Final Report SB20 (HB-IZW) vicnity Billund Denmark, 10 Dec 2015

Final Report SB20 (HB-IZW) vicnity Billund Denmark, 10 Dec 2015

Publication info
Author
STSB (Switzerland)
Category
Controlled Flight Into Terrain Human Factors Level Bust
Date of publication
31/12/2018

On 10 December 2015, a Saab 2000 descended below the prescribed vertical profile in IMC during a LLZ-only approach to Billund. An EGPWS ‘PULL UP’ warning was followed by a go around instead of the prescribed response to such a warning. A minor level bust and configuration exceedance followed after which the aircraft returned to its departure airport. Prior to the LLZ-only approach, an attempt to continue with an ILS approach to the same runway with only a LLZ signal available had also ended in a go around. In both cases, there was a complete failure to maintain vertical situational awareness.

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