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Investigation Report On the serious incident on … this case the Georgian version is authentic. 3...

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Georgian Civil Aviation and Maritime Transport Accident Incident Investigation Bureau Investigation Report On the serious incident on 01.02.2014 to the Boeing 737-82R Registered TC-AAZ Operated by “Pegasus Airlines” Flight PGT-463 Tbilisi - Istanbul Tbilisi 2014
Transcript

Georgian Civil Aviation and Maritime Transport Accident

Incident Investigation Bureau

Investigation Report

On the serious incident on 01.02.2014

to the Boeing 737-82R

Registered TC-AAZ

Operated by “Pegasus Airlines”

Flight PGT-463 Tbilisi - Istanbul

Tbilisi 2014

2

Aircraft Type: Boeing 737-82R

Aircraft Serial No: 40875

National Registration No: TC-AAZ

Owner: Poseidon Leasing LLC

Operator: Pegasus Airlines

Date and time of the serious incident:

01.02.2014. 02.46 (UTC)

Place of Incident: Tbilisi International Airport

(runway 31L) 413929.54N - 0445753.59 E

The sole objective of the investigation of an accident or incident is the prevention of accidents and incidents. It is not the purpose of this activity to apportion blame or liability. (Article 3.1 of the Annex 13 to the Chicago Convention 1944). The present document is the translation of the Georgian Investigation Report. Although efforts are made to translate it as accurate as possible, discrepancies may occur. In this case the Georgian version is authentic.

3

Table of contents:

Brief Information

1. Factual information

1.1. Pre-flight history

1.2. Injuries

1.3. Damage to aircraft

1.4. Other damage

1.5. Personnel Information (Flight crew)

1.6. Aircraft Information

1.7. Meteorological information

1.8. Aids to Navigation

1.9. Communications

1.10. Aerodrome information

1.11. Flight Recorders

1.12. Wreckage and Impact Information

1.13. Medical and pathological Information

1.14. Fire

1.15. Survival Aspects

1.16. Tests and Research

1.17. Organizational and management Information

1.18. Useful or effective investigation techniques

2. Analyses

3. Conclusions

4. Safety Recommendations

Appendices

4

Brief Information

On February 1, 2014 at 02:55 (UTC) Head of Civil Aviation and Maritime

Transport Accident Incident Investigation Bureau received the notification

about the aviation incident. Namely, on 01.02.2014 when performing the

flight No PGT 463 Tbilisi Istanbul the aircraft Boeing 737-82R registration

No TC-AAZ operated by Pegasus Airlines on the starting point of takeoff

run from the runway 31L, the aircraft suspended take off, during which

went out of the runway range to the right side.

As per the requirements of regulations of the air-code of Georgia, Ministry

of Economy and Sustainable Development of Georgia and Investigation

Bureau, the investigation of the aviation incident was carried out by Civil

Aviation and Maritime Transport Accident Incident Investigation Bureau.

The investigation started on 01.02.2014

The investigation was completed: 25.03.2014

5

1. Factual Information

1.1. Pre-flight history

on February 1 , 2014 the aircraft Boeing 737-82R, operated by Pegasus

Airlines, registration No TC-AAZ, was performing the regular flight PGT -

463 Tbilisi - Istanbul;

At 02.45 (UTC), the aircraft TC-AAZ taxied to the airport runway 31L for

takeoff, it started takeoff run, which was rejected by the crew in a few

seconds, at the starting stage of run due to non-symmetric acceleration of

the engines, namely the parameters of the right engines fell behind the left

one. During the rejected takeoff the aircraft at the distance of 135 meters

from the threshold of runway went to the right side and stopped. Aircraft

main gear was on the right edge paved surface of the runway and nose

gear stopped on the Unpaved runway at 3.5 meter from the runway edge.

1.2. Injuries

The flight crew, cabin crew and 124 passengers received no injuries.

Injuries Crew Members Passengers Others

Fatal 0 0 0

Serious 0 0 0

Slight/None 0 0 0

6

1.3. Aircraft Damage

During the rejected takeoff the aircraft received no damage, Only nose

gear wheel was soiled.

1.4. Other Damage

Rejected takeoff caused no damage to other objects.

