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-   -   BA056 JNB-LHR Incident. (https://www.pprune.org/rumours-news/373713-ba056-jnb-lhr-incident.html)

Nevermind 28th May 2009 19:27

Pinkman

I think the key word in your posting was "impatient."

And I think I'll be the judge of whether I think it's a forum I frequent.
You'll find many people do, without needing to comment.
Sorting out the wheat from the chaff as we go.
I just get tired of people poring over detail, try to be wise after an event, especially when the event in question didn't have the luxury of time.

I appreciate the time you took to reply but all I really took out of it was you telling me to go elsewhere if I disagreed with the contents of people's postings.

Will Fraser 28th May 2009 19:47

There will always be what there is here. Much to criticise in the writing, the level of expertise and experience, etc. Personally I am mildly annoyed by those whose main contribution is to "wait for the report". Rather obvious that those who post here aren't waiting for the "Report". A report that is generally years away, when there is so much to discuss, as professionals, while the investigate body is getting ALL their Ducks in a row.

I appreciate everyone who adds to the commentary, ruffled feathers and all. I take away much in new perspective, patience and a sense that many fellow pilots are engaged in a worthwhile endeavor. Flying commercially requires nothing if not a thick skin.

Will

Nevermind 28th May 2009 20:00

Will

Are you saying that if there was something fundamental about the situation that we needed to know, manufacturers, airlines or authorities wouldn't be letting us know about it?

Mildly annoyed?

Steady !!!!!!!!

Desk Jockey 28th May 2009 20:00

What they said!

I come on here to be interested, learn and educate.

Will Fraser 28th May 2009 21:01

Postulates of Fuel icing in the Trent were broached well before NTSB, Boeing, and FAA made the mechanism known. Not that that saved the day by any means, but posters here were questioning items like "in spec" fuel well after AAIB held that fuel icing was not the problem (after all, the fuel was in spec!). Yes, I would say that the authority drags its feet at times. Who's to say they weren't reading PPRuNe? The upshot of that massive thread is that all who posted may well have come away with a good deal more knowledge about, and caution for, the possibilities of heretofore unanticipated faults. Professional communication to me, is a good thing.

Nevermind 29th May 2009 06:12

"Who's to say they weren't reading PPRuNe?"

Can I be the first to say it?

Pinkman 29th May 2009 07:48

Will is right. Another good example is the Bristol (BRS) runway resurfacing incidents where at least three "serious incidents" (AAIB) occurred in a short space of time in late 2007. The debate happened in real time, and without question the PPrune commentary, which spilled over into the media, influenced operators decisions to suspend ops (initially EZY then others), prompted a visit by the regulator, and forced the closure of the airport, potentially preventing more incidents. Revisions to the CAP, that were being considered at the time, were reviewed in the light of that incident. The airport chief executive left shortly afterwards. In that particular case I KNOW that the regulators were reading PPrune.

You have to ask yourself what would have happened if everyone had sat back and "waited for the official report". Thankfully, we'll never know.

Joetom 29th May 2009 10:16

Just a bit of back ground to Will Fraser's last post.
.
http://www.pprune.org/3860762-post771.html
.
We can treat Pprune like a Lighthouse, some people may not like the way they look, but Lighthouse's have saved many a man !!! (boats and planes)

Will Fraser 29th May 2009 14:10

Pinkman, Joetom. Two of those writing in the 038 thread I've read with interest. Also many others, I've read and reread that entire thread many times, and enjoyed it each time for the insights its provided. Machaca, Airfoilmod, FE Hoppy, etc.

I also would note that with each new thread I see new people posting, most certainly up to the challenge. It takes nerve to lay out one's writing, but as I've said, commercial aviation requires nothing if not nerve, (also cheek, if I have UK usage correct).

Knowing the story involves collecting information. So much presents itself here, the benefits must be noticed and affirmed. It is not like pilots and aviation pros to be shrinking violets, some don't understand this. I'm trying to think of anyone I've met who would hush someone in earnest discussion re: incident/accident by saying "We mustn't discuss; the report will be out in time."

Will

Union Jack 29th May 2009 16:20

You have to ask yourself what would have happened if everyone had sat back and "waited for the official report". Thankfully, we'll never know.

As a backseater in the first flight into Bristol after the necessary work was completed in Jan 2007, a Continental B757-200 ex Newark, I can only add "Hear! Hear!"

Jack

Swedish Steve 29th May 2009 21:32


I believe that the inbound crew had reported a failure of the autospeedbrake on landing. The outbound crew would probably have been faced with an engineering item saying that some 'tests as per Maintenance Manual x.y.z carried out, and system satisfactory.'

They would not know what specifically had been carried / have reason to suspect that the reversers had even been part of that procedure and would have taken it as read that the engineers had done everything as per the b
The incoming defect was Autospeedbrakes inop.
The answer was tested as per AMM 27-62-00 and all chks sat.
There was no way the crew would have known that T/Rev was involved unless they were very clued up.
Part of the autospeedbrake test is lifting the T/Rev levers to check that the spoilers respond correctly. The reversers are not supposed to move, as you do this test with pneumatics off. But the RB211 has a pneumatic thrust reverser. It can happen that, even with the air off and APU shut down, that moving the thrust reverser lever on the ground can cause the reverser to move, using air trapped in the ducts. It has happened to me on a B767 (with the same engine). It really surprised me at the time. The APU was shut down, but the reverser moved nearly full travel on trapped pressure when I wasn't expecting it to.
The AMM does point this out, but at the end of the test there is no specific reference to ensure the reversers are stowed and locked.

Joetom 29th May 2009 22:48

Duct px may read zero on EICAS.

Px inside air pipes inside engine may be more and volume is enough to operate a Rev through a full cycle (stowed/full deployed/stowed) in some conditions.

Sounds like a change to the AMM is not far away.

Best way to test Rev is when engine is operating, using APU or cart air can be ok, but if normal operation is with engine running, we can only expect different results in different conditions/supplies of air, it's a lot less hassle to use APU or cart air.

May be reduce the limits/values of the Rev pos tx (TRCP), however think they were increased to keep the FADEC happy in flight !!!

TyroPicard 30th May 2009 20:15


The AMM does point this out, but at the end of the test there is no specific reference to ensure the reversers are stowed and locked.
Does the AMM tell you to make sure there is no trapped air before reverse selection, e.g. by opening packs valves? Or does it just point out that it can happen?

Pinkman 31st May 2009 08:22

So the solution is.... what?
- Specify higher performance air carts at high altitute airports?
- Mandate that the crew of the next leg cycle the T/Rs after startup of APU and/or engines prior to departure whenever the T/Rs have been deployed on the ground? (would need to be in the log!!)
- Redesign the limit switches?
- Improve the L/E device stowing logic to prevent stowage when going from ground -->air mode as opposed to air -->ground mode.
- All of the above?

Stanley Eevil 31st May 2009 09:52

Premature slat/leading edge flap retraction occurring without a conscious, deliberate pilot-made lever selection equals basic design flaw in my opinion. And why do we need spoilers that deploy `automatically`? Don`t we trust pilots to make their own manual selections anymore?
Thank goodness I fly a first generation (British) 4-jet airliner.

Swedish Steve 31st May 2009 15:04


Does the AMM tell you to make sure there is no trapped air before reverse selection, e.g. by opening packs valves? Or does it just point out that it can happen?
The trapped air is in the engine and pylon, between the isolation valve in the wing, and the thrust reverse selector valve. I suppose you could select APU off, then select engine start to dump it through the starter, but I have never seen this promulgated in a manual. ( It would not work with the APU running as engine start opens the wing isolation valve.)

paracetamoxy 2nd Jun 2009 10:05

Just innocent bystander SLF, but something occurs to me.. What was the ambient Temp on that day? Early winter in JNB at the mo, so temp in the evening must have been around 21C at the most. What would the outcome have been if this had occurred in the height of summer when ambient temp and density altitude would have been much higher? December evening temps can reach 27-28C easily. Would this have changed outcome, or would the aircraft have been more lightly loaded negating the difference? Anyhoo, good work by the PIC saved the day..... Creeps back under rock......

happybiker 9th Jul 2009 18:03

The FAA has issued an AD to correct the unsafe condition. This AD results from a report of automatic retraction of the leading edge flaps during takeoff due to indications transmitted to the flap control unit (FCU) from the thrust reverser control system. The AD requires a modification to the wiring of the thrust reverser control system to the FCU within 60 days from 6th July.

FR Doc E9-15255

J-Class 9th Jul 2009 19:19

As humble SLF, I just find it so extraordinary that a twenty-year old aircraft model, with hundreds of examples in service and a long statistical history of perhaps millions of takeoffs, can be discovered at this late stage of its life to have a very serious logic bomb in its control software. Amazing, simply amazing...

clivewatson 9th Jul 2009 19:31

Rainboe has been very quiet of late.

Surely he would have figured it all out on Page 2, suggested what additional training the crew may be in need of, and advised Boeing on possible system retrofits.

Sir George Cayley 9th Jul 2009 19:49

Just some respect for Will Fraser.:)

Gettin' "heretofore" into a thread scores double:ok:

Now, can you work 'antidisestablisment' in there somewhere?

ps I'm late on here but I understand BA have sussed out the problem and amended downline maint procs accordingly. Won't happen again. Nothing to see here - move along now.

Sir George Cayley

chris weston 9th Jul 2009 22:07

The Church of England
 
Sir George,

You could be right, any tendency for antidisestablishmentarianism to spread its wings within this thread should be encouraged at all costs.

