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-   -   37.5 degree angle of bank, one engine out, gear down and at 500 feet (https://www.pprune.org/rumours-news/484361-37-5-degree-angle-bank-one-engine-out-gear-down-500-feet.html)

Jet Jockey A4 4th May 2012 00:23

I don't know whether to laugh or cry.

All I know there are some lucky folks onboard that aircraft. They sure came close to a disaster on that flight.

Why did they not just follow the SID, clean up the aircraft on schedule and perform the required check list at a safe altitude all according to company SOPs?

IMHO this was a very poorly executed engine failure/emergency procedure and the crew should be reprimanded for it.

Big Pistons Forever 4th May 2012 00:27


Originally Posted by PURPLE PITOT (Post 7169696)
. I still stand by my view point, and fail to understand why others do not, that sometimes you may need to think for yourself.

Could you explain how "thinking for yourself" could have produced a better result for this exact set of circumstances then following the Boeing SOP for an engine failure after V1 ?

From what I could see there was nothing especially unusual about this case. Yes the engine failed in a nasty place but from my POV simply following the "book" actions would have caused the the aircraft to climb to safe height after which a routine single engine landing would have been prepared for and executed.

What am I missing ?

kick the tires 4th May 2012 03:34

PP


I haven't read the report, but is it possible that the captain, having determined that they had taken gear damage from the strike, used an old jedi trick that we used to call airmanship, and put the dunlops back down before they uplocked?
and interupt the gear up sequence? Not something I would be comfortable with. I'm no mechanic or specialist in the working of undercarriage but I wouldnt of thought that changing gear up sequence to a gear down one would do the dangly bits much good.

Capn Bloggs 4th May 2012 04:48


Originally Posted by Doves
We all know that a swept wing stalls at the end first generating a strong pitch up moment

I don't think so.

FullWings 4th May 2012 04:52


From what I could see there was nothing especially unusual about this case.
Yup.

Yes the engine failed in a nasty place...
Mind you, a V1 cut is what is practiced the most. I wonder what the result would have been if it had happened at 200', 15-20deg NU or during the clean up?

...simply following the "book" actions would have caused the the aircraft to climb to safe height after which a routine single engine landing would have been prepared for and executed.
Does look that way. I haven't been able to view the report yet but judging from the flight profile on the chart, it would appear that not much in the way of automation was used to try and lower the workload.

Also from the chart, if they were that desperate to get on the ground, they were lined up with 36C then 36L shortly after. Doesn't really make sense. :confused:

stilton 4th May 2012 05:58

I just think C46r should learn what a paragraph is.

Heathrow Harry 4th May 2012 09:34

What surprises me is that ATC at one of the worlds best and major airports have no way of calling up an overlay with major obstructions on it on their screens

I'm sure we have that at LHR ... don't we???

Tough to be too hard on the Captain - massive bird strike at 16ft - and he got everyone back in one piece

HeadingSouth 4th May 2012 09:40

Report front page shows it all
 
Dutch irony is that the report shows a low flying aircraft over inhabited areas on the top of the very front page :D ?? :E

Roger Greendeck 4th May 2012 10:30

I don't see why its being tough on the captain to be highly critical of his actions. We often point out that as captain choosing a course of action is up to us. The corolary of this is that we are responsible for our actions and should be fully willing to accept criticism for poor choices.

In this instance there is no indication of having to choose the lesser of two evils. There is a simple and effective procedure for this very event that is practiced regularly in the sim and, in any reputable organisation operating these types of aircraft, is briefed just prior to taking off.

Whilst it is true to say that he got the aircraft on the ground and so at one level is could be considered a success the investigation has not found anything that indicates the normal procedure would not have worked and plenty of evidence that the crew did many things to reduce the chance of a successful recovery. That the company is reported to consider this '... a unique event which pilots cannot be trained for' beggars belief and is, I suggest a root cause of the problem than one pilots poor choices on the day.

Ornis 4th May 2012 12:25

Gear down, tight turn. Was he thinking 36C or L?