1.5. Personnel Information

Captain

Age: 44 years

Aircraft type rating: B737-300/900

Transport pilot license : ATPL

License valid until: 31.12.2014

Medical certificate: Class I

Date for medical check, term: 08.06.2013-08.06.2014

Inspection on simulator: 01.12.2013

Flying hours on Boeing 737: 3729

First Officer

Age: 35 years

Aircraft type rating: B737-300/900

Transport pilot license : ATPL

License valid until: 03.03.2014

Medical certificate: Class I

7

Date for medical check, term: 13.09.2013-13.09.2014

Inspection on simulator: 02.08.2013

Flying hours on Boeing 737: 2564 hours

1.6. Aircraft Information

Aircraft Type: Boeing 737-82R

Serial No: 40875

Year of Manufacture: 2010

Airworthiness certificate issued 14.06.2013, valid until 14.06.2014

National Registration mark: TC-AAZ Registration Certificate: 2294

Flying hours: 13992 hours /9254 cycles Last check: 27.01.2014

Engines:

Left Engine:

Type: CFM56-7B26/3

Year of Manufacture: 2010

Serial No: 804257

Last check: 27.01.2014

Operation hours: 13992 hours/9254 cycles

8

Right engine

Type: CFM56-7B26/3

Year of Manufacture: 2010

Serial No: 805264

Last check: 27.01.2010

Operation hours: 13992 hours/9254 cycles

1.7. Meteorological Information

The weather conditions at Tbilisi International Airport:

METAR UGTB 01 02 00 Z 16002KT 8000 –SN BKN006 BKN008 OVC029

M06/M07 Q1040 R31L/49//42 NOSIG=

METAR UGTB 01 02 30 Z VRB02KT 6000 –SN FEW005 OVC007

M06/M07 Q1040 R31L/49//42 NOSIG=

METAR UGTB 01 03 00 Z VRB02KT 7000 –SN OVC006 M06/M07 Q1040

R31L/690042 NOSIG=

1.8. Aids to Navigation

Not applicable.

1. 9. Communications

Not applicable.

9

1.10. Aerodrome information

Physical Data

Designations RWY NR

True BRG Dimensions of RWY (M)

Strength (PCN) and surface of

RWY and SWY

THR coordinates RWY end

coordinates THR geoid undulation

THR elevation and highest

elevation of TDZ of precision APP

RWY

31L 316.560 3000 X 45 PCN 66/R/A/W/T

Concrete

413929.54 N

0445753.59 E

THR 1558.3 FT

TDZ 1573.2 FT

On 01.02.2014 the condition of Tbilisi International Airport taxiways and

runway 31L conformed to established norms and at 02.45 (UTC) the

braking coefficient was 0.42 (under classification 0.42 and over 0.42 is

considered as “good”).

1.11. Flight Recorders

The FDR and CVR on the aircraft TC-AAZ (CVR-P/N: 980-6022-001 S/N:

980-6022-001 S/N: CVR 120-13726, FDR P/N: 980-4700-042 S/N; 17933)

were removed and deciphered at the directorate of Civil Aviation of Turkey.

1.12. Wreckage and Impact Information

Not applicable.

1.13. Medical and pathological Information

Not applicable.

10

1.14 Fire

Not applicable.

1.15. Survival Factors

During aviation incident the flight crew, cabin crew and 124 passengers

received no injuries. The flight crew did not require rescue operation or

immediate evacuation of passengers. Prior to pushing back aircraft the

passengers were disembarked by boarding stairs.

1.16. Testing and Investigation

After the incident, the aircraft TC-AAZ was inspected according AMM

Boeing-737-82R by "Pegasus airlines" technical center's maintenance

specialists. The nose wheels were replaced, the engines were examined

and the computer testing of the aircraft systems was conducted. In the

result of the above malfunction of the right engine anti-icing system (TC-

AAZ “Flight and Maintenance Log” record No 0539120) was revealed. The

anti-icing system valve of the right engine was deactivated – sealed and

according to the aircraft Boeing 737-82R MEL was classified as category C

until 11.02.2014. (TC-AAZ “Hold Item List” 05420 record).

Only after the performance of technical works Civil Aviation Agency granted

the permission to conduct technical flight without passengers to Istanbul

Airport.

11

1.17. Organizational and management Information

The air company “Pegasus Airlines” (Aircraft operator’s certificate # TR-004

issued on 04.05.1990 by Civil Aviation General Directorate of Turkey) was

granted the right to perform commercial air shipments/aviation activity, as

it is established in the enclosed operation specifications with the

observation of those requirements established under Flight Performance

manual, effective Turkish legislation and ICAO standards.

