PPRuNe Forums

PPRuNe Forums (https://www.pprune.org/)
-   Rumours & News (https://www.pprune.org/rumours-news-13/)
-   -   Spanair accident at Madrid (https://www.pprune.org/rumours-news/339876-spanair-accident-madrid.html)

borghha 16th Sep 2008 15:38

Indeed, perhaps Spanait never saw the telex with the recommendation, because they weren't operating at the time. But CAIAC rubberstamped their SOP's and apparently didn't notice that Spanair had omitted the pre flight TOWS check...

Lot s of holes lining up here.

Was there a DFDR track of flap retract after the RTG?

Rainboe 16th Sep 2008 15:43

Some of the responses here are getting a bit amateurish. Some of you should stop arguing technique with NoD. It is the only way to fly a jet. You rotate at a set rate to a target attitude and let the plane do the rest. You do not treat it like a Cessna on a long grass runway! Some of the questions are evidently 'I can't be bothered to read up to now'!

Smilin_Ed 16th Sep 2008 15:44

Fly The Airplane, Not The Chart
 

Sorry NoD, the performance charts have gone out the window but at least the aircraft is off the ground.
Exactly. If you use a chart for flaps/slats extended and then takeoff with flaps/slats retracted, your calculations are not valid and you need to fly the airplane, not the chart.

NigelOnDraft 16th Sep 2008 16:32

scanafrica / Smilin Ed If you (try to) get airborne, and fail, then of course there are measures that you or I might take in a desperate attempt to stay alive :{

However, that was not Smilin Ed's original point which was <<Why not fly it off?>> i.e. on every takeoff.

Your 500m remaining idea might be great... err except on those days when you are getting airborne within 500m anyway with a correct rotation :ugh: Or close in obstacles... or...

We have millions of successful takeoffs each and everyday using, in general, the correct rotation technique. Why endanger each takeoff to "cater" for the 1 in a few million times someone forgets something pretty fundamental?

Might I also suggest a read of the NW MD-82 accident report. Without Flaps/Slats the aircraft would climb ~41' in ~5000' from Rotation - correctly configured it would climb 600'. The only solution is to configure the aircraft correctly, not just "try and fly it" with whatever Flaps/Slats you find yourself. IMHO ;)

NoD

demid 16th Sep 2008 16:42


After V1, if there is any reason to suspect that the aircraft will not fly due to windshear, incorrect flap or performance mis-calculation, the only solution is to get the nose gear back on the runway, wait for about 500m before the end of the runway, give a gentle tug and hope for the best.
Don't try this at home!

STARSPEEDS 16th Sep 2008 17:05

speculation is...
 
For some reason , it looks like the ground shift relay was in
airborne mode during the take off roll. This would inhibit the take off
warning , which among other things , gives you a warning if taking
off in the wrong configuration.

If the flaps - for same reason - were not in the correct postion ,
there would be no warning in this case!!

Considering the TOW with 178 pax onboard and if they rotated at the
correct take off speed , but with wrong configuration , they were
some 15 kts below stall speed......

justme69 16th Sep 2008 20:13

For those looking to expand the number of holes in the cheese or for those looking into human part of the accident's scenarios that are opened by the preliminary findings (i.e. pilot pressure, training, management, etc.), here are parts that COULD be of interest or COULD be totally inconsecuential.

The "simple" scenario COULD be:
1) Crew forgets to set flaps/slats. They don't check the indicators that show they are not set.
2) Crew doesn't check config alarms/circuit breakers for that flight. They were either not working/not set.
3) Config alarms don't sound, so the crew is never aware of their mistake(s).

If any of those three points wouldn't have occurred (specially number 1, the real "cause" in this hypothetical scenario), the accident wouldn't have happened in all likehood.

Background:
-Spanair was wholly owned by Scandinavian Airlines group SAS. A large company, but with financial trouble in the past year or two.

-Salary range for an opening crew possition (i.e. copilot) would be around €3,000/month plus benefits (health, unemployment, housing, transportation, food).

-Pilot was 38 years old, with >9000 hours of flight time. Had spent 10 years as military rescue squad pilot, 9 years with Spanair. First upgraded to commander in 2007.

-Copilot was 32 years old, with >1000 hours of flight time. Incidentaly, he was in charge on that flight to physically command the flaps deployment.

