WELCOME TO AVIATION SAFETY….
First, I think it’s important to mention that aviation safety used to be a full-time profession for me, and although I have invested more than 50 years into the industry, at this point it can only be a hobby. My current assignment from the Lord is to teach His uncompromising Word. On occasion, however, as time permits, I’ll try to offer a few aviation insights and safety recommendations for partners and friends of this ministry. By the way, if this website is helpful and you’d like to see us continue to offer unbiased perspectives of what is happening in the aviation world, all donations help. Just click the donation button.
January 8, 2020 – Ukraine International Airlines Boeing 737-800 Crashes Near Tehran
by Adrian Schofield & Helen Massy-Beresford
A Ukraine International Airlines (UIA) Boeing 737-800 crashed close to Tehran, Iran, Jan. 8, the airline confirmed, with the loss of all passengers and crew on board.
Flight PS752 took off from Tehran International Airport at about 6.10 a.m. local time bound for Kiev, Ukraine. Tracking data from Flightradar 24 shows the aircraft rose steadily to almost 8,000 ft. before the signal disappeared about six minutes after take-off.
The airline said in a Jan. 8 statement that according to preliminary data there were 167 passengers and nine crew members on board. Ukraine’s ministry of foreign affairs confirmed via Twitter that all passengers and crew on board had died.
“UIA representatives are currently clarifying the exact number of passengers on board,” the airline said adding that it would post passenger lists on its website after final confirmation of their presence on board the aircraft.
The aircraft, registered UR-PSR, was built in 2016 and delivered directly to the airline from the manufacturer. Boeing said on Twitter: “We are aware of the media reports out of Iran and we are gathering more information.”
The last scheduled maintenance of the aircraft took place on Jan 6, 2020, according to the UIA statement. The carrier said it was suspending its flights to Tehran with immediate effect until further notice.
The crash coincided with growing military tension between the U.S. and Iran. Iran launched missile strikes against U.S. bases in Iraq at about 5:30 p.m. local time on Jan. 7. The FAA subsequently issued a notice prohibiting U.S. carriers from flying over Iran, Iraq, the Persian Gulf and the Gulf of Oman.
Many other airlines also avoiding flying over the region. For example, Qantas said it is adjusting the flight paths on its route between Perth and London “until further notice,” to avoid Iran/Iraq airspace.
The change would add 40-50 min. to the QF9 Perth-London leg, so the airline would have to reduce the passenger load on this flight to carry more fuel. The return London-Perth leg, QF10, will have an unchanged flight time and full passenger load, as it will have more favorable prevailing winds.
Qantas said it is also considering rerouting QF9 over Asia and adding a fueling stop in Hong Kong or Singapore so it could fly with a full load.
A Lufthansa Group spokeswoman said: “Due to the current incidents in Iraq, Lufthansa has canceled today’s flight LH 600/601 to Tehran as a precautionary measure. Lufthansa is evaluating the situation together with national and international authorities. As soon as we have detailed information, we will decide if and when flight operations to/from Tehran and Erbil can be resumed.”
Air France also said it had suspended all flights over Iranian and Iraqi airspace until further notice.
“As a precautionary measure and as soon as ongoing airstrikes were announced, Air France has decided to suspend all flights over Iranian and Iraqi airspace until further notice,” a spokesman said. “Air France is constantly monitoring the geopolitical situation of the territories served and overflown by the company’s aircraft. Flight plans are adjusted in real-time according to the decisions of the French and regional authorities, throughout the world, in order to ensure the highest level of flight safety.”
UIA said it was working with authorities to determine the cause of the crash. “As at 9.30 a.m. Ukraine local time, UIA is in close cooperation with the aviation authorities, takes all measures to determine the causes of the air accident. In parallel, the airline will be contacting the relatives of the passengers, providing all possible assistance in the current situation,” the airline said.
It said the investigation would be conducted with the involvement of Ukrainian aviation authorities, Boeing representatives, the airline and the National Bureau of Air Accidents Investigation of Ukraine. (article from Aviation Week)
August 2019: The following article was provided by DBM Partner James Fargo, as was written by Matt Stoller. You may enjoy reading his viewpoint for another perspective. DB
June 15, 2019 Update: From Aviation Week & Space Technology
President and CEO Dennis Muilenburg met Joe Anselmo and Executive Editor Graham Warwick.
AW&ST: The two Boeing 737 MAX crashes and the subsequent grounding of the aircraft are on everyone’s mind. What’s your message? We are sorrowful about what happened, and our deepest sympathies remain with the families and loved ones that have been affected. It weighs heavily on our team, and you can sense it across the company. Safety is our top priority and has become an even more focused area for us as we work diligently through the MAX situation. It has always been at our core, but our values around quality, integrity and safety have come even more to the forefront, and that’s going to make us a stronger company. We know we fell short in some areas; we’re going to make improvements, and we own that. We also have to re-earn the trust of the flying public. Our focus in the weeks ahead is to work with our regulators and customers to ensure the safe return to service of the MAX. And when it returns to the skies with the updated software, it will be one of the safest airplanes ever to fly.
How do you keep this from happening again? The investigations are still ongoing, and we’re going to respect the integrity of that process. We are looking at our design and certification processes from end to end. It’s not for us to allocate fault or point fingers. This is about gaining understanding. There are elements within both accidents where we can make improvements. One is on the MCAS [Maneuvering Characteristics Augmentation System] software design, and that’s related to making it a dual-sensor feed instead of a single sensor, and single activation instead of multi-activation—and then how we roll that into the training materials. The second area of improvement is global training, education and awareness. A third area is improving how we communicate as we make changes and updates. Things like the angle-of-attack disagree alert, which has been in the news and is completely separate from MCAS. We made a mistake in the implementation of that software. It was recognized by our engineering team and went through the appropriate safety board but was not communicated back to the customers and the regulatory community in a satisfactory manner.
Boeing’s board has formed a committee to look at your design and certification processes. That’s being headed by [retired] Admiral [Edmund] Giambastiani and includes both internal and external experts. Also, our ongoing transformation initiatives to incorporate new capabilities like model-based engineering into development programs will provide an advantage. Think of a future where development programs are digitally connected: the design and production systems, support in the field and the supply chain. That will add rigor and consistency and help address some of the challenges we’ve talked about on these complex development programs—how you keep all of the stakeholders aligned.
Every engineer in Boeing thinks they are building a safe system. This must have been one huge shock to the system. We’ve taken a hard look at the MAX design, and the design and certification processes, from end to end. The [Giambastiani] committee is going to continue to scrutinize that. We have taken a very hard look at MCAS: the design and architecture, how we went through the trade studies and arrived at the final architecture, and how it was certified. We found that it was done consistently, and the FAA has concurred that it was designed and certified according to our processes. That said, we’ve learned from the accidents that there are areas where we can improve, and it’s important for our engineering team to understand that as we communicate what we’ve learned from MAX. While our fundamental engineering and certification processes as they exist today are sound, we never stop learning. Aviation has evolved into the safest form of transportation in the world. There has been a 95% reduction in accident rates over the last 20 years. Our engineering team should be very proud of that but also acknowledge that we can always learn and get better. That’s the takeaway from the MAX. End
May 19, 2019 Update –
Insight Into the Training Package Improvements for the 737 MAX – DB
I’m very glad to be reading about some of the emphasis in pilot training for the 737 MAX. Boeing is close to finalizing its proposed changes to the troubled aircraft, including a training package that is likely to be the most debated issue as regulators evaluate whether their confidence in the model’s airworthiness has increased enough to lift global operations bans.
The FAA expects to receive Boeing’s final package, including all documentation, detailing the airframer’s changes to the MAX’s Maneuvering Characteristics Augmentation System (MCAS) by the end of May, and perhaps in time for a May 23 meeting in Dallas with other regulators. Beta versions of the software and proposed training have been reviewed and will be shared at the Dallas meeting.
FAA Acting Administrator, Dan Elwell, says his agency will not decide on the type or depth of training until the final package is reviewed. This leaves open the possibility that MCAS-related mandatory simulator sessions will be included in the base programs, although they could be inserted as part of recurrent training and not as a prerequisite to getting the 370-aircraft operational MAX fleet back into revenue service.
On May 15, the FAA wrapped up a third round of public input on Flight Standardization Board (FSB) draft recommendations that update baseline 737 training to factor in more information about the MCAS. Frankly, I am personally in hopes that anything and everything will be done to increase PILOT TRAINING for this awesome aircraft. As always, I am convinced that in the long run, pilot training (done correctly) is the most efficient and cost effective method to improve aviation safety and improve overall profits.
April 24, 2019 – Apparently the FAA is targeting May 23 for a meeting of global regulators to discuss finalized updates to Boeing’s 737 MAX flight control system, the agency confirmed to Aviation Week.
While much remains up in the air, the gathering is expected to include regulators from around the world, a source with knowledge of the agency’s plans said. Invitations to regulators are in the process of going out, and most—including representatives from Brazil, Canada, China, Ethiopia, Europe, and Indonesia—are expected to participate.
“The FAA is inviting the directors general of civil aviation authorities around the world to discuss the agency’s activities toward ensuring the safe return of the 737 MAX to service,” an agency spokesperson told Aviation Week Apr. 24. “The meeting is intended to provide participants the FAA’s safety analysis that will inform its decision to return the 737 MAX fleet to service in the U.S. when the decision is made. Also, the FAA will provide safety experts to answer any questions participants have related to their respective decisions to return the fleet to service.”
A source with knowledge of the FAA’s thinking said the agency views the meeting as part of an effort to build global consensus to remove flight restrictions put in place, but not part of its own process to determine whether the MAX should return to U.S. skies. More to come …
LESS IS MORE and STANDARDIZATION in the Cockpit – April 15, 2019
Since the introduction of FMSes in the early 1980s, avionics makers have made great strides in improving situational awareness by providing clearer messages on CDUs and by tying the boxes to MFD moving maps.
However, several fatal accidents involving breakdowns in pilots’ situational awareness with respect to cockpit automation provide clear and convincing evidence that considerably more needs to be done to standardize and simplify interfaces between humans in front of the screens and the computers behind the screens so that pilots are not drowning in data. I like the philosophy of less is more and where color coding is standardized.
The American Airlines Flight 965 controlled flight into terrain crash in Colombia in 1995 and the Cessna Citation CJ4 crash into Lake Erie in late December 2016 are two fatal accidents that involved critical failures in human/machine interfaces.
Feel free to post your comments and suggestions if you like. Possibly other pilots and engineers will appreciate your thoughts and experiences. DB
ONE PILOT RESPONDED THIS WAY:
I think this kind of standardization is long overdue and I make this comment as an experienced GA pilot. From what I’ve heard, it is a rare airline pilot who flies 1 aircraft type and even more rare one who flies aircraft from different manufacturers. But in the GA world, many pilots switch between aircraft types regularly, and very few have a flight operations department to load the avionics for them. Plus the average legs are much shorter. I wonder how other GA pilots handle this issue?
CROSSWIND LANDINGS – April 8, 2019
The video below was sent by a DBM Partner. You may enjoy this sample of crosswind landings (there are no accidents). Click the image below – Note: Different aircraft and varied crosswind components are involved but, can you determine which pilots use superior crosswind techniques than others? Enjoy.
NEW CHANGES TO THE BOEING 737 MAX – March 27, 2019
THE 737 MAX UPDATE: The Boeing Company confirmed on March 27 that new changes are proposed by Boeing to the 737 MAX’s maneuvering characteristics augmentation system (MCAS). These adjustments will incorporate more redundancy into the aircraft’s flight-control law and should allow pilots ultimate elevator authority by limiting the degree of nose-down stabilizer command which the automated system can trigger.
The VP of Product of Product Development and Future Airplane Development, Mike Sinnett, said the update improves the logic that triggers MCAS; boosts system robustness by feeding it with simultaneous data from two angle-of-attack (AOA) sensors, and places tighter limits on the movement of the stabilizer commanded by the system itself. The system’s modifications, being developed as a software upgrade, were first demonstrated for the FAA on March 12. The company will also update both training documentation and procedures.
Boeing does not know when regulators in the U.S. and around the world will formally approve the software update pilot-training enhancements that the company has also developed. Despite the uncertainty, Sinnett reiterated the company’s confidence in its newest narrowbody. “The 737 is a safe airplane and the 737 family is a safe airplane family,” Sinnett told reporters during a Mar. 27 briefing. “The MAX builds on that tremendous history of safety that we’ve seen for the past 50 years.”
Boeing provided first details of the proposed software and training improvement package designed to return the fleet to service following its worldwide grounding earlier this month, even as new aircraft continue to roll off the Renton production line.
The primary changes are to the operation of the MCAS flight control law in the speed trim system. The MCAS, which has been successfully used on other commercial aircraft, was introduced into the newest version of the 737 to match aircraft handling characteristics with those of the 737 Next Generation. It helps decrease pitch-up tendency at elevated angles of attack. The changes in handling, which was found during testing in an extreme part of the flight envelope, were caused by the additional lift generated by the nacelles of the MAX’s larger CFM LEAP-1B engines which are located further forward than on earlier 737 models.
Providing a deeper insight into the fixes and the work behind the development of the package, Sinnett said the flight control system will now compare inputs from both of the 737’s nose-mounted AOA vanes. The data will be fed into both the aircraft’s flight control computers. If the sensors disagree by 5.5 deg. or more with the flaps retracted, MCAS will not activate and the speed trim system will not function for the remainder of the flight. If an AOA disagree occurs for more than 10 sec. it will be flagged on the primary flight display.
“In addition, as a customer option, we provide the optional capability to display raw data for AOA. Most airlines do not select this because it is purely supplemental information. None of Boeing’s current training or procedures require AOA information,” Sinnett said.
