Originally Posted by threemiles
(Post 10439005)
The cut-out switches are not on the FDR plot. Whether they turned them back ON is pure speculation.
At 05:43:11, about 32 seconds before the end of the recording, at approximately 13,4002 ft, two momentary manual electric trim inputs are recorded in the ANU direction. The stabilizer moved in the ANU direction from 2.1 units to 2.3 units. That could not have happened if the cutout switches had not been turned back on. |
Originally Posted by threemiles
(Post 10439005)
The cut-out switches are not on the FDR plot. Whether they turned them back ON is pure speculation.
|
Originally Posted by slacktide
(Post 10438981)
Not only is turning the stab trim cutout switches back on NOT a part of the documented and approved recovery procedure, the FCOM specifically cautions against turning electric stab trim back on after it has been selected off.
"Ensure that the STAB TRIM CUTOUT switches are set to CUTOUT and stay in the CUTOUT position for the remainder of the flight." It's disingenuous to state that the recovery procedure was followed, when it was only halfway followed, and other basic elements of pilotage were neglected. If they had monitored and controlled the airspeed within limits, and followed the published recovery procedure, they would have been able to manually trim the airplane using the trim wheel. Regarding my language "monitored and controlled their airspeed." I know someone will pipe up about stick shakers and clackers and cockpit confusion. Yes, the left side airspeed was unreliable, and the left side stick shaker was going off. But the right side airspeed was not unreliable, and the BU airspeed was not unreliable, and the right side stick shaker was not going off. Isn't unreliable airspeed a well documented scenario which is regularly practiced in the simulator, with simultaneous shaker and clacker? Isn't it the second item on the very first page of the QRH? Are the appropriate initial pitch and power settings to be used during unreliable airspeed not memory items? Memory Items for Airspeed Unreliable? Memory Items for Unscheduled Stab trim? It appears the aircraft was never put back in trim after the initial MCAS input and although an attempt was made with the cutouts the aircraft was out of trim. Turned back on again contrary to advice (accept this is speculation at present) and the system was allowed to trim forward again. Unfortunately these points will be lost to the majority on here who simply want to flame Boeing. |
Thoughts.
This aircraft had multiple pitot static malfunctions in the days prior to the accident as per the tech log quoted in the report. Altimeter and VSI erratic. If they had had a bird strike on the vane, they would have noticed the thump and said something. I think we can rule a bird strike out. And frozen things. It was 17 degrees C on the ground. Just after takeoff the crew got an almost immediate Stick shaker Airspeed disagree Altitude disagree F/D disagree Which constitutes an unreliable airspeed non normal (Together with an anti ice caution) And did not apply the memory items for that , and seemed to be prepared to continue to FL320. The trim problems started once the flaps were retracted , however the flaps seem to have been retracted despite the left stick shaker being continually active and the aircraft in an unreliable airpseed state which calls for a pitch and power setting with the flaps down (if I recall, 10deg NU, 85%N1) but the power wasn't reduced from 94% either. The stabtrim cutout switches seem to have stopped the MCAS from moving the stab, but then the switches were re-engaged (2 ANU trims were recorded 2,5 min after the stab trim switches were set to cutout) and this then allowed the MCAS to pitch it down again. As regards thrust and pitching moments I personally would prefer to take my chances with speedbrake, idle thrust and a bit of a dip than two engines at 94% when I'm pointing downhill. And I don't think I'd be getting ATC involved until I had the beast back under some sort of control. This seems to be more than an MCAS thing, it may be a pitotstatic adiru thing. If one sensor gets extreme readings or if there's a sensor disagree, then no system should rely upon that sensor data. Systems shouldn't rely on one sensor only. |
Originally Posted by MurphyWasRight https://www.pprune.org/images/buttons/viewpost.gif Why would pilots in a severe AND trim crisis merely blip the switches? Is there any possibility that the extreme column forces could have interfered with the switches, either mechanically (including wiring etc) or biomechanically.? By biomechanically I mean could the hand position and forces make the pilot believe he was pressing the switches when in fact he was not? https://www.pprune.org/images/status...ser_online.gif https://www.pprune.org/images/buttons/report.gif Not sure 3 units AND (from trace) while 'stable' is not correct. From the report it appears they tried and failed to use manual trim wheel after cutout and then (last ditch option) re-enabled it to attempt electrical trim. Gets back to the question of why 2 short blips instead of continuous until collum force approaches neutral? |
AoA back to normal
Any ideas on why the faulty left AoA goes to values even lower than the assumed correctly working right AoA at the same time the terminal descent starts? MCAS works for a while, left AOA goes down, stick shaker is happy, MCAS stops.
