Polish AF Casa 295 crashes

[oleczek]

Partial translation of the document posted on the Polish Ministry of Defense website.

http://www.wp.mil.pl/pl/artykul/4582

I have translated part that starts with the bolded text about halfway down the page. I used the following conventions:

[v] ... [v] - translated verbatim as I do not know appropriate english words/terms
[*] ... [*] - almost certain of the translation

[?] ... [?] - not translated, not familiar with the term/word neither in polish nor english

All errors are mine .

Olek


CAUSE

Direct cause of the accident was unintended excessive banking of the airplane,
causing in the final stage of the flight, rapid descent with loss of
direction and impact with the ground.

FACTORS HAVING DIRECT EFFECT ON THE CAUSE OF THE ACCIDENT

• incorrect selection of the crew for the mission; inadequate crew teamwork in the cockpit

• existence in the area of the airfield MIROSLAWIEC of unfavorable weather conditions

• spatial disorientation of the crew caused by inappropriate [v] attention division [v] during the flight without ground visibility

• switching off EGPWS audible warning, denying the crew information about dangerous approach to the ground, excessive banking, and passing through [v]successive altitude thresholds [v] during descent (during both landing attempts)

• failure to observe radio altimeter readings, during first as well as second landing approach

• failure to observe instruments during the final phase of the second landing approach

• inept guidance of the aircraft for the landing by [?] krl [?] PAR

• inappropriate radio commands by [?] krl [?] PAR, suggesting to the crew, in the last phase of the flight, diverting their attention to the outside of the aircraft.

• incorrect interpretation of the radio altimeter reading by the crew

• attempt to establish visual contact with ground objects during the flight without ground visibility which is against established procedures

• incorrect analysis of meteorological conditions before the flight; failure to set decision height (minimum descent altitude)

CONTRIBUTING FACTORS

• lack of training of the second pilot on CASA C-295M aircraft during night IMC

• lack of experience of the crew commander on this type of an aircraft

• use of additional,ad hoc navigational tools by the crew because of incomplete equipment of the aircraft

• lack of experience of the crew commander in utilizing [?] RSL [?] during minimal weather conditions
  

• lack of experience of [?] krl [?] PAR at MIROSLAWIEC in guiding aircrafts other than Su-22

• inept guidance of the aircraft to [?] MATZ [?] zone by [?] krl [?] APP

• lack of appropriate landing procedures in [v] obligatory normative documents [v]

• use of different units of measures by the crew and controllers

• navigational landing system ILS, installed on the aircraft, could not be utilized because system was not functioning at the MIROSLAWIEC airfield

• erroneous determination and dissemination of information about minimum landing conditions of CASA C-295M aircraft to the concerned parties