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vunzke 1st January 2008 19:02

Accident investigation and PPRuNe (Discussion)
 
I was just wondering.....suddenly it went very quiet regarding the MD 83 accident. No more comments ...no results from any investigation... :bored:
Has the investigation already ended and have any results been published about this accident regarding cause etc?... or is there a reason for this information stop...:confused:

apart from that HAPPY NEWYEAR FOR EVERYONE and keep posting!

PBL 1st January 2008 19:05

vunzke,

there is no activity because the available public data has been exhausted.

ICAO conventions require a preliminary report in 30 days and the final report whenever it is ready. This rarely takes less than a year and rarely more than six years.

PBL

vunzke 1st January 2008 19:13

PBL,

Thanks for the info, its just that preliminaries either and was wondering what the status was... was just wondering since usual these threads dont suddenly go quiet... on the other side...better to post confirmed info than the (often) "amateur specialist" opinions :E

Happy new year again

PBL 1st January 2008 19:23

vunkze,

actually, in contrast to many of my colleagues, many professional pilots and at least one moderator, I think that some "amateurs" did some pretty impressive work in this thread with this accident. Like trying to figure out where it was when no one else was saying. (People who poo-poo such things have likely not been involved in an investigation. There is often a helluva task getting even the most basic details straight.)

I also anticipate that what we have concluded so far on this thread will turn out to be the truth. Other opinions may differ.

PBL

vunzke 1st January 2008 19:54

PBL,

although not really the subject of this thread... I do (partly) agree with you. "help" is always OK, i just beleive we should refrain := from drawing "conclusions" before the people who are trained and appointed to do so do. No problem with suggestions and opinions :D.

its a bit like in the cockpit.... I ALWAYS support passengers giving me input about observations from the cabin... however i hold it my prerogative (in the cockpit) to draw the "conclusions" as to what action to take.

having sais that... its a different discussion i guess....

with respect:ok:

Vunzke

PBL 1st January 2008 20:11


Originally Posted by vunkze
i just beleive we should refrain from drawing "conclusions" before the people who are trained and appointed to do so do

No, friend. People "trained and appointed" have political constraints and opinions just like anyone else. Most of them do a first rate, sometimes outstanding, job *within those constraints*. But satisfying those constraints often distorts what is proposed in their published report.

Many of us feel that the best objective results are obtained by publishing the data as early as possible, letting everyone who so wants have a go at analysis, and critique of others, and then focusing on those explanations that prevail. It's not perfect, and it is not efficient, but then many of those people are likely working pro bono with a view to other ends (such as tenure, or future private contracts) so nominal efficiency doesn't matter.

This point of view, by the way, extends much further than accident reports, into the assessment of any safety-critical system, and is held by many senior safety-critical system specialists besides myself.

The reason we hold it is what we know of actual accident investigations, as well as what we know of safety cases and such. You may be surprised by the number of senior accident investigators at major agencies who would welcome it too.

PBL

chuks 1st January 2008 20:57

So why is aviation a special case?
 
Perhaps it's just that persecution complex kicking in, but why is it air crashes, incidents and non-events that attract the armchair experts?

You never see this amount of speculation about auto accidents, for instance, do you? Some bus crashes, taking 50 grannies to their screaming doom and no one seems to want to try and guess if the driver was reading "The Beano" at the wheel or was subtly incapacitated or whatever. But it really does seem that many of you are absolutely fascinated by playing "Guess the Cause" within hours of each crash report so that some of the wildest theories get floated.

And now you are claiming that is wished-for and productive. Well, I never.....

I am sorry, but I really do believe the reason that crummy little bag of peanuts is so fiendishly hard to open is to give the SLF something to occupy their minds, rather than looking out the window to try and guess the reason for this or that motion, real or apparent, of their aerial conveyance.

If it were so useful to invite amateur speculation about the cause and circumstance of an air accident, why is there not a mechanism for that? Perhaps someone should get in touch with ICAO and offer to set up a panel of amateur experts to help in this way. Do not forget to involve the psychics, who can help in the searches.

PBL 1st January 2008 21:33

chuks,

the obvious answer to your question is that road crashes are usually easy to explain, and commercial aviation accidents very much harder.

And if you have something against people discussing them in public, I suggest you avoid the discussions and go do something you find more entertaining.

