Go Back  PPRuNe Forums > Flight Deck Forums > Rumours & News
Reload this Page >

NTSB update on Asiana 214

Wikiposts
Search
Rumours & News Reporting Points that may affect our jobs or lives as professional pilots. Also, items that may be of interest to professional pilots.

NTSB update on Asiana 214

Thread Tools
 
Search this Thread
 
Old 18th Apr 2014, 01:58
  #701 (permalink)  
 
Join Date: Feb 2005
Location: flyover country USA
Age: 82
Posts: 4,579
Likes: 0
Received 0 Likes on 0 Posts
"Running off the end at Vref" is either supremely silly or supremely ignorant.
See: TAM 3054, São Paulo/Congonhas, 17 July 2007, A320.
barit1 is offline  
Old 18th Apr 2014, 02:08
  #702 (permalink)  
 
Join Date: Apr 2000
Location: FL, USA
Posts: 411
Received 1 Like on 1 Post
"Without knowing the 777 in detail,"

That pretty much covers your input to the FLCH discussion on the 777 or any Boeing for that matter. Thanks for playing.

Any pilot using FLCH in a 757/767/777/737 on final approach is an abject fool.

A trap? If that is a trap then so is walking into traffic and getting run over in front of the terminal. Some people need to find another line of work.
WhatsaLizad? is offline  
Old 18th Apr 2014, 02:22
  #703 (permalink)  
 
Join Date: Mar 2002
Location: Seat 1A
Posts: 8,551
Received 73 Likes on 42 Posts
Originally Posted by Barit
Very well - it's such an excellent idea let's petition to make it a universal cert requirement (like throttles fwd for TO, etc.). And write AD's for retrofit too.
You (and lizard) can sledge all you like. But can you actually give any reason why speed protection, regardless of current ATS mode, should not be part of the design, or in fact why, in the 777, FLCH does not provide speed protection?

I didn't think so.
Capn Bloggs is offline  
Old 18th Apr 2014, 02:32
  #704 (permalink)  
 
Join Date: Jul 2013
Location: Everett, WA
Age: 68
Posts: 4,407
Received 180 Likes on 88 Posts
Bloggs, to my simple airplane designing mind, it's pretty simple.


Asiana was high and hot. They then input a FLCH command that would have made the aircraft climb (no idea why they would have done that, but according to published reports that's exactly what they did) so the throttles started to advance. Since advancing throttles would be contrary to capturing glideslope when high and hot, the throttles were manually retarded and held at idle for several seconds which, by design, caused the A/T to disconnect (EICAS message and aural "beep beep beep" alert). Little more than a minute later they were caught unaware when that disconnected A/T, which they had programed for a climb, failed to maintain VREF airspeed for landing.


If you design an autothrottle such that it doesn't allow the pilot to override it if deemed necessary, why the do you even need the pilot?
tdracer is online now  
Old 18th Apr 2014, 05:23
  #705 (permalink)  
 
Join Date: Jan 2008
Location: The Smaller Antipode
Age: 89
Posts: 31
Received 17 Likes on 10 Posts
...not the 'Bus..it calls "retard" the pilots closes the thrust levers..
Why do you need one of Bill Gates' Magic Boxes to tell you to close the throttles to complete the flare and landing ?

Amazes me that the Wright Brothers survived their first flight !

World's Gone Mad.
ExSp33db1rd is offline  
Old 18th Apr 2014, 14:10
  #706 (permalink)  
 
Join Date: Dec 2002
Location: UK
Posts: 2,451
Likes: 0
Received 9 Likes on 5 Posts
‘The more lofty words like "foresight" or "tolerant of misuse" the more meaningless they are’.
This depends on your viewpoint; you can choose the ‘person view’ or the ‘system view’, both adequately described by James Reason et al.

With the person view, often biased by hindsight, blame is an easy solution but does little to provide deeper understanding of the safety issues. What value is there in concluding that you or your operation would not suffer the hazards of human / system / situational limitation; self-satisfaction does not equate to safety.

A system view might not provide a uniquely packaged primary cause, where new SOPs / training etc can be applied (but to what effect in scenarios differing from this accident); but such a view could provide generic indicators of weaknesses or opportunities for error in higher workload situations where crews are expected to manage unusual environments – monitoring when training, descending/decelerating without ILS, poorly identified system failures (737 AMS) or systems intolerant of misuse (777), - simultaneously.

Life is understood backwards, but it has to be lived forwards where foresight might help avoid the pitfalls which are so easy to identify with hindsight.

