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Cenipa Says Wing Icing and Systemic Failures Caused 2024 Voepass Crash

The final report, published July 23 and reviewed by French and Canadian authorities, assigns the accident to ice accumulation from de‑icing system failures and layered operational and regulatory breakdowns and sets safety recommendations for regulators and manufacturers.

Overview

  • Cenipa publicly released its final report on July 23 after international review and concluded that severe ice built up on the ATR‑72's wings because the aircraft's de‑icing/anti‑ice systems did not work as required.
  • Investigators found the plane should not have been dispatched because a windshield‑wiper fault violated Minimum Equipment List restrictions given the rain forecast and other dispatch limits.
  • Flight data and the cockpit voice recorder show repeated ice and low‑speed alerts that were not followed by required procedures, and the crew failed to keep focus on flight warnings during the emergency.
  • The report identifies a company culture of unreported faults and deficient maintenance at Voepass, including swapping known‑defective components, and lists ANAC's risk management gaps as one of 19 contributing factors.
  • ANAC said it will study Cenipa's recommendations within up to 120 days and the Federal Police criminal inquiry is in its final stages with officials expecting to conclude it in August, which could lead to prosecutorial decisions.