Airbus Forewarning. The Signs Were There.

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    Automated Cockpit Props up Undertrained Pilots

    The Asiana investigation continues.

    Back in July, the pilot who was insecure about making a visual approach in a 777 crashed at San Francisco International Airport on a visual approach in Asiana Flight 214’s Boeing 777. Specifically, he told NTSB investigators “it was very difficult to perform a visual approach with a heavy airplane.” The glideslope was not working at the San Francisco airport, and that was an instrument the (*undertrained) pilot was relying on. The plane came in so low the tail struck the seawall and broke off. The video below shows the plane rotate 360 degrees and catch fire by the runway.

    New Asiana Crash Video

    Video with news commentary

    Before impact, the relief pilot in the jump seat repeated several times “sink rate” trying to warn the pilots at the controls that the jet was too quickly losing altitude. One of the pilots said “It’s low.” Then there was a stick shaker alert (which occurs when the plane is about to stall from flying too slowly. I once had a pilot do a presentation that included the disturbing grinding of the stick shaker alarm as it violently vibrated the control yoke. It’s an alarming direction to the pilots to increase thrust.)

    When the stick shaker went off, the instructor called for a go around. It went off four seconds before impact. It was too late.

    Both the instructor and the captain were relying on the auto throttle, and both were unaware it was off.

    In George’s Point of View

    I do not know how anyone can watch the surveillance video of the Asiana crash and not marvel that of the three hundred and seven people aboard the plane, there were only three deaths.

    I’m not discounting the wounds of the injured, nor those three deaths, nor the tragedy of one of the teen victims being run over by an airport crash tender. (That’s a whole tragedy by itself—who knows if she might have survived but for being so obscured by foam that she was not visible to crash responders—through the firemen who carried her out surely must have known she was there.)

    A dozen critically injured, a hundred-sixty-nine injured, but only three deaths.

    It’s nothing short of a miracle. Especially on inspecting the condition of the burned out shell of the hull. Especially on reviewing the just-released surveillance video that shows the plane splintering after impacting the firewall, cartwheeling like a crippled gymnast down the runway and dissolving into a cloud of dust and flame. No jet fuel fire here——leaking oil ignited as it poured on to a hot engine.

    The Kazan crash (Tatarstan Airlines Flight 363) from November 17th is fresh in my mind. Everyone aboard–fifty people (forty-four passengers and six crew) all died. The plane just fell from the sky while landing at an impossible 75-degree-nose-down attitude, piloted by a pilot whose license is apparently fake. Everyone in that crash died. (Tatarstan surveillance below.)

    Of course one can see the physics—that everyone on the Tatarstan flight received the full direct impact, versus how the rolling of the Asiana plane dispersed some of the impact energy. Still, there is tremendous force in a crash.

    I know I should be talking about pilot training, because this is yet another crash that appears to be due to pilots becoming too dependent on technology. But I will focus on that another day. Right now, I am overwhelmed after looking at the crash tape.

    Asiana—Cartwheeling Catastrophe
    I am surprised that I have neither heard or seen choruses of amazement that all but three people survived the rolling catastrophe in San Francisco. Some credit should perhaps go to the rescue crew, quick actions of the cabin crew, performance of the emergency slides, and maybe even the aerodynamics of the 777 whose seats are required to withstand 16g of dynamic force.

    Sure, there was error involved in this crash, but when you look at the survival rate, some credit is due to the 5.5 billion Boeing put into research, development and safety of the 777.

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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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    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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  • Putting Aviation Out of Biz, Breaking the Camels Back: Walk Softly and Build a Massive Deficit

    We don’t usually talk about politics here, but it is hard to completely ignore Obama’s proposal to eliminate a tax break for business-jet owners. (The proposal extends the tax-depreciation schedule for business jets to seven years from five years.) I am not anti-Obama, at all, but it is what it is.

    We believe the consequences of that tax break will not make much money for the government, but it will have repercussions in the aviation industry. Catch phrases have cropped up, terms like “demonizing private aviation” and “engaging in class warfare.” Obama does not seem to be aware of that (to use an old catch-phrase) “trickle down” economics. The tax break is incentive for corporations and private owners to purchase new jets. The proposal does attack aviation, which * employs 1.2 million people and generate $150 billion in economic activity.

    How can a depreciation allowance for private jets prevent the rich from paying enough taxes to finance government child safety programs? Where is the logic behind the theory? It is obvious if you look at the results: what is actually involved is a politician courting public opinion, because the majority of Americans can’t afford jets, and will gladly agree to a tax on rich folks, i.e. them. Most Americans aren’t going to take a long view of how a tax will affect an entire industry. They’re just relieved that there are taxes coming out of some other guy’s pocket.

    But the tax will affect an entire industry, those 1.2 million people working in aviation, building planes and buying them. Those unbought private jets don’t get built, don’t get sold, don’t get flown, don’t get maintained, don’t get stored in aviation hangers. That means a lot of jobs for a lot of pilots, a lot of small charter lines, mechanics and support crews.

