Ethiopian airliner down in Africa
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Today I had the opportunity to talk with a line pilot from a major US carrier that has both 737NGs and MAX 9’s in their fleet, and we chatted about both Lion and Ethiopian incidents. He routinely flys 737NGs and had only flown the MAX on one leg to date, but had nothing other than good things to say about it.
That’s not the point of this post - what is, was his absolute certainty that ANY pilot flying the MAX post-Lion crash should have known in a heartbeat the symptoms of a misbehaving AOA sensor and how to disable MCAS. He was unequivocal that this would be a non-event.
Additionally he noted that he routinely hand-flys the aircraft on departure to 10,000 or 18,000 feet (route dependent) and would only then switch on the AP. Equally, on approach he would switch off the automatics around 6,000 feet and hand-fly the aircraft. This is encouraged by his airline. This seems rather different than many these days.
His point was any time the airplane isn’t doing something he expected - turn off all the automatics including electric trim and figure out what was going on.
I asked whether he felt he would have turned off the trim BEFORE he knew about MCAS, and he was adamant that any repeated trim as experienced by Lion Air would have had the electric trim disabled no more than the second iteration. It’s simply not the same trim action as that which occurs with the STS, and would have turned off.
Of course this anecdotal and simply one pilot’s input, but take it for what it is. This pilot said he would fly a MAX tomorrow without concern.
- GY
That’s not the point of this post - what is, was his absolute certainty that ANY pilot flying the MAX post-Lion crash should have known in a heartbeat the symptoms of a misbehaving AOA sensor and how to disable MCAS. He was unequivocal that this would be a non-event.
Additionally he noted that he routinely hand-flys the aircraft on departure to 10,000 or 18,000 feet (route dependent) and would only then switch on the AP. Equally, on approach he would switch off the automatics around 6,000 feet and hand-fly the aircraft. This is encouraged by his airline. This seems rather different than many these days.
His point was any time the airplane isn’t doing something he expected - turn off all the automatics including electric trim and figure out what was going on.
I asked whether he felt he would have turned off the trim BEFORE he knew about MCAS, and he was adamant that any repeated trim as experienced by Lion Air would have had the electric trim disabled no more than the second iteration. It’s simply not the same trim action as that which occurs with the STS, and would have turned off.
Of course this anecdotal and simply one pilot’s input, but take it for what it is. This pilot said he would fly a MAX tomorrow without concern.
- GY
It just doesn't matter what other crews who didn't actually experience it think they might have done.
We need to deal with what actually happened, not what might have happened on a different night with a different crew.
Boeing are fixing it.
The reason they are fixing it is that it is broken.
Last edited by pilot9250; 3rd Apr 2019 at 03:47.
Boeing are fixing it.
The reason they are fixing it is that it is broken.
The reason they are fixing it is that it is broken.
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Perhaps so, but it's also important to understand why the crews of the accident aircraft did not handle the situation they encountered. We don't yet know what happened in the Ethiopian accident, but assuming that crew encountered something similar to the Lion Air crew, why did neither crew think to deactivate the electric trim in sufficient time to recover the situation? Was basic training a factor?
They might fix MCAS training, but I doubt they will do anything to change basic pilot training. In the Lion Air case, why would a pilot sit there, flying more or less level at a more or less constant speed and allow an automatic trim system to trim nose down on 20-odd occasions without doing something to stop it? If an automatic system is doing something it's not supposed to do and is making control difficult, then there's one very obvious solution. Deactivate the bloody thing and revert to something more basic. To my way of thinking, that should be part of a pilot's basic training
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They might fix MCAS training, but I doubt they will do anything to change basic pilot training. In the Lion Air case, why would a pilot sit there, flying more or less level at a more or less constant speed and allow an automatic trim system to trim nose down on 20-odd occasions without doing something to stop it? If an automatic system is doing something it's not supposed to do and is making control difficult, then there's one very obvious solution. Deactivate the bloody thing and revert to something more basic. To my way of thinking, that should be part of a pilot's basic training
737's weren't dropping out of the sky otherwise.
