[0] /* AC crashes into landing zone near E1 taxiway // @T11:15'45" */ /\{1} /* AC stalls since // @T11:15'31" */ /\{2} /* CRW unable to recover stall */ {1} {-.1} /* AOA becomes too large */ {1.1} /\<-.1> /* AC in out of trim (nose high) condition */ /\<-.2> /* AC climbing steeply */ /\{-.3} /* CAS becomes too low */ <1.1.1> /\<-.1> /* THS at -12.3 degrees (=nose-up) since: [1.1.1.1.1] */ /\<-.2> /* Elevators in nose-down position */ /\(-.3) /* CRW does not correct out of trim condition */ <1.1.1.1> /\<-.1> /* AP is engaged in CMD // @T11:14'18" */ /\<-.2> /* AP in GA mode */ /\{-.3} /* F/O pushing on control column */ /\{-.4} /* AP stays engaged, although {1.1.1.1.3} */ /\{-.5} /* CRWs hand-tuning attempts ineffective // #ACTION# // @T11:14'20" // @T11:14'34" // @T11:14'39" */ <1.1.1.1.1> [-.1] /* AP engaged // #ACTION# // @T11:14'18" */ <1.1.1.1.2> /\[-.1] /* F/O (PF) triggers GA-lever // @T11:14'05" // inf CVR */ /\(-.2) /* F/O (PF) does not disengage GA mode although advised to do so by CAP several times: // @T11:14'10" // @T11:14'30" // @T11:14'45" */ [1.1.1.1.2.1] /\<-.1> /* position of GA-lever // ASSUMPTION */ /\[-.2] /* F/O moves hand on throttles // ASSUMPTION */ <1.1.1.1.2.1.1> <-.1> /* Airbus Industry Cockpit Layout */ (1.1.1.1.2.2) /\{-.1} /* F/O (PF) tries but does not succeed in disengaging GO-AROUND-mode // #ACTION# */ /\<-.2> /* F/O (PF) does not realize his actions didn't succeed // #PERCEPTION# */ {1.1.1.1.2.2.1} /\[-.1] /* F/O (PF) tries to go direct into LAND mode // #INTENTION# // inf CVR */ /\<-.2> /* direct access to LAND mode button cannot disengage GO AROUND mode */ <1.1.1.1.2.2.1.1> <1.1.1.1.5.4> <1.1.1.1.2.2.1.2> <1.1.1.1.4.1> <1.1.1.1.2.2.2> /\<-.1> /* F/O (PF) overextended with situation // ASSUMPTION */ /\<-.2> /* high workload // #ATTENTION# */ <1.1.1.1.4> /\<-.1> /* Airbus Industry AP logic */ /\(-.2) /* modification to AP prescribed in Service Bulletin SB A300-22-6021 had not been incorporated into the aircraft // 3rd party Information */ (1.1.1.1.4.2) /\(-.1) /* The aircraft manufacturer did not categorise the SB A300-22-6021 as "Mandatory" // 3rd party Information */ /\(-.2) /* The airworthiness authority of the nation of design and manufacture did not issue promptly an airworthiness directive pertaining to implementation of the SB. // 3rd party Information */ {1.1.1.1.3} /\{-.1} /* F/O (PF) tries to recover optimal glide path */ /\<-.2> /* F/O (PF) believes nose-down elevator commands will achieve nose-down state // ASSUMPTION */ {1.1.1.1.3.1} /\{-.1} /* AC left optimal glide path */ /\<-.2> /* AC should return to optimal glide path */ {1.1.1.1.3.1.1} [1.1.1.1.2.1] /* inf CVR */ <1.1.1.1.3.2> <1.1.1.1.5.4> {1.1.1.1.5} /\[-.1] /* CRW attempts to hand-tune */ /\<-.2> /* when active, AP doesn't allow THS override */ /\(-.3) /* CRW doesn't realize <1.1.1.1.5.2> // #PERCEPTION# */ /\<-.4> /* CRW lacks experience and knowledge with A300 AP // ASSUMPTION */ [1.1.1.1.5.1] {1.1.1.1.3.1} <1.1.1.1.5.2> <1.1.1.1.4.1> (1.1.1.1.5.3) <1.1.1.1.5.4> <1.1.1.2> {1.1.1.1.3} (1.1.1.3) (-.1) /* CRW does not recognize OOT condition // #PERCEPTION# // inf CVR */ (1.1.1.3.1) /\<-.1> /* optical systems for the purpose of THS motion awareness do not provide effective information at night */ /\<-.2> /* optical/acoustical warning device, capable of _actively_ alerting THS motion inactive */ /\<-.3> /* CRW does not pay attention // #ATTENTION# // inf CVR */ <1.1.1.3.1.1> <1.1.1.1.2.1.1.1> <1.1.1.3.1.2> /\[-.1] /* Airbus Industry