PPRuNe Forums - View Single Post - Smartwings B738 over Aegean Sea on Aug 22nd 2019
Old 24th Jul 2020, 06:51
  #151 (permalink)  
DaveReidUK
 
Join Date: Jan 2008
Location: Reading, UK
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With help from Google Translate:

3.2
Cause

The cause of the serious incident was a faulty decision-making process of the pilot-in-command after the loss of the power unit, which was not in accordance with QRH and FCTM procedures. These procedures are binding.

Event string:

operation of the fuel pump to "dry" before critical flight, see DL No.107847,

operation of the fuel pump to "dry" without fuel as a lubricant during critical flight,

engine shutdown and consequent loss of the drive unit,

obvious ignoring and violation of OM air traffic procedures, relevant regulations, provisions and safety recommendations,

Defective determination of a suitable aerodrome for a safe landing with one power unit inoperative after a fuel pump failure

faulty implementation of fuel policy,

the commander of the aircraft did not follow the principles of CRM implementation in the implementation of the NNC QRH procedure and thus prevented the F/O from participating effectively in the decision-making process,

by failing to complete the relevant NNC QRH procedure in point 10 of the Plan to land at the nearest suitable airport, the PIC has avoided the obligation to make a safe landing at the nearest suitable airport specified in the manufacturer's QRH and FCTM procedure and applicable to commercial air transport,

it cannot be satisfactorily demonstrated, nor can it be reliably ruled out, that the decisions of the commander and at the same time the flight director of the company were influenced by the economic aspects of the situation, as described in point 2.11.
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