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View Full Version : ‘Suicidal Pilots are becoming main cause of fatalities’


slast
14th Dec 2022, 11:40
London Times yesterday analysis item triggered by new MH370 story.
The takeover of Flight MH370 by a pilot who crashed the Boeing in a remote site in the Indian ocean emerged as the most plausible explanation of the disaster after the airliner’s track was identified and debris was found in 2015 (Charles Bremner writes).

Pilots who deliberately crash their airliners, taking all aboard to their doom, have become a leading cause of fatal crashes as safety advances have greatly reduced accidents to a near negligible level, at least in the developed world. As recently as March this year, a pilot on a China Eastern Boeing 737 is thought to have taken over the aircraft and dived it into the ground near the city of Wuzhou, killing all 132 aboard.

The investigation is still open, but people involved in the downloading of the airliner’s black box flight recorders in the United States said in May that only human action such as murder-suicide by a pilot could explain the near vertical trajectory of the aircraft.

If the China Eastern crash is confirmed as intentional, it will raise suicide-murder by a pilot to the biggest cause of loss of life in commercial airline accidents in recent decades. In June, a Bloomberg study of crashes involving Western-built commercial airliners found that pilot murder-suicide was the second most common cause of deaths in airline crashes from 2011 to 2020. Apart from the China Eastern crash, at least five other airline pilots have deliberately killed themselves along with 543 people in the past 25 years.

Airlines have screened their flight crews for psychological difficulties for decades but medical secrecy and pilots’ reluctance to reveal troubles make it difficult to supervise their state beyond initial training. This was demonstrated by the crash of the Germanwings Airbus into the French Alps, killing 150, in 2015. Andreas Lubitz, the co-pilot, had been treated for suicidal tendencies but concealed his depression from his employers. He locked the captain out of the flight deck and put the airliner into a dive until it hit the French mountains on a flight from Barcelona to Dusseldorf. Airlines in Europe tightened their monitoring of crews’ mental state after the disaster as a result.

Most of the homicidal airline pilots have been under stress over legal, work, financial or relationship crises or suffering mental problems and all appeared to have planned their crimes, the accident record shows. The suspected rogue pilot of Malaysia Flight 370 would have gone to great lengths to divert the Boeing 777 while switching off its radar and radio transmissions then flying it for six hours across the Indian ocean, presumably with the passengers all dead from hypoxia (insufficient oxygen).

Airlines and their governments when national prestige is involved, are sometimes reluctant to accept crash investigators’ conclusions of murder-suicide by pilots.

American investigators concluded that the captain of a SilkAir Boeing 737 had deliberately crashed the aircraft into a river after plummeting from 35,000 feet in 1997. Indonesian authorities rejected the findings and their investigation concluded that there had been no identifiable cause for the disaster that killed 104 people..

EDLB
14th Dec 2022, 12:23
So the pilot became the most dangerous guy on board...

Busdriver01
14th Dec 2022, 12:30
"Well trained pilots are main cause of prevention of X times the number of fatal crashes that occur" would be a better headline. Dear oh dear.

slast
14th Dec 2022, 14:14
I did just post it without comment!

Busdriver01
14th Dec 2022, 15:32
I did just post it without comment!

Not aimed at you - just despair that the media are hell bent on attacking us at all possible opportunities!

DaveReidUK
14th Dec 2022, 15:54
London Times yesterday analysis item triggered by new MH370 story.In June, a Bloomberg study of crashes involving Western-built commercial airliners found that pilot murder-suicide was the second most common cause of deaths in airline crashes from 2011 to 2020.

Bloomberg seems unable to make up its mind:

Bloomberg: Intentional Crashes by Pilots Remain a Rare Form of Air Disaster (May 2022) (https://www.bloomberg.com/news/articles/2022-05-18/airline-pilot-suicides-have-killed-over-500-people-in-25-years?leadSource=uverify%20wall)
​​​​​​​

FUMR
14th Dec 2022, 17:18
Pilot suicide is only a relatively recent addition to accident statistics. There were many accidents in earlier days (prior to FDRs etc.) which remained unsolved. They were attributed to unknown factors and in those days suicide probably never entered the equation. It is not unreasonable to consider that a minority of those may indeed have been the result of suicide. We just don't know. Therefore, I'm not overly convinced that it is a more recent trend.

Smooth Airperator
14th Dec 2022, 22:04
I have stopped paying attention to anything written in Newspapers. Suggest you all do the same too. Nothing journalistic about The Times anymore. Just opinions.

ferry pilot
15th Dec 2022, 01:49
This is the most uncomfortable topic this forum has ever debated or discussed. A problem

without a solution as long as pilots continue to fly airplanes.

WideScreen
15th Dec 2022, 04:51
This is the most uncomfortable topic this forum has ever debated or discussed. A problem

without a solution as long as pilots continue to fly airplanes.
The real problem is more the denial among the "professionals". For that to become reality, it seems, public attention may help to work on this issue.

Less Hair
15th Dec 2022, 05:21
Not denying the "issue" but at this time it feels like part of the next campaign to promote single pilot cockpits.

lederhosen
15th Dec 2022, 05:51
You could argue the complete opposite that this has anything to do with single man cockpits. Two pilots reduces the risk. At least that is what the authorities argued after the Germanwings disaster. As a now retired captain but with a solid background in work design I think this is much more about working conditions and job satisfaction. The pilot job has been continuously simplified and tasks automated. The focus from the manufacturers has been on safety and efficiency with a big upside for the paying public. The downside is that the job is much less interesting and ultimately requires less skill. If you pay people less and work them harder in uncomfortable shift work with boring repetitive routines where they don't feel they are adding much value, then some of them are going to struggle with their mental health.

WideScreen
15th Dec 2022, 06:30
You could argue the complete opposite that this has anything to do with single man cockpits. Two pilots reduces the risk. At least that is what the authorities argued after the Germanwings disaster. As a now retired captain but with a solid background in work design I think this is much more about working conditions and job satisfaction. The pilot job has been continuously simplified and tasks automated. The focus from the manufacturers has been on safety and efficiency with a big upside for the paying public. The downside is that the job is much less interesting and ultimately requires less skill. If you pay people less and work them harder in uncomfortable shift work with boring repetitive routines where they don't feel they are adding much value, then some of them are going to struggle with their mental health.
I think, you make some fundamental mistakes. The amount of money one earns has little to do with its mental health. A declining amount of earning/respect can, though, somewhat trigger a revenge action, though that's only a trigger, not a fundamental cause. The problem is, each and every pilot individual will be in denial of mental issues for himself and in general for the profession (though, it's changing under the public exposure of the factual situation).

Even the GW situation, IIRC there was little going on, that he would lose his medical, his job, earning or position. It was just the existing mental illness turning into general revenge, he no longer could deal with it himself.

The changing job: Well, that counts for a lot of jobs. The world does change and the jobs have to follow. The issue is, how people deal with/accept the changes (in life).

Regarding skills: I highly doubt, the need for top-level skills will go down, to take-over when automation fails. It just will be more difficult to gain those capabilities, when to much automation is being brought in.

Regarding single man's cockpit (except for really small airplanes): Hmmmm. What a nonsense ......

What is important for the airline industry, is a level playfield for all airlines. Whether that be a 2-man or 1-man cockpit does not make a difference. Just let it be a level playfield, and it will not disturb the balance among airlines be it a 2-man or 1-man cockpit crew.

Whatever some "captains" of the airline industry (especially the LCC's), are promoting in the press, there is, at least in Europe, a strong political pressure to decrease the amount of airplane movements. So, a decline in number of flights is imminent and unavoidable for now. So, even the LCC's will need to shrink the number of flights. And, where the supply does decrease and demand does increase, the pricing will go up. So also for LCC's the 1-man cockpit will become less relevant to bring "lower" ticket pricings into the market, let more people fly, to increase their turnover. That mechanism is (at least in Europe) over and will move to increase turnover based on increased pricing. The A380-NG would still have its chance, bigger airplanes with a lower amount of airplane movements, can still bring an increase in passengers. ......

lederhosen
15th Dec 2022, 07:16
Thank you for your lengthy if a little incoherent input WideScreen. I am unsure which fundamental mistakes you are referring to. Less Hair was suggesting that this was somehow part of a campaign to promote the single man cockpit. I happen to disagree for the reason I gave; namely that we were required by the authorities to always have two people in the cockpit after one of the more high profile and undisputed suicides.

I am interested by your argument that the job is not being deskilled. I am unclear what your qualification is to make this assertion. I spent the latter part of my working life flying glass cockpit Boeing and Airbus aircraft. The latest generation avionics even with failures are much easier to fly with than the steam gauge generation that preceded them. Raw data manual flying with multiple failures on a modern airbus is pretty straightforward compared to a normal day at the office on an early 707.

If you have spent much time in the cockpit then you will know how mind numbingly boring long flights can be. In the early jet glory days the Pan Am pilot's job was jokingly described as 8 hours of boredom with a couple of minutes of terror at either end. These days it is unusual to have any excitement at least as far as flying the aircraft is concerned. I think more attention needs to be given to improving the working environment. Where I do agree with you is that this is not just about money.

ATC Watcher
15th Dec 2022, 07:36
I tend to agree with lederhosen here. Back to suicidal pilots , in the well known GW event the reasons why the pilot was not prevented to fly are well docucumented and were debated ad nauseam in the years that followed. Basically he knwew how to play the system to remain undetected, Can it happen again , sadly yes , maybe not in all counytries, but in many other , yes. Reasons why piots would go though that extreme are too numerous to extract a definite pattern in order to make an effective general counter measure.
In addition mental health discussions are still taboo in most parts of the world and especialy in our industry.

As to think bringing the subject in tthe media now to push or counter single pilots operations , I sincelery doubt it , if it is indeed a coordianted PR lobby it would be more for autonomous aircraft.

richpea
15th Dec 2022, 09:24
I am only at the very beginning of my airline career, but what strikes me is the disparity between the process I have to go through to get a security ID and the process I have to go through to prove my psychological fitness. I wonder if this is because there is a lack of knowledge around what psychological fitness is within airlines? It strikes me that if you were to tell the HR department you were in counseling, that might well be your job gone right there... perhaps airlines having a more nuanced understanding of what should raise red flags and what is a normal/acceptable level of looking after your mental health might be a good thing? That might then encourage pilots to be a bit more open in self reporting before they get to the point of no return?

slast
15th Dec 2022, 11:49
Busdriver & co, I'd be interested if anyone can provide examples of events preferably since 2000 which did NOT make big headlines like Sully, Qantas, etc. but where the crew had to "improvised" a solution to a completely unforeseen event that would otherwise have been catastrophic. For example the BA B744 at Nairobi where an out-of adjustment thrust reverser caused leading edge slat retraction on lift off, putting the aircraft into an immediate stalling condition.

Bergerie1
15th Dec 2022, 12:14
slast,

Yes indeed. The problem with nearly all the statistics that we have is that there are very few, if any, which show when the pilots did save the day. There are so many undocumented 'near misses' which we never ever hear anything about because a major problem was nipped in the bud by prompt action or by good decision making somewhere along the line.

There are many causes of aircraft accidents, nearly always caused by a combination of factors (Professor James Reason's Swiss cheese concept) with pilot error or suicide being only one of them. In airline operations, the percentage due to pilot error is documented as around 15%, in smaller commuter operations it is around 65% and in general aviation it is around 75% (these figures probably need to be checked). These tend to be the ones we continually see trotted out by journalists and others. But one has to be very careful when using these figures, as there are very few accidents caused solely by pilots making mistakes or committing suicide. Most accidents have many contributory factors and occur when the pilots were already dealing with other problems/failures/weather factors, etc.

But we hardly ever hear of the times when the pilots prevented an accident by making good decisions and taking suitable action well before any event escalated into something more serious.

palprthi
15th Dec 2022, 13:04
We don't know the exact picture and maybe we will never know. MH370 and MH17 crashed around the same time under suspicious conditions. It can not be a coincidence that this has happened at the same time or maybe it can be. Maybe we are all being part of the narrative.

T28B
15th Dec 2022, 14:19
We don't know the exact picture and maybe we will never know. MH370 and MH17 crashed around the same time under suspicious conditions. It can not be a coincidence that this has happened at the same time or maybe it can be. Maybe we are all being part of the narrative. notasmodnoradmin
If you can explain how being shot down by a missile (17 July 2014 over Southeastern Europe) is the 'same suspicious condition' as being lost and never found (8 March 2014 somewhere over the Indian Ocean)
I am sure that your colleagues will receive this post more favorably.
I honestly don't see the connection.

slast
15th Dec 2022, 14:21
This is how I show it on picma.info....
What the public and non-technical aviation industry sees:
https://cimg9.ibsrv.net/gimg/pprune.org-vbulletin/612x340/iceberg_1_ba50a66be89dd40d750aa4317a4ecd465d8319c5.png

What only those inside the industry know:
https://cimg0.ibsrv.net/gimg/pprune.org-vbulletin/613x751/iceberg_2_662c86f3c0fda759bf2e301d4f414cd24ef2d308.png
So the "flight operations community" still needs to remove the red section, which is primarily approach and landing events including many runway excursions, if we are not going to see pressure mounting to go down the "getting rid of pilots will prevent human error accidents" route.

Bergerie1
15th Dec 2022, 14:51
slast, A very eloquent diagram - and absolutely true. Any suggestions as to how to get this into the mainstream debate?

slast
15th Dec 2022, 15:39
Bergerie1 - thank you. As you know picma.info is about trying to reduce what Earl Weener at Boeing called "crew-caused accidents". It dates from 2014-16 and I'm currently revising it to include events since then such as Air India at Kodhikode, the 744 at Bishkek, Pegasus at Istanbul, Air Maroc at El Hoeima, FlyDubai at Rostov, PIA at Karachi, and several others which avoided being catastrophic by pure good luck, as was the case with Air Canada at Halifax.
But I also want to make it more inviting both to pilots to and to non-pilot "interested parties" in the aviation world, and include some of the more responsible journalists and commentators. I've had a degree of interest in that so we'lll see what happens when I get the revised version up hopefuly early next year. Any other suggestions welcome!

alf5071h
15th Dec 2022, 16:07
Steve, I wish your project well, particularly if 'interested' parties can be encouraged to engage.

Unfortunately, I fear that the underlying problem is with the regulatory authorities. They seek to retain control in the face of increasing uncertainty in complex operations, the need of a Safety-II viewpoint, and inappropriate use the term human error.

"Such organizations have complex, well-developed immune systems, aimed at preserving the status quo."

Re suicidal pilot; this also requires a change of viewpoint. Was German wings an individual human issue or one of a locked flight deck door.

For the future, might the main cause of fatalities originate from regulatory safety management. Their numerical risk based approach being less applicable (effective) in a very safe industry, thus the outcome of ill-considered intervention - 'must do something' as a controlling authority, could be the greater risk than the safety events themselves.

212man
15th Dec 2022, 16:09
notasmodnoradmin
If you can explain how being shot down by a missile (17 July 2014 over Southeastern Europe) is the 'same suspicious condition' as being lost and never found (8 March 2014 somewhere over the Indian Ocean)
I am sure that your colleagues will receive this post more favorably.
I honestly don't see the connection.
That was a polite response! My initial reaction involved a word rhyming with 'Bob'!

tdracer
15th Dec 2022, 18:18
If we can back down the outrage for a minute - the issue that needs to be addressed is what can we do (that isn't already commonplace) to prevent accidents from pilot suicide.
Commercial aviation has never been safer - that means we're doing a lot right - both in the aircraft and the pilots. The fatal accident rate is very low. Pilot suicide is nothing new - there are documented accidents for at least the last 40 years where suicide is the probable cause. As we address the other accident causes through better design and pilot training, pilot suicide has moved up the rankings as likely accident cause. I don't see evidence that the rate is increasing, but I don't think it's decreasing either - and that's the problem.
The Swiss Cheese model simply doesn't apply to a suicidal pilot - once a pilot decides that suicide is the most desirable course of action (taking a planeload of people along with), it's too late (two people in the flight deck at all times is a placebo - if the pilot flying decides to nose the aircraft into the ground during landing or takeoff - another person up there isn't going to stop it).
We need to develop better ways to identify and address mental health issues among pilots, before they get to the suicide stage.

Lonewolf_50
15th Dec 2022, 19:55
If we can back down the outrage for a minute - the issue that needs to be addressed is what can we do (that isn't already commonplace) to prevent accidents from pilot suicide. Improve our mind reading capabilities.
The Swiss Cheese model simply doesn't apply to a suicidal pilot - once a pilot decides that suicide is the most desirable course of action (taking a planeload of people along with), it's too late (two people in the flight deck at all times is a placebo - if the pilot flying decides to nose the aircraft into the ground during landing or takeoff - another person up there isn't going to stop it). We need to develop better ways to identify and address mental health issues among pilots, before they get to the suicide stage. That costs time and money, and will give the bean counters fits, even moreso than training. :p

fineline
16th Dec 2022, 00:25
Genuine question to the pros. If an airline pilot felt the need for counselling - due perhaps relationship situation, bereavment, or whatever other form of life stress - would seeking it be considered a sign of a responsible person focussed on their ongoing good health? Would they be confident that it would be viewed in this light in proceeding to declare it on their next medical certificate renewal process? Or might there be a consideration that it wouldn't be a "good look", and that the good old "stiff upper lip" is the right approach? Do airlines offer counselling as part of their employment benefits? If so, is taking it up considered good form?

ferry pilot
16th Dec 2022, 02:15
Suicide is neither foreseeable nor preventable. It is a fact of life. Any solution will have to be technical, and that means producing airplanes that cannot be deliberately flown into the ground.
How soon depends on the amount of press this subject generates. But it will happen.

DaveReidUK
16th Dec 2022, 06:40
Any solution will have to be technical, and that means producing airplanes that cannot be deliberately flown into the ground.
How soon depends on the amount of press this subject generates. But it will happen.

I'm not so sure.

"I'm sorry, Dave, I'm afraid I can't do that" - that didn't end well for Lion Air and Ethiopian.

blind pew
16th Dec 2022, 07:21
One of the issues that need to be addressed re mentally fit to fly is the bullying tactics of management ignoring a pilots physical as well as mental health.
Not only the trident crash but I witnessed one of the managers of the time trying to force a new command take an aircraft out of home with a technical deficiency that was not allowed. We were then put onto airport standby just for spite as there wasn’t a serviceable aircraft at Heathrow.
It was similar during the IRA bombing campaign when we were volunteered to fly Belfast and BALPA had to step in as our life insurance wasn’t valid flying into a war zone. The truth about the number of bombs placed on BEA aircraft was and is still withheld.
It wasn’t the only airline that I witnessed threats to keep an unwell pilot flying especially with fatigue considerations due to paring the crew numbers below a safe number.
I remember two suicides and a couple of physical arguments including one on the flight deck.

beardy
16th Dec 2022, 07:49
I think that an element of the problem for all suicides is the disjoint between expectations of what life will bring and the reality from which the escape is only seen as death. People attracted to flying are probably 'thrill seekers' who actively seek out challenging situations and relish the excitement of resolving them, physically. The problem they face in the profession is that neither passengers nor management relish that and want flying to be not exciting, boring. The skilful pilot will use his knowledge and experience to make it boring, sometimes that is not enough and that disjoint arises, when it does there are various release mechanisms, dangerous and challenging sports, drink and in extremis mental illness.

slast
16th Dec 2022, 09:21
I''m not sure about the current status in other countries but I seem to recall that many years ago (early 70s?) there was an issue with some F/Os becoming concerned that there was a Captain who seemed to be drinking to excess, including while on duty. They did not want this to be pursued through compamy channels for obvious reasons and the upshot was that BALPA set up a "Pilots Advisory Group" to provide help. However exactly how problems were resolved I don't know. I think it was copied by some other large associations but tomwaht extent these still exist I don't know, and I imagine it relied on having decent relations with the airlines which is probably more difficult these days.

Re beardy's "skilful pilot" comment, I recall being told that "the superior pilot uses his superior judgement to avoid ever having to use his superior skills!"

the_stranger
16th Dec 2022, 11:12
I''m not sure about the current status in other countries but I seem to recall that many years ago (early 70s?) there was an issue with some F/Os becoming concerned that there was a Captain who seemed to be drinking to excess, including while on duty. They did not want this to be pursued through compamy channels for obvious reasons and the upshot was that BALPA set up a "Pilots Advisory Group" to provide help. However exactly how problems were resolved I don't know. I think it was copied by some other large associations but tomwaht extent these still exist I don't know, and I imagine it relied on having decent relations with the airlines which is probably more difficult these days.
Where I work, there is a program in which anybody working in the company can make a report when he/she thinks somebody has an alcohol problem.

