ASN Wikibase Occurrence # 189335
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Date: | Tuesday 16 February 2016 |
Time: | 15:50 |
Type: | Airbus A319-111 |
Owner/operator: | easyJet |
Registration: | G-EZFA |
MSN: | 3788 |
Year of manufacture: | 2009 |
Engine model: | CFM56-5B5/3 |
Fatalities: | Fatalities: 0 / Occupants: 121 |
Aircraft damage: | None |
Category: | Serious incident |
Location: | Bristol Airport (BRS/EGGD) -
United Kingdom
|
Phase: | Take off |
Nature: | Passenger - Scheduled |
Departure airport: | Bristol Airport (BRS/EGGD) |
Destination airport: | Gibraltar-North Front Airport (GIB/LXGB) |
Investigating agency: | AAIB |
Confidence Rating: | Accident investigation report completed and information captured |
Narrative:Airbus A319 G-EZFA was operating a scheduled flight U26299 with six crew and 125 passengers on board. The commander was the Pilot Flying (PF). During the takeoff roll on runway 27 there was a “rattle” from the centre console and the co-pilot placed his hand on it, aft of the thrust levers, to reduce the noise. After lift-off, the commander instructed the co-pilot to raise the landing gear but the co-pilot moved the flap lever from position 1 to 0 instead. The aircraft was 46 ft above the runway.
The commander noticed the VLS indication on the PFD increase rapidly but did not realise initially that the flaps were retracting. Seven seconds after the flap lever was moved, the commander lowered the nose attitude of the aircraft and, three seconds later, selected TOGA thrust. The GPWS aural alert “don’t sink, don’t sink” was triggered (by the loss of altitude after takeoff). The aircraft was flying at 194 kt and descending through 393 ft agl with a rate of descent of 1,300 fpm. Two seconds later the commander applied an aft control input with the airspeed at 205 kt and, two seconds after that, the aircraft began to climb. The flight continued to its destination without further incident.
Assessment of cause:
The operator assessed that the co-pilot had been distracted by the rattling noise during takeoff which caused him to make an ‘action error’ in mis-selecting the flap. The operator noted that, in a similar event , the pilots re-selected the flap lever to position 1 and the aircraft maintained a positive climb rate and a speed above VLS. In the case of G-EZFA,however, the crew did not fully appreciate what had happened until after TOGA had been selected and, by the time they considered re-selecting flap, the aircraft was recovering to climbing flight.
Accident investigation:
|
| |
Investigating agency: | AAIB |
Report number: | EW/G2016/02/10 |
Status: | Investigation completed |
Duration: | |
Download report: | Final report |
|
Sources:
AAIB
Revision history:
Date/time | Contributor | Updates |
17-Aug-2016 13:52 |
harro |
Added |
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