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-   -   Boy pilot died after tower gave suprise instruction (https://www.pprune.org/atc-issues/283976-boy-pilot-died-after-tower-gave-suprise-instruction.html)

ShyTorque 14th Jul 2007 18:13

I agree with the last sentiment; this is why ATCOs were in previous years given some pilot training - so that they understood the pilot's perspective a little easier. The military also made it mandatory for student pilots to visit the tower at least once every month whilst undergoing basic flying training.

At the end of the day, we are all (by all I mean pilots, ATC, all other support services)hopefully here trying to make flying go on as safely and as expeditiously as possible.

leuven 14th Jul 2007 19:44

I am appalled yet again, that some individuals are coming the old
"Well if you ask me" and "Of course I would never do that" routine.
AAIB have looked into all aspects and have published their findings accordingly. Why do certain controllers and PPLs for that matter consider it necessary to state their opinions and by so doing, indirectly seek to apportion blame. Sometimes it is far better to keep ones own counsel. I believe this to be one of those occasions
:(

MikeJ 14th Jul 2007 20:00

Magp1e,
I think its semantics between 'cause ' and 'contributory'. Nearly all fatals have a chain which if any link had been broken, people would now be alive.
I this case, the ultimate 'cause' was that flying speed was not maintained.
But I posted my reply because Heathrow Director, an obviously highly experienced ATCO, stated that the the student could not cope with a common situation.
This means that it 'common' to tell an a/c that it is 'number one to land', and then reverse it. It is 'common' to tell an a/c reporting final anything other the 'cleared to land' or 'go around'.
In my opinion, and experience, HD is just plain wrong. In all my 37 years of flying I have never had either of these. It almost makes me angry that a student had to deal with this.
My thoughts on the early reports and rumours last year were that this may be a case of a young chap pushed too early. Now, reading the AAIB report, my view is that he was as good as any for solo, and, as I said, the circuit was 'text book', and the aircraft was found by AAIB configured correctly for final approach.

Whirlygig 14th Jul 2007 20:09


Why do certain controllers and PPLs for that matter consider it necessary to state their opinions and by so doing, indirectly seek to apportion blame.
State their opinions? Yes, because the original thread starter asked for them. Indirectly apportioning blame? No, indirectly learning from the opinions and experiences of others.


Sometimes it is far better to keep ones own counsel. I believe this to be one of those occasions

I would normally agree in circumstances where the AAIB has not been published - speculation does nothing for anyone. However, the AAIB report has been published and read, pretty much, by all those who have posted.

By recounting ones own experiences, we can all learn and maybe further accidents like this can be prevented. A number of questions are posed; links in a chain, holes in the cheese.

I'm sorry if you were personally affected by this accident, really I am but we should all ensure that something like this does not happen again i.e. should ATCOs be informed of the student status of a pilot, should students be sent solo after 15 hours, should a larger, faster aircraft take priority over a small one ....

Cheers

Whirls

vector801 15th Jul 2007 00:53

MikeJ


Originally Posted by MikeJ
This means that it 'common' to tell an a/c that it is 'number one to land', and then reverse it. It is 'common' to tell an a/c reporting final anything other the 'cleared to land' or 'go around'.
In my opinion, and experience, HD is just plain wrong. In all my 37 years of flying I have never had either of these. It almost makes me angry that a student had to deal with this.

Well, in my opinion and my very little l experience I think your talking utter tosh!!

During my last cycle I had to send 2 GA lights around in 2 days because of their speed control on finals. It is almost a daily occurance at my unit when GA traffic is operating, for instructions to be changed purely because GA is of a lower priority than Commercial traffic. It is often commented that we control & seperate VFR in Class D as we've had so many incidents of lights just treating it as an uncontrolled environment.

I work at an airfield where you don't send your students solo if they don't understand a Controlled ATC environment e.g. Wake Vortex seperation, orbiting start, mid-point, end, traffic at 10miles keep your base tight, traffic at 5 is catching you up, break off the approach return to base report reaching (or go around, I say again go around, early right turn to the north)....

