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Old 8th Jul 2013, 14:45   #861 (permalink)
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Just my two cents worth and maybe something investigators could consider. Criticise all you like but this happened to me when I converted from AirbusA330 to the 777. ( fortunately in the sim) it may be relevant as the trainee on this flight previously flew a320'and may well have been converting from Airbus to Boeing.

As the thrust levers on the bus do not move throughout the approach until you here " retard" , I used to rest my hands on the thrust levers. When I was converting to the 777 I did exactly the same , being a little tense during one of the sims I held the thrust levers a little tight. Therefore not allowing them to move. As we continued the approach I did not " feel" the autothrottle trying to move against my stiff grip , as I was focusing on other things( fortunately my scan.)I was effectively inhibiting the autothrottle by holding the thrust levers in a position. The next thing I noticed was the speed bleeding off below vref+5 . As l took my right hand off the thrust levers to point this out to the instructor the autothrottle immediately advanced the levers ( as I was no longer inhibiting them physically). The instructor pointed out that it was a common mistake he had seen on airbus pilots converting to Boeing. A valid learning point , learnt where it is meant to be learnt , in the sim.

Could it be that our colleague was so loaded by being hi on the approach that he like me , held the thrust levers too tight , and was unable to feel the autothrottle trying to physically override his grip. If you are not familiar with this , force. Would you recognise it ? Remember it only came up in my training as a result of a mistake.

Criticise all you,like , I am happy to share my screw ups if as an industry it helps someone , just a little bit.
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Old 8th Jul 2013, 14:48   #862 (permalink)
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Ok, I'll be a bit more specific.

Cultural values come for an infinity of different reasons. Overcoming cultural values with "operational values" is al nice on paper.

I have not said the cultural background IS/WAS a cause for the accident.

You are thinking exactly like a westerner: "I can place operational value above cultural values". This is not the case in many countries. Think for a moment that westerners, as a general rule, have the freedom of speech, the freedom to say they think their president is an idiot, and the right to propest and march down the street. Westerners are born with this.

The story is very different when you consider the same situation in China as an example, but former Russia would do as well, there are many countries you can pick from. You do not protest against your government (even social media will be deleted) you do not challenge authority, only if behind closed doors with friends or family, or you might be prosecuted, harassed, or your career might take a turn for the sour. With this in the cultural background, go tell a Chinese/Korean that he/she can complain freely, and watch their reaction.

The unfortunate events in Poland where from a military flight, with military personnel. As above, you do not challenge authority for fear of undesired consequences. Again, cultural background.

To get back to our horses, I do hope they take CRM seriously, but CRM is not just on paper, it has to be explained and applied at all levels, not just in cockpits.

As a side note, the company I'm in has no CRM course, no CRM documentation, no CRM instructors, and of course no CRM accident/incident review... it is just mentionned on ops manual that good CRM should be applied while on duty... and this is one of the top 5 airlines in China.

And I don't see how I am offending anyone here, except you, maybe, feel offended that I disagree?

Last edited by FLEXPWR; 8th Jul 2013 at 14:55.
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Old 8th Jul 2013, 14:49   #863 (permalink)
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"Just my two cents worth and maybe something investigators could consider. Criticise all you like but this happened to me when I converted from AirbusA330 to the 777. ( fortunately in the sim) it may be relevant as the trainee on this flight previously flew a320'and may well have been converting from Airbus to Boeing."

From what I have read so far I had the impression he was in the transition from B744 to B772. But that are only my 2 cents :-).
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Old 8th Jul 2013, 14:50   #864 (permalink)
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I was an investigator with CTSB. MAny years ago, one of my cases involved a Korean Air 747 that damaged the tail by over-rotating while landing at YVR. I was was shocked to learn that the pilot flying was their "Cruise pilot" and had 150 hours TOTAL TIME and 50 hours (of cruise) on type (747).

The captain decided to give him some pole time but did not monitor closely enough. Over 300 pax with a student pilot at the controls.
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Old 8th Jul 2013, 14:54   #865 (permalink)
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a few pages back it was said that nothing has been heard of from the Cabin attendant side.

form other aviation forums

From NBC:

Flight attendant sensed plane was in trouble, 'felt a bang'
By Jack Chang and Youkyung Lee, Associated Press

The evacuation of Asiana flight 214 began badly.