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On the touchy ( forgive me ) subject of hand flying there was a time some here will recall, when a lot of training was done in the airplanes, some of it at night. Circling approaches, recovery from unusual attitudes, stalls and steep turns, offsets and every conceivable situation that might be encountered before all the airports had good approach aids and long enough runways. Hands on, heads up stuff you could never forget because it scared the daylights out of you. Behind us now, with a few exceptions in remote parts of the world, and good riddance to it. Safe and sanitary simulation, nowhere near as stimulating but a lot less dangerous, is here to stay. But it is no substitute for experience, and that brings up something else that has changed. Flying time and flying experience are no longer the same thing. Five thousand hours at one time would have exposed you to several difficult and trying situations in almost any job outside the airlines and some within. Today, five thousand hours in the right seat of a scheduled carrier with modern well maintained equipment may seem like enough time, but it may not be very much experience at all. I don’t have humble opinions, but the one I do have favors intelligent acceptance of the inevitable AI, not the expensive step in the wrong direction of trying to make new pilots more like the old ones. The teachable autopilot is right around the corner, able to be programmed with more experience than a room full of pilots. Driving airplanes is not what it used to be, nor should it be.
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Hindsight is a wonderful thing............but in the past people have disconnected the autopilot when things have gone wrong, lost mental capacity and made some pretty poor decisions.......although there are some situations where autopilot disconnect is a memory item or sometimes it might be plain common sense to do so, but I would suggest you would "figure out what's going on" before you disconnect, and only if it's appropriate to do so!
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I shouldn't paste the whole article but these are the opening two paragraphs. I'm sure this will be more widely picked up by other news outlets shortly.
Pilots at the controls of the Boeing Co. 737 MAX that crashed in March in Ethiopia initially followed emergency procedures laid out by the plane maker but still failed to recover control of the jet, according to people briefed on the probe’s preliminary findings.
After turning off a flight-control system that was automatically pushing down the plane’s nose shortly after takeoff March 10, these people said, the crew couldn’t get the aircraft to climb and ended up turning it back on and relying on other steps before the final plunge killed all 157 people on board.
After turning off a flight-control system that was automatically pushing down the plane’s nose shortly after takeoff March 10, these people said, the crew couldn’t get the aircraft to climb and ended up turning it back on and relying on other steps before the final plunge killed all 157 people on board.
- Busines Ethiopian Airlines Pilots Initially Followed Boeing’s Required Emergency Steps to Disable 737 MAX System
Details of Ethiopian crew’s actions gleaned from preliminary black-box data
People from various hamlets and villages pay respects to the 157 victims who perished in the crash of Ethiopian Airlines flight 302. Photo: Jemal Countess/Getty Images By
April 2, 2019 11:47 p.m. ET Pilots at the controls of the Boeing Co. 737 MAX that crashed in March in Ethiopia initially followed emergency procedures laid out by the plane maker but still failed to recover control of the jet, according to people briefed on the probe’s preliminary findings.After turning off a flight-control system that was automatically pushing down the plane’s nose shortly after takeoff March 10, these people said, the crew couldn’t get the aircraft to climb and ended up turning it back on and relying on other steps before the final plunge killed all 157 people on board.Andy Pasztor andAndrew Tangel
The sequence of events, still subject to further evaluation by investigators, calls into question assertions by Boeing and the U.S. Federal Aviation Administration over the past five months that by simply following established procedures to turn off the suspect stall-prevention feature, called MCAS, pilots could overcome a misfire of the system and avoid ending in a crash.
The pilots on Ethiopian Airlines Flight 302 initially reacted to the emergency by shutting off power to electric motors driven by the automated system, these people said, but then appear to have re-engaged the system to cope with a persistent steep nose-down angle. It wasn’t immediately clear why the pilots turned the automated system back on instead of continuing to follow Boeing’s standard emergency checklist, but government and industry officials said the likely reason would have been because manual controls to raise the nose didn’t achieve the desired results.
After first cranking a manual wheel in the cockpit that controls the same movable surfaces on the plane’s tail that MCAS had affected, the pilots turned electric power back on, one of these people said. They began to use electric switches to try to raise the plane’s nose, according to these people. But the electric power also reactivated MCAS, allowing it to continue its strong downward commands, the people said.
The same automated system, also implicated in a 737 MAX crash in Indonesia in late October, has become the focus of various congressional and federal investigations, including a Justice Department criminal probe.
The latest details are based on data downloaded from the plane’s black-box recorders, these people said. They come as Ethiopian investigators prepare to release their report about their preliminary conclusions from the accident, anticipated in the coming days.
Investigators probing the Oct. 29 crash of Lion Air Flight 610 believe erroneous data from a single sensor caused the MCAS system to misfire, ultimately sending the plane into a fatal nose-dive and killing all 189 people on board. Some of the same key factors were at play in the Ethiopian crash, according to people briefed on the details of both crashes.
U.S. Investigators looked at debris from the crash in Bishoftu, Ethiopia, on March 12. Photo: Jemal Countess/Getty Images After the Lion Air accident, Boeing and the FAA issued bulletins to 737 MAX operators around the world reminding them of the existing procedure pilots are trained to follow should the plane’s flight-control system go haywire and mistakenly push down the nose. Those are the steps the Ethiopian pilots initially took months later, these people said.
That procedure works to disable the new MCAS, much like another flight-control feature on earlier 737 models, by cutting power. The plane maker and FAA’s bulletins highlighting that safeguard were often mentioned after the Lion Air accident when U.S. aviation industry officials vouched for the aircraft’s safety. Boeing Chief Executive Dennis Muilenburg noted the procedure in a Nov. 13 television interview when asked about information given to pilots.
“In fact, that’s part of the training manual,” Mr. Muilenburg said on Fox Business Network, adding the manufacturer was confident in the plane’s safety. “It’s an existing procedure so the bulletin we put out…pointed to that existing flight procedure.”
At a briefing for reporters last week, a Boeing official noted investigations of both crashes were continuing but didn’t comment about specifics when he outlined a coming software fix for the MCAS system and related training changes.
Mike Sinnett, Boeing’s vice president of product strategy, said last week the plane maker had “complete confidence that the changes we’re making would address any of these accidents.” The software fix could come as soon as mid-April, according to a person briefed on that issue, but further tests are needed before regulators can approve and mandate it so the grounded fleet can return to service. Another person close to the process, however, said final FAA reviews and tests could take up to six weeks. After that, it could take months longer for some overseas regulators to review and certify the fix for aircraft they oversee.
Activation of MCAS and a related pilot alert, which warns pilots of an impending aerodynamic stall, had been reported previously regarding the Ethiopian crash. But in the wake of the tragedy, Boeing, the FAA and Ethiopian authorities leading the probe have refrained from making any comments about whether the crew followed Boeing-sanctioned procedures to cope with the emergency.
Going forward, aviation experts, regulators and pilots debating the relevant safety issues will have to consider the implications that while the pilots did take such steps in the beginning, those apparently didn’t work as expected likely due to the plane’s speed, altitude and other factors. Eventually, the crew veered to other, nonstandard procedures that made their predicament even worse.
Another issue likely to be raised by the preliminary Ethiopian report is why a single sensor malfunctioned or somehow may have been damaged shortly after takeoff—touching off the deadly chain of events.
Write to Andy Pasztor at [email protected] and Andrew Tangel at [email protected]
The pilots on Ethiopian Airlines Flight 302 initially reacted to the emergency by shutting off power to electric motors driven by the automated system, these people said, but then appear to have re-engaged the system to cope with a persistent steep nose-down angle. It wasn’t immediately clear why the pilots turned the automated system back on instead of continuing to follow Boeing’s standard emergency checklist, but government and industry officials said the likely reason would have been because manual controls to raise the nose didn’t achieve the desired results.
After first cranking a manual wheel in the cockpit that controls the same movable surfaces on the plane’s tail that MCAS had affected, the pilots turned electric power back on, one of these people said. They began to use electric switches to try to raise the plane’s nose, according to these people. But the electric power also reactivated MCAS, allowing it to continue its strong downward commands, the people said.
The same automated system, also implicated in a 737 MAX crash in Indonesia in late October, has become the focus of various congressional and federal investigations, including a Justice Department criminal probe.
The latest details are based on data downloaded from the plane’s black-box recorders, these people said. They come as Ethiopian investigators prepare to release their report about their preliminary conclusions from the accident, anticipated in the coming days.
Investigators probing the Oct. 29 crash of Lion Air Flight 610 believe erroneous data from a single sensor caused the MCAS system to misfire, ultimately sending the plane into a fatal nose-dive and killing all 189 people on board. Some of the same key factors were at play in the Ethiopian crash, according to people briefed on the details of both crashes.
U.S. Investigators looked at debris from the crash in Bishoftu, Ethiopia, on March 12. Photo: Jemal Countess/Getty Images That procedure works to disable the new MCAS, much like another flight-control feature on earlier 737 models, by cutting power. The plane maker and FAA’s bulletins highlighting that safeguard were often mentioned after the Lion Air accident when U.S. aviation industry officials vouched for the aircraft’s safety. Boeing Chief Executive Dennis Muilenburg noted the procedure in a Nov. 13 television interview when asked about information given to pilots.
“In fact, that’s part of the training manual,” Mr. Muilenburg said on Fox Business Network, adding the manufacturer was confident in the plane’s safety. “It’s an existing procedure so the bulletin we put out…pointed to that existing flight procedure.”
At a briefing for reporters last week, a Boeing official noted investigations of both crashes were continuing but didn’t comment about specifics when he outlined a coming software fix for the MCAS system and related training changes.
The revised system will rely on two sensors, instead of one as originally designed, to prevent erroneous data triggering it. The system will now be designed to make it less aggressive and allow pilots more control over it, according to previous Boeing and FAA statements.
Mike Sinnett, Boeing’s vice president of product strategy, said last week the plane maker had “complete confidence that the changes we’re making would address any of these accidents.” The software fix could come as soon as mid-April, according to a person briefed on that issue, but further tests are needed before regulators can approve and mandate it so the grounded fleet can return to service. Another person close to the process, however, said final FAA reviews and tests could take up to six weeks. After that, it could take months longer for some overseas regulators to review and certify the fix for aircraft they oversee.
Activation of MCAS and a related pilot alert, which warns pilots of an impending aerodynamic stall, had been reported previously regarding the Ethiopian crash. But in the wake of the tragedy, Boeing, the FAA and Ethiopian authorities leading the probe have refrained from making any comments about whether the crew followed Boeing-sanctioned procedures to cope with the emergency.
Going forward, aviation experts, regulators and pilots debating the relevant safety issues will have to consider the implications that while the pilots did take such steps in the beginning, those apparently didn’t work as expected likely due to the plane’s speed, altitude and other factors. Eventually, the crew veered to other, nonstandard procedures that made their predicament even worse.
Another issue likely to be raised by the preliminary Ethiopian report is why a single sensor malfunctioned or somehow may have been damaged shortly after takeoff—touching off the deadly chain of events.
Write to Andy Pasztor at [email protected] and Andrew Tangel at [email protected]
Wright Bros broke more than 2 planes...
If you amend your comment from PIlot Error to Human Error, which would include the software designers, the DER's operating under the ODA, the Regulatory oversight of the OEM, the airline management response, the mechanics undertaking fault finding of apparently repetitive defects, the regulatory oversight of the operational and maintenance program, and possibly the pilots, then that may be a valid statement.
The pilots here were the first to the scene of the accident, and in these cases they had an interest in surviving, yet didn't. Pretty easy post hoc to brand the crew with the fault, when they are confronted with what appears to be events that precluded a safe outcome, irrespective of how clear and simple that appears to us sitting around our computers and relaxing, without being placed in a life threatening situation. When we know why the second crew didn't sort it out, the industry will have gained valuable knowledge and maybe hardened against similar future events. With the knowledge that the 2nd crew had been briefed on the issue, the fact that it didn't end well is important, and until we understand why that was the case, the system will have a hole in it.
“There is nothing more deceptive than an obvious fact.” Arthur Conan Doyle
If you amend your comment from PIlot Error to Human Error, which would include the software designers, the DER's operating under the ODA, the Regulatory oversight of the OEM, the airline management response, the mechanics undertaking fault finding of apparently repetitive defects, the regulatory oversight of the operational and maintenance program, and possibly the pilots, then that may be a valid statement.
The pilots here were the first to the scene of the accident, and in these cases they had an interest in surviving, yet didn't. Pretty easy post hoc to brand the crew with the fault, when they are confronted with what appears to be events that precluded a safe outcome, irrespective of how clear and simple that appears to us sitting around our computers and relaxing, without being placed in a life threatening situation. When we know why the second crew didn't sort it out, the industry will have gained valuable knowledge and maybe hardened against similar future events. With the knowledge that the 2nd crew had been briefed on the issue, the fact that it didn't end well is important, and until we understand why that was the case, the system will have a hole in it.
“There is nothing more deceptive than an obvious fact.” Arthur Conan Doyle
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I don’t want to agree with you. Hopefully you’re incorrect.
At the moment the regulator mandates that I get 8 hours of simulator time p/a. In reality it’s more like 16 because the pilot I am teamed up with also needs 8 hours. We complete this over two checks held six months apart. If the regulator mandated that I need 12 hours, and the extra four hours had to be sans automation and both high level and circuit work, the difference in my handling skills and confidence as a pilot would be significant. The cost would easily be passed onto the flying public and would effect all operators equally.
With all the cosy relationships between Airlines and regulators and manufactureres globally I won’t hold my breath but it would go a long way to making our Industry safer for very little cost.
This is one situation that would benefit from some autocratic leadership and hang the corporate consequences......anyone know a leader like that?
Edited to add; A ‘bad outcome’ from the Max saga would be that Boeing tinker with their software and manage their corporate relationships to get the aircraft flying again.
A ‘good outcome’ to the saga would be if pilots around the world became more competent through mandated automation-free sim time that is in addition to the current requirements.
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737qanda that's a great idea.
Ferry pilot, I think producing pilots capable of hand flying with confidence is an essential skill - it can be achieved without much cost but just requires a change of culture. Some airlines already do this just by encouraging turning off the automation (when appropriate, ie good weather, low traffic levels).
I remember a skipper I flew with when I almost overcooked a hand flown approach say: what would the passengers rather have, a perfectly flown approach by the autopilot everytime or a pilot who can confidently fly if the situation requires it, even if we'd had to throw that approach away?
Ferry pilot, I think producing pilots capable of hand flying with confidence is an essential skill - it can be achieved without much cost but just requires a change of culture. Some airlines already do this just by encouraging turning off the automation (when appropriate, ie good weather, low traffic levels).
I remember a skipper I flew with when I almost overcooked a hand flown approach say: what would the passengers rather have, a perfectly flown approach by the autopilot everytime or a pilot who can confidently fly if the situation requires it, even if we'd had to throw that approach away?
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One think I don't understand in all the above.
The consensus is that these pilots were not adequately trained or knowledgeable about the aircraft, which may of course be true.
But to get into their situation there had to be a failure in the aircraft systems of some kind.
So accepting that the fact that all the US pilots were better equipped to deal with this situation , have there not been any failures of this system on US registered aircraft?
Apart from the 2 we know about, have there not been no log book write ups for this system in the US ?
The consensus is that these pilots were not adequately trained or knowledgeable about the aircraft, which may of course be true.
But to get into their situation there had to be a failure in the aircraft systems of some kind.
So accepting that the fact that all the US pilots were better equipped to deal with this situation , have there not been any failures of this system on US registered aircraft?
Apart from the 2 we know about, have there not been no log book write ups for this system in the US ?
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Now that it seems very likely that MCAS was involved in both the Lionair and the Ethiopean accidents, a sad irony emerges namely that the pilots (of the non-accident Lionair flight) who had the least knowledge of both the general MCAS issues and also of their own specific a/c issues, were the only ones who were able to handle the problem. Assuming warnings, cautions and lights were somewhat identical on all three flights - what was different? And what were the significant differences?
I didn't read through the now closed Lionair thread until yesterday and I realize many of the questions, quotes and opinions from my previous posts were already there - my apologies and thanks to Hans, Bernd, iff789, Denti, FCeng84 for their patience, persistence and insight. Kudos to gums for figuring out the gist of it within a couple of days of the first accident!
I didn't read through the now closed Lionair thread until yesterday and I realize many of the questions, quotes and opinions from my previous posts were already there - my apologies and thanks to Hans, Bernd, iff789, Denti, FCeng84 for their patience, persistence and insight. Kudos to gums for figuring out the gist of it within a couple of days of the first accident!
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Or maybe not. The WSJ article quoted above says that the Ethiopian pilots were aware of the Lion Air crash and did turn off the stab trim motors but couldn't get the nose up using the manual wheels.
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Now that it seems very likely that MCAS was involved in both the Lionair and the Ethiopean accidents, a sad irony emerges namely that the pilots (of the non-accident Lionair flight) who had the least knowledge of both the general MCAS issues and also of their own specific a/c issues, were the only ones who were able to handle the problem. Assuming warnings, cautions and lights were somewhat identical on all three flights - what was different? And what were the significant differences?
I didn't read through the now closed Lionair thread until yesterday and I realize many of the questions, quotes and opinions from my previous posts were already there - my apologies and thanks to Hans, Bernd, iff789, Denti, FCeng84 for their patience, persistence and insight. Kudos to gums for figuring out the gist of it within a couple of days of the first accident!
I didn't read through the now closed Lionair thread until yesterday and I realize many of the questions, quotes and opinions from my previous posts were already there - my apologies and thanks to Hans, Bernd, iff789, Denti, FCeng84 for their patience, persistence and insight. Kudos to gums for figuring out the gist of it within a couple of days of the first accident!
There are about 380 B38M's in operation, and about 100 of them - roughly 26% of it- are operated in the US/Canada.
If a pilot hadn't seen this simple but crucial demostration their recovery from a sufficiently runaway stab would be problematic, and in the Ethiopian case I expect their inordiantely high airspeed would have exacerbated the problem.
Little details like this can make a huge difference years later on the line, and if small details get dropped from the training manual...
Does any other 737 pilot recall doing/not doing this exercise? I'd imagined it to be a universally inuded part of the course but perhaps not. It would certainly be of great importance to now if it was included in the training all four accident pilots recieved.
