autoritÉ de surveillance

16
Direction générale de l'Aviation Civile 50, rue Henry Farman 75720 PARIS Téléphone : +33 (0)1 58 09 43 21 Bureau d'Enquêtes et d'Analyses pour la Sécurité de l'Aviation civile Bâtiment 153 - Zone Sud Aéroport du Bourget 93350 LE BOURGET Téléphone : +33 (0)1 49 92 72 00 Fax (33) 1 49 92 72 03 AIR FRANCE Service Prévention et Sécurité des Vols Le Dôme BP 11201 Tremblay-en-France F-95703 ROISSY CDG CEDEX Téléphone: + 33 (0)1 41 56 21 51 STABILISED APPROACHES GOOD PRACTICE GUIDE AUTORITÉ DE SURVEILLANCE AUTORITÉ DE SURVEILLANCE This guide has been jointly prepared by Guillaume Adam and Guillaume Cossais. The DGAC would like to thank Bertrand de Courville, Cédric de la Hogue Moran, François Donin, Catherine Holm and Pierre Jouniaux for their help in producing this guide. For further information: [email protected] [email protected] [email protected]

Upload: others

Post on 22-Jan-2022

3 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: AUTORITÉ DE SURVEILLANCE

Direction généralede l'Aviation Civile50, rue Henry Farman75720 PARISTéléphone : +33 (0)1 58 09 43 21

Bureau d'Enquêtes et d'Analyses pour la Sécurité de l'Aviation civile Bâtiment 153 - Zone Sud Aéroport du Bourget 93350 LE BOURGET Téléphone : +33 (0)1 49 92 72 00 Fax (33) 1 49 92 72 03

AIR FRANCEService Prévention et Sécurité des VolsLe DômeBP 11201Tremblay-en-FranceF-95703 ROISSY CDG CEDEXTéléphone: + 33 (0)1 41 56 21 51

S T A B I L I S E D A P P R O A C H E SG O O D P R A C T I C E G U I D E

AUTORITÉ DESURVEILLANCE

AUTORITÉ DESURVEILLANCE

This guide has been jointly prepared by Guillaume Adam and Guillaume Cossais.

The DGAC would like to thank Bertrand de Courville, Cédric de la HogueMoran, François Donin, Catherine Holm and Pierre Jouniaux for their help in producing this guide.

For further information:

[email protected]@[email protected]

Page 2: AUTORITÉ DE SURVEILLANCE

- 3 -

Stabilisation................................................................ 4

Flight path deviations duringfinal approach ........................................................... 6

Change of runway in use ....................................... 8

Visual approaches..................................................... 10

Go around clearances ............................................. 12

External pressures .................................................... 16

Clearances incompatible with aircraft performance ..................................... 18

Training sessions ...................................................... 20

Radar vectoring.......................................................... 22

Approaches thatbecome unstabilised ................................................ 24

The FO and the go around .................................... 26

GPWS Alarms.............................................................. 28

Bibliography ............................................................... 30

Contents

Publication Director: Maxime COFFIN, directeur du Contrôle de la sécuritéCoordination : Yannick ROBERT, Communication et Relations publiquesde la direction du Contrôle de la sécurité

Page 3: AUTORITÉ DE SURVEILLANCE

- 4 -

It’s OK, we’re going

to make it! Finally we

did the right thing

by going for it!

According to IATA, a quarter of all accidents in2005 were due to runway excursion. Most of these occurred following an approachthat was never stabilised or that becameunstabilised.Report to the controller any factor whichcould make a stabilised approach difficult (e.g. tail wind, icing).Once stabilised, continue the approach.Otherwise go around.

Give the crews enough time on final approachto become stabilised.The stabilisation criteria usually used at 500feet, at the latest, are:• aircraft level on the final approach path, in

the landing configuration at the approachspeed, with the power set and the pre-landing checklist complete.

Communicate any environmental changesthat could prevent a stabilised approach assoon as possible.

CONTROLLERS

P

PILOTS

- 5 -

Stabilisation

C

Incident involving B737-800 at Paris CDG in 2006http://www.bea-fr.org/itp/events/ita6/ita6.pdf

Page 4: AUTORITÉ DE SURVEILLANCE

- 6 -

GOAROUND

ATC can be an extra aid to safety if you deviatefrom the flight path.Request assistance from ATC if you are in anydoubt at all.

When you observe flight path deviations, you must react and even suggest a Go Around.Given the stress levels that this type of eventcan create, evaluating such situations shouldbe covered by special training in order toensure consistent reactions.

CONTROLLERS

PILOTS

CONTROLLERS

PILOTS

N.B. : In several accidents and incidents in France investigated bythe BEA, the controller saw what was happening and could havemade a more appropriate response. (It may be necessary to give controllers appropriate information).

Incident involving a MD 83 at Nantes in 2004:http://www.bea-fr.org/docspa/2004/su-f040321/pdf/su-f040321.pdf

- 7 -

Flight path deviationsduring final approach

Stabilisation

Change of runway in use

Visual approaches

Go around clearances

Go around clearances

External pressures

Clearances incompatiblewith aircraft performance

Training sessions

Radar vectoring

Approaches thatbecome unstabilised

GP S Alarms

Bibliography

Contents

The FO and the go around

Page 5: AUTORITÉ DE SURVEILLANCE

- 8 -

Uh, Roger,we report established

…change of runway,report established on ILs runway 24

Changing the runway at the last moment,especially when stabilisation is not possible,is risky. Accept controllers’ instructions only whenyou are sure they can be achieved with anappropriate safety margin.

Avoid suggesting runway changes late when weather conditions are difficult or at night.The limit mainly depends on:• Weather conditions;• The type of approach;• The complexity of the surroundings.If you suggest a strategy change, rememberto take into account the fact that pilots mustbe stabilised and any change createsadditional workload.You will find the relevant criteria in youroperations manual.

CONTROLLERS

PILOTS

CONTROLLERS

PILOTS

Incident involving a CRJ-100 at Montpellier Fréjorgues in 1998:http://www.bea-fr.org/itp/events/itaspecialans/itaspecialans.pdf

Accident involving a DASH 8 at Paris ROISSY in 1993:http://www.bea-fr.org/docspa/1993/d-at930106p/pdf/d-at930106p.pdf

- 9 -

Ecarts de trajectoires en finale

Stabilisations

Changement de QFU

Approche à vue

Clairance de remise de gaz

Clairance de remise de gaz

Pressions

Clairances incompatiblesavec les performances de l'avion

Séances d'instruction

Guidage radar

Approche destabilisée

Alarmes GP S

Bibliographie

Sommaire

L'OPL et la remise de gaz

Flight path deviationsduring final approach

Stabilisation

Change of runway in use

Visual approaches

Go around clearances

Go around clearances

External pressures

Clearances incompatiblewith aircraft performance

Training sessions

Radar vectoring

Approaches thatbecome unstabilised

GP S Alarms

Bibliography

Contents

The FO and the go around

Page 6: AUTORITÉ DE SURVEILLANCE

- 10 -

Are you sureabout that?

Finally visual approachrunway 12

What? Clearedvisual approach runway 12

report final.

Prepare and anticipate your visual approach bydoing more than simply mentioning it duringthe approach briefing but establish checkpoints and gates.Use the 'visual approach' pattern in your companydocuments, if it exists.

For visual approach clearances:• leave time for the crews (briefing, preparing

the aircraft),• mention any constraints that you anticipate

using as soon as possible, e.g. altitude or routing,• talk to the pilots about your constraints in

the joint pilot-controller meetings.