Even before the mangled jetliner began filling with smoke, two evacuation slides on the doors inflated inside the cabin instead of outside, pinning two flight attendants to the floor.

Cabin manager Lee Yoon-hye, apparently the last person to leave the burning plane, said crew members deflated the slides with axes to rescue their colleagues, one of whom seemed to be choking beneath the weight of a slide.

It was just one of the moments of drama described Sunday by Lee of a remarkable evacuation that saved 305 of the 307 people on the plane that crashed Saturday while landing in San Francisco.

One flight attendant put a scared elementary schoolboy on her back and slid down a slide, said Lee, in the first comments by a crew member since the crash of the Boeing 777.

A pilot helped another injured flight attendant off the plane after the passengers had escaped. Lee herself worked to put out fires and usher passengers to safety despite a broken tailbone that kept her standing throughout a news briefing with mostly South Korean reporters at a San Francisco hotel. She said she didn't know how bad she was hurt until a doctor at a San Francisco hospital later treated her.

It was still unclear if the pilot's inexperience with the aircraft and airport played a role, and officials were also investigating whether the airport's or plane's equipment could have malfunctioned.

Aviation and airline officials said although the pilot had previously flown a Boeing 777 nine times - for a modest 43 hours in total - it was the first time he was landing that wide-bodied jet into San Francisco. Investigators have said he tried to abort the landing and go back up in the air after realizing he was flying too slow and too low but failed.

Lee, 40, who has nearly 20 years' experience with Asiana, said she knew seconds before impact that something was wrong with the plane.

"Right before touchdown, I felt like the plane was trying to take off. I was thinking 'what's happening?' and then I felt a bang," Lee said. "That bang felt harder than a normal landing. It was a very big shock. Afterward, there was another shock and the plane swayed to the right and to the left."

After the captain ordered an evacuation, Lee said she knew what to do. "I wasn't really thinking, but my body started carrying out the steps needed for an evacuation," Lee said. "I was only thinking about rescuing the next passenger."

When Lee saw that the plane was burning after the crash, she was calm. "I was only thinking that I should put it out quickly. I didn't have time to feel that this fire was going to hurt me," she said.

Lee said she was the last person off the plane and that she tried to approach the back of the aircraft before she left to make sure that no one was left inside. But when she moved to the back of the plane, a cloud of black, toxic smoke made it impossible. "It looked like the ceiling had fallen down," she said.

More than a third of the people onboard didn't require hospitalization, and only a small number were critically injured.
The San Francisco fire chief, Joanne Hayes-White, praised the cabin manager, who she talked to just after the evacuation.

"She was so composed I thought she had come from the terminal," Hayes-White told reporters in a clip posted to YouTube. "She wanted to make sure that everyone was off. ... She was a hero."
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Old 8th Jul 2013, 14:54   #866 (permalink)
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Scan: inside, outside, inside, outside, rinse and repeat ...
Since the thread highlights training deficiencies, I'd like to highlight the above comment as something that lends itself to very little. I'm not having a pop at the poster, however I'm having pop at the commentary which I have experienced from GA right across to simulator and line training in a commercial jet. I've heard it bellowed by line trainers and TRI/TREs for years. Having instructed myself, both in GA and in the simulator of a medium jet transport I have come to the conclusion that the pattering of 'outside, inside' means shag all to bloggs who, in general, hasn't the foggiest what he's meant to be scanning. It's one of these terms that are banded about at a critical flight phase when trainee capacity is close to if not at it's edge. I've even witnessed an instructor being asked what he meant by his 'outside, inside' repeat to fade during an IPC debrief. The answer was rewarded with the most staggering amount of B.S. I have ever heard in aviation training.
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Old 8th Jul 2013, 14:55   #867 (permalink)
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Four golds

Excellent post. Thanks for being so candid. That's the type of post that adds to the debate. A potential gotcha I'd never have thought of. That's the type of minute detail that the NTSB will look for.