''Makes you angry that a student has to deal with this.....'' I'd sooner they learnt it now and have the experience stored in their memory banks for next time, than add to the amount of utter GA clowns there are out there who can't even read back a Clearance to Land!!!

I am in no means attributing blame to the unfortunate chap or ATC. Just kinda think that maybe a little more experience in these unusual circumstances, would stand all those that operate in a controlled environment a better appreciation of what can/could happen to them and what they should do.

Rant over..... awaiting incoming

conflict alert 15th Jul 2007 09:01

ICAO - 'controlled airspace is for the protection of IFR traffic' - don't see the mention of VFR in there.............as a controller for 25 years, makes me think we tend to bend over backwards for the VFR's in airspace not designed for VFR's!! My 2 cents worth anyway.

Whirlygig 15th Jul 2007 10:08


Originally Posted by Annex 11 to Chicago Convention
The prime objective of air traffic services, as defined in the Annex, is to prevent collisions between aircraft, whether taxiing on the manoeuvring area, taking off, landing, en route or in the holding pattern at the destination aerodrome.

Please can you let me know from whence you would like VFR traffic to depart and arrive? This will also include police and air ambulance aircraft, not just private pilots!

Should therefore, VFR traffic be subject to their own separation at a controlled airfield? Land at their discretion if ATC don't think it's appropriate to help them because they're not IFR?

I sincerely hope I've misunderstood your post.

Cheers

Whirls

Spitoon 15th Jul 2007 10:24


ICAO - 'controlled airspace is for the protection of IFR traffic' - don't see the mention of VFR in there.............as a controller for 25 years, makes me think we tend to bend over backwards for the VFR's in airspace not designed for VFR's!! My 2 cents worth anyway.
A bit of thread drift but it needs comment.

CAS is there to protect IFR flights.........by enabling VFR flights to be separated from them or by providing a known traffic environment where ATC can give them traffic info on relevant VFR flights (OK, this bit doesn't work so well in class E but I guess nothing is perfect!). It doesn't mean that VFR is not permitted, simply that VFR - by definition - gets 'less' service from ATC.

The airspace is designed for airspace users NOT for VFR or IFR or SVFR or ATC.

HEATHROW DIRECTOR 15th Jul 2007 11:18

Vector801 wrote:

"In my opinion, and experience, HD is just plain wrong." and...

"I work at an airfield where you don't send your students solo if they don't understand a Controlled ATC environment .."

Not sure I wrote that was "plain wrong", because you seem to have agreed with my sentiments! I worked for some time at Kidlington Airport, where there would often be a dozen+ in the circuit plus IFR let-downs going on. It was very, very, frequently necessary to instruct training pilots to fly go-arounds and various other manouevres but they were properly trained to operate in a busy ATC environment before going solo and we didn't get too much busted metal or students.

Chilli Monster 15th Jul 2007 11:53

Actually it was Mike J accusing you of being plain wrong - Vector was agreeing with you.

Mods - bring back the "quote" function please!

Whirlygig 15th Jul 2007 12:15

As a complete thread drift, quotes are still available as I showed in my post quoting ICAO Annex 11.

You have to type [quote=person's name] quoted text followed by [/quote

The last bit has to end in a closing square bracket - I can't do it otherwise the whole thing would show up as a quote!

Secondly, copy the text you want to quote (highlight, right click, copy), paste into reply. Then highlighting the text in the reply, click the quote button above.

Agree here with Chilli, I also mistook the quote as original.

Cheers

Whirls

perusal 15th Jul 2007 12:21

I agree with Vector and HD on this. There are so many different ways in which an ATCO will do something – 20 controllers will handle a complex busy situation probably 20 different ways and they have to keep changing their plan since the traffic situation is constantly changing. Standard phraseology cannot be used for every situation, particularly on Aerodrome Control, therefore controllers will slightly modify their words as necessary.