-Both crew were under 40 hours of work for the current month (accident occurred on the 20th). They have been found to never exceed their work schedules according to regulations in the prior months.

-Copilot was in the list of personnel that the airline was going to dissmiss as part of the plan to reduce personnel shortly (affecting some 1,100 workers).

-The copilot knew about this and also knew he would be offered a job inside the company as "assistant" if he wanted.

-It was "rumored", that Spanair pilots were initiating a "japanese strike" on that same day or the next day, as talks between unions and company seem to have "scalated" to pressure. A full out strike was also rumored to start soon.

-Crew had made together a prior aprox. 1.30h long flight that day on the same airplane. They reported to airport in Barcelona at aprox. 8:00am. That flight was uneventful, and actually arrived some 7 minutes early to Madrid.

-Crew had a rest period of aprox. 2h between flights.

The flight itself:

Was going to depart at 13:05 and be aprox. 2h 35m long in good weather. A bit hot in Madrid though, at around 29-30ºc (86ºF) outside.

13:06:29 - Authorized to taxii out

13:26:41 - They inform of a small technical problem to ground control (RAT probe)

13:33:26 - They request to ground control to go back to parking due to the problem (Probe measured excessive temperature. Heater was noted active on the ground). They were instructed to go to R11 parking at airport's T2.

-The pilot called the Spanair coordinator: "Tell maintenance that the RAT heater is on while on ground"

-Waiting for them when they arrived to parking 11 were already two airline's tecnicians. The problem appeared in the ATLB. Heater was to be disconnected according to MEL.

-Pilot carries a conversation with the airport ground coordinator assigned to assist him, who arrives minutes after the technicians. It was clear to him that the pilot thought they were going to have to change airplanes.

-The pilot tells the ground coordinator to start getting ready 2 busses to move the PAX to another plane.

-It was hot inside the cabin as PAX complained about no air conditioning (or excessive heat, nonetheless). The engines had been turned off and the door opened.

-Two or three PAX openly complain about the delay, the heat, etc.

-The crew made at least two, probably three, public announces to the PAX about the problem and the repair's proceedings.

-Another plane was requested and available for the change, if necessary. Spanair personnel informed the airport of the probable change of planes for the new flight plan authorization.

-By the time the busses to move the PAX arrived, the pilot told the coordinator to hold on a bit, cause maybe they were going to be able to fly with that plane after all.

-About 15 minutes later the couple of maintenance technicians left the plane. Pilot knew the actions taken by the technician and both signed the plane fit to fly. The busses leave empty as the PAX remains on board.

-The ground coordinator steps up and asks the pilot: "so what are you finally going to do?". He answered to call for re-fuelling some 2.000 pounds of fuel and that they would take-off on the same plane.

-The pilot, in person, stepped down, talked to the fueling worker, and closed the fuel intake in person before going back into the plane. Two flight attendants were on top of the upstairs. Waived good bye and the plane moved backwards from the area.

-The refueling worker declares to have carried on an informal conversation with the copilot through the window while re-fueling. He noticed, for the first time in his 9 years career, that the airplane had the anti-collision lights on while on the ground (distracted crew forgot to turn them off?)

-Having those lights on was against regulations while re-fueling, but since he was already almost done when he noticed, ignored it.

-14:08:15 Almost exactly 1 hour after its scheduled departure time, the flight is once again authorized to taxii out for take off.

-14:23:22 Plane is ready on runaway to take off and authorized to do so. The flaps at that time had not come down.

sevenstrokeroll 16th Sep 2008 20:16

Interesting words Rainboe and Nigel on Draft about rotating and not waiting to fly off the ground.

There is a danger in hauling the nose up to an attitude and hauling the plane off the ground...while this may give you the test pilot's performance scenarior, the real world often has little dangers like contamination on wing (ice/snow) or a myriad of other things that can make things go wrong.

every flying attempt is imperfect...there must be a "fudge factor" or whatever you guys on the other side of the pond call it.

so be careful out there.

by the way, we were taught on takeoff if the stall warning/shaker etc activated to go:

firewall power

flaps 15

that simple and the plane will fly ...if the slats weren't out there.

