Originally Posted by
Fox_one
A really tragic accident. Lots of lessons to be learned though. A couple of things that stood out for me:
Fatigue
If it’s not reported then there is no problem.
Between 2009 and 2016, flydubai performed 450,000 flights and had 70 fatigue reports. Seriously, 70 reports, that’s a report rate of 0.015 %. There’s your problem right there, clearly a culture where people do not feel able to report fatigue.
It really highlights why FTLs are not fit for purpose and offer no protection against the effects of fatigue and tiredness. How can a safety critical industry just ignore scientific and medical studies? Oh yeah, because if you are tired, or fatigued you just say so. Well that doesn’t work in all airlines (or any airlines IMO) does it? See above!
Pilot Training
I still find it unbelievable that professional airline pilots do not need to do stall training in a jet or upset training (in an aircraft) or be subjected to G force. We could all be faced with a situation like this. At the end of a long duty, on a dark, crappy night either our control inputs or some upset expose us to confusing and previously unknown psychological effects such as G force and within seconds we are completely disoriented. Already tried and under high stress and now we subjected forces and feelings we’ve never experienced, and guess what we probably won’t do such a great job.
This was an experienced crew who had been making decent decisions and within a few seconds, the PIC lost all spacial awareness and flew a perfectly good aircraft into the ground. But oh yeah, training like that would be pretty expensive so let’s just tick the box in the simulator and pray.
It’s a bit like training soldiers at laser quest and then sending them to war. “Don’t worry guys, there’s a little bit more noise and the odd explosion but your training will kick in, good luck!”.
And no, fully autonomous aircraft are not the answer. Properly trained crews, with sensible rosters and the best tech is.
Fox one, well said on both counts.
I work at a mob where the approach to fatigue is pretty cavalier, to say the least. Only in the past 2 years has the regulator required FRMS etc. I was involved for a short while is liasing with management about scheduling issues. Despite attempts to promote fatigue reporting, very few reports were submitted, with reasons varying from, "I was too tired" to "I am scared I will be victimised" being given. Many verbal complaints were made, but these are useless. Pilots are their own worst enemies when it comes to this and airlines KNOW it and use it.
I reckon the airlines will very quickly change their strategies when they receive a massive number of legitimate fatigue reports, AND they know copies are being collected by interested parties.
Is it possible that fatigue would have received a far greater emphasis in this report IF there had been a huge number of reports submitted. I am very sure the answer is "YES"