FinalReportTu-154M.pdf

Committee for Investigation of National Aviation Accidents

Tu-154M (tail number 101), April 10 th , 2010, area of the SMOLENSK NORTH airbase

Final Report

from the examination of the aviation accident no

192/2010/11

involving the Tu-154M airplane, tail number 101,

which occurred on April 10 th , 2010

in the area of the SMOLENSK NORTH airfield

The accident was investigated by the Committee for Investigation of National

Aviation Accidents with the aim to establish the circumstances and cause,

and to formulate preventive recommendations.

Acting pursuant to the Aviation Law of July 3 rd , 2002, art. 140 of the Decree by the

Minister of Defense of May 26 th , 2004 on the organization and proceedings of the

Committee for Investigation of National Aviation Accidents, in particular pursuant

to § 12 thereof, “the Committee shall not pass judgment on blame and

responsibility”. Hence, any attempts to use this Report for any purpose other than

prevention of accidents and serious incidents in aviation may lead to misconception

and misintepretation.

The Report has been executed in the Polish language. Other language versions have

been drawn up solely for information purposes.

FINAL REPORT

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Committee for Investigation of National Aviation Accidents

Tu-154M (tail number 101), April 10 th , 2010, area of the SMOLENSK NORTH airbase

General overview

Incident type: ACCIDENT

Type and model of the aircraft involved: Tu-154M AIRPLANE

Aircraft identity code: PLF 101

Aircraft commander: AIR FORCE PILOT

Flight commissioned by: OFFICE OF THE PRESIDENT OF

THE REPUBLIC OF POLAND

Aircraft user: 36 SPECIAL AIRLIFT REGIMENT

Incident location: VICINITY OF THE SMOLENSK

NORTH AIRBASE

Incident date and time: April 10 th , 2010 at 06:41:07,5 UTC

Extent of aircraft damage: DESTRUCTION

Injuries to the crew and passengers: FATAL

FINAL REPORT

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Committee for Investigation of National Aviation Accidents

Tu-154M (tail number 101), April 10 th , 2010, area of the SMOLENSK NORTH airbase

Table of acronyms and abbreviations

13 eltr

13 Airlift Squadron;

36 splt

36 Special Airlift Regiment ;

ABSU

autopilot system of the Tu-154M plane;

AFTN

ground-based telecommunication system for aviation

AIP FR i WNP

Aeronautical Information Publication of the Russian Federation

and Countries of The Commonwealth of Independent States;

APP

APPROACH (airport traffic control);

APM (APP-90P)

truck-mounted projectors;

ARK

radio compass;

ATC

Air Traffic Controller;

ATM-QAR

quick acess flight recorder;

ATS

Air Traffic Services;

AUP

Airspace Use Plan;

BAMSO, RUDKA, ASKIL codenames of navigation waypoints;

flight safety;

BOR

Goverment Protection Office;

BOZ

crew briefing room;

BRL

inner non-directional beacon, inner NDB;

BSKL

inner air traffic control station;

CAVOK

airport weather conditions – horizontal visibility over 10 km,

cloud base above 1500, no weather phenomena or cumuliform

rain clouds;

CDU

Computer Display Unit ;

CH SZ RP

Hydrometeorological Center of the Polish Armed Forces;

CLK

Central Forensic Laboratory;

Moscow Operations Center (callsign LOGIKA);

COP

Air Operations Center;

CPL(A); MEP(L)

designation of a crew member licence or certifications entered in

such license;

CRM

Crew Resource Management;

DA(DH)

Decision Altitude (Decision Height);

FINAL REPORT

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Committee for Investigation of National Aviation Accidents

Tu-154M (tail number 101), April 10 th , 2010, area of the SMOLENSK NORTH airbase

DBL

commanding officer of the 21350 military unit in Tver (callsign

ZELEZNIAK);

DELIVERY

controller issuing clearance for transit;

DIFR

flight regulations: day, IFR;

DIMC

flight conditions: day IMC;

taxiway, TWY;

DML

meteorologist on duty;

DMW

Naval Command;

DO SZ

Operations Command of the Armed Forces;

DRL

outer non-directional beacon, outer NDB;

DRŁ

omnidirectional radar;

runway, RWY;

DSP

Air Force Command;

DSZ

Foreing Affairs Department;

DTWA

flight conditions: day, difficult weather conditions;

DVMC

flight conditions: day, ground visibility;

East Department;

DWL

Air Command;

DWLiOP

Air Force and Air Defense Command;

DZWA

flight conditions: day, ordinary weather conditions, DVMC;

EASA

European Aviation Safety Agency;

EU-OPS 1

technical specifications and administrative procedurs for

conducting commercial transport issued by the European

Council;

EGPWS

Enhanced Ground Proximity Warning System;

ELT

Emergency Locator Transmiter (automatic rescue radio)

EPSC

ICAO code of the Szczecin-Goleniów airport;

EPWA

ICAO code of the Warszawa-Okecie airport;

FAP NGEA GosA

commissioning standards for state aerodromes of the Russian

Federation;

FAP PP GosA

federal regulations for conduction flights by the Russian Federal

Aviation;

FAP REA

aerodrome operating manual of the Russian Federal Aviation;

FIS

Flight Information Services;

FINAL REPORT

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Committee for Investigation of National Aviation Accidents

Tu-154M (tail number 101), April 10 th , 2010, area of the SMOLENSK NORTH airbase

Flight Level;

FMS

Flight Management System;

FSO

Federal Protection Service of the FR;

GCKRL

Main Air Traffic Control in Moscow;

GDK

main taxiway;

GKL

traffic control group;

GROUND

ground traffic controller;

HEAD

designation of VIP flights carrying one of the following:

President of the RP, Prime Minister, Speaker of the Sejm of the

RP, Speaker of the Senat of the RP;

ICAO

International Civilian Aviation Organization;

IFR IR(A)

certification for IFR flights on airplanes;

IFR IR(H)

certification for IFR flights on helicopters;

IFR

Instrument Flight Rules;

ILS

Instrument Landing System ;

IMC

Instrument Meteorological Conditions;

INOP

Military Airport Operating Manual;

Instrukcja NAMS

meteorological services manual of the RF Armed Forces;

IOL-2008

Polish Air Force flight organization manual;

IOLP-2005

Polish Air Force test flight organization manual;

ITWL

Air Force Institute of Technology;

IUL

aircraft flight manual;

IW SZ

Armed Forces Support Inspectorate;

IWsp. SZ

Armed Forces Support Inspectorate;

JAA

Joint Aviation Authorities ;

JAR FCL 1

Joint Aviation Requirements Flight Crew Licence;

Jeppesen

a company that publishes aviation maps, approach charts, and

other aviation-related information, which are used by flight

crews in a controlled airspace;

JW 2139

military unit no. 2139 – 36 Regiment;

KBI

Incident Investigation Committee;

KBN-1-1

maintenance flight recorder;

KG ŻW

Military Police Headquarters;

SMOLENSK NORTH air operations controller;

FINAL REPORT

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