2008-08-20
Spanair
Flight JK5022
Departure
Madrid-Barajas Airport, Madrid, Spain
Destination
Gran Canaria Airport, Las Palmas, Spain
Causation Breakdown
Recurrence Likelihood Today
Low
Revised checklist procedures require explicit restart after any interruption. Takeoff configuration warning system testing is now required before departure. Similar accidents (Detroit 1987, Warsaw 1993) had already driven some improvements but this accident reinforced them.
Summary
Spanair 5022 stalled and crashed on takeoff from Madrid when the crew failed to set the flaps and slats, and the takeoff warning system that should have alerted them also malfunctioned. Of 172 aboard, 154 died, with only 18 surviving. It remains Spain's worst aviation disaster. The simultaneous failure of both the checklist process and the warning system left the crew with no indication of the misconfiguration.
Cause & Investigation
Determined cause
Takeoff without flaps — checklist failure
The crew failed to configure the flaps and slats for takeoff, having skipped critical checklist items after a preceding takeoff abort for a technical fault. The takeoff configuration warning system also failed to alert the crew due to a separate sensor malfunction. The aircraft became airborne in a dangerously clean configuration, immediately stalled, and crashed alongside runway 36L.
Investigation body
Comision de Investigacion de Accidentes e Incidentes de Aviacion Civil (CIAIAC), Spain.
Timeline & Safety Improvements
Flight JK5022 disaster
McDonnell Douglas MD-82 operating for Spanair. 154 fatalities, 18 survivors.
Formal investigation opened
Conducted by: Comision de Investigacion de Accidentes e Incidentes de Aviacion Civil (CIAIAC), Spain.
Cause determined: Takeoff without flaps — checklist failure
The crew failed to configure the flaps and slats for takeoff, having skipped critical checklist items after a preceding takeoff abort for a technical fault. The takeoff configuration warning system also failed to alert the crew due to a separate sensor malfunction. The aircraft became airborne in a dangerously clean configuration, immediately stalled, and crashed alongside runway 36L.
Improvement implemented
Mandatory independent checks of takeoff configuration warning systems before each flight were recommended.
Improvement implemented
Checklist interruption procedures were revised to require explicit restart from the beginning after any interruption.
Improvement implemented
Spain's aviation authority conducted an urgent audit of all Spanair MD-82 operations.
Improvement implemented
Spanair ultimately ceased operations in 2012 following financial difficulties compounded by the accident.