Air Astana Flight 1388
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Air Astana Flight 1388 was a repositioning flight from
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to
Almaty Almaty (; kk, Алматы; ), formerly known as Alma-Ata ( kk, Алма-Ата), is the List of most populous cities in Kazakhstan, largest city in Kazakhstan, with a population of about 2 million. It was the capital of Kazakhstan from 1929 to ...
, with a refueling stopover at
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. On 11 November 2018, shortly after takeoff it suffered severe control issues. After 90 minutes it landed safely at
Beja Airbase Beja Air Base ( pt, Base Aérea de Beja; ), officially designated as Air Base No. 11 ( pt, Base Aérea Nº 11, BA11) is one of the most important military airbases in Portugal, northwest of Beja, north of Algarve. It is used by the Portuguese ...
, with no fatalities.


Aircraft and crew

P4-KCJ, the incident aircraft, was an Embraer ERJ-190LR operated by
Air Astana Air Astana ( kk, Эйр Астана, translit=Eir Astana; russian: Эйр Астана́, translit=) is an airline group based in Almaty, Kazakhstan. It operates scheduled international and domestic services on 64 routes from its main hub, Alma ...
of Kazakhstan. The aircraft was delivered from Embraer to the airline in December 2013. Prior to the incident it had accumulated a total of 13,152 flight hours. The plane was flown by Captain Vyacheslav Aushev (40); First officer Bauyrzhan Karasholakov (32); and First officer in jumpseat Sergey Sokolov (26). Three engineers travelled as passengers.


Maintenance

On 2 October 2018 the aircraft arrived at Alverca Air Base to undergo heavy maintenance at an
OGMA OGMA – Indústria Aeronáutica de Portugal S.A. is a Portuguese aerospace company focused on aircraft maintenance and manufacturing. History OGMA was founded as part of the reorganisation of the Portuguese Army's Aeronautic Service on June 2 ...
maintenance facility. The maintenance consisted of accomplishing several service bulletins. On 9 October the overhaul of aileron cables was initiated. The first service bulletin consisted of replacing pulleys and structural supports of the cables. The second one consisted of replacing the stainless steel cables with carbon steel cables. The cables were also lubricated. On October 26 during operational tests, a warning message (FLT CTR NO DISPATCH) alerted the maintenance crew that the aircraft was unfit for flight due to control system problems. The warning occurred again on 31 October. The troubleshooting lasted until 11 November, the date of the incident.


Flight

The aircraft took off at 13:31, with the crew failing to detect the ailerons' anomaly during the operational check procedures. Visibility was limited - between . Shortly after take-off the pilots noticed severe control issues. The pilots tried to turn on the autopilot, but it failed to engage. At 13:37 the crew requested a climb to FL100 (about ) and an immediate return to Alverca, reporting flight control problems. At several instances the plane suffered complete loss of control, flipping over and diving sharply, placing stress on the
airframe The mechanical structure of an aircraft is known as the airframe. This structure is typically considered to include the fuselage, undercarriage, empennage and wings, and excludes the propulsion system. Airframe design is a field of aerospa ...
. The crew requested a heading to the sea so they could ditch if it became inevitable, but struggled to comply with any headings given by ATC due to their difficulty controlling the aircraft. The crew discussed the options available to them, with the first officer in the jumpseat coordinating with the technicians on board as passengers to discover the cause of the upsets and establish an action plan. Despite no warnings indicating issues with normal mode, the crew activated the direct mode for flight controls which disconnects the FCM (flight control module) from the controls. This considerably increased controllability of the pitch and yaw-
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, but control of the roll axis was still limited with the plane rolling abnormally as the spoilers would actuate and upset the aircraft with too much input. The crew flew the plane east, hoping to find better weather conditions. Two
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s from the
Portuguese Air Force , colours = , colours_label = , march = , mascot = , anniversaries = 1 July , equipment = , equipment_label ...
took off from
Monte Real Air Base Monte Real Air Base, officially designated as Air Force Base No. 5 ( pt, Base Aérea Nº 5, BA5), is a Portuguese Air Force (PoAF) air base located in Monte Real, Leiria, Portugal. Its mission is to guarantee the readiness and deployment of the ...
to escort the aircraft to
Beja Airbase Beja Air Base ( pt, Base Aérea de Beja; ), officially designated as Air Base No. 11 ( pt, Base Aérea Nº 11, BA11) is one of the most important military airbases in Portugal, northwest of Beja, north of Algarve. It is used by the Portuguese ...
. After two go-arounds due to unstable approaches, the active first officer changed places with the other one in the jumpseat. On the final approach, the plane was bound for runway 19R but eventually landed on 19L due to the aircraft drifting on the approach. A footage shows the aircraft nearly skidded off the runway after touching down on the runway. All on board were shaken, but the only injury was one passenger who suffered a leg injury. The hull was deformed and the leading edges of the wing were wrinkled. Some parts of the aircraft suffered loads greater than they were designed for. The aircraft was written off and subsequently scrapped.


Investigation

The investigation revealed that the aileron cables were installed incorrectly. This caused reversal of aileron controls. Since the roll control surfaces include spoilers, which weren't affected by the mistake, the situation couldn't have been handled with just reversing inputs. The investigation blamed the manufacturer of the airplane for unsatisfactory maintenance instructions, the supervising authorities for lack of oversight over the maintenance crew, who lacked the skill to perform the heavy maintenance, and the flight crew for failing to notice the condition during pre-flight control checks.


In popular culture

The incident was featured in season 23, episode 5 of the Canadian documentary series ''Mayday'', titled "Control Catastrophe".


See also

*
China Northwest Airlines Flight 2303 China Northwest Airlines Flight 2303 was a domestic flight from Xi'an to Guangzhou, People's Republic of China. On June 6, 1994, the aircraft operating the flight, a Tupolev Tu-154M, broke up in-flight and crashed as a result of an autopilot mal ...
*
China Airlines Flight 006 China Airlines Flight 006 (callsign "Dynasty 006") was a daily non-stop flight from Taipei to Los Angeles International Airport. On 19 February 1985, the Boeing 747SP operating the flight was involved in an aircraft upset accident, following ...
- another flight that suffered loss of control and immense G-forces *
Forced landing A forced landing is a landing by an aircraft made under factors outside the pilot's control, such as the failure of engines, systems, components, or weather which makes continued flight impossible. For a full description of these, see article on ' ...
of a
German Air Force The German Air Force (german: Luftwaffe, lit=air weapon or air arm, ) is the aerial warfare branch of the , the armed forces of Germany. The German Air Force (as part of the ''Bundeswehr'') was founded in 1956 during the era of the Cold War a ...
Bombardier Global 5000 with partly reversed flight controls


References


External links

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{{Aviation accidents and incidents in 2018 Aviation accidents and incidents in 2018 Aviation accidents and incidents caused by loss of control Aviation accidents and incidents involving the Embraer E-Jet family Aviation accidents and incidents in Portugal Airliner accidents and incidents caused by maintenance errors 2018 disasters in Portugal November 2018 events in Europe