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Caverton AW139 incident in Jan 2024

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Caverton AW139 incident in Jan 2024

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Old 21st Mar 2024, 21:09
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Originally Posted by 212man
Nagging question for 139 experts - how was the FDR recording the flight parameters after the power was cut? I can imagine it was powered up immediately after the gangbar use, but what about the data?
Not sure this counts as “expertise“ 212man, but the gang bar cuts all the electrics for pretty much everything that the pilots care about, except the engines. But the aux batt is still supplying power to the CMC and recording data until physically disconnected. It‘s just the BATT BUS that is offline.

The overwrite of the CVR is a gem. Malpractice by both pilots and managers in this regard needs some serious attention and penalties by authorities, including those well North of Nigeria.

I think the referred to IMC conditions means something less than VMC and short of being in cloud. Or they would all be dead.
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Old 21st Mar 2024, 21:30
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Originally Posted by Torquetalk
Not sure this counts as “expertise“ 212man, but the gang bar cuts all the electrics for pretty much everything that the pilots care about, except the engines. But the aux batt is still supplying power to the CMC and recording data until physically disconnected. It‘s just the BATT BUS that is offline.

The overwrite of the CVR is a gem. Malpractice by both pilots and managers in this regard needs some serious attention and penalties by authorities, including those well North of Nigeria.

I think the referred to IMC conditions means something less than VMC and short of being in cloud. Or they would all be dead.
Thanks, but I was trying to understand how the FDR would receive AHRS data if they had been powered off and were rebooting when power came back?
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Old 21st Mar 2024, 22:37
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There used to be a `get -out-of -jail card`,called a standby AI/AH.Usually a 4"diameter representation of the outside world and a 3 position switch annotated `ON`/off/EMERG`,powered by the battery,and a small emergency battery,in case the `battery` failed,after everything else.A length of coloured cord on the windscreen also helped..Cost...next to nothing in a million-$ helo...Don`t they have those any more...???
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Old 22nd Mar 2024, 18:23
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The aircraft could have RIPS. Standard after a certain s/n. Remote Independant Power Supply just for the FDR/CVR. Can’t remember when it became std, but before s/n 500.

CB
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Old 22nd Mar 2024, 21:00
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Originally Posted by Collective Bias
The aircraft could have RIPS. Standard after a certain s/n. Remote Independant Power Supply just for the FDR/CVR. Can’t remember when it became std, but before s/n 500.

CB
I can understand the FDR receiving power, but how is it getting data from the AHRS etc if they were off then realigning?
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Old 22nd Mar 2024, 21:52
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Originally Posted by 212man
I can understand the FDR receiving power, but how is it getting data from the AHRS etc if they were off then realigning?
No doubt some significant interrupts in the data. This would compliment the lack of data from the CVR. Whoops. How could such a thing happen? Again. And again.
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Old 22nd Mar 2024, 22:35
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[QUOTE=Collective Bias;11621700]The aircraft could have RIPS. Standard after a certain s/n. Remote Independant Power Supply just for the FDR/CVR. Can’t remember when it became std, but before s/n 500.
microphone (

This is from the AAIB accident report to G-LBAL S/N 31421
"The CVFDR was fitted with Recorder Independent Power Supply (RIPS) designed to keep
the audio recording of the cockpit area microphone working for 10 minutes after the loss
of the main source of electrical power to the CVFDR. "

Last edited by ericferret; 22nd Mar 2024 at 22:48.
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Old 22nd Mar 2024, 22:49
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Hopefully the use of the gangbar is just a reporting error, as I am astounded that the Captain (or any half competent pilot) would do this in IMC and remove all electrical power, and thus all instruments.
That is suicide in IMC and reflects no system knowledge and dangerous training deficiencies if it is actually the case.
I agree with TorqueTalk, they must have had some sort of visual reference or they would have been dead.

The ONLY time to use the Gangbar is on the ground.
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Old 22nd Mar 2024, 23:14
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The ONLY time to use the Gangbar is on the ground.
Agreed, but if the crew have become accustomed to relying on it to sort glitches on the ground (bearing in mind that it is NOT an approved remedy) it can be a reflex action to reach up and flick the switches. In this case, instantly regretting your actions.
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Old 22nd Mar 2024, 23:30
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Originally Posted by Nescafe
Agreed, but if the crew have become accustomed to relying on it to sort glitches on the ground (bearing in mind that it is NOT an approved remedy) it can be a reflex action to reach up and flick the switches. In this case, instantly regretting your actions.
I refer you to my earlier reference to the AirAsia accident. Plus, the anecdotal information that they pulled 4g recovering - which points to being fully IMC until they came out the cloud bottoms.
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Old 22nd Mar 2024, 23:50
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Originally Posted by Nescafe
Agreed, but if the crew have become accustomed to relying on it to sort glitches on the ground (bearing in mind that it is NOT an approved remedy) it can be a reflex action to reach up and flick the switches. In this case, instantly regretting your actions.
Spot on

but how does that “reflex” happen in flight without crew coordination?

