Air France Flight 447
Air France Flight 447 was a scheduled international transatlantic passenger flight from Rio de Janeiro, Brazil, to Paris Charles de Gaulle Airport, France. On 1 June 2009, inconsistent airspeed indications and the resulting miscommunication between the pilots of the Airbus A330 led to an inadvertent stall. They failed to recover the aircraft from the stall, and the aircraft crashed into the mid-Atlantic Ocean at 02:14 UTC, killing all 228 passengers and crew on board.
The Brazilian Navy recovered the first major wreckage and two bodies from the sea within five days of the accident, but the investigation by France's Bureau of Enquiry and Analysis for Civil Aviation Safety was initially hampered because the aircraft's flight recorders were not recovered from the ocean floor until May 2011, nearly two years after the accident.
The BEA's final report, released at a press conference on 5 July 2012, concluded that the aircraft suffered temporary inconsistencies between the airspeed measurements—likely resulting from ice crystals obstructing the aircraft's pitot tubes—which caused the autopilot to disconnect. The crew reacted incorrectly to this, causing the aircraft to enter an aerodynamic stall which the pilots failed to correct. The accident is the deadliest in the history of Air France, as well as the deadliest aviation accident involving the Airbus A330.
Aircraft
The aircraft involved was a four-year-old Airbus A330-203, with serial number 0660, registered as F-GZCP. It was delivered to the airline in April 2005. The aircraft was powered by two General Electric CF6-80E1A3 engines with a maximum thrust of , giving it a cruise speed range of, at of altitude and a range of. The aircraft underwent a major overhaul on 16 April 2009, and at the time of the accident had accumulated about 18,870 flying hours. It was the last Airbus A330 delivered to the airline.Passengers and crew
The aircraft was carrying 216 passengers, 3 aircrew, and 9 cabin crew in two cabins of service. Among the 216 passengers were 126 men, 82 women and 8 children.There were three pilots on the flight:
- The pilot in command, 58-year-old Captain Marc Dubois had joined Air France in February 1988 from rival French domestic carrier Air Inter, and had 10,988 flying hours, of which 6,258 were as captain, including 1,700 hours on the Airbus A330; he had carried out 16 rotations in the South America sector since arriving in the A330/A340 division in 2007.
- The cruise relief co-pilot in the left seat, 37-year-old First Officer David Robert had joined Air France in July 1998 and had 6,547 flying hours, of which 4,479 hours were on the Airbus A330; he had carried out 39 rotations in the South America sector since arriving in the A330/A340 division in 2002. Robert had graduated from École nationale de l'aviation civile, one of the elite Grandes Écoles, and had transitioned from a pilot to a management job at the airline's operations center. He served as a pilot on the flight to maintain his flying credentials.
- The co-pilot in the right seat, 32-year-old First Officer Pierre-Cédric Bonin had joined Air France in October 2003 and had 2,936 flight hours, of which 807 hours were on the Airbus A330; he had carried out five rotations in the South America sector since arriving in the A330/A340 division in 2008. His wife Isabelle, a physics teacher, was also on board.
- Senior Purser Anne Grimout, 25 years' service, Purser Françoise Sonnic, 28 years' service, and Purser Maryline Messaud, 20 years' service.
- Flight Attendants Laurence Desmots, 18 years' service, Stéphanie Schoumacker, 13 years' service, Sébastien Vedovati, 11 years' service, Clara Amado, 8 years' service, Carole Guillaumont, 5 years' service, and Lucas Gagliano, 2 years' service.
The majority of passengers were French, Brazilian, or German citizens. The passengers included business and holiday travelers.
Air France established a crisis center at Terminal 2D for the 60 to 70 relatives and friends who arrived at Charles de Gaulle Airport to pick up arriving passengers, but many of the passengers on Flight 447 were connecting to other destinations worldwide. In the days that followed, Air France contacted close to 2,000 people who were related to, or friends of, the victims.
On 20 June 2009, Air France announced that each victim's family would be paid roughly €17,500 in initial compensation.
Notable passengers
- Prince Pedro Luiz of Orléans-Braganza, third in succession to the abolished throne of Brazil and grandnephew of Grand Duke Jean of Luxembourg. He had dual Brazilian–Belgian citizenship. He was returning home to Luxembourg from a visit to his relatives in Rio de Janeiro.
- Giambattista Lenzi, member of the Regional Council of Trentino-Alto Adige.
- Silvio Barbato, composer and former conductor of the symphony orchestras of the Cláudio Santoro National Theater in Brasília and the Rio de Janeiro Municipal Theater; he was en route to Kyiv for engagements there.
- Octavio Augusto Ceva Antunes, professor of chemistry and pharmaceutics at the Federal University of Rio de Janeiro.
- Fatma Ceren Necipoğlu, Turkish classical harpist and academic of Anadolu University in Eskişehir; she was returning home via Paris after performing at the fourth Rio Harp Festival.
- Izabela Maria Furtado Kestler, professor of German studies at the Federal University of Rio de Janeiro.
- Pablo Dreyfus from Argentina, campaigner for controlling illegal arms and the illegal drugs trade.
Accident
The Airbus A330 is designed to be flown by two pilots, but the 13-hour "duty time" required for the Rio-Paris route exceeded the 10 hours permitted before a pilot had to take a break as dictated by Air France's procedures. To comply with these procedures, Flight 447 was crewed by three pilots: a captain and two first officers. With three pilots on board, each pilot could take a break in the A330's rest cabin, located behind the cockpit.
