The threats and errors identified in this incident keep on reoccurring. In part, they are fundamental elements of operating in our industry, thus continuous vigilance is required by operators and crews. There are many similarities with the incidents reported in
‘Near CFIT incidents. Perhaps this operator, if not all of us should heed the conclusions and recommendations in the paper with reference to the contributing factors in this incident.
We all have responsibility for threat and error management. It is disturbing that this aircraft penetrated several safety defences, to encounter the last one – the EGPWS. However, the positive conclusion was assured by the crew following procedures (SOPs) by discontinuing the approach.