Pilot Error and Mechanical Flaw: a Dangerous Combination! - LG9642
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- Опубликовано: 12 ноя 2024
- Luxair Flight 9642 was a scheduled international passenger flight from Berlin, Germany, to Luxembourg City, Luxembourg, operated by Luxembourg national airline Luxair. On 6 November 2002, the aircraft operating the flight, a Fokker 50 registered as LX-LGB, lost control and crashed onto a field during an attempted landing at the airport. Out of 22 passengers and crew members on board, only two people survived. The crash is the deadliest aviation disaster to occur in Luxembourg.
Luxembourg's Administration for Technical Investigations (AET) concluded that the crash was caused by pilot error. The crew decided to accept the approach clearance that had been given by the ATC even though they had not conducted enough preparation for the landing, leading the crew to conduct a series of improvised actions. Their actions led to the override of a certain safety features that would have prevented the propellers from entering the reverse angle, enabling the propellers to enter the reverse angle in flight and led to the lost control situation.
The result of the investigation highlighted the possible safety risk regarding the protection system against an accidental deployment of reverse angle in turboprops during mid-flight, prompting Fokker to issue a mandatory modification on the safety feature.
Source: Ministère des Transports final report
Simulator: X-Plane 11
Aircraft: Carenado Fokker F50
Scenery: ELLX from JustSim
Plugin: Fire Trucks Rolling from X-Plane.org
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Every approach is a go around, with an option to land.
AMEN
When they heard the props go into beta, how come no one thought "Hmmm Id like to go faster" and push forward on the throttles? If I had been in there I would have bent the danged things around the stops. Reminds me of Air Florida flight 90. The engine performance sensors had been affected by freezing weather (crew did not switch on anti-ice) and were erroneously indicating full power despite only being at 70% or something and so they had a marginal takeoff and could not climb out of ground effect, plowed into a bridge and became a prime time feature on the news with helicopters dragging people thru the river ice to shore. They were discussing why they werent climbing and how stuff sounded funny, but at no time when the airplane was underperforming did either pilot just shove forward on the throttles which would have immediately boosted power. If the instruments had been correct this would have oversped the engines, but thats a maintenance write-up, not a high velocity concrete facial.
Never heard of this accident. I appreciate you covering these that we haven’t seen a dozen times. Great job.
A perfect example of what human factors training describes as the ‘Swiss cheese model’. A really unfortunate scenario where all the events aligned, resulting in disaster 😞
Technically complex but well explained . The Captain was very young to be in the left seat ; perhaps not enough experience acquired as a capt.
I cannot believe they stopped both engines. What goes through a mind of a pilot to make him do that?
Especially flying blind!
Propably due to a last desperate attempt to stop the drag caused by the reverse. They actually attempted to relight them but this is not mentionned here in the Video.
@@aviationinvestigationchannel On page 59:
"Some elements noticed during the wreckage examination allow to assume that the crew might have attempted to restart the engines, but as the FDR and CVR readings stopped at this moment, was is not possible to further analyse the subsequent flight phase."
@@aviationinvestigationchannel Ok, that was the revised report from 2009 of which I can't remember why it was actually revised. In that one, this sentence was in fact not mentionned anymore. I was refering to the english translation of the final report from 2003.
Seriously, how much do you need to brief for a stock standard ILS approach at your home airport, an approach that has been probably flown a hundreds of times by the captain.
Murphy’s Law. I don’t understand why the Captain was criminally prosecuted when there should have been better safety checks to prevent this from happening. I don’t know about these pilots but in America pilots are notoriously underpaid and work hours that leave them with insufficient sleep. Why did it take seven years to publish a final report. This whole thing doesn’t pass the smell test it’s looks to me like the Captain who survived the crash was scapegoated to preserve the aircraft manufacturer’s reputation. He should have been retrained and allowed to continue his career if able. Too often someone has to fall on their sword to protect others complicit in the accident and as a pilot my personal opinion is that this Captain was sacrificed to save face so others could escape the blame… opinions are like assholes everybody’s got one!!!
But the pilot made a decision that was unfamiliar and not trained for. That by itself is careless and reckless behavior from a professional standpoint and from a safety standpoint.
Though you are right, the manufacture was mediocre in not resolving a known discrepancy well before hand.
Please tell me how the captain could have done this landing any worse. CAT II 300 meter minimums. Expected a go around, then got cleared to land with no preparation. Should have gone around. Then tries some unorthodox procedures to land. He should be in jail. He blew through the first line of defense, then the second should have been better. He never should have tried to get past the first.
I can understand your thought process had this been a different story cause lord knows I’ve read and watched many where the pilot was 100% scape goated but not in this case my man. This captain didn’t do much of anything right at all. Also from my understanding when they do these investigations they are UNBELIEVABLY thorough and honestly if someone has done something wrong you’re further head to just admit it and say what you know or have done cause they’re most definitely going to figure it out or already know anyway and still just as we learn as little children a little bit of truth goes a very long way. Screwing up as a cashier and giving wrong change is ok. Slap on the wrist. Screwing up as the captain of an airplane and killing almost everyone on board UNLESS it was 100% mechanical and you weren’t trained on what to do for that malfunction it’s your fault. If you don’t like the odds don’t take the job.
Robot needs to know it’s a focker not a folker….
This is what happens when your not ready and you let ATC make your decisions for you, Wouldn’t have started the approach with RVR below the required.
Well this was actually one of the problems: You are allowed to start an approach below your minima but you need to have your minima at the outer beacon, in this case ELU. Just a few seconds after passing ELU ATC provided them with the required 300m so the Captain decided to attempt a landing.
To cover aircraft accidents in a 14min Video is basically impossible. Many other facts of this flight are missing, like in other RUclips channels about aircraft accidents as well. One needs to read the full report.
At that time the German secretary in charge stated that most probably ice was the reason for the crash.
The approach was not stabilized. My students with 20 hours in a 172 know that this means go around!
Exactly! When in doubt go around. Or drop the gear and put your engines at idle?
New to this accident. CRM obviously not utilized. So many mistakes. 4k fine and probation?
GO AROUND! GO MISSED! What the heck?
This accident recount is mostly wrong. Read the official accident report instead.
@@aviationinvestigationchannel Well, the captain selected beta range to intercept the ILS from above. Only, one of the props went in reverse, creating of course a huge imbalance. Thus they lost control. Should not have tried to select beta in the air in the first place, but one prop going even further was fatal.
@@aviationinvestigationchannel I was citing from memory, and I was quite a bit involved, but I’ll check that again. Thanks for reaching out. I’ll come back to you. Meanwhile, happy Holidays!
Anyway, not committing to a go-around despite being already late to the correct sequence pf things was a bad decision, combined with the systems failure. It is pushing your luck.
SHALOM BROTHER. THIS IS A GOOD WORK.
It si not "f-OH-kker", it is "f-AH-kker".
Miscommunication.
If the co-pilot confirmed (replied to the captain) to go around because they were not prepared (ready).
To be fair though, sounded like ATC was a bit rushed, but probably because they knew it was the only window for landing. Best to always hold safety as primary and divert which is common, expected, and happens often (usually to saarbrücken or liege). If they were diverted within time this would have been avoided.
I'm sure there was a bit of closed-door politics behind the investigation; hot-potatoing and finger-pointing.
No CRM discussion?
What’s a CRM discussion?
@@kickedinthecalfbyacow7549 Cockpit Resource Management.
The Blancolirio channel does a great job of breaking this down, as Juan Browne is an AAL 777 FO.
CRM could have made the difference.
@@RedArrow73 what’s a CRM “discussion”?
@@kickedinthecalfbyacow7549 Refer to my previous, and stop being obtuse.
@@RedArrow73 I’m not being obtuse, I genuinely have no idea what a “CRM discussion” is.
I don't know if you changed voices for your videos but the this voice is not as enjoyable as the other one...otherwise I love the effort put into this !
these pilots sounds like they are amateurs how can they switch the engines off while in flight??? i mean i am not a pilot but i wouldnt switch the engines off until im on the ground and in the terminal??? i mean really???
I'm offended that Robo Voice cannot pronounce "Luxembourg". Please get rid of that voice. I'd rather listen to a human with an accent.
Just more ammo to remove humans from the cockpit and use full computer control! I cant believe these guys shut down the engines! They had the experience with the aircraft! Truly mind boggling
If they would have performed a go around they all may still be alive!
Hard to understand why they didn't power up the throttles. Should have been obvious when the aircraft began to react the way it did.
Ok video but the AI narration sucks.
Phoca? It's a Fokker.
It's like calling a Douglas a doo glas.
You know anything about aircraft but don't know something basic like what it's called?
The Captain still has to answer to EL the Almighty God for this accident as well as the First Officer what did they do???
Silly Fokkers should have known better!!
Robot fkn narrator
Pilots flying that do not know how to pilot or fly . . .
The narrator sounds Lyké Boomer
I guess Wojac was thé Piloté
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Fah ker
First?