Final Report B735 HF CFIT LoC Kazan Russia 17 Nov 2013

Final Report B735 HF CFIT LoC Kazan Russia 17 Nov 2013

Publication info
Author
MAK (Russian Federation)
Category
Controlled Flight Into Terrain Loss of Control Human Factors
Date of publication
23/12/2015

On 17 November 2013, the crew of a Boeing 737-500 failed to establish on the ILS at Kazan after not following the promulgated intermediate approach track due to late awareness of LNAV map shift. A go around was eventually initiated from the unstabilised approach but the crew appeared not to recognise that the autopilot used to fly the approach would automatically disconnect. Non-control followed by inappropriate control led to a high speed descent into terrain less than a minute after go around commencement. The Investigation found that the pilots had not received appropriate training for all-engine go arounds or upset recovery.

SKYbrary Partners:

Safety knowledge contributed by: