22.02.2012 | AG-2CL | ATR42-300 EI-FXA | Glasgow | unstabilisierter Anflug

[ILS28]

Bin heute per Zufall auf diesen doch sehr bedenklichen Untersuchungsbericht gestossen:

http://www.aaib.gov.uk/cms_resources.cfm?file=/ATR42-300%20EI-FXA%2008-13%20v2.pdf

 

Zitat:

Synopsis

During a radar-vectored ILS approach, the aircraft’s speed reduced and the stall alert activated. Corrective action led to an overspeed. Following further corrective action the speed reduced close to a second stall alert. Tiredness or fatigue may have been a factor.

 

Conclusion

The appropriate airspeed was not maintained during the approach because standard operating procedures were not observed, monitoring was not effective and there was diminished crew cooperation during recovery actions. The performance of the crew may have been affected by tiredness or fatigue, caused by diminished quality of rest in the period prior to flight duty.

 

Der Bericht erwähnt unter anderem Nichteinhalten von Standard Calls, sowie Nichteinhalten der Sterile Cockpit Phase unter FL100. Zudem wurde der Vorfall trotz einer Stall-, Overspeed-, und Nacelle Overheat Warnung nicht offiziell gemeldet oder in den Log eingetragen, sondern nur nach dem Flug vom F/O über die Safety-Abteilung gemeldet:

 

The stall alert should have been reported promptly to the company’s operations department; the overspeed and nacelle overheat should have been reported and entries made in the technical log to enable engineers to carry out appropriate checks. It was fortunate that the co-pilot reported this serious incident in a sufficiently timely manner to enable preservation of the CVR recording.

 

Gruss,

Dominik

[Volume]

The appropriate airspeed was not maintained during the approach because standard operating procedures were not observed, monitoring was not effective and there was diminished crew cooperation during recovery actions.

Interessante conclusion... Lack of flying skills scheint kein Grund zu sein !?!?

 

Gruß

Ralf