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Old 27th Jul 2014, 00:56
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AirRabbit
 
Join Date: Apr 2005
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Originally Posted by PEI 3721
The Colgan accident was associated with wing stall in icing conditions, but misidentified as tail stall (fatigue, recent training on tail stall, etc) where the recovery action taken was opposite to that required.
Thank you for a voice of reason amid all the hype and inaccuracies associated with this accident.

I would encourage anyone who might have the wrong impression of the flight conditions, the susceptibility of the Q400, and/or the actions taken by the flight crew to read the “Official” NTSB accident report – it’s easy to find on the NTSB website:
https://www.ntsb.gov/investigations/...y/AAR1001.html

And it includes the following quotes under “Findings” –

NTSB Findings:

The captain’s inappropriate aft control column inputs in response to the stick shaker caused the airplane’s wing to stall.

The minimal aircraft performance degradation resulting from ice accumulation did not affect the flight crew’s ability to fly and control the airplane.

Explicit cues associated with the impending stick shaker onset, including the decreasing margin between indicated airspeed and the low-speed cue, the airspeed trend vector pointing downward into the low-speed cue, the changing color of the numbers on the airplane’s indicated airspeed display, and the airplane’s excessive nose-up pitch attitude, were presented on the flight instruments with adequate time for the pilots to initiate corrective action, but neither pilot responded to the presence of these cues.

The reason the captain did not recognize the impending onset of the stick shaker could not be determined from the available evidence, but the first officer’s tasks at the time the low-speed cue was visible would have likely reduced opportunities for her timely recognition of the impending event; the failure of both pilots to detect this situation was the result of a significant breakdown in their monitoring responsibilities and workload management.

The flight crew did not consider the position of the reference speeds switch when the stick shaker activated.

The captain’s response to stick shaker activation should have been automatic, but his improper flight control inputs were inconsistent with his training and were instead consistent with startle and confusion.

The captain did not recognize the stick pusher’s action to decrease angle-of-attack as a proper step in a stall recovery, and his improper flight control inputs to override the stick pusher exacerbated the situation.

It is unlikely that the captain was deliberately attempting to perform a tailplane stall recovery.

No evidence indicated that the Q400 was susceptible to a tailplane stall.

The flight crewmembers’ performance during the flight, including the captain’s deviations from standard operating procedures and the first officer’s failure to challenge these deviations, was not consistent with the crew resource management (CRM) training that they had received or the concepts in the Federal Aviation Administration’s CRM guidance.

The captain had not established a good foundation of attitude instrument flying skills early in his career, and his continued weaknesses in basic aircraft control and instrument flying were not identified and adequately addressed.

Remedial training and additional oversight for pilots with training deficiencies and failures would help ensure that the pilots have mastered the necessary skills for safe flight.

The current air carrier approach-to-stall training did not fully prepare the flight crew for an unexpected stall in the Q400 and did not address the actions that are needed to recover from a fully developed stall.

Probable Cause

The National Transportation Safety Board determines that the probable cause of this accident was the captain’s inappropriate response to the activation of the stick shaker, which led to an aerodynamic stall from which the airplane did not recover. Contributing to the accident were (1) the flight crew’s failure to monitor airspeed in relation to the rising position of the low- speed cue, (2) the flight crew’s failure to adhere to sterile cockpit procedures, (3) the captain’s failure to effectively manage the flight, and (4) Colgan Air’s inadequate procedures for airspeed selection and management during approaches in icing conditions.
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