However I do think that far too few pilots understand the way ATC goes on. At my unit as part of the Unit Training Plan a new controller has to spend some time with the flying schools in order to get a some knowledge of how they operate/what they like/don't like etc. We hardly ever get student pilots visiting radar or the tower to see it from our side.

Magp1e 15th Jul 2007 12:33

Mike,


My veiw is that this sad fatality was caused by the the two reversals of ATC instructions.
Didn't seem like semantics...I agree Swiss cheese was ripe with ATC instructions, lack of experience, air traffic situation....

Leuvan (spelling?)

See post 20....we're not trying to apportion blame. I'd like to think that we are a group of professionals trying to learn lessons from a tragic incident, I have certainly learnt from this event to be a lot more cautious than I already am when dealing with inexperienced pilots

vector801 15th Jul 2007 13:35

Hey guys,

yeah, sorry for the quote thingy..... Was quoting MikeJ not HD.


Also totally agree with perusal & a bit off topic.

As you've all probably guessed I work at Cardiff. With the massive changes in Airspace last year we actively created pilot/atc forums with the local GA community to try to help them understand what will be required of them, what we may do to them etc...etc...

We never ever get visitors from the GA community asking to visit the unit for famil, only work experience people and the usual bods from within the airport. I've even taken it upon myself to get some of the locally based BMI crews to come and have a butchers so they can ask some of their obvious questions concearns with atc.

I remember when leaving the college last year, BA Week was so beneficial with the fam flights. Until recently fam flights at Cardiff counted towards TRUCE and were extremely encouraged.

On the flip side, its such a shame the flight training has been reduced so much for ATCO's.

vector801 15th Jul 2007 13:56

Thought I might add this little extract from the MATS pt. 1 that all controllers work from. This may clarify for some of you, who has priority over who.

Category Type of Flight

A Aircraft in emergency (e.g. engine fault, fuel shortage, seriously ill passenger). Aircraft which have declared a 'Police Emergency'. Ambulance/Medical aircraft when the safety of life is involved.

B Flights operating for search and rescue or other humanitarian reasons. Post accident flight checks. Other flights, including Open Skies Flights, authorised by the CAA.

C Royal flights, Flights carrying visiting Heads of Statewhich have been notified by NOTAM/Temporary Supplement.

D Flights notified by the CAA carrying Heads of Government or very senior government ministers.

E Flight check aircraft engaged on, or in transit to, time or weather critical calibration flights. Other flights authorised by the CAA.

NORMAL FLIGHTS
i) Flights which have filed a flight plan in the normal way and conforming with
normal routing procedures.
ii) Initial instrument flight tests conducted by the CAA Flight Examining Unit.
(RTF callsign EXAM)

Z Training, non-standard and other flights.


Again, not wanting to labour on about the point. If your instructor deems you experienced and competent enough to send you solo, you qualify for category Z. Ok, at Cardiff for your first solo we'll put on a local standby & give you perhaps a little more attention. Other than that we're not gonna bloody control and fly the plane for you. Everything else above you cat wise comes first and foremost and if that means you orbit for 45 minutes on base then thats what you'll do.

I'm sure others that frequent this forum who also work at busy COM/GA airfields will testify, students don't get sent solo until they are completely famil with most eventualities that a busy airfield can throw at them.

Sending someone solo who can fly an aeroplane is one thing, sending them solo when not prepared for said scenarios is utterly irresponsible and downright dangerous.

Once again..... Rant Over.

bookworm 15th Jul 2007 14:00


There are so many different ways in which an ATCO will do something – 20 controllers will handle a complex busy situation probably 20 different ways and they have to keep changing their plan since the traffic situation is constantly changing.
That's inevitable. Every so often I get asked to do something that I've never been asked to do before, and it throws me. That doesn't mean the request shouldn't be made, but it's worth bearing in mind that the further from standard behaviour something is the more likely it is to cause confusion and error.

A go-around is a fairly well rehearsed manoeuvre even for a solo student, and the need to apply climb power is obvious. But the instruction to make a turn off final may have confused (particularly about the level he was supposed to fly at) enough to leave the student in a quite unfamiliar power/pitch/configuration/flightpath combination.