PBL

Mad (Flt) Scientist 1st January 2008 21:46

Chuks

Study the composition of the NTSB - that is the BOARD MEMBERS - and you'll find that ultimately, although they rely on specialists to make the investigation, the actual board members who have the final say are, in fact, "amateurs" - and often bring an outside perspective to the final report.

edit: took some finding...
Current Members of the Board are:
* Mark V. Rosenker, Chairman
* Robert L. Sumwalt , Vice Chairman
* Deborah A. P. Hersman, Member
* Kathryn O'Leary Higgins, Member
* Steven R. Chealander, Member

Links to their bios are here
None are "trained accident investigators" by any stretch of the imagination (two were pilots, but that's not the same thing, obviously)

As to "why is aviation picked on" - it isn't. Ask any, say, nuclear industry employee if he thinks they are immune to "armchair experts". Or the military in general. Or the police forces. Or ....

PBL 1st January 2008 22:38

M(F)S,

it looks like a good argument but I am not at all sure.

At most times in the past, some NTSB board members had accident investigation experience of some sort. The latest composition could well be a political anomaly. Indeed I know people who are very unhappy with the current board composition as well as with some previous compositions.

The U.S. nuclear industry has a history of intervention by very senior scientists, such as the Lewis Report, which is one of the fundamental documents of system safety, even thirty years later. Also NASA space, with the Challenger report including exemplary contributions by a certain R. Feynman, who I understand wrote a set of intro physics textbooks which people like :)

It turns out that Professor Lewis is also very interested in aviation. Given his hard-won achievements with the nuclear industry, I wonder why he was not invited to convene a committee for Lewis Report II on aviation safety?

One possible answer, and I should like to emphasise I am engaging in political speculation here: because major public pronoucements on aviation safety in the U.S. is traditionally the domain of amateurs? Discuss.

PBL

vunzke 1st January 2008 23:17

I tried to hold my breath but damn...i cant resist to reply... risking contradicting my previous statement that this thread was not intended for "this" discussion....

Many of us feel that the best objective results are obtained by publishing the data as early as possible, letting everyone who so wants have a go at analysis
Yet "most" of us feel that it is just unnecessary delaying the outcome and (sorry but i disagree strongly with you here PBL) the "efficiency" IS important because the sooner we know the outcome the sooner we can learn from it.

People "trained and appointed" have political constraints and opinions just like anyone else. Most of them do a first rate, sometimes outstanding, job *within those constraints*. But satisfying those constraints often distorts what is proposed in their published report
This is very strange for a pilot... in the cockpit we work with constarints aswell.... SOP's, OM's and QRH's... we operate the aircraft within these "constraints" because it is proven to be the safest way. yes we do consult our fellow crewmember in case of an emergency but i defenately wont make a PA announcement asking for "idea's" from my passengers before following the MFDU procedure. i will take observations from passengers serious yes... but within the "constraints" of my SOP's and OM's and the funny thing is.... if we wouldnt...and something would go wrong.... oh my:ugh:.... "pilot error":=, "..didnt follow SOP's":=, ..... insurance company happy...newspaper extatic... NEWS NEWS!!... and if my procedures change for whatever reason I sure feel a lot better if the reason behind this amendment is made based on the knowledge and findings of "professionals" rather than the general public.

PBL 1st January 2008 23:34

vunkze,

understand your reticence, but if you're asking for evidence to persuade you of what I said, then I can provide it. First step is probably to visit our WWW site and look at some of the WBA examples. Next step is probably to meet and discuss at some convenient moment. And if after all of that you are still not convinced, well, then that is your privilege.

PBL

vunzke 1st January 2008 23:41

Always ready for a beer ... i mean discussion :ok:and certainly willing to visit your WWW (which one?) to see what you have to say Im in Riga at the moment.... your gladly invited...

Other than that... still curious about the MD outcome:O

BTW...do you ever sleep?... :-)

PBL 2nd January 2008 00:28


Originally Posted by Green Guard
stop infesting this tread

Is that your polite way of saying you don't agree with what I said?

So, what points can you make against the published evidence?

PBL

PJ2 2nd January 2008 00:34

PBL;


with the Challenger report including exemplary contributions by a certain R. Feynman, who I understand wrote a set of intro physics textbooks which people like :)
His, "What Do You Care What Other People Think?" is very readable as is his "The Character of Physical Law".

In support of the "interested amateur" and to elaborate on a point being made, let us unpack the notions of "amateur" and "professional", notions of the expertocracy, which, though not the spawning ground, the Internet has certainly fed and created new cults of "plastic language". Ivan Illich espoused the domain of the amateur and is worth reading.