I got this - oops
You don’t exist - oops
Commander knows best - oops
Let’s do something - oops

Was this really a simple non-critical malfunction that nearly killed everyone due to crew ineptness? Amazing and dismal in equal proportions.

And they have a company simulator? So what do they train? The things that the regs require but which are rarely, if ever implicated in helicopter PT cock-ups?
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Old 23rd Mar 2024, 00:23
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And they have a company simulator? So what do they train? The things that the regs require but which are rarely, if ever implicated in helicopter PT cock-ups?
Someone mentioned earlier “PC1 Myopia.” How true.

Most half competent crews can manage engine failures before and after TDP and they can work their way through a fire drill, but throw them an AHRS fail or a niggling ADS malfunction and then you’ll sort the wheat from the chaff.
Personally, I believe we aren’t getting the balance right.
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Old 23rd Mar 2024, 18:38
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Originally Posted by Uplinker
A graphic example of why it is a very bad idea to make up your own drills or actions. Thank goodness that all survived this, with only minor damage to their underwear.

Out of interest; what caused the windows to smash in this incidence ?
Passenger probably hit it hard enough to break it during the PIO
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Old 23rd Mar 2024, 18:50
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Having seen too many of these type of incidents recently, my attitude to the traditional sim 'let the PM initiate the UA and the PF recover' has changed. I now initiate the UA sequence with the APs off and challenge the PF to remain adequately stabilised for 10 seconds before switching the APs back on. Some guys almost immediately enter their own UA.If they are good, I will ask them to look at the AP panel for 10 seconds or close their eyes until it occurs. Then ask the PM to reselect both APs and the PF can recover. I also repeat the ex in SAS mode without ATT to recover. Everyone forgets to use their feet! This tends to remind crews of the importance of a quick scan and quick crew actions to get the APs back ASAP after getting it 'back in the ballpark'.

Switching off the gang bar in IMC is tantamount to attempted suicide. No SAS, no instruments, no ICS, no AWG, no chance. AHRS can take up to 60 seconds to realign and considering the rates of likely pilot input, probably longer.
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Old 23rd Mar 2024, 20:45
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For me there is an element of doubt about the whole thing. I know the 139 has AP issues and that is fair enough but when you look at the timings of the incident and then how long they spent on the ground it just doesn't sound like normal behaviour. By staying on the ground with the CVR on for 47 minutes it allows it to restart the 2 hour cycle and wipe all voice recordings of the incident.

Maybe something in it, maybe not, maybe just the musings of a Southern North Sea jockey.
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Old 23rd Mar 2024, 23:14
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It could be a very simple oversight. Aircraft gets back, engineers plug in external power to start analysis and don’t pull the FDR circuit breaker.
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Old 24th Mar 2024, 21:20
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Originally Posted by Nescafe
It could be a very simple oversight. Aircraft gets back, engineers plug in external power to start analysis and don’t pull the FDR circuit breaker.
That would be the case if they had lost all the data but the CVR had recorded two hours worth of data. The long delay on the ground caused the loop to start again omitting the incident.
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Old 25th Mar 2024, 10:48
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That would be plausible if the whole thing was wiped but the incident happened about 2 hours 10 minutes before the power was shut off, the crew sat on the ground for 47 minutes. The CVR records on a 2 hour loop and by waiting 47 minutes then it gives about 10 minutes allowance to make sure it was wiped. I think there is more to this than meets the eye.
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Old 25th Mar 2024, 20:54
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Originally Posted by Nescafe
It could be a very simple oversight. Aircraft gets back, engineers plug in external power to start analysis and don’t pull the FDR circuit breaker.
Shouldn’t there be a checklist that engineers / investigators should have to follow to preclude such an error before plugging power into the aircraft.
Imagine putting electrical power into a wreck, causing a short and having residual fuel or wiring harnesses etc.burst into flame not to mention various computers and screens having a meltdown or a wx radar start emitting.
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Old 25th Mar 2024, 21:57
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If the aircraft has had a significant safety event, all parties involved should be quite cognisant that data needs to be preserved. When that doesn’t happen, it smells mighty fishy right away.

Two examples that come to mind involved the crew erasing the CVR in one instance and a corrupt manager ensuring overwrite in another.

It happens. And it happens in organisations with all the right bits of paper and post holders. None of it is worth a fart if the players have poor ethics and there is weak oversight.
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