Final Report AT45 (JA01JC) en-route NNW of Tanegashima Japan, 12 Oct 2019

Final Report AT45 (JA01JC) en-route NNW of Tanegashima Japan, 12 Oct 2019

Publication info
Author
JTSB Japan
Category
Accident Reports Human Factors Loss of Control
Date of publication
29/07/2021

On 12 October 2019, an ATR 42-500 on which Captain upgrade line training was being conducted encountered mild clear air turbulence soon after descent began and despite setting flight idle power, a concurrent speed increase led to concern at a possible VMO exceedence. An abrupt and ultimately simultaneous manual increase in pitch attitude followed leading to serious injury to the unsecured cabin crew which rendered them unfit to work. The Investigation found that the upset - a change in pitch from -2.3° to +6.3°in one second - was almost entirely due to pitch input from both pilots rather than turbulence.

SKYbrary Partners:

Safety knowledge contributed by: