Aircraft Accident/Incident Report

Bamiyan
Saturday, November 27, 2004 3:50 UTC

NTSB Narrative Summary Released at Completion of Accident

The Safety Board has adopted the final report of this accident investigation, including the analysis and probable cause. The Board's full report is available on: http://www.ntsb.gov/publictn/2006/AAB0607.pdf On November 27, 2004, about 0820 Afghanistan time, a Construcciones Aeronauticas Sociedad Anonima C-212-CC (CASA 212) twin-engine, turboprop airplane, N960BW, registered to Aviation Worldwide Services, LLC, and operated by Presidential Airways, Inc., of Melbourne, Florida, collided with mountainous terrain in the vicinity of the Bamiyan Valley, near Bamiyan, Afghanistan. The Department of Defense (DoD) contract flight was operated under the provisions of 14 Code of Federal Regulations (CFR) Part 135, with a company flight plan filed. Daylight visual meteorological conditions (VMC) prevailed. The captain, the first officer, and the mechanic-certificated passenger, who were U.S. civilians employed by the operator, and the three military passengers, who were active-duty U.S. Army soldiers, received fatal injuries. The airplane was destroyed. The flight departed Bagram Air Base (OAIX), Bagram, Afghanistan, about 0738.

NTSB Probable Cause Narrative

the captain's inappropriate decision to fly a nonstandard route and his failure to maintain adequate terrain clearance, which resulted in the inflight collision with mountainous terrain. Factors were the operator's failure to require its flight crews to file and to fly a defined route of flight, the operator's failure to ensure that the flight crews adhered to company policies and FAA and DoD Federal safety regulations, and the lack of in-country oversight by the FAA and the DoD of the operator. Contributing to the death of one of the passengers was the operator's lack of flight-locating procedures and its failure to adequately mitigate the limited communications capability at remote sites. The Board's full report is available on: http://www.ntsb.gov/publictn/2006/AAB0607.pdf

Event Information

Type of Event Accident
Event Date 11/27/2004
Event Day of the Week Saturday
Time of Event 350
Event Time Zone Coordinated Universal Time? Same as GMT
Event City Bamiyan
Event State --
Event Country --
Zipcode of the event site --
Event Date Year 2004
Event Date Month 11
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 343846N
Event Location Longitude 0674000E
Event Location Airport --
Event Location Nearest Airport ID --
Indicates whether the acc/inc occurred off or on an airport Off Airport/Airstrip
Distance from airport in statute miles --
Degrees magnetic from airport --
Airport Elevation --
Weather Briefing Completeness Full
Investigator's weather source Weather Observation Facility
Time of the weather observation 355 Coordinated Universal Time? Same as GMT
Direction of event from weather observation facility (degrees) 74
Weather Observation Facility ID OAIX
Elevation of weather observation facility 4895
Distance of event from weather observation facility (units?) 81
Time Zone of the weather observation UTC
Lighting Conditions Day
Lowest Ceiling Height --
Lowest Non-Ceiling Height 8000
Sky/Lowest/Cloud Conditions Few
Sky Condition for Lowest Ceiling None
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 4.97
Air Temperature at event time (in degrees celsius) 6
Dew Point at event time (in degress fahrenheit) -2
Wind Direction (degrees magnetic) --
Variable Wind Indicator Variable
Wind Speed (knots) 3
Wind Velocity Indicator --
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 30.38
Density Altitude (feet) --
Intensity of Precipitation --
METAR weather report --
Event Highest Injury Fatal
On Ground, Fatal Injuries --
On Ground, Minor Injuries --
On Ground, Serious Injuries --
Injury Total Fatal 6
Injury Total Minor --
Injury Total None --
Injury Total Serious --
Injury Total All 6
Investigating Agency NTSB
NTSB Docket Number (internal use) 20926
NTSB Notification Source USAF
NTSB Notification Date Dec 1 2004 12:00AM
NTSB Notification Time --
Fiche Number and/or location -used to find docket information DMS
Date of most recent change to record Dec 4 2006 10:52AM
User who most recently changed record NTSB\guzj
Basic weather conditions Visual Meteorological Cond
FAA District Office AAI-100

Aircraft Involved

Aircraft #1

Aircraft Registration Number N960BW
NTSB Number IAD05FA023
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 135: Air Taxi & Commuter
Type of Flight Plan filed VFR
Flight plan Was Activated? Yes
Damage Destroyed
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name CASA
Aircraft Model 212-200-CC
Aircraft Series Identifier --
Aircraft Serial Number 231
Certified Max Gross Weight 16976
Aircraft Category Airplane
Aircraft Registration Class U.S. Registered/U.S. Soil
Aircraft is a homebuilt? No
Flight Crew Seats --
Cabin Crew Seats --
Passenger Seats --
Total number of seats on the aircraft 10
Number of Engines 2
Fixed gear or retractable gear Fixed
Aircraft, Type of Last Inspection 100 Hour
Date of Last Inspection Nov 1 2004 12:00AM
Airframe hours since last inspection 4.8
Airframe Hours 21489.6
ELT Installed Yes
ELT Activated Yes
ELT Aided Location of Event Site Yes
ELT Type --
Aircraft Owner Name Presidential Airways Inc
Aircraft Owner Street Address --
Aircraft Owner City Melbourne
Aircraft Owner State FL
Aircraft Owner Country USA
Aircraft Owner Zipcode 32435
Operator is an individual? No
Operator Name --
Operator Same as Owner? Yes
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address --
Operator City --
Operator State --
Operator Country --
Operator Zip code --
Operator Code P4YA
Owner has at least one certificate --
Other Operator of large aircraft? --
Certified for Part 133 or 137 Operation --
Operator Certificate Number --
Indicates whether an air carrier operation was scheduled or not Non-scheduled
Indicates Domestic or International Flight International
Operator carrying Pax/Cargo/Mail Passenger/Cargo
Type of Flying (Per_Bus / Primary) --
Second Pilot on Board Yes
Departure Point Same as Event No
Departure Airport Code OAIX
Departure City Bagram
Departure State --
Departure Country AF
Departure Time 308
Departure Time Zone UTC
Destination Same as Local Flt --
Destination Airport Code NONE
Destination City Farah
Destination State --
Destination Country AF
Specific Phase of Flight Climb
Report sent to ICAO? No
Evacuation occurred No
Date of most recent change to record Feb 9 2006 7:09PM
User who most recently changed record MUZD
Since inspection or accident Time of Accident
Event Location Runway Number and Location NA
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --