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Date: | Wednesday 23 September 2009 |
Time: | |
Type: | Airbus A319-111 |
Owner/operator: | Air France |
Registration: | F-GRHU |
MSN: | 1471 |
Year of manufacture: | 2001 |
Engine model: | CFMI CFM56-5B5/P |
Fatalities: | Fatalities: 0 / Occupants: |
Other fatalities: | 0 |
Aircraft damage: | None |
Category: | Serious incident |
Location: | Paris-Charles de Gaulle Airport (CDG/LFPG) -
France
|
Phase: | Approach |
Nature: | Passenger - Scheduled |
Departure airport: | Moskva-Sheremetyevo Airport (SVO/UUEE) |
Destination airport: | Paris-Charles de Gaulle Airport (CDG/LFPG) |
Investigating agency: | BEA |
Confidence Rating: | Accident investigation report completed and information captured |
Narrative:The crew of Air France flight AF 2545 performed an ILS CAT 1 approach to runway 27R at Paris-Charles de Gaulle Airport. The decision height was 200 feet. The captain, at the minima, performed a go-around due to the weather conditions that deteriorated during the approach.
During this manoeuvre, he engaged the autopilot. The descent continued and a GPWS alarm sounded. The lowest recorded height was 76 feet.
COnclusions:
This serious go-around altitude loss incident is due to:
- the engagement of the AP in an unsuitable mode;
- the failure to activate the go-around modes, as a result of the thrust levers being positioned in an unsuitable notch;
- a lack of attitude monitoring.
The following factors may have contributed to the incident:
- inaccuracies in the drafting of the procedure available to the crew;
- a deviation in the application of the procedure related to taking operational constraints into account.
Accident investigation:
|
| |
Investigating agency: | BEA |
Report number: | |
Status: | Investigation completed |
Duration: | 11 months |
Download report: | Final report |
|
Sources:
https://www.bea.aero/en/investigation-reports/notified-events/detail/event/perte-momentanee-du-controle-de-la-trajectoire-en-remise-de-gaz-alarme-gpws/ Revision history:
Date/time | Contributor | Updates |
23-May-2020 16:23 |
harro |
Added |
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