| 13
December 1994 - Eagle
Flight 3379 |
Flight 3379, a Jetsream 31 with registration N918AE, departed Greensboro
at 18.03h with a little delay due to baggage rearrangement. The aircraft
climbed to a 9000ft cruising altitude and contacted Raleigh approach
control at 18.14h, receiving an instruction to reduce the speed to 180kts
and descend to 6000ft. Raleigh final radar control was contacted at
18.25 and instructions were received to reduce the speed to 170kts and
to descend to 3000t. At 18.30 the flight was advised to turn left and
join the localizer course at or above 2100ft for a runway 5L ILS approach.
Shortly after receiving clearance to land, the No.1 engine ignition
light illuminated in the cockpit as a result of a momentary negative
torque condition when the propeller speed levers were advanced to 100%
and the power levers were at flight idle. The captain suspected an engine
flame out and eventually decided to execute a missed approach. The speed
had decreased to 122kts and two momentary stall warnings sounded as
the pilot called for max power. The aircraft was in a left turn at 1800ft
and the speed continued to decrease to 103kts, followed by stall warnings.
The rate of descent then increased rapidly to more than 10000ft/min.
The aircraft eventually struck some trees and crashed about 4nm SW of
the runway5L threshold.
Of the 20 onboard (18 passengers and 2 crewmembers) 15 were killed
while the 5 survivors received serious injuries.
PROBABLE CAUSE: "1) The captain's improper assumption that an
engine had failed and 2) the captain's subsequent failure to follow
approved procedures for engine failure single-engine approach and go-around,
and stall recovery.
Contributing to the cause of the accident was the failure of AMR Eagle/Flagship
management to identify, document, monitor and remedy deficiencies in
pilot performance and training."

Transcript of the Cockpit Voice Recorder (CVR)
Legenda:
CAPT = Captain
FO = First officer
CAM = Cockpit area microphone
* = Unintelligible word
HOT-B = Sounds heard through both pilots' hot microphone systems
|
Time:
|
Source: |
Content: |
| 1833:33.3 |
CAPT: |
Why's that ignition light on? We
just had a flame-out? |
| 1833:38.4 |
FO: |
I'm not sure what's goin' on with
it. |
| 1833:39.8 |
CAPT: |
We had a flame-out. |
| 1833:40.7 |
CAM: |
[Low-frequency beat sound similar
to propellers rotating out of synchronization starts and continues
for approximately eight seconds.] |
| 1833:41.4 |
FO: |
'K, you got it? |
| 1833:42.5 |
CAPT: |
Yeah. |
| 1833:42.8 |
FO: |
We lose an engine? |
| 1833:43.6 |
CAPT: |
OK, yeah. |
| 1833:45.2 |
CAPT: |
OK, uh ... |
| 1833:46.0 |
FO: |
I'm gonna turn that ... |
| 1833:46.5 |
CAPT: |
See if that, turn on the auto ...
|
| 1833:48.2 |
FO: |
I'm goin' to turn on, both uh ...
ignitions, OK? |
| 1833:51.5 |
CAPT: |
OK. |
| 1833:54.2 |
FO: |
We lose that en' left one? |
| 1833:55.9 |
CAPT: |
Yeah. |
| 1833:58.9 |
FO: |
Watta you want me to do, you gonna
continue? |
| 1834:00.1 |
CAPT: |
OK, yeah. I'm gonna continue. Just
back me up. |
| 1834:03.1 |
FO: |
All right, I'm gonna ... |
| 1834:03.7 |
CAM: |
[Low-frequency beat sound similar
to propellers rotating out of synchronization starts and continues
for approximately three seconds.] |
| 1834:03.9 |
CAPT: |
* let's go missed approach. |
| 1834:05.0 |
FO: |
All right. **. |
| 1834:05.3 |
CAM: |
[Sound similar
to single stall warning horn starts and continues for 0.7 seconds.]
|
| 1834:05.7 |
CAPT: |
Set max power. |
| 1834:06.1 |
CAM: |
[Sound similar
to single stall warning horn starts and continues for 0.3 seconds.]
|
| 1834:06.5 |
FO: |
Lower the nose, lower the nose, lower
the nose. |
| 1834:09.4 |
CAM: |
[Sound similar
to single stall warning starts.] |
| 1834:09.6 |
CAM: |
[Sound similar
to dual stall warning horns starts.] |
| 1834:09.8 |
FO: |
You got it? |
| 1834:10.8 |
CAPT: |
Yeah. |
| 1834:12.2 |
FO: |
Lower the nose. |
| 1834:13.0 |
CAM: |
[Unidentified rattling sound] |
| 1834:13.2 |
FO: |
It's the wrong, wrong foot, wrong
engine *. |
| 1834:14.7 |
CAM: |
[Sound similar
to dual stall warning horns stops.] |
| 1834:14.8 |
CAM: |
[Low-frequency beat sound similar
to propellers rotating out of synchronization starts and continues
for approximately four seconds.] |
| 1834:14.9 |
CAM: |
[Sound similar
to single stall warning stops.] |
| 1834:16.1 |
CAM: |
[Sound similar
to dual stall warning horns starts.] |
| 1834:16.3 |
HOT-B:
| [Sound of heavy breathing] |
| 1834:17.6 |
CAM: |
[Sound similar
to dual stall warning horns stops and single horn continues.]
|
| 1834:18.2 |
CAM: |
[Sound similar
to dual stall warning horns starts.] |
| 1834:18.9 |
FO: |
Here. |
| 1834:19.6 |
CAM: |
[Sound similar
to dual stall warning stops.] |
| 1834:22.3 |
CAM: |
[Sound similar
to dual stall warning horns start and continues to impact.]
|
| 1834:24.4 |
CAM: |
[Sound of impact.] |
----------------------------------------------------------------------------------------
Cockpit Voice Recorder Database, visit us at www.tailstrike.com