Air France Flight 358


Air France Flight 358 was a regularly scheduled international flight from Charles de Gaulle Airport in Paris, France, to Toronto Pearson International Airport in Ontario, Canada. On the afternoon of 2 August 2005, while landing at Pearson Airport, the Airbus A340-313E operating the route overran the runway and crashed into nearby Etobicoke Creek, approximately beyond the end of the runway. All 309 passengers and crew on board the Airbus survived, but twelve people sustained serious injuries. The accident highlighted the vital role played by highly trained flight attendants during an emergency.
Due to inclement weather, 540 flights departing and arriving at Pearson were cancelled. Many small and mid-sized aircraft due to arrive were diverted to other Canadian airports in Ottawa, London, Hamilton, and Winnipeg. Most of the larger aircraft were diverted to Montreal, Syracuse, New York, and Buffalo, New York. Flights from Vancouver were turned back. The crash of Air France Flight 358 was the biggest crisis to hit Toronto Pearson since the airport's involvement in Operation Yellow Ribbon.
Jean Lapierre, the Canadian Minister of Transport, referred to Flight 358 as a "miracle" because all of the passengers survived. Other press sources described the accident as the "Miracle in Toronto", the "Toronto Miracle", the " 'Miracle' Escape", and the "Miracle of Runway 24L".
The accident was investigated by the Transportation Safety Board of Canada, with a final report issued on 13 December 2007. The unfavourable weather conditions, and the poor landing decisions made by the flight crew, were found to be major factors leading to the crash.

Aircraft and crew

The aircraft operating Flight 358 was an Airbus A340-313E, with Manufacturer's Serial Number 289 and registration F-GLZQ; it was powered by four CFM International CFM56 engines. The aircraft made its first flight on 3 August 1999, and was delivered to Air France on 7 September 1999. It had made 3,711 flights for a total of 28,426 flight hours. Its last maintenance check was carried out in France on 5 July 2005.
There were twelve crew members on board the Airbus. The flight crew consisted of 57-year-old Captain Alain Rosaye, a seasoned pilot with 15,411 total flight hours, and the co-pilot was 43-year-old Frédéric Naud, who had accrued 4,834 hours of flight time.

Passengers

Of the 297 passengers on board the Airbus, there were 168 adult males, 118 adult females, eight children and three infants. There was a mix of different nationalities, including 104 Canadian citizens, 101 French, 19 Italian, 14 American, 8 Indian, and 7 British. The passengers consisted of businesspersons, vacationers and students. Three of the passengers were seated in crew seats, one in the third occupant seat of the flight deck and two in the flight crew rest area.

Accident

At 16:02 EDT on 2 August 2005, Air France Flight 358 overshot the end of the runway after landing at Toronto Pearson International Airport, and came to rest in a small ravine just outside the airport perimeter. All 297 passengers and twelve crew members successfully evacuated the aircraft. Twelve major injuries resulted from the accident and there were no fatalities; the other occupants suffered minor or no injuries. The aircraft was destroyed in a post-crash fire.
The flight landed during exceptionally poor weather—severe winds, heavy rain, and localized thunderstorms near the airport —and touched down farther along the runway than usual. Some passengers reported that the plane was rocking from side to side before landing, possibly due to turbulence and gusting winds associated with the storm systems. One passenger described the crash as like a "car accident, but it keeps going and going, non-stop."
The plane had been cleared to land at 16:01 EDT on Runway 24L, which, at in length, is the shortest runway at Pearson Airport. After touchdown, the aircraft did not stop before the end of the runway, but continued on for another until it slid into the Etobicoke Creek ravine at a speed of, on the western edge of the airport near the interchange of Dixie Road and Highway 401.
After the aircraft had stopped, the crew saw fire outside and began evacuation. When the emergency exits were opened, one of the right middle exit slides deflated after being punctured by debris from the aircraft, while one of the left slides failed to deploy at all for unknown reasons. The two rear left exits remained closed due to the fire. A number of passengers were forced to jump from the aircraft to escape. The actions of the flight attendants, who ensured that all of the passengers were able to exit the plane quickly, contributed to the safe evacuation of everyone on board. The first officer was the last person to leave the plane, which was evacuated within the required 90-second time frame.
Emergency response teams arrived on site within 52 seconds of the accident occurring. The TSB official report states that "the first response vehicle arrived at the scene within one minute of the crash alarm sounding".

Immediate aftermath

After the accident, some of the passengers, including those who were injured, scrambled up the ravine onto Highway 401 which runs almost parallel to the runway. Peel Regional Police located the first officer and several passengers along the highway, receiving assistance from motorists who had been passing the airport at the time of the crash. Some of the injured passengers and the co-pilot were taken directly to hospitals by motorists, and the uninjured passengers were transported by motorists to the airport. The main fire continued to burn for two hours, dying out just before 18:00 EDT. All of the fires were extinguished by the early afternoon of the following day, when investigators were able to begin their work.
The accident led to the cancellation or diversion of hundreds of flights, with ripple effects throughout the North American air traffic system. Four of the five runway surfaces at Pearson Airport were back in service by the night of 2 August, but the flight and passenger backlog continued through the next day.
The accident also caused heavy traffic congestion throughout Toronto's highway system. Highway 401 is one of the world's busiest highways, and is the main route through the Greater Toronto Area; the crash occurred near the highway's widest point where eighteen lanes of traffic are directed toward major intersections with Highway 403 and Highway 410 to the southwest and Highway 427 to the northeast. Although the fire was extinguished within hours, there was considerable congestion on the highway for days after the accident due to motorists slowing down or pulling over to view the wreckage. This created numerous traffic collisions, prompting the Ontario Provincial Police to increase patrols along that section of the highway.

