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Air Maintenance in Crisis

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    Flight Recorder Details Heard

    Just before TAM Airlines Flight 3054 skidded off a runway and exploded as it slammed into a building, pilots screamed, “Slow down!” and “Turn, turn, turn!” as recorded by flight recorder transcripts disclosed Wednesday.

    If the congressional commission investigating air safety find that mechanical failure or pilot error contributed to the accident in São Paulo, that conclusion would take some heat off a government widely blamed for failing to improve the challenging runway. Pilots worldwide liken landing on it to landing on an aircraft carrier.

    According to the tapes, pilots were unable to activate the spoilers, aerodynamic brakes on the Airbus A320’s wings, as they touched down on the short, rain-slicked runway at Congonhas airport, according to the transcripts.

    The pilot, Kleyber Lima, 54, said “Only one reverser — spoiler nothing,” in the transcript, the first indication that something was wrong. The co-pilot, Henrique Stephanini Di Sacco, 54, says: “Look at that. Slow down, slow down.” Mr. Lima replies: “I can’t. I can’t. Oh my God! Oh my God!” Mr. Di Sacco’s last words are: “Go! Go! Turn! Turn! Turn!”

    The recording ends with screams and a woman’s voice, followed by an explosion.

    The July 17 crash killed all 187 people aboard the jetliner and 12 people on the ground.

    One of the two thrust reversers used to slow planes during landings, was inoperative. The airport’s runway is so short that pilots are warned to abort landings if they make any errors while touching down. TAM’s press office declined comment until the investigation is finished.

    Airbus spokeswoman, Barbara Kracht, said the aircraft manufacturer could not comment on the investigation, citing international aviation rules.

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    Engine Failure; Delta Boeing Diverts to Ireland


    Click to view full size photo at Airliners.net
    Contact photographer Paul Markman

    What: Delta Airlines Boeing 757-200 Philadelphia to Paris
    Where: Shannon Ireland
    When: November 20, 2010, 6:30 am
    Who: 152 passengers 7 crew
    Why: While over the Atlantic, the right engine developed problems. Pilots shut it down, and diverted to Shannon where they made a safe landing. Passengers were provided an alternative flight.

    George’s Point of View

    I usually try just to get the facts. But when people read these alerts, it is not just the plane. Like on this flight. Can you imagine being aboard this flight, over the Atlantic—as on the infamous Air France Flight 447—and losing an engine? Can you picture your feelings at the moment you realize the failure, and every moment thereafter, until you were safely on the ground? Even with a capable functioning plane, and competent crew. Even with the knowledge that the plane could afford to shut down an engine. Having to sit politely in your row, and believing on some level, that you were placidly waiting to die while strapped in like a trapped like a Chilean Miner in a snow globe hurtling through space toward who knows what fate? Even if I do not write it, behind these lines, there is always a human element.

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    Chairman Resigns!

    At a press conference Oct 31 in Brasília, Board Chairman Milton Zuanazzi, the last remaining member of ANAC’s former board of directors of the National Civil Aviation Agency (Anac) announced his resignation from the board.

    Zuanazz based his decision on claims that the National Civil Aviation Agency was the “scapegoat” for Brazil’s current air crisis.

    He said publicly that he “would not like to work” with Defense Minister Nelson Jobim, a position which is certainly understandable since Jobim has been trying to remove him since July.

    He delayed his resignation to the current time to allow Jobim to find new directors. Zuanazzi says that Jobim is not well-informed about Brazil’s aviation system, and classifies some of his proposals as “reckless.” The last straw was Defense Minister Nelson Jobim’s proposal to increase the required distance between airplane seats. Doing so would force carriers to raise fares, Zuanazzi said.

    One wonders how raising the distance between airplane seats will increase the safety factor, which is at the root of the whole aviation problem in Brazil.

    Zuanazz recommends Civil Aviation Secretary Solange Paiva Vieira to be his replacement.

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    Define Irrational

    Dear George,

    Irrational could be changing, now, what was had claimed before.

    Like the NTSB saying in the 1989 NTSB Sioux City Final Report, the ‘probable cause’ to their references in their earlier National Airlines Final Report. That National Report found no probable cause but suggested ‘not understood vibrations’. That Report also drew in three earlier fan explosions as references and citing these as so similar, they were used for “comparison purposes”. That Report also expressly ruled out engine over speed as “pure conjecture”.

    But now, in the Sioux City Report, and where the probable cause was a metallurgical defect, the NTSB listed just the National accident, and relabeled the National’s probable cause to be “engine over speed”. Daring not to also re-label those three other references, they now were simply left out. Presto ! – by doing so, the NTSB could now present the Sioux City accident as a ‘once-off’ (only happened once) when – in fact – it was 5th fan disk uncontained explosion (National, and the three others there having ‘no probable cause’ were now not relevant, separated and with no connection to Sioux City).#Irrational could be claiming as factual what scientific testing had ruled out.

