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-   -   Ethiopian airliner down in Africa (https://www.pprune.org/rumours-news/619272-ethiopian-airliner-down-africa.html)

Bend alot 24th Apr 2019 03:04

Only thing Icarus it was not the crew that saved that flight (from the reports).

There seems very little info on this previous Lion Air flight and I/we do not know when the incorrect MCAS input was given. We do know on the two crash flights it was soon after take off, and either after flaps 0 selected or the flaps had fully retracted.

From memory a number of pilots have done the Lion Air & Ethiopian events in the MAX simulator (knowing they will have a MCAS simulation) and they did manage to land safely but said it was "very challenging" - so in a surprise event, the numbers of successful outcomes will reduce. I would have very little doubt the pilots used to do these simulator events, post crashes were nothing but extremely capable pilots selected by Boeing. So in reality it should not have been a challenge at all as many have mentioned, but a breeze or a non event - or did Boeing use substandard pilots for this simulation?

GordonR_Cape 24th Apr 2019 03:29


Originally Posted by 737 Driver (Post 10454257)
MCAS does not “unwind” any of the nose down trim it has inputted. The expectation is that the pilots will put in the correct trim as they recover from the impending stall. We do stall recovery training regularly in the sim, and there is always a lot of retrimming involved.

MCAS absolutely should unwind the nose down trim once the AOA drops below 10 degrees (as long as no pilot trim input occurs). I don't have the detailed reference, but this was the whole point of MCAS. It would operate silently in the background, provide a simulated yoke force feedback (or longitudinal stability), and then disengage once the maneuver is completed.

Any automated (and previously undocumented) system that left an aircraft out of trim after a "simple" maneuver, could never possibly be certified. Stall escape implementated by the pilots is an entirely different matter, as was the runaway behaviour of MCAS due to a stuck AOA sensor.

This discussion is around a not previously considered human/machine feedback process, driven by a delayed trim unwinding process, and subject to interruption by pilot trim inputs. This point seems not to have been covered in any other forum, other than the brief hint, and useful chart, referenced earlier in this thread.

This may turn out to be a non-issue, if properly implemented and documented. It is definitely the kind of concern to be discussed by the Joint Authorities Technical Review.

edmundronald 24th Apr 2019 03:41


Originally Posted by 737 Driver (Post 10454239)


Okay, as one of the posters who has been highly critical of the airmanship displayed by the accident pilots, would you please show me where I said anything denigrating about their ethnicity or nationality? Poor airmanship is poor airmanship regardless of race, creed, gender, citizenship, favorite football squad, or whatnot. And if it makes you feel any better, I believe the problem lies more in the training and airline culture in which they were raised than any individual shortcomings.

As a side note, I have invested a fair amount of personal time researching issues related to these accidents to include sifting through available aviation safety and accident databases. There have been plenty of other cases of commercial airline instrument failures leading to unexpected system responses and confusion among the crew. You just don’t hear about them because these events had a successful conclusion.

The notable exception was AF447 - loss of airspeed, confusing alerts, systems reacting in ways the pilot flying wasn’t expecting, improper crew response, followed by a hull loss and major loss of life. This was another clear example of the pilots’ failure to revert to basics and fly the aircraft. Their ethnicity or employment at a major European carrier granted them no special protection from a failure of airmanship.

AF447 impacted the manufacturer not because of ethnicity issues but BECAUSE THE VICTIMS, PILOTS AND THE AIRLINE WERE SITED IN THE COUNTRY THAT BUILT THE PLANE AND CERTIFIED IT. So basically everyone concerned ended strung up in front of the same investigation system with an angry populace, and investigators could speak to all actors, and in the end everyone got blamed, AF for not swapping out the pitots, the pilots for winning the Darwin award, and the manufacturer for a tech failure and bad ergonomics.

In the case of the Max, the issue of "foreign carriers, foreign pilots" is getting raised as a way for Boeing and the FAA critters to wrangle their way out of a proper accounting for a design and certification process failure, with the dog whistle that the "foreigners" shouldn't be allowed to cash in on the liability payments generously provided by US courts to US victims.

Everyone here is very aware that if 400 US citizens had died in 2 plane crashes, Boeing would be facing serious financial consequences, and there would be a real congressional inquiry re. the FAA's somewhat lax certification practices.

Nobody anywhere in the world believes that the pilots on board the two sadly doomed airframes were anything other than perfectly average trained individuals. In fact Boeing's customers mostly employ pilots of average abilities, because they employ a lot of pilots. There may be some retired fastjet pilots in the trade, but they are now outnumbered by civilians.

Interestingly, on this forum, pilots seem to blame the Max pilots for not flying their planes, while engineers blame the design and the process. Quite possibly both are correct.

Edmund

Mach1. 24th Apr 2019 04:16

Anyone know if the trouble with Max8 has led to increased orders for Airbus and price increases?

DaveReidUK 24th Apr 2019 07:00


Originally Posted by GordonR_Cape (Post 10454299)
MCAS absolutely should unwind the nose down trim once the AOA drops below 10 degrees (as long as no pilot trim input occurs). I don't have the detailed reference, but this was the whole point of MCAS.

I'd be very interested to see a reference that says that.


olster 24th Apr 2019 07:34

There is a lot of drivel written here quite obviously from people who have never flown a B737, have no real understanding of swept wing aerodynamics yet appear willing to pontificate on how the pilots should have gone back to basics etc etc. The MCAS system was built into the Max, no information was given to the pilots who then found themselves with a stabilizer so far out that essentially and eventually left zero elevator authority. Ambiguity for experienced 737 pilots would partly be due to the speed trim system which also operates independently of the pilots. I have the greatest sympathy for the pilots in these terrible accidents and not sure how I would have reacted. I usually avoid the willy waving but I have over 10,000 hours 737, mainly pic plus usual training qualifications. You 20/20 hindsight experts must be utterly brilliant of course.

GordonR_Cape 24th Apr 2019 07:46


Originally Posted by DaveReidUK (Post 10454365)
I'd be very interested to see a reference that says that.

I can't find primary references stating that, other than the text and chart by LEOCh previously mentioned: https://www.pprune.org/rumours-news/618252-boeing-737-max-software-fixes-due-lion-air-crash-delayed.html#post10423226

The best simple description is a single sentence from b737.org.uk: 737 MAX - MCAS

After AoA falls below the hysteresis threshold (0.5 degrees below the activation angle), MCAS commands nose up stabilizer to return the aircraft to the trim state that existed before the MCAS activation.
Edit: There is an intriguing extra sentence (mangled meaning?) about the proposed improvements:

Furthermore the logic for MCAS to command a nose up stab trim to return to trim following pilot electric trim intervention or exceeding the forward column cutout switch, will also now be improved.

DaveReidUK 24th Apr 2019 08:22

Thanks for that. It does sound rather counter-intuitive that as soon as AoA drops below the threshold for MCAS commanding AND trim, it then does the opposite.

I note that the extract from the Max System Differences Training Manual (presumably a Boeing publication) on Chris's site makes no mention of MCAS commanding ANU trim:


https://cimg7.ibsrv.net/gimg/pprune....82503bd83a.jpg
http://www.b737.org.uk/images/mcas-mtm.jpg

GordonR_Cape 24th Apr 2019 08:52


Originally Posted by DaveReidUK (Post 10454415)
Thanks for that. It does sound rather counter-intuitive that as soon as AoA drops below the threshold for MCAS commanding AND trim, it then does the opposite.

I note that the extract from the Max System Differences Training Manual (presumably a Boeing publication) on Chris's site makes no mention of MCAS commanding ANU trim:

Yes, several people (including myself) have pointed out that definition leads to an "unstable" outcome when AOA fluctuates close to the 10 degree threshold. Not an elegant algorithm at all...

737 Driver 24th Apr 2019 09:56


Originally Posted by GordonR_Cape (Post 10454391)
I can't find primary references stating that, other than the text and chart by LEOCh previously mentioned: https://www.pprune.org/showthread.php?p=10423226

The best simple description is a single sentence from b737.org.uk: 737 MAX - MCAS

The description cited above is not an official Boeing source. I have seen not any system description from Boeing that states that MCAS will ever input nose up trim. In this way, it is not unlike what the Speed Trim System does approaching a stall when the flaps are extended.