    With tax proposals like this one, one wonders if Obama’s long range goal is gunning for the aviation industry to look like Detroit after the exodus of the automotive industry.

    How can business owners stay in business and create jobs when the government is steadily chipping away at the foundations of business?

    *Statistics according to General Aviation Manufacturers The General Aviation Manufacturers Association represents over 65 of the world’s leading manufacturers of fixed-wing general aviation airplanes, engines, avionics, and components. In addition to building nearly all of the general aviation airplanes flying today, GAMA member companies also operate aircraft fleets, airport fixed-based operations, pilot training, and maintenance facilities worldwide

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    Limbo

    They say that time heals all wounds. And in a sense that may be true even for the families who lost loved ones in a plane crash, as long as we can interpret “healing” to mean that time eventually eases the sharpness of the pain of loss. And while that degree of healing is something that happens with people because our nervous systems are built for survival and allow us to adapt to even agonizing loss, the same thing is not true of mechanical equipment. While people bathed in time may get a little better, black boxes, radar components and computers that sit in salt water for a long period of time do not get better. In fact a scientist could present us a ratio of the time an item spends in ocean water : accessibility of evidence in terms of a diminishing ratio of accessibility. Or in other words, the longer evidence soaks in salt water, the more diminished our capacity to analyze it. Not that the same ratio applies across the board, of course–the frailty of paper in salt water is not the same as metal. And rice paper would differ from bond which would differ from cardstock. But in general, one can certainly say the longer evidence sits in the ocean, the more degraded that item will be. Ocean-time won’t heal evidence; but it sure helps damage or destroy it. So any evidence that we find now has been quietly degrading for almost 2 years.

    So now we have the news that the fourth search for the black boxes has turned up something even more stupendous–they found identifiable remains. Great hosannas and praise by the submarine-load is being lavished by the audience of a world who is transfixed by the news. How amazing it is that on this fourth search for a needle in a haystack, after two years time and ocean currents, and countless storms and tides, with each passing moment making discovery that much less likely, after all this, a needle is found. But who is the world praising? The searchers, certainly. The searchers have as they say these days “mad” skills. But let’s not praise the sponsors of the search.

    If not for the sponsors quitting, this discovery would have been found two years ago, or sometime between then and now. Because let us not forget the sponsors of the search, Air France and Airbus—both of whom could well afford to continue—have THREE TIMES quit. Quit the search, leaving key questions unanswered. Quit the search, the black boxes with their priceless knowledge, unfound. Quit the search, and left the families dissatisfied, and without closure.

    Nevermind that this is such a timely find. Days after a judge takes the high road of French law and declares Airbus and Air France open to a criminal investigation for the crash of Air France 447, suddenly we have such a “feel good” media moment. Bodies found. Good job, searchers. Bad job Air France. Bad job Airbus.

    If you had not given up, (and let’s face it, your reasons were purely financial,) what is lost would have been less dispersed by currents and time. And perhaps what is more important, the families would not be having their wounds reopened. Because these are not live family members found. This will not be true joy and true relief. This is just re-opening that sense of grief and pain, which is torturous after the anesthetic of two years. For those families whose lost are still lost. And for those families now able to receive their two lost loved ones, the grief and pain will be renewed. It will force them to relive the deaths all over again. Because even when they’re found, they’re still lost.

    The question remains, why did you ever quit the search? This Pandora’s box of pain could have been closed and laid to rest by now, if you had not quit. Shame on you.

    Costuma-se dizer que o tempo cura todas as feridas. Em certo sentido, isso até pode ser verdade para as famílias que perderam entes queridos em acidentes aeronáuticos, contanto que interpretemos essa “cura” como um alívio à agudeza da dor e do sofrimento. E embora esse nível de cura seja algo possível às pessoas porque nosso sistema nervoso é projetado para sobreviver, permitindo que nos adaptemos à mais agonizante perda, o mesmo não é verdade para equipamentos mecânicos. Ainda que pessoas banhadas pelo tempo possam ficar um pouco melhores, caixas-pretas, peças de radar e computadores abandonados em água salgada por um longo tempo não ficam nem um pouco melhor. Na verdade, um cientista poderia nos apresentar uma relação em função do tempo que um item permanece em baixo d’água, demonstrando uma taxa decrescente de acessibilidade das evidências. Em outras palavras, quanto mais tempo uma evidência fica submersa, menor é nossa capacidade de analisá-la. Isso não significa que uma mesma taxa se aplique a todas as evidências – é claro que a fragilidade do papel na água não se equipara à do metal. De modo geral, contudo, pode-se afirmar que quanto mais tempo um item permanecer no mar, mas degradado ele ficará. O tempo no mar não trará cura às evidências, mas certamente ajudará a danificá-las ou destruí-las. Logo, qualquer evidência que encontremos agora terá enfrentado uma lenta degradação por quase dois anos.