Centaurus 4th May 2012 13:18


Quote:
the flight crew and the training managers of Atlas Blue and Royal Air Maroc regarded this serious incident as a unique event which pilots cannot be trained in.
This statement worries me, and more than a little. What do you think Centaurus?
From reading the full report it is clear that the captain stuffed up badly. Also the first officer blindly lowered the landing gear when the captain called for it shortly after it had been retracted. One would have thought it would have been obvious to the F/O this was a seriously bad call by the captain in-flight performance-wise and at such low altitude. He should have told the captain this but he didn't.

There was mention in the report that the crew (presumably the F/O) was engaged in "programming the computer" as the aircraft was flogging around at low level just above the built up area and within four miles of the airport. The Children of the Magenta Line syndrome comes to mind. There was no need to play with the computer unless the crew were not up to quickly selecting basic navaids for the airport.

The experience of the crew was interesting. The captain had only 340 total flying hours when he first flew the 737 and the F/O had a mere 430 hours before going on to the 737. From then on the remainder of their flying hours was on the 737. Draw your own conclusions. In other words no sound past command decision making experience to fall back on.

From reading the incident report it is clear the captain was well out of his depth. All the simulator training in the world does not necessarily make a good pilot able to cope with the unexpected. Some pilots have cool heads while others instinctively rush things. It is a human factors trait that can only be partially addressed by simulator training. He had a straight forward engine severe damage shortly after lift off.

If he had stuck to FCTM SOP and not rushed things it would have been a normal single engine landing with Flap 15. Instead panic set in and the rest is covered in the report. Lowering the landing gear shortly after the gear had been selected up and on a single engine climb is an example of blind panic without first considering the effect on climb performance. Power reduction on the remaining engine was made probably without noticing what N1 he had.

aterpster 4th May 2012 14:22

Heathrow Harry:


What surprises me is that ATC at one of the worlds best and major airports have no way of calling up an overlay with major obstructions on it on their screens

I'm sure we have that at LHR ... don't we???
That is a question for the staff at Heathrow. :)

In the U.S. almost all of our TRACONS have an Emergency Obstruction Video Map (EOVM), which they can call up very quickly if need be. I have linked a PDF file for KLAX. The first page is a portion of the MVA video map, the second page is the same area, but with the EOVM video map.

The EOVM provides only 300 feet of vertical clearance.

Index of /LAX

macdo 4th May 2012 14:51

Two more airlines I won't be positioning with then. Bunch of criminally negligent muppets who only avoided disaster by chance. Appalling incident.

DOVES 4th May 2012 14:56

Were they trained by same instructor and training facility as those of:
Turkish Airlines Flight 1951 - Wikipedia, the free encyclopedia

I think someone has to rethink programs and structure.
What???

The experience of the crew was interesting. The captain had only 340 total flying hours when he first flew the 737 and the F/O had a mere 430 hours before going on to the 737.
I've alway believed that to couple a Captain and a co-pilot having both so little experience is forbidden!
PurplePitot
You know very well that if you abandon the SOPs you venture into an uncharted minefield, the consequences of which you take and impose upon those who sit beside you, and your passengers.
There are cases, in addition to that of the heroic Sully, the United Airlines 232 flight of July 19, 1989, the El Al Flight 1862 of October 4 1992, the SWISSAIR flight 111 of September 2 1998, the AIR FRANCE flight 4590 of July 25, 2000, etc. when the Captain is forced to exercise his emergency authority, and deviate from the published procedures (also because perhaps he is experiencing an unforeseen situation) in order to save his crew and his passengers.
But I wish you never find yourself in a similar situation.

BOAC 4th May 2012 15:33

Hey y'all -

The captain had only 340 total flying hours when he first flew the 737 and the F/O had a mere 430 hours before going on to the 737. From then on the remainder of their flying hours was on the 737. Draw your own conclusions. In other words no sound past command decision making experience to fall back on.
- as presented, this is MEANINGLESS. PLEASE do not get hung up on this quote and produce pages of nonsense:ugh:

DOVES 4th May 2012 15:37

Capn Bloggs
 
Originally Posted by Doves

We all know that a swept wing stalls at the end first generating a strong pitch up moment
Capn Bloggs:

I don't think so.
Pitch-up - Wikipedia, the free encyclopedia
Deep Stall.

