Pilot errors outlined in 2009 Air France crash

Associated Press
FILE - In this Monday, June 8, 2009 file photo released by Brazil's Air Force, Brazil's Navy sailors recover debris from the missing Air France Flight 447 in the Atlantic Ocean. French investigators are releasing much-awaited details Friday July 29, 2011 about what happened in the final minutes before an Air France jet crashed in the Atlantic Ocean in 2009. The French air accident investigation agency BEA is issuing a report Friday into the crash based on readings from the so-called black box flight recorders. (AP Photo/Brazil's Air Force, file)  ** NO SALES  **
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FILE - In this Monday, June 8, 2009 file photo released by Brazil's Air Force, Brazil's Navy sailors recover debris from the missing Air France Flight 447 in the Atlantic Ocean. French investigators are releasing much-awaited details Friday July 29, 2011 about what happened in the final minutes before an Air France jet crashed in the Atlantic Ocean in 2009. The French air accident investigation agency BEA is issuing a report Friday into the crash based on readings from the so-called black box flight recorders. (AP Photo/Brazil's Air Force, file) ** NO SALES **

LE BOURGET, France (AP) — The crew piloting a doomed Air France jet over the Atlantic did not realize the plane was in a stall, were insufficiently trained in flying manually, and never informed the passengers that anything was wrong before they plunged into the sea, according to new findings released Friday.

Based on newly discovered cockpit recordings from the 2009 crash, the French air accident investigation agency is recommending mandatory training for all pilots to help them fly planes manually and handle a high-altitude stall.

The findings show that the two co-pilots were facing faulty speed readings from unreliable sensors and repeated alarm signals, but fail to explain why the pilots responded the way they did.

All 228 people were killed when the Airbus 330, en route from Rio de Janeiro to Paris, crashed as thunderstorms hit over the Atlantic on June 1, 2009. It was the worst accident in Air France's history.

"The pilots were in a situation they didn't understand," investigator Alain Bouillard told a news conference.

Questions emerged about the relations among the three pilots and how they shared responsibilities in the crucial final moments of the flight.

The French aviation investigation agency, known by its French acronym BEA, is forming a special group, including aviation experts and physiologists and psychologists, to study the pilots' possible responses to help determine why they did what they did.

The passengers were never told what was happening as Flight 447 went into an aerodynamic stall and then fell for 3½ minutes into the ocean, according to the BEA.

"From what we've been told, nobody realized what was going on. On that level, for my mental and moral comfort I am very pleased to hear this, when you know you had two people on board who were dear to you," said Corinne Soulas, whose 24-year-old daughter Caroline and son-in-law were aboard the flight.

The BEA released a 117-report Friday, based on cockpit voice and data recordings retrieved from the ocean depths in May in an exceptionally long and costly search operation. A final report is expected in early 2012.

"We understood how the accident came about. Now we must learn why it came about," Bouillard said.

The report confirms that external speed sensors obstructed by ice crystals produced irregular speed readings on the plane. Since the accident, Air France has replaced the speed monitors on all its Airbus A330 and A340 aircraft.

The BEA says neither of the co-pilots at the controls had received recent training for manual aircraft handling, or had any high-altitude schooling in case of unreliable air speed readings.

A stall warning sounded numerous times, and once for a full 54 seconds, but the crew made no reference to it in cockpit exchanges before the jet crashed, according to the BEA.

"Aircraft have become so reliable that pilots rarely fly the airplane without all the automation helping them. Then when they get into unusual circumstances, the pilots are really in unfamiliar, unknown territory," said John Goglia, a former U.S. National Transportation Safety Board member and an expert on airline safety.

Pilots are required to fly with autopilot above 24,000 feet.

In a statement, Air France said there was currently no reason to question the crew's technical skills. The airline said the report showed that a series of unlikely failures led up to the stall and crash.

The airline also suggested the aircraft's systems and alarms may have "hindered the crew's understanding of the situation" during the stall, in comments possibly intended to shift some blame for the crash away from its pilots and onto the Airbus jet itself.

Bill Voss, head of the Flight Safety Foundation, an independent aviation safety advocate, said it would be a "tragic mistake" to blame this only on Air France and its training procedures.

"This is an industry problem, this accident could have happened as easily in other airlines," he said. "A whole new generation of pilots have never had the chance to train on the real scenarios that will affect them in the real world."

Another recommendation is to make division of labor clearer when the captain is out of the cockpit.

The captain was on a rest break when the warnings began. It's unclear why the co-pilot at the controls, flying manually in what became the final minutes of the flight, maintained a nose-up input — contrary to the normal procedure to come out of an aerodynamic stall. Normally, the nose should be pointed slightly downward to regain lift in such a stall, often caused because the plane is traveling too slowly.

A basic maneuver for stall recovery, which pilots are taught at the outset of their flight training, is to push the yoke forward and apply full throttle to lower the nose of the plane and build up speed.

This procedure, which can cause the aircraft to quickly lose several thousand feet of altitude, can be dangerous if the plane is near the ground. But with AF447 flying at over 35,000 feet, the risk of that would have been negligible.

The pilots may have been misled by erroneous stall warnings, the SNPL French pilots union said.

In a statement focusing the blame on the equipment and not on the pilots, the union said: "Each time they reacted appropriately, the alarm triggered inside the cockpit, as though they were reacting wrongly. Conversely, each time the pilots pitched the plane up, the alarm shut off, preventing a proper diagnosis of the situation."

The BEA's full report noted that Airbus warned pilots in 2008 that incorrect speed readings from the Pitot tubes could cause erroneous stall warnings.

The BEA's Bouillard maintained that the pilots should have paid attention to the stall warnings. "One must always respect a stall alarm," he said.

At 2 hours, 10 minutes and 5 seconds into the overnight flight, the autopilot and then auto-thrust disengaged when the stall warning sounded twice. The co-pilot at the controls nosed the plane up.

A minute and a half later, the captain arrived, and seconds later, "all the recorded speeds became invalid and the stall warning stopped," the summary says.

The recordings end 4 minutes, 23 seconds after the first stall warning.

No announcement was ever made to passengers.

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Slobodan Lekic in Brussels, Joan Lowy in Washington, Masha MacPherson at Le Bourget, and Greg Keller and Cecile Brisson in Paris contributed to this report.

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