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Gross crew errors behind 2010 Ethiopian Airlines crash: report

BEIRUT: Flight crew mismanagement and inexperience were likely to be behind the 2010 crash of an Ethiopian airliner off Beirut, which claimed the lives of 90 passengers and crew members, according to the final investigation report announced Tuesday.

But Ethiopian Airlines dismissed the report as “biased” and “missing facts,” arguing that the plane exploded due to a possible act of sabotage.“ The investigation revealed that the probable causes of the accident were the flight crew’s mismanagement of the aircraft’s speed, altitude, headings and attitude through inconsistent flight control inputs resulting in a loss of control,” said the report, presented by Lebanese pilot Captain Mohammad Aziz during a news conference at the Civil Aviation Department. Transport and Public Works Minister Ghazi Aridi addressed the conference as well.

According to the report, the flight crew failed to abide by Crew Resource Management principles of mutual support and calling deviations, which obstructed “any timely intervention and correction.”

At dawn on Jan. 25, 2010, Ethiopian Airlines flight ET 409, a Boeing 737-800 registered ET-ANB, crashed into the Mediterranean Sea less than five minutes after taking off from Beirut Rafik Hariri International Airport bound for Addis Ababa, killing all on board including 54 Lebanese.

An animation of the flight’s path was shown during the news conference, illustrating the plane’s movements in the few minutes following its departure. The report indicated that the pilot did not abide by several instructions given by the Air Traffic Control.

“As the aircraft was on a right turn, Control suggested to ET 409 to follow heading 270° ‘due to weather.’ However, ET 409 continued turning right beyond the [initial] selected heading of 315° and Control immediately instructed them to ‘turn left now heading 270°.’ ET 409 acknowledged the crew selected 270° on the MCP [Maintenance Control Panel] and initiated a left turn,” said the report.“ET 409 continued the left turn beyond the instructed/selected heading of 270° despite several calls from ATC to turn right heading 270° and acknowledgment from the crew. ET 409 reached a southerly track before sharply turning left until it disappeared from the radar screen and crashed into the sea at four minutes and 59 seconds,” it added.

The stormy weather, the time when the plane took off, the inexperience of the flight crew on the model, 737-800, a heavy meal that affected the crew’s sleep prior to the flight and the co-pilot hesitation to intervene were listed as factors contributing to “a case of loss of situation awareness similar to a subtle incapacitation” among the crew.

The report also noted that the captain’s performance could have been affected by chronic fatigue due to 188 hours of flying within 51 days on the new model of plane with minimum rest.

The report received a swift response by Desta Zeru, the vice president of flight operations for Ethiopian Airlines.

“The aircraft disintegrated in the air due to explosion, which could have been caused by a shoot-down, sabotage or a lightning strike,” he said in a statement.

Desta said the report was “biased, it’s missing facts, [it includes] hypotheses and conveniently excludes hard facts. We totally reject it.”

The Ethiopian official accused Lebanese authorities of omitting the majority of the wreckage from the investigation and said Lebanon “ignored crucial information,” such as security footage and autopsy records.

The final report dismissed the probability of an explosion.

It said no evidence of any explosion or fire were detected at the wreckage, when recovered or underwater. “No sign consistent with fire or explosion were detected during the autopsies carried on some of the bodies.”

“Furthermore, neither the CVR [Cockpit Voice Recorder] or the DFDR [Digital Flight Data Recorder] patterns reflect signs of an explosion or suggest an aircraft break-up as a result of such an explosion,” the report added.

The report was prepared by an investigation committee appointed by Aridi, which was comprised of representatives from Lebanon, Ethiopia, the United States, where the plane was manufactured, along with France, which provided advice to Lebanon. Aziz was appointed as the investigator in charge.

Prior to the announcement of the final draft, it was circulated to all the committee’s parties who offered their comments, which were then discussed. The Ethiopian party rejected the report’s findings although they were endorsed by all other committee members.

Ethiopians argue that there was no evidence that the co-pilot failed to act properly and dismiss the subtle incapacitation finding as “incorrect and inappropriate” and note that the flight entered a thunderstorm. But Aziz was adamant that the storm did not hit the plane, saying no sounds indicating such were recorded.

Aridi said that “we are now speaking about irrefutable evidence ... we are presenting the truth.” The minister noted that the Cabinet was not responsible for paying compensation, adding that an attempt to reach an agreement with families of victims had previously proven unsuccessful.

The 191-page report is available in full at www.lebcaa.com  

A version of this article appeared in the print edition of The Daily Star on January 18, 2012, on page 2.
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Ethiopian Air Lines Flight ET409 / Ghazi Aridi / Lebanon
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Comments  
Nasir January 18, 2012 07:21 AM

We reject the report’s findings, because the Lebanese government lacks the ability to carry out a thorough investigation. The truth is behind their report!!!!!

Sam January 18, 2012 08:07 AM

The first eyewitness account was that there was a "ball of fire" before the plane plunged into the sea. Why is this not reported?

Solomon Beruck January 18, 2012 08:16 AM

The report did not take into consideration the possibility of Israeli sabotage. There were reports that some among the dead were people feared or wanted by Israel's Mossad. Israel is known to use any means, including attacking a civilian plane, if it thinks there are people it wants dead on board.
 

