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In-flight upset - 154 km west of Learmonth, WA, 7 October 2008,

In-flight upset - 154 km west of Learmonth, WA, 7 October 2008,

In-flight upset - 154 km west of Learmonth, WA, 7 October 2008,

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associated with a master caution chime. The crew also started receiving aural stallwarnings and overspeed warnings, although each warning was only annunciatedbriefly. These cautions and warnings occurred frequently, and continued for theremainder <strong>of</strong> the <strong>flight</strong>.The crew cancelled the autopilot disconnection warning message (AUTO FLT APOFF) on the ECAM and then engaged autopilot 2. After cancelling the autopilotmessage, they noticed a NAV IR 1 FAULT 6 caution message on the ECAM, withan associated IR 1 fault light on the overhead panel. The ECAM was alsodisplaying other caution messages at this time.<strong>In</strong> addition to the warnings and cautions, the crew reported that the airspeed andaltitude indications on the captain’s primary <strong>flight</strong> display (PFD) were fluctuating.No such fluctuations were occurring on the first <strong>of</strong>ficer’s PFD or the standby <strong>flight</strong>instruments. The fluctuations on the captain’s PFD appeared to be based onunreliable information, as there was no other indication that the aircraft was actuallynear a stall or overspeed condition. Because the captain was unsure <strong>of</strong> the veracity<strong>of</strong> the information on his PFD, he used the standby instruments and the first<strong>of</strong>ficer’s PFD when flying the aircraft.Data from the <strong>flight</strong> data recorder (FDR) showed that autopilot 2 was engaged for15 seconds before being disconnected by the crew. 7 The FDR also showed that,during the period between the initial autopilot 1 disconnection and when autopilot 2was engaged, the aircraft’s altitude increased to 37,180 ft. 8 During the short periodwhen autopilot 2 was engaged, the aircraft started to return to the assigned level.Although the crew received numerous ECAM caution messages, none <strong>of</strong> themrequired urgent action, and none <strong>of</strong> them indicated any potential problems with theaircraft’s <strong>flight</strong> control system. However, the captain was not satisfied with theinformation that the aircraft systems were providing, and he asked the second<strong>of</strong>ficer to call the first <strong>of</strong>ficer back to the <strong>flight</strong> deck to help them diagnose andmanage the problems.1.1.3 First in-<strong>flight</strong> <strong>upset</strong> 9 (0442:27)At 0442:27 (1242:27 local time), while the second <strong>of</strong>ficer was asking the cabinservices manager (CSM) via the cabin interphone to send the first <strong>of</strong>ficer to the<strong>flight</strong> deck, the aircraft abruptly pitched nose down. The FDR showed that thepitch-down movement was due to a sudden change in the position <strong>of</strong> the aircraft’selevators, and that the aircraft reached a maximum nose-down pitch angle <strong>of</strong> 8.4°.The <strong>flight</strong> crew described the pitch-down movement as very abrupt, but smooth. Itdid not have the characteristics <strong>of</strong> a turbulence-related event and the aircraft’smovement was solely in the pitching plane.6789This message indicated a fault with the inertial reference part <strong>of</strong> ADIRU 1. The crew did notreceive a message at this time indicating a fault with the air data reference part <strong>of</strong> the ADIRU.The captain reported that he disconnected autopilot 2 as it was a required action in the event <strong>of</strong> anunreliable airspeed situation. Although the captain’s airspeed values were fluctuating, there wasno evidence <strong>of</strong> any problems with the other two airspeed sources during the <strong>flight</strong>.This slight increase in altitude was associated with small pitch-up inputs from the captain’ssidestick.The term ‘in-<strong>flight</strong> <strong>upset</strong>’ is used in this report to refer to an abrupt manoeuvre <strong>of</strong> an aircraft.- 2 -

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