Such terms are of recent origin and come from the preceding notion of guilds where the need for specialist knowledge gave rise to "specialist education" which gave rise to exclusionary groups which "had" the royal jelly, so to speak, the intention of which was to leave out others despite what increasingly came to be known as "amateur" contributions. The two notions have more to do with social control and power than they do with describing how various people who are so described may (or may not) contribute. Conferring the title of "professional" infers, but does not confer knowledge while the notion of "amateur" provides a way for professionals (those of the guild), to marginalize "untrained" commentary as intrusive or otherwise plain wrong and thus illegitimate.

Regarding the "trained specialists pronouncing" argument, there is of course merit to the point but it is not, as is assumed by so many here and elsewhere, not, by virtue of titles and letters-after-names, an exclusionary process from which one pronounces, it is partly from education and training but it is also from the ability to think and see critically and to be keenly aware of the reversal of that popular phrase, which goes, "I'll see it when I believe it".

After all, intelligent inquiry can do some very good work as has been observed on the Turkish MD82 accident thread, to which this entire contribution addresses itself albeit in a round-about way.

I am in full support of releasing as much information as possible and this is from a flight safety specialist's point of view. There is a natural winnowing process in such an open discussion which is, after all, seeking truth not blame. Such a view is idealistic because, as has been correctly stated, appointments to positions of authority do have political aspects to them.

Notwithstanding Feynman's example of "amateur sleuthing", the best example of a non-specialist doing superb investigative aviation work is the Moshansky Commission and it's Report in the accident at Dryden, the recommendations of which were largely though not wholly adopted by Transport Canada, (which was heavily criticized in the Report, and to which strong criticisms have since been directed regarding SMS (which I have called "the de-regulation of flight safety"), by the same man). Here was a man who knew nothing about aviation yet had tremendous access to wide-ranging information, all with good results.

I wouldn't begin to compare the work done on PPRuNe with the Moshansky Report of course because the means, the goals and discussion levels are vastly different as one expects on a public forum with contributors of varying backgrounds but informed speculation along with the ecology of ideas can bring about interesting and correct conclusions even though they may be "unofficial".

alf5071h 2nd January 2008 02:01

Re amateur and formal investigation; there is both opportunity and need for two forms (or levels) of ‘investigation’.
Formal investigations are often constrained by considerations beyond the ICAO guidelines e.g politics, practicality, experience. Many of these reports fail to explain why an accident occurred, or insufficiently to provide specific safety solutions. This might be due to the lack of data or inability to understand the human activity from the available recordings. Any resultant safety activity in the latter case would be speculative. I believe that these limitations also apply to why-because (W-B) analysis.

An alternative (amateur) analysis is valuable when conducted by operators and individuals who ask ‘could this happen to me’. The process of thinking about an accident has safety value; it can be equated to a safety audit on a specialist subject. This is also somewhat speculative, but can occur more quickly while the event is fresh in peoples minds (greater training effectiveness), and can be more proactive in looking ahead to avoid a similar accident, as opposed to a formal report of how to avoid the accident we have just had.
The value of the audit can be greater where specific details of the situation and activities leading to the accident are known, hence the need to publish ‘public’ data (not all data) quickly and without comment. This process can be aided with use of web forums and appropriate ‘eye-witness’ reporters; and even with some erroneous data the safety activity of thinking about the situation would not be significantly compromised.

The difference between the two; – a formal report has accountability to a higher authority (usually government).
A safety audit, thinking about safety has accountability, but this is within the operation or directly to the individual providing professional development; perhaps of far greater value than formal reports.

RatherBeFlying 2nd January 2008 03:07

News of an accident gets attention and our natural first reaction is to understand how it happened so that we can hopefully not step in the same trap, especially as there are a limited number of typical accident types.

The urge to developing an understanding of any particular accident fades with time. By the time the official report makes its way through the mill and gets released, the immediacy is no longer there. Typically the post report comment one sees in these forums is generally much less in quantity than in the weeks immediately after the accident which is another indication that interest has faded.

It is basic human nature to react more strongly to events in the last few weeks than a few years ago.

Preliminary data from accidents does help pilots reflect on what happened and what they need to keep in mind not to fall in the same trap. Much of that will reinforce lessons and SOPs already learned.

Eventually the conclusions and suggestions from the official reports are fed into the regulatory mill.