You're describing a Chinese airline and this one was from Korea. Sorry I don't get the connection. If I follow your "logic" the culture in BA is the same as AF as LH etc etc.
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Old 8th Jul 2013, 14:58   #868 (permalink)
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Sorry, CC just reading in here now, noticed this
CNN is now reporting that at least one and possibly two door hatches malfunctioned and which caused the inflatable escape ramps to open inside the cabin.
Was pretty clear to me from the early pics that the L4 door was off when they stopped, not much you can do except get them to jump I suppose. It has been suggested elsewhere (not confirmed of course) that this may be where the 2 fatalities occurred if not via the hole in the pressure bulkhead- though I wonder about the latter since presumably the galley is fwd of that location?

As for luggage, it's rightly been pointed out that trying to stop it could potentially waste more time than it is worth. Of course as a pax I would actively discourage the people in front of me from doing so. I cannot recall the incident at present but during one evac an FA was qukes it oted as saying luggage was piling up at the exit as it was taken off the pax so they started lobbing it out of the door and away from the slide... however you then risk hurting those who have already left.

Time to re-look at cabin baggage limits methinks! A statement from one of the OZ214 pax mentioned luggage falling over the pax on impact. Thinking of some of the bags I see on a regular basis, does not make me like the odds in an impact. Time to email safety department again I think...

There's a photo doing the rounds of social media showing the FAs assisting pax on ground, one is clearly seen lying on the ground, any word on the condition of the crew? One news reporter made a comment that makes it seem he thinks the injured pax floated off by themselves and had nothing to do with FA J Kim carrying them out on her back! Tsk tsk media make me sick sometimes...

Edit: thanks for the update on the CC. Nice to see them getting some recognition, many of the media seem to be lagging in that department

Last edited by givemewings; 8th Jul 2013 at 15:02.
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Old 8th Jul 2013, 15:00   #869 (permalink)
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Aviation is not a place for prejudiced viewpoints.
Yet the sweeping statements about the "media" all being idiots, that journalists are not to be trusted, that "bean counters" are only interested in saving costs, all continue here in abundance...
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Old 8th Jul 2013, 15:00   #870 (permalink)
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Originally Posted by SalNichols View Post
As an aerospace engineer and manager, I'm not sure what is scarier: automated systems that are so complex that no one understands their decision logic; automated systems that may not be completely reliable if modes selected are inappropriate for the flight regime...
As a software engineer (albeit not aero/realtime) whose degree course included several modules where civil FBW specification, design and testing were examined in detail*, I can tell you that your first point is invariably a misconception brought about by misunderstandings and stereotyping - in fact both automation/flight management tools and FBW systems were and are designed to be as transparent as possible, with pilot engineers having final sign-off on the latter. Of course mistakes are made and assumptions proven wrong - but that's true of any engineering discipline you care to name. As someone quite rightly said earlier, the technologies are flight *aids* and nothing more. Just as the wonderfully powerful CAD/design packages make the process of aero engineering far smoother, but don't allow a designer to ignore or forget the basic principles of aerodynamics, materials, loads etc.

Also, inappropriate modes for certain phases of flight long pre-date digital technology in the flight deck.

* - and as an aviation nerd, I couldn't help but continue to follow up and maintain an interest in the following years!

Originally Posted by IcePack View Post
I wonder if this will be part of the NTSB repot?
But then that would show the FAA & other authorities in a bad light, so proberbly not.
Hmm... In fact, the NTSB is one of the few big-name investigation agencies that pulls no punches when it comes to holding the regulator to account. Civil service agencies like our own AAIB tend to be more matter-of-fact.

@fourgolds - Most of the reports I've read so far indicate that his previous type was the B744.

@GobOnAStick - While even seasoned journalists are decrying the decline in standards of their profession in today's hyper-commercial world, I don't think I'd go as far as to tar all of them with the idiot brush. That said, due to the specialised nature of the technical side of aviation reporters do tend to make glaring errors more often than not.

Last edited by DozyWannabe; 8th Jul 2013 at 15:06.
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Old 8th Jul 2013, 15:05   #871 (permalink)
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If you'd put it like that in the beginning it would have made a lot more sense and a lot more acceptable.