Those reports are looked at by a expert and when there are multiple reports on one individual (they never react on 1 or 2 reports), that individual is invited to participate in an evaluation by medical and psychological staff.
You can refuse, but then the report goes to the company. Of you do take part, the companult will not hear anything. When it is determined the individual has a alcohol problem, treatment is proposed, again voluntary, but again if not taken, company is informed.
When you do enter the treatment, you are reported sick but the reason is not mentioned and can't be inquired by the company. It will not be on any record and others just know you are sick (thats also by law, companies can't ask what is wrong with you).

And that system works quite good, there are some false positives, but a few and there are people who are really helped.
They are starting a similar program for people who have mental issues, so they can be helped without fear of losing the job or being judged.

slast
16th Dec 2022, 11:39
Where I work......
Where is that?

BraceBrace
16th Dec 2022, 11:54
Suicide is neither foreseeable nor preventable

I think we pilots should stop to think we know everything there is to know on the subject. Wouldn't that be smarter?

Suicide is a public health problem, not an aviation problem. When it comes to putting a human on the flightdeck, there is a possibility you take the problem to the flightdeck, and then it's an aviation problem. So the first step would be to avoid this from happening.

There are programs out there that try to deal with the issue (ie peer support program).

Otherwise there's a lot we can shut down in the world... how about a nuclear plant with a person with mental health working in there?

The question is not "does it exist and is it a cause?"
The question is "how do we prevent it?"

And let me finish with one tiny correction to the quote above: suicide IS preventable.

blind pew
16th Dec 2022, 15:31
During my extremely long upgrade I had a fellow countryman alcoholic rotate before V1 as he thought it was a clever predicament to put me in. He had failed his command course 6 months before. Above 10,000ft I read the riot act with a few choice Anglo Saxon words..over the top with hindsight for the non British trainer…
‘Said copilot was sacked but he turned up at the fleet chiefs home on a Sunday and confessed; was immediately reinstated, sent to an extremely expensive clinic at the companies expense and given a job in engineering (very clever guy). After 2 years he was offered an Airbus course but foolishly he demanded another command course and was given a full pension.
I thought it was a very considerate course of action by the company; my first lot sacked a captain caught shoplifting; another mental health condition imho.

ATC Watcher
16th Dec 2022, 15:32
I think we pilots should stop to think we know everything there is to know on the subject. Wouldn't that be smarter?

Suicide is a public health problem, not an aviation problem. When it comes to putting a human on the flightdeck, there is a possibility you take the problem to the flightdeck, and then it's an aviation problem. So the first step would be to avoid this from happening.

There are programs out there that try to deal with the issue (ie peer support program).

Otherwise there's a lot we can shut down in the world... how about a nuclear plant with a person with mental health working in there?

The question is not "does it exist and is it a cause?"
The question is "how do we prevent it?"

And let me finish with one tiny correction to the quote above: suicide IS preventable.
Excellent remarks .
But is suicide really preventable ? partially yes but not all the time , Yes solutions exist , peers programs is one , making it part of CISM is another , but the core idea is make it possible to talk to someone who is not going to pull up your licence or pass judgement..
Detection is another one but teven then if the person refuses to engage or follow the peers advice , you're stuck. , or taking the well publicized Germawings case , the persons who knew did not speak up by fear to make it worse ( i.e. losing the licence) or were prevented by law ( German strict system where mental illnesses is stiil tabu from the post Nazi times)
As to what you can do, even as a peer, to prevent someone with apparent mental issues to go to work, it is extremely difficult. Having in your company a CISM program in place and working well ( the 2 are not necessarily always there at the same time ) is in my opinion the best . CISM is now well developped and relatively accepted worldwide , and not only in aviation ( although we developped it globally after the United DC10 accident in Sioux City in 1989 ) is one solution . It works extremely well after an accident /serious incident and it CAN work to prevent suicide,or at lest suicidal thoughts. But it will not cover all cases . . As you correctly said suicide is not an aviation problem it is a public health one and some cases will get undected .

blind pew
16th Dec 2022, 16:30
I tried to help a guy who was seriously depressed with visits to his factory and phone calls..I went to his flying club on a Sunday to have breakfast with him..he didn’t turn up as he had gone to his factory and put a bullet in his head..whilst It affected me for many years his partner said he had obviously planned it for a long time, getting hold of a gun and ammunition, his partner’s in the business had heaped a lot of work on him as had his lodge which he felt he couldn’t get out of without letting everyone down.

ferry pilot
16th Dec 2022, 19:54
I will say it one more time. Suicide is a hard, cold, irrefutable fact of life. It can happen anywhere, any time and under any circumstances. Human beings kill themselves.
The risk to passengers of suicide by pilot will remain until the pilot no longer has the means to kill himself and others while in control of the airplane. If there was any other way
out of this we would have done it by now.

Data Guy
16th Dec 2022, 21:20
Ref to Post 21. "1,000s of non-news accidents". The industry-known "Heinrich Pyramid" (Google me) said this; - “in a workplace, for every accident that causes a major injury, there are 29 accidents that cause minor injuries, and 300 accidents that cause no injuries.” "Egypt Air Flight 667" (Google me) is an example. FAA ADs 2012-13-05 and 2014-09-06 followed along with nine others for each Boeing model

FLCH
17th Dec 2022, 02:15
I will say it one more time. Suicide is a hard, cold, irrefutable fact of life. It can happen anywhere, any time and under any circumstances. Human beings kill themselves.
The risk to passengers of suicide by pilot will remain until the pilot no longer has the means to kill himself and others while in control of the airplane. If there was any other way
out of this we would have done it by now.

There are different ways of ending ones life....in 35 years of being in the major airlines and working in human factors for the union for 16 years, all have either overdosed, "drowned while scuba diving" or blown their heads off sparing any innocent lives. Where's there a will there's a way. Possibly in this day and age people like Andreas Lubitz were looking for an audience as he remarked to his girlfriend as to how his name would be famous.
Either way a very sad state of affairs.

NineEighteen
17th Dec 2022, 03:16
Surely a suicidal pilot who knowingly kills their colleague(s) and/or passenger(s) is now homicidal? This is an entirely different situation, is it not?

DaveReidUK
17th Dec 2022, 06:39
Surely a suicidal pilot who knowingly kills their colleague(s) and/or passenger(s) is now homicidal? This is an entirely different situation, is it not?

Hence the multiple references earlier in the thread to "murder-suicide".

Magplug
17th Dec 2022, 16:48
My airline's manager has a big spreadsheet with all the business costs recorded. Towards the top of all the costs sit the pilots so unsurprisingly they sit permanently under the microscope. The more he reduces the airline's costs the bigger his bonus will be. With another one of his big smiles he says (yet again) that pilot costs are too high and need to be brought down, he also needs productivity improvements. He may throw the odd statement away to emphasise that mental well-being is important for his employees but in reality his priorities are simple. (If he can't save the company some money this year there seems little point in employing this manager because he is ineffective.... think about the repercussions of that!) How does that potentially affect my mental health?

A few years ago airlines went to a lot of trouble selecting trainees for cadet pilot schemes. Strangely the successful candidates were quite sharp, well balanced and rarely had problems in training or passing check rides. Then the manager discovered that pilots were so keen to get into that seat that they were willing to pay for their own training and self-selection was born. Fantastic says the manager....... The financial risk of course failure falls to the individual and the airline still gets to pick and choose who they want. Sadly the pool of candidates was not quite as plentiful or quite as sharp as before but..... Hey! We are short of candidates, they have a licence so they must be safe right? And the we started reducing seat time..... Progress?

Bergerie1
17th Dec 2022, 17:32
Magplug,

In that case, your manager has totally the wrong idea of how to manage anybody, let alone pilots. Yes - of course one needs to keep track of costs, airline flying is about transporting people and freight, safely and at minimum cost. But, a flight manager needs to look after his people every much as he need to look after the bottom line. If he doesn't, he is in deriliction of his duty. And I speak as an ex-flight manager.

SJR71
17th Dec 2022, 21:31
This could've brought down MH370 . 777 burned at the gate in Cairo
wikipedia.org/wiki/EgyptAir_Flight_667

Magplug
17th Dec 2022, 22:10
Bergerie1 With the utmost respect..... It looks like it was a fair while ago since you were a Flight Manager and sadly the airline business has changed..... and unfortunately not for the better.

There was a time where I would take you, as my manager, at your word. Sadly those days are long-since behind us and today it is all about saying the right things, pretending to have my interests at heart.... and then doing precisely the opposite.

dflyer
18th Dec 2022, 01:08
In response to the London times statement that the MI 185 that crashed into the Musi river in Sumatra, In May 2003 new evidence from the flight data recorder showed that an unusual full rudder deflection had occured causing the plane to swerve sharply and snap into a roll. In July 2004, a court in Los Angeles ruled that the crash was caused by a defective servo valve in the plane’s rudder and Parker Hannifin was entirely responsible for the crash, ordering it to pay US$43.6 million .

ferry pilot
18th Dec 2022, 01:47
Surely a suicidal pilot who knowingly kills their colleague(s) and/or passenger(s) is now homicidal? This is an entirely different situation, is it not?

Suicide is very often impulsive. Those so inclined can be sorely tempted by bridges, handguns and similar things that can guarantee sudden death in a single stroke. Unfortunately airplane controls are among those things.

tdracer
18th Dec 2022, 02:12
Surely a suicidal pilot who knowingly kills their colleague(s) and/or passenger(s) is now homicidal? This is an entirely different situation, is it not?
Not necessarily. It's rather well documented that suicidal people often have no regard or even comprehension of how their actions with affect others. Hence, the driver who suddenly decides to commit suicide by driving into oncoming traffic never thinks about that'll happen to the people in the other car. It's not that they don't care, it's that they don't even think about it.

fab777
18th Dec 2022, 11:18
« If the China Eastern crash is confirmed as intentional »

and

»The takeover of Flight MH370 by a pilot who crashed the Boeing in a remote site in the Indian ocean emerged as the most plausible explanation »

This article is only based on speculation.

DaveReidUK
18th Dec 2022, 13:08
Not necessarily. It's rather well documented that suicidal people often have no regard or even comprehension of how their actions with affect others.