I have also had the misfortune to witness and attend an atypical fatal accident along with many other pilots at the same location. There was a lot of soul searching to gain some understanding of what went wrong and what we need to do to not have another one like it.

chuks 2nd January 2008 06:20

Exactly!
 
"find something more entertaining..." than speculation about the cause of air crashes. Well, yes! I don't find this sort of thing "entertaining" at all, one reason I am against it!

I find a lot of it ghoulish, in fact. It is exactly on the level of slowing down, way down, to gawk as you roll past the latest road accident. Back home you give it a few minutes of quiet speculation about what happened but that's all. Here, it gets quiet and it's "Hey! Where did everyone go?"

People on the NTSB are working with information provided by experts, not nudniks trying to guess if the pilot "hit an air pocket," say. When the deliberately low-toned report is published, guess who reads and, hopefully, uses it? "Experts," that's who. You can believe me when I tell you that I pay close attention to them.

PK-KAR 2nd January 2008 06:48


better to post confirmed info than the (often) "amateur specialist" opinions
Feel free to discriminate and filter as you wish. Safety investigators have at times looked into what has been said by "amateur specialists"... Sometimes they need to see what they've missed, what info has been leaked to them but not to the investigators etc.

However, investigators do not take them into account without investigating the alternatives either. COnclusions made here are not professional conclusion, but can be useful.
I agree with PBL on the following:

People "trained and appointed" have political constraints and opinions just like anyone else. Most of them do a first rate, sometimes outstanding, job *within those constraints*. But satisfying those constraints often distorts what is proposed in their published report.
I extend such agreement throughout that post #292.

But trying to force down people's throats that the conclusions of "amateur specialists" are the right ones is a different matter altogether... and I don't agree to such intentions.


This is very strange for a pilot... in the cockpit we work with constarints aswell.... SOP's, OM's and QRH's... we operate the aircraft within these "constraints" because it is proven to be the safest way.
Yes, but they do need to improve those manuals and procedures as time goes by. Any improvements that is undertaken in a systematic manner should be welcomed, whether it would be adopted is subject to professional analysis.


An alternative (amateur) analysis is valuable when conducted by operators and individuals who ask ‘could this happen to me’.
Bingo! Couldn't have said it better myself...

The common interest here is safety improvement, and not to find the black sheep... and it does provide a measure to incite public interest into understanding what aviation is all about.

Sure, amateur specialists can be very wrong, but they can also come up with the right facts very quickly and accurately. On the accident analysis, the same thing can and has happened. But as I said above, even if it's correct, the official version does not necessarily mean the same... The nudniks aren't always dumb nudniks... some go about it very logically and systematically.

There have been cases where accident investigators have admitted "we know that's what happened, but we can't publish is... <insert reason here>"

I'd love to have the data they have, but I don't envy the official responsibility and the political pressures.

PK-KAR

chuks 2nd January 2008 07:54

Try the Third World!
 
There are many cases when, for one reason or another, the truth is left undiscovered or even concealed. Even the very high-profile Concorde crash led to allegations that maintenance errors caused a critical mis-alignment in the landing gear that went ignored in the official report for some reason.

Many accidents in the Third World go essentially un-investigated and under-reported. And? Guess why aviation there can be so dangerous.

I, too, watched with interest as that physicist just cut through all the palaver to swish the bit of o-ring around in the icewater and show how inelastic it had become, in the case of the Challenger accident. But bear in mind that there you had a brilliant mind at work backed up by many hours of expert investigation.

I guess I just get a bit testy from my day job. That primarily has to do with safety, efficiency and, way down the list, keeping the SLF happy. It is often so that the safety-related stuff makes the SLF rather UN-happy, when, depending on their social status, wealth, etc., they may let me know about that! As in, "I have a meeting in Charlotte and I need to know when we are ready to go!!!!"

"What, you think I have a remote control in my pocket that will make the fog at our destination disappear, you moron?" In my dreams! No, what I say is just, "Sorry, sir, we are working on that. Would you like another cup of coffee, perhaps? Doris!" The guy figures I am not very bright, not being able to answer a simple question with a direct answer. But, hey, if I were really, really smart then I would be a powerful and successful businessman, not just a humble airplane driver. Such is life, eh?

The problem often is that people try to extrapolate from what they know, often quite a lot, yes, to guess what it is we have to work with. That is entertaining, I guess. On the other hand, when some widget factory goes bankrupt, is it entertaining to try and guess what mistakes the Chairman made to cause that to happen?

bsieker 2nd January 2008 08:31


Originally Posted by chuks
Even the very high-profile Concorde crash led to allegations that maintenance errors caused a critical mis-alignment in the landing gear that went ignore

Have you read the report? It's still on the BEA website. It's rather long, though.