I think you'll find that a number of Asians in this thread have expressed dismay at the zeroing in on Asians by a small group of posters, not your post in particular.
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Old 8th Jul 2013, 15:11   #872 (permalink)
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Many Asian airlines have a steep cockpit gradient as a result of national culture but it doesn’t end there. The Asian carriers I have worked for have many problems arising for social norms that have resulted in accidents such as:

Decision making based on fear of repercussion leading to hesitation to go round.
Passing sub standard crew in sim checks to avoid loss of face.
Total lack of curiosity resulting in no interest to learn beyond basic type training.
Unwillingness to rapidly adapt to change in a fluid situation.

Last edited by Zapatas Blood; 8th Jul 2013 at 15:44.
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Old 8th Jul 2013, 15:12   #873 (permalink)
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Gob, that would be because so far, the majority of journalists/media/wiki experts have proven themselves to be so with yes, idiotic statements about aviation that could be rectified with a 60-sec Google search. Personally I said "sometimes" but when it comes to aviation it is actually most of the time when there is an accident/incident.
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Old 8th Jul 2013, 15:16   #874 (permalink)
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1) When the French pilots put an Airbus in level flight into a stall and then flew it into the ocean, I don't recall anyone here making the general proclamation that "French pilots can't fly."

2) The PF on the Asiana flight was the junior pilot in type conversion training, and he was under the supervision of the trainer sitting on the right side, so here there is no issue of "Asian FO's not able to speak up against the captain." If the PF did anything stupid, there would be no hesitation by the trainer to speak up and do something about it.

It seems we have an issue here for basic airmanship, which have come up in the AF accident (European), the Colgan accident (American), and maybe now the Asiana accident. Some people here love to talk about crappy Asian pilots who can't stand to lose face. Is that really helpful? I don't think so.

To the people here who say, "there is no place for being PC in air safety," I ask, really, how is focusing on ethnicity helping air safety?
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Old 8th Jul 2013, 15:19   #875 (permalink)
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Today's Wall Street Journal states that there were 4 pilots in to cockpit at the time of the incident, the two flying, a 'relief' pilot, and a fourth they 'could not confirm was working'.

This reminds me of the C5 incident at McGuire AirForce base several years ago where there were multiple pilots in the cockpit and not one of them noticed that they shut down the wrong engine resulting in an inpact about a mile short of the runway.

Does everyone think that someone else is watching the ship and they just tune out?
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Old 8th Jul 2013, 15:20   #876 (permalink)
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I am guessing that the NTSB will find very little on the CVR until the last few seconds. It's a cultural thing...stunned mullets don't talk.

Last edited by VR-HFX; 8th Jul 2013 at 15:22.
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Old 8th Jul 2013, 15:21   #877 (permalink)
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If the pilot was converting from Airbus, and he had indeed held the throttles too tight preventing their motion, I have to ask why the engine parameters and airspeed were apparently skipped from his scan?

I also have a major safety recommendation for Boeing:

* If the autothrottle commands a power setting, and it detects the throttles have failed to move for more than 2 seconds, chime an alert STUCK THROTTLE

Just my 2 cents.

Last edited by ECAM_Actions; 8th Jul 2013 at 15:22.
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Old 8th Jul 2013, 15:23   #878 (permalink)
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I am guessing that the NTSB will find very little on the CVR until the last few seconds. It's a cultural thingy.
- I suspect the approach briefing will be of interest?
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Old 8th Jul 2013, 15:25   #879 (permalink)
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Very sad indeed, poor girl survives being ejected from a ground spinning aircraft only to be run over by someone else not looking out the window.
I wonder if visibility might have been an issue; it's not hard to imagine one of the emergency vehicles driving into a smoke cloud and hitting someone who was unconscious.
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Old 8th Jul 2013, 15:31   #880 (permalink)
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Thumbs up Concur with 4 golds & BBK

Valuable post four golds & fully concur with yourself & BBK - it's so useful for details like that to be shared from real life experience, you can't beat experience nor buy it - experience has to be earned - very good to share it.
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