Casualties unknown

2015-09-14: Embraer 170 — Paryż (LFPG), PL

Paryż (LFPG), PL

On September 14, 2015, an Embraer 170 was involved in an aviation accident near Paryż (LFPG), PL. Investigators recorded the probable cause as: The most probable cause of the autopilot disconnection was increased control wheel forces caused by improper attachment of the pilot's seat cushion. This summary draws on records from the Polish State Commission on Aircraft Accidents Investigation (PKBWL); 8 related events involving the same aircraft type or operator are linked below.

Sourcesthe Polish State Commission on Aircraft Accidents Investigation (PKBWL)Primary reportUpdated 1785092869Data APIEditorial standards

An Embraer 170 experienced an uncommanded autopilot disconnection during approach, with increased control forces. Investigation attributed the issue to improper attachment of the pilot's seat cushion.

Incident Description

On 14 September 2015, an Embraer 170 was on approach to landing at LFPG when, at approximately 1,400 feet, the autopilot disconnected uncommanded. The flight crew encountered difficulty manually controlling the aircraft's pitch. The approach was continued and landing was completed. Following the flight, a technical log entry was made and an ASR report was filed.

Investigation Findings

The investigation revealed that on 7 September 2015, maintenance work had been performed on the horizontal stabilizer. On 10 September 2015, two autopilot disconnections had occurred during a different flight on the same aircraft. The flight crew reported that after autopilot disconnection, the elevator trim operated normally, but control forces on both control wheels were approximately three times greater than normal. During a walk-around inspection, abnormal crackling sounds were heard from the right side when the elevator was moved.

Analysis of flight data recorder parameters indicated that during the approach, opposing forces were applied to the control wheels. Such behavior is typical when one control is obstructed, for example by a seat cushion. The investigation identified that the day before the incident, the captain's seat cushion had been replaced due to poor attachment. No other causes were identified.

Probable Cause

The most probable cause of the autopilot disconnection was increased control wheel forces resulting from improper attachment of the pilot's seat cushion.

Preventive Measures

The operator's technical services took several actions: they directed a search for maintenance records to verify if other work had been performed on the aircraft; they checked that the maintenance organization had correctly performed all tasks according to documentation; they reviewed fault codes stored in the Fault History Data Base (FHDB); they checked available service bulletins related to the issue; they reported the event to the aircraft manufacturer via the E-Track system; and they determined whether additional fleet-wide inspections or information bulletins were needed. The event was recorded in the operator's Safety Management System (SMS) database and classified according to established criteria for inclusion in safety performance indicators.

Safety Recommendations

No safety recommendations were formulated by the investigation commission.

Investigation report by the Polish State Commission on Aircraft Accidents Investigation (PKBWL). Original record: https://pkbwl.gov.pl/raporty/2015-1989/. This page is a structured re-presentation; facts and quotes are in the Panstwowa Komisja Badania Wypadkow Lotniczych (PKBWL), Poland.