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A combination of basic pilot error and an electrical failure has emerged as the possible cause of the crash of a Spanair airliner at Madrid airport last month that killed 154 people.
The crew of the MD82 jet failed to extend the wing flaps that are vital for take-off and an automatic system did not alert them, according to media leaks from the Madrid investigation.
The heavily loaded aircraft, bound for the Canary Islands, smashed to the ground tail-first near Barajas airport on August 20 after struggling to climb after an unusually long take-off run. Only 18 people survived.
First accounts of Spain’s worst air disaster for 25 years suggested that one of the tail-mounted engines had caught fire. Suspicion then focused on the malfunction of an engine thrust reverser. However, pilots noted immediately that the failure of the aircraft to gain height and the subsequent stall was more consistent with wrong flap settings.
It also emerged this week that another Spanish MD82 narrowly escaped crashing after take-off at Lanzarote in June last year when it became briefly uncontrollable. The inquiry into that incident is not complete, but a wrong flap setting is the suspected cause.
Data from the “black box” recorders of the Spanair jet showed that the two engines worked normally up to the crash but that the flaps were not set, sources close to the inquiry told The Wall Street Journal and El Mundo newspapers. The flaps on the wing’s trailing edge and slats on the leading edge are essential for lift on take-off. They are one of the “killer items” that pilots triple-check before take-off.
The cockpit voice recorder, recovered from the crash, showed that the crew had confirmed “Flaps OK, Slats OK” during their reading of the check list, according to Spanish reports.
A loud audio alert should have warned the crew of the wrong flap setting the moment they applied take-off power, but it did not work. The devices were installed on airliners decades ago because the failure of pilots to set flaps caused so many accidents. Two other alarms — warning of nearby ground and imminent stall — did work in the Spanair aircraft as the pilots struggled to control it.
The alarm failure could have been caused by a technical fault or it could have been switched off. The Spanair jet had already aborted one departure from Madrid before its ill-fated take-off.
Spanish officials called the revelations incomplete but did not deny them. If the theory is confirmed, the disaster would be a carbon copy of the August 1987 crash of a Northwestern Airlines DC9 — predecessor of the MD82 — at Detroit, which also killed 154. The DC9 pilots had forgotten to set the flaps and slats and the warning system lost power and failed.
The possibility that the crew were distracted will be examined in the Madrid investigation.
Three relatives of victims of the crash filed a lawsuit against Boeing in Illinois, where the planemakers have their headquarters. McDonnell Douglas merged with Boeing in 1996.
Vital checks
— A failure to set wing flaps and slats for take-off creates a lethal condition for modern airliners
— The extended wing surfaces are vital to generate the extra lift that is needed at the relatively low speeds of take-off and landing
— Airline crews are obliged to double-check the flap and slat settings. Some airlines require crews to deploy take-off flaps before leaving the airport gates
— The alarm does not activate if the aircraft is in the air
— The performance of the Spanair MD82 that crashed conforms to an aircraft trying to take off below minimum flying speed. Witnesses said that it travelled for an extra 500 yards as the pilots coaxed into the air an aircraft teetering on the edge of a stall
— Stalls on take-off are hard to recover from
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Yes, makes sense >To to disable the temp gauge elec problem from 1st takeoff, they (mechanics or pilots) pulled the same circuit bus that also powered the CAWS alarm for flaps setting. >On 2nd takeoff, they rushed to depart and missed the checklist item - assuming they had set flaps already.
Mark, Tempe, AZ, USA
Setting the flaps is as basic as remembering to turn your car on before putting it in reverse. It is a task than chcklists call for TRIPLE checking. There is no excuse whatsoever for the pilots. Pilots are well-paid and well-trained for a reason. Sounds like Spanair has lax cockpit standards.
Russell, Atlanta,
I have taught this area for over 30 years. The man/machine interface is a very complex design field and words such as pilot error or mechanical failure may be meaningless. But system where a foreseeable and avoidable pilot error induced crash is not trapped and eliminated is a defective system.
Vincent Brannigan, Bethesda , USA
Spanair is holding back the complete conversation recorded on the voice recorder. Previously it had leaked out that the co-pilot shouted: Fire! The left engine! Additionally, the ground staff had switched off an air-intake temperature gauge, which was interconnected with warning-controlling circuits
Chris, Münster, Germany
So many planes crashed because the crew thought the flaps were set, the wheels were down.... Why not install small cameras ( the size of one eye ) so the crew could SEE the flaps, the wheels, the rudder etc..... on a small monitor in the cockpit ???? I would improve safety a lot.... wouldn'it ?
mennicken, saint martin, guadeloupe
João, you are wrong. An improperly configured plane will still be able to take off but then immediately crash due to a aerodynamic phenomenon called "ground effect". Look it up online for an explanation.
Bobo, Nevada, USA
It should be relatively easy technically to automate flap setting for take-off. But it would cost money...
The article indicates that the crew confirmed twice that flaps were set. I think there was a failure in the indicating system, giving a false reading to the pilots; hence, no warning as well.
Jack Sprat, Bristol, UK
The same aircraft ran off the end of the runway in a storm at little rock Ark: some years ago and the cause was flaps were not set, You'd have thought by now that this device could have been somewhat automated or fixed, I do not fly MDs period.
Peter, Vancouver BC., Canada
It seems that the Take-off Configuration Warning System was faulty. It used to be "pilot error"; now it's "basic pilot error" with "killer items". I wish the people who write this stuff would show some accountability and put their name to the article.
David, Brisbane, Australia
I flew commercial for years. You know why the pilots get the blame, dead pilots tell know tales!
Dave, Clarion, USA
I do not believe!! it is very easy to blame a dead pilot, Ime revolted.
if flaps were not in take off position, the airplane wold not gain altitude as it apen to be.
it would continued to the end of the runway and then crash.
João, Lisbon, Portugal
"Basic pilot error " ?? - unless there's evidence that the controls in the cockpit were in the wrong position then surely the evidence is that the failures were of aircraft systems!
jb, Carcassonne,
if the audio alert warning didn't work , why are you blaming the pilot.It is a mechanic failure
Robert, Mallorca, Spain
Is there not a greater chance that the flap settings were indicated correct - hence the lack of alarm, but the electrical settings for the flaps were wrong. Unless they are double wired (to show that they have left one position and reached another) they can show they have moved when they've not.
David, Norwich, England
Surely in this age of cctv it would be possible to have cameras trained on both the slats/ flaps thus giving the pilot visual confirmation of their settings?This simple addition would have saved these people and perhaps many more in the future.
Steve Riley, Stockton on Tees,
if it was a problen with the audio alert then it wouldn't be a human error as it is said at the beginning of the article:it was a macanical failure
Robert, Mallorca, Spain
On this aircraft it is a manual task for the pilot to perform. But if not set to the correct position for Take Off there is a warning system which alerts the pilots. It seems here that they were not set to the correct position and unfortunately the Warning System did not function.
Paddy, Cork, Ireland
Can these flaps be set automatically if there is a right and wrong setting?
Chris Jackson, London,