What happened
On October 8, 2012, an Embraer EMB-711B (registration PT-NRK), operated by Táxi Aéreo Dourado Ltda, departed from an uncertified landing strip in Santa Cruz do Arari, Pará. The aircraft was carrying one pilot and three passengers. Shortly after takeoff, the pilot reported a loss of engine power, which necessitated an immediate emergency landing in an open field approximately 100 meters from the takeoff site. The aircraft landed with its landing gear retracted, causing damage to the propeller, engine, and upper fuselage/wings. All four occupants escaped the incident without injury.
The investigation
Investigators from SERIPA I conducted a thorough examination of the engine, fuel, and ignition systems at an authorized workshop. The analysis revealed no evidence of internal engine malfunction, and no contamination was found in the oil, oil filter, or fuel. All maintenance records indicated that the aircraft was up to date with required inspections.
Technical analysis of the takeoff conditions revealed that the aircraft weighed 1,150 kg and was operating with 25° flaps. Wind conditions at the time indicated a tailwind of approximately 15 knots. Based on the aircraft's performance charts, a takeoff roll of slightly more than 600 meters was required under these specific conditions. However, the uncertified runway used for the operation measured only 540 meters by 10 meters, making the strip insufficient for a safe departure.
Findings
- The aircraft attempted takeoff using a runway length that was insufficient for the calculated takeoff distance required under the prevailing weight and wind conditions.
- The operation was conducted from an uncertified and unregistered landing strip.
- The pilot failed to file a flight plan prior to departure.
- The flight was conducted in violation of safety regulations regarding operations at locations that do not offer a reasonable probability of safe operation.
Safety action
- CENIPA recommended that the National Civil Aviation Agency (ANAC) perform a technical audit of Táxi Aereo Dourado Ltda to improve Safety Management Systems (SMS), specifically regarding hazard analysis and risk management.
- A recommendation was made to coordinate with the local municipality of Santa Cruz do Arari to address the risks of using uncertified runways and to pursue formal runway certification.
- Authorities were advised to intensify inspections of air taxi operations in the Belém region, focusing on the use of unregistered or uncertified landing sites.