Event Details


Title:Descent beneath glide slope, Boeing 747-412, 4X-ELS, January 10, 2006
Micro summary:This Boeing 747 inexplicably descended far beneath the glide slope on approach.
Event Time:2006-01-10 at 1200 UTC
File Name:2006-01-10-2-UK.pdf
Publishing Agency:Aircraft Accident Investigation Board (AAIB)
Publishing Country:United Kingdom
Report number:EW/C2006/01/03
Pages:3
Site of event:10 miles east of London Heathrow Airport
Departure:Unknown
Destination:London Heathrow Airport, London, England, United Kingdom
Airplane Type(s):Boeing 747-412
Flight Phase:Approach
Registration(s):4X-ELS
Operator(s):El Al
Type of flight:Revenue
Occupants:465
Fatalities:0
Serious Injuries:0
Minor/Non-Injured:465
Other Injuries:0
Executive Summary:During an ILS approach to Runway 27R with the autopilot engaged, the aircraft descended to 1,200 ft altitude at about 8 nm from the runway threshold. The flight crew recovered the aircraft to the ILS glidepath manually and landed normally. Investigations revealed no fault, either on the aircraft or in the ground equipment, to explain the incident.
[...]

Conclusion
The available evidence suggested that an error in the glideslope signal arriving at the aircraft was sensed by both FCCs after the autopilot captured the glidepath. However, monitoring equipment on the ground showed no fault and no cause could be found for the error recorded on board the aircraft.

The AAIB is not aware of any similar incidents immediately before or after this event. Consequently, based on the available evidence, the problem was either external to the aircraft but experienced only by 4X?ELS, or an unidentified internal fault within the aircraft. However, the lack of recorded flight data and the inability to evaluate the aircraft soon after the incident rendered further investigation impracticable.

In this incident, the risk was minimal because visibility below the 1,500 ft cloud base would have permitted the flight crew to gain visual contact with terrain in good time to avoid any Controlled Flight Into Terrain (CFIT) hazard. Had the cloud base been lower, the aircraft’s GPWS should also have provided a timely warning of proximity to the ground.
Learning Keywords:Operations - Airspace - Air Traffic Control
Operations - Airspace - GPWS
Operations - Altitude Excursion
Operations - Navigation error

 




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