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Ryanair B738 loss of situational awareness and terrain clearance 07/09/05

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Ryanair B738 loss of situational awareness and terrain clearance 07/09/05

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Old 15th Jan 2006, 18:23
  #101 (permalink)  
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Re: Report: Pilot "froze" mid flight

Crew control certainly gets grumpy if its done close to report time, perhaps understandably given their workload.
You are the most remarkable pilot. You show genuine understanding for the workload of those who would sit at a desk and have to make some phone calls, you worship a man who chose to count money for a living and yet you hold nothing but contempt for those who do the same as you pretend to.

Last edited by Faire d'income; 15th Jan 2006 at 19:16.
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Old 15th Jan 2006, 19:19
  #102 (permalink)  
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Re: Report: Pilot "froze" mid flight

Leo glad to see you have calmned down since your little outbursts last night. You really did have a serious outbreak of bad temper.

How come this "ordinary line pilot" Leo is always so well informed and confident in his statements? I am currently searching high and low for hard information on the events in Rome, while Leo seems to have all the information he needs. Yet everybody who asks a question of Leo gets nowhere. He seems keen to (a) deflect attention away from any event that might bring Ryanair into the spotlight, and (b) engage in union polemics at every possible opportunity. Leo currently seems to be keen to perpetuate the following notion:
... the result that we have all learned from the incident ...
I just don't see this. I have now had a look at the five recommendations from the Ryanair report as published in the Irish magazine. Not one of the recommendations is phrased as a recommendation (ALL are statements) and the final one simply states that Ryanair procedures do not need to be changed. Every bit of information I find that seems reliable instantly gives rise to yet more questions. The investigation seems to have amounted to no more than the creation of a narrative of the events, but apparently no sign of any attempt to get to grips with the "why" of those events. (And then there is the issue of exactly what the IAA was told, which is tantalising ... ). Is the sole lesson meant to be that "system worked". (I have my doubts about that!).

Among the very many questions I have are just two that I invite Leo to answer. At no point in the report is any information from the data recorders specified. What was the maximum angle of bank reached by this aircraft and at what height was the missed approach initiated?
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Old 15th Jan 2006, 19:23
  #103 (permalink)  
 
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Re: Report: Pilot "froze" mid flight

One question: Who actually reported this incident? Was it the FO?

Pardon me for being a cynical sceptic, but If it was, that may answer the question about why he was taken off flying duties and sent to the simulator for "retraining" - that would be a powerful message not to make an "inconvenient" report in future.


Mr Fowler asked the question:

"How can the management in a company know about an individuals bereavement if he hasn't told them? "

Obviously if he thought it wouldn't do any good anyway, why would he bother?

We seem to have two extreme positions here:

The pilot was a greedy money hungry dirty foriegner, and a contractor to boot, eager to do anything and everything to make money (as implied by Beernice). He deliberately hid his bereavement from the company. All he had to do was tell Ryanair that he thought he might be slightly indisposed, and Ryanair, that well known caring and sharing organisation, would have immediately given him leave, organised counselling, sent flowers, and told him to rtake two weeks leave, given him free tickets to the holiday destination of his choice, etc. etc. (as implied by the caring and sharing sympathetic Camel)

Then we have the other extreme: "The pilot was a contractor who could be terminated at will for any reason. He needed money to support his wife and family. He believed that Ryanair was an organisation that outwardly complied with rules but had an internal culture of bullying and intimidation of staff. He did not report his bereavement because he knew it would make no difference to Ryanair and would compromise his employment. He miscalculated the effect of the bereavement on his capability."
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Old 15th Jan 2006, 20:08
  #104 (permalink)  
 
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Re: Report: Pilot "froze" mid flight

Somebody asked for one of the Ryanair memos previously published on prune. I found this one:
RYANAIR
THE LOW FARES AIRLINE
Corporate Head Office Dublin Airport
County Dublin
Ireland
Over the past year over 10,000 days have been lost through absenteeism in RYANAIR; which equates to 7 un-crewed aircraft every day, all year around!!!
Your attendance record shows that you have been absent from work on [ 3..4.. etc.] occasions during the last 12 months. This high frequency of absence cannot be sustained, as other people within your area have to pick up additional work in your absence.
All absences in the future will be closely monitored and I need to see a dramatic and sustained improvement in your attendance in the months ahead.
Please confirm receipt of this letter and measures you will take to eliminate further absence from work. If you have any queries on the above please do not hesitate to contact me.
Yours sincerely,
There are two ways of interpreting this memo and the fact that it is triggered after 3 days of sickness. Ryanair employees - especially cabin crew - tend to interpret it one way. This is the same problem as identified by SNAM. He has read the words in the Ops Manual and is confused- because they are good words. He presumaby would think it cynical to ask when the words were added to the manual and why! Much the same with the fatigue issue - people ask the question about the demoted captain ... others think it's not an issue ... but the captain remains demoted and most Ryanair pilots know exactly what that means - in fact leo even assures us it was deserved. All the time though, we only have the Ryanair and leo version of events ....
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Old 15th Jan 2006, 21:20
  #105 (permalink)  
 