    Agora somos surpreendidos pela notícia de que a quarta busca pelas caixas-pretas encontrou algo ainda mais estupendo: corpos que podem ser identificados. Graças e louvores pelas descobertas submarinas têm sido dadas pelo público mundial que se mantém atento às notícias. Como é incrível que nessa quarta busca de uma agulha no palheiro, já após dois anos, com correntes oceânicas e diversas tempestades e marés, e com o passar do tempo tornando qualquer descoberta cada vez mais improvável, uma agulha tenha sido encontrada. E quem está sendo saudado pelo mundo? As equipes de busca, com certeza. Elas demonstraram habilidades verdadeiramente fenomenais. Mas não vamos enaltecer os patrocinadores das buscas.

    Se os patrocinadores não tivessem desistido, essas descobertas teriam sido feitas há dois anos, ou em algum momento entre a data do acidente e hoje em dia. Por isso, não vamos esquecer que os patrocinadores das buscas, Air France e Airbus, que bem podiam ter arcado com sua continuidade, abandonaram-nas por três vezes. Abandonaram as buscas, deixando importantes perguntas sem resposta. Abandonaram as buscas, deixando perdidas as caixas-pretas e suas valiosas informações. Abandonaram as buscas, deixando famílias insatisfeitas e sem uma conclusão.

    Não importa que essa descoberta seja tão oportuna. Dias após um juiz aplicar os rigores da lei francesa e declarar que a Airbus e a Air France podem ser investigadas criminalmente pelo acidente com o voo 447 da Air France, temos de repente um “agradável” momento na mídia. Corpos são encontrados. Bom trabalho, equipes de busca. Grande falha, Air France. Grande fracasso, Airbus.

    Se vocês não tivessem desistido (e, sejamos francos, seus motivos foram puramente financeiros), as perdas teriam sido menos dispersadas pelas correntes marítimas e pelo tempo. E talvez, ainda mais importante, as famílias não teriam suas feridas reabertas. Como não estamos falando do encontro de sobreviventes, essas descobertas não trarão verdadeiro alívio e verdadeira felicidade. Elas apenas servirão para recrudescer aquela sensação de dor e sofrimento, que é uma tortura após dois anos de anestesia. Para aquelas famílias cujos entes queridos não serão encontrados, e para as demais que agora receberão os restos de seus familiares, a dor e o sofrimento serão renovados. Isso as forçará a reviver as mortes mais uma vez.

    Porque, mesmo encontrados, eles continuam perdidos.

    A dúvida permanece: “Por que vocês desistiram das buscas?” Se vocês não tivessem desistido, essa Caixa de Pandora de dor já poderia ter sido fechada e enterrada a essa altura. Vocês deviam se envergonhar!

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    Cerritos: Aeromexico Shattered Lives

    In George’s Point of View

    It is a strange, sad phenomenon how tragedies live on.

    On August 31, 1986, a Piper and a Douglas DC-9-32 collided over Cerritos California. The Piper, carrying the pilot and two passengers was going from Torrence to Big Bear. They departed Torrence at 11:46. The DC-9 from Mexico City was approaching Los Angeles with 58 passengers and 6 crew aboard. At 11:52 am, the DC-9’s left horizontal stabilizer sheared through the Piper’s cockpit like a can-opener.

    The Piper crashed in the Cerritos Elementary School playground; the DC-9 in a Cerritos neighborhood destroying five houses, damaging seven more and killing an additional 15 on the ground.

    Descriptions of the collision still fill me with horror.

    The accident predates some of the precautionary measures we have now. Now, the Piper would have a Mode C transponder, which would indicate that it was too high, breeching LAX Terminal Control area; LAX was not at that time equipped with automatic warning systems.

    It has been twenty-five years since that accident happened. A memorial ceremony now is being held commemorating the tragedy in the Cerritos Sculpture Garden, and another in Loreto, Mexico. The tragedy is being remembered by at least 30 US families, 20 Mexican families, in at least one home in Colombia, and one in El Salvador. It is being remembered in the neighborhood the wreckage demolished, where families neither need nor want a plaque to remind them of their loss.

    There is a reminder of this crash in every light plane, and every jet. In fact, everyone who flies now, everyone who has flown and not died in a crash owes a debt to the victims of this senseless tragedy, because this was the event that spurred the FAA to require “Mode C” transponders that could report three-dimensional positioning on light aircraft. This was the event that spurred the FAA to require TCAS on airliners.

    I still live to breathe the smoggy air of Los Angeles. And as long as I still have the breath of life, I will remember the day when these 82 souls breathed their last.

    Aviation tragedies shatters lives like broken glass, and there is no lawsuit, no settlement, no “all the kings horses, nor all the kings men” who can ever put families back together again.

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