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Lionair plane down in Bali.

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Lionair plane down in Bali.

Old 6th Sep 2014, 08:40
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Does anyone have the answer about what happened at 300' to increase the V/S.
Do you know that final report was already compiled, it answers this and other questions? The report is fairly compact, easy read, I suggest you grab it. Pilots indeed disconnected autopilot at about 550' and from that point were flying manually. Yes, this was VOR-DME approach flown autopilot-coupled in LNAV/VNAV mode up to point when A/P was disconnected. I don't think you can answer 'why' a pilot pushed the yoke, you can only register that he did.

Last edited by olasek; 6th Sep 2014 at 09:12.
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Old 6th Sep 2014, 18:16
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Does anyone have the answer about what happened at 300' to increase the V/S.
The pilot could have been guilty of attempt at scud-running, that could explain desire to get down quickly in hope of getting below some puff of cloud and gain visual contact with the runway. Many GA pilots did this and perished (some survived), it is not often that you find professional pilots doing something like that but it did happen in history of aviation.
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Old 6th Sep 2014, 19:57
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Thank you guys for the replies. I admit I have not read the report in detail, most only here; I will correct that. One reason for my curiosity is I instruct on the a/c type and am always interested to find out how/why pilots screw up. It makes for educational input into any training.
Question still remains. On an NPA approach, above minimums, not visual why would any sane pilot disconnect the automatics? There should be one pilot looking outside and one inside. Preferably PNF is searching for the visual reference and PF is monitoring the instruments and flight path. If this didn't happen and PF disconnected to go 'scud running' then it brings into question SOP's and airmanship. The latter is already under scrutiny, the former is in writing.
Perhaps I am mistaken and the disconnect came below MDA; even more scary and disturbing.
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Old 6th Sep 2014, 20:59
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above minimums, not visual why would any sane pilot disconnect the automatics?
I don't understand, I am instrument rated and disconnecting A/P slightly above MDA is pretty much a standard procedure at least among GA pilots like myself. They disconnected at around 550' so just about 100' above MDA, perfectly normal considering they had to reduce rate of descent and not bust MDA. Obviously nothing like that happened - they clearly decided to plow even lower in hope of breaking through the clouds. Are you instructing on 737?? So tell us how you would fly this approach by the airline pilot standards.

Last edited by olasek; 6th Sep 2014 at 21:22.
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Old 7th Sep 2014, 06:08
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Do some research on CDAs, Olasek.
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Old 7th Sep 2014, 08:53
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Poor training+complacency=accident
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Old 7th Sep 2014, 14:42
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Originally Posted by OK465
Bloggs (& RAT), do some research
Now why would I need to do that?
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Old 7th Sep 2014, 15:29
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Indonesian NTSB incompetence?

Hi All
I just read the final report and this tread after it was issued.
I have read a few reports in my time but this must be a joke, a project in the local flyingclub?
I was under the impresion that there is a certain template and a bit of minnimum facts that a local NTSB has to come up with.?

No proper CVR timeline transkript for eksampel.
No proper conclusion.
No proper recomandation.
Just a lot of repeats ,irrelevant quoats grafs and nice pictures.
They say the Crew lost the big picture, well they lost the Greater picture!
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Old 7th Sep 2014, 17:38
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OK456 "...the NG VNAV system when the coded E/D is not at an RWXX waypoint and..."

Quotes FCOM:
- An E/D point must be defined in order to accomplish a path descent. It may be defined manually or by the selection of an arrival procedure.
- If a path (VNAV PTH) descent is active when a vertical angle leg becomes active, the path mode will remain active, but VNAV will follow the vertical angle rather than the idle thrust descent path.
- For an approach without a runway waypoint on the RTE LEGS page, the VNAV path is calculated to the MDA or a calculated altitude at the missed approach point. The calculated altitude may be below the MDA to ensure a flight path angle and normal threshold crossing height.

And most importantly this NOTE:
It is the flight crew’s responsibility not to descend below the MDA until adequate visual contact is achieved.

Thus we do not need necessarily a RWXX point, but an angle coded and a E/D point or RWXX point
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Old 8th Sep 2014, 00:53
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OK465, WTF was all that about?? Unless the 737 has idiosyncrasies, whether there is a RWXX or not is irrelevant (certainly in my "DC9") in this situation. We use approaches with and without RWXX. RWXX is actually a bl@@dy nuisance and in some cases downright dangerous, because it takes you direct from the FAF to the threshold. That is NOT how the approach is supposed to be flown or charted. The approach is designed to cross the centreline on the way to the VOR, with the MDA (or DDA if you like) occurring as the aircraft crosses the CL; a simple turn onto the runway QFU to land. Going via RWXX means I've got to jink towards the CL then back to the QFU to get lined up.

