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Tam: Business as usual?

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    ICAO Assists Blacklisted Airlines

    After an ICAO audit that put Kazakhstan’s airlines on the EU Blacklist, the ICAO has just signed an agreement to assist Kazakhstan’s Informational-Managerial Services

    The agreement promises to:

    • Create an operational structure
    • Train qualified technical personnel
    • Detail certification
    • Monitor
    • Render technical assistance

    Kazakhstan Treaty Status

    Kazaeronavigatsia, the Republic of Kazakhstan’s National Air Navigation Services Provider (ANSP), intends to render safe service over Kazakhstan’s airspace, and is planning three consolidated ATC centers in Astana, Aktobe and Almaty; and 15 remote control towers which will be a part of ATC Centers, forming seamless airspace over entire Kazakhstan territory on a single hardware and software.

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    India: Civil Aviation Safety Advisory Council

    Air India Airlines did not single-handedly inspire the newly formed Indian separate body to investigate air accidents, but as the committee was formed immediately after the Air India Express crash in Mangalore that claimed 158 lives, it certainly was a major catalyst. It remains to be seen if the new investigatory committee will be as efficient or reliable as the US’s NTSB/FAA which investigates all major air events in the US and some outside of the US (when requested by foreign agencies or when American pilots, citizens, service or goods are involved).

    Certainly the DGCA needs help. We have already pointed out in a prior editorial that the DGCA’s report on the Mangalore crash is overdue. The Times of India quoted the DGCA’s own statutes:

    According to Civil Aviation Requirement (CAR) Section 5 (Air Safety), Series C, Part I issued on 13 October 2006, “preliminary report by the inspector of accidents/inquiry officer should be finalized within 10 days of the accident.

    We have also located a source that claims that * all of Air India Express managerial positions are “part-time.” Does this mean that the company was deliberately set up to have no key personnel who can be targeted as decision-makers? Though why should that matter? Air India Express is the budget branch of a larger company; Air India Express is a wholly owned subsidiary of Air India which is now part of National Aviation Company of India Limited (a merger between Air India and Indian Airlines.) Someone is in control.

    Those who fly India and have high expectations of the new safety committee being effective may be in for a let down while the newly formed body finds its footing. The new, separate Civil Aviation Safety Advisory Council which has been set up to handle air crashes has no experts from Air Traffic Control (ATC) nor expert pilots. Along with the Directorate General of Civil Aviation (DGCA) chief, Dr Nasim Zaidi, the 28 member body includes Aviation CEOs including Air India Chairman Arvind Jadav, Spicejet CEO Sanjay Aggarwal, managing editor of Centre for Asia Pacific Aviation, Kapil Kaul.

    If you take a look at how the NTSB handles an investigation, you will see that a team of experts are engaged and all interested parties, including pilots, are represented, including some you might not expect. Without such input, investigation is a waste of time.

    The NTSB team of investigators handle individual aspects of the individual investigation, allocated by expertise. Each expert is responsible for a specific and sometimes overlapping portion of the investigation. Specialization like this helps develop and apply expertise in each area and prevents key points from being overlooked. Also, bear in mind that the experts involved in investigating each crash will differ, depending on the parties involved; and most of these parties are on site within hours of the crash.

    SomeAreas of investigation/investigators

    • Structures investigators (who also usually takes responsibility for the crash site, ensuring that all the wreckage (e.g. wings, fuselage, and undercarriage) is accounted for and that proper trails of evidence are followed)
    • Engines investigators
    • Systems investigators such as flight controls
    • Airline’s Operations investigators (also studying crews’ training and suitability)
    • Black box investigators
    • Accident flight’s relationship with air traffic controllers
    • Meteorologists who analyze the weather at the time of the crash to determine if it had a bearing on the accident.
    • Metallurgists who analyze the condition of the plane’s metal and the forces on it
    • Sound specialists (for eg, identifying sounds on black box tapes)
    • Fire and Explosions experts
    • Simulation experts who reproduce the events
    • Flight survival experts who analyze the forces the passengers were subjected to. (These are the people who can tell you the safest place to sit on a plane.)
    • Maintenance experts who analyze the plane’s condition–and how it got that way
    • Psychologists may examine procedures to determine if airline practices exist that cause the pilot to make mistakes, like flying different types of planes. (e.g. Different types of cockpit controls make switching planes an unsafe practice.)
    • Manufacturers representatives who study and analyze their product’s performance
    • Pilots (representatives from the pilots’ union) may be attached to many or all groups; just as…
    • Labor Unions such as the International Association of Aircraft Machinists may attach representatives to multiple groups.
    • Cooperating “foreign specialists” in wreckage reconstruction, black box decoding or interpretation. (Countries who develop special expertise in various fields are often called to join the investigation, just as the NTSB is frequently asked to join foreign investigations.)

      Plane manufacturers have their own investigative teams experienced in this type of analysis, and they stand ready to work on any event that needs their expertise. And the investigation is networked so that if and when they need additional specialists, they can tap into their own company resources.

      One should note that in the case of the Mangalore Crash investigation, the wreckage sat out in the elements for 50+ days before being collected and warehoused. In my opinion, this is carelessness; and furthermore, this carelessness is just one visible aspect demonstrating where the existing procedures are obviously not up to par. While I am sure that experts combed the wreckage, including Boeing, (they always dispatch a team when one of their planes is in a crash,) leaving the wreckage out in the elements is not a best practice for conservation/preservation of evidence. One can only wonder how all other aspects of procedure including those behind closed doors-stand up to Aviation Industry’s internationally expected best practices.