Bend alot 24th Apr 2019 10:16


Originally Posted by 737 Driver (Post 10454463)


The description cited above is not an official Boeing source. I have seen not any system description from Boeing that states that MCAS will ever input nose up trim. In this way, it is not unlike what the Speed Trim System does approaching a stall when the flaps are extended.

The more that comes out - the simple power and pitch pilots will save the day, seems less likely as hidden automation seems to kill those egos.

MCAS version 1 had big problems - version 2 has the same but different problems.

Just recall guys no, or low MCAS input = possible flight outside certification limits within the flight envelope is possible. Thus pitch and power is not relevant as it is not proven and unless you are a Test Pilot commenting on 737 flight outside the certification limits is no more relevant than a pax.

Clearly even today MCAS is not understood and there seem many secrets - that should have never been the case. But it seems to be the future.

infrequentflyer789 24th Apr 2019 10:51


Originally Posted by 737 Driver (Post 10454463)


The description cited above is not an official Boeing source. I have seen not any system description from Boeing that states that MCAS will ever input nose up trim. In this way, it is not unlike what the Speed Trim System does approaching a stall when the flaps are extended.

Correct, but there are multiple credible sources saying effectively the same thing. It was in point (1) of FCEng84's long clarification post earlier in thread: link

FCEng84 has posted good, readable, and apparently accurate information on MCAS from the start, I haven't had reason to dispute any of the other information so I would tend to trust this part too.

bill fly 24th Apr 2019 11:33


Originally Posted by DaveReidUK (Post 10454415)
Thanks for that. It does sound rather counter-intuitive that as soon as AoA drops below the threshold for MCAS commanding AND trim, it then does the opposite.

I note that the extract from the Max System Differences Training Manual (presumably a Boeing publication) on Chris's site makes no mention of MCAS commanding ANU trim:


https://cimg7.ibsrv.net/gimg/pprune....82503bd83a.jpg
http://www.b737.org.uk/images/mcas-mtm.jpg

The training guide quoted states of MCAS that it “allows the stabiliser to move in the nose down direction etc.” It does more than allow if it causes it to move...

HundredPercentPlease 24th Apr 2019 12:11


Originally Posted by edmundronald (Post 10454302)

Interestingly, on this forum, pilots seem to blame the Max pilots for not flying their planes, while engineers blame the design and the process. Quite possibly both are correct.

Edmund

There are a handful of skygods on here who continuously say "they should have" or "all they needed to do was" or "I would have just" and so on.

In my opinion, pilots with these outlooks are less than safe.

They have a high opinion of themselves.
They have not appreciated the HF elements of these accidents.
They have not considered how HF will affect their operation, in the event of a serious problem.
They are therefore not prepared.

If we just blame the pilots for being a bit crap, then nothing in the industry will improve. We need to understand why these pilots, despite all of their efforts, could not keep the aircraft from the ground. Only when we understand, can we make the correct changes to stop it happening again.

Even the finest pilots in the world, when suddenly presented with a simple failure (double engine failure, for example), will sit there and think "no - this can't be happening" followed by "what on earth do I do".

It is inexcusable that Boeing and the FAA allowed a pretty ropy old aircraft with some dodgy characteristics to be released with even poorer characteristics. It is a demonstration of how multiple signals during a critical phase of flight can make it very difficult for pilots to overcome startle, then diagnose, fly and solve a problem.

As an aside - in my airline it was discovered that UAS events were handled badly. So in one sim cycle we were trained. In the next sim cycle we were tested, and still it was handled badly. So in the next sim cycle again we were trained a lot more. It transpires that real UAS is really a HF event of great complexity, and is therefore very difficult to get right. The technical side of it is a doddle.

Can we please focus on how we contribute to make the industry better (safer)?



LowObservable 24th Apr 2019 12:14

There have been plenty of other cases of commercial airline instrument failures leading to unexpected system responses and confusion among the crew. You just don’t hear about them because these events had a successful conclusion.

That's a diversionary response. This was not just a case of "unexpected system responses". MCAS commandeered the most powerful control surface on the airplane and, in effect, caused an intermittent runaway, something for which nobody was trained.

