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 21st Jun 2024, 00:30
  #1 (permalink)  
Thread Starter
 
Join Date: Dec 2018
Location: Florida
Posts: 259
Received 10 Likes on 3 Posts
Southwest Low Altitude Alert OKC

https://www.flightradar24.com/blog/s...titude/?fbclid

Air traffic controllers in Oklahoma City received a low altitude alert for Southwest Airlines flight 4069 as it approached Will Rogers World Airport just after midnight local time on 19 June. The aircraft had been cleared for an approach to the airport’s Runway 13 when it descended to approximately 525 feet above the ground about 9 miles from the airport. The incident was first reported by The Oklahoman on 20 June.

"Southwest 4069, low altitude alert. You good out there?"


Last edited by Lake1952; 21st Jun 2024 at 11:14.
Lake1952 is offline  
Old 21st Jun 2024, 07:58
  #2 (permalink)  
Pegase Driver
 
Join Date: May 1997
Location: Europe
Age: 74
Posts: 3,732
Received 19 Likes on 11 Posts
I hope not another wrong QNH on an RNP , but it can bite you the same on a visual at night if you only are looking outside , but 9 MN out ?

That said I love the “ You good out there ? “ from the controller . Nice new phraseology.
ATC Watcher is offline  
The following 4 users liked this post by ATC Watcher:
Old 21st Jun 2024, 09:55
  #3 (permalink)  
 
Join Date: Jan 1999
Location: England
Age: 77
Posts: 1,208
Received 54 Likes on 32 Posts
Modern technology would allow local QNH ('altimeter' in American parlance) to be transmitted automatically into FMCs to reduce the chances of mis-setting. The pilots' job would be to check that the auto setting was reasonable, based on latest received METARs, and to override it if appropriate.

Something along these lines:


Discorde is offline  
Old 21st Jun 2024, 12:33
  #4 (permalink)  
 
Join Date: Oct 2018
Location: Mississauga
Posts: 11
Likes: 0
Received 0 Likes on 0 Posts
Perhaps a "Black hole" visual illusion? The FAA brochure on Spatial Disorientation highlights this issue.
KCode is offline  
Old 21st Jun 2024, 12:55
  #5 (permalink)  
 
Join Date: Jan 2008
Location: Reading, UK
Posts: 15,951
Received 281 Likes on 141 Posts
Originally Posted by ATC Watcher
I hope not another wrong QNH on an RNP , but it can bite you the same on a visual at night if you only are looking outside , but 9 MN out ?
Around 2,000 feet lower than expected would require an altimeter setting error of approximately 70 hPa - sounds a tad unlikely.
DaveReidUK is offline  
Old 21st Jun 2024, 15:08
  #6 (permalink)  
Pegase Driver
 
Join Date: May 1997
Location: Europe
Age: 74
Posts: 3,732
Received 19 Likes on 11 Posts
Originally Posted by DaveReidUK
Around 2,000 feet lower than expected would require an altimeter setting error of approximately 70 hPa - sounds a tad unlikely.
indeed in hPas but in inches ? 2000 ft is roughly just 2 inches Hg on a US altimeter. One digit. But yes very large from standard and most probably the error would have been picked up by ATC on the decent from 18.000 ft unless it was a continuous fast descent or just not watching that aircraft if it was not in conflict with another . Lot of holes in the cheese had to be open to get this, I grant you that .

A question for US pilots , does the verification by ATC of mode C altitude on first contact with APP still systematically performed in the US ?
It’s been a while since I have flown IFR there .
ATC Watcher is offline  
Old 21st Jun 2024, 16:08
  #7 (permalink)  
 
Join Date: Mar 2015
Location: Virginia, USA
Posts: 485
Likes: 0
Received 31 Likes on 21 Posts
From LiveATC:

SWA cleared for visual 13, stay with approach (app/twr/ground combined)
ATC issues low altitude alert
SWA announces going around
ATC queries if SWA wants to come back around for 13 or continue approach
SWA requests “come back around for 17”
ATC queries 17R
SWA says “yeah, we’ll do that”
ATC vectors SWA for 17R, ultimately clears SWA for visual 17R

