Monday, January 10, 2005
Despite Headway, CFIT Remains Persistent, Deadly Threat
More than 190 pilots and passengers were killed and nearly 30 aircraft were destroyed in 2004 by crashes involving controlled flight into terrain (CFIT). Most of the aircraft involved were not required or, if required, had not yet installed terrain awareness and avoidance warning systems (TAWS), according to a new study.
The study was prepared by Don Bateman, chief flight safety systems engineer at Honeywell [NYSE: HON], one of the world's leading suppliers of TAWS equipment. To be sure, the company has a business interest in highlighting the persistence of the CFIT hazard, but the study findings reflect a deadly problem that has been of continuing concern for years (see ASW, Aug. 30, 1999).
Most of the accidents in the Honeywell study involved smaller aircraft, as nearly all large passenger-carrying aircraft have been equipped with TAWS (the International Civil Aviation Organization established a Jan. 1, 2003, deadline for installation on aircraft carrying 30 or more passengers). TAWS is the generic acronym for what also are known as enhanced ground proximity warning systems (EGPWS). Unlike the earlier and more limited GPWS, EGPWS features a "look ahead" function that provides earlier warning of dangerous terrain. Not only does the EGPWS technology warn pilots of rising terrain ahead, it warns of threatening terrain off to the side, thereby providing additional protection during turns. It is estimated that EGPWS probably prevented about 45 deaths in 2004, although Bateman hastened to add, "EGPWS is not the panacea for all CFIT situations; the big variable remains the pilot's response."
The deadly toll involving smaller aircraft reinforces the recent call by Jim Hall, former chairman of the National Transportation Safety Board (NTSB), to install TAWS (EGPWS) on smaller aircraft (see ASW, Jan. 3). Indeed, in less than 90 days, by March 29, all turbine powered aircraft in U.S. registry carrying six or more passengers must have TAWS installed or face grounding. If this mandate date had been four years earlier, in March 2000, about 180 lives might have been saved, Bateman estimated. Moreover, the requirement does not cover aircraft of lesser capacity or piston-powered aircraft. By one estimate, turbine powered aircraft constitute barely 7 percent of the general aviation (GA) fleet.
In a five-day period last October three CFIT accidents occurred involving aircraft covered by the March 29 deadline but not yet equipped:
- Oct. 19, 2004 at Kirksville, Mo., 13 fatalities. Part 121, scheduled carrier (classic GPWS installed but no warning as aircraft was in the landing configuration; EGPWS purchased but not yet installed).
- Oct. 23, 2004, Brown Field, Calif., 5 fatalities. Part 135, on-demand carrier.
- Oct. 24, 2004, Blue Ridge, Va., 10 fatalities. Part 91, GA.
In short, airplanes fitted with EGPWS are less vulnerable to CFIT. For pilots not thinking far enough ahead to be ready for a missed approach (i.e., they get behind the aircraft), as may have been the case in the Oct. 24 crash, EGPWS can be their "second chance." Light poles, tall towers with guy wires and such in the vicinity of airports, particularly GA airports, can pose a real hazard to the unwary. These man-made hazards are incorporated into the terrain database by which EGPWS compares the airplane's position in space to the ground. "Bargain basement" versions of EGPWS are now available for GA aircraft and can go a long ways toward blunting the "one strike and you're out" penalty so characteristic of CFIT accidents.
Below, profiles of descents to disaster involving a number of recent CFIT crashes. It is evident from these portrayals that hundreds of lives might have been saved by mandatory and more urgent deployment of EGPWS technology. There is a way yet to go in CFIT interruptus.
Profile 1: Oct. 19, 2004, Kirksville, Mo. Jetstream 32; 12 killed, 2 survivors
Classic GPWS was installed but no warning was given as the aircraft was in the landing configuration. EGPWS had been purchased and was awaiting installation; if installed, it would have provided 19 seconds warning. All profiles courtesy Honeywell, with slight modifications by ASW
Profile 2: Oct. 23, 2004, Brown Field, Calif., Learjet 35A; 5 killed
Probable flight path into Otay Mountain. Had EGPWS been installed, it would have provided nearly half a minute warning.
Profile 3: Oct. 24, 2004, Martinsville, Va., Beech 200; 10 killed
Probable flight path profile to impact on Bull Mountain. No GPWS or EGPWS installed. EGPWS would have provided multiple warnings.
Profile 4: Nov. 22, 2004, Houston's Hobby Airport, Texas, G-III; three killed
Assumed flight path and predicted EGPWS warning. The accident aircraft was fitted with GPWS but not EGPWS. If EGPWS had been installed, it would have given a 25 second warning before impact independent of the GPWS glideslope signal. The 125 ft. light poles were not in the FAA obstacle database.
Profile 5: Feb. 26, 2004, Mostar, Bosnia-Herzegovina, Beech 200; 9 killed, including Macedonia's president
Crew lost beacon signal but decided to try to land anyway. No EGPWS installed but an alert would have sounded nearly two minutes before impact.
Profile 6: Dec. 19, 2004, Fullerton, Calif., Cessna 182; 2 killed
Pilot called base leg of his approach and was about a mile from the airport when he struck the 760 ft. tall tower. EGPWS would have provided 26 seconds warning.
Profile 7: May 14, 2004, Manaus, Brazil, EMB-120; 33 killed
Accident occurred in dark weather during poor visibility, heavy rain and gusting winds. EGPWS would have provided a full minute's warning.
