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Centaurus
25th Jul 2011, 04:49
Just read The Age at my favourite shopping mall. Small paragraph noted with sub heading Thai flight too low.

" A Thai Airways plane flew too low as it landed at Melbourne Airport last night. Air Services spokesman Matt Wardell confirmed that the aircraft was too low as it approached the runway. Air services Webtrack system recorded the Bangkok to Melbourne flight at about 1020 ft over Sunshine North at 8.19pm yesterday. About two minutes later the flight was recorded at about 4121 ft.

Mr Wardell said ATC staff realised the plane was too low and instructed the pilot to fly around the airport and reattempt the landing. The plane landed safely at about 8.36pm. Mr Wardell said Air services Australia would report the flight to ATSB"

Interesting to see the outcome of that investigation. Automation complacency again?

Capn Bloggs
25th Jul 2011, 06:21
Automation complacency again?
I don't like the term "complacency" in this context. I don't believe crew after crew in these situations are complacent; they are reliant, which is against their training, but only natural as humans get subconsciously seduced by the wizardry.

Before a lot of people are killed in these situations, either pilots need to be removed from cockpits completely so human error can never occur, or there should be a concentrated effort to improve monitoring skills. The only way that will occur is by making pilots do this stuff manually, regularly. Only then will they be in a critical, monitoring mode when it really counts, close to the ground, because they will know how to do it themselves, and so will know what the automatics are doing when the aircraft is (trying to) doing it.

compressor stall
25th Jul 2011, 06:32
They did something similar off the 16 ndb a while back

burty
25th Jul 2011, 06:39
Before a lot of people are killed in these situations, either pilots need to be removed from cockpits completely so human error can never occur, or there should be a concentrated effort to improve monitoring skills. The only way that will occur is by making pilots do this stuff manually, regularly. Only then will they be in a critical, monitoring mode when it really counts, close to the ground, because they will know how to do it themselves, and so will know what the automatics are doing when the aircraft is (trying to) doing it.
25th Jul 2011 16:49
Capt Bloggs

... and all removing pilots from the cockpit will do is move the direct source of "human error" from crews to system designers. That said, I agree with your sentiments.

teresa green
25th Jul 2011, 08:21
They nearly arrived at Essendon once, I was right behind thinking where the :mad: is he going, yes you go down the Essendon localiser, but you don't stay there!

1a sound asleep
25th Jul 2011, 08:50
They nearly arrived at Essendon once, I was right behind thinking where the is he going, yes you go down the Essendon localiser, but you don't stay there!

I remember that. I think it was in the 70's.

But yes we are the real pilots who actually read and understand an approach plate?? Always said these damn computers would make average pilots into bad pilots....

mgahan
25th Jul 2011, 10:46
In these days of automated systems and system to system (and data card to system) data transfer, have we (or the regulator) missed an important step in ensuring the integrity of aeronautical data from source to end use. In the "old days" humans helped put stoppers in the cheese hole - some of those humans are now out of the loop.

Just a thought - but one I have often voiced frequently.

MJG

TSRABECOMING
25th Jul 2011, 10:48
let's wait for the report from ATSB

Ejector
25th Jul 2011, 11:31
Any ATSB notes yet?

maggot738
25th Jul 2011, 15:00
Incidents like this nearly always come down to one thing. A loss of ( or lack) of situational awareness. Know the MORA, know the MSA's, know where you are, know where you should be and understand the data presented on the approach charts. In a word 'Airmanship'. Now I am not pointing the bone as I know we are all only human and we all make mistakes but a good and thorough approach briefing that includes carefully cross checking the information presented in the FMC goes a long way towards eliminating this type of error.

Lecture over.

Maggot

EW73
25th Jul 2011, 22:23
So...what he said then!

rodchucker
25th Jul 2011, 23:46
Go back to my question, in recent times we have had allegations by CASA of 2 Tiger, 1 DJ and now this one.

What is going on out there because it is starting to have a smell of industry systemic failures or a change in regulatory scrutiny.

ejectx3
25th Jul 2011, 23:49
Agreed Maggot. It's not that hard to get it right!:hmm:

Centaurus
26th Jul 2011, 00:08
let's wait for the report from ATSB

That could be anything from three months to a year judging by past history.

Ejector
26th Jul 2011, 01:38
What is the elev of Sunshine North that was quoted ?

What was the Thai plane meant to be at over Sunshine North?

It is starting to make JetStar look good !!!

framer
26th Jul 2011, 01:43
It's not that hard to get it right!

Provided you have the right people, with the right training and experience doing the job, and those people aren't burdened by the collective stresses of fatigue, modern rostering preactices, pay not comensurate with responsibility, degraded ATC services and engineering support, reduced autonomous authority, overloaded/overworked ground support personel, and ever increasingly complicated SOPs and legislation.
Even with all of those things most of us can cope well, but every pilot group has a few stars, a large proportion of competent pilots, and a few who drag their heels. If you end up with two crew together who are from the last group.....it's too much for them and the results will are starting to show themselves.

rodchucker
26th Jul 2011, 01:48
Framer,

Thank you I was feeling ignored which on some occasions is entirely justified, but not on this one.