BEagle 16th Sep 2008 20:18

In the coal-fired old 4-jets I used to fly, we also had a 'Take Off Configuration Warning' system.

This was ALWAYS checked for operation independently of the actual configuration by operation of a test switch. If the 'TOCW test' was OK, the system was assumed to be operating correctly. But if it warned, then a checklist was consulted and every item which was required to be set was re-checked. Usually a sticky spoiler lever switch was the culprit.

The TOCW system was inhibited above a certain throttle lever angle. But someone who thought he knew better had decided that we should take-off with lower thrust whenever possible, to save engine life. Which meant that the throttle levers could well be inside the 'TOCW range' during take-off.
http://i14.photobucket.com/albums/a3...rnet/zxzxz.jpg
I thought that a silly idea. But was overruled.

One fine day, at around 100 KIAS and 20 KIAS or thereabouts below V1, the TOCW horn suddenly went off. Since we practised aborted take-offs several times per month in the simulator, the rejected take-off was no snag - but what really annoyed me was the fact that several other crews had experienced the same snag but hadn't bothered to snag the jet!

The cause was later established to be a fault in the horn interrupter unit and thus spurious. But our sound teaching, plus frequent practice of aborts at up to V1 in the simulator meant that this was merely an annoyance, rather than a life-threatening danger.

Sorry to have rambled on, but I think that the philosophy of a formal take-off configuration warning test on EVERY flight is essential (and not just by throttle movement on take-off!) - as are instinctive reactions during an aborted take-off. In addition, our check lists were all 'challenge and response' and had to be word perfect for our instructors - none of this 'flap set, we're good to go' bull****. It was CHALLENGE - Flaps and Slats, RESPONSE, (point at flap lever) 'Take-off' (that was the indication), (look at flap indicator) '20' (that was the flap angle), (look at slat indicator) 'Out' (that was the indication). If the full 'Take-off, 20, Out' response wasn't given the challenge would be repeated.

Rushed preparation + poor SOPs + lazy check list responses delivered in an "I sound cool" manner = DEATH.

Not saying that's what happened at Madrid; the result of the enquiry will determine that.

ppppilot 16th Sep 2008 20:21

There is a question running around my head. I have read the complete draft of the accident analysis. You can find it here, in spanish of course. The first chapter says that the engineer poped out a breaker to turn off the RAT probe heater, acording to the MEL, but it doesn't say wich breaker. The chapter 5 is a safety recomendation. There we can find a complete description of the R2-5 relay function. It also says that the TOWS is a NOGO by MEL and MMEL. Therefore the RAT breaker has nothing to see with the relay IMO. Why then the whole recomendation chapter talking about the relay? Do that mean the relay was also faulted or disrupted by another breaker, the famous P40 at Detroit accident, causing the TOWS fault? In other words TOWS must be independent from the RAT probe heater breaker because it would be a NOGO. So what in earth caused the TOWS to fail? Other question. Was the relay R2-5 causing the RAT probe to be heated while on ground? Why the draft doesn't specify it clear? Could be linked to the wings1011 post [+] talking about engineer's bad habit to pop out a breaker for the daily check? Could be the same reason at Detroit, Madrid and Lanzarote?

alf5071h 16th Sep 2008 20:27

bia botal re #1778, “… it has been proved time and again that it takes 7 holes in the swiss cheese to cause an accident. Ground/air CB pulled and flaps not set are but two …”

It would be interesting if you could provide a link or reference for your assertion.
Nevertheless, looking at the detail and considering latent conditions as well as active failures then it may be possible to identify many holes:
CB pulled (no config warning), + was this procedure approved (error/violation), + CB not checked.
Flaps not set, + not checked by setter (lever and gauge), + flaps not checked by checker (lever and gauge).
+ Possible poor practice of calling ‘set and checked’ – management/training oversight, + possible poor checklist design / SOP wording.
+ Possible rush / hurry (ill discipline – training/personality, or human weakness – natural wish to satisfy passengers), + possible distraction (human weakness, or weak training – start checklist again, or poor discipline – company culture), etc, etc.