Weather conditions

A METAR for Pearson was released almost exactly at the time of the accident. It stated that the weather at 20:01 UTC consisted of winds from 340° true at gusting to, with visibility in thunderstorms and heavy rain. The ceiling was overcast at above ground level with towering cumulus clouds. The temperature was. According to the Canada Air Pilot, runway 24L has a heading of 227° true, and the minima for the ILS approach are ceiling above ground level and visibility or runway visual range of. The METAR for 21:00 UTC, nearly an hour after the accident, shows wind backing to the south and improving conditions generally, while noting smoke aloft from the burning plane.
The Canadian Broadcasting Corporation reported that the accident happened two hours after a ground stop was declared at the airport because of severe thunderstorms in the area. Visibility at the time of the accident was reported to be very poor. There was lightning, strong gusty winds, and hail at the time and the rain just began as the plane was landing. Within two hours the winds increased from 5 to 30 km/h and the temperature dropped from. A severe thunderstorm warning was in effect since 11:30 a.m. and all outbound flights and ground servicing operations had been canceled but landings were still permitted.

Injuries

The table below summarizes the injuries as reported by the TSB.
CrewPassengersTotal
Fatal000
Serious21012
Minor / None10287297
Total12297309

Most of the injuries occurred to passengers and crew located in the flight deck and forward cabin. Of the twelve occupants who sustained major injuries, nine suffered the injuries from the impact and three from the evacuation. According to passenger reports, the leap from the aircraft to the ground caused numerous injuries, including broken legs, and ruptured vertebrae. The captain sustained back and head injuries during the impact of the crash when his seat was wrenched out of place by the force of the impact, causing him to hit his head against the overhead controls. Minor injuries included twisted ankles, sore necks, bruises and effects from smoke inhalation.
A total of 33 persons were taken to various hospitals within and outside Toronto for treatment, of which 21 were treated for minor injuries and released. The York-Finch campus of the Humber River Regional Hospital treated seven people for smoke inhalation. William Osler Health Centre, Etobicoke General Hospital, Credit Valley Hospital, and Peel Memorial Hospital were additional nearby hospitals that had admitted victims of the crash.
In addition to the Greater Toronto Airport Authority, on-site emergency services were also provided by Peel Regional Paramedic Services, Peel Regional Police, Mississauga Fire and Emergency Services, Toronto EMS, and the Royal Canadian Mounted Police. Ontario Provincial Police patrolled Highway 401. Toronto Transit Commission transit buses were used as shelter for victims near the crash site.

Investigation

Representation

Once the emergency response teams had finished their work, the Transportation Safety Board of Canada took control of the accident site and led the investigation, with the cooperation of several other organizations in accordance with the provisions of ICAO Annex 13:
The flight data recorder and cockpit voice recorder were sent to France for analysis. Preliminary results indicated that the plane landed from the start of the runway at a ground speed of – 140 knots being considered normal – with a tailwind, skidded down the runway and was traveling over as it overran the tarmac and fell into the ravine. Tire marks extended indicating emergency braking action.
Réal Levasseur Shedalin, the TSB's lead investigator for the accident, said the plane landed too far down the runway to have been able to stop properly on such wet pavement. Investigators have found no evidence of engine trouble, brake failure, or problems with the spoilers or thrust reversers. Why evacuation chutes failed to deploy from two exits remains under study. Some fleeing passengers were forced to jump some to the ground.
One passenger took four photographs of the evacuation with his camera, which were released to the media. The final TSB report refers to the photographs and draws conclusions about the nature of the disaster based on them. Mark Rosenker, the acting chairman of the National Transportation Safety Board, criticized the concept of passengers taking photographs of disasters, stating, "Your business is to get off the airplane. Your business is to help anybody who needs help." According to Rosenker, taking photographs during an evacuation of an airliner is irresponsible. Helen Muir, an aerospace psychology professor at Cranfield University in the United Kingdom, stated that pausing during evacuations "is just what we don't want people to do." However, Muir acknowledged that photographs are "very valuable to accident investigators".

