Go Back  PPRuNe Forums > Flight Deck Forums > Accidents and Close Calls
Reload this Page >

Southwest Low Altitude Alert OKC

Wikiposts
Search
Accidents and Close Calls Discussion on accidents, close calls, and other unplanned aviation events, so we can learn from them, and be better pilots ourselves.

Southwest Low Altitude Alert OKC

Thread Tools
 
Search this Thread
 
Old 22nd Jun 2024, 02:48
  #21 (permalink)  
 
Join Date: Mar 2002
Location: Seat 1A
Posts: 8,634
Received 115 Likes on 64 Posts
Originally Posted by Exdac
It looks like perfect alignment with KOKC RW 13 centerline to me.
Not to me it doesn't. They are off to the right/southwest. And the runway's miles away. Don't know how many night visual approaches you've done in these, but visually lining up on a runway that is ~8nm is not the easiest thing in the world, if you can see it at all amoung the lights.



Originally Posted by Lake 1952
​​​​​​​And this is yet another "incident" where the CVR and FDR are of no use in understanding what took place.
Do you actually know how FDRs work?

Originally Posted by Exdac
​​​​​​​KOKC RNAV RWY 13 shows 4000 ft for all the IAF to IF legs.
Who said they were doing the RNAV? The actual tracking indicates they weren't, as the aeroplane would have been exactly on the centreline had the AP been coupled up to the FMS on that approach, not off to the right, as they were. AP tracking is much smoother as well. And the 4000ft would have been simply the MSA (+200) that was set before they started descending on their approach.

Originally Posted by Exdac
​​​​​​​I could see no reason for the reduction in FMS SEL ALT before intercepting the final approach course. Nor could I explain why the aircraft descended below the 2496 SEL ALT.
How about this: they thought they were turning final, wound down (or up) the altitude selector (I don't know what SW SOPs are) and descended to what they thought was the runway.

Originally Posted by FLCH250
​​​​​​​Has anyone seen mention of EGPWS alerting? Odd. Should have been screaming, they were not on an approach.
Every EGPWS I've operated with doesn't care about whether you are on an approach on not. It only cares about your location and altitude. As the aircraft approaches an airport, the warning area reduces in size, for obvious reasons. It is quite possible to crash an aeroplane short of the runway with no EGPWS warning. For example, on that RNAV, you can legally be a 464ft AAL at 4nm from the runway. That would probably not set off the EGPWS. However, 500ft AGL at 9nm could be pushing the limit and I would have expected a warning.

Capn Bloggs is offline  
Old 22nd Jun 2024, 04:00
  #22 (permalink)  
 
Join Date: Apr 2009
Location: Phoenix, AZ
Posts: 738
Received 41 Likes on 33 Posts
Originally Posted by Capn Bloggs
Not to me it doesn't. They are off to the right/southwest. And the runway's miles away. .
Ok, I concede not "exactly" on CL. I estimate they were about 0.4 NM SW of WABUT as they pased abeam.

I only referenced RNAV 13 to establish reasonable altitudes for each aircraft position. It's clear they were not following it.
EXDAC is offline  
Old 22nd Jun 2024, 04:02
  #23 (permalink)  
 
Join Date: Mar 2002
Location: Seat 1A
Posts: 8,634
Received 115 Likes on 64 Posts
Originally Posted by Exdac
I only referenced RNAV 13 to esablish reasonable alitudes for each aircraft position.
3 times the distance to the runway + the elevation.
Capn Bloggs is offline  
Old 22nd Jun 2024, 04:48
  #24 (permalink)  
 
Join Date: Feb 2008
Location: AUS
Posts: 59
Received 22 Likes on 12 Posts
I came here to offer this suggestion. I see others have uploaded images already but thought I'd leave this here for consideration anyway.

Circled about where they were, and about where they were meant to be.



AmarokGTI is offline  
The following users liked this post:
Old 22nd Jun 2024, 08:00
  #25 (permalink)  
 
Join Date: Dec 2003
Location: Tring, UK
Posts: 1,874
Received 18 Likes on 12 Posts
I find it amazing in these days of moving maps, GPS position, VNAV/RNAV, DME, etc. that an aircraft can get lost on finals in CAVOK. Yes, it’s a visual approach but it doesn’t make you any less of a pilot to do a few gross error checks with the information you have other than the view out of the window, which can lead to confirmation bias...
FullWings is offline  
Old 22nd Jun 2024, 08:14
  #26 (permalink)  
 
Join Date: May 2020
Location: Virginia, USA
Posts: 50
Received 3 Likes on 3 Posts
Originally Posted by Capn Bloggs
Not to me it doesn't. They are off to the right/southwest. And the runway's miles away. Don't know how many night visual approaches you've done in these, but visually lining up on a runway that is ~8nm is not the easiest thing in the world, if you can see it at all amoung the lights.
Your picture inspired me to compare the incident ground track to a successful landing on runway 13 by another aircraft. 13 is not used often, so I had to do some digging. The comparison track is N7866A on 2024-05-07. Here is an ADS-B Exchange link: https://globe.adsbexchange.com/?icao...amp=1715107307



airplanecrazy is offline  
The following users liked this post:
Old 22nd Jun 2024, 11:12
  #27 (permalink)  
 