In accordance with common practice, Captain Dubois sent First Officer Robert for the first rest period with the intention of taking the second break himself. At 01:55 UTC, he woke up First Officer Robert and said, "... he's going to take my place". After attending the briefing between the two co-pilots, the captain left the cockpit to rest at 02:01:46 UTC. At 02:06 UTC, the pilot warned the cabin crew that they were about to enter an area of turbulence. About two to three minutes later, the aircraft encountered icing conditions. The cockpit voice recorder recorded sounds akin to hail or graupel on the outside of the aircraft and ice crystals began to accumulate in the pitot tubes, which measure airspeed. Bonin, the pilot flying, turned the aircraft slightly to the left and decreased its speed from Mach 0.82 to 0.80, which was the recommended speed to penetrate turbulence. The engine anti-ice system was also turned on.
At 02:10:05 UTC, the autopilot disengaged, most likely because the pitot tubes had iced over, and the aircraft transitioned from "normal law" to "alternate law 2 ". The engines' autothrust systems disengaged three seconds later. The autopilot disconnect warning was heard on the CVR.
Bonin took manual control of the aircraft. Without the autopilot, turbulence caused the aircraft to start to roll to the right, and Bonin reacted by deflecting his side-stick to the left. One consequence of the change to ALT2 was an increase in the aircraft's sensitivity to roll, and the pilot overcorrected. During the next 30 seconds, the aircraft rolled alternately left and right as he adjusted to the altered handling characteristics of the aircraft. At the same time, he abruptly pulled back on his side-stick, raising the nose. This action was unnecessary and excessive under the circumstances. The aircraft's stall warning briefly sounded twice because the angle of attack tolerance was exceeded, and the aircraft's indicated airspeed dropped sharply from. The aircraft's angle of attack increased, and the aircraft subsequently began to climb above its cruising altitude of 35,000 ft. During this ascent, the aircraft attained vertical speeds well in excess of the typical rate of climb for the Airbus A330, which usually ascends at rates no greater than 2,000 feet per minute. The aircraft experienced a peak vertical speed close to, which occurred as Bonin brought the rolling movements under control.
At 02:10:34 UTC, after displaying incorrectly for half a minute, the left-side instruments recorded a sharp rise in airspeed to, as did the integrated standby instrument system 33 seconds later. The right-side instruments were not recorded by the flight data recorder. The icing event had lasted for just over a minute, yet Bonin continued to make nose-up inputs. The trimmable horizontal stabilizer moved from 3 to 13° nose-up in about one minute, and remained in the latter position until the end of the flight.
At 02:11:10 UTC, the aircraft had climbed to its maximum altitude around. At this point, the aircraft's angle of attack was 16°, and the engine thrust levers were in the fully forward takeoff/go-around detent. As the aircraft began to descend, the angle of attack rapidly increased toward 30°. A second consequence of the reconfiguration into ALT2 was that the stall protection no longer operated, whereas in normal law, the aircraft's flight-management computers would have acted to prevent such a high angle of attack. The wings lost lift and the aircraft began to stall.
Confused, Bonin exclaimed, "I don't have control of the aircraft any more now", and two seconds later, "I don't have control of the aircraft at all!" Robert responded to this by saying, "controls to the left", and took over control of the aircraft. He pushed his side-stick forward to lower the nose and recover from the stall; however, Bonin was still pulling his side-stick back. The inputs cancelled each other out and triggered an audible "dual input" warning.
At 02:11:40 UTC, Dubois re-entered the cockpit after being summoned by Robert. The angle of attack had then reached 40°, and the aircraft had descended to with the engines running at almost 100% N1. The stall warnings stopped, as all airspeed indications were now considered invalid by the aircraft's computer because of the high angle of attack. The aircraft had its nose above the horizon, but was descending steeply.
Roughly 20 seconds later, at 02:12 UTC, Bonin decreased the aircraft's pitch slightly. Airspeed indications became valid, and the stall warning sounded again; it then sounded intermittently for the remaining duration of the flight, stopping only when the pilots increased the aircraft's nose-up pitch. From there until the end of the flight, the angle of attack never dropped below 35°. From the time the aircraft stalled until its impact with the ocean, the engines were primarily developing either 100% N1 or TOGA thrust, though they were briefly spooled down to about 50% N1 on two occasions. The engines always responded to commands and were developing in excess of 100% N1 when the flight ended. Robert responded to Dubois by saying, "We've lost all control of the aeroplane, we don't understand anything, we've tried everything". Soon after this, Robert said to himself, "climb" four consecutive times. Bonin heard this and replied, "But I've been at maximum nose-up for a while!" When Dubois heard this, he realized Bonin was causing the stall, and shouted, "No no no, don't climb! No No No!" When Robert heard this, he told Bonin to give him control of the aircraft, and Bonin initially obliged.
The aircraft was now too low to recover from the stall. Robert pushed his side-stick forward to try to regain lift in order to get out of the stall; however, shortly thereafter, the ground proximity warning system sounded a "sink rate" alarm followed by "pull up" alarms. In response, Bonin pulled his side-stick all the way back again, and said, "We're going to crash! This can't be true. But what's happening?" The last recording on the CVR was Dubois saying, " degrees pitch attitude."
Both flight recorders stopped recording at 02:14:28 UTC, 3 hours and 45 minutes after takeoff. At that point, the aircraft's ground speed was recorded as, and the aircraft was descending at, a vertical speed of. Its pitch was 16.2° nose-up, with a roll angle of 5.3° to the left. During its descent, the aircraft had turned more than 180° to the right to a compass heading of 270°. The aircraft remained stalled during its entire 3-minute-30-second descent from. The aircraft struck the ocean belly-first at a speed of, comprising vertical and horizontal components of and, respectively. All 228 passengers and crew on board died on impact from extreme trauma and the aircraft was destroyed.