The air-company “Pegasus Airlines” is represented in Georgia by the

company “GASA” Ltd, while the handling services is provided by “TAV

Urban Georgia” LLC in Tbilisi International Airport.

1.18. The useful and efficient methods used for investigation

For investigation of the given aviation incident no new methods were used.

2. Analyses

The analysis has been conducted based on the study of the following

primary documents:

- Explanatory letters of aircraft Captain and Co-pilot;

- The extract of factual weather conditions in Tbilisi International

airport on 01.02.2014.

- Extract of radio-communication between the flight crew of the

aircraft TC-AAZ and ATC “Tbilisi Tower”.

- Explanatory letter of an air traffic controller of the ATC “Tbilisi

Tower”.

12

- The extract of radio communication between an air-controller of ATC

“Tbilisi Tower” and the aerodrome service of “TAV Urban Georgia”

LLC.

- SNOWTAM and NOTAM’s drawn and issued by Tbilisi aerodrome

service and ‘Sakaeronavigatsia” Ltd.

- Explanatory letter of duty shift chief of aerodrome service;

- Extract from runway and aerodrome movement area condition

evaluation log-book;

- Extract from the computer of braking coefficient measure unit “STFT

SARSYS.

- Data received from deciphering the (FDR-CVR) removed from the

aircraft TC-AAZ

- The onboard-technical log-book: Flight - Maintenance Log-book and

Hold Item List Log -book

- Flight operational manual, part B has been received from air-

company “Pegasus Airlines”

- FCOM of flight operational manual of Boeing 737-800;

- Data of the aircraft TC-AAZ and flight crew that were involved in the

accident sent from Aviation Incident investigation bureau of the

Ministry of Transportation of Turkey;

- Also other relevant local and international normative documents;

The study of the data of the aircraft TC-AAZ and flight crew involved in

the accident shows that nothing was recorded about any malfunction in

the aircraft technical log-book during the flight.

As per the explanation of a captain and the co-pilot, as well as the

extract provided by Sakaeronavigatsia Ltd – the radio-communication

between flight crew and ATC controller it is clarified that on February 1,

2014, when performing a flight PGT-463 Tbilisi-Istanbul captain was

conducting pilot flying of the aircraft TC-AAZ, while co-pilot was

performing monitoring (pilot not flying)

13

At 02:38:07 the crew received the following information on the actual

meteorological condition the runway 31L from the ATC controller of

“Tbilisi Tower”:

“For information runway is cleared from centerline 7.5 meters, braking

coefficient 0.42, runway is covered with snow and slush 0.75mm from

left and right 7.5 meters and rest is 3sm snow.”

During the investigation SNOWTSM and NOTAMs drawn by “Tbilisi

Aerodrome service” and “Sakaeronavigatsia” Ltd, explanation letter of

“Tbilisi Aerodrome Service” duty chief and an extract from runway and

aerodrome movement area evaluation log-book, also an extract from

the computer of “STFT SARSYS” of braking coefficient measure device

were studied, which state that runway 31 L had been cleared from snow

during the whole night and the braking coefficient was measured at the

following time periods.

00:20-00:30 o’clock braking coefficient = 0.42/0.42/0.42

01:10-02:20 o’clock braking coefficient = 0.42/0.42/0.42

And after the incident at 03:04 o’clock the braking coefficient

=0.5/0.5/0.51, it is also to be noted that prior to this incident the flight

had been performed without any problems in the following time periods:

Air-company „Belavia“- 00:03

Air-company „Lufthansa“- 01:26

Air-company „Turkish Airlines“- 01:58

Air-company „Georgian Airways“- 02:41

14

Note: 1) the results of deciphering of the flight objective control CVR –

FDR removed from the aircraft shows that the receipt of the mentioned

meteorological-information coincides with the standard pre-flight briefing.

It is also noteworthy, that during the pre-flight briefing the crew did not

discuss the recommended instructions for Cold Weather Operations,

Slush/standing Water Takeoff and Slippery Runway Takeoff by performing

of which the risk would have been brought to minimum.

It is also to be taken into account that from the moment of aircraft’s

leaving apron to the occurrence of the incident the crew was busy talking

about various topics in the intervals between the performance of the

procedures; considering the human factor this always leads to distraction

and certain extent of relaxation, which is not recommended at takeoff.

At 02:41:05 the crew starts moving from the apron via the taxiway “E” to

the direction of the runway 31L.