|
Originally Posted by GarageYears
(Post 10438996)
Really?
Aside from why the AP was successfully engaged, the three trim ND FCC commands (and one NU for good measure), DURING autopilot engagement are brief and likely STS driven - not MCAS. That comes after the AP is disconnected. The first MCAS ND command occurs on deselection of the AP, and runs for 10 seconds as the system is expected to do. You can clearly see that in the FDR traces. Clearly I know what the aircraft 'should' be doing, but I'm just not finding it in the data provided. If you see it differently please shout out as even after years of flight testing this has left me scratching my head. |
Originally Posted by MurphyWasRight
(Post 10439002)
Except that trim did move slightly (as expected given short blips) and the FDR shows the switch activation directly, 2 short blips about 5s apart.
It could very well be that the initial blip moved the trim slightly and then stopped, they released and try again but no avail. Each square in the FDR is 3 seconds, so the second "short" blip is 2s or so. Between the two, looks to me in the 3s area. (one full square) Let's say 2.5 to be safe. The final AND input by MCAS was 5s and moved 1.3 units. The last pilot input ANU was 2.5s (combined) and moved 0.2 units. Something odd is there. It is a theory, I could be mistaken. But it's plausible to my eyes. |
Originally Posted by GarageYears
(Post 10438996)
Later two very short pickle switch inputs NU were input indicating the crew re-engaged the electric trim, but they were very short and had a very small effect on trim.
I suspect that cutout switch position is not directly recorded and has to be inferred, possibly this is where the rumours of disagreements and CVR reading problems originate from - maybe there are sounds or speech on the CVR that could indicate re-engagement but it isn't definite, or agreed. Any reference to the disputed sounds may then have been excised from the report. 5 seconds later MCAS, having been reset by the crew electric trim input, and now being active again, ran for less than 10 seconds and seems to have been interrupted by the Left AOA value changing. - MCAS is supposed to have less authority at higher speed (maybe that's it, it is shorter input?) - If AOA reduces then MCAS is apparently supposed to put the trim back up, if no pilot trim input - yet there isn't and it doesn't |
Re: The FDR plot
Note the call-out box which states "Automatic Trim Command With No Change In Pitch Trim". However, there is another downwards blip of automatic trim command shortly before the crash, which clearly causes more nose-down trim. This must be the result of the MCAS being re-enabled. For some reason, the CVR transcript does not say so, but the pilots must have re-enabled the Cutout Switch. |
Originally Posted by MurphyWasRight
(Post 10439022)
Gets back to the question of why 2 short blips instead of continuous until collum force approaches neutral?
In the accident graph the 2 final electric trim blips do not appear to move the pitch trim, either due to cutout or aerodynamics overcoming the drive. |
Originally Posted by ecto1
(Post 10439030)
Yeah, from 2.1 to 2.3 units, I know.