I know You knew.
You were testing me! Weren't You??!!

ap08 4th May 2012 15:46

The correct way to deal with this incident would be to ban the company from ever entering European airspace again. Unfortunately this is not going to happen :(

Bigmouth 4th May 2012 16:24


Perhaps it will take 250 bodies and a half mile hole in central Amsterdam to make the Ministry of Agricultural Obfuscation get the shotguns out and start to cull the swarms of those horrible creatures. Canada geese near airfields are a lethal hazard. My God, will we ever learn?
Up until the second to last sentence (... those horrible creatures) I honestly thought you were talking about the pilots.
And though I didn´t really want to say it out loud, I wash´t disagreeing.

cwatters 4th May 2012 18:34

Any web cams on the KPN tower?

mini 4th May 2012 21:55

I've never flown anything bigger than a Rallye 150... but reading this thread makes me feel I've a future in long haul.

Deciphered... What a cluster f**k,

There can be no excuses for the actions carried out during this event.

The big question I have is who certified these guys?

What (alleged) standards has this certifying authority?

Murder waiting to happen IMHO,

Piss poor recruitment and training regimes, i.e "Daddy" has sorted my income?

The Ancient Geek 4th May 2012 22:31


Also from the chart, if they were that desperate to get on the ground, they were lined up with 36C then 36L shortly after. Doesn't really make sense.
My best guess is that this is what they tried to do but the chosen runway(s) were not available so they flew a short pattern to line up for the next available.
AMS can get hectic at times.

This was not a simple engine failure, the aircraft collided with a flock of heavy geese which implies a stong possibility of other damage. In the circumstances a desire to get back to terra firma ASAP is understandable.

Not the way I would have done it but it is easy to criticise, none of us were there.

lomapaseo 5th May 2012 00:22

Ancient

No argument with the tone of your post but just a nit


This was not a simple engine failure, the aircraft collided with a flock of heavy geese which implies a stong possibility of other damage. In the circumstances a desire to get back to terra firma ASAP is understandable.

I had also asked myself the same question but in the end I concluded that the crew's action was probably only based on their instruments, overt symptoms, and fidelity of their training

It was only during the investigation afterwards that larger birds than certified for or other damage was noted

I hold nothing as yet against the crew but I suspect that that airline is in for a rough time on future flights into European airports until they meet standards

kinteafrokunta 5th May 2012 00:44

You guys weren't there! You did not know what went through the captain's mind then...he must have had flash backs to the scenes of Sully's Hudson river ditching with the possibility of losing both engines. There was a possibility that he was thinking of a quick 180 turn, leaving the gears and flaps in place looking for some concrete to land the crippled plane. He was probably weighing all his options as well and handling the crippled plane with all the cockpit warnings and erratic indications. All you insufferable arm chair critics and Monday morning quarter backs should have a chill pill up your sixes.

aterpster 5th May 2012 00:57


You guys weren't there! You did not know what went through the captain's mind then...he must have had flash backs to the scenes of Sully's Hudson river ditching with the possibility of losing both engines. There was a possibility that he was thinking of a quick 180 turn, leaving the gears and flaps in place looking for some concrete to land the crippled plane. He was probably weighing all his options as well and handling the crippled plane with all the cockpit warnings and erratic indications. All you insufferable arm chair critics and Monday morning quarter backs should have a chill pill up your sixes.
Thanks for that great assessment Mr. Troll.

FlightPathOBN 5th May 2012 02:49

One has to understand what the criteria standards are for obstacle and terrain eval. When ATC states they dont have the obstacle data, they are in actuality right on.
Terrain and obstacle surfaces are evaluated, and the CONTROLLING obstacle per sector is reported, not all, only the highest one. Obstacle evals are done on a 5 year basis, and most are beyond that, so any construction in the last 5 years, will only show up IF it is the new control.
Obstacles shown on charts are for information only, as in, you are on approach, and there is a building or mountain close on final, you understand that yes, this was accounted for...
In most places, there is NO mandatory requirement, that the person is able to ascertain, to submit the construction to the FAA or relevant authority, as part of the construction permitting.