Join Date: Apr 2009
Location: Phoenix, AZ
Posts: 738
Received 41 Likes on 33 Posts
I do not see any road or other feature that they had lined up with for an early descent:


EXDAC is offline  
Old 22nd Jun 2024, 15:39
  #28 (permalink)  
Thread Starter
 
Join Date: Dec 2018
Location: Florida
Posts: 259
Received 10 Likes on 3 Posts
AATC Transcript

From the live ATC recording starting at approximately 0500Z, a transcript:

T+2:30:

SWA4069: 4069, field in sight.

Approach: SWA4069, cleared visual approach runway 13, remain this frequency, cleared to land.

SWA4069: Cleared for the visual 13, stay with you, and cleared to land, SWA4069.

T+6:30:

Approach: SWA4069, low altitude alert, are you doing okay?

SWA4069: Yeah, we'll go around, 4069.

T+7:00:

Approach: You want to go around and come back for 13 or you gonna continue with the approach?

SWA4069: Yeah we'll come back around for 17.

Approach: Okay, 17 right?

SWA4069: Yeah we'll do that.

Approach: 4069, maintain 3000, and it'll be like a right 180 turn right heading of 360 maintain 3000 for runway 17 right.

SWA4069: Alright, right turn 360, SWA4069.

T+9:04:

Approach: SWA4069, turn right heading 050.

SWA4069: Right turn 050, SWA 4069.

T+10:21:

Approach: SWA4069, turn right heading 080, the field will be off to your right 10 miles.

SWA4069: Right turn 080 SWA4069.

T+11:13:

Approach: SWA4069, turn right heading 145.

SWA4069: Alright, 145, SWA4069.

T+11:54:

Approach: SWA4069, turn right heading 160. Field 1 o'clock 9 miles.

SWA4069: Alright, 160, 4069, we've got the field in sight.

Approach: SWA4069, cleared visual approach 17 right, remain this frequency, cleared to land.
Lake1952 is offline  
Old 22nd Jun 2024, 16:02
  #29 (permalink)  
 
Join Date: Mar 2015
Location: Virginia, USA
Posts: 485
Likes: 0
Received 31 Likes on 21 Posts
Originally Posted by Lake1952
From the live ATC recording starting at approximately 0500Z, a transcript:
Prior LIveATC comms between SWA 4069 and OKC (paraphrased)

SWA checks in at 10K with info E (ATIS landing ILS 17s, RNAV 13)
ATC queries runway preference
SWA requests runway 13
ATC descend to 6K, expect 13
ATC turn right 050, vectors to final, descend to 4K
BFSGrad is offline  
Old 22nd Jun 2024, 20:17
  #30 (permalink)  
Thread Starter
 
Join Date: Dec 2018
Location: Florida
Posts: 259
Received 10 Likes on 3 Posts
I realize that investigators are early in the process of trying to understand what happened in the OKC incident as well as the LIH busted minimums and the off course busted minimums LGA ATC "flyby" in March where an aircraft passed over the tower by less than a hundred feet. But without meaning to be overly controversial, are we seeing a pattern here with WN crews and loss of situational awareness? Even the 2023 Austin incident with the Fedex 767 showed what I find others felt to be terrible situational awareness on the part of the departing Southwest 737 crew by calling "ready" when still several hundred feet short of the runway hold line and then doing a run up after being notified of the 767 on 3 mile final. And in both the OKC and LGA incidents, it was a tower controller that caught pretty precarious low altitude issues, not the crews.
Lake1952 is offline  
Old 22nd Jun 2024, 20:18
  #31 (permalink)  
See and avoid
 
Join Date: Mar 2003
Location: USA
Posts: 696
Received 92 Likes on 47 Posts
FAA investigating Southwest flight that flew just 525 feet above Oklahoma town, triggering altitude warning
https://www.cnn.com/2024/06/20/us/so...faa/index.html

If a jet flew 525 feet above my house nine miles out from the airport, I’d notice.

If a Cessna 152 flew 525 feet above my house, I’d notice.

