Altitude deviations during approach following flight plan discontinuity

No fatalities • 40 km south-south-west of Canberra Airport, Australian Capital Territory

A flight crew descended below required minimum altitudes during an approach after failing to properly program a waypoint into the flight management computer.

What happened

During an arrival procedure, the flight crew was instructed by air traffic control to transition from the POLLI FOUR PAPA arrival to the POLLI FOUR BRAVO arrival, which required a VOR approach. While the crew accepted this new arrival, they continued preparing for an RNAV-Z approach instead of the mandated VOR procedure. This discrepancy created a mismatch between the programmed flight path and the actual arrival instructions.

To bridge this gap, the pilot manually entered the waypoint SCBSG into the Flight Management Computer (FMC) rather than selecting the specific approach procedure. This manual entry resulted in the omission of a 7,5/00 ft altitude constraint within the FMC's programmed path. Unaware of this omission, the crew set the autopilot altitude selector to 3,900 ft. Consequently, the aircraft descended through the 7,500 ft Minimum Sector Altitude (MSA) before reaching the waypoint. Although an approach controller identified the error and alerted the crew, the aircraft subsequently descended below the 5,300 ft Segment Minimum Safe Altitude (SMSA) near waypoint SCBSI after the crew transitioned to a manual visual approach without notifying air traffic control.

The investigation

The investigation focused on the discrepancy between the flight crew's programmed flight path and the ATC instructions. Investigators examined the process of waypoint entry in the FMC and how the altitude constraint was lost. The investigation also reviewed the crew's transition from instrument procedures to a visual approach and the communication protocols used with air traffic control during that phase of flight.

Probable cause

The loss of a critical altitude constraint due to manual waypoint entry, combined with the crew's failure to monitor altitude deviations and an unauthorized transition to a visual approach, led to the aircraft descending below required minimum safe altitudes.

Frequently asked questions

What happened in the 2017-02-22 The Boeing Company 777-212 accident near 40 km south-south-west of Canberra Airport, Australian Capital Territory?

A flight crew descended below required minimum altitudes during an approach after failing to properly program a waypoint into the flight management computer.

Were there any fatalities in the 2017-02-22 The Boeing Company 777-212 accident?

No fatalities were recorded in this accident.

What aircraft was involved and where did it happen?

The accident on 2017-02-22 involved a The Boeing Company 777-212, registration 9V-SRP, operated by Singapore Airlines, at 40 km south-south-west of Canberra Airport, Australian Capital Territory.

What was the probable cause of the accident?

The loss of a critical altitude constraint due to manual waypoint entry, combined with the crew's failure to monitor altitude deviations and an unauthorized transition to a visual approach, led to the aircraft descending below required minimum safe altitudes.

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