Escape Velocity 5th May 2012 02:53


You guys weren't there! You did not know what went through the captain's mind then...he must have had flash backs to the scenes of Sully's Hudson river ditching with the possibility of losing both engines. There was a possibility that he was thinking of a quick 180 turn, leaving the gears and flaps in place looking for some concrete to land the crippled plane.
You have (inadvertently) nailed the basic reason for this totally mis-handled event.


He was probably weighing all his options as well and handling the crippled plane with all the cockpit warnings and erratic indications. All you insufferable arm chair critics and Monday morning quarter backs should have a chill pill up your sixes.
Unfortunately, you have drawn the wrong conclusions. At a minimum both crewmembers panicked and came extremely close to stuffing the airplane into a crowded neighborhood. At worst, one or both suffered from what I call the "Sully Syndrome".

I have seen an alarming increase over the last two years of the Hudson River ditching being used in training cycles. It is popping up as a shining example for CRM classes (dubious), has caused a new-found love for esoteric and useless systems debates (I walk away from these) but thankfully I have not seen it invade the simulator (hopefully it never does, either officially or unofficially).

I am not in any way trying to tarnish the performance or image of Capt. Sullenberger and crew, but face it, there is little useful information to be learned from that event except that when faced with a double flameout over a big city, look for the softest spot to land, and by the way, you don't have a lot of time to make up your mind. The Hudson River ditching has, however, created one of those nasty little unintended consequences: the Hero Captain has re-emerged! I can save us all, just let me get my hands on those controls!! Screw the checklist, I know better!!

What the Atlas Blue crew had was a routine bird strike after liftoff followed by the left engine rolling back with unknown damage. That's it. Nothing more. We all train for and practice this every six months. There is even a checklist in the QRH for this very event, plus a couple of memory items that are supposed to go with it. A TSB report and (so far) a 4-page discussion of this incident exists for one reason only: Hero Captain Syndrome.

I used to teach that the first memory item on any emergency checklist was "fly the airplane", followed closely by "take a deep breath" then "wait", then "Memory Items". "Don't panic", "don't be a hero" and "don't do anything stupid" were implied. Maybe not (sigh).

clevlandHD 5th May 2012 08:21

DOVES,

on every airliner with swept wing (707 onward), the wing is twisted to mitigate the problem of wingtip stall. Modern wings will stall at the root first. Instead of wiki, you should read "Handling the Big Jets".
As for Deep Stall, it is a T-tail problem.

henra 5th May 2012 08:52


Originally Posted by DOVES (Post 7171418)
Originally Posted by Doves

Capn Bloggs:
Pitch-up - Wikipedia, the free encyclopedia
Deep Stall.

I hope this is not the source you take your aviation knowledge from.
Although it is not completely false you might want to check if what is written there applies to a modern conventional airliner post 1960's.

The MiG 15 purportedly showed such behaviour mentioned in the Wiki article. Quite a number was said to be lost for that reason over Korea.

However, as @clevland has mentioned time has moved on and the designers have taken steps to mitigate this problem. Twist and taper/ relative chord thickness will take care of it.

Empirically swept wing airliners which have stalled showed rather a mush- down behaviour (see also AF447) when applying lots of Nose up Trim to prevent the nose from dropping.
(There have been only very few cases of an airliner stall without siginifcant Nose- Up trim, the high Altitude stall/spin of a Tu-154 when trying to climb above a TS over Russia being the odd exception but that was a T- Tail)

Deep stall is a phenomenon that in its proper sense only exists in T- Tails.
In conventional tails you can simulate somewhat similar effects with violent Nose Up trim + Elevator.

There are no documented cases of a conventional tail airliner pitching Nose Up due to stall with a neutral trim and elevator.

golfyankeesierra 5th May 2012 10:35


golfyankeesierra

Quote:
For report see this link

Pictures say more then words, take a look at page 17 (can't post the image).
Is this the image?
lomapaseo, yes, thanks.
That must have been some unbelievable stress for crew and pax in the first few rows with that noise coming out of the cockpit!

Ornis 5th May 2012 11:18

If the commander turned back with the intention of landing on a reciprocal vector, comprehensible if wrong, but found he couldn't, why wouldn't he raise the gear (and increase thrust)? It just seems so basic. Is he is still flying?

LeftHeadingNorth 5th May 2012 11:26

@Escape Velocity, A very sound post indeed. Is is amazing how a not so devastating event turned into major event...


I used to teach that the first memory item on any emergency checklist was "fly the airplane", followed closely by "take a deep breath" then "wait", then "Memory Items". "Don't panic", "don't be a hero" and "don't do anything stupid" were implied. Maybe not (sigh).
I wonder how many lives would have been saved had pilots done just that.... :suspect:

sheppey 5th May 2012 12:16


Quote:
The captain had only 340 total flying hours when he first flew the 737 and the F/O had a mere 430 hours before going on to the 737. From then on the remainder of their flying hours was on the 737. Draw your own conclusions. In other words no sound past command decision making experience to fall back on.
- as presented, this is MEANINGLESS. PLEASE do not get hung up on this quote and produce pages of nonsense:ugh:
Disagree. Others would argue the suggestion of very low flying experience of basic CPL before going on to the 737 had a lot to do with the rushed behaviour of the captain that very nearly turned into disaster. Many airlines would never remotely consider hiring a pilot with less than 2000 hours unless military trained. The captain in this incident would have had only PPL and CPL command hours ie no serious command on anything except perhaps a light single and light twin while under training for his CPL. Then he hops into the RH seat of a 737 at 300 plus total hours. Not exactly the highly experienced second in command of a passenger jet the passengers would hope to have. This is the inherent risk factor endemic in many airlines now and although statistics will no doubt prove it is cost-effective, it fails to disguise the fact that captains saddled with low hour CPL first officers better not become incapacitated leaving the cadet to fly single handed.

Like the captain, the F/O in the discussion also started off with barely the CPL in the RH seat of a jet. In other words no serious decision making time with which to fall back on. His whole career so far was as a subordinate taking instructions. This showed in his failure to prevent the captain making a series of seriously poor handling decisions.

aterpster 5th May 2012 13:43

FlightPathOBN:


In most places, there is NO mandatory requirement, that the person is able to ascertain, to submit the construction to the FAA or relevant authority, as part of the construction permitting.
In the U.S. what about FAR Part 77?

TonyDavis 5th May 2012 14:03

Very good post Sheppey.

I would suggest that the Dutch investigator has missed a golden opportunity here. Instead of concetrating on how to slaughter the geese, once they had determined that these 2 did not folow a basic procedure, they should have dug a lot deeper by questioning the crew on their knowledge of take-off procedures and the reasons we have them instead of Oh that was question 26 and the answer is A.

The PM should have been doing his job, which primarily is MONITORING. If PM does not know what should be happening then how can he monitor?

This is the problem of having 250 hour guys in the RHS unless they are very well trained. Even AF failed in this. This is not a new problem. Air Florida at Washington was another classic example of 2 pilots not knowing what was going on through lack of training. I remember the reams of paper coming out from Boeing and PW regarding EPR indications and the need to back it up with N1 and FF indications.

The training industry is presently geared up to spew out as many pilots as possible at the lowest price, hoping that the airlines will rectify the lack of knowledge. The regulators have also not helped by using multi choice to save money and then making the question database available to the schools for Rote learning. Also RAM is one of the airlines offering cheap type ratings.

Here was a golden opportunity for the Authority to really find out what is going on. However due to cost cutting is there anyone in the authority with the knowledge to identify the problem? The 2 pilots survived the incident (luckily) and are available for in depth questioning, not on just what hapened but also the rest of their knowledge.

Denti 5th May 2012 15:02

@sheppey, completely wrong conclusion. There was a similar incident about 12 years ago at lufthansa out of HAJ at night. They struck a flock of geese on climb out and suffered a complete loss of thrust on one engine and heavy damage on the other one. Crew was a training captain and a fresh cadet out of their own training program. Both had started with the airlines flying school and went onto jets with minimum hours. They simply did what they were trained to do and landed after a normal circuit without the need to fly at 300ft AGL around the countryside for a considerable time.

