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ASN Wikibase Occurrence # 267819
Last updated: 19 October 2021
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Date:16-AUG-2018
Time:10:07 LT
Type:Silhouette image of generic A320 model; specific model in this crash may look slightly different
Airbus A320-212
Owner/operator:Condor Flugdienst
Registration: D-AICD
MSN: 884
Fatalities:Fatalities: 0 / Occupants:
Other fatalities:0
Aircraft damage: None
Category:Serious incident
Location:near Kavala Airport -   Greece
Phase: En route
Nature:Passenger - Scheduled
Departure airport:Kavala-Megas Alexandros Airport (KVA/LGKV)
Destination airport:München-Franz Josef Strauss Airport (MUC/EDDM)
Investigating agency: AAIASB
Narrative:
Condor Flugdienst flight DE1744, an Airbus A320-212, was performing a visual departure from runway 23L at Kavala Airport, Greece, in the direction of XERIS. The crew received a TCAS (TA, RA) during initial climb and had to manoeuvre to avoid a possible collision with a helicopter (Hughes 369HS, SX-HDW) passing through the CTR of Kavala Airport and then performed a manoeuvre to avoid mountains. The aircraft then resumed its flight and landed at its final destination.
The closest distance between both aircraft was 208 ft (63 m) vertically and 0.09 NM (167 m) horizontally.




Root Cause
First Root Cause; Before Departure of D-AICD:
ATC Failure, when allowing VFR departure, to inform the D-AICD Flight Crew of the Helicopter flying West and close of Kavala Airport at 2,500ft.
Second Root Cause; At TCAS ΤΑ/RA:
Failure, of D-AICD PF, to apply SOP’s for TCAS TA warning ‘’TRAFFIC-TRAFFIC’’, to maintaining V/S and subsequently at the first TCAS RA command of “MAINTAIN V/S”.
Third Roοt Cause; During TCAS escalation:
The PM's intervention on the Side Stick, without following the SOP process of gaining control of the aircraft and such, the escalation of that serious incident.

Contributing Factors:
- Non-use of standard English language between Kavala ATC and the Helicopter.
- ATC of Kavala not informing D-AICD Flight Crew of the current position, altitude and course of traffic inside Kavala CTR.
- The Helicopter, most probably, flying at a wrong QNH as not being informed of the actual QNH by Kavala ATC.
- The use of ARC instead of ROSE mode on ND by PF & PM, disabled the early detection of the intruder.

Sources:

AAIASB

Accident investigation:
cover
  
Investigating agency: AAIASB
Status: Investigation completed
Duration: 3 years 1 month
Download report: Final report


Images:

Photo of D-AICD courtesy AirHistory.net


Zürich (LSZH / ZRH)
14 August 2021; (c) Pat


The A320 (red track) and Hughes 369 (blue track) within the Kavala CTR

Revision history:

Date/timeContributorUpdates
17-Sep-2021 18:12 harro Added
17-Sep-2021 19:41 harro Updated [Narrative, Photo]

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