NOTAM Landing Distance Available (LDA)/take off Distance available (TODA) was 1703 m. The weather conditions prevailing at the time of accident was winds 070/07 knots visibility 2800 m with feeble rain. Prior to Kingfisher aircraft, Air India aircraft IC-164, Airbus 319 had landed and reported to ATC that it had aquaplaned and broken two runway edge lights. The ATC acknowledged it and sent runway inspection vehicle to inspect the runway. The ATC person was not familiar with the terminology of ‘aquaplaning’ and not realizing the seriousness of it, cleared kingfisher aircraft for landing. At the time of accident there were water patches on the runway. ATC also did not transmit to the Kingfisher aircraft the information regarding aquaplaning reported by the previous aircraft. The DFDR readout revealed that kingfisher aircraft was not on profile as per localizer procedure laid down in NOTAM ‘G’ and was high and fast. The aircraft landed late on the runway and the runway length available was around 1000 m from the touchdown point. In the prevailing weather conditions this runway length was just sufficient to stop the aircraft on the runway. During landing the kingfisher aircraft aquaplaned and did not decelerate even though reversers and full manual braking was applied by both the cockpit crew. The aircraft started skidding toward the left of center line. On nearing the runway end, the pilot initiated a 45 ° right turn, after crossing ‘N 10’ Taxi track, the aircraft rolled into unpaved wet area. Aircraft rolled over drainage pipes & finally came to a stop near open drain. There was no fire. All the passenger safely deplaned after the accident.

Cause: Human factor

Occupants & Outcome

Crew On Board

4

Passengers On Board

38

Estimated Survivors

42

Fatality Rate

0.0%

Known people on board: 42

Operational Details

Schedule / Flight

Bhavnagar - Mumbai

Flight Type

Scheduled Revenue Flight

Flight Phase

Landing (descent or approach)

Crash Site

Airport (less than 10 km from airport)

Region / Country

Asia • India

Aircraft Details

Aircraft

ATR72-200

Registration

VT-KAC

MSN

729

Year of Manufacture

2006

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