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  • B735, vicinity Kazan Russia, 2013 (Synopsis: On 17 November 2013, the crew of a Boeing 737-500 failed to establish on the ILS at Kazan after not following the promulgated intermediate approach track due to late awareness of LNAV map shift. A go around was eventually initiated from the unstabilised approach but the crew appeared not to recognise that the autopilot used to fly the approach would automatically disconnect. Non-control followed by inappropriate control led to a high speed descent into terrain less than a minute after go around commencement. The Investigation found that the pilots had not received appropriate training for all-engine go arounds or upset recovery.)
  • B738, Katowice Poland, 2007 (Synopsis: On 28 October 2007, a Boeing 737-800 under the command of a Training Captain occupying the supernumerary crew seat touched down off an ILS Cat 1 approach 870 metres short of the runway at Katowice in fog at night with the AP still engaged. The somewhat protracted investigation did not lead to a Final Report until over 10 years later. This attributed the accident to crew failure to discontinue an obviously unstable approach and it being flown with RVR below the applicable minima. The fact that the commander was not seated at the controls was noted with concern.)
  • B738, en-route, south south west of Brisbane Australia, 2013 (Synopsis: On 25 February 2013, a Boeing 737-800 about to commence descent from FL390 began to climb. By the time the crew recognised the cause and began to correct the deviation - their unintended selection of a inappropriate mode - the cleared level had been exceeded by 900 feet. During the recovery, a deviation from track occurred because the crew believed the autopilot had been re-engaged when it had not. The Investigation noted the failure to detect either error until flight path deviation occurred and attributed this to non-compliance with various operator procedures related to checking and confirmation of crew actions.)
  • B738, vicinity Amsterdam Netherlands, 2009 (Synopsis: On 25 February 2009, the crew of a Turkish Airlines Boeing 737-800 lost control of their aircraft on final approach at Amsterdam after they had failed to notice that insufficient thrust was being used to keep the aircraft on the coupled ILS glideslope. An attempt to recover from the resultant stall was not successful and the aircraft crashed. The Investigation concluded that a go around should have been flown from 1000 feet as the approach was already unstable and that the attempt at recovery after the stall warning was not in accordance with the applicable procedure or crew training.)
  • B738, vicinity Douala Cameroon, 2007 (Synopsis: On 5 May 2007, a Kenya Airways Boeing 737-800 departing Douala at night crashed shortly after take-off following an unsuccessful attempt at recovery after late recognition of a progressive right roll which led to spiral dive. The Investigation was unable to positively establish the reason for the unintended roll, but noted that it ad not been possible to determine whether the pilots, and in particular the aircraft commander, had been aware of the fact that the AP was not engaged.)