AIRBUS A300 - F4 622R near Birmingham, AL — 2013-08-14
- Date
- 2013-08-14
- Location
- Birmingham, AL, USA
- Airport
- BHM
- Aircraft
- AIRBUS A300 - F4 622R
- Registration
- N155UP
- Category
- Airplane
- Highest injury
- Fatal
- Fatalities
- 2
Probable cause
the flight crew's continuation of an unstabilized approach and their failure to monitor the aircraft's altitude during the approach, which led to an inadvertent descent below the minimum approach altitude and subsequently into terrain. Contributing to the accident were (1) the flight crew's failure to properly configure and verify the flight management computer for the profile approach; (2) the captain's failure to communicate his intentions to the first officer once it became apparent the vertical profile was not captured; (3) the flight crew's expectation that they would break out of the clouds at 1,000 feet above ground level due to incomplete weather information; (4) the first officer's failure to make the required minimums callouts; (5) the captain's performance deficiencies likely due to factors including, but not limited to, fatigue, distraction, or confusion, consistent with performance deficiencies exhibited during training; and (6) the first officer's fatigue due to acute sleep loss resulting from her ineffective off-duty time management and circadian factors.
Contributing factors
Contributing to the accident were (1) the flight crew's failure to properly configure and verify the flight management computer for the profile approach; (2) the captain's failure to communicate his intentions to the first officer once it became apparent the vertical profile was not captured; (3) the flight crew's expectation that they would break out of the clouds at 1,000 feet above ground level due to incomplete weather information; (4) the first officer's failure to make the required minimums callouts; (5) the captain's performance deficiencies likely due to factors including, but not limited to, fatigue, distraction, or confusion, consistent with performance deficiencies exhibited during training; and (6) the first officer's fatigue due to acute sleep loss resulting from her ineffective off-duty time management and circadian factors.
NTSB narrative
The Safety Board's full report is available at http://www.ntsb.gov/investigations/AccidentReports/Pages/aviation.aspx. The Aircraft Accident Report number is NTSB/AAR-14/02. On August 14, 2013, about 0447 central daylight time (CDT), United Parcel Service (UPS) flight 1354, an Airbus A300-600, N155UP, crashed short of runway 18 during a localizer nonprecision approach to runway 18 at Birmingham-Shuttlesworth International Airport (BHM), Birmingham, Alabama. The captain and first officer were fatally injured, and the airplane was destroyed by impact forces and postcrash fire. The nonscheduled cargo flight was operating under the provisions of 14 Code of Federal Regulations (CFR) Part 121 on an instrument flight rules flight plan, and dark night visual flight rules conditions prevailed at the airport; variable instrument meteorological conditions (IMC) with a variable ceiling were present north of the airport on the approach course at the time of the accident. The flight originated from Louisville International Airport-Standiford Field (SDF), Louisville, Kentucky, about 0503 eastern daylight time (EDT).
NTSB coding
Evidence available
- CVR
- ATC audio
- Video
- FDR / data
- Photos
- 137 docket documents
Docket documentsshowing 50 of 137
- ATC 3 - Attachment 1 - BAA - ATC Airport Emergency Operating Procedures Letter of Agreementatc
- ATC 3 - Attachment 2 - BHM Air Traffic Controller Statementsatc
- ATC 3 - Attachment 4 - FAA ATC Transcriptatc
- ATC 3 - Factual Report of Group Chairmanatc
- Exhibit 20-I FOM Excerpt-Flight Dispatcher Delay and Cancellation Authorityatc
- Exhibit 20-N - FOTM Excerpt – Dispatcher Trainingatc
- Human Performance 14 - Exhibit 14-I - FAA Final Rule – Qualification, Service, and Use of Crewmember and Aircraft Dispatchersatc
- Operations 2 Exhibit 2-O - Attachment 14 – Dispatch Paperworkatc
- Operations 2 Exhibit 2-Q - Attachment 16 – Flight Dispatcher Informationatc
- Operations 2 Exhibit 2-R - Attachment 17 – Dispatcher Joint Responsibility and Authorityatc
- Operations 2 Exhibit 2-S - Attachment 18 – Dispatcher Statement and Interviewsatc
- Operations 2 Exhibit 2-T - Attachment 19 – UPS Flight Dispatcher - Generalatc
- Survival Factors Exhibit 6-F Birmingham Fire and Rescue Service (BFRS) Dispatch logatc
- Cockpit Voice Recorder 12 - Factual Report of Group Chairmancvr
- Flight Data Recorder 10 - Exhibit A -Group Chairman's Factual Reportfdr
- Flight Data Recorder 10 - Exhibit B - Factual Report - Attachment 1: FDR Tabular Data (Compressed CSV File)fdr
- Aircraft Performance 13 - Exhibit 13-A Group Chairman's Study Reportform
- Correspondence - Information provided by IPA for Public Hearing Docketform
- Correspondence - Information provided by UPS for Public Hearing Docketform
- Exhibit 20-F FOM Excerpt-Standards of Performanceform
- Human Performance 14 - Exhibit 14-A - Factual Report of Group Chairmanform
- Human Performance 14 - Exhibit 14-B - Interview Summariesform
- Human Performance 14 - Exhibit 14-C - FOM Excerpt-Crew Resource Management/Threat and Error Managementform
- Human Performance 14 - Exhibit 14-D - FOM Excerpt - Internal Human Factorsform
- Human Performance 14 - Exhibit 14-E - FOM Excerpt - Fatigue Risk Management Planform
- Human Performance 14 - Exhibit 14-F - FOM Excerpt - Flight Crew Alertness Guideform
- Human Performance 14 - Exhibit 14-G - Excerpts 14 CFR Part 117form
- Human Performance 14 - Exhibit 14-H - FAA AC120-71A – SOPs for Flight Deck Crewmembersform
- Miscellaneous Information - Investigative Hearing IIC Opening Presentationform
- Operations 2 Exhibit 2-EE - Attachment 30 - Party Formsform
- Operations 2 Exhibit 2-HH - Attachment 33 – FAA KBHM NOTAM Informationform
- Operations 2 Exhibit 2-P - Attachment 15 – BHM Landing Performance Dataform
- Operations 2 Exhibit 2-V - Attachment 21 – BHM Chart Informationform
- Operations 2 Exhibit 2-W - Attachment 22 – LIDO LOC18 NOTAM Informationform
- Other Pertinent Forms and Reports - BEA Designation of Accredited Representativeform
- Pilot/Operator Aircraft Accident Report, NTSB Form 6120.1form
- Hearing Exhibit List:: Statement of Purpose of A NTSB Investigative Hearing 1Finterview
- Operations 2 Exhibit 2-B - Attachment 1 - Birmingham Interview Summariesinterview
- Operations 2 Exhibit 2-C - Attachment 2 -Louisville Interview Summariesinterview
- Operations 2 Exhibit 2-D - Attachment 3 - Other Interview Summariesinterview
- Operations 2 Exhibit 2-L - Attachment 11 – Witness Statementsinterview
- Statement of Party Representatives to NTSB Investigation - BHM Airportinterview
- Statement of Party Representatives to NTSB Investigation - Honeywellinterview
- Statement of Party Representatives to NTSB Investigation - IBTinterview
- Statement of Party Representatives to NTSB Investigation - IPAinterview
- Statement of Party Representatives to NTSB Investigation - Pratt and Whitneyinterview
- Statement of Party Representatives to NTSB Investigation - UPSinterview
- Survival Factors Exhibit 6-D Airport operations personnel statementsinterview
- Survival Factors Exhibit 6-E Interviewsinterview
- Correspondence to IPA 8-25-2014other
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