2008-08-20

Spanair

Flight JK5022

McDonnell Douglas MD-82154 fatalities18 survivors

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

  1. Flight JK5022 disaster

    McDonnell Douglas MD-82 operating for Spanair. 154 fatalities, 18 survivors.

  2. Formal investigation opened

    Conducted by: Comision de Investigacion de Accidentes e Incidentes de Aviacion Civil (CIAIAC), Spain.

  3. 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.

  4. Improvement implemented

    Mandatory independent checks of takeoff configuration warning systems before each flight were recommended.

  5. Improvement implemented

    Checklist interruption procedures were revised to require explicit restart from the beginning after any interruption.

  6. Improvement implemented

    Spain's aviation authority conducted an urgent audit of all Spanair MD-82 operations.

  7. Improvement implemented

    Spanair ultimately ceased operations in 2012 following financial difficulties compounded by the accident.