compassion, collaboration & cooperation iN transistion
THE first incidence of its kind -
the tragic accident at San Francisco Airport over the week-end is yet
another consequence of the consequences of the complex systems
which I have oft referred to elsewhere.
As the Daily Telegraph reported - "Lee Kang-kuk, whose anglicised name was released
for the first time on Monday and differed slightly from earlier usage, was the second most
junior pilot of four on board the Asiana Airlines aircraft and had 43 hours experience
flying the long-range jet, the airline said on Monday.
The plane's crew tried to abort the
descent less than two seconds before
it hit a seawall on the landing approach
to the airport, bounced along the tarmac
and burst into flames.
It was Lee's first attempt to land a 777
at San Francisco, although he had flown
there 29 times previously on different
types of aircraft, said South Korean
transport ministry official Choi Seung-youn. Earlier, the ministry said he had accumulated
a total of 9,793 flying hours, including his 43 at the controls of the 777."
... and therein lies the problem - that the computer control systems of these modern
aircraft have become so complex and sophisticated - that the pilots flying them, whether
experienced on type or not, have often never been appropriately trained to actually cope
with the kind of situations which arise with the ultimate failure of the ever more complex
fly-by-wire processes - which are responsible for keeping these aircraft on auto-pilot.
IT IS this airline-training system failure, coupled with a lack of comprehension of the
consequences of consequences of manufacturing systems failures, as well as the lack of
strict accordance to maintenance procedures and increasing difficulty on the part of
pilots to satisfactorily complete their pre-flight aircraft inspections, that is collectively
putting pressure on airlines to cut corners because of the world wide acceptance, on
behalf of the flying public, that low-cost flying IS the order of the day.
Several Indonesia airlines have already been banned by the European Union from flying
into European airspace for the reasons that I have described above. Just consider the fact
that weather forecasting has become very hit and miss in recent times because the
forecasters are using systems based on out-dated computer models which cannot yet
keep up with the rate of change of global weather systems - god forbid that this should
ever become the case for taking a flight from Heathrow to San Francisco.
When NASA put over 20 airline flight crews through an exercise to simulate an
emergency engine failure during flight, they were amazed by the variety of
performances they saw, from good communications to almost complete mayhem.
It's clear that effective communication in the cockpit is vital, yet the researchers
have found that those skills are often barely adequate or even non existent.
The psychologists at NASA are discovering that anything that prevents a flight crew
from working like a well oiled team is potentially dangerous and one of the most
disruptive influences is a pilot's personality. Many of them are simply not fitted
for commercial cockpits at all.
Culture & behaviours: at the root of every major incident. No matter how many
systems & processes you have in place, they'll never save you or your business if the
safety culture & behaviours are weak. If your safety culture & behaviours are strong,
they'll prevail however sloppy the systems & processes are.
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The incident, on a plane flown by Ethiopia Airlines, comes less than six months after Boeing
was temporarily forced to ground the new plane, amid concerns over the safety of its batteries.
The Federal Aviation Administration said it is in contact with Boeing.
"We are aware of the situation and we are in contact with Boeing as they assess the incident,"
an FAA spokeswoman said.
In a second incident, Thomson Airways says one of its Dreamliner planes travelling from
England to the US had to turn back after experiencing a technical issue.
Howard Wheeldon, an aerospace analyst at Wheeldon Strategic Advisory, told the Telegraph
he thought the problem was unlikely to be down to the Dreamliner’s battery, noting that
aircrafts smoke “for all sorts of reasons” and it could well be down to a “small issue”.
However, he said an issue with the battery, or any other technical problem with the
Dreamliner model, would shake shareholders’ faith in Boeing.
(what about the faith of the 787 flying public !!!???)
“It’s serious – it’s another little chip away in confidence in the company’s ability to solve a
problem. If it is a battery issue, there will be an erosion confidence in the company.
The investors would take a pretty dim view [of its handling of the matter],” he said.
The US company has invested more than $20bn (£12.8bn) in the 787, which made its debut
in late 2011 after a three-year delay. Its ground-breaking design and materials sought to
create a more fuel-efficient plane.
Boeing said in February that it remained confident in the 787 and had more than
800 outstanding orders for the jet, including from Virgin Atlantic and British Airways.
SO THAT's ALRIGHT THEN - who are these people !!!???
Apparently the technical and engineering recruitment 'swing of the pendulum' that has
naturally existed between BOEING and AIRBUS for many years - has in recent times swung
almost permanently in favour of Airbus - hopefully this situation has nothing to do with the
Dreamliner problems or indeed any residual effect on AIRBUS - whatever the situation it can
not be a bad thing that a third competitor in the form of Bombardier is rising to the fore !!!
US air acccident officials investigating the cause of the Asiana Airlines crash in San Francisco
on July 6 said a stall warning activated four seconds before impact and that the crew tried to abort
the landing 1.5 seconds before crashing.
