Crew Failed To Heed EGPWS
Warnings in Unstable Approach
A December 5 report published
by the Australian Transport Safety Bureau reviewed a May 17, 2012 unstable
approach to Western Australia’s Laverton Aerodrome from the cockpit of a de
Havilland Canada Dash 8. The aircraft, operated by Skippers Aviation, was
executing a circling approach to Runway 07 at Laverton in patchy fog. The crew
positioned the aircraft on a close base leg to maintain visual reference with
the runway, which led to a steep final approach and a high rate of descent. At
approximately 900 feet agl the aircraft was still in a 25-degree right bank
descending at 1,400 fpm with the power at flight idle. These conditions
triggered enhanced ground proximity warning system (EGPWS) alerts that also
exceeded Skipper Aviation’s stable approach criteria, but the crew continued the
approach. Later, the crew admitted they heard the EGPWS but assumed it had been
triggered by the high sink rate, rather than an unstable approach. Nonetheless,
they landed the aircraft safely. During the investigation, the first officer
said he did not think the sink rate was too high, but he acknowledged that he
never looked at the instruments, just mainly out the window. He assumed the
captain would mention a problem if it occurred, which he did not. The captain
was looking out the windshield too because of the high sink rate, which
essentially left no one monitoring inside the cockpit. After this incident,
Skippers Aviation refined its stabilized approach criteria and formulated a
method of incorporating realistic EGPWS warning events in the Dash 8 simulator
training to enhance crews’ ability to accurately recognize and respond to
proximity alerts.
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