Widerøe Flight 744
Namsos Airport, Høknesøra | |
Passengers | 17 |
---|---|
Crew | 2 |
Fatalities | 6 |
Survivors | 13 |
Widerøe Flight 744, also known as the Namsos Accident (
Parallel investigations were carried out by Namdal Police District and the
Accident
Widerøe Flight 744 was a scheduled flight from Trondheim Airport, Værnes to Namsos Airport, Høknesøra operated with a de Havilland Canada DHC-6-300 Twin Otter.
The first officer was using a medication against
At Trondheim, 17 passengers boarded along with 136 kilograms (300 lb) of cargo. Estimated flight time to Namsos was 35 minutes.
The pilot in command then decided on the descent plan, involving an initial descent to 1,200 meters (3,900 feet), then to 900 meters (3,000 feet), before making a turn towards
At 19:10, the aircraft reached the approach centerline and was confirmed by Namsos AFIS at 255°. By 19:14, the aircraft had descended to 640 meters (2,100 feet) and at 19:15:13, it passed Namsos Beacon. At 19:15:30, the first officer confirmed visual contact with the field. At 19:16:35, the pilot in command stated a height of 150 meters (490 feet), confirmed by the first officer. Four seconds later, the pilot in command stated: "we should not descend any further".
Cause
The weather in the area had wind up towards 30 knots (56 km/h; 35 mph), with clouds and heavy rain, and some reports of
The report from the Accident Investigation Board for Civil Aviation characterized the accident as a controlled flight into terrain. The report pointed to several errors, both from the pilots, but also systematic failures from Widerøe and the
Aftermath
One man in his twenties was nearly unhurt in the accident and ran to the nearby farm of Berg.[16] After saying "The aircraft has fallen down. You must call for help!",[17] he ran back to the aircraft. The farm's three residents were the first to arrive at the site of the crash. The site was subject to sleet, rain and a southwestern wind, causing the victims to quickly freeze. Several of the wounded could not move because of fractures. The farmhouse became the base of operations for the emergency crews. The wounded were carried to the farm, where they received initial treatment before being transported to Namsos Hospital—the last arriving at 22:30. About seventy people participated in the emergency work.[17]
The accident was the fifth fatal accident with a Twin Otter in Norway[18] and the fourth fatal accident by Widerøe in eleven years. The company's executive management met in Bodø the evening of the accident before chief executive officer Bård Mikkelsen and others traveled to Namsos to investigate the crash site of the third fatal accident since Mikkelsen started in his position in 1988.[17] Widerøe stopped all advertisements in the period after the accident.[19] Widerøe announced in November that they would accelerate the replacement of their Twin Otter and de Havilland Canada Dash 7 aircraft with new de Havilland Canada Dash 8 aircraft, but denied that the accident influenced the decision and instead cited financial reasons.[20] Widerøe's chief operating officer, Per-Helge Røbekk, announced in July 1994 that he would step down because of the strain of the three accidents.[21]
By 1996 Widerøe had undertaken a series of operational amendments after recommendation from the commission, including a reorganization of the aircraft operation division, the quality assurance division and the company's reporting systems.[22] Another concern was that pilots did not follow the company's routines, resulting in the company grounding about ten pilots who did not follow policy or did too many errors during observations. Some would receive additional training while others would be retired. The company would further invest 40 million Norwegian krone (equivalent to $62,000,000 in 2017) to improve safety.[23]
The aircraft was
Investigation
Four inspectors from the HSL, two police investigators from the
Two parallel investigations were undertaken, one by HSL and one by
The Norwegian Airline Pilots Association recommended that its members not cooperate with the police in any way, stating that "the police should sit passively and wait for the report from the commission".
In February 1995, SINTEF handed over a report ordered by the commission which revealed several absent safety procedures in Widerøe. The report was based on a recommendation by the International Civil Aviation Organization to take into consideration the organizational structure the aircraft operate within when investigating aviation accidents.[39] In June, parliamentarian Magnus Stangeland criticized the commission for working too slowly, stating that the victims and next of kin needed answers as to why the accident happened.[40] The lack of cooperation between the police and the commission was the main source of the delays. Similar delays had occurred after Partnair Flight 394 in 1989, which had resulted in the statute of limitations having come into effect by the time the report was published.[38] A temporary report was presented to the survivors and next of kin on 20 March 1996; the report laid the responsibility for the accident on the airline.[41] The final report was published on 10 July 1996 and laid the responsibility for the accident on the company and its operating routines. The report contained 26 recommendations for improvements for the company.[42] The Norwegian Prosecuting Authority decided in September 1997 not to charge Widerøe for the accident. The direct culpability was placed on the pilots, who had died in the accident.[43]
References
- Bibliography
- "Rapport om luftfartsulykke ved Namsos den 27. oktober 1993 med DHC-6-300 Twin Otter, LN-BNM" [Aviation accident report at Namsos on October 27, 1993 involving DHC-6-300 Twin Otter, LN-BNM] (in Norwegian). Accident Investigation Board Norway. 1996.
