WASHINGTON - A near miss involving an Air Canada plane which almost landed on a crowded taxiway instead of a runway at San Francisco airport last year could have been the "worst aviation accident in history," according to an official report.
The Air Canada Airbus A320 carrying 140 people was cleared to land on Runway 28-Right at San Francisco International Airport shortly before midnight on 7 July 2017 -- but the pilot inadvertently lined up for Taxiway C, where four planes were waiting to take off.
"Only a few feet of separation prevented this from possibly becoming the worst aviation accident in history," said Bruce Landsberg, vice chairman of the National Transportation Safety Board while announcing the agency's report issued Friday.
"The incident airplane descended to an altitude of 30m above ground level and overflew the first airplane on the taxiway," the report said.
"The incident flight crew initiated a go-around, and the airplane reached a minimum altitude of about 60 ft and overflew the second airplane on the taxiway before starting to climb," it added, noting none of the five flight crewmembers or 135 passengers aboard the Air Canada plane were injured.
The report said the flight crew's misidentification of the taxiway as the intended runway "resulted from the crewmembers' lack of awareness of the parallel runway closure due to their ineffective review of notice to airmen (NOTAM) information before the flight and during the approach briefing."
Other contributing factors were "the flight crew's failure to tune the instrument landing system frequency for backup lateral guidance, expectation bias, fatigue due to circadian disruption and length of continued wakefulness, and breakdowns in crew resource management."
An audio recording of the radio exchanges between air traffic control and the pilot of Air Canada flight 759 was posted online shortly after the incident.
Just moments after receiving permission to land on the designated runway, the Air Canada pilot returned to the radio sensing that something was amiss.