Homicide is simply the killing of one (or more) person(s) by another. Motivation or state of mind doesn't come into it, although of course that will be relevant when determining what, if any, criminal act has been committed.

blind pew
18th Dec 2022, 15:42
I can write reams of the lack of integrity wrt mental health of both unions and especially management from the early 70s until the mid 90s but I will do my best to précis an incident which led to the loss of career and suicide of a captain that i had contact with « on the long finger »
My first employer had not only a history of bullying but also an annual hull loss. It was necessary to be a union member and have one present whenever one was ordered to the office. Such was the uncaring nature after I had survived two weeks having been given a week to live ( I now know was exposure to neurotoxins) I was threatened with the sack and told we will stop paying you at the end of the month anyway.
After the merging of four state companies during which my group were sold down the river by both management and the union we were allowed cross bidding. In those days a long haul pilot needed far more skills than short haul; whereas long haul had a relatively large % of command failures we had virtually none in short haul with a commensurate number of idiots who should have been out to graze.
The board then put pressure on the long haul training establishment to pass all and sundry which left with a marginal candidate flying LHS on a Classic. (According to his training file).
With a sick crew from food poisoning he departed for home base (not unknown and part of normal operation).
The weather turned bad and he asked for dispensation to make an approach from management which was granted.
Unknown to him (and me for 30 years) there was an occasional fault with the analogue autopilot which meant the localiser approach was offset to one side which happened and foolishly he decided to carry out a manual and non SOP missed approach which nearly hit a hotel. (His copilot was sick and not authorised for the low viz approach technically).

A few weeks later I was at a party of a mate who had been sacked and just reinstated after upsetting a security guard and management (only reinstated as the union was calling on a full strike) when the captain phoned up basically asking for advice- I was in the room;
Said guy wouldn’t talk to management about the incident which got up their noses -but they hadn’t experienced the institutional bullying in our previous employers..(I understand both sides).

It was obvious from the press reports of the incident that it was a serious incident and a Walter Mitty character who was one of my first instructors decided that he would institute a prosecution.

My party mate had flown said aircraft the week following the incident and had had a similar ILS approach offset which was reported. According to him the tech log records were lost;
the union was as good as a chocolate tea pot;
the jury found him guilty, which without doubt, were technically incompetent to judge him.
Apparently the union wouldn’t back an appeal and within a year he had driven up to Scotland and connected a hose pipe to the exhaust of his car.

In the late 80s early 90s I or colleagues involved in three instances of refusing to fly with other carriers.
A subsidiary LCC which was being used to undermine our terms and conditions; in front of me the then new captain was asked to leave the room and when he and the chief pilot returned it wasn’t mentioned again. The subsidy had two hull loses not long afterwards.
Same company but a year or two before was using a local company to relocate crew across the Congo; another chief went to Africa and whilst in the RHS of the single pilot operation took control and the rotation ceased.
A mate who had saved a second Tenerife and been made a trainer refused to dead head on a new carrier; he lost his training appointments and nearly lost his job. The carrier concerned had two total losses.

CVividasku
18th Dec 2022, 20:24
Suicide is neither foreseeable nor preventable. It is a fact of life. Any solution will have to be technical, and that means producing airplanes that cannot be deliberately flown into the ground.
How soon depends on the amount of press this subject generates. But it will happen.
Impossible.
That means you would lose your ability to operate the aircraft controls.
If you shut down both engines over the atlantic, you're in for a dive : can the manufacturer prevent the pilot from shutting down the engines? They wouldn't be able to manage an engine fire..

ATC Watcher
18th Dec 2022, 20:37
Impossible.
That means you would lose your ability to operate the aircraft controls.
If you shut down both engines over the atlantic, you're in for a dive : can the manufacturer prevent the pilot from shutting down the engines? They wouldn't be able to manage an engine fire..
Do not underestimate engineers .Impossible is not in their vocabulary.
To take your example why would anybody shut down all its engines at the same time in cruise ? Fire? yes but the alarm could be coupled to a swithch enabling that , , etc,, EGWPS could be coupled to the auto pilot , like in the new Airbii with the TCAS RAs, etc.. etc..
Not desirable yes, but impossible ?

megan
19th Dec 2022, 00:37
blind pew, the saddest tale you can imagine, the story as told by Stephan Wilkinson in "Pilot" magazine.

On November 21, 1989, a British Airways 747 came within quite literally a stone’s throw of the ground at London Heathrow Airport in thick fog before reversing its descent on an unsuccessful instrument approach. The huge aeroplane was far enough to the right of the runway centreline that when Capt. William Glen Stewart discontinued the approach, he was actually outside the airport fence, paralleling a highway crowded with morning commuter traffic and only five feet higher than a nearby airport hotel the roof of which is exactly seventy feet above the ground. As the 747 thundered past the Penta Hotel, half in the mist and half out, car alarms all over the parking lot began to chirp and wail, their sensors set off by the four enormous turbofans spooling up.Stewart, 53, the 15,000 hour British Airways captain in command of 747 G-AWNO ‘November Oscar’, as the aeroplane has been referred to ever since – routinely landed out of the second approach through the same fog. Phones at British Airways’ head quarters were ringing even before he had parked at the gate, and that would be Stewart’s last landing., for he never flew again. He lost his job, and more.

That much is known.

Beyond that bare outline, however, lie two diverging accounts of not only what caused the incident but where the blame for the botched approach lay and how that blame should be apportioned. It is a landmark case in aviation history, for William Glen Stewart was njot simply censured or cashiered – the normal airline response even to accidents that injure and kill, neither of which the November Oscar incident did. Instead he was judged to be a criminal.

In the past, criminal proceedings have been brought against pilots who flew while drunk, showed off by flying under bridges or committed other acts of intentional stupidity.. We don’t yet know all that went on in the former Soviet Union, and there are tales of a captain on an African airline being summarily executed for damaging his 727 while attempting to land it in the grass alongside a runway - under company orders to spare wear on the tires. In 1990, two Korean Air Line DC-10 pilots were jailed by the Libyans after killing 72 passengers when they landed short at Tripoli.

But in the Western world, only one other crew had suffered any such indignity. In 1979, a Swissair DC-8 crew was jailed in Greece after landing long and skidding off the end of a wet runway at Athens. Fourteen passengers were killed, and many pilots fault not the crew but the airport management. Athens is a relatively primitive international airport, and its runways were slick with tire touchdown rubber deposits too infrequently scraped away by maintenance crews.

One November Oscar scenario is that Glen Stewart was fighting a recalcitrant, archaic, flawed autopilot with the minimal help of a crew that was not only inexperienced but sick, while doing his best to get the airline’s passengers to their destination as economically as possible. That he gave it his best shot and if anything should be commended for uncomplainingly playing the cards he was dealt.

The other account, however, holds that Stewart flew an inept instrument approach that legally he should never have attempted. That he came within an ace of creating an enormous holocaust involving not only his 255 passengers but motorists and Penta Hotel occupants. That any sensible pilot would have ‘thrown away’ the approach at an altitude of at least 1,000 feet above the ground, to try again or perhaps even divert to nearby Manchester, where the weather was better. That he made inexcusable errors of judgement, bungled the missed approach itself and revealed frightening gaps in airmanship.

On May 8, 1991, a jury at Her Majesty’s Crown Court in Isleworth hesitantly agreed. In a split verdict, ten to two – they found William Glen Stewart criminally guilty of negligently endangering his aircraft and passengers. He was sentenced to a fine of £2,000 or 45 days in jail. It was the first time in the history of British aviation that an airline pilot was found to be a criminal – was, in fact, even charged with being a criminal, as a result of the routine pursuit of his duties to what he believed to be the best of his abilities.

When I first heard of Glen Stewart and his sad fate, it seemed another bitter example of the indignities that airline pilots occasionally suffer at the hands of journalists, lawyers and nonpilots who understand nothing of the techniques and demands of the profession. Stewart had already been convicted in the press, in breathless accounts of how he’d mistaken a nearby highway for the runway and had actually been trying “to crash land” upon it, of how he’d “misread his instruments,” of how he’d “been flying too fast,” as though he were some kind of aerial speeder, of how he’d come so close to the hotel that he’d set off fire sprinklers. The press particularly liked the sprinklers.

My sympathies, however, were aligned with those of a friend, a former flight instructor of mine, today a USAir 767 captain, to whom I described the affair. “What was the guy found guilty of?” Tom asked in amazement.

“Endangering his passengers,” I said.

“I do that every day I fly,” he laughed, “That’s aviation.”

As I delved deeper into the November Oscar incident, I’d learn that things weren’t so simple.

How did this happen? Why did it happen? Though British Airways, the CAA, the British Airline Pilots Association and Glen Stewart’s copilot that day have either refused or ignored our repeated requests for interviews, we’ve talked to a number of both British and American widebody pilots familiar with the November Oscar incident, as well as safety experts and other participants in the affair. Perhaps this brief account of a complex affair that consumed thousands of pages of investigation and testimony will allow you to decide where the ultimate blame lies.

Stewart’s problems began at a Chinese restaurant on Mauritius, in the Indian Ocean. There, he and his entire flight and cabin crew, plus Flight Engineer Brian Laversha’s wife, Carol, dined during a lay over before flying on to Bahrain, bound from Brisbane for London. Bahrain – Heathrow would be the long last leg of the trip.

By the time the crew reached Bahrain several days later, many were doubled over by gastroenteritis. Stewart was unaffected, but his copilot, 29 year old Timothy Luffingham, and Flight Engineer Laversha were poleaxed by the bug. Carol Laversha suffered worst of all, and a Mauritian doctor had prescribed both a pallative and a painkiller for her, telling Brian that he too should take them in the same dosages if his own symptoms worsened.

The doctor was not on the standard list of British Airways approved flight surgeons, but the approved doctor was too far away to minister to the crew. He suggested the substitute physician, knowing that the new man had been vetted by British Airways and was soon to be added to the approved list. The examining doctor seemed unconcerned by the possibility of crewmembers dosing themselves or the fact the pilots were scheduled to fly in two days. British Airways would later accuse the crew of not following approved medical procedures.

“I could get pretty angry at a lot of the characters in this affair, after my years at Eastern Airlines,” says a pilot who today flies cargo widebodies for the New York Air National Guard. “Nobody ever consciously sits down and says, ‘Lets make it impossible for the crew to get to the right doctor, so that we later can claim company deniability when they go to the wrong one,’ but that’s what in effect happens.

“This was apparently a doctor who didn’t even understand the effects of self medication in a pressurized aircraft on the performance of a complex task, and right there is a microcosm of everything that pressured the crew to get the job done. That doctor’s vested interest is in sending flight crews out to fly. Certainly if he ever expects to work for BA again he isn’t going to ground crews right and left. The company wants you to fly.”

For Stewart, it turned out to be a difficult flight. Unanticipated headwinds cut into November Oscar’s fuel reserve. Copilot Luffingham was floored again by his stomach bug and had to leave the cockpit for several hours after taking some of Carol Laversha’s painkilling pills. The crew considered landing at Tehran but deemed it politically too chancy.

