Serious incident Boeing 737-85P (WL) EC-LXV,
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ASN Wikibase Occurrence # 234739
 
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Date:Sunday 27 May 2018
Time:
Type:Silhouette image of generic B738 model; specific model in this crash may look slightly different    
Boeing 737-85P (WL)
Owner/operator:Air Europa
Registration: EC-LXV
MSN: 36594/4666
Year of manufacture:2013
Fatalities:Fatalities: 0 / Occupants: 142
Aircraft damage: None
Category:Serious incident
Location:Madrid-Barajas Adolfo Suárez Airport (MAD/LEMD) -   Spain
Phase: Approach
Nature:Passenger - Scheduled
Departure airport:Lanzarote Airport (ACE/GCRR)
Destination airport:Madrid-Barajas Adolfo Suárez Airport (MAD/LEMD)
Investigating agency: CIAIAC
Confidence Rating: Accident investigation report completed and information captured
Narrative:
On Sunday, 27 May 2018, from 21:30 to 22:00, there were several losses of separation between aircraft in the Madrid CTR (control zone) as they were approaching the airport.
Before that, between 20:47 and 20:57, seven consecutive go-arounds occurred due to weather conditions; specifically, a sudden convective current that caused tailwind and wind shear. Due to the sudden change in wind speed and direction, the airport’s configuration was changed. The airport, which had been in a North Configuration before the event, changed to a South Configuration at 20:54.
The seven go-arounds, the adverse weather conditions and the change in the airport’s configuration complicated the air traffic management and gave rise to these losses of separation.

The fourth loss of separation involved Air Europa flight AEA5BN, a Boeing 737-800 (EC-LXV) and Air Europa flight AEA7EY, an Airbus A330-200 (EC-LVL).
As the two aircraft intercepted the runway localizers, they were separated by less than 2 NM.
The controller informed the crew of the aircraft with callsign AEA5BN of the traffic ahead of it; however, at no time did the controller inform the aircraft involved in the incident that they were each intercepting the localizer for their respective parallel runway.
During this loss of separation, the controller did not provide any type of instruction to the aircraft involved on what speed to maintain. Since one aircraft was approaching at a higher speed than the other one, the distance between them gradually grew closer.

The investigation has determined that these losses of separation were caused by the complex operational situation in the airspace of the Madrid TMA.
The following contributed to the incident:
- The unavailability of weather information tools that cover the entire airspace of the Madrid TMA.
- The sudden change in weather conditions, and specifically, in the wind speed and direction.
- The time needed to make the decision to change the runway configuration.

Accident investigation:
cover
  
Investigating agency: CIAIAC
Report number: IN-031/2018
Status: Investigation completed
Duration: 1 year and 10 months
Download report: Final report

Sources:

CIAIAC

Revision history:

Date/timeContributorUpdates
04-Apr-2020 11:55 harro Updated [Aircraft type, Registration, Cn, Operator, Total occupants, Nature, Departure airport, Source, Narrative, Accident report, ]

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