Lauda Air Flight 004
A Lauda Air Boeing 767-3Z9ER similar to one involved
|Date||26 May 1991|
|Summary||In-flight break-up caused by uncommanded thrust reverser deployment|
|Site||Phu Toei National Park, Suphan Buri, Thailand|
|Aircraft type||Boeing 767-3Z9ER|
|Flight origin||Kai Tak Airport, Hong Kong|
|Stopover||Don Mueang Int'l Airport, Bangkok, Thailand|
|Destination||Vienna International Airport, Vienna, Austria|
Lauda Air Flight 004 was a regularly scheduled international passenger flight between Bangkok, Thailand, and Vienna, Austria. On 26 May 1991, the thrust reverser on the No.1 engine of the Boeing 767-300ER operating the flight deployed in flight without being commanded, causing the aircraft to spiral out of control, break up, and crash, killing all 213 passengers and the 10 crew members on board. It was the 767's first fatal incident and third hull loss, as well as the deadliest aviation disaster to occur in Thailand. Lauda Air was founded and run by Formula One world motor racing champion Niki Lauda. Lauda was personally involved in the accident investigation.
The aircraft involved was a Boeing 767-300ER that was powered by Pratt & Whitney PW4060 engines and delivered new to Lauda Air on 16 October 1989. The aircraft was registered OE-LAV and was christened Mozart.
History of the flight
At the time of the accident, Lauda Air operated three weekly flights between Bangkok and Vienna. On 26 May 1991, at 23:02 local time, flight NG004 (originating from Hong Kong's Kai Tak Airport), a Boeing 767-3Z9ER, took off from Don Mueang International Airport for its flight to Vienna International Airport with 213 passengers and ten crew, under the command of American Captain Thomas J. Welch (48) and Austrian First Officer Josef Thurner (41).
At 23:08, Welch and Thurner received a visual warning indicating that a possible system failure would cause the thrust reverser on the number one engine to deploy in flight. Having consulted the aircraft's quick reference handbook, they determined that it was "just an advisory thing" and took no action.
At 23:17, the number one engine reversed thrust while the plane was over mountainous jungle terrain in the border area between Suphanburi and Uthai Thani provinces in Thailand. Thurner's last recorded words were, "Oh, reverser's deployed". The lift on the aircraft's left side was disrupted due to the reverser deployment, and the aircraft was placed in an immediate diving left turn. The aircraft went into a diving speed of Mach 0.99, and may have broken the sound barrier. The aircraft broke up in mid-air at 4,000 feet (1,200 m). Most of the wreckage was scattered over a remote forest area roughly 1 km2 in size, at an elevation of 600 m (2,000 ft) above sea level, in what is now Phu Toei National Park, Suphanburi. The wreckage site is about 6 kilometres (3 nmi) north-northeast of Phu Toey, Huay Kamin, Dan Chang District, Suphan Buri Province, about 160 kilometres (100 mi) northwest of Bangkok, close to the Burma-Thailand border. Rescuers found Welch's body still in the pilot's seat.
Volunteer rescue teams and local villagers looted the wreckage, taking electronics and jewellery, so relatives were unable to recover personal possessions. The bodies were taken to a hospital in Bangkok. The storage was not refrigerated and the bodies decomposed. Dental and forensic experts worked to identify bodies, but twenty-seven were never identified.
Speculation circulated that a bomb may have destroyed the aircraft. The Philadelphia Inquirer, citing wire services it did not identify, stated that "the search for a motive is difficult because politically neutral Austria has generally stayed out of most international conflicts – such as the Persian Gulf war – that have made other countries' airlines the targets of terrorist attacks."
The flight data recorder was completely destroyed, so only the cockpit voice recorder was of use. Pradit Hoprasatsuk, the head of the Air Safety Division of the Thailand Department of Aviation, stated, "the attempt to determine why the reverser came on was hampered by the loss of the flight data recorder, which was destroyed in the crash". Upon hearing of the crash, Niki Lauda traveled to Thailand. He examined the wreckage and estimated that the largest fragment was about five metres (16 ft) by two metres (6.6 ft), which was about half the size of the largest piece in the Lockerbie crash. In Thailand, Lauda attended a funeral for 23 unidentified passengers, and then traveled to Seattle to meet with Boeing representatives.
The official investigation, led by Thailand's Aircraft Accident investigation Committee, took about eight months, and was released with the "probable cause" stating: "The Accident Investigation Committee of the Government of Thailand determines the probable cause of this accident to be [an] uncommanded in-flight deployment of the left engine thrust reverser, which resulted in loss of flight path control. The specific cause of the thrust reverser deployment has not been positively identified." Different possibilities were investigated, including a short circuit in the system. Due in part to the destruction of much of the wiring, no definitive reason for the activation of the thrust reverser could be found.
