Serious incident Airbus A320-214 EI-EZW,
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ASN Wikibase Occurrence # 190653
 
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Date:Wednesday 5 October 2016
Time:20:40
Type:Silhouette image of generic A320 model; specific model in this crash may look slightly different    
Airbus A320-214
Owner/operator:Aer Lingus
Registration: EI-EZW
MSN: 1983
Year of manufacture:2003
Engine model:CFMI CFM56-5B4/P
Fatalities:Fatalities: 0 / Occupants: 162
Aircraft damage: None
Category:Serious incident
Location:Brussel-Zaventem Airport (BRU/EBBR) -   Belgium
Phase: Approach
Nature:Passenger - Scheduled
Departure airport:Dublin Airport (DUB/EIDW)
Destination airport:Brussel-Zaventem Airport (BRU/EBBR)
Investigating agency: AAIU Belgium
Confidence Rating: Accident investigation report completed and information captured
Narrative:
An Air Dolomiti Embraer ERJ-195LR, operating Lufthansa flight LH2293 was involved in a runway incursion incident during takeoff from Brussel-Zaventem Airport.
LH2293 was slightly late and the crew, during push-back, requested to depart from the C5 intersection of runway 07R. The Ground controller responded by giving a taxi route leading to the C6 intersection. The crew did not immediately understand the taxi route received due to the speech rate of the controler and requested clarification.
The captain was Pilot Flying for the flight, while the first officer was Pilot Monitoring.
The first officer reported high work load during taxi operations due to the "unfriendly airport lay-out" and taking into account that it was night. Both captain and first officer were listening out the same radio frequency.
Upon reaching the C6 intersection, the airplane stopped before the stop bar that was lit. After switching to the Tower frequency, the crew received the instruction "line up and wait" for runway 07R and the first officer read back the instruction correctly. The stop bar lights dimmed, allowing the airplane to proceed.
Another airplane, an Airbus A320 operated by Aer Lingus as flight EI638 from Dublin, Ireland, was in final approach for landing on runway 01. It was cleared to land by Brussels Tower after LH2293 received the instruction for lining up on the crossing runway (07R).
The captain of LH2293 reported the taxiway centreline lights were not easy to follow from the intersection during line-up. When entering runway 07R, the captain was uncertain of their position and asked the first officer if they were on the runway. The crew looked to the left and right and reported no traffic in sight. During the line-up, the crew stated they had an good overview of runway 01 and again did not notice any landing lights.
Further, when aligned on runway 07R, the captain asked the first officer whether they received the take-off clearance to which the first officer answered positively.
The crew of LH2293 stated that they initiated the take-off run as soon as they were lined-up. They did not see EI638 approaching, being concentrated on the take-off from runway 07R in front of them.
The crew of EI638 noticed LH2293 starting to roll and was about to call ATC when the Tower controller, who had visual contact with both aircraft, promptly instructed EI638 to go around. EI638 responded immediately and eventually made an uneventful landing.

Cause:
The incident was caused by the take-off without clearance of an aircraft instructed to "line up and wait" on Runway 07R while an aircraft was in final approach of Runway 01.
Contributing factors:
- Not using a mnemonic and/or cross-check for the take-off clearance by the DLH4TX crew.
- Limited traffic information/situational awareness given when delivering ATC clearances.
- Inadequate doubt-clearing management in the cockpit.
- The unfamiliarity of the crew with the airport.
- Authorizing aircraft to line up on RWY 07R at a short distance from the intersection with RWY 01 without correlation with landing traffic on this latter.
- Intersection and status of RWY 01 not indicated on RWY 07R.
- The complex taxiway layout (junction connecting 6 taxiways right before C6, the oblique angled entry taxiway including a part of the taxiway centerline lights).

Accident investigation:
cover
  
Investigating agency: AAIU Belgium
Report number: 
Status: Investigation completed
Duration:
Download report: Final report

Sources:

https://www.hln.be/nieuws/binnenland/botsing-tussen-twee-vliegtuigen-nipt-vermeden-op-brussels-airport~aa449358/
https://www.flightradar24.com/2016-10-05/18:40/12x/DLH4TX/b381246
LiveATC

History of this aircraft

Other occurrences involving this aircraft
21 June 2023 OO-SNI Brussels Airlines 0 Vilnius Airport (VNO/EYVI) sub
Tire failure

Images:



Revision history:

Date/timeContributorUpdates
14-Oct-2016 07:52 harro Added
05-Apr-2017 19:48 harro Updated [Time, Total occupants, Narrative]
05-Apr-2017 19:51 harro Updated [Photo, ]
07-Nov-2022 20:32 Ron Averes Updated [Location, Departure airport]

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