Final Report Bombardier DHC-8, VH-TQM, vicinity Adelaide Australia, 24 Apr 2015

Final Report Bombardier DHC-8, VH-TQM, vicinity Adelaide Australia, 24 Apr 2015

Publication info
Author
ATSB (Australia)
Category
Controlled Flight Into Terrain Human Factors
Date of publication
05/02/2018

On 24 April 2015, a Bombardier DHC8-300 making an RNAV approach at Adelaide in IMC with the AP engaged went below the procedure vertical profile. An EGPWS ‘PULL UP Warning was triggered at 5½nm out and the approach was discontinued reportedly due to spurious instrument indications. The Investigation found that the premature descent had occurred when mode re-selection after a Flight Director dropout had been incorrect with VS active instead of VNAV. It was found that both pilots had assessed the ‘PULL UP Warning as spurious and a missed approach rather than the mandated terrain avoidance procedure had been flown.

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