The incorrect re-assembley of the landing gear bogie is discussed in detail, examined as to its causes (not following maintenance procedures, incomplete work-shift handover, sloppy management and non-use of specialised tools, ...), recommendations are given about improving maintenance procedures, etc. But it was ultimately found not to have been a cause to the accident.

This is confirmed by my Why-Because-Analysis (after a lengthy discussion with a professional expert, correspondence in the appendix) which I performed for my Diploma thesis (to be found at http://www.rvs.uni-bielefeld.de -> Publications -> Theses -> "Visualisation Concepts and Improved Software Tools for Causal System Analysis", Part II. Direct Link to the PDF.)

There are no indications in the flight data recorders that there was any undue influence to aircraft performance from the landing gear. There was no unusual sideways force, and acceleration was normal, until it hit the titanium strip.


[...] in the case of the Challenger accident. But bear in mind that there you had a brilliant mind at work [...]
I'm not saying there is "another Feynman" on this thread, but some of the people so indiscriminately labeled (or should I say "libeled"?) as "amateurs" may be brilliant minds, and perhaps also backed up by years of analysing aviation accidents and socio-technical avionics problems, having written peer-reviewed and -acclaimed papers about the matter.


[...] widget factory goes bankrupt, is it entertaining to try and guess what mistakes the Chairman made to cause that to happen?
I guess it might be, although perhaps "entertaining" is the wrong word. Interesting or enlightening might be more like it. But it it will be a lot harder, because people are so much less deterministic than technical systems. We have speculated about the idea of applying the Why-Because-Analysis concept to purely social/socio-psychological phenomena, but never pursued it wholeheartedly.


Bernd

MrNosy2 2nd January 2008 11:56

I see nothing wrong on suggesting possible scenarios about what might have happened based on known facts if the person doing it knows what they are talking about. An official report (if any) might not normally be released for, say, 18 months after the event so it is useful to discuss what is known about accidents in advance of the final report. Its not just this forum where this happens - reviews of recent accidents are carried out by a number of organisations, e.g UK Flight Safety and, especially IATA who host a meeting of about 15 to 20 airline safety managers every year at the start of January to review the accidents during the previous year and try to see what lessons might be learned.

The main problem with this accident is that, as far as I'm aware, the Turkish authorities have not issued any statement of facts (unless its tucked away in Turkish somewhere?). Compare this, for example, with the situation in the UK where the AAIB might well have been expected to have issued a Special Bulletin on such an accident if it happened in the UK by now containing the known facts.

lomapaseo 2nd January 2008 12:49

also give a thought that it is rare for a detailed discussion or analysis to be published where operational errors may have contributed to the accident chain.

After all the most important things to the rest of us are product updates , or manual updates. These are almost always put forth even without the benefit of a long drawn out report process. Things that are unique to an internal process (regulatory compliance, operator training sylabus, etc. etc.) rarely get published or at least take a much longer time to appear in the public domain.

From my view, most accident investigations are well served to get the right words out quickly to prevent future accidents if you read between the lines of the first months information following an accident.

Now if it's blame or finger ponting that you are looking for, don't hold your breath.

Clarence Oveur 2nd January 2008 13:08


Now if it's blame or finger pointing that you are looking for.....
It seems to me, reading this and other well visited threads, that there have been a recent influx of people who see a purpose in just that. Included are, rather disappointingly, people who's credentials initially suggested otherwise.

twistedenginestarter 2nd January 2008 16:52

One of the most fascinating aspects pf PPRuNe is the flood of input and analysis after a major accident. Sometimes the likely causes are identified fairly quickly. In the case of the MD-83, it's not so obvious. However you always get people saying we are not allowed to speculate. As with this thread, often there's a theme that what you say is automatically worthless if you are not a certain type of professional. But that's not the real issue. These people have a sort of religious aversion. Nobody needs to read these threads. They know that there's going to be no official enquiry findings published 12 hours after a crash, so why are they browsing? Also the curious thing is these discussions are mainly credible. You can't expect 100% but most people are making rational contributions or asking pertinent questions. Of course there's a lot of missing facts especially in the first hours and days, so it is speculation, but what is wrong with that? We'd all be very dull if we ignored things we didn't know were 100% factual, and what exactly would be achieved?

lomapaseo 2nd January 2008 17:17


... You can't expect 100% but most people are making rational contributions or asking pertinent questions
subjectively from my view, way too many are more willing to expound than to ask questions that might provide a tad more credibility to their contributions.