Stewart flew for over five hours, much of it in the dark, with only a fifteen minute respite. The crew also became dehydrated, and Laversha would later testify to the airline’s incident review board that he felt it happened because he had chastised a flight attendant for entering the cockpit without permission, and she retaliated by ignoring them.

Over Frankfurt, the crew got word that the weather at Heathrow had turned to excrement: it would probably have to be a category III landing, meaning the fog was so low that an enormously precise autopilot controlled approach and landing would have to be performed in near zero-zero conditions.

First Officer Tim Luffingham was not legal to participate in a cat III or even a cat II instrument approach, though Stewart and Laversha were. Like most pilots, Stewart had never made an actual cat III approach to minimums in his entire airline career, although he was a highly experienced instrument pilot: approximately half his airline flight hours were done as a British European Airways short haul pilot, amid what is generally agreed to be the some of the worst winter flying weather in the world.

But Luffingham, new with BA hadn’t even undergone the mandatory simulator training. His limitations were still category I – normal ILS approaches to ceilings that were no less than 200 feet, in visibility of half a mile or better, which is typically the worst a pilot will ever see. Few international airports, in fact, even have the electronics to permit cat II or III approaches.

With 255 dozing passengers dreaming they’d soon be breakfasting in London, there had to be a way around such an embarrassing hitch. There was. Stewart radioed British Airways’ Frankfurt office and asked them to telephone Heathrow and get a dispensation – an oral rule waiving to permit Luffingham to help out on this one approach in order to get November Oscar home. British Airways routinely gave such dispensations, though nothing in CAA regulations permits it, and they did it again this time.

Nobody on the ground bothered to ask Stewart how his crew was feeling and whether they were up to the job. Nor did Stewart volunteer the information that the very pilot for whom he was requesting a dispensation might at the moment be puking in the toilet.

Luffingham would also testify that nobody asked him if he wanted a dispensation – he was back in the first class cabin trying to control his diarrhea – but admitted that even if Stewart had consulted him, Luffingham would have been hard pressed to refuse. He later wrote, “I accepted, with BA’s intersts at heart, the dispensation to operate to category III autoland conditions. I personally would not mind if we had diverted. [But] what would BA have said to the captain if he had diverted without asking for a dispensation? What would they have said to me if I had not accepted it?”

In fact here is the core of the professional pilot’s constant conflict. Into one ear, the company lectures, “Never break regulations. Never take a chance. Never ignore written procedures. Never compromise safety.” Yet into the other it whispers, “Don’t cost us time. Don’t waste our money. Get your passengers to their destination rather than finding reasons why you can’t.”

Approaching London, November Oscar was told to hold at Lambourne, 24 miles northeast of Heathrow. Luffingham, by this time back in the right seat, was annoyed that Stewart insisted on hand flying the enormous Boeing round and round the racetrack pattern. Luffingham felt the autopilot could have done a smoother job, but Stewart had never trusted the old 747’s Sperry SPZ-1 dual autopilot system: he preferred to do it himself when maneuvering.

The 747 was designed way back in the 1960s, remember, and November Oscar was a 747-136, one of the earliest series made: even British Airways refers to its older 747s as ‘the Classic Fleet.’ And the autopilot was an adaption of an even earlier design, in the words of British air safety expert David Beaty, “never designed for that aircraft. It was bolted on, and had to be nursed carefully.”

Laversha, for his part, didn’t like the looks of the fuel totalizers. “While we were in the hold I told him, ‘Come on, Glen, we’ve got two minutes of [holding] fuel left, let’s buzz off to Manchester,” Laversha recalls. “But he was a very determined man.” Stewart did request the weather for both Manchester and London-Gatwick. The crew discussed the options, for Manchester’s weather was above category I limits. Stewart was on the verge of changing their destination to Manchester when Heathrow called and cleared November Oscar for an approach. The weather had improved slightly, to category II limits, but there was one further complication, the runway was now 27 Right rather than 09 Left, for the wind had changed.

“That was a very strange morning,” another captain would tell me later. “I landed not long ahead of Glen Stewart on the opposite runway, before they switched. We ran through a thick bank of fog on short final and in fact landed below limits. The runway actually disappeared in the flare. My feeling is that it might have been this very bank of fog that moved a couple of miles east and caused poor Glen’s problem.”

That captain’s admission that he did something every pilot is drilled never to do – break the ceiling and visibility limits on an instrument approach – is not irrelevant, for it illustrates that airline pilots frequently make judgement calls that are superficially illegal but ultimately the best course. Do you “hold what you’ve got” and land when you’re already committed but run into rogue fog, or do you attempt one of aviation’s more difficult maneuvers – a blind go around from a few dozen feet above the runway? Most professional pilots would vote for the former.

The approach itself was a hurried affair, complicated by a host of factors. Any one or two might have been inconsequential, but taken as a full ration of sudden additions to the crew’s workload, they turned a routine approach into a flying worm can.

The last minute runway switch required a reshuffling of charts, procedures and mental pictures.

A ten knot tailwind at altitude meant November Oscar would be steaming down the localizer at a better clip than ordinarily.

The approach controller turned Stewart onto the localizer ten miles from the runway rather than the customary twelve or more, making the approach even more hurried. He also did it at an altitude that required the autopilot to simultaneously intercept the glideslope for vertical guidance to the runway and the localizer (for side to side centering), quite possibly overloading its microcircuits.

Halfway down the localizer the control tower radioed to November Oscar that a group of high intensity approach lights apparently were inoperative, occasioning Laversha to take a hasty look through a checklist to see how that affected their planned procedures.

The tower controller witheld clearance for November Oscar to land until the very last moment – in fact it was actually delivered later than regulations permitted for there was an Air France jet still rolling down the runway, groping for its turnoff and almost certainly deflecting the localizer beam.

What truly tightened the noose, however, was that November Oscar’s autopilots were living up to Glen Stewart’s foulest suspicions. Were they in fact locked onto the localizer? Yes….no…..come on….maybe…..damn! “What’s this bloody autopilot doing now?” Laversha and Luffingham recalled Stewart saying at one point during the descent. “I don’t believe it, just look at it.”

In order to make a legal category II approach, November Oscar’s autopilots had to function perfectly, capturing both the glideslope and the localizer. Properly programmed and prepared, the dual autopilots would sense the approaching radio beams, calculate wind drift, speed, interception angle and other variables, electronically check that they agreed with each other. Then, after perhaps one slight feint, they’d nail the ILS and track it to the ground.

What they were doing on November 21, 1989, however, was ‘hemstitching’ – trundling back and forth through the localizer beam like a clumsy bloodhound not quite able to catch the scent. Laversha was worried about Stewart, tired, irritable after all that time in the saddle, trying to handle the monitoring of autopilot status lights and nav instruments largely solo. Copilot Luffingham had become little more than an observer. "I was not qualified to make this approach and could not make any suggestions as to what was wrong," he would later testify. Luffingham had decided the best course was to stay out of the way.

Stewart was illegal, and had been ever since he’d passed the ‘thousand foot gate,’ the point in his approach where he’d descended through an altitude 1,000 feet above the ground. Though there are tricky rationalizations that can be argued endlessly, both airline procedures and CAA regulations seem to specify that a category II or III approach must be discontinued at that point unless all the required equipment, most notably the autopilots, is functioning perfectly and tracking the ILS.

Many highly competent professional pilots have said of November Oscar, “I’d have thrown away the approach, gone to my alternate or tried again. No question about it.”

But other professionals interviewed – some of them BA pilots – say, “Look, he was concerned about fuel. He had a first officer who was no help. He knew a diversion to Manchester would cost the airline a minimum of £20,000. He realized he’d be sitting in the chief pilot’s office trying to explain how he got himself into a position that required a missed approach in the first place. He figured the autopilots would settle down. And I’ll bet he was convinced he’d break out at cat I limits and could take over and hand fly it the rest of the way. I can understand why he carried on.”

It might have worked – and if it had, nobody would ever have heatd of November Oscar,and Glen Stewart would still be a British Airways captain. But at 125 feet above the ground on the radio altimeter, the runway wasn’t in sight, and Stewart made the mistake that turned a routine go around into newspaper headlines.

Always conscious of his passengers’ welfare and comfort he was the sole BA captain who’d bothered to learn enough Japanese to make cabin announcements in that language when he was on the Tokyo route. Stewart had already told the crew that if a go around was needed, it would be done gently rather than in the kind of full power flurry that has everybody back aft white knuckling their armrests.

And it was a leisurely go. Far too leisurely, and November Oscar sank another fifty feet. Stewart and Laversha also caught a glimpse of the approach lights out the left window, and it’s not hard to imagine that Stewart briefly considered sliding over and saving the approach. Said one US jumbo jet instructor pilot familiar with the November Oscar incident, “This is a pilot who was critically low on fuel, which probably was one reason why he waited a second before going around. At decision height on a category II approach, you look to see the slightest glow of approach lights, you wait one potato, see if anything comes into sight.

“At some point, you also become complacent on a familiar approach, you’re so used to it. A thousand time before, he’d watched that same autopilot do strange things on the same approach to the same airport, and he’d break out at 200 or 500 feet and make a play for the runway. And on the crew bus everybody says, ‘Bot, that autopilot screwed up again today.’”

Stewart’s second approach, though the landing elicited applause in the cabin, was not a happy affair. Luffingham noticed that his captain’s hands were shaking as November Oscar climbed out and then was radar vectored back for another try. Stewart was also “cursing under his breath,” as Laversha later put it. The copilot even gently suggested that he fly the second approach, but Stewart waved him away. Stewart then announced that this would be “a no limits attempt at 27R,” shorthand for, “Tires on concrete this time no matter how low we have to go.” It is a procedure not authorized in any manual or rulebook, but it is one that many a rational pilot will employ when fuel is critical.

On the way back to the crew room after shutdown, Stewart’s mind was probably racing, wondering what the consequences of his missed approach would be. When he found in his company letter box a note requesting that the crew see the chief pilot, he told Brian Laversha to collect his wife and go home, that Stewart would say they’d already left. (Carol Laversha had ridden through the entire incident in the cockpit of November Oscar, having been invited by Stewart to sit in the jump seat.)

megan
19th Dec 2022, 00:38
Stewart also balked, refused to speak with a BA Air Safety investigator and drove the 25 miles straight home to his small, 500 year old restored medieval house in the travel poster cliché Berkshire village of Wokingham. His wife, Samantha, a thinly, attractive, red haired, ex British Airways flight attendant, remembers that, “It was the same sort of morning as after any long trip. He was tired, but w3e talked about Mauritius, because we’d both been there together on vacation. An hour later, he said, ‘I’m off to bed, but you might get a call from BA, because there was a go around.’ It wasn’t anything I thought important.”

