Lufthansa Flight 2904
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Lufthansa Flight 2904 was an Airbus A320-200 flying from
Frankfurt Frankfurt am Main () is the most populous city in the States of Germany, German state of Hesse. Its 773,068 inhabitants as of 2022 make it the List of cities in Germany by population, fifth-most populous city in Germany. Located in the forela ...
, Germany to
Warsaw Warsaw, officially the Capital City of Warsaw, is the capital and List of cities and towns in Poland, largest city of Poland. The metropolis stands on the Vistula, River Vistula in east-central Poland. Its population is officially estimated at ...
, Poland that overran the runway at Okęcie International Airport on 14 September 1993.


Incident description

Lufthansa Flight 2904 was cleared to land at Okęcie International Airport Runway 11 and was informed of the existence of
wind shear Wind shear (; also written windshear), sometimes referred to as wind gradient, is a difference in wind speed and/or direction over a relatively short distance in the atmosphere. Atmospheric wind shear is normally described as either vertical ...
on the approach. To compensate for the crosswind, the pilots attempted to touch down with the aircraft banked slightly to the right and with a speed of about faster than usual. According to the manual, this was the correct procedure for the reported weather conditions, but the weather report was not up-to-date. At the moment of touchdown, the assumed crosswind turned out to be a tailwind of approximately . With the resulting increased speed, the airplane hit the ground at approximately and far beyond the normal touchdown point; its right gear touched down from the runway threshold. The left gear touched down nine seconds later, from the threshold. Only when the left gear touched the
runway In aviation, a runway is an elongated, rectangular surface designed for the landing and takeoff of an aircraft. Runways may be a human-made surface (often asphalt concrete, asphalt, concrete, or a mixture of both) or a natural surface (sod, ...
did the ground spoilers and engine thrust reversers start to deploy, these systems depend on
oleo strut An oleo strut is a pneumatic air–oil hydraulic shock absorber used on the landing gear of most large aircraft and many smaller ones. This design cushions the impacts of landing and damps out vertical oscillations. It is undesirable for an air ...
(
shock absorber A shock absorber or damper is a mechanical or hydraulics, hydraulic device designed to absorb and Damping ratio, damp shock (mechanics), shock impulses. It does this by converting the kinetic energy of the shock into another form of energy (typic ...
) compression. The wheel brakes, triggered by wheel rotation being equal to or greater than , began to operate about four seconds later. The remaining length of the runway (left from the moment when braking systems had begun to work) was too short to enable the aircraft to stop. Seeing the approaching end of the runway and the obstacle behind it, the pilot steered the aircraft off the runway to the right. The aircraft departed the runway at a speed of and rolled before it hit the embankment and an LLZ aerial with the left wing. A fire started in the left wing area and penetrated into the passenger cabin. Two of 70 occupants died, including the training captain (seated in the right seat) who died on impact and one passenger who was unable to escape because he lost consciousness from the smoke in the cabin.


Causes of the accident

The main cause of the accident was the incorrect decisions and actions of the flight crew. Some of these decisions were made based on wind shear information that was received by the crew. The wind shear was produced by the front passing over the airport, accompanied by an intensive variation of wind parameters, as well as heavy rain on the runway itself. Contributing to the cause was the lack of current wind information at the tower. For that reason, no up-to-date wind information could be transmitted to the crew. Additional causes involved certain design features of the aircraft. Computer logic prevented the activation of both ground spoilers and thrust reversers until a minimum compression load of at least 6.3 tons was sensed on each main landing gear strut, thus preventing the crew from achieving any braking action by the two systems before this condition was met.


Aircraft systems

To ensure that the thrust-reverse system and the spoilers are only activated in a landing situation, the software has to be sure the aeroplane is on the ground even if the systems are selected mid-air. The spoilers are only activated if there is at least 6.3 tons on each main landing gear strut or if the wheels of the plane are turning faster than . The thrust reversers are only activated if the first condition is true. There is no way for the pilots to override the software decision and activate either system manually. In the case of the Warsaw accident, neither condition was fulfilled, so the most effective braking system was not activated. Because the plane landed inclined (to counteract the anticipated crosswind), the required pressure of 12 combined tons on both landing gears necessary to trigger the sensor was not reached. The plane's wheels did not reach the minimum rotation speed because of a hydroplaning effect on the wet runway. Only when the left landing gear touched the runway did the automatic aircraft systems allow the ground spoilers and engine thrust reversers to operate. Because of the braking distances in the heavy rain, the aircraft could not stop before the end of the runway. The computer did not actually recognize that the aircraft had landed until it was already 125 meters beyond the halfway point of Runway 11.


Passengers and crew

As a result of the impact, a fire broke out and penetrated into the cabin, killing one of the passengers. The training captain in the co-pilot's seat was also killed in the crash. A total of 51 people were seriously injured (including two crew members), and five were slightly injured.


See also

* Philippine Airlines Flight 137, an Airbus A320 (RP-C3222) that overran the runway and crashed into a residential area in 1998 at Bacolod City Domestic Airport. * American Airlines Flight 1420, a
McDonnell Douglas MD-80 The McDonnell Douglas MD-80 is a series of five-abreast single-aisle airliners developed by McDonnell Douglas. It was produced by the developer company until August 1997 and then by Boeing Commercial Airplanes. The MD-80 was the second gener ...
(N215AA) that overran the runway and crashed in 1999 at Little Rock National Airport. * Air France Flight 358, an
Airbus A340 The Airbus A340 is a long-haul, long-range, wide-body passenger airliner that was developed and produced by Airbus. In the mid-1970s, Airbus conceived several derivatives of the Airbus A300, A300, its first airliner, and developed the A340 qu ...
(F-GLZQ) that overran the runway and crashed in 2005 at Toronto Pearson International Airport. * TAM Airlines Flight 3054, an Airbus A320 (PR-MBK) that overran the runway and crashed into a gas station in 2007 at
São Paulo–Congonhas Airport São Paulo/Congonhas–Deputado Freitas Nobre Airport is one of the four commercial airports serving São Paulo, Brazil. The airport is named after the neighborhood where it is located, called Vila Congonhas, property of the descendants of Luca ...
. * Korean Air Flight 631, an
Airbus A330 The Airbus A330 is a wide-body airliner developed and produced by Airbus. Airbus began developing larger A300 derivatives in the mid–1970s, giving rise to the A330 twinjet as well as the Airbus A340 quadjet, and launched both designs along ...
(HL7525) that overran the runway and crashed in 2022 at Mactan–Cebu International Airport.


References


External links

*
Report on the Accident to Airbus A320-211 Aircraft in Warsaw on 14 September 1993


Main Commission Aircraft Accident Investigation
Appendices
– CVR transcript, Documentation of the Braking System, excerpt from the Lufthansa A320 operating manual {{Aviation accidents and incidents in Poland 1993 in Poland Airliner accidents and incidents caused by pilot error Aviation accidents and incidents in 1993 Aviation accidents and incidents in Poland History of Poland (1989–present) 2904 Airliner accidents and incidents involving runway overruns Accidents and incidents involving the Airbus A320 September 1993 in Europe 1993 disasters in Poland Disasters in Warsaw