ASN logo
ASN Wikibase Occurrence # 236339
Last updated: 23 May 2020
This information is added by users of ASN. Neither ASN nor the Flight Safety Foundation are responsible for the completeness or correctness of this information. If you feel this information is incomplete or incorrect, you can submit corrected information.

Date:23-SEP-2009
Time:
Type:Silhouette image of generic A319 model; specific model in this crash may look slightly different
Airbus A319-111
Owner/operator:Air France
Registration: F-GRHU
C/n / msn: 1471
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:International Scheduled Passenger
Departure airport:Moskva-Sheremetyevo Airport (SVO/UUEE)
Destination airport:Paris-Charles de Gaulle Airport (CDG/LFPG)
Investigating agency: BEA
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. 

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/

Accident investigation:
cover
  
Investigating agency: BEA
Status: Investigation completed
Duration: 11 months
Download report: Final report


Images:

Photo of F-GRHU courtesy AirHistory.net


Berlin - Tegel (EDDT / TXL)
21 August 2011; (c) Georg Noack

Revision history:

Date/timeContributorUpdates
23-May-2020 16:23 harro Added

Corrections or additions? ... Edit this accident description