Final Report CRJX

Final Report CRJX

Publication info
Author
BEA France
Category
Accident Reports Controlled Flight Into Terrain Human Factors
Date of publication
31/03/2023

On 20 October 2021, a Bombardier CRJ1000 making a LNAV/VNAV approach at Nantes using Baro-VNAV minima read back a significantly incorrect QNH which was not noticed by the controller. The crew then flew the approach approximately 530 feet below the procedure vertical profile which led to the MSAW system being activated and advised to the flight. The crew response was delayed until the controller had twice repeated the correct QNH after which the error was recognised and the vertical profile corrected. The investigation noted that neither the operator’s procedures nor aircraft instruments allowed straightforward crew detection of their error.

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