“Air speed was significantly below the target air speed of 137 knots,” said National
Transportation Safety Board (NTSB) chief Deborah Hersman who added that the throttle
was set at idle as the aircraft approached the airport and that the engines appeared
to respond normally when the crew tried to gain speed in the seconds before the crash.
“We have to take another look at the raw data and corroborate it with radar and air traffic information
to make sure we have a very precise speed. But again, we are not talking about a few knots here
or there. We’re talking about a significant amount of speed below 137,” she said.
The National Transportation Safety Board finally determined that the probable cause of this
accident was the flight crew’s mismanagement of the airplane’s descent during the visual
approach, [which was partly due to the pilot's lack of experience of actually landing this
type of aircraft manually and without assistance of the aircraft's automated systems]
the pilot flying’s unintended deactivation of automatic airspeed control, the flight crew’s
inadequate monitoring of airspeed, and the flight crew’s delayed execution of a go-around
after they became aware that the airplane was below acceptable glide path and airspeed
tolerances. Contributing to the accident were; (1) the complexities of the auto-throttle and
autopilot flight director systems that were inadequately described in Boeing’s documentation
and Asiana’s pilot training, which increased the likelihood of mode error; (2) the flight crew’s
nonstandard communication and coordination regarding the use of the auto-throttle and
autopilot flight director systems; (3) the pilot flying’s inadequate training on the planning and
executing of visual approaches; (4) the pilot monitoring/instructor pilot’s inadequate supervision
of the pilot flying; and (5) flight crew fatigue which likely degraded their performance.
In a final rule to be published soon, the Federal Aviation Administration (FAA) announced
today that it is increasing the qualification requirements for first officers who fly for U.S.
passenger and cargo airlines.
The rule requires first officers – also known as co-pilots – to hold an Airline Transport Pilot (ATP)
certificate, requiring 1,500 hours total time as a pilot. Previously, first officers were required to have
only a commercial pilot certificate, which requires 250 hours of flight time.
The rule also requires first officers to have an aircraft type rating, which involves additional
training and testing specific to the airplanes they fly.
“The rule gives first officers a stronger foundation of aeronautical knowledge and
experience before they fly for an air carrier,” said FAA Administrator Michael Huerta.
“With this rule and our efforts to address pilot fatigue – both initiatives championed
by the families of Colgan flight 3407 – we’re making a safe system even safer.”
Honeywell, a US engineer that can trace its roots back to the 19th century, confirmed it was
helping around 25 experts, including some from Britain’s Air Accidents Investigation Branch (AAIB)
and the US National Transportation Safety Board, with their inspection of the damaged Dreamliner.
The Port Authority of New York and New Jersey said they had "several" accounts of people
onboard the plane reporting physical injuries. The Wall Street Journal said at least 10 people
had been injured. The extent of the injuries was not immediately known, but reports said six
people were taken to hospital. Officials said at least four people suffered anxiety attacks.
The Federal Aviation Administration said the Southwest Airlines flight from Nashville landed
at 5:45pm and safely came to a stop on the tarmac. The nose of the plane could be seen on the
ground. The Boeing 737, which was carrying 149 passengers and crew, was surrounded with
emergency vehicles.
Despite being scrapped in 2010, the FiReControl project to establish nine regional fire control
centres continues to be a millstone around taxpayers’ necks. The Public Accounts Committee
report released yesterday highlights that FiReControl has wasted at least £482 million of
taxpayers’ money and still racked by problems. Margaret Hodge MP, the committee’s chair,
has described it as - “one of the worst cases of project failure we have seen.”
Pilots for budget airline Ryanair have expressed serious concerns about passenger safety –
and claim that these are suppressed by bosses. In an internal survey of 1,000 pilots, two-thirds
said they did not feel comfortable raising safety issues through the airline’s internal system, while
nine out of ten said it did not have an ‘open and transparent safety culture’.
It comes just months after three Ryanair planes were forced to make emergency landings in Spain
on the same day, when they allegedly started to run out of fuel.
Virgin Atlantic passengers and crew travelling from London to New York have been stranded
overnight in a small Canadian airport after making an emergency landing. More than 250 people
including children were said to be stuck at Gander Airport in Newfoundland after a 'sudden fuelling
issue and discrepancy ' forced the plane to land, one passenger revealed.
The problem was with flight VS25 from London Heathrow to New York John F. Kennedy Airport, and
a replacement aircraft was being sent to take the crew and passengers onto their final destination.
The US Federal Aviation Administration (FAA) is streamlining aircraft certification and
approval processes to keep pace with technological advancements in aviation products and
to help the United States maintain global competitiveness.
The plan responds to recommendations in the May 2012 Aircraft Certification Process Review
and Reform Aviation Rulemaking Committee report to enhance the efficiency of getting new
products to market while improving safety.
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