Report on the serious incident at Bergen Airport Flesland (ENBR) on 24 March 2003, involving SAS329, MD-81, LN-RMO, operated by Scanidnavian Airlines

Luftfart rapport 2005/48 eng

Innflyging i dårlig sikt til bane 35. I ca. 100 ft førte autopilot flyet ut på høyre side. Fartøysjef koplet ut autopilot og korrigerte til venstre. En overkorrigering førte flyet for langt ut til venstre, og resultatet ble kollisjon med banelys på venstre banekant under utrulling etter landing.

Sikkerhetstilråding

Safety recommendation SL no. 2005/55T

SAS Commanders’ policy is not to use landing lights in darkness and reduced visibility in drifting fog or precipitation. SAS should consider to re-evaluate the wording in OM Part A to clarify when use of landing lights are not recommended and when it may be beneficial.

 

Safety recommendation SL no. 2005/54T

Scandinavian Airlines has experienced four landing incidents at ENBR involving the use of AP down to the MUH. SAS should consider to re-evaluate the procedure of using the autopilot below CAT 1 minimum at ENBR.

 

Safety recommendation SL no. 2005/53T

Norway is the only country in the world using yellow runway markings. AIBN has not seen any scientific evidence supporting the Norwegian policy of using yellow runway markings. CAA-N should consider to evaluate the requirement for adhering to ICAO standard white runway surface markings in Norway.

 

Safety recommendation SL no. 2005/52T

Based on investigations of four landing incidents at ENBR, AIBN considers that the installation of centre line lighting systems will improve the flight safety level during landings at ENBR. CAA-N should consider to evaluate the requirement for RWY centre line lighting system at ENBR.

 

Safety recommendation SL no. 2005/51T

Based on the present NOTAM at ENBR regarding not using autopilot inside 3 NM on ILS 35, Avinor should consider to publish in AIP Norway any restrictions on automatic approaches and landings by use of the ILS equipment at Bergen airport Flesland.

 

Safety recommendation SL no. 2005/50T

Simultaneous operation of RWY 17/35 LLZ transmitters may be causing interference from the opposite LLZ signal. CAA-N should consider to review the Norwegian requirements for ILS equipment and use of interlock.

 

Fakta

Sted Bergen lufthavn Flesland (ENBR)
Hendelsesdato 24.03.2003
ICAO flyplassindikator ENBR
Luftfartøy McDonnell Douglas DC-9
Operatør SAS
Reg. merke LN-RMO
Flygeforhold IMC
Fylke Hordaland
Type hendelse Alvorlig luftfartshendelse
Type flyging Ervervsmessig, ruteflyging
Kategori luftfart Tung, fly (> 10 000kg)
Flykategori Landfly, Multi-engine, Turbofan/Turbojet
FIR/AOR ENSV (Stavanger ATCC)

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