6 Years of Unsupervised Supervision=65000 Flights of Chaos

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  • Thanksgiving Wishes

    Thanksgiving table served with turkey, decorated with bright autumn leaves
    It is time again for Thanksgiving. In my heart, I feel Thanksgiving every day, perhaps because in my business I am constant touch with families of victims. I work closely with people in all stages of loss. I have to admit, it takes a toll. Even the news of the day takes a toll-the deaths of children abroad in bombings, this bus crash in Tennessee, the latest crash: they all take a piece of me. There are so many times that I can bring hope or help; I can’t help but wish I could always do so. There are so many who have so much. I feel deeply for those who are struggling to get their lives on track, and those who have to scratch for meals wherever they may be.

    As this day of Thanksgiving approaches, I extend my condolences to all those who have suffered loss or deprivation. I pray that this season, everyone has everything they need, peace of heart, peace of mind, and tables full of blessings. At the same time, I give thanks for every moment, for my friends, family and health, and all the blessings of those close to me. Have a happy Thanksgiving.

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  • Channeling the Weather

    George’s Point of View

    So, it took the Air France Airbus Flight 447 flying into the eye of the storm and never coming out for storm alerts to come of age.

    The US FAA has had a system in development which is (as they term it) a “satellite-based upgrade of air-traffic management” which can send climate pictures through satellite access. This is a vast improvement of the current system, apparently. I have to take someone’s word on it since I just use the weather channel on tv, and haven’t spent a whole lot of time checking out cockpit weather access.

    It just seems like such a practical and obvious technology for aviation, I wonder why it has not been in place for years. Maybe it’s the $22 billion bill that is the stopping point, but sometimes you just have to pay the piper. Or in this case, ITT Corp, which is developing “NextGen.” The Next Generation Air Transportation System task force has meetings that are open to the public.

    I wonder if this is the same technology where they’re planning to live-stream aviation black box contents via satellite to air traffic control. That could save billions of dollars in searches such as the current hunt for the Air France Airbus black boxes, where they have a little more than a week to find a needle in the haystack…(black box in the Atlantic Ocean) before the “ping power” runs out.

    Who knows if this technology would have warned

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    Pinnacle Raises Security Bar. Maybe

    The passenger’s luggage tripped security in Tulsa, and so Pinnacle security detained it. However, the passenger who owned the luggage was free to travel to his destination.

    However, this is what is unclear to me:

    The bag flunked, and stayed in Tulsa. The passenger, however flew to Memphis, although his luggage was arrested (explosives detection.) Shouldn’t they have taken him off the flight with his luggage?

    So after he arrived in Memphis, law enforcement interviewed him, and he passed. But they’ll be shipping his luggage to him later. Does something seem strange here?

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  • Thoughts on Human Error

    George’s Point of View


    Humans are amazing inventors, capable of envisioning a “possible” for every “impossible,” creating incredibly complex feats of engineering, in the name of Hughes and Learjet and McDonnell Douglas and Lockheed and a hundred others whose names won’t be forgotten. Even amazing inventors can engineer lemons, or fail to see every possible contingency. But the possibility of error goes beyond human error. Humans are not responsible for the fact that rust exists. Do you blame Einstein for the fact of relativity? It’s the dichotomy of reality: for every up there’s a down. Everything creates its own opposite. “Fixed” allows the possibility of “broken” to exist.

    Thinking logically along those lines…we can speculate and plan, study and test, polish and revise, but does that make our planning and scheduling invincible? Even if it were perfect (and I’m not saying it is, because I am speaking of things in general), things fall apart. The nature of reality is change. Change happens. Plan for contingencies 1-3000 and the one that will happen is contingency # 3001.

    We have to be careful sometimes when we start talking about human error. Unfortunately the container where the human error begins is life itself, because in theory EVERY thing can be blamed on human error. The patient died, blame the doctor. Nevermind that the patient was 112 and suffered every illness known to man.

