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ASN Wikibase Occurrence # 192082
Last updated: 18 May 2019
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Date:16-DEC-2016
Time:c. 01:25 LT
Type:Silhouette image of generic B77W model; specific model in this crash may look slightly different
Boeing 777-35EER
Owner/operator:EVA Airways
Registration: B-16726
C/n / msn: 44552/1366
Fatalities:Fatalities: 0 / Occupants: 353
Other fatalities:0
Aircraft damage: None
Location:Mount Wilson, CA -   United States of America
Phase: Initial climb
Nature:International Scheduled Passenger
Departure airport:Los Angeles International Airport, CA (LAX/KLAX)
Destination airport:Taipei-Taiwan Taoyuan International Airport (TPE/RCTP)
Investigating agency: NTSB
Narrative:
EVA Airways flight BR015 from Los Angeles, California, USA to Taipei, Taiwan, came close to mountainous terrain during departure climb after takeoff from Los Angeles Airport.
The aircraft, a Boeing 777-35EER, took off from runway 07R at 01:19 hours local time. The flight plan showed a Ventura 7 departure, which calls for a climb on heading 071 after which radar vectors would be given to the VTU VOR/DME. VTU is located near the coast, 60 km to the northwest of LAX. Given the circumstances, a right-hand turn was then to be flown by flight 15.
After switching to the SoCal Departure frequency the flight was instructed to climb to 7000 feet on a heading of 090 degrees. Subsequently, the SoCal Departure controller cleared the flight to turn left (instead of right) to 180 degrees and continue climb to 7000 feet. This was read back by EVA flight 15 as "Left heading 180".
Flight 15 also requested a "high speed climb," which was approved. Radar data indicated BR015 began to make a left turn. About 41 seconds later, the controller instructed the pilot of BR015 to "turn right, right turn heading one eight zero." The pilot of EVA015 acknowledged the instruction and read back the right turn to a heading of 180 degrees. Radar data indicated the aircraft stopped the left turn to 180 and slowly began to turn right.
At 01:22:10, the controller instructed the pilot of BR015 to "expedite your right turn." The pilot replied "roger [unintelligible] passing heading zero one zero, continue heading." At that time flight 15 was tracking northbound towards the San Gabriel Mountains.
Meanwhile, the current heading of flight 15 was causing a separation issue with another flight, Air Canada flight AC788. This Boeing 787 Dreamliner had departed runway 06R at LAX one minute after EVA flight 15.
The controller instructed AC788 to expedite the climb and BR015 to stop climbing. Having ensured a safe separation the controller continued instructing BR015 to turn right.
Flight 15 then began climbing in a right-hand turn, passing over Mount Wilson. The closest lateral and vertical proximity between the airplane and terrain/obstructions was about 0.3 miles (482 m) and 0 ft, respectively, which is less than the minimum separation requirements.

The National Transportation Safety Board determines the probable cause(s) of this incident to be: The incident was caused by the air traffic controller assigning the pilots a left turn instead of the required right turn after departure which placed the aircraft in an unsafe proximity with terrain and obstructions. Contributing to the incident was the air traffic controller's inadequate recovery technique during the development of the incident.

Weather about the time of the incident: (01:20 LT / 0920 Z)
KLAX 160853Z 10008KT 2SM -RA BR BKN004 OVC009 13/13 A2989 RMK AO2 SLP119 VIS N 1 1/2 P0005 60018 T01280128 58021 $
KLAX 160953Z 09003KT 1SM R25R/P6000FT -RA BR VV004 13/13 A2986 RMK AO2 SLP111 VIS N 3/4 P0009 T01330133 $

Sources:

https://app.ntsb.gov/pdfgenerator/ReportGeneratorFile.ashx?EventID=20170104X45517&AKey=1&RType=HTML&IType=IA
http://abc7.com/news/abc7-exclusive-error-sends-jet-from-lax-into-flight-path-of-other-plane/1664275/#anchor
https://www.flightradar24.com/data/flights/br15#be7fcf0
http://aerossurance.com/safety-management/near-b777-cfit-lax/

Accident investigation:
cover
  
Investigating agency: NTSB
Status: Investigation completed
Duration: 2 years and 4 months
Download report: Final report

Audio from Liveatc.net, SoCal Departure ATC:

Images:



Radar data showing EVA015 departing LAX and being turned northbound toward Mount Wilson (NTSB)

Revision history:

Date/timeContributorUpdates
20-Dec-2016 13:27 harro Added
20-Dec-2016 13:29 harro Updated [Embed code]
20-Dec-2016 13:29 harro Updated [Source, Narrative]
20-Dec-2016 13:59 harro Updated [Embed code, Narrative, Photo, ]
20-Dec-2016 14:19 harro Updated [Time, Narrative]
10-May-2019 18:53 harro Updated [Narrative, Accident report, ]
10-May-2019 18:55 harro Updated [Time, Photo]
10-May-2019 19:16 Aerossurance Updated [Total occupants, Location, Phase, Source, Narrative]
10-May-2019 19:31 harro Updated [Source]
11-May-2019 16:24 harro Updated [Source, Accident report, ]

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