Those that do offer contributions with pointers at appropriate followup questions for fact finding are the easiest to read and ponder as well as to evaluate as new facts are developed.

DingerX 2nd January 2008 18:30

I had a pompous, academic-sounding dull contribution, complete with references to the 1854 amateur investigation into the Soho cholera outbreak, but thought better of it.

90% of all contributions are questionable, and they don't discriminate by profession. Every job involving professionals has non-professionals who go about telling the pros how they should do their job. That Widget-factory owner has his fan club too -- just check the minutes of the annual meeting, or his stock forum. If you want to know how bad it can really get, listen to a Sports radio talk show.

Any intellectual endeavor that involves sifting through data should welcome additional (and non-standard) sources of data as well as interpretations, as long as it bears in mind that most data are ultimately meaningless, and most interpretations wrong. But even the act of refuting the most absurd WAG is useful: it forces a reconsideration of the basic situation. So you can change the composition of the debaters, but they'll still be spouting crap most of the time.

Pros do lots of things well, but they don't have all the resources amateurs have. While pros must work systematically through a field, the amateur only works on the stuff s/he finds stimulating. When that "stimulating stuff" is not equal to "Working systematically through the field", the results are necessarily skewed, and the amateurs may not have the "big picture". But that's not necessarily bad. Any archaeologist commencing survey of an area knows that, in addition to lining up everybody for a grid-by-grid study, it helps to ask the locals if there's anything around they should know about.

What doesn't help is when someone makes an appeal to their own authority where a) that authority does not give them competence to speak on the case at hand, or b) how that authority gives them competence to speak on the case is not clear or specified, or c) they don't have the authority they claim for themselves.
a) "I've flown Cessna 172s in MSFS. There is no way MD-83 landing gear will fail to come down"
b) "As a professional pilot, I can say unequivocally that no pilot would land in those conditions."
C) "I have flown the Concorde on transatlantic sectors, and once to the Antarctic Research Station and Alien Detention Facility in McMurdo Bay"

The Latin word for professional guild survives, although its scope has been reduced to only one institution: universitas

hetfield 2nd January 2008 18:47

What a great posting!

Congratulations.

hetfield
:D

alf5071h 2nd January 2008 20:32

Speculate to accumulate
 
I have previously argued in this forum about the advantages of informed speculation about incidents and accidents. Also there has been extensive debate on why and how to control the unwarranted contributions from the non-professionals. However, there still remains opportunity for well meaning contributors to reflect on the manner and content of their posts.

Speculation can provide both opportunities to learn new or refresh aspects of flight safety, but also practice individual thinking and analysis skills which are essential components of operating safely (via CRM), i.e. keep an open mind, see the other persons point of view, awareness of human error and limitations, etc.
Both learning and depth of knowledge thrive on experiencing situations first hand; incidents and accidents is one area that this should be avoided, thus we have to learn from others. ‘Day dreaming’ or visualisation is also a powerful learning tool associated with speculation, this enhances experience by adding patterns of thought and solutions for use in future unexpected situations by considering ‘what if’, but supported by sound knowledge.
‘What if’, is a powerful investigative tool for incidents and accidents, and also for examining our own thinking and behaviours.

Many posts engage in meaningless exchanges of ‘accuracy’ or ‘I know better’, whereas the effort might be better spent in expanding knowledge or researching issues particularly for posts which commence ‘I believe … ’.
In aviation, if you don’t know then your belief is very tenuous (often worthless), and thus it is essential to find out, gain greater understanding, double check, or compare data, before pronouncing. Similarly, Captains of the industry (crews and in forum threads) should lead through example by encouraging and educating with measured posts and responses – some of the other contributors might be crewing with you shortly.

Forum speculation offers opportunity to gain experience and practice skills of thought and communication. This opportunity should not be abused. All of the above requires self discipline, which is of course is the foundation of airmanship.