    In the NTSB’s ValuJet 592 Report, the NTSB claims “one or more” of the oxygen canisters carried in the cargo hold self-ignited and flooded the compartment with oxygen and thus started, and made that fire possible. They didn’t test their theories of self-ignition and the quantities of oxygen released, they had the FAA Technical Center do it. Contrary to all of this, the Tech Center tests said that, even if self-ignited, the canisters heat was only 400 degrees (525 degrees is needed to ignite the packing materials said to have ignited) and that the actual oxygen released is ‘insignificant’ (“local hot spot”). Lest they discredit the NTSB theory, neither of these FAA findings found their way into the NTSB’s Report. The Report also ignored another letter buried in the Docket, a oxygen manufacture’s statement that such self-ignition was unheard of, and “highly unlikely”, and thus the NTSB’s probable cause holds. Lost too was that four months after the loss of ValuJet, the aircraft manufacturer (Douglas) issued a warning to remove the fuselage insulation blankets (keeps the cabin areas warm) because of two earlier Douglas product (MD-88, MD-11) fires and that because of this, the Douglas method for fire testing was now deemed invalid. Four years later the FAA issued an airworthiness directive (AD) saying to check for burning below the cargo area (electric heaters for the static pressure sensors) and then issued yet another saying what Douglas said four year earlier – to remove the (acoustic) insulation blankets because of in-service fires and that the earlier flammability tests were invalid. Simply, ValuJet flight 592 was the precursor and warning to the coming loss of Swissair flight 111 in 1998 but the NTSB’s probable cause with ValuJet served to obscure, or hide, the long-known problems of insulation blankets that failed the flammability tests. Whose tests were these ? – Douglas and Boeing’s – the FAA had taken the manufactures’ word for it all. Now, and years after these two horrific losses, the FAA has just created it’s own flammability standards – ones that none of these two most used insulation blankets could pass. Oh yes ! – the FAA is giving the industry to 2016 to get these flammable materials out because, as they said, ‘of cost considerations to the industry’.

    Irrational could be claiming a scenario as unique when dozens of other reports exist.

    In the NTSB’s Report on the loss of American Airlines flight 587, the NTSB blamed the American Airline’s pilots aggressive use of the rudder pedals in American’s A-300 model aircraft. But the Report doesn’t address 20 other rudder incidents (largely from the SDR database) where the pedals and rudder where reported to be moving on their own (uncommanded rudder). A few reports called the movements ‘sudden’, and another “violent”. The words “violent” seen in the SDR and also in a Aviation Safety Report filed by pilots was missing in the NTSB in their Accident/Incident database report. “Sudden ” and ‘Violent’ described the scene as the American pilots fought with the aircraft for seconds and then losing all control. Worst yet, 3/4th of these other 20 reports weren’t on American Airline or on the A-300s but rather four other carriers including United, Fed Ex, America West, Air Canada and on different models, A-319s and A-320s.

    Irrationally yours,

    ANON

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  • Tam Familes, 3 Years Later

    To the families who are now remembering the TAM Airlines Flight 3054 (JJ 3054) tragedy–the Airbus A320 which crashed on landing during rain on unfinished pavement in São Paulo on July 17, 2007…

    To the families–many of whom are my friends…

    July can not come and go without our remembering. As each spring recalls the winter, as each night recalls the day, on July 17, we remember.

    I hope that by this year, you have established some kind of family tradition that helps the family come together to remember.

    It is a privilege to recall the goodness of their lives–whether it be visiting their memorial, lighting a candle, planting a tree, or continuing acts of kindness in their memory. No candle burns long enough nor shines bright enough; no tree stands tall enough nor casts enough shade; no act of kindness is quite benevolent enough. And yet, doing something each year to help us actively remember carries on the act of life. Doing so carries the torch of memory, weaving the thread of yesterday into today and tomorrow. A ritual that one time may be a crutch at a later date will give our hearts wings, a ritual that reminds us that each life stands like the stones of a monument, a foundation sustaining all of us who continue.

    Let the loss not be in vain.

    No tears can bring back a loved one, but I hope that time has brought healing and cooled the pain, leaving only the sweetness of memory.

    My friends, celebrate the memory,
    George Hatcher

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  • MH370: Two Years after

    search
    Time passes. Shakespeare said “Better three hours too soon than a minute too late.”

    As of today, the mystery of MH370 has gone unsolved for two years.

    Better that the tower in Malaysia had been proactive and caught that there was something going on before it flew off course;

    Better if maintenance had found the issue, if issue there was;

    Better if safety checks had caught an issue, if issue there was;

    We don’t have a clue what issue there was.

    Hundreds of theories have been developed and discarded. Millions in funds have been spent on the search. Every penny could have been saved if something had been caught in a timely fashion; but whatever it was that we missed, we don’t even know, and won’t know, until the wreckage is found and studied.

    The terrible irony with an accident like this one is that more money has been spent on looking for the wreckage than the families will ever receive. And no matter how much compensation there would be, it could never be enough.

    Good things may happen as a result of a search, but it is difficult to define them. For example, look at the search for Air France 447 which sparked a rethinking of the black box. After that crash, battery parameters (for pinging) were a result. If only the battery could last as long as the boxes that protect the data from the weight of the ocean.

    MH370 went so far afield, following the pinging of the battery never even came into play.

    In the search for a lost plane, improvements are small and out of proportion to the loss. At times, it feels the tools we are working with are like spoons where a forklift is needed. The steps we have taken feel like inches in a journey of infinite miles. And that is what we face here. Until the wreckage is found, the journey is infinite. And I believe one day the wreckage will be found. I hope it will be in time to do some good; and that something will be learned from it to prevent similar accidents from happening again.

    Check the date on today’s calendar—it is 2 years ago today.

    Two years is a random number. It has been two years, and still the plane is just as lost. The people are just as missing. The families are still reeling. We cry out for justice and compassion for the families of who lost loved ones aboard MH370. For the sake of the families, we hope the calendar will not kill the search.

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