The issue is not experience, the issue is training. Bad or no training and something like the case discussed in this thread might happen, good training and it is a lot more unlikely.

MilPilot 5th May 2012 15:30

@Denti/Sheppey - This wasn't a complex emergency before the crew made it into one. So I agree with Denti that proper training would have lead to a lot better handling of this emergency.
I do however share Sheppey's concern when it comes to low hour pilots going straight to Airliners. They will be great as long as the answer is in the book and the training is good. I am not so confident that will be the case when the unexpected happens for the same reasons as Sheppey lists.

before landing check list 5th May 2012 15:43

I met an Etihad 340 pilot the other night. I never met one of these before. By these I mean this guy may have been 25, he spent 2 years at their academy in Al Ain UAE where he got "about 200 hour with simulator" and he flew the C172 and the DA42. By simulator it was a procedural type only (switches, lights etc) Then he got a few hours in the A340 sim now he is in the right seat of a 340 with less then 300tt. I asked if they ever hand fly the thing. He said "company policy dictates autopilot on just after gear up and off on very short final (if at all). This is going to be the new normal. Draw your own conclusions from that.

blind pew 5th May 2012 15:58

Henra
Great post surprising no one else picked it up.
If they did tip stall they would have had surprisingly high amount of bank!......

BOAC 5th May 2012 17:15

sheppey - I'm not quite sure where you have been for the last 20 years or so! What sort of experience do you think is normal for a young F/O joining a jet fleet? Check the hours BA F/Os have on their first line sector. Everything you say is correct and desirable but not real.

Since this has now been dredged up, please note the Captain had 7540 hours, with 7200 on the 737 and 2410 in command on it. The F/O 2730 total and 2308 on the 737. Overall an experienced Captain, would you say? Well over twice the normal minimum for jet command, even in major airlines. Even the F/O was no 'spring chicken'.

The avation system with which I am familiar is designed so that experience is gained from a low level with time. I consider 'starting' hours to be desirable but irrelevant.

DOVES 5th May 2012 19:43

clevlandHD:

Instead of wiki, you should read "Handling the Big Jets".
Valued sir.
I have read "Handling the Big Jets" when perhaps you were not even born, in 1966. And yet I keep a copy jealously.
Henra:

I hope this is not the source you take your aviation knowledge from.
Esteemed sir
I must confess that even after almost fifty years of profession, my thirst for knowledge forces me to drink from any source in order to improve my knowledge.
However I have at least 70 textbooks in my library about aviation:
10 volumes from the basic course, and about 3 volumes per plane I've flown: MB 326, Viscount, DC8-62, DC8-43, Caravelle, DC-10, DC-9 30, MD-80, MD-83, MD, 11, B737-200, B737-230, B737-300, B737-400: 14 x 3 = 52 + 10 = 62.


However, as @clevland has mentioned time has moved on and the designers have taken steps to mitigate this problem. Twist and taper/ relative chord thickness will take care of it.
Can I add autoslat, Elevator Power [down] etc. etc.. etc..
But why AF447 lost 38000 ft in 4 minutes? Perhaps because it went into stall, and the trim went all the way up, and there was fuel in the tail tanks?
But AIRBUS Does not stall !!!??? Or not???!!!
I repeat:
You all teach me that V2 = equal or more than 1,1 VMCA and 1,2 Vs. With such a bank (37,5°) Vs increment is 14%, so they were only: 1,2 – 0,14 = 1,06 Vs. “Deep” or not they were very very near to stall, and with the asymmetric thrust they had, God only knows why they didn’t get into a spin.

And their work load was increased by:
The Tower asking them, in vain, (and so repeatedly) to turn left instead of right
The stick shaker intervention
The GPWS activation

Were did priorities:
AVIATE, NAVIGATE, COMMUNICATE.
Go?
It seems to me that the airplane was leading them, not otherwise! And no crew coordination nor integration was going on.


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