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Aeroflot Flight E-46

Coordinates:40°18′16″N44°54′44″E / 40.30444°N 44.91222°E /40.30444; 44.91222
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1983 plane crash in Armenia
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Aeroflot Flight E-46
Yak-40 of theAeroflot company
Accident
Date19 April 1983 (1983-04-19)
SummaryControlled flight into terrain (CFIT) due to crew andair traffic control errors
Site
Map
Aircraft
Aircraft typeYakovlev Yak-40
OperatorAeroflot (Armenian Civil Aviation Directorate, Leninakan OAE)
RegistrationCCCP-87291
Flight originGumrak Airport,Volgograd
StopoverNalchik Airport
DestinationShirak Airport,Leninakan
Passengers17
Crew4
Fatalities21
Survivors0

Aeroflot Flight E-46 was a scheduled domestic passenger flight that crashed on Tuesday, April 19, 1983, nearLeninakan (nowGyumri),Armenia. The aircraft, aYakovlev Yak-40 operated byAeroflot, impacted terrain, resulting in the deaths of all 21 people on board.

Aircraft

[edit]

TheYak-40, with tail number 87291 (factory number 9320628, serial number 28-06), was produced by theSaratov Aviation Plant in 1973 and delivered to theMinistry of Civil Aviation of the USSR, which directed it to the Leninakan squadron of theArmenian Civil Aviation Directorate on May 10.[1][2]

Accident

[edit]

The aircraft was operating flight E-46 on the routeVolgogradNalchikLeninakan, piloted by a crew with Captain (PIC) R.G. Bagdasaryan. At 17:07, theYak-40 took off fromNalchik Airport and, after climbing, reached an altitude of 6,600 meters. On board were 4 crew members and 17 passengers.[1]

After passingKislovodsk, the aircraft veered to the right, for which the crew was warned by the dispatcher of theMinvody regional center. However, the response to commands to return to the designated flight path (DFP) was slow, and the aircraft followed parallel to it, 10 kilometers from the route. By the time the aircraft passedGori, it was brought back onto the DFP and at 17:53 contacted the dispatcher of theTbilisi regional center (RC Tbilisi), reporting passingGori at an altitude of 6,600 meters. The Tbilisi dispatcher confirmed the passage ofGori and instructed to descend to 5,700 meters. Subsequently, en route toLeninakan, the crew periodically changed the flight course, which reduced from 185° to 130°, without actively navigating the aircraft, resulting in a left deviation from the route by 28 kilometers. At 18:02, the pilots reported to the RC Tbilisi dispatcher about leaving the zone as calculated at an altitude of 5,700 meters. However, in reality, the aircraft was not at the 100 km calculated exit point but 57 kilometers fromTbilisi, 28 kilometers left of the route, with 39 kilometers remaining to theAir Traffic Control (ATC) transfer boundary.[1]

At 18:03, the crew contacted theLeninakan Airport approach dispatcher, reporting entry into the zone, although they were actually still 87 kilometers away and 29 kilometers left of the route. A minute and a half later, the aircraft requested its position. The dispatcher reported an azimuth of 30° and stated that the aircraft was not visible on the radar screen. This could have indicated a significant left deviation from the flight path, but the dispatcher took no action to correct it. Not knowing their actual position, the pilots soon reported passing the control boundary at 21 kilometers and that conditions were suitable forvisual flight. The approach dispatcher then allowed them to descend to 3,300 meters at theRadio Navigation Point (RNP). While descending to the specified altitude, the crew did not navigate the aircraft to the airport beacon and did not use onboard or groundradio navigation systems (RNS).[1]

The sky was covered withcumulus clouds at an altitude of 600—1000 meters, with a top edge of 7—8 kilometers, visibility more than 10 kilometers, and the mountain peaks were partially obscured by clouds. During descent, the crew reported passing through 3,600 meters, and the approach controller instructed them to contact the circle controller, whose duties he was performing. Despite not seeing the aircraft on the radar screen, he allowed the crew to descend to 900 meters for the third turn. The airliner was actually 40 kilometers from the airport, but the crew was unaware of this and at 18:08, after receiving clearance to descend, reported passing the airport RNP, although they were off course, and began maneuvering forlanding.[1]

At 18:09, while performing a right turn with a 13° bank at a course of 178°, theYak-40 crashed into the slope ofMount Shishtepe at an altitude of 2,523 meters at a speed of 330 km/h, 41 kilometers northeast ofLeninakan Airport (betweenSpitak andStepanavan,Lori Province). The aircraft was completely destroyed on impact, and all 21 people on board — 4 crew members and 17 passengers — were killed.[1]

Causes

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According to the commission's findings, the following reasons led to the disaster:[1]

  1. The crew did not conduct active aircraft navigation on theGoriLeninakan route segment, did not comprehensively use the RNS, and as a result, deviated from the route and did not know their actual location. In the final flight segment, not knowing their location and not reaching the RNP, the crew began descent and landing maneuvers outside the aerodrome scheme, grossly violating the requirements ofNPP GA-78 and the Flight Operation Manual atLeninakan Airport.
  2. The RCTbilisi dispatcher managed the aircraft's flight unsatisfactorily: did not maintain control via radar, did not prevent deviation from the route, did not take measures to guide the aircraft back to the route, and when transferring flight control to theLeninakan Airport approach zone, in violation ofNPP GA-78,NSD GA-81, and the RC dispatcher work technology, did not establish the actual aircraft location and did not inform the crew.
  3. TheLeninakan Airport approach controller, upon the crew's report of entering the zone, did not identify the aircraft, did not provide its position to the crew, did not assess the reported azimuth of 30°, did not give instructions to return to the route, and did not ensure the aircraft was guided to theRNP using the direction finder. Without continuous radar control over the aircraft's flight, after receiving the crew's report of passing the 21-kilometer control boundary and not knowing the actual aircraft location, he allowed descent from a safe altitude of 4,200 meters to 3,300 meters. Then, while continuing the duties of the circle controller, without continuous radar control over the aircraft's movement in both the approach zone and circle zone, did not guide the aircraft to theRNP, did not require a safe altitude control circle for identification, did not transmit information on landing approach conditions, and allowed descent to 900 meters and landing approach outside the aerodrome scheme without knowing the aircraft's location, violating the requirements ofNPP GA-78,NSD GA-81, the Flight Operation Manual atLeninakan Airport, and the approach and circle controller work technology. In the absence of radar control over the aircraft, he did not seek assistance from theAir Defense, nor did he use their means to determine the aircraft's location.
  4. The senior controller abstained from managing and directing theYak-40 flight, showed complete inaction in controlling the approach and circle controller's work, and did not take proper measures to prevent the aircraft's disaster.

Conclusion

[edit]

TheYak-40 aircraft disaster occurred due to gross violations of theAir Traffic Control service dispatchers and the aircraft crew of theNPP GA-78 and the Flight Operation Manual atLeninakan Airport, which led to the premature descent of the aircraft outside the aerodrome scheme and its collision with a mountainside.[1]

References

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  1. ^abcdefgh"Катастрофа Як-40 Армянского УГА близ Ленинакана". airdisaster.ru. Archived fromthe original on 2013-10-30. Retrieved2013-06-21.
  2. ^"Яковлев Як-40 Бортовой №: CCCP-87291". Russianplanes.net. Archived fromthe original on 2013-06-28. Retrieved2013-06-21.
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