As with most accidents the path to the event is riddled with holes, the key features are those which cause the critical holes to line up (the contributors to the accident), the failure to close holes which are a potential accident path, or the failure to detect an already open path. And of course in hindsight, the failure (of everyone) to report these weaknesses (open holes) so that they could either be closed or be mitigated with suitable defences.

golfyankeesierra 16th Sep 2008 20:39

Sorry about my previous post, getting a bit taken away by all the nonsence written here.
That's a pity because this is one of those threads where the whole pilot community (from the greenest to the most experienced and not only the maddogs) can learn an extremely valuable lesson which is only drowning in loads of rubbish written by the armchair pilots.
I learned enough, not going through this thread again.
Special thanks to justme.

snowfalcon2 16th Sep 2008 21:15

Those surprised by the reactions to "flying it off" may not realize that the wing loading of an MD-82 is about nine times higher than on a Cessna 172 (595 kg/sqm vs. 67 kg/sqm). So not only does the MD-82 need an almost three times faster airspeed to lift off, it is also much more dependent on its high-lift devices. Imagine a C172 with a wingspan of 2 metres and you get the idea. :E

Smilin_Ed 16th Sep 2008 21:50

Flying It Off Dangerous?
 

Why endanger each takeoff to "cater" for the 1 in a few million times someone forgets something pretty fundamental?
I fail to see how flying the airplane off the runway endangers the takeoff. If you haul it off like Spanair apparently did, and if the configuration is not properly set for the conditions, you will stall. Then you don't have anything to work with. If you fly it off, you at least can judge your situation and act accordingly. True, if you have a short runway, then you don't have any slack but MAD is not that short. A gentle hand on the controls beats jerking the plane around. Jerk it around and you limit your options. :(

NigelOnDraft 16th Sep 2008 22:06

Smilin Ed

A gentle hand on the controls beats jerking the plane around
sevenstrokeroll

There is a danger in hauling the nose up to an attitude and hauling the plane off the ground...
Don't worry - I get picked up on some annual checks for too "gentle" a rotate... ;)

However, there is a limit for what one can/should cater for - in fact very little :ooh: There are plenty of built in safety factors, and "on the day" (icy, long runway) you might build in some of your own. That is very different to altering the taught and certified techniques to cater for the grossly abnormal :ugh:

As above, please read the NW MD-82 report. There is no realistic way you could cope with that on an everyday basis :{ You need accurate figures, and the SOPs / discipline to ensure that the requirements of those figures(clean wing, configuration, power setting) are met. Very few (if any?) types call for you to pause rotation until the aircraft is airborne...

Smilin Ed - please note that if you do perform low rotation rate takeoffs outside the SOPs, and unstick at high speed / even just achieve excessive speed in the first segment, you will get nicked by the monitoring systems and called to account :=

NoD

justme69 16th Sep 2008 22:08

And, of course, reactions unfold as investigation continues.

-Spanair declares: procedures call for three checks of the take off systems before each flight, specially flaps. And they check the alarms every morning and every time pilots change or are away from the airplane for "a long time". They say that many airlines in the world follow this procedure currently for this MD-82 model.

-Spanair didn't receive any recommendation from McDonnell Douglas for checks for the take off configuration alarm for each flight, according to them (this was expected). They never knew the recommendation was made, or that it even existed. Regardless, the recommendation wasn't mandatory.

-Spanair's procedures are approved by the Civil Aviation authorities in Spain.

-CIAIAC still not commenting on the slats.

-Samples of the JET A-1 fuel taken from the tanks that the airplane used to fuel have been analysed and were found compliant with specifications.

-Weather was always good around the time, perfect visibility, soft winds always between 2 and 7 knots, temperature between 28 and 30 degrees celcious.

FIRESYSOK 16th Sep 2008 22:28

If the airplane doesn't feel right, then don't force the rotation. A pallet may be shifting, your trim may be wrong, your flaps may not be configured, etc. Any pilot who doesn't have ham fists can tell you that.

BeechNut 16th Sep 2008 22:41

Maybe I missed something buried in the messages after my hasty look, but has anyone caught this BBC report:

Wing Flap 'Problem' on Spain Jet

These two paragraphs really jumped out at me:

" The pilots had detected the high temperature as they readied the plane for take-off, having already deployed the wing flaps, the plane's black box recorder showed. They aborted the take-off to get the temperature gauge looked at by technicians, the draft report says.