My point was is there any linkage of issues noted by the Senate into a seemingly increased frequency or is the regulator now looking at it more often.

Perfectly reasonable questions I would have thought.

Eastmoore
26th Jul 2011, 07:35
Basically Airline management and Regulators have alowed the holes in the swiss cheese to line with greater ease than ever before. Profits before saftey.

maggot738
26th Jul 2011, 20:07
OFDM with high capture rates and a regular system of feedback to the pilot population, coupled with a system of educating crews in guarding against undesirable trends also helps. As does an effective training organisation and an efficient set of SOP's.

Maggot

yiiim2
26th Jul 2011, 23:27
AvHerald have a plot for the aircraft Incident: Thai B773 at Melbourne on Jul 24th 2011, descended below minimum safe altitude (http://avherald.com/h?article=4403e7bf&opt=0) and ATSB now have the incident on their website Investigation: AO-2011-086 - Operational non-compliance - Boeing 777, HS-TKD, 11Km south Melbourne Airport, 24 July 2011 (http://www.atsb.gov.au/publications/investigation_reports/2011/aair/ao-2011-086.aspx#tab_1_content).

Centaurus
27th Jul 2011, 06:54
Seems the Thai 777 crew really stuffed up the ML 34 VOR approach with a vengeance.



Incident: Thai B773 at Melbourne on Jul 24th 2011, descended below minimum safe altitude (http://avherald.com/h?article=4403e7bf&opt=0)

Homesick-Angel
27th Jul 2011, 11:10
(editorial note: about 7DME from Melbourne VOR ML with a minimum safe altitude of 1950 feet)



not good..not good at all :uhoh:

joblogs
27th Jul 2011, 22:43
You all mention that the facts AFTER the investigation will be interesting yet the investigation for tiger is still on going but the aircraft are on the ground. Bit like pulled over by the cops suspected of drink driving,no breath test carried out but go to jail until we investigate. interesting?????
Tiger 1600 agl THai 1000 ft agl still not as low as :mad: 38ft with the wheels up..Interesting

my 2 cents for the day.

Lookleft
27th Jul 2011, 23:25
I wonder if they set the minima and then selected LVL CHG in a similar manner to the 16 NDB incident a couple of years ago? Maybe this airline doesn't give enough attention to NPA in their training.

As for the stupid comment regarding the 38' with the wheels up have another look at the report on the incident. The wheels were down. Noticed that there hasn't been more incidents involving go-arounds? Thats because the pilots were all given further training on the manouvre. The issue with Tiger appears to be the whole training setup, thats why CASA have taken a different approach to Tiger.

neville_nobody
28th Jul 2011, 00:53
Here's their other incident into MEL where they couldn't figure out how to fly the NDB and William Boeing saved the day


Investigation: AO-2007-055 - Procedures related event - Melbourne Airport, VIC, 4 November 2007, HS-TJW, Boeing Company 777-2D7 (http://www.atsb.gov.au/publications/investigation_reports/2007/aair/ao-2007-055.aspx)

mrdeux
28th Jul 2011, 01:03
I was doing the RNAV from Arbey to 34 the other day. We were cleared by ATC to descend to 3000 feet, whilst still on a part of the approach with a minimum height of 4500T.....

David75
28th Jul 2011, 01:11
After what 5/6 incidents can the ATSB step in and stand down CASA? Seems to be a industry wide systematic problem - which says regulator - or Airservices Instrument Approach design needs a rework.

DirectAnywhere
28th Jul 2011, 02:37
Mr Deux, I've been cleared as low as 2000' in a sector Lsalt of 4500.

Radar terrain separation - I can't be bothered finding the reference but it's in the aip regarding descent below Lsalt and while under radar with terrain seperation service is one of the conditions under which you may descend below Lsalt, on a star or whenever.

Having a VOR approach to a 3600 metre runway at Australia's second largest airport is pretty third world by the way. The visual approach from the other direction to 34 via EN 26 LLZ also needs a serious look at.

Fortunately, most overseas carriers never see it as they don't come in from that direction otherwise there would be a serious number of screwups.

Capn Bloggs
28th Jul 2011, 02:55
their other incident into MEL where they couldn't figure out how to fly the NDB and William Boeing saved the day

Boeing saved the day? How? "The Boeing" would quite happily have flown into the ground had it not been for the EGPWS, which as far as I am aware was not designed by Boeing.

framer
28th Jul 2011, 07:25
We were cleared by ATC to descend to 3000 feet, whilst still on a part of the approach with a minimum height of 4500T..... ..........................and???????

I just don't get that. Who cares what atc clear you to when you're appraching the ground? If you're not following the correct 3 degree profile for that approach then sort it out. One problem is that in the parts of asia I've lived and flown in the local airlines still "dive and drive'. ie they get down to the lowest safe as quick as they can then run around level until the next step. It seems crazy I know but I've seen it a hundred times (within the last few years) when following other carriers in on an approach. So the lessons we learnt re CFIT 15-20yrs ago still haven't been learnt in some parts of the world.
I've flown with very experienced airline captains from certain countries who literally can't calculate a 3x profile in their head.
Whats the answer?
Train them.