Shumete January 18, 2012 09:24 AM

We felt sorry for the disaster. The problem with the Lebanese government is that they immediately tried to accuse the experienced pilot. Before the investigation, they declared that the problem had been the pilot. Secondly, they denied the information contained in the recordings. They also didn't include information from eye witnesses. Besides, they don't want to investigate the remnants of the plane inside the water, etc. All this indicates that the Lebanese authorities came up short.

 The truth doesn't hide itself.

Flight View January 18, 2012 09:25 AM

Pilot fatigue after flying 188 hours in 51 days? Really? That's 3.5 hours a day. And saying heavy dinner affected judgment...Ridiculous!

Two coffins of dead young Ethiopian maids are loaded onto Ethiopian Airlines weekly from Beirut...Even flight 409 was carrying one such coffin in its cargo.

The same people who rape and murder these young maids with no fear of arrest were the ones who redirected flight 409 into the path of a hurricane lightning storm.

TheBraps January 18, 2012 09:49 AM

Shame on the Lebanese authorities. Whatever they have released, it's not true. The truth is covered up by the Lebanese authorities to protect their country's name. It's not a crew error.

david January 18, 2012 09:54 AM

Trash report! The plane exploded in the air before it fell into the sea. Who is behind this tragedy? Hezbollah, Israel, lightning ? You'd better solve your domestic problems.

An Ethiopian January 18, 2012 10:04 AM

At the bottom of Page 25 of the report, after having gone on and on about the what went on in the cabin and blaming the crew, the report states that eyewitnesses saw a ball of fire, an explosion, etc.!!! JUST ONE LINE. Again they mention it in 1.18.3 and 1.18.3.1 … and then go on to say that it is “not consistent’ with their reports and hence not of significance. There is even a letter from a Captain who saw the ‘ball of fire’ on 177 with more evidence on 173.

I just don’t understand how they can just state it was ‘pilot error’!



 

aynalem January 18, 2012 11:54 AM

When the accident happened I heard one eye witness on BBC news say that " the plane was on fire and disintegrated in the air."  Now you are saying there was no fire at all!

This is an incompetent investigation. We know Ethiopian flight crew, and we know that even that captain had more then 10 years of experience.

John January 18, 2012 01:38 PM

The report is baseless and doesn't include important facts. Why didn't you include the eye witness accounts? Where did the two people that we saw on BBC on the day of the accident disappear to? They were saying they saw a ball of fire in the air. What about the air traffic controllers? Did you also hide them, or did you close their mouth with something? One day, what you have said will come back to haunt you...the truth will come out.

Mengstab January 18, 2012 02:47 PM

I just went to the Ethiopian airlines web-page and had a look at their press release, and it seems to me that there is something behind this incident. The letters exchanged between the airlines have big differences: the Ethiopian airline takes the issues seriously while the other says...don´t worry.

Here is some info on the matter:
1. corespondent letters:
http://www.flyethiopian.com/en/docs/downloads/ET409Inv/5_Attachment_2_Corespondance_letter.pdf
2. prerelease:
http://www.flyethiopian.com/en/news/prarchive.aspx?id=292
3. official letter
http://www.flyethiopian.com/en/docs/downloads/ET409Inv/1_Official_letter.pdf2.
4. Incident report....fire on air...
http://www.flyethiopian.com/en/docs/downloads/ET409Inv/4_Attachment_1ATC_Incident_report.pdf

hiwot January 18, 2012 06:00 PM

this is not some local airline we are talking about. This is one of the best airlines in the world operating for more than six decades with no accident records so far except the accident in comoros caused by hijakers and this tragic and mysterious accident.The investigation has been marred by sabotage from the very first day coupled by the inefficiency and sham of lebanese officials

Ahkmel January 18, 2012 07:16 PM

Sorry for those who lost their life! May Allah put their soul in peace! “Investigation” was over in the first three days of the accident and Mr Aridi (fake man) announced that it was pilot error (fake report). The rest is simply decoration for the consumption of public. We know the internal politics of Lebanon is not simple, so they should use whatever means to mislead those innocent victim family members. For this fake world who will listen to the poor!! The fake America also dance with “Aridi” to hide the politics of Hezbollah. Sorry to say but for me Mr Ghaz Aridi=Gadafi. ...

Anyone January 18, 2012 07:47 PM

Blah…Blah…Blah. The truth or not the truth, right or wrong, the Ethiopian or the Lebanese…
Who and What did it and Why…will we really know? Even though…nothing for that matter is going to be done about it!
This is the unfortunate and sad reality of this world we live in (all over).
The worst of it all is that all these lost lives will never come back…
Get a grip…your arguments on this post will not resolve anything…just jeep in your thoughts and prayers the soul of the dead ones!
Peace be with us all…!

Jordan January 19, 2012 06:24 AM

Very trashy and irresponsible report!! Sabotage in the crash, again sabotage in the report. It is ridiculous!! One day the truth will come out.....

biruk A January 19, 2012 08:35 AM

unbelievable reports!!

beti January 19, 2012 11:29 AM

Don't accuse our Ethiopian Pilot of being responsible. He was the best Pilot that Ethiopian Airlines had. You should be ashamed of yourselves for protecting those who blew up the airplane.

Jesus is the Light Of The Worl!!! Omniscient Jesus!!! January 21, 2012 11:25 AM

You can fool some of the people all of the time, and all of the people some of the time, but you cannot fool all the people all the time. ~ Abraham Lincoln

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