By the time the plane resumed its position on the runway, the flaps - which make it easier for aircraft to get off the ground at take-off speeds - had been retracted, data from the black box is said to show."

With all the usual media caveats etc, if true, this means the flaps were properly deployed on the first attempt to depart, and later retracted.

I think it is a significant statement if true. I leave it to the expert MD pilots and CRM experts to analyze the implications. But it certainly indicates that the flaps were functional and set on the first departure attempt.

If this has already been covered, feel free to flame or delete!

Beech

md80fanatic 16th Sep 2008 22:43

Sorry about my ground roll question.....
 
I didn't mean to get people upset. It seems the cause for the plane not flying has been well argued over and over....I thought an examination of braking performance during the extraordinary 15 second plus ground roll off concrete would at least help me understand more.

Someone said I would not be able to stop an auto traveling 140kts within 1100m, on dry grass....and I'd have to say that would be easily done. Dry grass is not glare ice.

FIRESYSOK 16th Sep 2008 22:54

Beechnut,

Not sure of your inquiry. When you have to gate return, the appropriate action is the After Landing Checklist. It includes retracting the flaps. Completely normal and good technique.:confused:

BeechNut 16th Sep 2008 23:10

The point of my inquiry was that prior to the RTG, they were working.

Does that make a technical fault less likely as a cause for failure to deploy on the second departure?

FIRESYSOK 16th Sep 2008 23:14

They may have simply forgot to move the lever. Or a malfunction could have occured.. Technical things foul up at the darnedest times. The investigation will tell.

justme69 16th Sep 2008 23:36

Yes, the FDR shows the flaps deployed at 11º when they were aligned on the runaway before they returned to gate for the RAT probe's problem.

They would've retracted them as normal when they taxied to parking.

Once they were aligned to take off again, the sensors indicated they were at zero degrees (fully retracted).

That's all it's been said. Again, why they were that way is not mentioned (still under investigation).

Also, the preliminary report doesn't mention that "supposely leaked" CVR conversation where "flaps ok, slats ok" is reportely answered during a challenge.

wings1011 17th Sep 2008 00:57

Probable expalnation
 
Reading thru the post and thinking of the episode of someone writing a close call taking off with flaps up due to the F/O retracted them when they returned to gate to leave a passanger but turned back to start again,and the they forgot to set them again for the new emminent take-off. The take off warning were not working due to C/B pulled. And then refering to my own text I wrote earlier from own conclutions and experience and then thinking of this Spanair thing just make me more certain of the probable explanation of this accident. Plain Human factors ! it happens must faster and easier than one would think but that is ofcourse why we have the famous checklists that should be followed before EVERY flight. There are there for a reason...And as wisely said before just pure airmanship and will to survive nomatter what type of aircraft you operate would make you check the essentials in your head before advancing the throttle: like are we on the correct RWY ?? think.. then did we have clear for take-off ?? then flaps/slats +trim+power ,then take-off accidends are very very highly unlikely


Regards

Wings1011

justme69 17th Sep 2008 01:09

wings1011: were you crew on that Lanzarote flight? If not, could you tell me the crew's "origin" (i.e. were they spanish Air Comet crew or austrian MAP?)

BTW, thanks for your posts. I started researching this Spanair accident after seeing how the CIAIAC hasn't mentioned any details about OE-LMM in over a year.

wings1011 17th Sep 2008 01:37

Nope-Not crew during that flight
 
MAP

were at that time operating around 5-7 MD 80, but I actually think only 1 of them that is still operated by them OE-IKB is actually leased and operated by them, the others had various owners and were only " flying for them "
The crew came from everywere at that time, USA,various caribbiean islands,Europe and ASIA with all kinds of differences. Anyway all with proper official documents.
The proper nationalities for each position could be found in the filed report.


Regards

Wings 1011

justme69 17th Sep 2008 01:48

Thanks 1011 :)

I asked because I was just curious if that was a regular national flight or not. A friend of mine witnessed that incident first hand.

The poor guy threw himself to the ground when he saw the airplane flying so erratically barely over the building were he works right in front of the runaway ...

BTW, I don't know where to find the reports filed for that incident ... Do you?

philipat 17th Sep 2008 02:29

WOW switch
 
Just thinking out loud and to ask for clarification from the experts. If the A/C thought it was flying because of a faulty WOW switch, would the TOCW still operate? If not, then the C/B issue is possibly a red herring?

