Lauda Air Flight 004

Template:Short description Template:Use dmy dates Template:Template other Lauda Air Flight 004 (NG004/LDA004) was a regularly scheduled international passenger flight from Hong Kong, via Bangkok, Thailand, to Vienna, Austria. On 26 May 1991, the Boeing 767-300ER operating the route crashed following an uncommanded deployment of the thrust reverser on the No. 1 engine during the climb phase, causing the aircraft to enter an aerodynamic stall, uncontrolled dive, and in-flight breakup, killing all 213 passengers and ten crew members on board. It is the deadliest aviation accident involving the Boeing 767,Template:Efn and the deadliest aviation accident in Thailand's history. The accident marked the 767's first fatal incident and third hull loss. Formula One world motor racing champion Niki Lauda, who founded and ran Lauda Air, was personally involved in the accident investigation.

Aircraft

The aircraft involved was a Boeing 767-300ER, the 283rd Boeing 767 built, that was powered by Pratt & Whitney PW4060 engines and was delivered new to Lauda Air on 16 October 1989. The aircraft was registered OE-LAV and named Mozart.Template:Rp At the time of the incident, the No. 2 engine had been on the airframe since assembly of the aircraft (7,444 hours and 1,133 cycles) whereas the No. 1 engine (with the faulty thrust reverser) had been on the aircraft since October 3, 1990 and had accumulated 2,904 hours and 456 cycles.Template:Rp

Accident

At the time of the accident, Lauda Air operated three weekly flights between Bangkok and Vienna. At 23:02 ICT on 26 May 1991, the Boeing 767-3Z9ER operating as Flight 4 (originating from Hong Kong's Kai Tak Airport) departed Don Mueang International Airport in Bangkok for its passenger service to Vienna International Airport with 213 passengers and 10 crew under the command of American captain Thomas John Welch (48) and Austrian first officer Josef Thurner (41).Template:Rp Both pilots were regarded as very competent. At 23:08, Welch and Thurner received a visual warning indication on the EICAS display that a possible system failure would cause the thrust reverser on the No. 1 engine to deploy in flight. After consulting the aircraft's Quick Reference Handbook, they determined that the alert was "coming on and off" and that it was "just an advisory thing". The pilots took no remedial action, possibly believing that the indication was false, but also with the knowledge that the 767 could land safely with only one operational reverser.

At 23:17, the No. 1 engine reverser deployed while the plane was over mountainous jungle terrain in the border area between the Suphan Buri and Uthai Thani provinces in Thailand. Thurner's last recorded words were "Oh, reverser's deployed."Template:Rp Moments later, the cockpit voice recorder (CVR) recorded a shuddering sound, followed closely by a snap. Due to the reverser design, an aerodynamic plume of air disrupted the airflow over the leading edge of the left wing during the engine's rundown to idle thrust, which resulted in a 25% loss of lift and an aerodynamic stall.

The aircraft immediately began a diving left turn. The CVR recorded master caution warning and a second snapping sound, followed by various alerts such as overspeed and a second master caution, and Welch's last recorded words: "Jesus Christ" in response to the rapid rolling sensation, "here, wait a minute" as he brought engine 1's thrust lever to idle and shut down the engine and finally, "damn it". Following this, the CVR recorded an increase in background wind noise followed by several loud bangs. Manoeuvring overloads produced by the pilots' sustained attempts to regain pitch control, in combination with the increasing velocity of the dive, had exceeded the aircraft's structural limits and destroyed the weakened aft fuselage along with the rest of the damaged flight surfaces. The loss of the tail caused further negative loading of the wings, as the airplane experienced Mach tuck and nosed over vertically, reaching a speed of at least Mach 0.99 (the highest value that the aircraft's sensors could record), breaking the sound barrier.