No further discussion between ATC and SWA regarding low-altitude alert

Note that ATIS was broadcasting a “be alert” for the potential to confuse KPWA 8.8 mi NW with KOKC as both have similar runway configurations. However, SWA was never aligned with the KPWA 13 extended centerline. Instead, SWA was aligned with a section of a rail line that parallels state road 4.
BFSGrad is offline  
The following users liked this post:
Old 21st Jun 2024, 16:21
  #8 (permalink)  
 
Join Date: Dec 2001
Location: GA, USA
Posts: 3,293
Likes: 0
Received 63 Likes on 30 Posts
I dislike visual approaches at night with a passion, however I’ll accept it with the understanding from the rest of the crew that we will fly one of the charted approaches with lateral and vertical guidance.

Quick check shows that RWY 13 has an RNAV approach and the charted altitude at 9 miles is 4000’ which is about 2700-2800 AGL.
The IRW VOR appears to be 3NM from the airport but even quick mental math with DME showing 12 miles would have been 5000’
instead of 1700-1800’.
B2N2 is offline  
The following users liked this post:
Old 21st Jun 2024, 17:00
  #9 (permalink)  
 
Join Date: Apr 2009
Location: Phoenix, AZ
Posts: 738
Received 41 Likes on 33 Posts
Originally Posted by ATC Watcher
That said I love the “ You good out there ? “ from the controller . Nice new phraseology.
According to the FAA Pilot/Controller Glossary an appropriate call may have been "LOW ALTITUDE ALERT, CHECK YOUR ALTITUDE IMMEDIATELY".

EXDAC is offline  
The following users liked this post:
Old 21st Jun 2024, 17:16
  #10 (permalink)  
 
Join Date: Apr 2009
Location: Phoenix, AZ
Posts: 738
Received 41 Likes on 33 Posts
Originally Posted by BFSGrad
However, SWA was never aligned with the KPWA 13 extended centerline.
It looks like perfect alignment with KOKC RW 13 centerline to me.



EXDAC is offline  
Old 21st Jun 2024, 17:17
  #11 (permalink)  
 
Join Date: May 2024
Location: Kaupuala
Posts: 92
Received 5 Likes on 5 Posts
BFSGrad

BFSGrad: "...However they were aligned with a section of railroad tracks....,"

IFR. "I Fly Railroad"
From the sectional, they may have been anticipating a side step, tracks to concrete ( I Kid)...
​​​​​​
BugBear is offline  
The following users liked this post:
Old 21st Jun 2024, 19:51
  #12 (permalink)  
 
Join Date: May 2019
Location: USA
Posts: 17
Likes: 0
Received 2 Likes on 1 Post
Has anyone seen mention of EGPWS alerting? Odd. Should have been screaming, they were not on an approach.
Flch250 is offline  
The following 2 users liked this post by Flch250:
Old 21st Jun 2024, 21:30
  #13 (permalink)  
Thread Starter
 
Join Date: Dec 2018
Location: Florida
Posts: 259
Received 10 Likes on 3 Posts
And this is yet another "incident" where the CVR and FDR are of no use in understanding what took place.
Lake1952 is offline  
The following 2 users liked this post by Lake1952:
Old 21st Jun 2024, 22:17
  #14 (permalink)  
 
Join Date: May 2020
Location: Virginia, USA
Posts: 50
Received 3 Likes on 3 Posts
Originally Posted by DaveReidUK
Around 2,000 feet lower than expected would require an altimeter setting error of approximately 70 hPa - sounds a tad unlikely.
According to ADS-B Exchange, the aircraft altimeter QNH was set to 1014.4 hPa. According to the flightradar24 blog, the METAR was:

190452Z 14011KT 10SM FEW060 FEW200 SCT250 26/20 A2996 RMK AO2 SLP129 T02560200

29.96 inHg = 1014.5 hPa. This suggests the altimeter was set correctly.