CONTROLLERS

PILOTS

CONTROLLERS

PILOTS

- 11 -

Flight path deviationsduring final approach

Stabilisation

Change of runway in use

Visual approaches

Go around clearances

Go around clearances

External pressures

Clearances incompatiblewith aircraft performance

Training sessions

Radar vectoring

Approaches thatbecome unstabilised

GP S Alarms

Bibliography

Contents

The FO and the go around

Reference: Accident ATR 42 at Lyon in 2005: http://www.bea-fr.org/docspa/2005/f-ya050828/pdf/f-ya050828.pdf

Serious incident involving a B737-800 at Cork in 2006:http://www.aaiu.ie/upload/general/8770-0.pdf

Page 7: AUTORITÉ DE SURVEILLANCE

- 12 -

OK, climb on thecentreline to 3000 QNH

Good, approach briefing,if we have to go around,it will be a climb on the centreline to 3000 QNH

The Go Around is an integral part of preparingfor the approach.Pay as much attention to it as the final approach.

Pilots prepare for a Go Around at the sametime as preparing the approach (briefing,FMS, radio aids) in accordance with thepublished procedure.If you have to change the Go Around procedure,make it simple and advise the crew as soonas possible.Where possible avoid using an altitude that islower than the published altitude.

CONTROLLERS

PILOTS

CONTROLLERS

PILOTS

- 13 -

Flight path deviationsduring final approach

Stabilisation

Change of runway in use

Visual approaches

Go around clearances

Go around clearances

External pressures

Clearances incompatiblewith aircraft performance

Training sessions

Radar vectoring

Approaches thatbecome unstabilised

GP S Alarms

Bibliography

Contents

The FO and the go around

Page 8: AUTORITÉ DE SURVEILLANCE

- 14 -

F..GH, Go Around, turn right heading 220 and maintain 2000 QNHWhat?

Roger F..GH

- The Go Around is a manoeuvre that is used infrequently and consumes resources.Avoid changing the GA procedure that wasoriginally planned.

CONTROLLERS

PILOTS CONTROLLERS

PILOTS

- 15 -

Flight path deviationsduring final approach

Stabilisation

Change of runway in use

Visual approaches

Go around clearances

Go around clearances

External pressures

Clearances incompatiblewith aircraft performance

Training sessions

Radar vectoring

Approaches thatbecome unstabilised

GP S Alarms

Bibliography

Contents

The FO and the go around

Page 9: AUTORITÉ DE SURVEILLANCE

External pressures, especially financial and commercial, increase the risk of continuingwith an unstabilised approach (or one thatbecomes unstabilised).

Just like the pilots, you are also confronted bypressures - especially of timing - whenmanaging the approach sequence. They may make it difficult for the crew to becomestabilised. The human risk factor must be considered in the TRM and the joint pilot-controller meetings.

CONTROLLERS

PILOTS

CONTROLLERS

PILOTS

Accident involving a CRJ at Guipavas in 2003: http://www.bea-fr.org/docspa/2003/f-js030622p/pdf/f-js030622p.pdf

- 16 - - 17 -

Flight path deviationsduring final approach

Stabilisation

Change of runway in use

Visual approaches

Go around clearances

Go around clearances

External pressures

Clearances incompatiblewith aircraft performance

Training sessions

Radar vectoring

Approaches thatbecome unstabilised

GP S Alarms

Bibliography

Contents

The FO and the go around

1000 ft, we’re stillnot stabilised

Select headingand vertical speed

mode

Good, let’s continue then or I will be late for

my conference on the NSA

Page 10: AUTORITÉ DE SURVEILLANCE

- 18 -

Look, there’s a fighteralongside us

What’s the world coming to when an F 1 is

overtaken by a bus!!

When it is part of a sequence of speed adjustmentswith a high level radio traffic, we can be reluctantto question or negotiate with a request to maintain speed.Refuse controller's requests when they appear tobe incompatible with stabilising the approach.Advise the controller when you reduce speed tostabilise the approach.If your final approach speed is going to be differentfrom normal, advise the controller during initialapproach.

A request to maintain a speed that is too high toonear the threshold can prevent the crew from stabilising the approach.Avoid requests for speed to be maintained at over220 kts on the extended centreline and over 180 kts closer than 7 NM from the threshold.