Many of our NPAs don't have 3° displayed in the active plan (ie don't have RWXX) but the machine flies down the charted profile ie 3° (or greater if designed) regardless, as described by Skyjob.
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Old 8th Sep 2014, 03:37
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The approach is designed to cross the centreline on the way to the VOR, with the MDA (or DDA if you like) occurring as the aircraft crosses the CL
Bloggs,

I didn't say anything different. The WTF was an explanation that the 737 VNAV will disconnect at the coded E/D at MA09, but the LNAV steering will remain to the VOR. With the runway/REILS in sight, you disconnect everything at MA09, ignore the steering, turn on to final, land and go to the bar.

My point was you can't use LNAV or VNAV inside MA09.

My question remains. What does 717 VNAV steering and auto-flight do at this coded E/D? Or do you know?

(and BTW for this approach it's 2.8 degrees and this will be displayed on the 737 legs page to enable approach geometric from the FAF, but the altitude at MA09 is hard coded and not 'computed')
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Old 8th Sep 2014, 04:53
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What does 717 VNAV steering and auto-flight do at this coded E/D?
The LNAV follows the Missed Approach coding eg RWXX>VOR>Missed Approach Track, and the VNAV levels off at the inserted MDA/DDA (no "fly-away" logic, unfortunately, unlike IAN). We do not leave it in LNAV and VNAV after the MA waypoint as we are doing the GA then, but after re-engagement of LNAV and VNAV when established in the missed approach, the Autoflight will follow the missed approach including climbing, as per the coded plan.
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Old 8th Sep 2014, 11:35
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On an NPA approach, above minimums, not visual why would any sane pilot disconnect the automatics
Quite so especially when the final result indicated both pilots lacked basic hand flying skills on instruments. The report indicates the approach was flown on automatics until near MDA when the first officer disengaged everything and continued manually until the captain took over and continued manually into the sea. It proved beyond much doubt what many have long since known. And that is many of todays pilots lack basic instrument flying skills. Automation addiction fostered by company and manufacturers SOP's has much to answer for.

The whole approach could have been easily flown manually and on raw data by any half decently trained pilot. Moreover an instrument rated pilot in a Cessna 172 could fly it. Yet both the pilots lost the plot once the first officer made his own decision to go manually on instruments and within seconds his poor instrument flying ability immediately caused the aircraft to become unstable.

Worse still the captain was driven by the local culture that says that real men don't go around and he too deliberately ducked under. Interesting that he exhibited the same tendency in the simulator judging by comments in his previous training record. 15,000 flying hours in his log book showed he must have got away with unstable approaches for years.
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Old 8th Sep 2014, 15:24
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I think you are completely off the mark. In this accident it is not the inability of the crew to hand fly but noncompliance of SOP is the cause. Even the best pilot in the world would have landed in the sea had he continued to 20ft without sighting the runway. Off course he even messed up the GA because except saying go around he did very little else but from 20ft. it wouldn't have mattered, may be would have been worse because he might have crashed into the boundary wall.
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Old 8th Sep 2014, 16:45
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"Worse still the captain was driven by the local culture that says that real men don't go around and he too deliberately ducked under."

Actually the local culture is not to be confrontational but to work things out together - admittedly a bit tough where they were
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Old 8th Sep 2014, 16:54
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@ vilas -

Are you stupid or something?

"Even the best pilot in the world would have landed in the sea had he continued to 20ft without sighting the runway."

Surely if you follow the LOC and GS down to 20 feet, then miss, you won't hit the sea... Surely there's a runway where the LOC and GS meet terra firma no? Or in this case - the magenta LNAV-VNAV guidance down to the RWY point.

At least most airports I've been to that seems to be the case.

If it was poor SOPs but excellent flying skills they would have hit the runway at 1500 feet and slammed on the brakes without seeing a thing! Duhhhhh

(disclaimer - I don't support that sort of landing!)

No, the SOPs are by the by. In fact, I'm sure they were crap too. But the major factor here is useless pilots. You pay peanuts, you get these foolish monkeys. That's a fact for any of these cowboy outfits.

What airline in their right mind would hire pilots from Lionair? I mean, really?
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Old 8th Sep 2014, 23:07
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In this accident it is not the inability of the crew to hand fly but noncompliance of SOP is the cause
They both go hand in hand, poor instrument flying skills go with tendency to SOP violations.
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Old 9th Sep 2014, 03:33
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Flying Clog
Friend, SOPs are made taking into consideration human and equipment capabilities to ensure consistent results. When you decide to do something stupid there is no SOP for that and obviously the result is as on that day. You are suggesting in heavy rain with zero visibility they should have flown accurately to hit the runway to touch down point. That would have avoided ditching but aircrafts do crash on land and horribly that too. Anybody suggesting what he should have done below minima is very stupid indeed.
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Old 9th Sep 2014, 04:30
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olasek
"They both go hand in hand, poor instrument flying skills go with tendency to SOP violations"
There is no connection whatsoever. Following rules is just a matter of mental discipline it has nothing to do with manipulative skills. Haven't you heard that "SOPs are for the guidance of the wise and compliance by idiots" Off course that is a joke but second part applies to this crew.
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Old 9th Sep 2014, 11:20
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@Flying Clog

The approach is an offset VOR/DME approach as far as I can remember.

That won't put you on the black stuff.
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