Inadvertent Slat Retraction on Airbus A300B4-605R at Gatwick

Casualties unknown • London Gatwick Airport, GB

A flight crew at London Gatwick Airport accidentally retracted the slats and flaps during takeoff following a period of troubleshooting a system fault.

What happened

On 26 July 2011, an Airbus A300B4-605R, registration G-MAJS, was preparing for a scheduled passenger flight from London Gatwick to Chania, Crete. During pre-flight preparations, the crew encountered a technical issue involving a slat system fault on the Electronic Centralized Aircraft Monitor. To resolve the fault, the crew followed the Quick Reference Handbook (QRH) and consulted ground engineers, who suggested that multiple system resets might be necessary. This process involved the co-pilot repeatedly cycling the slats/flaps lever.

Shortly after takeoff, while the aircraft was climbing through 280 feet, the co-pilot inadvertently moved the slats/flaps lever to the 0/0 position. This action triggered the full retraction of the slats and flaps. As the aircraft's angle of attack increased, the stall warning system activated twice. The commander, acting as the pilot flying, responded by reducing the pitch attitude to maintain a positive rate of climb, which allowed the aircraft to accelerate back to normal climb speed. The landing gear remained extended during this period, and the crew subsequently corrected the lever position and raised the gear.

The investigation

The AAIB examined the flight parameters and the crew's actions leading up to the incident. The investigation focused on the movement of the slats/flatt lever and the impact of the preceding technical troubleshooting on the crew's manual dexterity. The investigation also reviewed the functionality of the slat alpha-lock protection system, which is designed to prevent retraction at high angles of attack but does not stop retraction once it has been initiated.

Findings

  • The crew had been preoccupied with resolving a slat system fault prior to departure.
  • The co-pilot had developed a specific motor skill by cycling the slats/flaps lever directly between 15/15 and 0/0 to clear the fault during ground operations.
  • The co-pilot's preoccupation with the slat fault and the mental rehearsal of takeoff procedures led to the inadvertent retraction of the slats and flaps instead of the landing gear.
  • The aircraft's alpha-lock protection system functioned as designed, as it did not prevent the initial retraction once the lever was moved at a low angle of attack.

Probable cause

The incident was caused by the co-pilot inadvertently operating the slats/flaps lever instead of the landing gear lever, a mistake driven by the mental preoccupation with a previously encountered slat system fault and the development of an atypical motor skill during ground troubleshooting.

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Frequently asked questions

What happened in the 2011-07-26 Airbus A300B4-605R accident near London Gatwick Airport, GB?

A flight crew at London Gatwick Airport accidentally retracted the slats and flaps during takeoff following a period of troubleshooting a system fault.

What aircraft was involved and where did it happen?

The accident on 2011-07-26 involved a Airbus A300B4-605R, registration G-MAJS, at London Gatwick Airport, GB.

What was the probable cause of the accident?

The incident was caused by the co-pilot inadvertently operating the slats/flaps lever instead of the landing gear lever, a mistake driven by the mental preoccupation with a previously encountered slat system fault and the development of an atypical motor skill during ground troubleshooting.

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