What Can You Learn from Accident Reports?
A tool for Human Factors Accident Investigation, Classification and Risk Management.
Systems safety in the wake of the Cave Creek disaster.

twistedenginestarter 2nd January 2008 23:09

Isn't It Ironic?
 

a) "I've flown Cessna 172s in MSFS. There is no way MD-83 landing gear will fail to come down"
b) "As a professional pilot, I can say unequivocally that no pilot would land in those conditions."
C) "I have flown the Concorde on transatlantic sectors, and once to the Antarctic Research Station and Alien Detention Facility in McMurdo Bay"
I don't recall anything like this being said and I didn't find anything via Search. Ironically you're criticising others yet justifying yourself with non-facts. If some such such non-sequitur appeared in one of these threads, you should quote that. This does two things - i) it potentially proves such a thing happened, whilst b) allows us to challenge your analogy.
Whilst it's true that professional airline pilots will know some things that armchair enthusiasts won't, the same is not true of logical analysis. I have two science degrees - Am I better than you at analysing theories? I don't know. You can't call it. However people like you want to. You want to say that only certain unspecified 'professionals' are allowed to theorize. It would be interesting to know what defines those professionals, incidentally. Being a pilot is not a qualification for analysing accidents although obviously it helps.
Try this analogy: pilots are like criminals, they have to use skill, experience and daring to do things in real time. Investigators are like policemen. They are slow and careful and have all the time in the World to think things through. Now tell me the only people who can be policemen are criminals or ex-criminals.

DingerX 2nd January 2008 23:26

Those are intentionally not statements actually made, but examples of fallacious appeals to authority, and we could dig up on these threads examples of all three forms quite easily.

My argument is quite the opposite of what you suppose: logical arguments are valid or not regardless of who makes them. That hasn't changed for a couple thousand years.

And sure, I agree that when it comes to "accident investigations", pilots are amateurs. They have (or should have) an interest in them, and they are extremely familiar with a segment of it. But I think you've got the temporality of cops and criminals mixed up. The analogy fails.

Clarence Oveur 2nd January 2008 23:55

At the risk of sounding all Rumsfeldian, there are those who do not know, how much they do not know. Consequently they believe themselves more knowledgeable than they actually are. Add to that a need, or desire, to be seen as an equal or accepted to a certain group, and you have the recipe for conflict.

The sound advice offer by alf5071h should be kept in mind by all.

AirRabbit 3rd January 2008 17:21

Whoa there ...
 

Originally Posted by Mad (Flt) Scientist
Study the composition of the NTSB - that is the BOARD MEMBERS - and you'll find that ultimately, although they rely on specialists to make the investigation, the actual board members who have the final say are, in fact, "amateurs" - and often bring an outside perspective to the final report.
edit: took some finding...
Current Members of the Board are:
* Mark V. Rosenker, Chairman
* Robert L. Sumwalt , Vice Chairman
* Deborah A. P. Hersman, Member
* Kathryn O'Leary Higgins, Member
* Steven R. Chealander, Member
Links to their bios are here
None are "trained accident investigators" by any stretch of the imagination (two were pilots, but that's not the same thing, obviously)
As to "why is aviation picked on" - it isn't. Ask any, say, nuclear industry employee if he thinks they are immune to "armchair experts". Or the military in general. Or the police forces. Or ....

In view of your statement “None are ‘trained accident investigators’ by any stretch of the imagination (two were pilots, but that’s not the same thing, obviously);" here is a quote from the “bio” of Robert Sumwalt.

A trained accident investigator, Mr. Sumwalt participated in several NTSB investigations including the crash of USAir flight 427 in 1994 near Aliquippa PA, and USAir flight 861 near Birmingham Alabama in 1998. He also participated in the Transportation Safety Board of Canada's investigation of the accident involving Swissair flight 111 off the coast of Nova Scotia in 1998.
From 1991 to 1999, Mr. Sumwalt conducted aviation safety research as a consultant to NASA's Aviation Safety Reporting System, studying various issues including flight crew performance and air carrier de-icing and anti-icing problems.
Mr. Sumwalt has co-authored a book on aircraft accidents and he has written extensively on aviation safety matters, having published over 85 articles and papers in aviation trade publications and he has broad experience in writing aircraft operations manuals and airline and corporate aviation policy and procedure guidelines. He has been a regular contributor to Professional Pilot magazine.
In 2003, Mr. Sumwalt joined the faculty of the University of Southern California's Aviation Safety and Security Program, where he was the primary human factors instructor.

lomapaseo 3rd January 2008 17:28


Lastly, we've never established any "qualification" for an "investigator": everyone shows up, with their own perspective and background. Often the paid "investigator" is the least qualified of the group (workers from the industry).
This is difficult to understand

Who is the "we" in the above:confused:

What's a "paid" investigator vs an "unpaid" investigator:confused:

If you refer to ICAO annex 13 for guidance than "expertise" is the only guidance that I can think of and even there it does not distinguish what kind of expertise. Mostly what is available are a collection of enough expertise to get the job done and in that the most critical expertise are those that know what they do know vs what they don't know.