It seems hard to believe however that such a simple problem could lead to such a disaster and there there is no redundancy inbuilt?

justme69 17th Sep 2008 04:20

Hmmm ... now Spanair declares that, because both pilots left the cockpit for several hours, they were suppossed to check the TOWS alarms again for this flight.

And they said they did, according to Spanair. But they did it before the first return to gate.

And they didn't do it again afterwards, when they finally took off, as they had not left the cockpit for a long period, as their procedures called for.

They insist that the MD recommendation after Detroit to make this check prior to each take off, was never made mandatory, not even by the FAA in the USA, and that, regardless, they were never made aware of it and their procedures were approved by spanish civil aviation authorities.

sevenstrokeroll 17th Sep 2008 06:13

OK...someone mentioned "chink" power and that pros would know what this meant.

I don't know what it means and I was the first to indicate the relationship between a RAT probe heated on the ground and loss of takeoff warning.

so, please, tell me, a pro, what CHINK power is.

ALSO, some people just don't get this idea:

the RAT probe being heated on the ground meant that the plane ''thought'' it was in the air. Pulling the RAT heater CB didn't do anything to the ground control relay etc. THE PLANE ALREADY THOUGHT IT WAS IN THE AIR and another CB didn't need to be pulled...

RAT heating on ground equals SYMPTOM...mechanic cured symptom but not disease (plane thinking it was in the air).

other human factors made the crew forget to move the flap handle...I blame poor training by the airline...and a copilot with 1000 total hours? and a brand new captain, though with previous experience. A military pilot...maybe a fighter pilot used to only flying alone and no CRM .


PLEASE, if you move a handle, watch the gauge and don't let go of the handle until the gauge reads what you want it to.

ironbutt57 17th Sep 2008 06:24

Instead of pointing the finger at training, and crew experience, I would be looking at time pressures, and perhaps the crew "expediting" to keep the operation moving.(FTL limits maybe?)...as to letting it accelerate and flying it off, it would take some awareness on part of the crew as to why the aircraft was not behaving normally, and not likely they ever realized why the aircraft was stalling, therefore an increase in AOA in an attempt to lift off would have been intuitive..sure the facts will emerge..until then we learn from this incident, not cast aspersions on the crew or airline..there but for the grace of God go any of us.

philipat 17th Sep 2008 07:30

Sevenstrokeroll:


the RAT probe being heated on the ground meant that the plane ''thought'' it was in the air. Pulling the RAT heater CB didn't do anything to the ground control relay etc. THE PLANE ALREADY THOUGHT IT WAS IN THE AIR and another CB didn't need to be pulled...


Thanks and, yes your earlier input had stuck in my mind. So I assume that there is no redundancy and with a faulty WOW switch the TOCW would be U/S? Is this normal on all aircraft types?

philipat 17th Sep 2008 07:36

Flaps/Throttle
 
Ironbutt57:


therefore an increase in AOA in an attempt to lift off would have been intuitive
.

Tes I do agree with your comments BUT shouldn't it also be intuitive in such a stall to command Flaps 15 and Firewall throttle?

NigelOnDraft 17th Sep 2008 08:20


BUT shouldn't it also be intuitive in such a stall to command Flaps 15 and Firewall throttle?
Tell me an airline, or even any training school, that "teaches" Stall Recovery on Liftoff?

For almost every (and probably all) types I have flown, the primary stall recovery action is to lower the nose and "unstall" the wings. Power/reconfiguring are the backup actions post stall recovery (you might do the actions simultaneously, but their effect is later particularly in a jet). Lowering the nose on liftoff and land back on is too drastic to "teach" / "mandate", IMHO (even though it might be used in extremis).

We are in a takeoff situation - you have pretty much full thrust, and you assume you have Flaps... so the actions you mandate are somewhat inappropriate as a "drill". They are entirely appropriate should we choose to takeoff flapless or at half power... but this is not the intention.

Please also NB that a stick shaker on departure is an "interesting event". History might teach one to ignore the stick shaker and just fly the aircraft - see TWA Tristar @ JFK and even a recent VS747 incident. At a critical phase of flight, a stick shaker could be very distracting - and a good chance spurious. As above, you can only assume you are taking off with the correct performance and configuration.

