Flight History and Personnel
The report documents the flight history of the incident. Information on the flight crew, including the commander and first officer, as well as other crew members and passengers, is provided. The ATC personnel involved are also described.
Aircraft Information
The aircraft, a Cessna 500 Citation registered OE-FAN, is detailed in terms of its general characteristics, ground proximity warning system, altimeters, navigation and autopilot equipment, performance, and operational limitations. The technical-administrative data and the aircraft's efficiency status before the last flight are included.
Meteorological and Navigational Information
The report includes meteorological conditions at the time of the incident. It also covers ground-based radio aids, onboard cartography, and flight assistance services from Roma ACC and Cagliari APP.
Communications and Airport
Communications during the flight are documented. The airport involved is Cagliari Elmas, and its control tower characteristics are described.
Flight Recorders and Wreckage Examination
The report covers the flight recorders and the physical examination of the wreckage, including damage distribution to the fuselage, aerodynamic surfaces, engines, and flight instruments. Impact dynamics are analyzed.
Medical, Survival, and Tests
Medical and pathological information, including DNA analysis, is included. Survival aspects are addressed. The investigation conducted a flight reproduction under similar visibility conditions and radar data analysis.
Organizational and Regulatory Aspects
Information on the operator, the operations manual, and relevant international and national regulations, including visual approach procedures, terrain separation, and ATS responsibility transfer, is provided. Preventive actions by ANSV, ENAC, and the Italian Air Force are noted.
Analysis and Conclusions
The analysis chapter discusses aircraft efficiency, weather, instrumentation, crew fatigue, and the reconstruction of the event dynamics. The ATC service and regulatory framework are analyzed. The conclusions list evidence and identify the cause and contributing factors.
Safety Recommendations
The report issues safety recommendations, both previously and additionally.