    In aviation, gunnysacking the humans happens too. Maybe they didn’t cause the lightning but they flew through it. We humans are pretty amazing creatures but we don’t control nature. We can plan and schedule all we want, but if you are going to fly during rain, you’re going to encounter thunderstorms. So let us say that the storm is responsible for the event. Do we blame the pilot for flying through the storm? Do we blame the arrogance of the plane manufacturer who claims the plane is invincible and can fly through anything?

    Pilots are human. We have the full range of the spectrum, from the sublime, Sully, to the ridiculous (Colgan Air’s Marvin) Renslow. The problem that a hero like Sully presents to the rest of us is that he creates the philosophy that well trained pilots should be able to solve any emergency.

    But take for example Air France 447… could the pilots have been able to cope with flight speed problems caused by the performance of flawed parts?

    Is the failure to recover from an unexpected event (wind shear, potential conflicts with other planes, broken planes) pilot error? If we put human beings in an easy chair of an automated job in some point-and-click fly-by-wire captain seat, when the crisis happens, the built-in redundancies in flight systems fail and the pilot can’t snap out of humanness to turn into Superman when the wire breaks, is that pilot error?

    Our pilots now have to deal with cost-cutting industry practices causing fatigue and poor training.

    Even if the ultimate safety device in the airplane is the well-trained pilot, guess what? Pilots are human. Humans are capable of mistakes. They are capable of mistakes when operating planes.

    Let us not forget that pilots fly planes that were crafted by humans, maintained by humans, orchestrated by human ATC, landing on airports designed by humans.

    There is no one single answer. I have seen it a hundred times, and each case is unique unto itself, with one generality that can apply.

    Human error occurs at all levels, and rarely alone.

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  • Caps

    Airlines are well protected by international treaties with a cap of about $150k U.S. Dollars for the death of a human being.

    Airlines tend to skip over the part where they should be helping passengers deal with trauma, and go straight for the bottom line: rebooking. I don’t expect that passengers will be compensated for a near death or frightening experience any time soon. But airlines don’t want the bad press from a noisy disgruntled passenger. If you complain loud enough, you may get some miles. After a night time emergency landing in Brazil, I complained pretty loud and received a $300 certificate.

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    Indian Pilots: One bad seed


    What: Air India Express en route from Cochin-Salalah
    Where: Salalah
    When: Nov 3, 2011 9:45
    Who: 87 passengers

    In George’s Point of View


    India has made noises in the press about cleaning house regarding some of the bad pilots that skated through a flawed and corrupt school and accrediting system.

    In this event, the pilot of an Air India Express COK-Salalah (Oman) flight, made three attempts to land. A cumulation of numerous small errors threatened passenger safety and defied standard operating procedures and included mis-entering data into the system.

    The pilot forced the B737 to land using “autoland” in high cross-winds.

    Wind speed on the ground was 25 knot (46 kmph) gusting to 35 knot (65 kmph.) Operating procedure allows landing when winds are no higher than 25 knots. The Boeing FCOM lists 35 knots as the max permissible crosswind landing component on a 45m wide. The pilot would have been correct to divert to another airport. There was adequate fuel to do so (if he had realized the numbers entered into the system were incorrect). Ground conditions were at the top of what Boeing allows and would be a challenge. Instead of diverting to Abu Dhabi, the pilot landed in defiance of safety norms.

    The pilot attempted to land twice, and then decided to divert. Having been entered with incorrect data, the FMC (Flight Management Computer) incorrectly concluded there was only six minutes of flight time left. This was incorrect, as the plane had 4.7 tons of fuel, more than enough to reach Abu Dhabi, 75 minutes away.

    On the pilot’s third attempt, the pilot autolanded (without having trained for autolanding.) It was a safe, if hard landing, and one that damaged the plane and nearly went off the runway. Two tires burst, and the landing gear was damaged.

    Maybe this pilot is a fool, or maybe just careless. The plane did land with no loss of life. You know they always say “the devil is in the details.” I don’t know verifiable particulars. We don’t have available first hand data to analyze, but Air India and the Directorate General of Civil Aviation does.

    But when we see evidence of problems like this, we wonder if India has gone far enough in raising the bar.

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