CONTROLLERS

PILOTS

CONTROLLERS

PILOTS

- 19 -

Flight path deviationsduring final approach

Stabilisation

Change of runway in use

Visual approaches

Go around clearances

Go around clearances

External pressures

Clearances incompatiblewith aircraft performance

Training sessions

Radar vectoring

Approaches thatbecome unstabilised

GP S Alarms

Bibliography

Contents

The FO and the go around

Transport Public Incidents: http://www.bea-fr.org/itp/events/ita4/ita6.pdf

Page 11: AUTORITÉ DE SURVEILLANCE

- 20 -

You see, during trainingflights, the teaching principle

is based on learning fromyour mistakes…

Yeow, I should Go Around

here shouldn’t I?

Instructors: do not give in to the temptation to continue with an unstabilised approach for training purposes.The Go Around level has two advantages: • total compliance with the minimum stabilisation

height,• performance of a manœuvre that is unusualin flight.

Instructors: an excessive ‘Laisser – Faire’ attitudeand excessive time pressure (reduced aircraft separation, maintaining speed, lack of informationon tailwinds) will compromise stabilisation.A Go Around will worsen a situation that’s alreadyunder strain.

CONTROLLERS

PILOTS

CONTROLLERS

PILOTS

Serious incident involving a MD 83 at Paris Orly in 1997: http://www.bea-fr.org/docspa/1997/f-mc971123/pdf/f-mc971123.pdf

- 21 -

Flight path deviationsduring final approach

Stabilisation

Change of runway in use

Visual approaches

Go around clearances

Go around clearances

External pressures

Clearances incompatiblewith aircraft performance

Training sessions

Radar vectoring

Approaches thatbecome unstabilised

GP S Alarms

Bibliography

Contents

The FO and the go around

Page 12: AUTORITÉ DE SURVEILLANCE

- 22 -

Turn right, heading 040 to

intercept, confirm established

on the localiser

You should be aware of your horizontal and verticalposition in respect of a stabilised approach at all timeswhen under radar control.Refuse clearances that send you too high and/ortoo fast; or would reduce separation due to a tail-wind or cause glide slope interception fromabove…

Make sure that radar vectors end on a publishedapproach procedure at the right altitude before the final descent point (FAF/FAP).Take tailwinds into account during radar controlparticularly on final approach because they are animportant contributory factor towards unstabilisedapproaches.

CONTROLLERS

PILOTS

CONTROLLERS

PILOTS

Incident involving a MD 83 at Nantes in 2004: http://www.bea-fr.org/docspa/2004/su-f040321/pdf/su-f040321.pdf

Incident involving a B737-800 at Paris CDG in 2006: http://www.bea-fr.org/itp/events/ita6/ita6.pdf

- 23 -

Flight path deviationsduring final approach

Stabilisation

Change of runway in use

Visual approaches

Go around clearances

Go around clearances

External pressures

Clearances incompatiblewith aircraft performance

Training sessions

Radar vectoring

Approaches thatbecome unstabilised

GP S Alarms

Bibliography

Contents

The FO and the go around

Page 13: AUTORITÉ DE SURVEILLANCE

- 24 -

But we were well stabilisedGO

AROUND

It is difficult to recognise destabilisation in short final.It is possible to Go Around even after touch down aslong as the reverse thrust has not been engaged.

In marginal conditions, be prepared for an aircraftperforming a GA after touching down!

CONTROLLERS

PILOTS

CONTROLLERS

PILOTS

Accident involving an A340 at Toronto in 2005: http://www.tsb.gc.ca/fr/reports/air/2005/a05h0002/a05h0002.pdf

Incident involving a B747 at Cayenne in 2001:http://www.bea-fr.org/docspa/2001/f-zc010525/pdf/f-zc010525.pdf

- 25 -

Flight path deviationsduring final approach

Stabilisation

Change of runway in use

Visual approaches

Go around clearances

Go around clearances

External pressures

Clearances incompatiblewith aircraft performance

Training sessions

Radar vectoring

Approaches thatbecome unstabilised

GP S Alarms

Bibliography

Contents

The FO and the go around

Page 14: AUTORITÉ DE SURVEILLANCE

- 26 -

Hmmf! o amount!*

You were saying ?

