Emirates Flight 419 Incident.

Emirates Flight 419
Incident

Description About the Incident
 The incident happened on 22nd Match
2007
 It involved Boeing 777 under the flight
name Emirates 419
 Had 357 passengers, 16 cabin crews and
2 pilots

 The pilots had a ATIS signaling the of
limited landing from Sydney
 Updated ATIS broadcast changed it to full
length runway
 It was temporary due to long-haul flight
to Singapore
 The pilots did not bother to check the
message at the middle of the updated
ATIS broadcast

 The ATIS was not significantly different
from the previous one
 Hence led the pilots to overlook checking
for changes
 They believed that the availability of full-
length runway has not changed

 Hence requested for instruction for
departure from the aerodrome controller
 They were instructed to use 05R runway
but to hold at A10
 The ground controller cleared them to
leave
 Did not bother to inform them of unusual
changes

 The pilots had acted the normal take
engine thrust
 The first officer saw an obstruction ahead
 Immediately applied the TOGA thrust
 The plane became airborne at the speed
of 163 knots
 The case can be categorized as a CFIT

External Factors that Led to
Threats
 Rubber removal truck at the close eastern
closed end
 Limited runway length with normal
engine thrust
 Engine failure upon application of abrupt
TOGA
 Not sure of achieving enough take-off
acceleration

Internal Factors that Led to
Threat The threat was caused by error made by crew
 The correct information was contained in ATIS
and NOTAM which they failed to diligently
check
 They were confused by the previous changed
instructions on availability of full length
runway
 The pilots opted to follow updated ATIS
missed instruction on reduced length

Controls, Defenses, and Threat & Error
Management Strategies
 The incident was a lesson to the airways
 Precautions should be taken by all
controllers to ensure the crew has read and
listened to all instructions and understood
them
 Standards and procedures should be
diligently followed
 Interruptions should be occur during regular
traffic

Controversies and Conclusion
 ATIS failed to serve the purpose
 It was longer than recommended by ICAO
 Although the situation was managed,
pilots have responsibility to always follow
the standards procedures
 Controllers also have a role of informing
and confirming of changes out of normal

References
 Abeyratne, R. (2013). Reinventing ICAO's Role in Economic
Regulation-A Compelling Need. Issues Aviation L. & Pol'y, 13, 9.
 Flight safety and you. (2010). Emirates 419 incidence at Auckland.
Retrieved from
http://flightsafetyandyou.blogspot.com/2010/10/emirates-419-
incident-at-auckland.html
 Shappell, S., Detwiler, C., Holcomb, K., Hackworth, C., Boquet, A., &
Wiegmann, D. A. (2017). Human error and commercial aviation
accidents: an analysis using the human factors analysis and
classification system. In Human Error in Aviation (pp. 73-88).
Routledge.