‘Without knowing the 777… …’; recognising individual limitations, knowledge, operation, might help avoid or resolve difficult situations, but labelling professionals who might have may have learnt from their mistakes, as fools, might suggest that it takes one to know one – FLCH that is.
How many 777 pilots have been caught out by Boeing FLCH … is the mode the same in all models?
How do operators train or guard against the differences between A or B when changing type; ‘first learnt best remembered’?
What avoidance strategies are used when flying types with particular ‘weaknesses’ (people also have weaknesses); … how have people adapted to crossing the road in the UK vice the USA? At least we might consider taking care and looking both ways – considering other people’s points of view.
safetypee is offline  
Old 18th Apr 2014, 14:13
  #707 (permalink)  
 
Join Date: Dec 2002
Location: UK
Posts: 2,451
Likes: 0
Received 9 Likes on 5 Posts
‘The more lofty words like "foresight" or "tolerant of misuse" the more meaningless they are’.
This depends on your viewpoint; you can choose the ‘person view’ or the ‘system view’, both adequately described by James Reason et al.

With the person view, often biased by hindsight, blame is an easy solution but does little to provide deeper understanding of the safety issues. What value is there in concluding that you or your operation would not suffer the hazards of human / system / situational limitation; self-satisfaction does not equate to safety.

A system view might not provide a uniquely packaged primary cause, where new SOPs / training etc can be applied (but to what effect in scenarios differing from this accident); but such a view could provide generic indicators of weaknesses or opportunities for error in higher workload situations where crews are expected to manage unusual environments – monitoring when training, descending/decelerating without ILS, poorly identified system failures (737 AMS) or systems intolerant of misuse (777), - simultaneously.

Life is understood backwards, but it has to be lived forwards where foresight might help avoid the pitfalls which are so easy to identify with hindsight.

‘Without knowing the 777… …’
; recognising individual limitations, knowledge, operation, might help avoid or resolve difficult situations, but labelling professionals who might have may have learnt from their mistakes, as fools, might suggest that it takes one to know one – FLCH that is.
How many 777 pilots have been caught out by Boeing FLCH … is the mode the same in all models?
How do operators train or guard against the differences between A or B when changing type; ‘first learnt best remembered’?
What avoidance strategies are used when flying types with particular ‘weaknesses’ (people also have weaknesses); … how have people adapted to crossing the road in the UK vice the USA? At least we might consider taking care and looking both ways – considering other people’s points of view.
safetypee is offline  
Old 21st Apr 2014, 13:13
  #708 (permalink)  
 
Join Date: Feb 2005
Location: flyover country USA
Age: 82
Posts: 4,579
Likes: 0
Received 0 Likes on 0 Posts
Heirarchy of command

Recent reports on the Korean ferry ship disaster indicate an unwillingness of junior officers to take charge and call for evacuation when the captain was indisposed. Does anyone see a parallel with AZ214?

What does the Korean press have to say on the subject?
barit1 is offline  
Old 21st Apr 2014, 13:37
  #709 (permalink)  
 
Join Date: Jul 2009
Location: Not far from a big Lake
Age: 81
Posts: 1,454
Likes: 0
Received 0 Likes on 0 Posts
Recent reports on the Korean ferry ship disaster indicate an unwillingness of junior officers to take charge and call for evacuation when the captain was indisposed. Does anyone see a parallel with AZ214?
Yes. I've been thinking the same thing.
When people have been trained by their culture to defer to authority, how do you get them to speak up when they really need to?
Machinbird is offline  
Old 21st Apr 2014, 14:03
  #710 (permalink)  
 
Join Date: Jun 2000
Location: last time I looked I was still here.
Posts: 4,507
Likes: 0
Received 0 Likes on 0 Posts
This 'culture' problem has been thrashed about for years. If memory is correct did not Delta's training & safety department go into Korean years ago to try and sort it out? I thought they had some modicum of success, at first.
RAT 5 is offline  
Old 21st Apr 2014, 18:25
  #711 (permalink)  
 
Join Date: Aug 2009
Location: Texas
Age: 64
Posts: 7,197
Received 390 Likes on 241 Posts
RAT 5, Aren't Korean Airlines and Asiana two different airlines?
Lonewolf_50 is offline  
Old 21st Apr 2014, 20:24
  #712 (permalink)  
 
Join Date: Dec 2013
Location: Paso Robles
Posts: 261
Likes: 0
Received 0 Likes on 0 Posts
How many 777 pilots have been caught out by Boeing FLCH … is the mode the same in all models?
Probably quite a few, but as some pilot 777 admitted when he got "caught" a few times he very quickly recognized the problem and corrected it. We don't expect pilots to behave like programmed robots, mistakes do happen, we expect them to be vigilant enough to self-correct. In this particular case they had minutes (not seconds) to correct the situation, they never did.
porterhouse is offline  
Old 22nd Apr 2014, 03:55
  #713 (permalink)  
 
Join Date: Apr 2014
Location: South Alabama
Posts: 103
Received 11 Likes on 2 Posts
Recent reports on the Korean ferry ship disaster indicate an unwillingness of junior officers to take charge and call for evacuation when the captain was indisposed. Does anyone see a parallel with AZ214?
There are addition similarities. I have experience flying the 767 as well as operating yachts which have autopilots linked to a computerized navigation system. In both vehicles I have, on occasion, selected an incorrect mode which if left to it's own devices would result in disaster. For example, in the case of the yacht it's quite easy to accidentally direct the autopilot to make a sudden hard turn. I suspect that what the young woman operating the ferry did.