It could very well be that the initial blip moved the trim slightly and then stopped, they released and try again but no avail. Each square in the FDR is 3 seconds, so the second "short" blip is 2s or so. Between the two, looks to me in the 3s area. (one full square) Let's say 2.5 to be safe. The final AND input by MCAS was 5s and moved 1.3 units. The last pilot input ANU was 2.5s (combined) and moved 0.2 units. Something odd is there. It is a theory, I could be mistaken. But it's plausible to my eyes. Interesting idea that when they tried the electrical trim the system stalled so they tried again, hard to tell without raw data and CVR though. |
Originally Posted by infrequentflyer789
(Post 10439031)
This MCAS signal got through, which some will take as proving the switch position was changed, there is so much else going wrong not sure I would agree (that it is proven). Also, this still doesn't look right per the descriptions we've had:
- MCAS is supposed to have less authority at higher speed (maybe that's it, it is shorter input?) - If AOA reduces then MCAS is apparently supposed to put the trim back up, if no pilot trim input - yet there isn't and it doesn't MCAS will 'unwind' the trim only when the AOA reduces below the 10 degree threshold, not when AOA reduces relative to its previous value. |
Originally Posted by Albino
(Post 10439018)
[ [Stab trim cutout switches.] Turned back on again contrary to advice (accept this is speculation at present) and the system was allowed to trim forward again.
|
Questions after reading the report
The preliminary report leaves me with several questions:
Shortly after Takeoff the Captain who was pilot flying had stick shaker on his side only. Why not transfer control to the first officer at this point or at least a little while later? That is actually what the Captain of the Lion Air flight previous to Lion Air 610 flight did. If you see that there is stick shaker on your side but not on the other wouldn't it make sense to rely on the FCC B side in this case? Why engage the autopilot on the A side that has the stick shaker? The captain tried to engage Autopilot A two times unsuccessfully at 400 Ft and 630 Ft. That would be another indication to either continue manually or at least try the other side. Finally he succeeded in turning the autopilot A on at 1000 Ft (for 33 seconds). Possibly Autopilot B would have worked since it seems like there was no false sensor indications on that side an MCAS would not have activated (speculation). Based on the report the situation for ET302 was basically exactly the same as for Lion Air 610. Stick shaker right after Takeoff and then as the flaps were retracted MCAS started trimming the nose down. At 05:40:00 shortly after the autopilot disengaged, the FDR recorded an automatic aircraft nose down (AND) activated for 9.0 seconds and pitch trim moved from 4.60 to 2.1 units. The climb was arrested and the aircraft descended slightly. Knowing about the Lion Air Accident as the ET302 crew must have, were they expecting the nose down trim as they retracted the flaps? Based on their actions it seems like they did not even though the circumstances were the same. Would this not have been the point to carry out the runaway stab trim memory items? At 05:40:12, approximately three seconds after AND stabilizer motion ends, electric trim (from pilot activated switches on the yoke) in the Aircraft nose up (ANU) direction is recorded on the DFDR and the stabilizer moved in the ANU direction to 2.4 units. The Aircraft pitch attitude remained about the same as the back pressure on the column increased. Instead the crew trimmed the aircraft nose up from 2.1 units back to 2.4 units. Why not trim back to the original 4.6 units before MCAS engaged so that it isn't necessary to increase back pressure on the column? Some people on this forum suggest the electric trim switch will not work sufficiently against MCAS. The preliminary report on Lion Air 610 shows otherwise as they countered MCAS up to 30 times. By now we know that MCAS activates again 5 seconds after the electronic trim switches have been used. They were used by the crew but apparently only to offset the MCAS trim input to a small degree and now MCAS starts trimming the nose down again: At 05:40:20, approximately five seconds after the end of the ANU stabilizer motion, a second instance of automatic AND stabilizer trim occurred and the stabilizer moved down and reached 0.4 units. This time the crew did trim against MCAS from 0.4 units back to 2.3 units therefore basically reversing the input from MCAS and showing that this is possible. Now the First Officer suggested to set the stab trim cut out switches to cut out and MCAS was stopped. Would it have been possible at this point to reduce the power and then