It was. “He got a call around eight that evening saying the crew had been suspended,” Samantha Stewart says.

Three days later, Glen Stewart wrote letters to both Brian Laversha and Tim Luffingham unstintingly praising their airmanship under difficult conditions and accepting full responsibility “as both captain and handling pilot” for the November Oscar incident. British Airways investigated the affair, and after a tortuous fourteen drafts that Stewart and his crew continued to claim were riddled with errors, finally issued a report castigating Stewart and chiding Luffingham and Laverska as well. Stewart was demoted to first officer, to fly out the rest of his career in the right seat, and his air transport pilot’s license was concurrently altered to copilot status by the CAA.

That was too much for a proud, stubborn Scotsman who began flying RAF aircraft at the age of 21, who had devoted virtually all of his adult life to British Airways, and who was being disciplined for – as he saw it, doing the best he could to get his passengers to their destination without unnecessary expense and awkwardness. On April 2, 1990, Glen Stewart resigned from BA, spent the next three days learning how to use a word processor, and set out to appeal the CAA’s license downgrading.

Others saw it differently, of course. Stewart was not a star aviator. Recently, he had been receiving grades of “average” on his every six month simulator check rides, and instructors had noted that he did not perform well under pressure. During his final flight he made a number of minor errors that were caught by Luffingham and Laverska – mis set switches, faulty cross checks, some awkward flying. He was slow moving and methodical in a trade where some decisions must be made expeditiously. Indeed, the prosecution at Isleworth would claim that he had been too slow moving and methodical in flying the necessary go around that November day.

There is a common assumption that the biggest airliners get the best pilots. It is not necessarily true, for there are no merit promotions in the cockpit. Pilots move up based on seniority – the length of time they’ve been with the company. The flight engineer on a weary 727 flying between Cleveland and Cincinnati might be an ex Blue Angel with golden hands, while the captain of the same line’s shiniest 747-400 Big Top en route to Bangkok might be an average Joe who started out in Cessnas and has managed to make it through thirty years without busting a regulation or bending the metal. That Stewart was flying one of British Airways’ bigger and more complex aircraft was a reflection of the airline axiom, “A captain is nothing but a copilot who’s been with the company longer.”

Yet why the Stewart case ever came to trial remains the subject of speculation. There is considerable feeling that British Airways was not sorry to see it happen – that the prickly Stewart was a loose cannon who could have made things awkward for an airline that is famously concerned about its public image. Some feel that Stewart could have revealed some debateable company procedures, such as the unfortunate all weather dispensation policy. For Stewart to be branded a criminal would effectively negate whatever his accusations might be.

Stewart himself felt he was hauled into court “because British Airways and its supervisor the CAA condoned, wished, hoped, prayed, pressurized me to keep quiet, but preferably dematerialize,” and that when he didn’t, they had no option but to publicly punish him.

Others suspect that empire building within the CAA legal branch should be considered – that this looked like a juicy case for an aspiring prosecutor to take public and demonstrate that even the flag carrier’s jumbo jet captains daren’t take on the Aviation Authority’s cops and lawyers casually.

“Glen was the first line pilot they could go after,” Samantha Stewart opines. “A management pilot landed a Concorde on fumes, and they never did a thing to him.”

Management pilots are those with company executive rank. Director of Flight Training, Concorde Chief Pilot and the like and indeed in 1987 one of them demonstrated airmanship that many argue was far more faulty than Glen Stewart’s. Despite the pleas of his flight engineer to divert, he pressed on and landed at Heathrow with so little fuel that the supersonic transport had its forward tanks topped off before the passengers could be disembarked, to stop it tipping backwards. Only when press accounts of the incident surfaced did British Airways quietly retire that captain, his license and pension – unlike Stewart’s, untouched.

Said one Hong Kong based L-1011 captain, British albeit not a BA pilot, “My personal opinion is that the fleet manager who authorized November Oscar’s approach with an unqualified crew should have been the one in court.” Six weeks after the incident, British Airways anounced that it was no longer granting all weather dispensations.

A senior British Airways captain quoted by a London newspaper at the time said, “The aircraft was certificated for three crew who are supposed to cross check each other’s movements. The other flight crew members are back flying again [In fact, Brian Laversha had also resigned from BA.] So why is it Captain Stewart is in the dock? Even if, at worst, it was a flying cock up, how can that be construed as criminal? There but for the grace of God go a lot of pilots. Are we to be prosecuted for every little slip up?”

But was it just “a little slip up?” My sympathies for Stewart were being surely tried, for the approach he’d flown was one that I was tempted to say I’d have discarded and reflown long before things got out of hand. Many professionals privately agreed that they’d have thrown it away as well, though Samantha Stewart characterized them as “a few clever Dicks who think they’re too smart for it ever to happen to them.”

Still, it was well known among Classic Fleet crews that the early 747’s Sperry autopilot required lots of gentling before it would lock onto an ILS. “If your strictly within speed and intercept parameters, it will capture the localizer. If not, it will never capture. It’ll bracket and get worse and worse,” says another BA Classic captain.

In retrospect, Stewart might have demanded of the controller a longer final approach, to allow the autopilot time to settle down. But at eight in the morning, with night flights from all over the world converging on Heathrow, the rules need to be flexible. Stewart was in fact placed five miles behind the traffic he was following rather than the legal minimum of six, and he was asked to fly a hasty approach beyond the autopilot’s capabilities. The controller who put November Oscar in this position, however, was not in the dock.

“They showed Glen the courtroom in advance, so he’d know what to expect,” Samantha Stewart recalls, “but he was horrified. He was a terribly moral gentleman and here was a dock where rapists stood. They at least during the trial let him sit with the BAI.PA people who had organized Stewart’s defence, but during the sentencing, he had to sit in the dock with a policeman. It was awful for him.”

The trial took eleven days of extremely complex, technical testimony, before a lay jury of nonpilots the average age of which was 26. And before a judge who, well into the trial, admitted that he still didn’t know where a 747 flight engineer sat. Some jurors napped, not surprisingly, for the testimony detailing the sequence of checklists, button pushing, instrument indications and warning lights that marked November Oscar’s progress down the Heathrow 27R ILS was a complex yet dry recitation. Stewart himself used homemade pocket notes of indicator light colours and switch sequencing during the approach to ensure that he’d got it right.

“It’s a very, very complicated procedure,” another British Airways 747 captain admits. “Flying that aircraft on automatic demands a workload that can actually be too much, especially if you don’t have a good copilot.”

Stewart, in defence of his actions during the company’s own inquiry, had doggedly raised issue after issue, some of which danced around the question of exactly what had gone wrong and why. Accused, for example, of failing to file immediately upon landing the necessary MOR – ‘mandatory occurrence report.’ Stewart argued that because he had at least initiated the go-around from decision height and had landed successfully out of the second approach, it didn’t constitute an ‘occurrence.’ Few agreed.

He argued that nowhere was it officially written that a proper go around required a pitch up in the airplane’s attitude of three degrees per second, which the airline claimed was the proper technique. (Stewart had applied back yoke that rotated November Oscar at a rate of less than one degree per second). Well, maybe not, but it is the way to get the job done.

At one point, Stewart created a transcription of every oral call-out, checklist response and radio transmission required by company and CAA regulations during the approach and demonstrated that simply reading the script aloud, nonstop, took seven minutes. The entire approach itself had consumed only four, thus demonstrating that the letter of the law required the impossible. It was an interesting point, but nobody cared.

Much was made by Stewart and his supporters of the fact that November Oscar was dispatched on its next leg, to Nairobi, before recalcitrant autopilot could be examined for possible faults. And that four crucial pages from the airplane’s maintenance log, which might have detailed repairs to that autopilot, are to this day missing. “There was a coverup,” Flight Engineer Laversha insists. “That was made obvious by the fact that they sent the airplane right out again, and nobody was given an opportunity to examine it.” But if the autopilot indeed was malfunctioning, isn’t it the crew’s job to detect that and compensate for it?”

Much of the trial revolved around arcane legal points and Stewart himself was never even called to testify on his own behalf. His BALPA lawyers apparently believed that he would only continue to raise issues not relevant to the manner in which the charges were worded. He at best would seem to be mitigating his actions, at worst could incriminate himself further.

When the verdicts were announced, Stewart’s many supporters in the courtroom cheered , for the first of the two found him not guilty of endangering people on the ground. “Even the ushers were on our side,” Sam Stewart recalls. The second verdict, however, branded him guilty of criminal negligence in endangering his passengers.

How he could be guilty of one and not the other baffled even a member of the prosecution team, who after the trail commented that the judgement was ‘bizarre.” It is said that when the jury told the judge they’d come to a decision on the first charge but hadn’t yet agreed on the second, he suggested with some impatience that they get their act together and wind the thing up, thus prodding the jury to perhaps made an overly hasty assessment.

Still, Judge George Bathurst-Norman did seem to hold a degree of sympathy for Stewart. He turned down the CAA’s demand that Stewart pay £45,000 in court costs and assessed only £1,500, and his refusal to levy a mandatory jail sentence reflected to observers the sense that Bathurst-Norman felt the case should never have come to trial.

Stewart appealed the decision. Lawyer Arthur Mitchell, an aviation specialist, raised a variety of subtle legal points, most notably the defence that the CAA had no legal right to itself bring a prosecution. “In fact, the CAA itself was fault,” Mitchell later said, “for permitting a situation to exist in which the BA Flight Operations Manual contained a provision that Glen would be expected to use, by which it could authorize Glen to make the approach without a qualified copilot. The approach was actually illegal at the fault of British Airways, yet they were not charged.

“Had that provision not existed, Glen would have diverted to Frankfurt with cozy fuel reserves, to await better weather at London. It would not have been a long wait and would have given an opportunity to refuel, resulting in less stress on the eventual approach to London.”

Stewart’s appeal was summarily rejected.

“The great problem is that aircraft accident and incident investigation has always concentrated on finding out what happened rather than why it happened,"”says David Beaty, a former BOAC pilot and today one of the world's leading authorities on human factors in aviation. “Glen got himself into an impossible position on that approach and took fifteen seconds too long to do something about it. That would be enough for the typical investigating body. In England, an investigation is actually an allocation of blame, and the cause of the mistake disappears in the process. The idea of taking something like this into a court of law is absolutely wrong. You will never get near the truth that way.

“A mistake was made,” Beaty admits, “but it was a collective mistake. Loads of other people made mistakes too, and that has not sufficiently been brought out.”

