ASN Wikibase Occurrence # 363759
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Date: | Tuesday 3 April 2012 |
Time: | 12:56 UTC |
Type: | Airbus A320-214 |
Owner/operator: | Air France |
Registration: | F-HEPE |
MSN: | 4298 |
Year of manufacture: | 2010 |
Engine model: | CFMI CFM56-5B4/P |
Fatalities: | Fatalities: 0 / Occupants: 155 |
Aircraft damage: | None |
Category: | Serious incident |
Location: | Tel Aviv Airport -
Israel
|
Phase: | Approach |
Nature: | Passenger - Scheduled |
Departure airport: | Paris-Charles de Gaulle Airport (CDG/LFPG) |
Destination airport: | Tel Aviv-Ben Gurion International Airport (TLV/LLBG) |
Investigating agency: | BEA |
Confidence Rating: | Accident investigation report completed and information captured |
Narrative:On approach to TLV de airspeed dropped below minima. A go-around was executed with a high angle of attack, causing the flight envelope protection to activate.
Causes
The proposal of an RNAV VISUAL approach by Tel Aviv ATC to all airlines indiscriminately, departing from the initial concept, the absence of training in RNAV VISUAL approaches at Air France at the time of the event and the short preparation for the approach made by the crew did not allow the Captain to anticipate the PF’s difficulties in performing this unusual approach.
In addition poor understanding of A/THR operation and of the importance of following the FD in OPEN DESCENT mode, which led the crew to believe that A/THR would ensure that speed was maintained. Failure to identify the risks associated with the selection of FULL configuration at the end of the downwind leg in OPEN DESCENT mode and inadequate monitoring of the flight parameters led to deviating
below the manoeuvring airspeed before the last turn.
During the last turn, while the aeroplane had an insufficient energy level, given its configuration, a prolonged pitch up order led to the triggering of the low energy SPEED, SPEED, SPEED warning and then of the ALPHA FLOOR protection
Accident investigation:
|
| |
Investigating agency: | BEA |
Report number: | BEA f-pe120403 |
Status: | Investigation completed |
Duration: | 1 year and 8 months |
Download report: | Final report |
|
Sources:
https://bea.aero/en/investigation-reports/notified-events/detail/passage-sous-la-vitesse-devolution-en-finale-remise-de-gaz-declenchement-de-la-protection-grande-incidence/ Location
Revision history:
Date/time | Contributor | Updates |
18-Mar-2024 20:47 |
ASN |
Added |
18-Mar-2024 20:49 |
ASN |
Updated [Narrative] |
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