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The Fuel Emergency of Vistara 944: A Full Decode of the Lucknow Diversion Crisis

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The Fuel Emergency of Vistara 944: A Full Decode of the Lucknow Diversion Crisis

Decoding - FINAL INVESTIGATION REPORT OF SERIOUS INCIDENT TO M/S VISTARA AIRBUS A320 AIRCRAFT VT-TNH ON 15TH JULY 2019

On July 15, 2019, Vistara Flight UK944, operating an Airbus A320 (VT-TNH) from Mumbai to Delhi, declared a critical fuel emergency and diverted to Lucknow. With just 348 kilograms of fuel remaining, the aircraft landed under "Mayday Fuel" status—narrowly avoiding a major aviation disaster. This report, based on the official DGCA-AAIB investigation, decodes the sequence of operational missteps, weather challenges, and decision-making under pressure that defined this serious incident.

Timeline of Key Events (All Times in IST)

  • 14:57 – Engine start at Mumbai with 8,500 kg fuel onboard
  • 15:18 – Aircraft takes off from Mumbai
  • 15:40 – IOCC updates Delhi weather (low visibility, thunderstorms)
  • 15:45 – TAF confirms deteriorating weather at Delhi
  • 15:57 – Flight crew discusses diversion options
  • 16:57 – 40 NM from Delhi; ATC vectors aircraft for ILS Runway 29
  • 17:20 – Go-around due to strong tailwind on final approach
  • 17:25 – Crew diverts to Lucknow; Fuel on board: ~3.0 tons
  • 18:00 – Weather worsens at Lucknow, RVR drops below minima
  • 18:12 – Crew declares “Minimum Fuel”
  • 18:16 – Approach aborted due to poor visibility (RVR < 300m)
  • 18:24 – “Mayday Fuel” declared
  • 18:27 – Clearance obtained to divert to Prayagraj
  • 18:48 – Final landing at Lucknow with 348 kg of fuel

Flight Background

Vistara UK944 departed Mumbai with 155 passengers and 7 crew members. The initial alternate airports listed were:

  • Transit Briefing Sheet: Ahmedabad (VAAH) and Lucknow (VILK)
  • Operational Flight Plan (OFP): Lucknow (VILK) and Jaipur (VIJP)

The inconsistency in planning created immediate confusion. Severe weather at Delhi forced the aircraft into a holding pattern, burning through its extra fuel. A go-around was executed after a dangerous tailwind shift on final approach.

With fuel dropping quickly, the crew chose Lucknow over Jaipur despite Jaipur offering better weather and shorter distance. After a second aborted landing due to poor visibility, the crew declared a “Mayday Fuel” emergency and explored diversions to Kanpur and Prayagraj.

Pilot and Aircraft Information

Captain (Pilot Flying)

  • Age: 30
  • License: ATPL
  • Total Hours: 8,550
  • Aircraft Type (A320): 8,278 hrs
  • Last 24 Hours: 5 hrs 12 min

First Officer (Pilot Monitoring)

  • Age: 29
  • License: CPL
  • Total Hours: 1,600
  • Aircraft Type (A320): 398 hrs
  • Last 24 Hours: 5 hrs 12 min

Aircraft Details

  • Type: Airbus A320-251N
  • Registration: VT-TNH
  • Year of Manufacture: 2018
  • Engines: CFM LEAP 1A
  • Maximum Takeoff Weight: 73,500 kg
  • Max Usable Fuel: 18,623 kg
  • Owner: ARCU Aircraft Leasing Ltd

Fuel Statistics

Flight PhaseFuel On Board
Takeoff (Mumbai)8,215 kg
After Delhi Go-Around~3,400 kg
Declared Minimum Fuel~1,100 kg
Declared Mayday Fuel~500 kg
Landing at Lucknow348 kg

Analysis

Key Observations

  • Inconsistent Alternate Planning: Crew received conflicting data on alternate airports.
  • Company Preference Bias: Crew prioritized “Suitable Alternate” (Lucknow) over “Acceptable Alternate” (Jaipur), despite weather evidence.
  • Dispatch Failure: No timely updates or satellite interpretations were provided by IOCC.
  • Delayed Emergency Declarations: Crew delayed “Minimum Fuel” and “Mayday” calls beyond recommended thresholds.
  • Jeopardized Diversions: Crew considered Kanpur and Prayagraj without onboard charts or FMS data for either location.

Contributing Factors

  • Pressure to reduce fuel uplift likely influenced planning behavior.
  • Confusing SOPs created mental fixation on a specific diversion plan.
  • Heavy rain, low visibility, and communication delays worsened the situation.

DGCA and AAIB Findings

  • The aircraft operated below fuel minima, in violation of CAR rules.
  • Flight dispatch support was inadequate during a critical fuel event.
  • The “Suitable vs Acceptable” alternate distinction introduced unnecessary risk.
  • A forced landing or accident was narrowly avoided due to last-minute weather improvement at Lucknow.

Safety Recommendations

  • Enforce dual-alternate policy during adverse weather.
  • Clarify alternate definitions across all airline documentation.
  • Require IOCCs to provide proactive, real-time satellite and radar updates.
  • Mandate tracking of “Fuel Below Minima” incidents as a national safety indicator.

Conclusion

Vistara Flight 944’s July 2019 near-disaster offers critical lessons for airlines, flight dispatch teams, and regulators. Poor planning, weather misjudgments, and ambiguous policies created a situation where 162 lives were placed at risk.

The safe landing with just 348 kg of fuel was not just a feat of flying skill—it was a narrow escape made possible by a lucky window in the weather. India’s aviation industry must ensure that such close calls are not repeated.