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Re: Report: Pilot "froze" mid flight

Sunfish - I was answering directly SIDSTAR's posting stating:

What is not acceptable is that any company would
a) not be aware of the man's grief
b) allow him to command one of their aircraft so soon after such an event.
And I stand by what I said, THIS is not a fair criticism. How could they have known???
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Old 16th Jan 2006, 00:41
  #106 (permalink)  
 
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Re: Report: Pilot "froze" mid flight

Point taken Cmdr Fowler. The question is, would Ryanair have given leave or not? To be fair to Ryanair, I suspect they may have given leave if they were aware, but we do not know the reason the Captain decided not to tell Ryanair.

SNAM, the problem that we have is that it is very easy to write fine words in operations manuals. But does the company internal culture operate within the letter and spirit of what's in the book???

I have personal first hand expereince of working for the largest oil company in the world. I had reams of manuals on anything from company business ethics to maintaining oil terminal equipment, fire fighting, safety and so on. You name it, the company had a manual on how to do it the company way.

There was only one problem. The internal company culture was not into manuals, it was into money.

As in: "Sir I've discovered we are dumping polluted rubbish illegally and in contravention to the corporate ethics guidelines as well!" "Listen sunfish, do you want to keep your job? Shut the $%34 up!"".

The idea was that you shut up, did what you could and hoped you would be promoted before anything happened on your watch.

Read about the Esso Longford disaster. Esso immediately blamed the (mostly dead) plant operators for the explosion, and they sounded exactly like a certain Mr. Camel when they did so.

Just bear in mind that if (perish the thought) there is an accident, the proximate cause of which is fatigue or pilot error, Mr. Camel will be on this website blaming you for it if that is possible.
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Old 16th Jan 2006, 00:56
  #107 (permalink)  
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Re: Report: Pilot "froze" mid flight

I've worked for a few low-life operators, but even the crustiest chief pilot I've bumped into, if I said, "My son has passed away. I need some time.", would have told me to take what I need. I don't know the operation in question, but I'd be willing to bet the answer would have been the same.
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Old 16th Jan 2006, 05:41
  #108 (permalink)  
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Re: Report: Pilot "froze" mid flight

Good on the co-pilot and, well, let's hope that lessons can be learned here...it's to easy to jump in and say this or that...I hope to God that I never suffer the same state as the poor captain!
 
Old 16th Jan 2006, 06:21
  #109 (permalink)  
 
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Re: Report: Pilot "froze" mid flight

Well done SNAM, I think you have got right to the core of this. But I think you confuse inertia with the normal and accepted way of doing business. That is, the realities of the workplace - like along the lines outlined by Sunfish who I think completes the circle with his observations.

In the case of the demoted captain case there were no reserves. In fact at some times there never are reserves. Hence the radio conversation that one hears from time to time (regularly even) ….. “well there is nobody else … if you don’t do it, it will be cancelled ….”. It is the silence that follows that is impossible to explain here – the unspoken “is it worth it to refuse to do extra work that I don’t want to do, or should not do …. but for quiet event free life maybe I should I just do it, no matter how I feel?”

This makes for a lot of people saying “YESSSSS” and is great for “productivity” but can anyone really deny that people who should not fly, do fly? Once one accepts that this happens, then the issue is “how often” - and then one needs to go look at the memo reproduced above and think about how business might actually be done in practice and how widespread the problem might be.

Leo will tell you that it never happens. If you believe Leo, then it’s all over, no debate necessary. Funny line pilot our Leo, blind to so many things that are inconvenient to Ryanair ….

Actually, after all the negatives about Ryanair, it is probably worth saying again that it is a company with a lot going for it. But if the intimidation (sometimes direct and blunt, more frequently low level and implicit) were to go and employment contracts were honoured, then the place would be transformed. Worth thinking about. Both Leo and MOL seem to understand that in the event of an unfortunate event which had a hint of such matters about it, the number of ex-employees crawling out of the rafters to tell their stories would present them with a nightmare. This is a high stakes game and MOL feels he is equal to it. That is where the buck stops. As for the IAA …. one day we will know why they know nothing.

