Final Report B763 (N1217A), east southeast of Houston TX USA, 23 Feb 2019

Final Report B763 (N1217A), east southeast of Houston TX USA, 23 Feb 2019

Publication info
Author
NTSB (USA)
Category
Human Factors Loss of Control
Date of publication
04/08/2020
Date for review
02/02/2022

On 23 February 2019, a Boeing 767-300 transitioned suddenly from a normal descent towards Houston into a steep dive and high speed terrain impact followed. The Investigation found that after neither pilot had noticed the First Officer’s inadvertent selection of go around mode during automated flight, the First Officer had then very quickly responded with an increasingly severe manual pitch-down, possibly influenced by a somatogravic illusion. He was found to have had a series of short air carrier employments terminating after failure to complete training, had deliberately and repeatedly sought to conceal this history and lacked sufficient aptitude and competency.

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