In the end, I rejoined the Stewart camp, embarrassed to admit to myself that I, too, would never have understood the pressures under which a modern day airline captain operates unless friends and acquaintances who do it every day made it obvious to me. That I too might in fact have continued with the approach, convinced that it would be more expedient to sort it out while descending than to get myself into a box that might cost me a reprimand. A lot of lip service is paid to the myth of command residing in the cockpit, to the fantasy of the captain of the ship as ultimate decision maker. Too often today, however, the commander must first consult with the accountant. (The sound you hear is the outrage of airline executives the world over insisting that nothing is ever allowed to compromise safety. True, in a perfect world.)

“As a small boy, Glen lived near RAF Leuchars at the end of the War, and he used to watch the Coastal Command B-24 Liberators take off and land. That inspired him to become a pilot,” David Beaty muses. “I was flying Liberators out of Leuchars at the end of the War, and it makes me sad to think that perhaps one of those airplanes he watched was mine.”

On December 1, 1992, three years and nine days after B747-136 G-AWNO set off car alarms in the Petra Hotel parking lot, William Glen Stewart left his small house in Wokingham without a word to his wife. He drove some nine hours to a beach ten miles from his birth place in Scotland, near RAF Leuchars.

Stewart attached a hose to the exhaust pipe, led it into the car through a nearly closed window and in moments had asphyxiated himself. He did not leave a letter or any explanation for his action.

artee
19th Dec 2022, 01:59
...Stewart attached a hose to the exhaust pipe, led it into the car through a nearly closed window and in moments had asphyxiated himself. He did not leave a letter or any explanation for his action.

Fascinating. Thanks.

blind pew
19th Dec 2022, 09:38
Thanks Meagan, I knew of all of that but there was also dissension amongst management about whether the authorisation should have been issued.
What wasn’t ever realised is how BEA pilots had been conditioned not to trust management. I took redress of grievance against my fleet manger and won it. It was never actioned although I had my leave and my flying instructors course maliciously cancelled. Later a captain warned me he had been asked to falsify a voyage report to sack me.
A fact that can be verified happened to a very close friend of mine who had gone crew fatigue after a very trying winter rotation when the captain after a long discussion decided to throw the towel in and nightstop in Scandinavia during winter. He alleged that he was asked to make a false report; not long afterwards the flight manager at a management/ union meeting came out publicly with a slanderous tirade which ended after a civil case in which the captain was awarded damages BUT said manager kept his job.
As you have written ..we all make mistakes and some decisions we would not have made in hindsight; I’ve certainly endangered aircraft but got away with it; I’ve also argued with captains and reluctantly acquiesced when I should have walked off the flight deck.
Glen did what he thought was best for the company but was in a position he made the wrong decision; he was then hung out to dry.
The prosecution was wrong; as was said to me on a mountain in Achill by two fellow paraglider pilots who knew nothing of me; the authority is staffed by would be failed airline pilots (expletives deleted). I crashed on my first solo as said gentleman had not taught me what to do if I bounced.
We can mention the double standards which include the landing on trim fuel, the LAX engine failure and the subsequent 11 hour flight which took the aircraft out of its certification criteria and led to a mayday; and aerotoxic syndrome.
It would be nice if there was a group including a company psychologist and psychiatrist as SR had which could offer support I had but pigs might fly (some do apparently).

Zombywoof
19th Dec 2022, 19:28
Heartbreaking story. My thoughts:

Judge George Bathurst-Norman did seem to hold a degree of sympathy for Stewart.......his refusal to levy a mandatory jail sentence reflected to observers the sense that Bathurst-Norman felt the case should never have come to trial.

Being unfamiliar with British jurisprudence, I'm wondering how a judge can refuse to impose a mandatory (my emphasis) sentence.

In my country there's been much debate over mandatory sentences. I do not know if a judge has ever succesfully refused to impose one in Canada.

meleagertoo
19th Dec 2022, 20:02
Heartbreaking story. My thoughts:
I do not know if a judge has ever succesfully refused to impose one in Canada.
It seems to me that just ain't wise...

Zombywoof
19th Dec 2022, 20:15
When is mandatory not mandatory?

DaveReidUK
19th Dec 2022, 21:35
Being unfamiliar with British jurisprudence, I'm wondering how a judge can refuse to impose a mandatory (my emphasis) sentence.

In my country there's been much debate over mandatory sentences. I do not know if a judge has ever successfully refused to impose one in Canada.

Stewart was found guilty of an offence under Article 55 of the ANO. He was sentenced to a £2,000 fine in respect of that verdict.

Consol
19th Dec 2022, 23:30
The above article on Glen Stewart is one of the best aviation articles that I have ever read. It should be mandatory study for every command candidate and read widely by all pilots.

ferry pilot
20th Dec 2022, 02:56
If pilot suicide is the primary cause of airplane crashes now, it will remain so in the future, but not for long. There will be a solution. If I was still employed as a pilot today, I would be giving that some very serious thought.

There are a lot of intelligent and knowledgeable people on this thread. If the discussion has not come around to potential solutions by now, that may be a good indication of just how tough this problem is. It may be the defining one of the future of commercial aviation.

First_Principal
20th Dec 2022, 04:52
Zombywoof , I understand that CAA v Stewart is unpublished so it's not possible to examine the reasons for the decision, however DaveReidUK appears to have offered an explanation.

I note the article stated that an appeal was made, but that it was dismissed. I wasn't able to find said appeal, so either my research skills are lacking, or if any appeal was made it may have been to the CAA and not via the Courts.

Either way this was tragic, and I can imagine that Capt Stewart felt very strongly that he had no hope of justice prevailing. A full and proper investigation should have been carried out by the AAIB first, and any decision to begin proceedings extremely well considered out following that - not in the least what the CAA expected they and the aviation community would gain from such an action, and exactly how it would have helped Capt Stewart improve his skills (had that been determined necessary).

Lack of justice, improperly applied due process, and organisations with unlimited funding that are run by people who experience no moral or personal hazard (and who can act as judge+jury+executioner) can lead to deeply significant despair. While this isn't restricted to aviation circles it sees to me that the grounds are fertile for injustice to occur here, and as such the mental health of those involved adversely affected.

Just as with most aviation incidents or accidents I doubt that any responsible organisation would deliberately set out to be reckless or cause irreparable damage to anyone, however the hazard exists, and if it were to occur it should be as thoroughly investigated and properly dealt with. If this doesn't happen then, for multiple reasons, it will not lead to better outcomes, nor improve mental health amongst pilots.

FP.

Zombywoof
20th Dec 2022, 07:31
Zombywoof , I understand that CAA v Stewart is unpublished so it's not possible to examine the reasons for the decision, however DaveReidUK appears to have offered an explanation.

I quoted directly from the posted article... judge refused to levy a mandatory jail sentence. That seems rather peculiar, given "an offence under Article 55 of the ANO".

Perhaps what was really meant was the judge refused to convict the Capt of an offence carrying a jail sentence.

In my country, in cases involving mandatory jail sentences it leaves judges no option, they must impose the sentence, and this doesn't sit well with the legal community here.

It's a very sad story.

First_Principal
20th Dec 2022, 18:56
I quoted directly from the posted article...

Yes, and while it may be a very good article it's still a journalist's interpretation, not the actual court decision which might well have given further detail.

While I don't want to get too far away from the theme of this thread I just read something about Capt Stewart's case from someone whose opinion I respect. His comments were:

"I have discussed the case with two people (separately), one of whom was very senior in BA and the other very senior in the CAA at the relevant time. They both thought the prosecution was justified because Captain Stewart wouldn't admit what he had done was wrong. Although I have enormous respect for both of them, I was unpersuaded that it was a good reason. Why should he if he didn't think he had? Even if convicted (which he was), it was very unlikely to change his view.

That case may (I don't know) have been an illustration of the problems caused by the risk of prosecution. I do know from experience that pilots under criminal investigation and at risk of being prosecuted are, understandably and reasonably, cautious about what they say. An open discussion from which things may be learnt can only take place if there is no risk of prosecution. There is a very real risk that prosecuting does little or nothing to enhance flight safety, and can have precisely the opposite effect." (FL, PPrune 6th Jan 2007, 20:32).

In addition to those comments this article (https://core.ac.uk/download/pdf/147637712.pdf) discusses prosecuting pilots, with particular reference to Capt Stewart's case. Neither give further insight into the judge's reasoning on the decision itself, but that's really an aside from the main issue (to me) of injustice, individual pilot health, and the general health of the aviation community.

FP.

blind pew
20th Dec 2022, 19:24
As I’ve previously written the official that authorised the prosecution was an ex instructor of mine, a Walter Mitty character who never made it into the airlines which was confirmed by a senior BA trainer who had a run in with his petty and pointless investigation into him.
If you are looking at the attitudes in BA read up on why Peter Berkil? felt it necessary to resign after he crashed the 777. One also needs to consider the arrogance of the manufacturers checklists being changed and the ignorance of ignoring dispatch’s flight planning recommendations.

slast
21st Dec 2022, 19:33
FP thank you for the link to the legal article. I contacted the Isleworth court to get a copy of records of the Stewart case about 6 years ago but was told they simply weren't kept.

FWIW my own feeling is that the part of the reason for the prosecution decision WAS because of potential harm. P357 of that Journal of Air Law refers to a comparison with then EL AL 1992 Amsterdam accident in which the death toll was 42, of whom 39 were on the ground.

In the NO event there was only an secretive and unpublished internal enquiry which states that "During a go around, [the aircraft] descended to 75 feet radio altitude, in the vicinity of an airport hotel and other buildings which rose to 70 feet." There is very little substance to it compared to what an AAIB investigation would have contained. We can legitimately surmise that would have been the case because of two other AAIB reports on serious incidents on the same fleet with some common factors - getting extremely close to the ground in the wrong place on an approach. These resulted in recommendations for procedural changes which were not implemented. Senior management noted subsequently that an AAIB enquiry into the November Oscaar incodentv could have been highly problematic for the airline because of this.

