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The official U.S. report expressed concern that pilots may be routinely moving the power levers below the flight-idle stop during flight to slow their aircraft or increase descent rates.
The crew’s performance was adversely affected by limited sleep, a demanding day of flying and a time of day associated with fatigue, official report says.
The captain continued to fly the approach in a manner that placed the airplane in a dangerous flight regime despite warnings from the other crew members and the stall warning stick shaker, official U.S. report says.
The captain of the accident flight had failed three proficiency check flights for either deficient judgment or poor crew resource management.
Management had received frequent complaints about the pilot-in-command’s performance before the accident but no action was taken by supervisors. Accident investigators found that eight out of 11 second-in-command pilots avoided flying with the accident pilot.
Commuter Stalls and Crashes Into Sea During Go-around 4 pages. [PDF 33K]
A subsequent accident investigation conducted by authorities in Belize determined that the pilot had flown more than 41 hours over the maximum duty time allowed by law, including more than 30 hours in the two and a half days before the accident.
Aerobatic Maneuver Blamed In Fatal Commuter Crash 6 pages. [PDF 46K]
A routine proficiency check turned to tragedy when the pilot flying initiated a barrel roll at low altitude during the night flight. The official U.S. accident investigation report said the accident highlighted serious management and training deficiencies.
DC-10 Destroyed, No Fatalities, After Aircraft Veers Off Runway During Landing 12 pages. [PDF 62K]
Fifty feet above the runway, the first officer — the pilot flying — made a decision to go around, but the captain took control and landed the aircraft. The aircraft rolled off the runway about 1,700 feet after touchdown. Although the captain was not faulted for continuing the landing, an official U.S. report raised training, procedural, technical and record-keeping issues in connection with the accident.
Flight crew did not communicate the full seriousness of the problem to controllers until minutes before the crash.
Inadequate flap/slat handle design, lack of pilot training in recovery from high-altitude upsets and lack of seat-belt usage cited in U.S. official report.
Poor crew cooperation, altimeter misreading and a navigation radio malfunction were cited in the fatal CFIT accident.
The crash of an Indian Airlines Airbus A320 underscored safety issues ranging from cockpit resource management to airport emergency procedures.