GordonR_Cape 24th Apr 2019 12:22


Originally Posted by 737 Driver (Post 10454463)
The description cited above is not an official Boeing source. I have seen not any system description from Boeing that states that MCAS will ever input nose up trim. In this way, it is not unlike what the Speed Trim System does approaching a stall when the flaps are extended.

I understand that, and cannot find an official Boeing source. But think about this scenario for one minute:
An "undocumented" maneuver augmentation system that leaves the nose trim 2.5 degrees lower than when it started.
Do you think Boeing would ever release that?
Do you think the FAA would ever certify that?
Logic dictates that your version makes no sense, for a feature which everyone agrees is not an anti-stall system.

oggers 24th Apr 2019 12:58

I would say the MCAS trim must be reset to the original place to comply with the certification requirements. When control force is released the airspeed must return to within a small percentage of the original trim speed and also a push on the column be needed to achieve a speed below that original trim speed.

Arydberg 24th Apr 2019 13:25

Most incidents are resolved OK but here are three other crashes where the published cause seems questionable.

https://en.wikipedia.org/wiki/Kenya_...#Investigation

https://en.wikipedia.org/wiki/Ethiop...nes_Flight_409

https://en.wikipedia.org/wiki/EgyptAir_Flight_990


Sucram 24th Apr 2019 14:01


Originally Posted by HundredPercentPlease (Post 10454544)
There are a handful of skygods on here who continuously say "they should have" or "all they needed to do was" or "I would have just" and so on.

In my opinion, pilots with these outlooks are less than safe.

They have a high opinion of themselves.
They have not appreciated the HF elements of these accidents.
They have not considered how HF will affect their operation, in the event of a serious problem.
They are therefore not prepared.

If we just blame the pilots for being a bit crap, then nothing in the industry will improve. We need to understand why these pilots, despite all of their efforts, could not keep the aircraft from the ground. Only when we understand, can we make the correct changes to stop it happening again.

Even the finest pilots in the world, when suddenly presented with a simple failure (double engine failure, for example), will sit there and think "no - this can't be happening" followed by "what on earth do I do".

It is inexcusable that Boeing and the FAA allowed a pretty ropy old aircraft with some dodgy characteristics to be released with even poorer characteristics. It is a demonstration of how multiple signals during a critical phase of flight can make it very difficult for pilots to overcome startle, then diagnose, fly and solve a problem.

As an aside - in my airline it was discovered that UAS events were handled badly. So in one sim cycle we were trained. In the next sim cycle we were tested, and still it was handled badly. So in the next sim cycle again we were trained a lot more. It transpires that real UAS is really a HF event of great complexity, and is therefore very difficult to get right. The technical side of it is a doddle.

Can we please focus on how we contribute to make the industry better (safer)?

Well said, totally agree

737 Driver 24th Apr 2019 14:29

Fly the damn aircraft
 

Originally Posted by edmundronald (Post 10454302)
Interestingly, on this forum, pilots seem to blame the Max pilots for not flying their planes, while engineers blame the design and the process. Quite possibly both are correct.

You are correct, sir.

Aircraft accidents are rarely the result of a single cause. In this case, we have a failure in the initial design process, a failure in the internal (Boeing) review process, a failure in the oversight process (FAA and other certifications authorities), a failure in the education and training process (airlines, Boeing, certifications authorities), and at least one documented failure in the maintenance process (Lion Air). However, despite all these numerous failures, the aircraft in question were still flyable by reverting to basic airmanship techniques of pitch, power, and trim. Yet here we are.

I am not an engineer, so I don’t have the background to say exactly how the engineers went wrong, even though I know they did. I am not a project manager or regulator, so I don’t have the expertise to say exactly how they erred. I am not a maintenance technician, so I am not qualified to comment on where their process went wrong. I’m a little closer to the airline training environment, so I feel I can comment on how they could have handled this better.

However, I most certainly am a 737 type-rated Captain who is given the responsibility of saving the lives of my passengers when everyone else fails to do their job. Even at my airline, our training should be better, our manuals should be better, our maintenance procedures should be better, and our scheduling practices should be better, but the reality is that they are not. I do not have the leisure to say that if all these other people don’t do their job right, I don’t have to do mine. My job, when everything goes to $hit, is to do everything in my power to stabilize the aircraft and get it safely back on the ground. If I don’t, then that is on me.


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