​​​​​​​What happened?
visibility3miles is offline  
Old 23rd Jun 2024, 00:06
  #32 (permalink)  
 
Join Date: Jul 2023
Location: United States
Age: 69
Posts: 21
Likes: 0
Received 2 Likes on 2 Posts
Reminisce of MIA and EAL 401 as far as the Controllers phraseology.
WITCHWAY550 is offline  
The following users liked this post:
Old 23rd Jun 2024, 00:46
  #33 (permalink)  
 
Join Date: Dec 2002
Location: Where the Quaboag River flows, USA
Age: 71
Posts: 3,438
Received 8 Likes on 6 Posts
Originally Posted by WITCHWAY550
Reminisce of MIA and EAL 401 as far as the Controllers phraseology.
Difference being that was 50+ years ago and Radar MSAW was brand new tech, not fully incorporated into ATC SOP. This controller has no excuse for that transmission.
galaxy flyer is offline  
Old 23rd Jun 2024, 14:48
  #34 (permalink)  
 
Join Date: Jul 2007
Location: Auckland, NZ
Age: 79
Posts: 724
Likes: 0
Received 0 Likes on 0 Posts
Originally Posted by WITCHWAY550
Reminisce of MIA and EAL 401 as far as the Controllers phraseology.
Reminiscent, but not quite the same. From the FAA Lessons Learned description:

"Approximately one minute later, the approach controller, noting that the reported altitude of Flight 401 was 900 feet, and knowing that the flight was assigned 2,000 feet, queried the flight crew as to their status saying, "How are things comin' along out there?" But, he did not specifically mention altitude in his radio call."

The controller in this case specifically mentions an altitude alert.
FlightlessParrot is offline  
Old 23rd Jun 2024, 15:16
  #35 (permalink)  
 
Join Date: Nov 2004
Location: Here, there, and everywhere
Posts: 1,146
Likes: 0
Received 19 Likes on 12 Posts
Really, this sort of incident typically comes down to not paying attention to the ND. It is pretty much all right there on the display(unlike the old days in the steam guage cockpits). Back then, you used an ADF needle(or RMI) for situational awareness, ideally with some DME info and maybe the approach tuned in.

There seems to be a tendency to just go for the first set of lights that look like a place to land. In addition, some like to always, proudly hand-fly in visual conditions instead of hand-fly at the appropriate time. Not sure about this flight but why not just have it on autopilot and be doing a good search outside and scan at the ND with much more concentration capability. Then disconnect the autopilot when the landing location is confirmed inside and outside.
punkalouver is offline  
The following 2 users liked this post by punkalouver:
Old 23rd Jun 2024, 16:03
  #36 (permalink)  
 
Join Date: Apr 2009
Location: Phoenix, AZ
Posts: 738
Received 41 Likes on 33 Posts
Originally Posted by punkalouver
Really, this sort of incident typically comes down to not paying attention to the ND.
Boeing introduced the Vertical Situation Display on the 737 NG. Is the VSD typically selected for a visual approach? If not, perhaps it should be.
EXDAC is offline  
Old 23rd Jun 2024, 23:01
  #37 (permalink)  
 
Join Date: May 2011
Location: Metropolis
Posts: 1,276
Likes: 0
Received 0 Likes on 0 Posts
Originally Posted by EXDAC
Boeing introduced the Vertical Situation Display on the 737 NG. Is the VSD typically selected for a visual approach? If not, perhaps it should be.
Southwest has a VSD in the Max, not NG.
Rozy1 is offline  
Old 23rd Jun 2024, 23:31
  #38 (permalink)  
 
Join Date: Mar 2015
Location: Virginia, USA
Posts: 485
Likes: 0
Received 31 Likes on 21 Posts
Worth revisiting the January 2014 incident where a SWA 737-700 landed at the wrong airport. In that incident (DCA14IA037), the NTSB found that the flight crew “failed to comply with procedures for use of navigation information and visual cues to verify the airport and runway of intended landing.” Although the PF/FO briefed the visual 14 at KBBG with the RNAV 14 as a backup, once the flight crew had the [wrong] airport in sight (KPLK), the PF and PM ignored all electronic navigation information and proceeded visually, culminating in a landing on runway 12 (3,500 ft LDA) at KPLK. Following this incident, SWA revised the AOM to include runway lighting as a component in visual approach briefings.

SWA Land at Wrong Airport
BFSGrad is offline  
Old 23rd Jun 2024, 23:57
  #39 (permalink)  
 
Join Date: Apr 2009
Location: Phoenix, AZ
Posts: 738
Received 41 Likes on 33 Posts
Originally Posted by Rozy1
Southwest has a VSD in the Max, not NG.
If my memory is correct it was a customer option. Seems strange that it was not standard across all the fleet. Any more info on that? (I was involved in the development and test of VSD but not involved in marketing.)
EXDAC is offline  
Old 24th Jun 2024, 00:35
  #40 (permalink)  
 
Join Date: Sep 2016
Location: USA
Posts: 866
Likes: 0
Received 16 Likes on 9 Posts
Originally Posted by EXDAC
Boeing introduced the Vertical Situation Display on the 737 NG. Is the VSD typically selected for a visual approach? If not, perhaps it should be.
It only shows fixes in front of the nose, so it is useless for this, unless you're on a long final. And in that case, it's superfluous since you probably have an instrument approach loaded already that you're following with VNAV and/or the glide slope.
Vessbot is online now  


Contact Us - Archive - Advertising - Cookie Policy - Privacy Statement - Terms of Service

Copyright © 2024 MH Sub I, LLC dba Internet Brands. All rights reserved. Use of this site indicates your consent to the Terms of Use.