      The industry calls this massive joint investigation the “party system.”

      The parties involved include all parties affected. The more parties involved, the faster the investigation may go.

      Chairmen of each group make their report; and any groups who discover any failures or unusual effects of machinery make note in the final report given to the primary investigator. The investigator invites the individual groups to provide their angle on what caused the crash and how it might be prevented.

      If all the probable causes line up neatly, then it is a simple thing to complete the final report. When theories conflict, the final report takes longer, and tension develops.

      All of this information is supposed to remain confidential until the final report is published.

      In this “party system,” the various opposing parties tend to keep each other “honest”. Unfounded attempts at blame by one party will be met with rebuttal by another–so it is obvious that if there is no pilot representation in this new committee, pilots may end up the “dumping ground.” Let’s say, for example, that a pilot in a crash went in with bad input like an outdated map. Is this committee set up to pursue the investigation to the source of the bad input? A pilot’s association representative would be instrumental in getting to the cause, whether it might be inadequate training, or materials.

      The international community and the people of India are waiting to see how this new committee manages to regulate and oversee all aspects of civil aviation in India, and whether it helps keep India’s DGCA and the safety of India’s aviation systems on track.

      * Need separate body to probe air crashes: Patel; Economic Times, The (India), May 25, 2010

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    FAA: Publishes SAFO on Runway Incursion increase

    11004
    From the SAFO:

    Recommendations describe a top down approach, a coordinated effort to mitigate identified hazards. Suggestions include management emphasis and training of pilots and support personnel (air carrier mechanics, ground personnel, and tug/tow drivers.)

    There are recommendations in each of these categories:

    • Planning
    • Situational Awareness
    • Written Taxi Instructions
    • Crew Resource Management
    • Communication
    • Taxi
    • Exterior Lighting

    The full pdf is available here
    https://airflightdisaster.com/wp-content/uploads/2011/06/SAFO11004.pdf

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    GOL Inspects Flight for Airworthiness


    Click to view full size photo at Airliners.net
    Contact photographer Flavio Guerra

    What: GOL Transportes Aereos Boeing 737-700 en route from Bauru to Sao Paulo Brazil
    Where: Bauru
    When: Feb 2 2010
    Who: 82 on board
    Why: Prior to take-off, the engine presented an automated warning sufficient to deter the pilots from taking off. Details about the warning have not been made public although they were adequate for Gol to begin an investigation. While the original plane went into maintenance, a replacement plane was provided within four hours.

    George’s Point of View

    While we of course have no idea what the warning was, nor how important an issue it represented, we commend GOL for taking proactive action and responding to warning systems as they were intended to be. Hopefully maintenance will become as diligent as the crew that actually has to be in the plane aboveground.

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    Terrestrial Gamma-Ray Radiation

    Terrestrial gamma-ray radiation. No, it’s not the latest incarnation of Captain Kirk’s phaser, even though it does sound like it belongs in prime time on the syfy channel.

    If jets pass near lightning discharges or “terrestrial gamma-ray flashes” (TGF’s), aviation passengers can be exposed to radiation equivalent to 40 x rays. The exposure occurs when the plane is close to the lightning discharge’s origin. Scientists are recommending planes carry TGF meters to help them study the phenomenon. They believe TGFs are generated by electric fields above thunderstorms, although the mechanism is unknown, and the likelihood of exposure is low.

    Famous last words.

    Thank you scientists. More for airline travelers to worry about.

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    NTSB INVESTIGATING NEAR MIDAIR COLLISION

    National Transportation Safety Board
    Washington, DC 20594

    September 23, 2010

    NTSB INVESTIGATING NEAR MIDAIR COLLISION OVER MINNEAPOLISINVOLVING COMMERCIAL JETLINER AND SMALL CARGO AIRCRAFT

    The National Transportation Safety Board is investigating a near midair collision between a commercial jetliner and a small cargo aircraft that came within an estimated 50 to 100 feet of colliding near the Minneapolis-St. Paul Airport (MSP).

    On September 16, 2010, about 6:49 a.m. CDT, US Airways flight 1848 (AWE 1848), an Airbus 320, was cleared for takeoff on runway 30R en route to Philadelphia, Pennsylvania, carrying five crewmembers and 90 passengers. At the same time, Bemidji Aviation Services flight 46 (BMJ46), a Beech 99 cargo flight with only the pilot aboard, was cleared for takeoff on runway 30L en route to La Crosse, Wisconsin. Weather conditions at the time were reported as a 900-foot ceiling and 10 miles visibility below the clouds.

    Immediately after departure, the tower instructed the US Airways crew to turn left and head west, causing the flight to cross paths with the cargo aircraft approximately one- half mile past the end of runway 30L. Neither pilot saw the
    other aircraft because they were in the clouds, although the captain of the US Airways flight reported hearing the Beech 99 pass nearby. Estimates based on recorded radar data indicate that the two aircraft had 50 to 100 feet of vertical separation as they passed each other approximately 1500 feet above the ground.

    The US Airways aircraft was equipped with a Traffic Alert and Collision Avoidance System (TCAS) that issued climb instructions to the crew to avert collision. The Beech 99 was not equipped with TCAS and the pilot was unaware of the proximity of the Airbus. There were no reports of damage or injuries as a result of the incident.

    NTSB and FAA investigators conducted a preliminary investigation at the Minneapolis airport traffic control tower on September 18th and 19th and are continuing to review the circumstances of this incident.

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