Serious incident Airbus A340-313 F-GLZU, Friday 22 July 2011
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Date:Friday 22 July 2011
Time:01:11 UTC
Type:Silhouette image of generic A343 model; specific model in this crash may look slightly different    
Airbus A340-313
Owner/operator:Air France
Registration: F-GLZU
MSN: 377
Year of manufacture:2000
Engine model:CFMI CFM56-5C4
Fatalities:Fatalities: 0 / Occupants: 284
Other fatalities:0
Aircraft damage: None
Category:Serious incident
Location:235 km NE of Guadeloupe -   Atlantic Ocean
Phase: En route
Nature:Passenger - Scheduled
Departure airport:Caracas-Simón Bolívar International Airport (CCS/SVMI)
Destination airport:Paris-Charles de Gaulle Airport (CDG/LFPG)
Investigating agency: BEA
Confidence Rating: Accident investigation report completed and information captured
Narrative:
Air France flight AF471, an Airbus A340-300, was enroute at FL350 over the Atlantic Ocean northeast of Guadeloupe when it entered a zone of moderate turbulence. The overspeed warning was triggered and the “Master Warning” warning light came on. The crew stated that they were very surprised by this warning. Mach reached 0.87 from the initial Mach 0.83.

The PNF manually disengaged the autopilot (AP) by pressing the takeover pushbutton on the side-stick. A pitch-up input on the PNF’s side-stick going as far as ¾ to stop was recorded for 6 seconds.
The pitch attitude increased and the aircraft began to climb, reaching a maximum of 38150 feet. As the aircraft descended past 36,520 ft. The PF then became aware of the disengagement of the AP and made a pitch-down input on his sidestick. Pitch attitude began to decrease 2 seconds later.
From 35400 ft , the PF re-engaged AP1, altitude stabilised at FL350, and A/THR was re-engaged.

The flight was continued to Paris.



Conclusion
This serious incident was due to inadequate monitoring of the flight parameters, which led to the failure to notice AP disengagement and the level bust, following a reflex action on the controls.
The following factors contributed to the serious incident:
- The AP disengagement aural warning was not broadcast, because of simultaneity with the “OVERSPEED” warning with higher priority.
- The turbulence encountered at the start of climb made parameter reading difficult.
- Checking AP engagement, as required in the operator’s “Severe Turbulence” procedure, was not carried out.
- Inappropriate use of the weather radar meant it was not possible to avoid entering a zone of turbulence.

Accident investigation:
cover
  
Investigating agency: BEA
Report number: f-zu110722
Status: Investigation completed
Duration: 9 months
Download report: Final report

Sources:

BEA

History of this aircraft

Other occurrences involving this aircraft

13 March 2012 F-GLZU Air France 0 near Paris-Charles de Gaulle Airport (CDG/LFPG) non
23 December 2014 F-GLZU Air France 0 Antananarivo-Ivato Airport (TNR/FMMI) min
Collision with Ground support equipment
11 March 2017 F-GLZU Air France 0 Bogotá-Eldorado Airport (BOG/SKBO) non
Runway excursion
28 November 2017 F-GLZU Air France 0 near Douala unk

Location

Revision history:

Date/timeContributorUpdates
19-Sep-2011 03:44 whiteshark Added
08-Jul-2023 04:00 Ron Averes Updated
03-Sep-2024 06:23 Anon. Updated [Narrative, ]
03-Sep-2024 06:53 ASN Updated [Total occupants, Location, Country, Departure airport, Destination airport, Narrative, Category, Accident report, ]
03-Sep-2024 06:57 ASN Updated [Source, ]

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