Milan - London

On 14 January 1969 the crew flew from Gatwick to Rotterdam and return, following which they departed on a scheduled international flight Gatwick-Genoa-Gatwick. For this flight Captain A occupied the left-hand seat as pilot-in-charge, Captain B the right hand seat as co-pilot and Captain C the centre supernumerary seat as pilot-in-command, ultimately responsible for the correct operation of the aircraft. Before leaving Gatwick Captain A briefed Captain B concerning the co-pilot duties assigned to him. Although Captain C, as pilot-in-command, did not himself formally brief Captains A and B there was no doubt that they were aware of their respective tasks. On the flight from Gatwick to Genoa the aircraft was forced, due to unfavourable weather conditions at Genoa, to divert to Milan-Linate Airport where it landed at 1430 hours. Before commencing the return flight to Gatwick the crew had to await the arrival of the passengers from Genoa. This took place at 1930 hours. During the five-hour waiting period on the ground, the aircraft APU was kept in operation to ensure cabin heating and air conditioning. While Captain C tried unsuccessfully to sleep in the aircraft, Captains A and B inspected the aircraft and found ice on the wings and tail unit. The aircraft was subsequently de-iced. Before boarding the aircraft, Captains A and B made another external inspection of the aircraft and established that there was no ice on any part of it. The result of this inspection was duly reported to Captain C. Captains A and B carried out the pre-flight checks in accordance with the company checklist and verified that the take-off weight and aircraft loading were within the permitted limits. The crew occupied the same positions as during the previous flight, Captain A being in the left-hand seat, Captain B in the right-hand seat and Captain C in the jump- seat. In view of the weather, temperature and runway conditions, the crew decided to use the 18O flap setting, Spey 2 thrust (full thrust), engine anti-icing and the APU for cabin air conditioning. V1 and Vr were established at 117 kt and V2 at 127 kt. At 2018 hours, after clearance from Linate ATC, the engines were started and engine anti-icing selected "ON". There was a considerable layer of snow along the sides of the taxiways and runway, but they themselves were clear and usable. In view of the isolated patches of slush or water on the runway, Captain A considered it essential for the engine igniter switches to be selected "ON" during the entire take-off. At 2028 hours the aircraft was cleared to enter runway 18 and, after receiving the latest information concerning visibility and wind, it was cleared for take-off at 2031 hours. Before the brakes were released, a check was made of engine P7 pressures and of the other engine instruments which were found to be normal. At about 80 kt Captain A took over the aircraft's control column. The airspeed indicators showed regular acceleration and Captain A stated that just before 100 kt the engine instruments were also registering normally. V1 and Vr were called and the aircraft was rotated into the initial climbing attitude; immediately after or during this manoeuvre, a dull noise was distinctly heard by all the crew members. This noise was variously described by them as: "not like a rifle shot, not like the slamming of a door or something falling in the aircraft but more like someone kicking the fuselage with very heavy boots, an expansive noise covering a very definite time span with a dull non-metallic thud". The bang was immediately associated by the crew with the engines. After looking at the TGT gauges, and observing that No. 1 engine was indicating a temperature 20°c higher than that of No. 2 engine, Captain C said: "I think it's number one" or wards to that effect, and after a brief pause "throttle it". On receipt of Captain C's comment Captain A closed the power level of No. 1 engine. During or just after the explosion, he had completed the rotation manoeuvre and the aircraft was climbing at 12O of pitch with reference to the flight director. As a precaution, after closing No. 1 power lever he reduced the angle of climb to 6O. At the same time the co-pilot (Captain B) who had reached for the check list and was looking for the page relating to an engine emergency, became aware of a sharp reduction in the aircraft's acceleration; he noticed that the undercarriage was still down and he retracted it immediately. According to the crew the aircraft reached a maximum height of 250 ft, after which a progressive loss of momentum became evident. A maximum speed of 1401145 kt was achieved immediately after rotation, but it fell to 127 kt after No. 1 engine had been throttled back, These figures were consistent with those subsequently derived from the flight recorder. The crew said that the stick-shaker operated three times between 125 and 115 kt. The co-pilot had a vague recollection that the stick-push and the warning klaxon operated during the critical phase before impact. The pilot-in-charge remembered vaguely that someone said "raise the flaps", but no crew member remembers doing so or making the re traction. On looking out of the aircraft the crew saw the ground and the obstructions close at hand and realized that contact of the aircraft with the ground was inevitable and imminent. Captain A controlled the aircraft extremely well during the touchdown; the aircraft slid along the snow-covered surface, passing over small obstructions, and came to a halt 470 m from the point of first contact with the ground (see Fig. 1-11. The co-pilot operated both engine fire-extinguishers and Captain C ordered the pilots to leave the aircraft immediately via the side windows. During the ground slide an orange glow was seen to light up the glass panels of the windows for a short time. There was no fire. After closing No. 1 power lever, Captain A remembered having ordered the shutdown drill for this engine but he could not say for certain whether this wae dme. It was established, however, that Captain B closed both the HP cocks at the first sensation of ground contact.

Flight / Schedule

Milan - London

Aircraft

BAc 111

Registration

G-ASJJ

MSN

14

Year of Manufacture

1965

Date

January 14, 1969 at 08:32 PM

Type

CRASH

Flight Type

Scheduled Revenue Flight

Flight Phase

Takeoff (climb)

Crash Site

Airport (less than 10 km from airport)

Crash Location

Milan-Linate Lombardy

Region

Europe • Italy

Coordinates

45.4442°, 9.2778°

Crash Cause

Technical failure

Narrative Report

On January 14, 1969 at 08:32 PM, Milan - London experienced a crash involving BAc 111, operated by British United Airways - BUA, with the event recorded near Milan-Linate Lombardy.

The flight was categorized as scheduled revenue flight and the reported phase was takeoff (climb) at a airport (less than 10 km from airport) crash site.

33 people were known to be on board, 0 fatalities were recorded, 33 survivors were identified or estimated. This corresponds to an estimated fatality rate of 0.0%.

Crew on board: 7, crew fatalities: 0, passengers on board: 26, passenger fatalities: 0, other fatalities: 0.

The listed crash cause is technical failure. On 14 January 1969 the crew flew from Gatwick to Rotterdam and return, following which they departed on a scheduled international flight Gatwick-Genoa-Gatwick. For this flight Captain A occupied the left-hand seat as pilot-in-charge, Captain B the right hand seat as co-pilot and Captain C the centre supernumerary seat as pilot-in-command, ultimately responsible for the correct operation of the aircraft. Before leaving Gatwick Captain A briefed Captain B concerning the co-pilot duties assigned to him. Although Captain C, as pilot-in-command, did not himself formally brief Captains A and B there was no doubt that they were aware of their respective tasks. On the flight from Gatwick to Genoa the aircraft was forced, due to unfavourable weather conditions at Genoa, to divert to Milan-Linate Airport where it landed at 1430 hours. Before commencing the return flight to Gatwick the crew had to await the arrival of the passengers from Genoa. This took place at 1930 hours. During the five-hour waiting period on the ground, the aircraft APU was kept in operation to ensure cabin heating and air conditioning. While Captain C tried unsuccessfully to sleep in the aircraft, Captains A and B inspected the aircraft and found ice on the wings and tail unit. The aircraft was subsequently de-iced. Before boarding the aircraft, Captains A and B made another external inspection of the aircraft and established that there was no ice on any part of it. The result of this inspection was duly reported to Captain C. Captains A and B carried out the pre-flight checks in accordance with the company checklist and verified that the take-off weight and aircraft loading were within the permitted limits. The crew occupied the same positions as during the previous flight, Captain A being in the left-hand seat, Captain B in the right-hand seat and Captain C in the jump- seat. In view of the weather, temperature and runway conditions, the crew decided to use the 18O flap setting, Spey 2 thrust (full thrust), engine anti-icing and the APU for cabin air conditioning. V1 and Vr were established at 117 kt and V2 at 127 kt. At 2018 hours, after clearance from Linate ATC, the engines were started and engine anti-icing selected "ON". There was a considerable layer of snow along the sides of the taxiways and runway, but they themselves were clear and usable. In view of the isolated patches of slush or water on the runway, Captain A considered it essential for the engine igniter switches to be selected "ON" during the entire take-off. At 2028 hours the aircraft was cleared to enter runway 18 and, after receiving the latest information concerning visibility and wind, it was cleared for take-off at 2031 hours. Before the brakes were released, a check was made of engine P7 pressures and of the other engine instruments which were found to be normal. At about 80 kt Captain A took over the aircraft's control column. The airspeed indicators showed regular acceleration and Captain A stated that just before 100 kt the engine instruments were also registering normally. V1 and Vr were called and the aircraft was rotated into the initial climbing attitude; immediately after or during this manoeuvre, a dull noise was distinctly heard by all the crew members. This noise was variously described by them as: "not like a rifle shot, not like the slamming of a door or something falling in the aircraft but more like someone kicking the fuselage with very heavy boots, an expansive noise covering a very definite time span with a dull non-metallic thud". The bang was immediately associated by the crew with the engines. After looking at the TGT gauges, and observing that No. 1 engine was indicating a temperature 20°c higher than that of No. 2 engine, Captain C said: "I think it's number one" or wards to that effect, and after a brief pause "throttle it". On receipt of Captain C's comment Captain A closed the power level of No. 1 engine. During or just after the explosion, he had completed the rotation manoeuvre and the aircraft was climbing at 12O of pitch with reference to the flight director. As a precaution, after closing No. 1 power lever he reduced the angle of climb to 6O. At the same time the co-pilot (Captain B) who had reached for the check list and was looking for the page relating to an engine emergency, became aware of a sharp reduction in the aircraft's acceleration; he noticed that the undercarriage was still down and he retracted it immediately. According to the crew the aircraft reached a maximum height of 250 ft, after which a progressive loss of momentum became evident. A maximum speed of 1401145 kt was achieved immediately after rotation, but it fell to 127 kt after No. 1 engine had been throttled back, These figures were consistent with those subsequently derived from the flight recorder. The crew said that the stick-shaker operated three times between 125 and 115 kt. The co-pilot had a vague recollection that the stick-push and the warning klaxon operated during the critical phase before impact. The pilot-in-charge remembered vaguely that someone said "raise the flaps", but no crew member remembers doing so or making the re traction. On looking out of the aircraft the crew saw the ground and the obstructions close at hand and realized that contact of the aircraft with the ground was inevitable and imminent. Captain A controlled the aircraft extremely well during the touchdown; the aircraft slid along the snow-covered surface, passing over small obstructions, and came to a halt 470 m from the point of first contact with the ground (see Fig. 1-11. The co-pilot operated both engine fire-extinguishers and Captain C ordered the pilots to leave the aircraft immediately via the side windows. During the ground slide an orange glow was seen to light up the glass panels of the windows for a short time. There was no fire. After closing No. 1 power lever, Captain A remembered having ordered the shutdown drill for this engine but he could not say for certain whether this wae dme. It was established, however, that Captain B closed both the HP cocks at the first sensation of ground contact.

Aircraft reference details include registration G-ASJJ, MSN 14, year of manufacture 1965.

Geospatial coordinates for this crash are approximately 45.4442°, 9.2778°.

Fatalities

Total

0

Crew

0

Passengers

0

Other

0

Crash Summary

On 14 January 1969 the crew flew from Gatwick to Rotterdam and return, following which they departed on a scheduled international flight Gatwick-Genoa-Gatwick. For this flight Captain A occupied the left-hand seat as pilot-in-charge, Captain B the right hand seat as co-pilot and Captain C the centre supernumerary seat as pilot-in-command, ultimately responsible for the correct operation of the aircraft. Before leaving Gatwick Captain A briefed Captain B concerning the co-pilot duties assigned to him. Although Captain C, as pilot-in-command, did not himself formally brief Captains A and B there was no doubt that they were aware of their respective tasks. On the flight from Gatwick to Genoa the aircraft was forced, due to unfavourable weather conditions at Genoa, to divert to Milan-Linate Airport where it landed at 1430 hours. Before commencing the return flight to Gatwick the crew had to await the arrival of the passengers from Genoa. This took place at 1930 hours. During the five-hour waiting period on the ground, the aircraft APU was kept in operation to ensure cabin heating and air conditioning. While Captain C tried unsuccessfully to sleep in the aircraft, Captains A and B inspected the aircraft and found ice on the wings and tail unit. The aircraft was subsequently de-iced. Before boarding the aircraft, Captains A and B made another external inspection of the aircraft and established that there was no ice on any part of it. The result of this inspection was duly reported to Captain C. Captains A and B carried out the pre-flight checks in accordance with the company checklist and verified that the take-off weight and aircraft loading were within the permitted limits. The crew occupied the same positions as during the previous flight, Captain A being in the left-hand seat, Captain B in the right-hand seat and Captain C in the jump- seat. In view of the weather, temperature and runway conditions, the crew decided to use the 18O flap setting, Spey 2 thrust (full thrust), engine anti-icing and the APU for cabin air conditioning. V1 and Vr were established at 117 kt and V2 at 127 kt. At 2018 hours, after clearance from Linate ATC, the engines were started and engine anti-icing selected "ON". There was a considerable layer of snow along the sides of the taxiways and runway, but they themselves were clear and usable. In view of the isolated patches of slush or water on the runway, Captain A considered it essential for the engine igniter switches to be selected "ON" during the entire take-off. At 2028 hours the aircraft was cleared to enter runway 18 and, after receiving the latest information concerning visibility and wind, it was cleared for take-off at 2031 hours. Before the brakes were released, a check was made of engine P7 pressures and of the other engine instruments which were found to be normal. At about 80 kt Captain A took over the aircraft's control column. The airspeed indicators showed regular acceleration and Captain A stated that just before 100 kt the engine instruments were also registering normally. V1 and Vr were called and the aircraft was rotated into the initial climbing attitude; immediately after or during this manoeuvre, a dull noise was distinctly heard by all the crew members. This noise was variously described by them as: "not like a rifle shot, not like the slamming of a door or something falling in the aircraft but more like someone kicking the fuselage with very heavy boots, an expansive noise covering a very definite time span with a dull non-metallic thud". The bang was immediately associated by the crew with the engines. After looking at the TGT gauges, and observing that No. 1 engine was indicating a temperature 20°c higher than that of No. 2 engine, Captain C said: "I think it's number one" or wards to that effect, and after a brief pause "throttle it". On receipt of Captain C's comment Captain A closed the power level of No. 1 engine. During or just after the explosion, he had completed the rotation manoeuvre and the aircraft was climbing at 12O of pitch with reference to the flight director. As a precaution, after closing No. 1 power lever he reduced the angle of climb to 6O. At the same time the co-pilot (Captain B) who had reached for the check list and was looking for the page relating to an engine emergency, became aware of a sharp reduction in the aircraft's acceleration; he noticed that the undercarriage was still down and he retracted it immediately. According to the crew the aircraft reached a maximum height of 250 ft, after which a progressive loss of momentum became evident. A maximum speed of 1401145 kt was achieved immediately after rotation, but it fell to 127 kt after No. 1 engine had been throttled back, These figures were consistent with those subsequently derived from the flight recorder. The crew said that the stick-shaker operated three times between 125 and 115 kt. The co-pilot had a vague recollection that the stick-push and the warning klaxon operated during the critical phase before impact. The pilot-in-charge remembered vaguely that someone said "raise the flaps", but no crew member remembers doing so or making the re traction. On looking out of the aircraft the crew saw the ground and the obstructions close at hand and realized that contact of the aircraft with the ground was inevitable and imminent. Captain A controlled the aircraft extremely well during the touchdown; the aircraft slid along the snow-covered surface, passing over small obstructions, and came to a halt 470 m from the point of first contact with the ground (see Fig. 1-11. The co-pilot operated both engine fire-extinguishers and Captain C ordered the pilots to leave the aircraft immediately via the side windows. During the ground slide an orange glow was seen to light up the glass panels of the windows for a short time. There was no fire. After closing No. 1 power lever, Captain A remembered having ordered the shutdown drill for this engine but he could not say for certain whether this wae dme. It was established, however, that Captain B closed both the HP cocks at the first sensation of ground contact.

Cause: Technical failure

Occupants & Outcome

Crew On Board

7

Passengers On Board

26

Estimated Survivors

33

Fatality Rate

0.0%

Known people on board: 33

Operational Details

Schedule / Flight

Milan - London

Flight Type

Scheduled Revenue Flight

Flight Phase

Takeoff (climb)

Crash Site

Airport (less than 10 km from airport)

Region / Country

Europe • Italy

Aircraft Details

Aircraft

BAc 111

Registration

G-ASJJ

MSN

14

Year of Manufacture

1965