While the Air Law article notes in its comparison nis that the EL AL B747 was a freighter, but NO was full of passengers, it does not point out that the hotel was part of a large complex and almost always very occupied. The ground death toll in Amsterdam was actually relatively low (39 rather than the original estimate of about 200) because the aircraft hit the ground at the intersection between two apartment blocks, while the NO wreckage path would have possibly taken out not only the line of hotels but the fire station and police station RFF facilities, and impacted or closed the major access routes to the airport (M4 spur and A4 highways in the morning rush hour), rendering rescue difficult and possibly closing the UK's principal airport for an indefinite period. So the potential death toll was at least an order of magnitude larger. My guess is that the "potential" was for a global worst ever transport catastrophe, with loss of life on the scale of the sinking of the Titanic, and uncountable economic impact on the country.

https://cimg3.ibsrv.net/gimg/pprune.org-vbulletin/1357x485/no_flight_path_ad7cc4e81d2c4a720c71fa8d992314e6b6d78361.png
G-AWNO flight path and potential impact area

My gut feeling is that people in AAIB and the CAA must have been aware of how serious this event could have been. AAIB had no resources available to investigate what was after all simply a bad weather go-around with no injuries or damage, when they had their hands more than full with the PanAm Lockerby disaster and the BMA Kegworth accident.

On the other hand fact that the potential was so serious, possible common factors with previous events that had not been addressed, and the inadequacy of the airline's internal responses (exacerbated by the attitudes of the pilot concened, the union reps and the management at the time) meant that SOMETHING had to be said by the aviation establishment, as represented by the CAA. The end result was that the "SOMETHING that had to be done" meant that for lack of any more significant acceptance of responsibility, Glen Stewart ended up in the dock as the fall guy, paying eventually with his life for many other inadequacies, in the airline, the regulator, and the legal system.

PS: none of this is really on the same topic as the original thread; Glen Stewart quietly killed only himself, and did no harm to any of his passengers.

SJR71
25th Dec 2022, 01:36
SUICIDE?? Look at the site [GOOGLE]for Egypt AIr Flt 667 . That fire in the CP's O2 line at altitude would have been non recoverable . The AC would have continued to fly . Look at the damage to the controls . IFF/SIF burnt UHF/VFH burn. Flight deck destroyed from the CP position . Pressurization gone in moments temps freeze in moments . I am an American, A Big Boeing fan. Boeing issued a fix for this fault on the 777.

blind pew
26th Dec 2022, 09:14
First Principal
thanks for the legal article; I didn’t realise that there had been so many “get it back to base” BAitis incidents which lead to the conclusion that the LAX engine surge incident with an eventual landing at MAN after declaring a Mayday should never have happened if BA management had been sufficiently overseen by the CAA.
With regard to NO and SOP; a couple of years after Staines I was on my annual route check with one of the witnesses at the Lane Inquiry.
This was during the continuous descent trails at Heathrow and at a time where we were attempting to reduce the Landing approach configuration and stabilised point from 3,000ft to 1,000ft with ATC asking us to maintain 180 knots to the OM.
The proceeding Alitalia DC 8 did not comply which found me initiating a missed approach from above 2,000ft which didn’t go too well. Iirc it was full power which the captain did under BEA monitored approach whilst I rotated the aircraft to a defined pitch attitude; having been brought up with the philosophy that the decision height was never to be breached it was rather brisk; my next call was for flaps and undercarriage- don’t remember which sequence- but presume it was the flaps; when I checked the speed it had reduced significantly and fearing a stall warning I considered calling for the gear but I would have then had the gear warning horn! I then thought f@ck it (I’m from Essex) and did then then unthinkable for a second officer in BEA and lowered the nose to accelerate. (The Trident was well on the back side of the drag curve during approach). It all went smooth after that; I got a standard from either Ken or Brian in the debrief and nothing was said about my go around.
‘The point being that Glen was ex Tridents and I would guess that I wasn’t the first pilot to modify the missed approach procedure (it had happened with a T3 at Madrid which was well publicised as the aircraft had diverted after loosing an engine out of Malaga without checking the WAT limits for approach climb).
It all comes back to the tail (operators and constructors) wagging the dog (the authorities) and is not unique to the UK.

BraceBrace
26th Dec 2022, 12:24
Aren't we missing the point again?

As much as the explained story has an emotional value, it is not what this is all about. It is about people with mental problems using aviation as the "escape". It's about people who are a part of society who end up in a moment where they want to step out of that society for whatever reason. When those people happen to be pilots, it can be a problem for aviation.

If you feel the story is a problem of aviation, you should talk more to people around you. It is by far a unique story related to aviation.

blind pew
26th Dec 2022, 16:54
Of course but it is a far more difficult problem to solve. I happened by a retired BOAC purser in a pub on Xmas eve who mentioned a colleague whose wife was leaving him and had hired an aircraft and taken her and himself out.

I felt sorry for the German Wings pilot despite the carnage that he had caused especially I had a few “difficult” times in my career..my first was chop flight with the CFI where I failed my third attempt at forced landings and was being flown back from Lee on Solent where his height keeping was atrocious so I launched into a verbal attack where upon he gave me another chance.

I did a rotation as a safety pilot for a DC9 co pilot trainee who was chopped in my view as a failing of instructors.

I had an hour of circuits at Stansted on the VC10 with a base trainer who didn’t know his job and snagged me unknowingly for a chop test... fortunately with a line trainer who did know his job.

One of my companies had pilot mentors with whom one could confidently discuss problems but I was failed by my last chief pilot )another Walter Mitty Brit) after I had a head injury combined with exposure to neurotoxins.

I honestly do not believe that it will change or can be changed more than marginally because of the system and personalities.

The best pilots I flew with (20 years RHS before my command) and three flag carriers with line pilots who didn’t want to be checkers nor trainers. The worst were management who for various reasons wanted to be in the office and chose their flights/crews including a mate who became fleet chief and chose mates to do his sim checks as well (such was his level of confidence). I had given him a room for a while, knowing that he was flying on antidepressants and one day he disappeared I went out searching for him in the local wood fearing the worse. Management saved his life imho.

As to the regulator, from a friend who went from the front line to the overseer he stated that the latter was filled with empire building and guarding one’s back.

The last year or so Good morning Britain has been doing a campaign of pledging minutes towards mental health - perhaps we need something in aviation.

slast
26th Dec 2022, 17:02
First Principal
thanks for the legal article; I didn’t realise that there had been so many “get it back to base” BAitis incidents which lead to the conclusion that the LAX engine surge incident with an eventual landing at MAN after declaring a Mayday should never have happened if BA management had been sufficiently overseen by the CAA..
BP can you clarify: by "the legal document" do you mean the Journal of Air Law and Commerce article? If so what pages ere are you referring to?

By the way all readers should note that while the Stephen Wilkinson "NO" article is generally pretty good (and unfortunately probably the only reasonably comprehensive piece in the public domain), it does contain some significant factual errors.

megan
27th Dec 2022, 00:28
it does contain some significant factual errorsCould you expand please slast.

Wrightwing
27th Dec 2022, 04:56
Three weeks after the MH370 event, Barack Obama made the first presidential visit to Malaysia in more than 50 years purportedly to get PM Najib Razak's signature on an ICAO treaty called the 'Proliferation Security Initiative', thereby giving Malaysia the Legislative Authority to make up whatever story they wanted to account for the disappearance of their triple seven and immediately bringing 100+ other signee nations into a conspiracy to support whatever deception this corrupt dictator saw fit.
Captain Zaharie Shah was neither homicidal nor suicidal and the damage to the trailing edge of the one recovered flaperon indicates it was deployed in landing configuration when the Boeing struck the sea, thus proving the official story of a hypoxic flight crew and the A/C falling out of the sky as patently false.

DaveReidUK
27th Dec 2022, 06:29
and the damage to the trailing edge of the one recovered flaperon indicates it was deployed in landing configuration when the Boeing struck the sea

I think the jury is still out on the significance, if any, of the witness marks on the flaperon.

See the main MH370 thread for extensive discussion about this - no need to duplicate it here.

slast
27th Dec 2022, 10:31
Could you expand please slast.
Hi Megan, please see your Private Messages,
Steve

JG1
29th Dec 2022, 16:13
A pilot intentionally crashing an aircraft full of passengers is a similar act to a mass shooting rampage. Its more an act of rebellion against the organization, less of a personal mental heath issue.

Remember the United States Postal Service mass shootings which were prevalent in the 80s? Ultimately there were over 25 incidents of Post Office workers coming to work, pulling guns and shooting people. It became so common that with black humour it was termed 'going postal'. That was during Reaganomics where corporations were first starting to 'squeeze all the juice' out of workers. In 1983 the US government stopped subsidising the USPS, and stopped supporting a large number of postal workers rights, opening the USPS up to commercial competition. It was forced to compete with companies like FedEx - 'increasing worker productivity' was a focus, as were pay freezes, cost cutting in all areas and reductions in perks. Workers felt victimised, grievances were so numerous that they took years to process, stress levels were elevated to unprecedented degrees. Overtime was forced, and workers felt under compensated. A congressional investigation documented patters of harassment, intimidation, cruelty and inconsistencies in promotions.

Sound familiar?

Whilst some were indeed nuts, many of the shooters were described by fellow employees as model workers who just snapped. Many fellow workers had sympathy with the shooters, even some who had been shot. "He just shot the wrong people" meaning he should have killed the management. Most workers were disillusioned to a high degree with the company and with their management. I won't expound further here but for those interested in learning more about this, the book "Going Postal" by Mark Ames is a revealing read and explains this phenomenon a lot better than I can.

The rise of the low cost airline has put a similar squeeze on the entire aviation industry where salaries, rights, benefits, perks and Union influence have been eroded in a chase of quantity over quality. The legacy carriers have been forced to follow this race to the bottom.

Minimum rest, maximum flight and duty, minimum pay, maximum productivity. Minimum fuel, maximum range, minimum cost, maximum load, minimum pilots, maximum roster. Minimum turnaround time, maximum speed. Minimum training, maximum stress. No recourse, minimum influence. Reporting of mental health problems likely to result in trouble for the reporter. Keep smiling and carry on, with the "if you don't like it, leave" attitude being very prevalent at Middle East carriers especially.

Personally I'm not surprised at the increase of intentional acts of suicide by pilots designed to hurt their companies and expect the trend to rise.

visibility3miles
29th Dec 2022, 16:26
There is a Wikipedia article on this subject:
https://en.wikipedia.org/wiki/Suicide_by_pilot

Thirty years ago or so, I was told of a local female pilot who was an instructor for small planes. One of her students was a man she took on his first flight.

Turns out that he was hell bent on killing himself in a plane, and was stronger than she was, so was able to fulfill his wish by crashing the plane.
————
I think the basic problem here is can a pilot get counseling or therapy to deal with whatever issues are driving them to despair and desperate action without losing their career.

If getting therapy for mental health issues means that you will get fired, then obviously you will try to hide your problems, which often means they get worse.

After all, pilots have to keep training to maintain their flight skills, so why isn’t mental and medical health part of the normal practice?