Fixed Wing CFIT Accidents 2004 Cargo, Medical Evacuation, turboprop, some piston
| CFIT Accidents involving U.S. aircraft | |||||
|---|---|---|---|---|---|
| Operation | Date & Place | Aircraft type | Circumstances | Deaths | TAWS Req'd |
| Cargo | Jan. 2 Koyukuk, Alaska | PA-31-350 | Flew into frozen river on entering IMC | 1 | Not req'd |
| Cargo | Jan. 21 Big Pine, Calif. | PA-32R-300 | En route, acft flew into mountainous terrain (fell asleep?) | 1 | Not req'd |
| Business | Jan. 31 Homestead, Fla. | Be-C90 | Awaiting IFR flight plan approval into Miami; dusk | 2 | Yes, but? |
| Medevac positioning | Feb. 17 Dodge City, Kan. | Be-B90 | Flew into terrain 5 NM NW | 3 | Yes, but? |
| Private | March 11 Napa, Calif. | MU-2B-40 | Hit 3 NM short on approach at night | 2 | Yes, but? |
| Air taxi positioning | June 13 Lewisburg, W.Va. | Be-200 | Flew into terrain 15 NM west of airport during approach; daytime; fog | 2 | Yes, but? |
| Private | July 13 St. Kitts Island | LJ-25 | Hit short into perimeter fence; significant damage | 0 | Yes, but? |
| Cargo | Aug. 17 6 NM NE Neihart, Mont. | Be-99 | Hit 175 ft. below "Big Baldy" mountain at night; VFR | 2 | Not req'd |
| Cargo | Sept. 23 Gwinner, N.D. | Ce-208 | Hit short on GPS 34 approach | 1 | Not req'd |
| Scheduled | Oct. 19 Kirksville, Mo. | JS-32 | During VOR/DME approach to Rwy 36 crashed short 1.3 NM in poor visibility | 13 of 15 | Yes, but no EGPWS |
| Medevac | Oct. 23 Brown Field, Calif. | LJ-35 | Flew into mountain on departure at dawn | 5 | Yes, but? |
| Private | Oct. 24 Blue Ridge, Va. | Be-200 | During missed approach in poor visibility struck Bull Mt. | 10 | Yes, but? |
| Cargo | Nov. 9 Boise, Idaho | SA226TC | Hit short into approach lights on ILS Rwy 10R at night in IMC | 0 | Not req'd |
| Air taxi positioning | Nov. 22 Houston, Texas | G-III | Hit obstacle 31/4 NM short during ILS Rwy 04 approach; positioning flight to pick up Pres. Bush Sr. | 3 | Yes, but acft awtg sale |
| Charter | Nov. 27 Bagram, Afghanistan | CASA-212 | Hit mountain enroute | 6 | Yes, but? |
Toll for U.S. aircraft: 54 dead, 15 hull losses
| CFIT accidents involving non-U.S. aircraft | |||||
|---|---|---|---|---|---|
| Operation | Date & Place | Aircraft type | Circumstances | Deaths | TAWS Req'd |
| Scheduled | Jan. 22 Tashkent | Yak-40 | Hit terrain/fence in fog after missing the runway | 37 | No |
| Regional | Jan. 28 Ghardaia, Algeria | Be-1900D | Flew into terrain at high bank angle on go-around | 1 of 8 | No |
| Positioning | Feb. 19 30 NM NNW of Hobart, Tasmania | AC-500 | Hit terrain ridge enroute | 1 | No |
| Govt. VIP | Feb. 24 Mostar, Bosni-Herzegovina | Be-200 | Flew into mtn during initial approach; possible icing in IMC | 9 | No |
| Medevac | Feb. 24 Cagliari, Sardinia | Ce-500 | During initial approach, hit mtn at 20 NM in IMC | 6 | No |
| Scheduled | May 14 Manaus, Brazil | EMB-120 | Flew into jungle on approach about 9 NM short at night | 33 | ??? |
| Cargo | DHC-6 Papua, New Guinea | DHC-6 | Hit mtn 45 NM enroute from Port Moresby | 2 of 3 | No |
| Taxi/chart-er | Aug. 18 Goma, Zaire | Ce-208 | Flew into 10,800 ft. mtn at 8,500 ft. level in IMC | 3 | No |
| Regional (AF) | Aug 21 Mariara, Venezuela | C-23 | Flew into mtn enroute 60 NM west of Caracas in IMC | 25 | No |
| Cargo | Sept. 9 Villahermosa, Mexico | CT-39a | Crash 1.5 NM short on approach | 2 | No |
| Cargo | Oct. 16 Coron, Philippines | BN-2A | Flew into Mt. Tagpaso on departure in heavy rain, poor visibility | 2 | No |
| Private | Oct. 22 Beinn Dearg, Scotland | Ce-406 | During initial approach to Inverness, hit a mtn 13 NM short | 1 | No |
| Regional (AF) | Dec. 10 El Junquito, Venezuela | M28 | During departure from Caracas, flew into mtn 20 NM out in IMC | 16 | No |
| Cargo | Dec. 11 Uberaba, Brazil | EMB-110 | Crashed short on approach at night | 2 | No |
| Scheduled | Dec. 12 Guiyang, China | B737-700 | Hit 30 ft. power pole on approach. EGPWS installed but not the critical obstacle database. | 0 of 132 | Yes |
Toll for non-U.S. aircraft: 140 dead; 14 hull losses
2004 CFIT toll worldwide: 194 dead; 29 hull losses
Source: Honeywell

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