Unstabilized Approach and GPWS Alert on Airbus A320

Casualties unknown • Exupéry, FR

An Airbus A320 flight training crew experienced a near-ground collision following an unstabilized approach and improper emergency maneuvers at Lyon Saint-Exupéry.

What happened

On April 11, 2012, an Airbus A320, registration SX-BHV, operated by Hermes Airlines, was performing a night flight from Ajaccio to Lyon Saint-Exupéry. The crew, consisting of an instructor in the right seat and a student pilot acting as the pilot flying in the left seat, was conducting a training flight. During the approach to runway 36L, the crew was managing a transition from a previously planned approach to runway 18L. Due to a failure to deselect a manually entered ILS frequency from their departure airport, the aircraft's navigation system remained tuned to the Ajaccio frequency, causing significant confusion regarding distance and localizer interception.

As the aircraft attempted to intercept the localizer, the crew became preoccupied with resolving the frequency mismatch. During this period, the pilot selected a target altitude of 400 ft on the Flight Control Unit, which was below the airport's elevation of 880 ft. This led to a rapid descent that triggered a Ground Proximity Warning System (GPWS) "TERRAIN TERRAIN PULL UP" alert. The instructor intervened by applying full power and pitching up, but the maneuver was inadequate. The aircraft subsequently descended further, triggering a second Minimum Safe Altitude Warning (MSAW) from Air Traffic Control. A period of dual input occurred as the two pilots applied conflicting control inputs, before the crew eventually stabilized the aircraft and performed a second, successful approach.

The investigation

The BEA examined flight data from the FDR and CVR, as well as crew testimonies. The investigation focused on the navigation setup, the execution of emergency procedures, and the crew's experience levels. Investigators analyzed why the ILS frequency mismatch persisted and why the crew's altitude selection led to a dangerous descent. The investigation also scrutinized the instructor's takeover of controls without a formal announcement and the controller's use of specific phraseology during the MSAW alert.

Probable cause

The incident was caused by an unstabilized approach where the crew continued descending without being on the localizer or in the correct configuration, followed by an improper GPWS recovery maneuver.

Frequently asked questions

What happened in the 2012-04-11 INCIDENT GRAVE www.bea.aero Approche non stabilisée, déclenchement d’alarmes GPWS et MSAW, double pilotage, approche interrompue, de nuit, en instruction Sauf précision contraire, les heures figurant dans ce rapport sont exprimées en temps universel coordonné (UTC). accident near Exupéry, FR?

An Airbus A320 flight training crew experienced a near-ground collision following an unstabilized approach and improper emergency maneuvers at Lyon Saint-Exupéry.

What aircraft was involved and where did it happen?

The accident on 2012-04-11 involved a INCIDENT GRAVE www.bea.aero Approche non stabilisée, déclenchement d’alarmes GPWS et MSAW, double pilotage, approche interrompue, de nuit, en instruction Sauf précision contraire, les heures figurant dans ce rapport sont exprimées en temps universel coordonné (UTC)., registration SX-BHV, operated by Hermes Airlines, at Exupéry, FR.

What was the probable cause of the accident?

The incident was caused by an unstabilized approach where the crew continued descending without being on the localizer or in the correct configuration, followed by an improper GPWS recovery maneuver.

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