Decoded from AAIB Full Report

India
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Quick Info

Did the aircraft suffer any damage during the incident?
No, the aircraft did not suffer any damage during the incident.
Was anyone injured in the incident?
No injuries were reported among the passengers or crew.
How much fuel did VT-TNH have upon landing at Lucknow?
The aircraft had 348 kilograms of fuel remaining upon landing at Lucknow.
What incident is detailed in the VT-TNH investigation report?
The report details a serious incident involving Vistara Airbus A320 aircraft VT-TNH, which declared a 'May Day Fuel' emergency and landed below fuel minima at Lucknow on 15 July 2019 after being unable to land at its intended destination, Delhi, due to severe weather.
When did the VT-TNH fuel emergency occur?
The fuel emergency involving VT-TNH occurred on 15th July 2019 during a scheduled flight from Mumbai to Delhi, leading to a diversion and emergency landing at Lucknow.
What was the original route for VT-TNH on 15 July 2019?
The aircraft was operating a scheduled passenger flight from Mumbai (VABB) to Delhi (VIDP).
Who was the pilot-in-command during the incident?
The pilot-in-command was an ATPL holder with a total flying experience of 8,550 hours, including 8,278 hours on type (A320).
How many passengers and crew were on board VT-TNH?
There were 155 passengers and 7 crew members on board during the flight.
Why did VT-TNH declare a May Day Fuel emergency?
The crew declared a May Day Fuel emergency when the estimated fuel on board fell below the final reserve fuel requirement after failed landing attempts due to severe weather at both the destination and alternate airports.
What alternate airports were considered for VT-TNH?
Initially, Ahmedabad (VAAH) and Lucknow (VILK) were briefed as alternates. However, Jaipur (VIJP) was listed in the OFP. Later, Kanpur (VICX) and Prayagraj (VEAB) were considered during the emergency.
What caused the aircraft to divert from Delhi?
The aircraft was forced to divert due to deteriorating weather at Delhi, including thunderstorms and tailwinds exceeding operational limits, which led to a missed approach.
What were the weather conditions at Delhi during the incident?
Weather at Delhi included thunderstorms with rain (TSRA), visibility as low as 1000 meters, and winds gusting up to 30 knots, making landing unsafe.
What were the findings regarding flight dispatch communication?
The investigation found that flight dispatch failed to provide timely weather updates and advice, which contributed to the crew's decision-making challenges during the incident.
What role did the airline's fuel policy play in the incident?
The airline's fuel policy created confusion and pressure to minimize fuel carriage, which may have contributed to the crew's decision to delay diversion and attempt landing at Delhi despite deteriorating weather.
Was the flight crew aware of the deteriorating weather at alternate airports?
The flight crew did not update themselves on en-route and alternate airport weather while en route, missing critical information about worsening conditions.

In-Depth Answers

What type of aircraft was VT-TNH?
VT-TNH was an Airbus A320-251N aircraft manufactured in 2018.
What is the significance of declaring 'Minimum Fuel' and 'May Day Fuel'?
Declaring 'Minimum Fuel' indicates that any further delay may lead to a fuel emergency. 'May Day Fuel' is a distress call made when the predicted usable fuel upon landing will be below the final reserve fuel, signaling an emergency.
What are 'Suitable' and 'Acceptable' alternates according to Vistara policy?
'Suitable Alternates' have specific ground handling arrangements for diversions. 'Acceptable Alternates' are nearby airports used to reduce sector fuel but are not recommended for diversion unless safety requires it.
What does DGCA CAR Section 8 Series O Part II mandate regarding fuel planning?
It mandates carrying sufficient fuel for taxi, trip, contingency, alternate, final reserve, and additional needs, ensuring safe completion of the flight even with deviations.
What were the main human factors identified in the incident?
The investigation cited faulty planning, stress, company pressure, and poor situational awareness among the contributing human factors.
Was the CVR data used in the investigation?
Yes, Cockpit Voice Recorder (CVR) data provided a detailed timeline of crew communications and decision-making during the incident.
Did the flight crew consider Kanpur and Prayagraj as alternates?
Yes, the crew considered Kanpur and later opted for Prayagraj when weather conditions over Kanpur worsened, but eventually returned to Lucknow when conditions improved.
What was the conclusion of the investigation regarding crew performance?
The investigation concluded that the crew made decisions under pressure without adequate situational awareness, and company policies and inadequate dispatch support contributed to the fuel emergency.
What recommendations were made in the report?
Recommendations included improving fuel planning policies, enhancing dispatch support, and enforcing compliance with DGCA's safety performance indicators.
How did the company’s commercial preferences influence the incident?
The crew felt pressured to choose company-preferred alternates (with existing ground handling) over possibly safer options, prioritizing commercial interests over safety.
Was there any prior notice or circular related to fuel emergencies before this incident?
Yes, a Flight Dispatch Circular was issued on 8th July 2019 in response to a similar incident on 4th July, but it was merely a reiteration of existing policy and lacked actionable guidance.
What key failure contributed to the severity of the situation?
The lack of proactive monitoring and advisories from the Flight Dispatch/IOCC, combined with vague fuel policies and inadequate weather updates, significantly worsened the situation.
What training or procedural issues were identified in the report?
The report highlighted that current SOPs and training might discourage extra fuel carriage and lack clear guidance on managing rapidly changing operational risks.
What tools are used by dispatchers for weather monitoring?
Dispatchers have access to METARs, TAFs, Doppler radar, and satellite imagery to monitor en-route, destination, and alternate weather conditions.
What does the Swiss Cheese model refer to in the investigation?
It is a framework used to identify how multiple layers of defense (organizational, human, environmental) failed simultaneously, leading to the incident.
What were the final words exchanged before the emergency landing?
The crew discussed the fuel status, sought updated visibility reports, and declared a May Day before finally being vectored back to Lucknow for landing.
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