Irregularities

The final TSB report states: "During the flare, the aircraft entered a heavy shower area, and the crew's forward visibility was significantly reduced as they entered the downpour." This suggests the possibility that the plane was hit in heavy weather by a wet downburst, causing the Airbus to land long. Based on the Air France A340-313 Quick Reference Handbook, page 34G, "Landing Distance Without Autobrake", the minimum distance of would be used in dry conditions to bring the aircraft to a complete stop. In wet conditions the braking distance increases with a 5-knot tailwind, reversers operative, and a of downpour on the runway to. There was not enough remaining runway available at the touch down point of AF 358.
Other possible irregularities mentioned in a government report on the accident:
The TSB concluded in its final report that the pilots had missed cues that would have prompted them to review their decision to land, and also that:
The TSB advised changes to bring Canadian runway standards in line with those used abroad, either by extending them to have a 300 m runway end safety area or, where that is not possible, providing an equivalently effective backup method of stopping aircraft. Other recommendations made by the TSB included having the Canadian Department of Transport establish clear standards limiting approaches and landings in convective weather for all operators at Canadian airports, and mandate training for all pilots involved in Canadian air operations to better enable them to make landing decisions in bad weather.

Compensation

Within one week of the accident, cash payments ranging from $1,000 to $3,700 were given to passengers for interim emergency use. These funds were given to passengers through an emergency centre set up in the Novotel Hotel in Mississauga, near the airport. These payments were independent of the claims process, which has been started for passengers who have not retained counsel. It is expected that the insurers of Air France will pay for all damages as well as extra compensation for having passengers go through the ordeal; however, only amounts of €6,000 to €9,000 have been offered, prompting passengers to turn to the lawsuit to seek legal action. The insurance is handled by the Societé de Gestion & D'Expertises D'Assurances in France. All passengers have also been offered a free round-trip ticket to any Air France destination in the world in the same fare class in which they were originally booked on AF358.
After a lawsuit lasting four and a half years, Air France settled the compensation lawsuit with 184 of the 297 passengers aboard Flight 358. The compensation is for a total of $12 million. Air France will pay $10 million, and have been released from passengers' claims stemming from the accident, according to the judgment's summary. Airbus and Goodrich, the company that made the emergency evacuation system on the plane will pay $1.65 million, and claims against them in a lawsuit have been released.
J.J. Camp, a Vancouver lawyer representing claimants, stated that passengers seriously harmed with either physical or psychological injuries were eligible for the maximum payout of $175,000. Passengers who were not seriously harmed in the accident would receive the minimum payment of between $5,000 and $10,000.

Litigation

Passenger class action

Within a few days of the accident, a class action suit was filed on behalf of all passengers on board by representative plaintiff Suzanne Deak to the Ontario Superior Court of Justice. The attorneys representing Deak and the passengers were Gary R. Will and Paul Miller from Will Barristers in Toronto. The plaintiffs sought payments for general and aggravated damages in the amount of $75 million, and payments for special damages and pecuniary damages in the amount of $250 million. A second class action lawsuit was also filed by plaintiffs Sahar Alqudsi and Younis Qawasmi for $150 million a few days later. However, both suits were merged because only one lawsuit was allowed to proceed to court.
In December 2009, a $12 million settlement agreement was reached between Air France and the class. The settlement resolved the claims of 184 passengers and their families; 45 other passengers had opted out of the suit, while 68 others had already agreed to a settlement with Air France.
Air France stated that it would not lose any money from the lawsuits as it is covered by its insurers. Air France did not provide further contacts and assistance to those who retained counsel of the lawsuit until an agreement has been made between both sides' lawyers.

Air France lawsuit

In June 2008, almost 3 years after the accident, Air France filed a lawsuit against the Greater Toronto Airports Authority, NAV Canada, and the Government of Canada for $180 million. In the statement of claim filed with the Ontario Superior Court of Justice, Air France alleged that the "GTAA failed to provide a safe environment for the conduct of civil air operations." The statement also claims that "The overrun and the consequent injuries to persons and damage to property were caused solely by the negligence of the defendants". Air France says Transport Canada was "negligent" by not implementing the recommendations of a coroner's inquest into the 1978 crash that urged the creation of a 300-metre safety area to give aircraft more room to stop after landing.

Aftermath

An inquiry by the TSB found runway safety zones at the end of runways at some Canadian airports to be below accepted international standards. However, the report highlighted that Toronto Pearson's runways meet current Canadian standards, and that runway 24L has a de facto 150-metre RESA. The TSB also suggested that precautions should be taken by airlines when landing in bad weather.
In 1978, Air Canada Flight 189 had also crashed into Etobicoke Creek, the site of the AF358 crash, resulting in two deaths. The Air Canada DC-9 had landed on the 24R-06L runway, crashing north of the AF358 accident scene and deeper into the ravine. After the Air France crash in 2005, there were calls for the ravine to be filled or spanned by a bridge, but others argued that such an undertaking would have been prohibitively expensive.
Air France continues to operate the flight number AF358 but as a Sainte-Marie Réunion-Orly flight. The Charles de Gaulle-Pearson route is currently operated as Flight 356, utilizing an Airbus A350-900 aircraft.

Dramatization

The Discovery Channel Canada / National Geographic TV series Mayday featured the accident in a 2006 episode titled Desperate Escape which included interviews with survivors and a dramatization of the accident.
This accident is also featured on The Weather Channel television program Storm Stories.

Footnotes