Amsterdam ERRSS – 8 March 2012 Safety recommendations 1
Case Study Safety Issue Operational Consequences BEA recommendations over past 10 years Conclusion Summary 2
Case Study 3
N132AA case study Night flightNight flight Arrival during a thunderstorm on the 24 th of DecemberArrival during a thunderstorm on the 24 th of December Nearest diversion, 650 NmNearest diversion, 650 Nm No modification of landing strategy (consider holding pattern)No modification of landing strategy (consider holding pattern) TDZ half of runway lenghtTDZ half of runway lenght Channelized attention of PF during landing rollChannelized attention of PF during landing roll Late ground spoilers deploymentLate ground spoilers deployment No distance marking on runway centerlineNo distance marking on runway centerline No braking coefficient availableNo braking coefficient available Incorrect landing distance in crew documentationIncorrect landing distance in crew documentation 4 Report link
Safety Issue 5
How to prevent such an accident from happening again ? 6 Airlines Improve airline policy to match aircraft manufacturer procedures Improve pilot training regarding briefing when the situation leads to a change in landing strategy Monitor pilots chart validity
How to prevent such an accident from happening again ? Improve airport aids to allow pilots to get relevant information on remaining distance 7 Airport
How to prevent such an accident from happening again ? Improve pilots information regarding adherence characteristics of RWY 8 Authorities Implement new regulation regarding centerline lighting Encourage flight data monitoring
Operational Consequences 9
Consequences on operations of such an event Passenger handlingPassenger handling Heavy workload to recover the aircraftHeavy workload to recover the aircraft Airport capability affectedAirport capability affected –During recovery, only commuters could land, –ILS was unserviceable until repair and recalibration No fatalities, only minor injuriesNo fatalities, only minor injuries Event severity depends essentially on airport environment 10
BEA Recommendations related to runway excursion over past 10 years 11
12 Airport operator Aircraft manufacturer Airlines Design Training Normal Procedures Training Infrastructure Procedures 36 SR runway excursion ICAO / Authorities regulation best practices
Conclusion 13
Recovery is always a technical challenge implying high cost 14 To sum up Pilots decision making is always an issue, lets give them the right information