Sending Danny to Ireland or Wales seems the wrong way for PPruNe to go.

Oh and its a long time since I used that word in anger .............

CW

NSEU 9th Jul 2009 23:28


As humble SLF, I just find it so extraordinary that a twenty-year old aircraft model, with hundreds of examples in service and a long statistical history of perhaps millions of takeoffs, can be discovered at this late stage of its life to have a very serious logic bomb in its control software. Amazing, simply amazing...
This logic bomb you speak of takes two identical engine failures to make it happen (and on symmetrical engines).

The trigger for this fault is an improper alignment between the reverser cowl and a cowl position sensor mounted, I recall, on the engine support strut (on two engines).

Reverser cowl indication problems haven't been super rare, but sensor adjustment procedures have been changed in the past to make the indications less likely to occur. Any problem of this nature should be fixed within a maximum of 10 days (further narrowing the possibility that two engines should suffer the same fault on the same aircraft). Sometimes cowl adjustments have to be made, but groundtime and the skill/knowledge to do this job are not always present.

Cheers
NSEU

einhverfr 9th Jul 2009 23:57


As humble SLF, I just find it so extraordinary that a twenty-year old aircraft model, with hundreds of examples in service and a long statistical history of perhaps millions of takeoffs, can be discovered at this late stage of its life to have a very serious logic bomb in its control software. Amazing, simply amazing...
To give you an idea of how rare this is, the B747-400 had at least 5 million take-offs by 2008. And this is not including earlier versions of the B747. So the failure condition has to be extremely rare for this sort of thing to happen.

J-Class 10th Jul 2009 06:49

Yes, it's the rarity of the event which makes it interesting - a 'black swan' piece of computer code which had lain dormant for five million takeoffs, if not more.

The sad thing for gamblers amongst the 747 pilot community is that at a one in 5 million risk, you were still nearly three times more likely to experience this set of circumstances than to win the national lottery jackpot (1 in 14m odds)!

Joetom 10th Jul 2009 08:17

When you talk of odds, you need to think 744/RR, this one has a long history of Rev probs, both Ind and operation, the 744/GE/PW have few problems.
.
Cheap lesson, well done to the 056 crew.

Pinkman 10th Jul 2009 08:18

...and of course of all places for it to happen, it had to happen in JNB, one of the highest altitude airfields on the BA route map.. talk about the potential for holes in the cheese....

Torquelink 10th Jul 2009 12:13


When you talk of odds, you need to think 744/RR, this one has a long history of Rev probs, both Ind and operation, the 744/GE/PW have few problems.
Extract from Boeing SRB Bulletin issued today:


The GE and PW configurations differ from the R-R in that they use the thrust reverser auto restow sensor signal rather than the thrust reverser unstow sensor to automatically retract the LE flaps. Thus, for GE and PW configurations, the Group A LE Flaps will automatically retract if the aircraft is on the ground and either reverse thrust is selected via the reverse thrust levers of both outboard or both inboard engines or an auto-restow signal is received from both outboard or both inboard engines.

While the rate of auto-restow events on the GE and PW engines is lower than the rate of unstow indications on the R-R engines, and no dual auto-restow events are known to have occurred, the Boeing SRB determined that the result of a dual symmetric auto-restow event is a safety issue and a safety SRP was initiated for both engine types. The Ref /C/ and /D/ SRPs were initiated for the PW and GE engines respectively. We are planning to hold technical teleconferences within the next two weeks to further discuss the Boeing SRB decision and answer any operator questions. Additional information on these telecons will be provided via follow-on communication. Further updates will also be provided in the Ref /B/ Fleet Team Digest article.

ian16th 15th Jul 2009 17:04

Until recently, SAA were flying B747's with all three engine types, out of JNB :bored:

SW3Flyer 16th Dec 2009 21:50

Does anybody know any further information into the investigation?

Joetom 16th Dec 2009 23:51

Think I heard the FCUs will be looking for another input before they retract the L/E flaps, may be a 20% or 30% TLA/TRA or wattever it's called, thought it was due before year end(2009), may be it's not so simple, 056 crew did a good job by all accounts.

SouthpawSLF 17th Dec 2009 11:34

All 747's are not created equal. With the exception of the SP (not sure about that one), all will retract the 'Group A' LE Flaps upon receiving a 'ground' signal from the A/G logic AND receive signal from the thrust lever that reverse thrust has been selected. Retraction of the Group A devices based on either #1 & #3 OR #2 and #4 T/R position was added as basic to the 747-400's (certified in 1989) as well to provide additional redundancy to the system design. The concept of LE flap retraction mitigates fatigue damage to the flap panels from the reverse thrust. The Group B panels do not retract; these are outboard of engines #1 and #4.

