Continue Discussion 23 replies
February 2023

500ks

And they both realized they had no power from the engines, and still allowed the aircraft to slow to stall-spin. Alternatives probably weren’t good at that point, but stalling an aircraft in from that altitude has only one possible outcome.

1 reply
February 2023

Roger_Mullins

Doesn’t feather props make a lot more and different noise? Could it not be felt that the plane was behaving differently?

1 reply
February 2023 ▶ Roger_Mullins

500ks

Maybe it felt and sounded similar to the drag of flaps being extended? I haven’t flown the ATR, but then few ATR pilots have probably feathered the engines in flight.

February 2023

bob9

An ATR training captain @flywithmagnar wrote about this report:
“As an ATR pilot and instructor for more than 20 years, I find it unbelievable that this could happen. Even so, the pilots had several opportunities to rectify the error. When a propeller goes into feather, it produces a distinct sound. When the flaps is extending, the aircraft pitches up, and the pilot has to push the nose down and trim the aircraft. The single chime from the Crew Alert System was most likely triggered when the AC “Wild” generators driven by the propeller gearboxes went offline. As a consequence, hydraulic pumps and ice protection systems were disabled as well. When reading the Before Landing checklist, the pilots are supposed to check the position of the flap lever and the indicator. But what really puzzles me, is that the flaps was extended to 30 degrees after the checklist had been completed. Was this communicated to the other pilot? The preliminary report doesn’t tell much about what was said in the cockpit. And there might be factors we are still not aware of. The investigation will definitely focus on human factors.”

February 2023

rblevy

Not an ATR pilot, but looking at the picture, it seems pretty hard to understand how one could mistake the TWO apparently roundish prop knobs from the SINGLE flap-shaped flap handle.

1 reply
February 2023

12yrvark

As an old ATR Driver with several thousand hours of 42 and 72 time I cannot wrap my head around how those guys could do what they did and not notice and fix it. They missed the pitch change, the prop noise change, and every other clue that things were messed up. Instructor pilots and Captains are not gods and sometimes you need to yell at them and fly the airplane.

February 2023

Hoser

Flew the ATR-72 at a Regional and I’m amazed this occurred. The difference in shape of the knobs should have been felt and noticed by the IP. Unbelievable.

2 replies
February 2023

Starstreams58

While the TransAsia crash in Taipei in 2015 was the result of a mismanaged engine failure resulting in the shutdown of the remaining “good” engine, this one is totally perplexing given the visual, aural and tactile indications described above. And why was the approach not stabilized at 1,000 ft. AGL with all checklist items completed? Not that another 279 feet would have necessarily salvaged the situation, but a few extra seconds to recognize and react to the anomaly(ies) MAY have resulted in a different outcome.

1 reply
February 2023

jdickey

“the propeller rotation speed (Np) of both engines decreased simultaneously to less than 25% and the torque (Tq) started decreasing to 0%, which is consistent with both propellers going into the feathered condition” How did the torque decrease when the propellers went into feather? Assuming the power is left alone, torque goes up when Np goes down. Is there something on the ATR that reduces power when a prop is feathered?

1 reply
February 2023 ▶ jdickey

bbgun06

Yes, the engines and props are all electronically controlled.

February 2023 ▶ Hoser

bbgun06

The pilot also has to lift a latch to move the condition levers.

1 reply
February 2023 ▶ Starstreams58

bbgun06

The answer is probably that they were flying a visual traffic pattern. However, a bit more than a minute elapsed from the props feathering to the stall. The pilot flying said twice, “we have no power” but neither made a correction to the condition levers.

1 reply
February 2023 ▶ bbgun06

pilotmww

Anyone know how long it takes for the ATR props to come out of feather? In the turboprops I have flown with either PT6 or GE (Saab 340) it can take 30-45 seconds to come out of feather. That would leave maybe 30 seconds to respond before crashing. Allowing the plane to stall instead of flying to the ground is not good either. Not many twin engine planes have a procedure in the AFM for total loss of engine power. Does the ATR?

1 reply
February 2023

Harvey_Shulman

Two Captains, not good, especially when one is from the training dept.

February 2023

Adrian_Parker

There’s a good “wrap up of events” from the preliminary report on you tube as discussed by “blancolirio”. Link here: https://www.youtube.com/watch?v=rXTy24rdwYc

February 2023

Bill_B

Years ago, on a SA-227AT Merlin IV, I had a co-pilot pull both props back to Low RPM when I asked for approach flaps. The sound and the flight performance were unmistakable that something was wrong and I immediately pushed the props back up. Later on, while training another pilot, he managed to bring both power levers into reverse in flight. Another amazing sound and feeling! Glad that aircraft is behind me but still flying.

1 reply
February 2023 ▶ Bill_B

Sven_Freitag

Wow… thank you for sharing those incidents! Clearly goes to show how even experienced pilots and crews can mess up badly when pilots are not checking on each other.
Gear up landings, pilots shutting down the good engine instead of the bad one, pilots moving the wrong levers because their mind is elsewhere or having a major brain fart in the worst possible moment… all that is documented in many accident reports, and no-one should assume they’re immune.

February 2023 ▶ pilotmww

bbgun06

About 30 seconds is right. It might be faster in flight due to airflow. The ATR does have a procedure for dual engine flameout, but it wouldn’t have helped in this situation.

February 2023 ▶ bbgun06

Hoser

I was thinking that too but it’s been a number of years since I flew it.

February 2023 ▶ 500ks

warrenwebbjr

Yes - that’s the other part that’s not being discussed. Altitude means available thrust. Why didn’t they pitch down and at least avoid the stall and un-survivable fall?

February 2023

bill

All “things” have a failure rate, including humans. 10E-7 sort of brain fart. About pulling the wrong lever: There but the grace of God go I.

February 2023 ▶ Hoser

D_D

Back in the 80s, a Delta 767 crew shutdown both engines on departure from LAX. They got an EEC fail EICAS message and procedure was to turn off both EECs which requires one to lift a guard on the square EEC switch and press the button. Instead, they shutoff the engines by pulling up out of the detent and lowering the mushroom shaped fuel cutoff switch.

Human factors, you never know when it will strike.

February 2023 ▶ rblevy

D_D

Back in the 80s, a Delta 767 crew shutdown both engines on departure from LAX. They got an EEC fail EICAS message and procedure was to turn off both EECs which requires one to lift a guard on the square EEC switch and press the button. Instead, they shutoff the engines by pulling up out of the detent and lowering the mushroom shaped fuel cutoff switch.

Human factors, you never know when it will strike.