Recognizing what you don't know and and then seeking help as needed is what gets the job done. If by industry folks you mean the manufacturers then they often serve as conduits via telephone to sources of specific expertise rather than as all around investigators themselves.

Mad (Flt) Scientist 3rd January 2008 19:30

My apologies to Mr Sumwalt; I admit I scanned the bios quite quickly.

My statement was based on knowing the background of some of the others on the board, having noted their various comments during the Pinnacle/Jefferson City board meeting ... the quality of which didn't seem particularly dependent upon their specific background.

In addition, I think it's quite important that the board be seen not to be a creature of the industry; it is, after all, one of the mechanisms by which the general public assures themselves of the safety of the transportation system, and if it were staffed entirely by industry insiders, there'd be even more people willing to cry "conspiracy" at every turn. It does, after all, fulfill a quasi-judicial/legal role, and we don't apply any expertise qualification to a jury on a capital trial....

krujje 3rd January 2008 23:44


It does, after all, fulfill a quasi-judicial/legal role, and we don't apply any expertise qualification to a jury on a capital trial....
MadFS, are you saying that the quality of NTSB board members is reflected by their inability to avoid doing that particular duty? :E

krujje 3rd January 2008 23:56

PJ2:


Notwithstanding Feynman's example of "amateur sleuthing", the best example of a non-specialist doing superb investigative aviation work is the Moshansky Commission and it's Report in the accident at Dryden, the recommendations of which were largely though not wholly adopted by Transport Canada, (which was heavily criticized in the Report, and to which strong criticisms have since been directed regarding SMS (which I have called "the de-regulation of flight safety"), by the same man). Here was a man who knew nothing about aviation yet had tremendous access to wide-ranging information, all with good results.
Moshansky was not a man who knew nothing about aviation... he was in fact a licensed pilot and aicraft owner. Furthermore, I would argue that this was in fact an example of an expert doing a superb investigation... maybe not an expert in aircraft accident investigation, but certainly an expert at reasoning and sifting through tremendous amounts of information to get to the truth, which is what was needed.

AirRabbit 4th January 2008 03:58


Originally Posted by Mad (Flt) Scientist
My apologies to Mr Sumwalt; I admit I scanned the bios quite quickly.

In addition, I think it's quite important that the board be seen not to be a creature of the industry; it is, after all, one of the mechanisms by which the general public assures themselves of the safety of the transportation system, and if it were staffed entirely by industry insiders, there'd be even more people willing to cry "conspiracy" at every turn. It does, after all, fulfill a quasi-judicial/legal role, and we don't apply any expertise qualification to a jury on a capital trial....

First - sir, you are, indeed, a gentleman with character. Thanks.

Second - I think your statement about the NTSB is on target. The role they fill in accident investigation is not only valuable to the aviation industry, i.e., by pointing out the "probable cause" of accidents and incidents, but they also serve as a quasi-watch dog for the FAA. The Board isn't always right ... and they are often victims of political issues (as most persons are) ... but they are right a lot more than not and generally do a monumental service to the aviation idustry.

ICT_SLB 4th January 2008 04:38

Probably should point out that the NTSB like CASB also deals with rail, maritime, road & pipeline accidents so Board members may have, & been appointed for, expertise unrelated to aviation. This is of course unlike BEA or the AAB.

PJ2 4th January 2008 14:27

Reply to post #39;

krujje;

Thank you for the important correction.


to get to the truth, which is what was needed.
...and is still needed, apropos his comments early last-year regarding SMS and what I would term, "the de-regulation of safety oversight in Canada": Safety cuts risk air disaster: Judge - Toronto Star, March, 2007

SMS in and of itself is a good safety system because, in part, it supports monitoring and change through the intense collection and use of data.

SMS however, does not provide a robust external audit process and instead puts airlines in charge of both the collection and use of safety data AND the audit of such safety processes to determine "effectiveness". The process can work successfully so long as data is first, taken seriously and second, acted upon. That is not always the case when short-term commercial goals are the usual priorities. Regulatory oversight is often required to counter such commercial pressures and it is unclear how SMS will address the issue.


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