At 02:45:17 the aircraft enters the runway 31L at magnetic course

(308.67), when the aircraft is still in the regime of turning, it starts

acceleration of engines. At this time the engine levers are at a similar

position (59.24) while the number of engine rotation both in N1 and N2

engines start to differ from each other and the automated regime had not

been still switched on.

secsecsecsec Gr.speed Gr.speed Gr.speed Gr.speed

knknknkn

FlapFlapFlapFlap WarningWarningWarningWarning HeadingHeadingHeadingHeading TO/GATO/GATO/GATO/GA

sw sw sw sw

pressedpressedpressedpressed

TO/GATO/GATO/GATO/GA N 1LN 1LN 1LN 1L

%%%%

RPMRPMRPMRPM

N1RN1RN1RN1R

%%%%

RPMRPMRPMRPM

Trot Trot Trot Trot

Angl Angl Angl Angl

LLLL

Trot Trot Trot Trot

Angl Angl Angl Angl

RRRR

N2LN2LN2LN2L

%%%%

RPMRPMRPMRPM

N2RN2RN2RN2R

%%%%

RPMRPMRPMRPM

02:45:17 3 10 No

warning

308.67 Not

Pressed

Not

Eng

23.1 22 59.24 59.24 63 61.88

Note: 2): 02:45:22, when the aircraft TC-AAZ was not yet fully

straightened on the runway 31L and the difference between the number of

engine rotation both N 1 and N 2 accordingly increases, the crew switches

on the automatic regime TO/GA

15

secsecsecsec Gr.speed Gr.speed Gr.speed Gr.speed

knknknkn

FlapFlapFlapFlap WarningWarningWarningWarning HeadingHeadingHeadingHeading TO/GATO/GATO/GATO/GA

sw sw sw sw

pressedpressedpressedpressed

TO/GATO/GATO/GATO/GA N 1LN 1LN 1LN 1L

%%%%

RPMRPMRPMRPM

N1RN1RN1RN1R

%%%%

RPMRPMRPMRPM

Trot Trot Trot Trot

Angl Angl Angl Angl

LLLL

Trot Trot Trot Trot

Angl Angl Angl Angl

RRRR

N2LN2LN2LN2L

%%%%

RPMRPMRPMRPM

N2RN2RN2RN2R

%%%%

RPMRPMRPMRPM

02:45:22 4 10 No

warning

309.38 Pressed Engage 37.3 28 59.41 59.24 78.13 70.5

Note 3): In accordance with the requirements of flight operation manuals,

after entering the runway to perform the take-off run the crew must check

main parameters of engine functioning, namely Operational manual of an

aircraft Boeing 737-800 of air-company “Pegasus Airlines”:The requirement

of Chapter 2 – Normal Procedures : article 2.4 “Before Takeoff Procedures”

is the following:

„ARM the autothrottle only when lined up on the centerline to avoid loss of

directional control due to inadvertent selection of TOGA or autothrottle

malfunction. Refrain from setting parking brake on the runway. When

Commander is PM and takeoff clearance has been received, the

Commander will arm the autothrottle when lined up on the centerline,

increase thrust to 40% N1, press TOGA once engines have stabilized and

call, “N1 TOGA YOU HAVE CONTROL”. The First Officer will state “I HAVE

CONTROL SET,___%N1” however the Commanders hands will rest on the

thrust levers until V1.“

Note 4): The requirement of Operational manual of an aircraft Boeing

737-800 – FCOM- “Takeoff Procedures” D6-27370-82R-PGS NP.21.47 Is:

-Before entering the departure runway, verify that the runway and

runway entry point are correct.

- Align the airplane with the runway.

- Verify that the airplane heading agrees with the assigned runway

heading.

16

-Advance the thrust levers to approximately 40% N1.

-Allow the engines stabilize.

- Push the TO/GA switch.

-Verify that the correct takeoff thrust is set.

Note 5): The requirement of Operational manual of an aircraft Boeing

737-800 – FCOM- “Takeoff Procedures” D6-27370-82R-PGS SP.16.9 Is:

“Do the normal Takeoff Procedure with the following modification:

When engine anti-ice is required and the OAT is 3°C or below, the takeoff

must be preceded by a static engine run up. Use the following procedures:

Run up to a minimum of 70% N1 and confirm stable engine operation

before the start of the takeoff roll. A 30 second run up is highly

recommended whenever possible.”

