Incident Overview
On a cargo flight from Paris-Roissy-Charles de Gaulle Airport to Luton, a Shorts aircraft with two pilots was cleared to depart from cargo stand N51 and proceed to runway 27 at 02:38. Simultaneously, Air Liberté Flight 8807, an MD-83 registered as F-GHED, also taxied to runway 27 for a flight to Madrid.
Sequence of Events
At 02:44, the ground controller asked Streamline 200 (the Shorts' callsign) if they wished to enter runway 27 at an intermediate taxiway. The crew requested and were granted entry via Taxiway 16. At 02:50:49, the tower controller cleared the MD-83 for takeoff, stating, "Liberté 8807, autorisé au décollage 27, 230°, 10 à 15 kts." Immediately after, the controller instructed the Shorts to "line up and wait, number two."
As the MD-83 accelerated down the runway, the Shorts began to taxi onto the runway. At a speed of approximately 155 knots, the left wing of the MD-83 struck the cockpit of the Shorts aircraft. The MD-83 subsequently aborted its takeoff.
Official Findings
The investigation identified several causes and contributing factors:
- The local controller (LOC) had an erroneous perception of the aircraft's position, reinforced by context and working methods, leading to the clearance for the Shorts to line up.
- Systematic verification procedures in ATC were inadequate, preventing correction of the error.
- The Shorts' crew did not dispel any doubts about the position of the number one aircraft before entering the runway.
Contributory factors included:
- Light pollution near runway 27, impairing the LOC controller's direct view.
- Difficulty accessing radar information: the ASTRE image was hard to read, and the AVISO image was not displayed at the control position.
- Use of two languages for radio communications, meaning the Shorts crew were not aware that the MD-83 was taking off.
- The angle between Taxiway 16 and the runway prevented the Shorts crew from performing a visual check before entry.
- Lack of coordination between the ground (SOL) and local (LOC) controllers, exacerbated by the presence of an undefined third party.
- A feedback system that was recent and underdeveloped.