I still think you are attacking this the wrong way. If the aircraft did takeoff Flap/Slatless, then the "system" failed - a combination of aircraft design, regulators and crew. The "solution" is not to "blame" anyone (blame is not the purpose of accident investigations), but to prevent future occurrences. In turn, I do not believe that will be solved by "teaching" crews to fly out of such situaitons - in many cases I suspect it would be impossible anyway :{ The solution is to prevent a Flap/Slatless takeoff in the first place...

NoD

NigelOnDraft 17th Sep 2008 08:39

From a certain large Aircraft Manufacturer (begins with B) for Stall / Terrain situations:

* Overboost or “Firewalling” the thrust lever should only be considered during emergency situations when all other available actions have been taken and terrain contact is imminent.
In addition for it's most populous type with a Stall:

DO NOT attempt to change flaps or landing gear configuration until after recovery
I am not saying the above actions (Firewall TLs, add Flap) are not going to help. I am saying that the immediate use of them at the first sign of trouble is contrary to various documentation and therefore will not be trained to / expected of a crew :=

NoD

ironbutt57 17th Sep 2008 08:47

Looks like yet another maneuver might need to be added to the curriculum.."stall/stall warning on rotation"

EGHH 17th Sep 2008 09:16

In such an incredibly short period of time the reactions will be instinctive and they will either work or they won't. I'm sure you wouldn't get much time to think about it or try anything else.

In such an fearful and unplanned situation and such a short time-span, the brain loses the capacity to "think and do" and merely reacts. Those reactions can be unpredictable but recurrent training moulds them - but you can only do this for certain events at certain times.

This is all well and good but the point some people are missing is that you can't train muscle memory for every eventuality. Training for "forgot to deploy flaps with no working TOCW after returning to the gate for maintenance" would be about as useful as training for a complete engine failure at 500 feet on the climb out (in my opinion anyway).

You can't mitigate every risk, you have to give priority to these things in order of likelihood of occurrence and effect of occurrence.

philipat 17th Sep 2008 09:23

NOD:


I am not saying the above actions (Firewall TLs, add Flap) are not going to help. I am saying that the immediate use of them at the first sign of trouble is contrary to various documentation and therefore will not be trained to / expected of a crew
And. therefore not intuitive.Yes, understood and I stand corrected. Thanks.
I'd truly appreciate your comments on the earlier question regarding the WOW/TOCW issue?

maxrpm 17th Sep 2008 09:27

Quote:

I still think you are attacking this the wrong way. If the aircraft did takeoff Flap/Slatless, then the "system" failed - a combination of aircraft design, regulators and crew. The "solution" is not to "blame" anyone (blame is not the purpose of accident investigations), but to prevent future occurrences. In turn, I do not believe that will be solved by "teaching" crews to fly out of such situaitons - in many cases I suspect it would be impossible anyway The solution is to prevent a Flap/Slatless takeoff in the first place...


I do agree nevertheless I wonder:
Apparently the Aircraft was able take off and fly in that configuration - why could she not be kept airborne (at least in ground effect)

My explanation (please comment):
During the rotation the Aircraft reached an angle of attack creating enough lift to become airborne. The PF rotated further to a pitch which would have been right in correct TO Configuration.

Lift was not enough to allow a climbing flightpath instead the plane stayed in ground effect. Therfore this further rotation produced an angle of attack in the full stall regime. Given the low altitude, NTOP already selected and time available for realising the problem there was no practical chance of escape.

Rainboe 17th Sep 2008 09:31

People are hanging onto false leads and not letting go. How do we know they didn't firewall the throttles? Moving flap would make no difference- they had crashed back before the flaps would have moved into position. Once you are in a stall situation, the only thing that is going to get you out of it is altitude and power. No clever techniques that might have worked on an overpowered naval fighter will do it.

Someone is hung up on the fact the flaps were deployed for the first take off. Well- it appears they did the after landing check and taxied back in with flaps retracted as they should. Then in the rush to leave for the second attempt, it appears the flaps were left retracted.

We really need some of the non-flyers in this thread to just watch and learn if they want to, and not try and come up with answers! 92 pages, most of it complete guff!


All times are GMT. The time now is 15:10.


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