eliminated function from AP in CMD mode design // 3rd party information */ /\<-.2> /* Airbus Industry did not establish another warning and recognition function // 3rd party information */ /\<1.1.1.1.1> <1.1.1.3.1.2.1> {-.1} /* Airbus Industry followed suggestion from UK CAA */ <1.1.2> /\<-.1> /* high engine thrust */ /\<-.2> /* F/O releases control wheel */ /\<1.1.1> /\<1.1.1.1> <1.1.2.1> [-.1] /* EPR increased from 1.04 to > 1.6 */ [1.1.2.1.1] /\[-.1] /* THR levers moved forward // @T11:15'11" */ /\[-.2] /* Alpha Floor Function activated // @T11:14'57" // @H570 */ [1.1.2.1.1.1] [-.1] /* CAP(PF) decides to initiate GO-AROUND manouevre // @T11:15'03" */ <1.1.2.1.1.2> /\<-.1> /* AOA exceeded threshold AOA of 11.5 degrees */ /\<-.2> /* pitch angle increased */ /\<-.3> /* AP disengaged // @T11:14'50" */ /\<-.4> /* Airbus Industry Logic */ <1.1.2.1.1.2.1> /\<1.1.1> /\{1.1.3} <1.1.2.1.1.2.2> /\<1.1.1> /\<1.1.2.1> /* causal feedback loop !! - alpha floor */ {1.1.3} /\<-.1> /* THR not engaged continuously */ /\{-.2} /* THR decreased temporarily */ /\<1.1.2> <1.1.3.1> /\<-.1> /* CAP(PF) uncertain about situation // #ATTENTION# */ /\[-.2] /* CRWs actions interfere with AP operation */ <1.1.3.1.2> /\[-.1] /* F/O (PF) interrupts execution of Alpha Floor function */ /\<-.2> /* A300 AP `intended to permit pilots to apply _small_ manual control inputs to assist the AP' // cite from FCOM */ /\<-.3> /* CRW unaware that A300 AP does not allow permanent manual override // #ATTENTION# */ [1.1.3.1.2.1] {-.1} /* F/O (PF) counteracts against resulting pitch-up movement from [1.1.2.1.1.2] */ <1.1.3.1.2.1.1> <-.1> /* F/O (PF) doesn't realize [1.1.2.1.1.2] // #ATTENTION# */ <1.1.3.1.2.2> <1.1.1.1.4.1> <1.1.3.1.2.3> /\<-.1> /* CRW unable to gain this information from FCOM */ /\<-.2> /* CAP's (PF) action would be appropriate for Boeing AP // ASSUMPTION */ /\<1.1.1.1.5.4> <1.1.3.1.2.3.1> <-.1> /* FCOM design not suited for handling alert situations // ASSUMPTION */ <1.1.3.1.2.3.1.1> <-.1> /* Airbus Industry FCOM layout */ {1.1.3.2} /\[-.1] /* THR levers retarded temporarily */ /\<-.2> /* surges occurred in both engines */ [1.1.3.2.1] /\[-.1] /* CAP (PNF) intends to continue approach // inf CVR */ /\<1.1.3.1.2.1> <1.1.3.2.2> <-.1> /* high AOA of inlets */ <1.1.3.2.2.1> /\<1.1.2> /\{1.1.3} {2} /\(-.1) /* CRW doesn't take appropriate action to recover stall */ /\<-.2> /* AC systems in unusual modes */ /\<-.3> /* time and altitude for recovery operations short to insufficient */ (2.1) /\<-.1> /* CRW not aware of AC systems states // #ATTENTION# */ <2.1.1> /\<-.1> /* situation is unusual */ /\<-.2> /* no THS motion warning */ /\<-.3> /* none of the CRW is able to keep track of the situation // #ATTENTION# */ /\<1.1.3.1.2.1.1.1> <2.1.1.1> /\<-.1> /* transition `GO-AROUND -> LAND' is no flight manoevre according to Standard Operating Procedures */ <2.1.1.2> /\<1.1.1.3.1.1> /\<1.1.1.3.1.2> <2.1.1.3> /\[-.1] /* CAP (PNF) takes over controls against duty assignment // #ACTION# // @T11:15'03" */ /\<-.2> /* CAP (PNF) doesn't grasp flight conditions // inf CVR */ /\{-.3} /* F/O (PF) looses his autonomy, since he follows a series of instructions given by CAP (PNF) instead of acting on his own // @T11:14'26" to T11:15'03" */ <2.2> <-.1> /* complex control situation at stall */ <2.2.1> /\<-.1> /* trying to transit GO-AROUND -> LAND */ /\<1.1.2.1.1.2> /\<1.1.1> <2.3> /\<-.1> /* nose-up attitude is 43.8 degrees */ /\<-.2> /* altitude is 1,730ft */ /\<-.3> /* AS is less than 50kts */