The wings then experienced structural failure and separated at the trailing edges, engulfing the remains of the falling aircraft in flames before impacting mountainous wooded terrain and exploding. Most of the wreckage was scattered over a remote forest area roughly in size, at an elevation of , in what is now Phu Toei National Park, Suphan Buri. The wreckage site is about north-northeast of Phu Toey, Huay Kamin (Template:Langx), Dan Chang district, Suphan Buri province, about northwest of Bangkok, close to the Burma-Thailand border. Rescuers found Welch's body still in the pilot's seat.

Recovery

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, but the storage was not refrigerated, and the bodies decomposed. Dental and forensic experts worked to identify bodies, but 27 were never identified.

Speculation circulated that a bomb may have destroyed the aircraft, as some eyewitnesses had reported seeing a large fireball surrounding the aircraft, the result of the disintegration of the right wing during the dive. However, a terrorist motive was believed unlikely, as Austria was politically neutral with a reputation of avoiding international conflicts such as the recent Gulf War.

Investigation

File:Lauda Frankfurt 1996 crop.JPG

Niki Lauda travelled to Thailand to assist in the investigation.

The flight data recorder was completely destroyed, so only the cockpit voice recorder could be analysed. Thailand's Air Safety Division head Pradit Hoprasatsuk stated that "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 by , which was about half the size of the largest piece resulting from the Lockerbie bombing. Lauda attended a funeral for 23 unidentified passengers in Thailand and then traveled to Seattle to meet with Boeing representatives.

The official investigation, led by Thailand's Aircraft Accident Investigation Committee, lasted approximately eight months and resulted in a conclusion of probable cause: "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." Multiple possibilities were investigated, including a short circuit in the electrical system. However, the destruction of much of the wiring meant that investigators could not arrive at a definitive reason for the activation of the thrust reverser.

As evidence began to implicate the thrust reversers as the cause of the accident, Lauda conducted simulator flights at Gatwick Airport that appeared to show that deployment of a thrust reverser was a survivable condition. Lauda said that the thrust reverser could not be the sole cause of the crash. However, the accident report states that the "flight crew training simulators yielded erroneous results"Template:Rp and that recovery from the loss of lift from the reverser deployment "was uncontrollable for an unexpecting flight crew".Template:Rp

The incident prompted 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. Aviation writer Macarthur Job has stated 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".

Previous testing of thrust reversers

When the U.S. Federal Aviation Administration (FAA) asked Boeing to test activating the thrust reverser in flight, the FAA had allowed Boeing to devise the tests. Boeing had insisted that a deployment was not possible in flight. In 1982, Boeing conducted a test in which the aircraft was flown at , slowed to , and then the test pilots deployed the thrust reverser. The control of the aircraft was not jeopardized, and the FAA accepted the results of the test.

The Lauda aircraft was travelling at a TAS of at in the climb to when the left thrust reverser deployed, causing the pilots to lose control of the aircraft. James R. Chiles, author of Inviting Disaster, said: "[T]he point here is not that a thorough test would have told the pilots Thomas J. Welch and Josef Thurner 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."

Passengers and crew

Nation	Passengers	Crew	Total
Austria	74	9	83
Hong Kong	52	0	52
Thailand	39	0	39
Italy	10	0	10
Switzerland	7	0	7
China	6	0	6
Germany	4	0	4
Portugal	3	0	3
Taiwan	3	0	3
Yugoslavia	3	0	3
United States	2	1Template:Efn	3
Hungary	2	0	2
Philippines	2	0	2
United Kingdom	2	0	2
Australia	1	0	1
Brazil	1	0	1
Poland	1	0	1
Turkey	1	0	1
Total	213	10	223

The passengers and crew included 83 Austrians: 74 passengers and 9 crew members. Other nationalities included 52 Hong Kong residents, 39 Thai, 10 Italians, 7 Swiss, 6 Chinese, 4 Germans, 3 Portuguese, 3 Taiwanese, 3 Yugoslavs, 2 Hungarians, 2 Filipinos, 2 Britons, 3 Americans (two passengers and the captain), 1 Australian, 1 Brazilian, 1 Pole and 1 Turk.

