B738, vicinity Paris Orly France, 2019

B738, vicinity Paris Orly France, 2019

Summary

On 6 December 2019, a Boeing 737-800 below Decision Altitude on an ILS approach at Paris Orly was unexpectedly instructed to go-around in day VMC without explanation. The go around was mishandled and the aircraft began to descend after initially climbing which triggered EGPWS Warnings and controller alerting before recovery was achieved. It was suspected that surprise at the go-around and the early climbing turn required may have initiated the crew’s mismanagement of automated flight path control with further surprise leading to failure to revert to manual control when they no longer understood the automated system responses to their inputs.

Description  

On 6 December 2019, a Boeing 737-800 (7T-VJM) being operated by Air Algérie on a scheduled international passenger flight from Tlemcen to Paris Orly as AH 1086 was unexpectedly instructed to go around below Decision Altitude (DA) in day VMC without explanation. The go around was commenced but was then mishandled over a three minute period during which the aircraft began to descend after initially climbing, triggering EGPWS Warnings and alerting from the controller because of the potential CFIT risk. Recovery was then achieved and repositioning for a second approach was without further event and followed by a successful landing.

The full content of this page is available to registered users only.
Please Log in or Register

SKYbrary Partners:

Safety knowledge contributed by: