DCA09IA055

NTSB incident investigation · Airbus A330 · Los Cayes, Haiti · May 22, 2009

Incident · No injuriesIncident investigationFinal report
Date
May 21, 2009, 21:47 local (May 22, 2009, 01:47 UTC)
Place
Los Cayes, Haiti
Injuries
176 uninjured
Damage
No damage
Phase of flight
Enroute
Aircraft
PT-MVBAirbus A330
Defining event
Enroute-cruise: Flight instrument malf/fail
Weather
Visual (VMC) · Night/dark
Status
Completed · report July 18, 2011
Report
Approved by Office Director
NTSB office
Major Investigations Division
Case key
74127

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the incident.

On this page

Probable cause

The final report for this incident was combined with and can be found under NTSB Investigation number, DCA09IA064.

Findings · 1

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

Ice/rain protection system: pitot/static anti-iceAircraft › Aircraft systems · Capability exceededAll aircraft: 4 casesProbable cause

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Analysis

On May 21, 2009, at 2147 EDT, an Airbus A330-200, Brazilian registration PT-MVB, operated by TAM Airlines as flight 8091 from Miami International Airport, Florida, to Sao Paulo Guarulhos International Airport, Brazil, experienced a loss of primary speed and altitude information while in cruise flight at FL370. Initial reports indicated that the flight crew noted an abrupt drop in outside air temperature and observed St. Elmo's Fire, followed by the loss of the Air Data Reference System, disconnections of autopilot and autothrust, and loss of primary airspeed and altitude. The flight crew continued using backup instruments, and after approximately 5 minutes, primary data was restored. The airplane remained in alternate flight law and displayed a rudder travel limit flag. The crew determined they could not restore normal law and continued the flight under the appropriate procedures. The flight landed at Sao Paulo with no further incident and there were no injuries or damage. With the concurrence of the Brazilian Centro de Investigação e Prevenção de Acidentes Aeronáuticos (CENIPA), the NTSB initiated an incident investigation into this event. The final report for this incident was combined with and can be found under NTSB investigation number, DCA09IA064.

Factual narrative

On May 21, 2009, at 2147 EDT, an Airbus A330-200, Brazilian registration PT-MVB, operated by TAM Airlines as flight 8091 from Miami International Airport, Florida, to Sao Paulo Guarulhos International Airport, Brazil, experienced a loss of primary speed and altitude information while in cruise flight at FL370. Initial reports indicated that the flight crew noted an abrupt drop in outside air temperature and observed St. Elmo's Fire, followed by the loss of the Air Data Reference System, disconnections of autopilot and autothrust, and loss of primary airspeed and altitude. The flight crew continued using backup instruments, and after approximately 5 minutes, primary data was restored. The airplane remained in alternate flight law and displayed a rudder travel limit flag. The crew determined they could not restore normal law and continued the flight under the appropriate procedures. The flight landed at Sao Paulo with no further incident and there were no injuries or damage. With the concurrence of the Brazilian Centro de Investigação e Prevenção de Acidentes Aeronáuticos (CENIPA), the NTSB initiated an incident investigation into this event. The final report for this incident was combined with and can be found under NTSB investigation number, DCA09IA064.

Aircraft

Registration
PT-MVB
Reported as
Airbus A330 (200)
Category
Airplane
Serial number
238
Engines
Pratt & Whitney PW4000, turbo fanPratt & Whitney PW4000, turbo fan
Damage
No damage
Flight
Part 129
Operator
Tam
Registered owner
Tam
Airworthiness certificate
Standard, Transport
Departed
KMIA · Miami, FL
Destination
SGRU · Sao Paulo
Flight plan
IFR
Airport
Los Cayes

Weather

Conditions
Visual (VMC) · Night/dark

Docket · 1

The files NTSB released with the investigation on May 3, 2011, on NTSB’s docket system: statements, records, photos and specialists’ reports. 6 KB in all.