First officer Josef Thurner had once flown as a copilot with Niki Lauda on a Lauda Air Boeing 767 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. Captain Thomas J. Welch lived in Vienna but was originally from Seattle, Washington.

Notable victims included:

• 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."
• Princess Template:Ill (Chet Ton dynasty).

Aftermath

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Flight 004 Memorial near Suphanburi

About a quarter of the airline's carrying capacity was destroyed as a result of the crash. Following the crash of OE-LAV, the airline operated no flights to Sydney on 1, 6 and 7 June. Flights resumed with another 767 on 13 June. Niki Lauda said that the crash and the ensuing period constituted the worst time in his life, even worse than the recovery from injuries that he had sustained after a crash in the 1976 German Grand Prix. After the Flight 004 crash, bookings from Hong Kong decreased by 20%, but this was offset by an increase in bookings by passengers based in Vienna.

In early August 1991, Boeing issued an alert to airlines stating that more than 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 erected to commemorate the victims. Another memorial and cemetery is located at Wat Sa Kaeo Srisanpetch, about away in Mueang Suphan Buri district.

In popular culture

The crash of Flight 004 was featured in an edition of ITV's The Cook Report entitled "Don't Shoot the Pilot" in 1993 and in the second episode of Season 14 of the Canadian documentary television series Mayday, titled "Testing the Limits".

See also

• TAM Airlines Flight 402, another accident caused by an uncommanded reverse thruster deployment. Coincidentally, it is also the deadliest accident involving the aircraft family involved.
• Pacific Western Airlines Flight 314

Citations

• Accident Report — Lauda Air Flight 004 (Archive) — Aircraft Accident Investigation Committee, Ministry of Transport and Communications Thailand, Prepared for World Wide Web usage by Hiroshi Sogame (十亀 洋 Sogame Hiroshi), a member of the Safety Promotion Committee (総合安全推進 Sōgō Anzen Suishin) of All Nippon Airways
• Aircraft, Volume 71. Royal Aeronautical Society Australian Division, 1991.
• Chiles, James R. Inviting Disaster. HarperCollins, 8 July 2008. Template:ISBN, 9780061734588.
• Job, Macarthur. Air Disaster, Volume 2. Aerospace Publications, 1996. Template:ISBN, 9781875671199.
• Parschalk, Norbert and Bernhard Thaler. Südtirol Chronik: das 20. Jahrhundert. Athesia, 1999.

Further reading

• Gilbert, Andy. "Lauda Air". South China Morning Post. Thursday 26 May 1994.
• Aviation Week & Space Technology. 1991-10-03 (32), 1991-10-06 (28–30)
• - Includes interview content with Niki Lauda, from an excerpt of a book by Maurice Hamilton (profile of the magazine)

External links

• Lauda Air Crash 1991: still too many open questions — Austrian Wings — Austrias Aviation Magazine
• "การสอบสวนอากาศยานประสบอุบัติเหต" Department of Civil Aviation Template:In lang (Archive)
• "Lauda Air B767 accident report" Ministry of Transport & Communications Thailand (in English)
• "Computer-Related Incidents with Commercial Aircraft The Lauda Air B767 Accident". (Archive) Bielefeld University. 26 May 1991.
• Lauda Air Flight 004 (Index of articles) — South China Morning Post
• "flugzeugabsturz_20jahre.pdf" (Archive) University of Innsbruck. — Includes list of University of Innsbruck professors, assistants, and students who died on Flight 004
• Last flight of the Mozart (Der Todesflug der Mozart, German) — Austrian Wings — Austria's Aviation Magazine
• PlaneCrashInfo.com — Lauda Air Flight 004
• Cockpit Voice Recorder transcript and accident summary
• Grand Prix History — Biography on Niki Lauda (Contains information about Flight 004)