During the takeoff roll of the aircraft TC-AAZ the critical situation developed

as of 02:45:17, at this very time the aircraft is in the process of turning

and rolls on the runway with the course 308.67°, the engine levers are on

the similar position (59.24), the crew tries manual manipulation of the left

engine lever to a higher regime of operation with the view of bringing the

aircraft to the precise take off course 312°, accordingly the number of left

engine rotation increases, and the engine develops more driving force, the

aircraft starts to take up speed with the tendency of turning to the right

and continues taking precise takeoff course. Even though at 02:45:22 the

aircraft is still at the course 309.38°, it still did not reach the precise take

off course 312°, the number of rotations of left and right engines already

significantly differs (the left engine N 1 =37.3%), (the right engine N 1 =

28%) at that moment the engine levers are on the different position (left

engine lever is 59.41),(right engine lever is 59.24) the crew switches on

TO/GA switch, which automatically brings engine operation levers to the

regime of operation required for takeoff.

17

Note: 6) 02:45:26 FDR recorded the warning signal on malfunctioning of

engine operation levers “AT Warn”, Following of which the FDR device

recorded the switching off of “Auto throttle Disconnect Switches” by the

Captain.

At this very moment due to the imbalance between the engines (left

engine N 1=88.5%), (right engine N 1=53.0%), the aircraft acquired the

tendency of moving to the right, enhanced by the tendency of moving to

the right previously given by the crew for bringing the aircraft to the

precise magnetic course, which in the whole led to the change of the

aircraft direction. In the result of the latter the Captain made the decision

to reject the takeoff at 02:45:28, manually switched the engine operation

levers to the lowest regime (IDLE), while reduction of engine rotation

numbers also occurred asymmetrically and took about 10 second. During

this period the aircraft continues movement to the right under its own

inertia and the course corresponds to 325°. At the time of reject of takeoff

the Captain used brakes. The brakes also was used asymmetrically until

the aircraft stopped finally

Time Brake Left (PSI) Brake Right (PSI)

02:45:26 422.2 133.7

02:45:28 616.8 41.5

02:45:30 643.9 67.7

02:45:32 645.6 121.0

02:45:36 643.1 91.4

Which indicates that at this very critical moment the Captain did not

manage to maintain the right direction on the runway by turning the nose

gear to the left, when he was trying to neutralize the aircraft movement to

the right in this way(using brakes) and stopping the aircraft within the

runway range. However, it turned out to be impossible.

The aircraft went over the edge of the runway at the 135 meter distance

from the threshold of runway went to the right side and stopped. Aircraft

18

main gear was on the right edge paved surface of the runway and nose

gear stopped on the Unpaved runway at 3.5 meter from the runway edge

At 02:45:51 the aircraft TC-AAZ crew reported to the ATC controller of

“Tbilisi Tower” about the rejected takeoff. The flight crew did not require

rescue operation or immediate evacuation of passengers. Prior to pushing

back aircraft to the parking stand the passengers were disembarked by

boarding stairs.

3. Conclusion

1. Incident – with the aircraft Boeing 737-82R, registration No TC-AAZ,

operated by Pegasus Airlines, on the runway 31L is considered as an

incident involving a high risk and therefor is classified as a serious

incident.

2. The primary cause of the serious incident was malfunction of anti-

icing system of the right engine of the aircraft TC-AAZ, which led to

considerable retardation of the right engine parameters (RPM-

number of rotation N1 and N2) during acceleration.

3. The following factors have contributed to the serious incident:

- Human Factor, namely, incomplete performance by the flight crew of the

aircraft TC-AAZ of the following:

- air-company "Pegasus Airlines" Operational Manual of Boeing 737-800 –

Part - B - „CHAPTER 2 – NORMAL PROCEDURES „ article 2.4. „BEFORE

TAKEOFF PROCEDURES“ and “Appendix I.13.30 Bulletin-30, Crew Briefings

- Takeoff Briefings”,

- FCOM of the Boeing 737-800

(D6-27370-82R-PGS NO.21.47) “Takeoff Procedures”

(D6-27370-82R-PGS NO.16.9) “Takeoff Procedures”

19

4. Flight Safety Recommendations

1.The report of the present serious incident be published via the web-site

of the Ministry of Economy and Sustainable Development of Georgia:

http://www.economy.ge/ge/civil-aviation-and-maritime-transport-accident-incident-

investigation-bureau

2.The written report will be sent to:

a) LEPL Civil Aviation Agency

b) Air company “Pegasus Airlines”

c) LLC “TAV Urban Georgia”

d) LTD “Sakaeronavigatsia”

e) The representative of the air company “Pegasus Airlines” in

Georgia – LTD “GASA”;

3. With the view of improving flight safety and prevention of similar

incidents in future the administration of the air company “Pegasus Airlines”

is to ensure the following:

- Organize detailed review of the final report of the serious incident in the

airline and implement of relevant preventive actions with the view of

enhancing flight safety culture.