- Notes
- ^ Accident Investigation Board Norway (1996): 4
- ^ Accident Investigation Board Norway (1996): 13
- ^ Accident Investigation Board Norway (1996): 11–12
- ^ Accident Investigation Board Norway (1996): 12
- ^ Accident Investigation Board Norway (1996): 23
- ^ a b c Accident Investigation Board Norway (1996): 5–7
- ^ Accident Investigation Board Norway (1996): 14
- ^ Accident Investigation Board Norway (1996): 5–8
- ^ a b Accident Investigation Board Norway (1996): 9–10
- ^ a b Accident Investigation Board Norway (1996): 22
- ^ Accident Investigation Board Norway (1996): 17–19
- ^ Accident Investigation Board Norway (1996): 20
- ^ Accident Investigation Board Norway (1996): 21
- ^ Accident Investigation Board Norway (1996): 33
- ^ Accident Investigation Board Norway (1996): 85–86
- ^ Sæthre, Lars E. (28 October 1993). "Uskadet passasjer varslet om ulykken". Aftenposten (in Norwegian). p. 4.
- ^ a b c Nygaard, Lars-Erik (28 October 1993). "Ulykkes-offer banket på døren". Verdens Gang (in Norwegian). p. 8.
- ^ "Fem ulykker med Twin Otter-fly siden 1972" (in Norwegian). Norwegian News Agency. 27 October 1993.
- ^ a b Haaheim, Sjak R.; Henden, Harald (30 October 1993). "Politiet nektes viktig bevis". Verdens Gang (in Norwegian). p. 13.
- ^ "Widerøe får nye Dash 8-fly raskere enn planlagt" (in Norwegian). Norwegian News Agency. 11 November 1993.
- ^ Forbæk, Dag (27 July 1994). "Utslitt av alle ulykkene". Verdens Gang (in Norwegian). p. 15.
- ^ "Widerøe har endret rutiner etter Namsos-ulykken" (in Norwegian). Norwegian News Agency. 20 March 1996.
- ^ Henriksen, Steinulf; Mortensen, Terje (12 June 1996). "Titalls flygere satt på bakken". Verdens Gang (in Norwegian). p. 4.
- ^ a b "Etterlatte etter Namsos-ulykken får gratis flyreiser" (in Norwegian). Norwegian News Agency. 26 November 1996.
- ^ Jacobsen, Jon (13 April 1996). "Millionkraf etter flyulykke". Verdens Gang (in Norwegian). p. 11.
- ^ "Flyhavarikommisjonen sikret seg taleregistratoren" (in Norwegian). Norwegian News Agency. 28 October 1993.
- ^ Accident Investigation Board Norway (1996): 19
- ^ "Uenighet om etterforskningen av flyulykken ved Namsos" (in Norwegian). Norwegian News Agency. 1 November 1993.
- ^ Bondø, Tor-Hartvig; Kirknes, Magnar (11 November 1993). "Politiet uønsket". Verdens Gang (in Norwegian). p. 12.
- ^ Bondø, Tor-Hartvig (11 November 1993). "Flyger-striden i Stortinget". Verdens Gang (in Norwegian). p. 12.
- ^ Fonbæk, Dag (4 January 1994). "Rettslig avhør av Widerøe-flygerne vurderes". Verdens Gang (in Norwegian). p. 13.
- ^ Kristoffersen, Oddvar (16 February 1994). "Widerøe-flygere". Nordlys (in Norwegian). p. 19.
- ^ "Politiet får avhøre piloter etter Namsos-ulykken" (in Norwegian). Norwegian News Agency. 14 April 1994.
- ^ "Widerøe-ulykken: Rettslig avgjørelse om taleregistrator" (in Norwegian). Norwegian News Agency. 20 May 1994.
- ^ "Må vente på taleregistrator fra Widerøe-fly" (in Norwegian). Norwegian News Agency. 12 December 1994.
- ^ Fonbæk, Dag (4 January 1995). "Nektest lydbåd". Verdens Gang (in Norwegian). p. 20.
- ^ "Politiet vant lydbåndkamp". Verdens Gang (in Norwegian). 23 August 1995. p. 9.
- ^ a b "Ny lydbåndkrangel". Verdens Gang (in Norwegian). 7 November 1995. p. 17.
- ^ "SINTEF-rapport avdekker sikkerhetssvikt i Widerøe" (in Norwegian). Norwegian News Agency. 22 February 1995.
- ^ "Stangeland ber flyhavarikommisjonen være mer effektiv" (in Norwegian). Norwegian News Agency. 23 June 1995.
- Aftenposten Aften(in Norwegian). 20 March 1996. p. 7.
- ^ "Widerøe-ledelsen får krass kritikk". Aftenposten (in Norwegian). 10 July 1996. p. 4.
- ^ Kringstad, Hans (24 September 1997). "Widerøe slipper straff". Verdens Gang (in Norwegian).