trim the aircraft manually? At the time the crew did try to trim the aircraft manually the aircraft was flying at the edge of it's envelope at 340 Knots according to the left side or outside of it already at 365 according to the right side. I am not surprised that at this point it was not possible to trim manually anymore. At 05:43:11, about 32 seconds before the end of the recording, at approximately 13,4002 ft, two momentary manual electric trim inputs are recorded in the ANU direction. The stabilizer moved in the ANU direction from 2.1 units to 2.3 units. At 05:43:20, approximately five seconds after the last manual electric trim input, an AND automatic trim command occurred and the stabilizer moved in the AND direction from 2.3 to 1.0 unit in approximately 5 seconds. Since the crew said at 05:41:46 that electric trim did not work and now it was possible for them to trim electrically again it is likely that the stab trim switches were set back to their original position before being set to cut out. Aside from not reducing the power even when there was the overspeed warning, why did the crew not trim continuously as they did before in order really raise the nose? Also why did they then not set the stab trim switches back to cut out since it was to be expected that MCAS would engage again 5 seconds after release as it did before? I am not judging the pilots or saying the same thing could not have happened to me. I am just asking myself these questions based on what I have read. |
Originally Posted by Takwis
(Post 10439039)
Here are the memory items for "Runaway Stabilizer":
I. Runaway Stabilizer
It is looking very likely that moving the trim wheel with the trim set too far nose down is not physically possible, especially at high airspeed. As a last desperate measure, they tried something that wasn't in the checklist. Was this step done? 2 units is nowhere near in trim and significant control column input would've been needed. Full stabilizer authority was available to the pilots using the electric trim. If runaway continues... I'd argue people are getting hooked up on semantics here. You can't put a long winded paragraph in covering every eventuality. The system is still not performing as expected so you cut out the stabs, ensuring step 2 is complete and the aircraft is in trim. The bulletin Boeing sent to all operators and should have been read by all pilots was very clear on this point in 'Operating Instructions'. |
737mgm
That would be another indication to either continue manually or at least try the other side. Finally he succeeded in turning the autopilot A on at 1000 Ft (for 33 seconds). Possibly Autopilot B would have worked since it seems like there was no false sensor indications on that side an MCAS would not have activated (speculation). Based on the report the situation for ET302 was basically exactly the same as for Lion Air 610. Stick shaker right after Takeoff and then as the flaps were retracted MCAS started trimming the nose down. Cognitively this is a very different situation, and focusing on why the autopilot disengaged may have been a distraction from the MCAS activation. Conversely flaps retraction is a non-event cognitively, and more attention could have been given to MCAS activation. I do not know whether any of this is relevant, but it is perhaps important to see the whole sequence of events. |
Are pilots not used to using those thumb/pickle switches too much? Or perhaps trained to just blip/use sparingly? It seems we’ve seen two crews (FO on Lion and now on ET) appear to just “blip” when more extended engagement might have been better? Is there any reason they might be reluctant to go hard and extended on that thumb switch? I mean, if I saw it appear to counter that bad trim, I’d be jumping on it with both feet! Just wondering why the apparently sparing use of the switch which had potential to correct trim....? |
Originally Posted by OldnGrounded
(Post 10439047)
Unless I misread the preliminary report, it appears that the "advice" that was followed was that of the FO, who advised that manual operation of the trim wheels was not possible. It's fairly easy to understand why the crew decided to flip those switches back on (if they did).
From the narrative it sounds as if the Capt hasn't grasped what is happening and it's a suggestion from the FO to cut the switches out in the first place. So when they turn them back on is he 'in the loop'? |
Originally Posted by patplan
(Post 10438881)
That's the first time I've read about the nationality of the deadhead who'd hitchhiked Flight JT043... Care to show us your source?
|
All times are GMT. The time now is 09:54. |
Copyright © 2024 MH Sub I, LLC dba Internet Brands. All rights reserved. Use of this site indicates your consent to the Terms of Use.