- Organize additional theoretical trainings for flight personnel on the topic:

- Crew Resource Management’s objective in flight safety;

- Human Factor, situation awareness, timely comprehension and decision

making as per the requirements of FCOM and SOP;

Putting emphasis on the following during Crew Briefings:

- Trust Setting Management;

- Cold Weather Operations;

- Slush/standing Water Takeoff’

- Slippery Runway Takeoff;

21

Appendix 1

The overall picture of the numbers of aircraft and engines parametersThe overall picture of the numbers of aircraft and engines parametersThe overall picture of the numbers of aircraft and engines parametersThe overall picture of the numbers of aircraft and engines parameters

secsecsecsec GrounGrounGrounGroun

dddd

speed speed speed speed

knknknkn

FlaFlaFlaFla

pppp

WarninWarninWarninWarnin

gggg

HeadinHeadinHeadinHeadin

gggg

TO/GTO/GTO/GTO/G

AAAA

swswswsw

pressepressepressepresse

dddd

TO/GTO/GTO/GTO/G

AAAA

N 1LN 1LN 1LN 1L

%%%%

RPRPRPRP

MMMM

N1RN1RN1RN1R

%%%%

RPRPRPRP

MMMM

Trot Trot Trot Trot

Angl Angl Angl Angl

LLLL

Trot Trot Trot Trot

Angl Angl Angl Angl

RRRR

N2LN2LN2LN2L

%%%%

RPRPRPRP

MMMM

N2RN2RN2RN2R

%%%%

RPMRPMRPMRPM

02:45:2

0

3.5 10 No

warning

309.02 Not

Presse

d

Not

Eng

28.928.928.928.9 24.624.624.624.6 59.4

1

59.2

4

70.6

3

66.1

3

02:45:2

1

3.5 10 No

warning

309.02 Not

Presse

d

Not

Eng

31.931.931.931.9 26.126.126.126.1 59.4

1

59.2

4

74.1

3

68.1

3

02:45:2

2

4 10 No

warning

309.38309.38309.38309.38 PressePressePressePresse

dddd

EngagEngagEngagEngag

eeee

37.337.337.337.3 28282828 59.459.459.459.4

1111

59.259.259.259.2

4444

78.1

3

70.5

02:45:2

3

5 10 No

warning

309.38 Not

Presse

d

Engag

e

49.449.449.449.4 30.130.130.130.1 64.3

4

67.8

5

82.1

3

73.1

3

02:45:2

4

6 10 No

warning

309.73 Not

Presse

d

Engag

e

64.464.464.464.4 33.333.333.333.3 68.7

3

68.7

3

86.2

5

76.2

5

02:45:2

5

8.5 10 No

warning

311.13 Not

Presse

d

Engag

e

80808080 40404040 68.7

3

77.1

7

91.2

5

80.1

3

02:45:2

6

11 10 AT AT AT AT

warn warn warn warn

CaptCaptCaptCapt

314.65 PressePressePressePresse

dddd

Engag

e

87.887.887.887.8 53.953.953.953.9 65.9

2

35.6

8

93.8

8

83.2

5

02:45:2

7

12.5 10 AT

warn

Capt

319.92 Not

Presse

d

Engag

e

88.588.588.588.5 53535353 35.835.835.835.8

6666

35.635.635.635.6

8888

93 79.3

8

02:45:2

8

14.5 10 AT

warn

Capt

325.9 Not

Presse

d

Engag

e

79.979.979.979.9 42.942.942.942.9 35.8

6

55.7

2

90 76.1

3

02:45:2

9

14.4 10 AT

warn

Capt

332.93 Not

Presse

d

Engag

e

69.169.169.169.1 37.937.937.937.9 36.0

4

35.6

8

86.8

8

76

02:45:3

0

13.5 10 AT

warn

Capt

339.61 Not

Presse

d

Engag

e

58.658.658.658.6 33.533.533.533.5 35.8

6

35.6

8

83.5 73

02:45:3

7

0 10 No

warning

342.07 Not

Pressed

Eng

age

23.823.823.823.8 19.819.819.819.8 36.0

4

35.6

8

64.5 58.3

8

22

23

24


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