Please go on my friend!

*go around

The FO must suggest a Go Around whenever he/sheconsiders it necessary.When he/she is PF and the aircraft is below theminimum stabilisation height, he/she must be ableto take the decision and execute it.

CONTROLLERS

PILOTS

Incident involving a B747-300 at Roissy in 2006: http://www.bea-fr.org/itp/events/ita6/ita6.pdf

Incident involving a B737-800 at Paris CDG in 2006:http://www.bea-fr.org/itp/events/ita6/ita6.pdf

- 27 -

Flight path deviationsduring final approach

Stabilisation

Change of runway in use

Visual approaches

Go around clearances

Go around clearances

External pressures

Clearances incompatiblewith aircraft performance

Training sessions

Radar vectoring

Approaches thatbecome unstabilised

GP S Alarms

Bibliography

Contents

The FO and the go around

Page 15: AUTORITÉ DE SURVEILLANCE

- 28 -

Eh ! Oh : I said sinkrate not think rate

The GPWS alarm is an objective alert to lack of stabilisation or loss of stabilisation during the approach. The correct response to a GPWS alarm below the minimum stabilisation height is a Go Around.

An MSAW alarm can be a sign of lack of stabilisation or loss of stabilisation. In addition tothe standard MSAW phrases, a suggested Go Aroundis always possible.

CONTROLLERS

PILOTS

CONTROLLERS

PILOTS

Accident involving a CRJ at Brest in 2005: http://www.bea-fr.org/docspa/2003/f-js030622p/pdf/f-js030622p.pdf

Incident involving a B737-800 at Paris CDG in 2006:http://www.bea-fr.org/itp/events/ita6/ita6.pdf

- 29 -

Flight path deviationsduring final approach

Stabilisation

Change of runway in use

Visual approaches

Go around clearances

Go around clearances

External pressures

Clearances incompatiblewith aircraft performance

Training sessions

Radar vectoring

Approaches thatbecome unstabilised

GP S Alarms

Bibliography

Contents

The FO and the go around

Page 16: AUTORITÉ DE SURVEILLANCE

Unstabilised approach file:http://www.aviation-civile.gouv.fr/html/actu_gd/ans/ans.htmBEA ANS file:http://www.bea-fr.org/itp/events/itaspecialans/itaspecialans.pdfAccident involving an ATR 42 at Lyon in 2005:http://www.bea-fr.org/docspa/2005/f-ya050828/pdf/f-ya050828.pdfSerious incident involving a B737-800 at Cork in 2006:http://www.aaiu.ie/upload/general/8770-0.pdfAccident involving a CRJ at Brest in 2005:http://www.bea-fr.org/docspa/2003/f-js030622p/pdf/f-js030622p.pdfIncident involving a MD 83 at Nantes in 2004:http://www.bea-fr.org/docspa/2004/su-f040321/pdf/su-f040321.pdfAccident involving a DASH 8 at Paris ROISSY in 1993:http://www.bea-fr.org/docspa/1993/d-at930106p/pdf/d-at930106p.pdfIncident involving a B737-800 at Paris CDG in 2006:http://www.bea-fr.org/itp/events/ita6/ita6.pdfAccident involving an A340 at Toronto in 2005:http://www.tsb.gc.ca/fr/reports/air/2005/a05h0002/a05h0002.pdfIncident involving a B747-300 at Paris CDG in 2006: http://www.bea-fr.org/itp/events/ita6/ita6.pdf

- 31 -

Flight path deviationsduring final approach

Stabilisation

Change of runway in use

Visual approaches

Go around clearances

Go around clearances

External pressures

Clearances incompatiblewith aircraft performance

Training sessions

Radar vectoring

Approaches thatbecome unstabilised

GP S Alarms

Bibliography

Contents

The FO and the go around

- 30 -