I also looked at the ADS-B Exchange data for the lowest GPS altitude during the incident and found 1700ft (WGS-84). Using EGM96 I get an aircraft altitude of ~1790 ft msl. The ground elevation in that area is about 1340ft, so I estimate that the aircraft was about ~450 ft AGL (this is a little lower than other estimates I have seen of 525ft). The 450ft value matches the ADS-B exchange estimate found when examining the exporting KML.
airplanecrazy is offline  
The following users liked this post:
Old 21st Jun 2024, 22:17
  #15 (permalink)  
 
Join Date: Apr 2009
Location: Phoenix, AZ
Posts: 738
Received 41 Likes on 33 Posts
KOKC RNAV RWY 13 shows 4000 ft for all the IAF to IF legs. Correcting the ADS-B reported altitude for field elevation shows aircraft level at 4000 ft before there is a reduction in reported FMS SEL ALT and the aircraft starts to descend again.

The altitude and altimeter setting appear to have been reasonable at that point in the approach.





WABUT, the IF, is close to the point where the railroad turns SE and, if following the RNAV approach constraints, the aircraft should have still been at 4000 ft at WABUT. It had descended to about 2050 ft near WABUT.



I have no explanation for the early descent but incorrect altimeter setting does not appear to have been the cause.

Last edited by EXDAC; 21st Jun 2024 at 22:27. Reason: add graphic
EXDAC is offline  
Old 21st Jun 2024, 22:29
  #16 (permalink)  
 
Join Date: Apr 2009
Location: Phoenix, AZ
Posts: 738
Received 41 Likes on 33 Posts
I doubled with airplanecrazy but we seem have reached the same conclusion about altimeter setting.
EXDAC is offline  
Old 21st Jun 2024, 22:47
  #17 (permalink)  
 
Join Date: Mar 2015
Location: Virginia, USA
Posts: 485
Likes: 0
Received 31 Likes on 21 Posts
Originally Posted by EXDAC
It looks like perfect alignment with KOKC RW 13 centerline to me.
Agreed but I mentioned road and tracks as possible explanation of what SWA pilots may have taken to be a “runway” well short of the actual runway; i.e., something man-made, linear, lighted, and parallel to actual runway.

Some potential similarity with June 2022 incident where a Fedex 757 landed on the wrong runway at KTUL. NTSB opined:

“…the flight crew appeared to discount the information their instruments were providing in favor of the view they had of the runway and understanding of their circumstances.”

Note that two SWA flights that landed just prior to 4069 elected to land on the 17s (MALSR, HIRL).
BFSGrad is offline  
Old 22nd Jun 2024, 00:00
  #18 (permalink)  
 
Join Date: Dec 2019
Location: LA, CA
Posts: 5
Likes: 0
Received 0 Likes on 0 Posts
This may be helpful into assessing what transpired:







Absolutely egregious and unacceptable on all counts.

Last edited by Senior Pilot; 22nd Jun 2024 at 00:05. Reason: Edit URLs and dross
Disso is offline  
Old 22nd Jun 2024, 00:04
  #19 (permalink)  
 
Join Date: May 2020
Location: Virginia, USA
Posts: 50
Received 3 Likes on 3 Posts
I extracted the "MCP/FCU selected altitude" from ADS-B Exchange and in the picture below I show approximately when it changed during the incident time frame. Note that the resolution of the ADS-B MCP altitude data is 16', which is why you see 2496' instead of 2500'.:



airplanecrazy is offline  
Old 22nd Jun 2024, 00:21
  #20 (permalink)  
 
Join Date: Apr 2009
Location: Phoenix, AZ
Posts: 738
Received 41 Likes on 33 Posts
Originally Posted by airplanecrazy
I extracted the "MCP/FCU selected altitude" from ADS-B Exchange and in the picture below I show approximately when it changed during the incident time frame.
I had run a similar analysis but 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.

After the "missed approach" the FMC SEL ALT remained at 3008 until landing. The missed approach altitude for RNAV 13 and ILS 17R is 3000 so that seems reasonable.




EXDAC is offline  
The following users liked this post:


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.