Last edited by atse; 16th Jan 2006 at 06:54.
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Old 16th Jan 2006, 08:22
  #110 (permalink)  
 
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Re: Paul Revere and the Minute man.

"…..indulging in a spot of hack, rack and zoom that went horribly wrong"

Completely false Leo and you know it.
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Old 16th Jan 2006, 08:48
  #111 (permalink)  
 
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Thumbs down Re: Report: Pilot "froze" mid flight

Originally Posted by atse
In fact at some times there never are reserves. Hence the radio conversation that one hears from time to time (regularly even) ….. “well there is nobody else … if you don’t do it, it will be cancelled ….”. It is the silence that follows that is impossible to explain here – the unspoken “is it worth it to refuse to do extra work that I don’t want to do, or should not do …. but for quiet event free life maybe I should I just do it, no matter how I feel?”
If the crewing bods are even mentioning the consequence of you turning down a request to work outside of your roster, whether by corporate edict or personal choice, then they are breaking the law. By even mentioning that a flight will be cancelled or that the company is going to suffer in one way or another they are in fact trying to coerce you.

In any decent airline, and I know that there are very few, a call from crewing asking if you'd be willing to work on a day off will simply ask the question. If the answer is negative then they say thank you and hang up. It is not your concern what the ramifications of your right to refuse to work outside of your contracted terms and conditions.

The next time you get a call from crewing or a manager asking you to work on a day off tell them you are recording the conversation. If they so much as hint that any refusal on your part will have a negative effect for the company then you have them over a barrel and I would suggest getting some legal advice as to how to proceed with the evidence that coercion is being used.

Now, do crewing tell you about the consequences for the company of a refusal because they are directed to? If there was proper union representation in the company, these issues would have been worked out a long time ago but we all know how rabidly anti-union Ryanair are. Ever wondered why? It certainly isn't to advantage the employees even though MOL would try and have you believe otherwise.
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Old 16th Jan 2006, 10:53
  #112 (permalink)  
 
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Re: Report: Pilot "froze" mid flight

Well, even BA use the "but there's no-one else, we'll have to cancel the flight" phrase if you find you'd be unable to use discretion on a particular day. And then, strangely, if you stand your ground, there is usually a crew waiting to take over when you pull onto stand. Call that coercion, if you like but their job is to cover the flights. It's just part of the game, and their game is to use a few crews as possible. My game is to not fly if I feel I cannot comply with the requirements of the ANO.

I have not experienced any similar phrases used in respect of rest day working, but then we get paid enough for RDW at LGW that there is usually someone willing to take the money. Don't know what money they get at LHR, but it doesn't really matter 'coz they can get Draft Assigned (= forced to work) anyway as part of their T&Cs.

Any serious attempts at real coercion outside of our working agreements are jumped on by BALPA quite quickly. Having said that, they recognize that our flexibility is sometimes relied upon by managment and allow us to exercise that flexibility as we see fit. They may not be perfect but, accepting that they can't please all the people all of the time; whatever an individual perceives that BALPA might be doing to damage their T&C's, without them management would do it worse. Truism!
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Old 16th Jan 2006, 11:41
  #113 (permalink)  
 
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Re: Report: Pilot "froze" mid flight

Such innocence beaver eager to think that you are comparing like with like. I hope you have a better measure of your new CX.
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Old 16th Jan 2006, 11:54
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Re: Report: Pilot "froze" mid flight

Not really, the guy who got me interested in this game in the first place is a Captain with Ryanair, so I do know what it's like. He's always been a confrontational character, so I don't know how he's managed to keep his job so long!

Just trying to point out that they really do all say that, and to highlight the benefits of having a large union membership behind you.
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Old 16th Jan 2006, 11:57
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Re: Report: Pilot "froze" mid flight

Apologies then, I clearly paid insufficient attention .... will try harder next time.
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Old 16th Jan 2006, 12:16
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Thumbs up Re: Report: Pilot "froze" mid flight

Dear Leo Hairy Camel,

It is with great intrest that I have read your reply (see page 4 of this treat).
The following question was asked by you:

"How do propose such information as the recent death of a child be common knowledge of any employer unless the employee makes the knowledge plain?"

Following this question you have given some possible answers such as telepathy etc.. I can only consider these answers to be a reflection of your sense of humor and indeed I could laugh about it. Regretfully though this issue is not an issue of humor and it should not be laughed about.
I assume that you are indeed interested to know what you or FR should or could have done to prevent this occurrence. I take it that you are indeed serious about preventingsuch occurrences.