The key, of course, is to recognize your mistake (or for someone else to recognize it) and then take timely action to correct it. The two go hand-in-hand.

I wonder if there was anyone else on the bridge of the ferry who failed to speak up when they should have.
Mozella is offline  
Old 22nd Apr 2014, 04:29
  #714 (permalink)  
 
Join Date: Sep 2004
Location: mexico
Posts: 161
Likes: 0
Received 0 Likes on 0 Posts
"If memory is correct did not Delta's training & safety department go into Korean years ago to try and sort it out? I thought they had some modicum of success, at first."

They tried. A squillion years of socialization was never going to be fixed by a simple airline audit though.
Zapatas Blood is offline  
Old 22nd Apr 2014, 05:20
  #715 (permalink)  
 
Join Date: Mar 2014
Location: Chicago
Age: 42
Posts: 9
Likes: 0
Received 0 Likes on 0 Posts
If you design an autothrottle such that it doesn't allow the pilot to override it if deemed necessary, why the do you even need the pilot?
Yeah but I don't think @Capn Bloggs is disputing that. Bloggs is saying (I think), and I'm still wondering, why does airspeed protection specifically not exist in FLCH mode?

Why do you need one of Bill Gates' Magic Boxes to tell you to close the throttles to complete the flare and landing ?

Amazes me that the Wright Brothers survived their first flight !
haha.

Last edited by sflaperons; 22nd Apr 2014 at 05:20. Reason: didn't mean to put words in @Capn Bloggs' mouth
sflaperons is offline  
Old 22nd Apr 2014, 15:12
  #716 (permalink)  
 
Join Date: Feb 2005
Location: flyover country USA
Age: 82
Posts: 4,579
Likes: 0
Received 0 Likes on 0 Posts
In my very early days as a student, I had this drilled into me: "Stick controls airspeed, throttle controls altitude". Of course, the machine weighted about 15 pounds per horsepower.

Today's airliners are so overpowered, that the relationship can be reversed, and indeed the automatics do the opposite: Autothrottle controls airspeed, autopilot controls altitude.

And when you fly in this mode leg after leg, the basic principle in my first paragraph - if not completely forgotten - might not be readily called up from long-term cranial storage when it's really needed.

barit1 is offline  
Old 23rd Apr 2014, 03:54
  #717 (permalink)  
 
Join Date: Jan 2004
Location: Canada
Age: 63
Posts: 5,202
Received 133 Likes on 60 Posts
Originally Posted by barit1
In my very early days as a student, I had this drilled into me: "Stick controls airspeed, throttle controls altitude". Of course, the machine weighted about 15 pounds per horsepower.

Today's airliners are so overpowered, that the relationship can be reversed, and indeed the automatics do the opposite: Autothrottle controls airspeed, autopilot controls altitude.

And when you fly in this mode leg after leg, the basic principle in my first paragraph - if not completely forgotten - might not be readily called up from long-term cranial storage when it's really needed.

So you are saying after a while the pilots forget the throttles work this way

Push to Go, Pull to Whoa

Really...........
Big Pistons Forever is offline  
Old 23rd Apr 2014, 09:37
  #718 (permalink)  
 
Join Date: Jun 2001
Location: In da north country
Age: 62
Posts: 452
Likes: 0
Received 0 Likes on 0 Posts
Automation was designed to make the competent pilots job easier; not be a replacement for incompetent pilots.

I am amazed at how many people are trying to make excuses for incompetence.

Let the fodder fly!
Willit Run is offline  
Old 23rd Apr 2014, 13:21
  #719 (permalink)  
 
Join Date: Feb 2005
Location: flyover country USA
Age: 82
Posts: 4,579
Likes: 0
Received 0 Likes on 0 Posts
So you are saying after a while the pilots forget the throttles work this way

Push to Go, Pull to Whoa
Look at the current evidence.
barit1 is offline  
Old 23rd Apr 2014, 14:16
  #720 (permalink)  
 
Join Date: Apr 2008
Location: Paris
Age: 74
Posts: 275
Likes: 0
Received 0 Likes on 0 Posts
Digital control is illusory and brittle.

Once something is totally digital eg. fly by wire, physics doesn't really hold anymore for the user where the computer is doing the work. Eg. the plane will go in any direction just by being pointed there.

And once you go off the edge of the world, the illusion collapses.

If you train people only inside the illusion, the first time they go off the edge into reality will quite possibly kill them - eg by a CFIT when the plane just doesn't have enough energy to clear an obstacle.
edmundronald is offline  


Contact Us - Archive - Advertising - Cookie Policy - Privacy Statement - Terms of Service

Copyright © 2024 MH Sub I, LLC dba Internet Brands. All rights reserved. Use of this site indicates your consent to the Terms of Use.