As evidence started to point towards the thrust reversers as the cause of the accident, Lauda made simulator flights at Gatwick Airport which appeared to show that deployment of a thrust reverser was a survivable incident. Lauda said that the thrust reverser could not be the sole cause of the crash. However the accident report states that the "flightcrew training simulators yielded erroneous results" and stated that recovery from the loss of lift from the reverser deployment "was uncontrollable for an unexpecting flight crew".
The incident led Boeing to modify the thrust reverser system to prevent similar occurrences by adding sync-locks, which prevent the thrust reversers from deploying when the main landing gear truck tilt angle is not at the ground position. The aviation writer Macarthur Job has said that "had that Boeing 767 been of an earlier version of the type, fitted with engines that were controlled mechanically rather than electronically, then that accident could not have happened".
Lauda's visit with Boeing
Lauda stated, "what really annoyed me was Boeing's reaction once the cause was clear. Boeing did not want to say anything." Lauda asked Boeing to fly the scenario in a simulator that used different data as compared to the one that Lauda had performed tests on at Gatwick airport. Boeing initially refused, but Lauda insisted, so Boeing granted permission. Lauda attempted the flight in the simulator 15 times, and in every instance he was unable to recover. He asked Boeing to issue a statement, but the legal department said it could not be issued because it would take three months to adjust the wording. Lauda asked for a press conference the following day, and told Boeing that if it was possible to recover, he would be willing to fly on a 767 with two pilots and have the thrust reverser deploy in air. Boeing told Lauda that it was not possible, so he asked Boeing to issue a statement saying that it would not be survivable, and Boeing issued it. Lauda then added, "this was the first time in eight months that it had been made clear that the manufacturer [Boeing] was at fault and not the operator of the aeroplane [or Pratt and Whitney]."
Previous testing of thrust reversers
When the Federal Aviation Administration (FAA) of the United States asked Boeing to do tests activating the thrust reverser in flight, the FAA had allowed Boeing to establish the tests of the thrust reverser. Boeing had insisted that a deployment was not possible in flight. In 1982 Boeing established a test where the aircraft was flown at 10,000 feet then slowed to 250 knots, and the test pilots then used the thrust reverser. The control of the aircraft had not been jeopardized. The FAA accepted the results of the test.
The Lauda aircraft was traveling at a high speed (400 kn+) and at almost three times that altitude when the left thrust reverser deployed, causing the pilots to lose control of the aircraft. James R. Chiles, author of Inviting Disaster, said, "the point here is not that a thorough test would have told the pilots Thomas J. Welch and Josef Thumer [sic] what to do. A thrust reverser deploying in flight might not have been survivable, anyway. But a thorough test would have informed the FAA and Boeing that thrust reversers deploying in midair was such a dangerous occurrence that Boeing needed to install a positive lock that would prevent such an event." As a result of their findings during the investigation process of Lauda Flight 004, additional safety features such as mechanical positive locks were mandated to prevent thrust reverser deployment in flight.
Passengers and crew
The passengers and crew included 83 Austrians; 74 passengers and nine crew members. Other nationalities included 52 Hong Kong residents, 39 Thai, 10 Italians, seven Swiss, six Chinese, four Germans, three Portuguese, three Taiwanese, three Yugoslavs, two Hungarians, two Filipinos, two Britons, three Americans (two passengers and the captain), one Australian, one Brazilian, one Pole, and one Turk.
Josef Thurner, the copilot, once flew as a copilot with Niki Lauda on a Lauda Boeing 737 service to Bangkok, a flight that was the subject of a Reader's Digest article in January 1990 that depicted the airline positively. Macarthur Job stated that Thurner was the better known of the crew members. Thomas J. Welch, the captain, lived in Vienna, but originated from Seattle, Washington.
Notable victims include:
- Clemens August Andreae, an Austrian economics professor, was leading a group of students from the University of Innsbruck on a tour of the Far East.
- Pairat Decharin, the Governor of Chiang Mai Province, and his wife. Charles S. Ahlgren, the former U.S. consul general to Chiang Mai, said "That accident not only took their lives and that of many of Chiang Mai's leaders, but dealt a blow to many development and planning activities in the town."
About one quarter of the airline's carrying capacity was destroyed as a result of the crash. Following the crash of OE-LAV, the airline had no flights to Sydney, on 1, 6, and 7 June. Flights resumed with another 767 on 13 June. Niki Lauda said that the crash in 1991 and the period after was the worst time in his life. After the crash, bookings from Hong Kong decreased by 20% but additional passengers from Vienna began booking flights, so there were no significant changes in overall bookings.
In early August 1991, Boeing issued an alert to airlines stating that over 1,600 late model 737s, 747s, 757s, and 767s had thrust reverser systems similar to that of OE-LAV. Two months later, customers were asked to replace potentially faulty valves in the thrust reverser systems that could cause reversers to deploy in flight.
At the crash site, which is accessible to national park visitors, a shrine was later erected to commemorate the victims. Another memorial and cemetery is located at Wat Sa Kaeo Srisanpetch – GPS location: , some 90 kilometres (56 mi) away in Amphoe Mueang Suphanburi.
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