Standard procedures are never going to cover every case. But if we can find standard procedures that work, we should use them.

ShyTorque 15th Jul 2007 14:39


I'm sure others that frequent this forum who also work at busy COM/GA airfields will testify, students don't get sent solo until they are completely famil with most eventualities that a busy airfield can throw at them.
Most eventualities, yes. However, I did my first solo in 1971 and been flying for a living since 1977. I've sent quite a number of students on their first solos too. I've never been asked to go around from finals for one behind, although I have been asked to expedite or reduce to minimum speed! I've never been asked to deviate from finals at 90 degrees, either.


Standard procedures are never going to cover every case. But if we can find standard procedures that work, we should use them.
Agreed. The following aircraft could have been directed to slow to minimum safe speed during it's ILS approach.

Chilli Monster 15th Jul 2007 15:27


Originally Posted by shytorque
The following aircraft could have been directed to slow to minimum safe speed during it's ILS approach.

Agree with the slowing down, but probably worth clarifying here that, although IFR, it was actually carrying out a visual approach, not an ILS and was joining right base.

Single Spey 15th Jul 2007 15:56

What concerns me most about this tragic accident is the utter failure of the Aerodrome controller and the Approach controler to successfully integrate visual joining traffic with circuit traffic. And regardless of whether the Piper was IFR, he does not appear to have been carrying out an instrument approach but a visual join.

The Cessna pilot was told he was number one. So why didn't the aerodrome controller tell approach to instruct the Piper that he was number two to a Cessna on finals. It is then the responsibility of the Piper pilot to separate either by adjusting his position or by going around.

Furthermore, what was the concern from the controllers that the Piper if instructed to go around would have done so beneath the Cessna which the controller considered dangerous? When the Cessna called finals the Piper was still almost three times as far from the threshold so what approach was he carrying out that would place him lower? Unfortunately there is no record in the AIB report of whether the Piper was cleared for a straight in Approach, and if so when this was agreed, nor of any co-ordination between Aerodrome and Approach about it.

Can anyone tell me what independent standards checks are carried out on civil ATCOs at aerodromes like the one featured in the report?

The AIB has reported on the circumctances and made safety recommendations, has/is any further action being taken?

vector801 15th Jul 2007 16:08

ShyTorque


Originally Posted by ShyTorgue
I've never been asked to go around from finals for one behind, although I have been asked to expedite or reduce to minimum speed! I've never been asked to deviate from finals at 90 degrees, either.

Ok, Scenario for you....

Your asked to Go Around on short finals because the following has caught you up, for example a light, medium or heavy jet. There is no chance of a successful touch & go or full stop to vacate, possibly using a Land After.

Please answer the following if you'd be so kind....

As a pilot what would you expect the controller to do?
As a controller what would you do?

If the controller sent you around, do you really think with all your years of experience he's gonna let you climb straight ahead with a Jet less than 2 miles behind doin 2 miles a minute??? What if the Jet go's around short final due nasty turbulance (which is common at Cardiff), Possible Bird Strike?? Just imagine the traffic information and how mmm ?distracting? it would be for the Jet Crew in a scenario like that. The Jet already has possibly a better picture than you in front through Traffic Info passed earlier. The lighty is almost blind and would of course be made to make an avoiding turn.... Oh thats right, you'd like to continue climbing straight ahead.... mmm.... clean up the aircraft, get it set for a nice 15 degree angle turn for x wind at say 800' agl... all standard flying, except this ain't a standard situation is it. All this happeneing whilst the crew of the jet are hitting max power (if they have it), go around checks, stabalizing the a/c..... then bang!!! they've ran into the back of you because you've never had to initate an early turn after a go-around??? All TRM thinking, just because your a lighty doesn't mean your not part of the team, even if your not conscious of it!!

One thing that always stuck with me through training is, treat every approach as a possible go around e.g. ''Fail to Prepare, Prepare to Fail,''

Is it me, or is anyone else here truly shocked and somewhat puzzled at some of the responses being posted here!!


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