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ASN Wikibase Occurrence # 237168
Last updated: 18 April 2021
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Date:22-MAY-2020
Time:12:57 UTC
Type:Silhouette image of generic ATP model; specific model in this crash may look slightly different
British Aerospace ATP-F (LFD)
Owner/operator:West Air Europe
Registration: SE-MAO
C/n / msn: 2011
Fatalities:Fatalities: 0 / Occupants: 4
Other fatalities:0
Aircraft damage: None
Category:Serious incident
Location:Birmingham International Airport (EGBB) -   United Kingdom
Phase: Landing
Nature:Cargo
Departure airport:Guernsey Airport, Channel Islands (GCI/EGJB)
Destination airport:Birmingham International Airport (BHX/EGBB)
Investigating agency: AAIB
Narrative:
The crew of SE-MAO departed Guernsey Airport to fly to Birmingham International Airport at 11:42 hrs. The weather in Birmingham for their arrival was forecast to be a strong wind from the southwest with good visibility and a high cloud base. The co-pilot was Pilot Flying (PF) for the sector. After being radar vectored for a Localiser (LLZ) DME approach to Runway 33 at Birmingham, the crew conducted a stable approach.
At 12:45 hrs during the flare to land the aircraft drifted to the right of the centreline with the nose about 20° left of the runway direction. A go-around was commenced, and the aircraft climbed away before being radar vectored for a further approach. At the request of the co-pilot, the commander became PF for the second approach which was again a stable LLZ DME for Runway 33. With 2 nm to go before touchdown, ATC announced the wind as from 230° at 14 kt gusting 27 kt.
The aircraft touched down at 12:58 hrs and, shortly afterwards, departed off the paved runway to the left. The distance from the aircraft first leaving the paved surface to when the last wheel returned to the paved surface was 450 m.
After stopping for an inspection by ground operations personnel, the crew taxied the aircraft to a stand. Subsequent engineering inspections revealed no damage to the aircraft although one main wheel tyre was replaced. There were no injuries to the crew who were the only occupants.

AAIB Conclusion:
Despite the challenging conditions, the crew did not discuss the conditions in any detail.
They did not brief who would be holding the control column during either landing roll, or what actions they would take if they were required to abandon the approach or landing.
The first approach resulted in confusion between the crew over going around which could have itself resulted in an incident or accident. The confusion was eventually overcome by the commander calling for a go-around.
The second approach resulted in a significant runway excursion due to the use of incorrect crosswind technique and the application of full right aileron. It is likely that the crew’s inexperience of landing in strong crosswinds contributed to the misalignment at touchdown. It is likely this application of right aileron was as a result of an inappropriate motor programme to steer the aircraft right.
Neither attempt at landing used the crosswind technique as laid down in the manufacturer’s and operator’s manuals.
It was fortunate that the ground was hard due to a lack of recent rain. Except for the taxiway sign there were no other obstacles in the way of SE-MAO such as other aircraft or vehicles.
As a result, despite a 450 m excursion off the runway, there was no damage to the aircraft or the airport facilities, and no injuries to the crew who were the only people on board.

Wind conditions reported around the incident time (1245Z and 1257Z)
EGBB 221150Z 23015G25KT 190V270 9999 SCT047 17/05 Q1013
EGBB 221320Z 23018G31KT 190V280 CAVOK 18/04 Q1013

Sources:

1. AAIB Final Report: https://assets.publishing.service.gov.uk/media/6037ba98d3bf7f039403e904/BAe_ATP_SE-MAO_04-21.pdf
2. https://youtu.be/H5mnCEMzV-0
3. http://avherald.com/h?article=4d8d2671&opt=0
4. AAIB Field Investigation: https://www.gov.uk/government/publications/aaib-current-field-investigations/air-accidents-investigation-branch-current-field-investigations
5. https://www.aeroinside.com/item/14694/west-atlantic-atp-at-birmingham-on-may-22nd-2020-temporary-runway-excursion-on-second-approach
6. https://www.pprune.org/rumours-news/633350-west-atlantic-atp-runway-excursion-birmingham.html

Accident investigation:
cover
  
Investigating agency: AAIB
Status: Investigation completed
Duration: 9 months
Download report: Final report

Media:

Second approach and landing:

First approach and landing attempt:

Images:


Photo: AAIB

Revision history:

Date/timeContributorUpdates
20-Jun-2020 19:26 harro Added
20-Jun-2020 19:28 harro Updated [Aircraft type, Narrative]
21-Oct-2020 22:43 Dr. John Smith Updated [Total occupants, Location, Source, Narrative]
04-Mar-2021 13:56 Dr. John Smith Updated [Source, Embed code, Narrative]
04-Mar-2021 19:01 harro Updated [Embed code, Narrative, Accident report]
04-Mar-2021 19:28 harro Updated [Location, Narrative]
04-Mar-2021 19:30 harro Updated [Photo]

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