After reading your treat carefully I can see that the answer is right there:

Quote: "oversight in such a pan European operation is ludicrous"

There you go! because it apears to be a difficult task and FR is unable to perform this task you call it ludicrous. Well done! I need to say no more, the knowledge is all there. Now all you need to do is your work and start employing people that are able to oversee the FR operation, create a safety culture.

I wish you all the best!

Kind regards, Nick Notoc
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Old 16th Jan 2006, 14:14
  #117 (permalink)  
 
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Post Like a potters vessel.

Hi again, Nick.

You quote me out of context, unfairly and in a rather cack-handed manner. Naughty Nick. I thought I'd made myself plain, but perhaps not so I'll try again. The nature of the operation is far too large and geographically diverse to have intimate first hand knowledge of the individual situations of every crewmember. In a smaller outfit, perhaps this is viable and word of mouth may have alerted someone to the fact that Captain X or First Officer Y is enduring a difficult personal situation, but in the case at hand, the company had no way of knowing unless the man himself informed us, and he didn't until after the fact.

As for regulatory oversight, as distinct from internal quality control, we operate throughout €urope and not only are we subject to the constant intense scrutiny of the IAA, but also to the regular scrutiny of the regulatory authorities of all the countries we fly to. By virtue of Ryanair being such a high profile company, because we've caused such a paradigm shift in European aviation, it could be argued that we're among the most closely observed operations on the continent. Quite simply, it would be impossible for Ryanair to be guilty of the many crimes against humanity and IALPA generated atrocities that we're so regularly and falsely accused of.

Consider, Nick, the political elements of such third party scrutiny. In an ideal world, Air France, Alitalia, Scandinavian, Iberia and the rest we've so comprehensively wounded in the market place wouldn't bother flexing their political muscles, but since they've a vested interest in seeing us fail, or a least falter, the fact that we emerge unscathed so consistently from the repeated dissections of their national regulators highlights what we really are. A first rate operator in terms of flight safety, operating to the highest standards and subject to the most intense oversight of any airline in Europe, if not the world.

Hope this makes the rough places plain for you Nick. All the best, Leo.
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Old 16th Jan 2006, 14:26
  #118 (permalink)  
 
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Re: Report: Pilot "froze" mid flight

The nature of the operation is far too large and geographically diverse to have intimate first hand knowledge of the individual situations of every crewmember
And yet, ordinary line pilot Leo always claims to have accurate first hand knowledge of everything that happens in FR. Clearly Leo your talents are wasted flying the line. Surely seeing as you suggest our esteemed management are unable to keep tabs on everything, they need the likes of your on hand to make up any shortfall in their knowledge.

subject to the constant intense scrutiny of the IAA
Would that be the same intense scrutiny that first decided not the investigate Rome, then backtracked after a media outcry?

Just because you say it is so Leo doesn't make it true. You should have learnt that as a child. Although neither yourself nor your hero did.
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Old 16th Jan 2006, 16:36
  #119 (permalink)  
 
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Re: Paul Revere and the Minute man.

Answer the questions Leo

Why did he operate?
Why did they operate post incident?
Why weren't the FDR & CVR pulled?
Why does the report not have Pitch/ Bank/ Speed/ N1/ Config data?
Who was the report written for?

The report has all the hallmarks of one that was written for a third party so that everyone could say that the incident had been investigated, SOPS worked, and the crew have had some re-training and have been re-certified.

The undeniable fact is that the Captain felt compelled to report to work, I do not know the personal circumstances behind the decision, but Leo points out if didn't go to work he wasn't going to get paid.

Originally Posted by Leo Hairy-Camel
.............perhaps the more mercantile realisation that no work means no money? I’m not in a position to answer this one,
Maybe he had medical and funeral bills to pay.

I find it astonishing that the regulators still refuse to address the issue of employer intimidation, bullying and confidential reporting.

Last edited by Gigginstown ERC; 16th Jan 2006 at 17:06.
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Old 16th Jan 2006, 17:23
  #120 (permalink)  
 
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Post Old age and irritability.

Giggs, old luv, what’s an educated senior citizen like you doing out of bed this late? You sound awfully grumpy. Forgotten your meds?

The answer to all 5 of your questions is, I have no idea. Ask him yourself.
I find it astonishing that the regulators still refuse to address the issue of employer intimidation, bullying and confidential reporting.
I find it astonishing that you continue banging on about bullying and intimidation when, as you very well know, there isn't any. If there were, pilots being independent grown-ups in the main, would be jumping ship faster than BALPA members from Easyjet, but they're not, are they Giggs! As for confidential reporting, we've had such a system for ages and it works very well.
Chookers.
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