Airbus A320-232 Report Acident 2008.pdf

R eport

Accident on 27 November 2008

off the coast of Canet-Plage (66)

to the Airbus A320-232

registered D-AXLA

operated by XL Airways Germany

Bureau d’Enquêtes et d’Analyses

pour la sécurité de l’aviation civile

Ministère de l’écologie, de l’énergie, du développement durable et de la mer, en charge des technologies vertes et des négociations sur le climat

Foreword

This report expresses the conclusions of the BEA on the ci rcumstances and

causes of this accident .

In accordance wi th Annex 13 to the Convent ion on Internat ional Civi l

Aviat ion, wi th EC di rect ive 94/56 and wi th the French Civi l Aviat ion Code

(Book VI I ) , the invest igat ion was not conducted so as to apport ion blame,

nor to assess individual or col lect ive responsibi l i ty. The sole object ive is

to draw lessons from this occurrence which may help to prevent future

accidents.

Consequent ly, the use of this report for any purpose other than for the

prevent ion of future accidents could lead to erroneous interpretat ions.

SPECIAL FOREWORD TO ENGLISH EDITION

This report has been translated and publ ished by the BEA to make i ts

reading easier for Engl ish-speaking people. As accurate as the translat ion

may be, the or iginal text in French is the work of reference.

D-AXLA - 27 November 2008

Table of Contents

FOREWORD

GLOSSARy

SyNOPSIS

ORGANISATION OF THE INVESTIGATION

1 – FACTUAL INFORMATION

1.1 History of Flight

1.2 Injuries to Persons

1.3 Damage to Aeroplane

1.4 Other Damage

1.5 Personnel Information

1.5.1 Flight crew

1.5.2 Other persons on board

1.6 Aircraft Information

1.6.1 Airframe

1.6.2 Engines

1.6.3 Background

1.6.4 Maintenance

1.6.5 Weight and balance

1.6.6 Angle of attack sensors

1.6.7 Flight control laws

1.6.8 Angle of attack protections in normal law

1.6.9 Stall warning

1.6.10 Angle of attack information on board the aeroplane

1.6.11 Surveillance of angle of attack values

1.6.12 Speed information on board the aeroplane

1.7 Meteorological Conditions

1.7.1 Significant messages

1.7.2 Information supplied to the crew

1.7.3 Geographical area where the local angle

of attack values stopped evolving

1.7.4 Meteorological conditions at Perpignan

from 24 to 26 November 2008

1.8 Aids to Navigation

1.9 Telecommunications

1.9.1 En-route control centres

1.9.2 Perpignan ATC services

1.10 Aerodrome Information

D-AXLA - 27 November 2008

1.11 Flight Recorders

1.11.1 Cockpit Voice Recorder (CVR)

1.11.2 Flight Data Recorder (FDR)

1.11.3 Data Readout

1.12 Wreckage and Impact Information

1.13 Medical and Pathological Information

1.14 Fire

1.15 Survival Aspects

1.16 Tests and Research

1.16.1 Angle of attack sensors

1.16.2 Function of Systems during the flight

1.16.3 Underwater search

1.16.4 Reconstitution of the radar trajectory

1.17 Information on Organisations and Management

1.17.1 Statutory Aspects

1.17.2 Information on air traffic organisation

1.17.3 Information on Airbus

1.17.4 Information on EAS Industries

1.17.5 Information on the Operators

1.17.6 D-AXLA’s leasing contract

1.17.7 Maintenance operations

1.17.8 “Tests flights” Provided for in the Leasing Contract

1.18 Additional information

1.18.1 Witness Statements

1.18.2 Telephone calls

1.18.3 Flights by the B737-800, Registered D-AXLH,

Operated by XL Airways Germany

1.18.4 Other events

1.18.5 FAA safety message

2 - ANALySIS

2.1 Analysis of the Sequence of Events that led to the Accident

2.1.1 Context of the flight

2.1.2 Planning and preparation of the flight

2.1.3 Management and conduct of the flight

2.1.4 Low speed check in landing configuration

2.1.5 Loss of control

2.2 Angle of attack sensors

2.2.1 Origin of the blockage

2.2.2 Painting Operations

2.2.3 Angle of attack sensors exposure to water projection

2.3 Non-revenue Flights in Leasing Contracts

2.3.1 Status

2.3.2 Performance

2.4 Functioning of the Automated Systems

D-AXLA - 27 November 2008

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