The Boeing S/B changes the signal wiring to the Flap Control Unit such that 747-400's will retract the LE devices only upon selection of reverse thrust - making them the same as the older 747's There is an additional S/B for the 747-400's which changes the position of the signal switch in the thrust handle that triggers reverse thrust selection until AFTER the interlock position of the reverse thrust handle. This bulletin is independent of the FCU wiring change and was the result of LE retraction during take off when the reverse handles contacted a book on the isle stand just enough to signal reverse thrust during selection of TO thurst.

...and I will toss my Kudos to the 056 crew as well - great job....

Spaced Out 26th Dec 2009 12:51

SouthpawSLF said it, kudo's to the crew of 056.

Doors to Automatic 4th Jan 2010 14:40


The sad thing for gamblers amongst the 747 pilot community is that at a one in 5 million risk, you were still nearly three times more likely to experience this set of circumstances than to win the national lottery jackpot (1 in 14m odds)!
That is off course assuming that the average person experiences the same number of 747 take-offs as they buy lottery lines.

If the average person buys 52 lines per year then in their adult life time of say 60 years their odds of winning the lottery are 1 in 4487

If they fly an average of 2 sectors per year in a 747 their odds of experiencing this failure are 1 in 41666

Therefore you are actually almost 10 times more likely to win the lottery.

Don't you just love statistics!

overstress 4th Jan 2010 15:04

Gamblers amongst the pilot community, not SLF

Flying Lawyer 7th Nov 2010 12:40




http://img.photobucket.com/albums/v1...banner_600.jpg


The Master's Medal

Awarded to any person in aviation, at any time, for an act or achievement in aviation considered worthy of the Medal, as soon as the facts of the event are clear.


CAPTAIN MICHAEL FAIRHURST & SENIOR FIRST OFFICER JAMES BROWN



Citation:

On 11 May 2009, during a normal Boeing 747-400 departure from Johannesburg, with the First Officer as the handling pilot, the Number 3 engine Thrust Reverser 'In Transit' indication appeared at 125 knots followed by the Number 2 engine Thrust Reverser 'In Transit' indication at 160 knots. There was no deployment of thrust reverse and the 'In Transit' indication is not easily visible and was not seen by the crew who were concentrating on the take-off.

At this point the Group A sections of the leading edge flaps, which are a significant proportion of the leading edge high lift devices, retracted as they are designed to do when reverse thrust is selected on landing. Unaware of the changed leading edge configuration, the First Officer rotated the aircraft and the crew were immediately confronted with significant airframe buffet and the stick shaker activating. The crew had no idea why the aircraft had apparently entered a stall or pre-stall regime. As they were dealing with the emergency the Group A section of leading edge flaps started to re-deploy shortly after the aircraft became airborne.

The First Officer flew an attitude that prevented the aircraft stalling but also prevented contact with the ground despite being unable to read the instruments clearly due to the buffet. The Captain calmly supported the First officer by passing on critical information such as speed and aircraft height above the ground. He also raised the landing gear. The handling difficulties were initially made worse by the increase in drag created by the opening of the landing gear doors during the retraction process and the initial movements of the leading edge flaps as they started to redeploy. After the leading edge flaps had re-extended (taking 23 seconds) the aircraft performance returned to normal and the handling aspects of the event were over.

The crew still had to deal with an unknown set of circumstances. They decided to return to Johannesburg and planned for two, three and four engine approaches given the unknown nature of the fault. They also ensured that customers and the cabin crew were kept informed and remained calm and relaxed throughout.

Captain Michael Fairhurst and Senior First Officer James Brown displayed exemplary skill and professionalism while dealing with this emergency that occurred at a critical phase of flight. Both members of the flight crew played a significant role in recovering the aircraft safely from the very hazardous situation they were confronted with. Their actions undoubtedly saved the aircraft, and countless possible injuries or fatalities to those onboard, and they are accordingly awarded the Master’s Medal.


The Medals were awarded to the pilots some time ago and formally presented at the Guild's annual 'Trophies and Awards Banquet' at the London Guildhall at the end of last month.


GAPAN - The Guild of Air Pilots & Air Navigators
Patron: HRH The Prince Philip, Duke of Edinburgh
Grand Master: HRH The Prince Andrew, Duke of York



.

TopBunk 7th Nov 2010 14:19

Very worthy recipients of the award - well done chaps, very proud of you:D:D:D

fast cruiser 7th Nov 2010 14:31

cracking effort chaps... well deserved :D:D

Teddy Robinson 7th Nov 2010 14:34

Fantastic ....
 
very well deserved... truly a professional performance.

Crosswind Limits 7th Nov 2010 14:46

This has got to be the same James Brown who does aeros at While Waltham! I can't believe BA has 2 SFOs on the 744 with the name James Brown!! :p If so Well done James and also your colleague Captain Micheal! Excellent airmanship - would have expected nothing else from you!:D


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