On March 19, 2016 a Boeing 737-800 belonging to FlyDubai crashed into the ground after two failed attempts to land in the airport in Rostov-on-Don, Russia. The aircrew had been flying for over 5 hours when the accident happened and very late at night.
Surveillance cameras at the airport showed the aircraft flying down in a very steep angle before it crashed into the ground and very early on, pilot error and a mysterious illusion known as Somotogravic illusion was suspected to be a part of the cause of the accident.
In November 2019 the Final report ha
Somotogravic illusion is what modern flight simulators are using in order to “trick’ the pilots into believing that they feel an acceleration or deceleration when, in fact, the simulator is only pitching. It is the inability of the human balance organs in the inner ear to distinguish between an acceleration and a pitch with lack of external visual references. During a go-around manoeuvre, an aircraft goes through both a pitch up, to gain altitude as part of the missed approach, and an acceleration to speed the aircraft up and enable flap retraction. This can lead to a sensation of an extreme pitch up as those two factors combine. If the pilots are not aware of this sensation and don’t monitor the instrumentation they can fall victim of this illusion and try to pitch the aircraft forward in order to escape the perceived high pitch attitude. This can lead to a sudden pitch down of the aircraft at low altitude.
Another factor which has been hard to establish the implication of is the use of a HUD (Head up Display) and the lack of objective information of the use of the HUD during extreme weather conditions and negative G-forces. These types of conditions are normally not trained in simulator sessions and it has been impossible to establish wether the HUD indications (where you don’t have to look down on the aircraft screens but rather “through” the HUD for pitch information) had any impact on the situational awareness of the pilots.
Reacting to the final report’s release, FlyDubai released a statement in which it acknowledges IAC’s conclusions and recommendations. FlyDubai also says that it was fully compliant with all regulatory requirements at the time of the accident, the airline states it took its obligations “seriously” and has implemented “a number” of precautionary measures since 2016.
“The airline made proactive operational enhancements to both simulator and classroom training to reinforce awareness and enhance understanding of spatial disorientation,” the statement reads. “Furthermore, flydubai made additions to the manufacturer’s standard operating procedures and manuals. All pilots have been trained on these enhancements which exceed regulatory requirements.”
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