In the current MAX design, the MCAS receives input from only one sensor during each flight. The left and right sensors alternate between flights, feeding AOA data to the flight control computer and the MCAS. The single point failure potential of the original design has been criticized in the wake of the Lion Air accident where erroneous data appeared to trigger an MCAS activation.
Personally, I’m pleased to see that Boeing has limited the system to now allow only one trim application for each new trigger of the MCAS system by an elevated AOA event. This revision means that the MCAS cannot command more stabilizer input than be countered by the crew pulling back on the control column. The company says its failure analysis of the system indicates there are no known or envisioned failure conditions where MCAS will provide multiple inputs.
Under the original design MCAS trims nose down up to 2.5 deg. by moving the horizontal stabilizer at 0.27 deg/sec for 9.2 seconds, stops for 5 seconds, then trims nose down again for 9.2 seconds and continues to do so until the trim reaches the stabilizer travel limit or the crew intervenes. Boeing re-emphasizes the crew will retain the capability to override the flight control law using electric trim or manual trim, or by following the existing runaway stabilizer procedure and using the cut-out switches as reinforced in the Operations Manual Bulletin issued on Nov. 6, 2018.
Changes to the training program include an updated level-B computer-based training program to enhance pilot understanding of the 737 MAX speed trim system, including the MCAS function and the associated crew procedures and software changes. Alterations are also planned for the Airplane Flight Manual and Flight Crew Operations Manual, as well as new notes for the speed trim fail checklist in the Quick Reference Handbook. Other changes are being made to the Airplane Maintenance Manual and the Interactive Fault Isolation Manual.
“We are working with customers and regulators around the world to restore faith in our industry and also to re-affirm our commitment to safety, and earning the trust of the flying public,” Sinnett said. “We are working with pilots and industry officials and we have 200 of them today at Renton, and we will be spending time with them today to explain the updates we are making to the 737 MAX to get their input and to earn their trust.”
In my mind, from the very beginning, pilot training is key. Commenting on criticism of the single string failure potential of the AOA input to MCAS, a Boeing official said the original design was based on a standard industry process of hazard classification which defined the potential failure as one that could be mitigated “very quickly performed by a trained pilot using established procedures.”
“In this particular case, because we don’t know yet what the ultimate cause is, we can look at that one link in the chain and say we know ways to update the MCAS functionality to make it more robust and that’s what we are doing. While certification standards say a runaway stabilizer has a memory procedure associated with it—despite all of that, we are looking at it and saying we don’t want to intentionally provide the pilot with that scenario again. So, in the design we are using multiple inputs even though in the original hazard classification multiple inputs would not be required. We’ve seen two accidents and we believe it’s appropriate to make that link in the chain more robust.” – End
March 16, 2019: “Call me old fashioned … but…” read Dale’s commentary at the bottom of this article.
(photos from Aviation Week Network)
March 16, 2019: The Boeing 737 MAX’s larger CFM Leap 1 engines create more lift at high AOA and, as a result, give the aircraft a greater pitch-up moment than the CFM56-7-equipped NG. The MCAS was added as a certification requirement to minimize the handling difference between the MAX and NG.
This system activates when the aircraft approaches the threshold AOA, or stickshaker activation, for the aircraft’s configuration and flight profile. The 737 MAX flight-control law changes from speed trim to the MCAS because the MCAS reacts more quickly to AOA changes. In a sense it’s a fast acting stall prevention system.
The MCAS’s primary data sources are the MAX ’s two AOA sensing vanes, one on either side of the nose. Interestingly, Boeing designed the MCAS to receive input from only ONE of the sensors during each flight. The left and right sensors alternate between flights, feeding AOA data to the FCC and the MCAS.
What happens is this: when threshold AOA is reached, the MCAS commands 0.27 deg. of aircraft nose-down stabilizer deflection per second for 9.3 sec.—a total of 2.5 units of trim. When the FCC reads the AOA as back to below threshold, the MCAS is reset, and the aircraft’s trim returns to the pre-MCAS configuration. Inaccurate AOA data will trigger the MCAS every 5 sec. until the data is corrected or the system is disabled.
By design the pilots can interrupt the MCAS in two ways: 1. via the yoke-mounted electric trim switches, or, 2. using the STAB TRIM CUTOUT switches on the center console. The trim switches interrupt the MCAS for 5 sec. and establish a new stabilizer trim reference point. Toggling both cutout switches de-powers the MCAS and the speed-trim system.
“Call me old fashioned … but I want the pilots that fly my family to know how to [hand] fly, as well as manage an autopilot system. Usually these days, pilots select autopilot ON at around 200 feet AGL. I have long been a proponent of airlines REQUIRING all pilots to “hand fly” every other take off and landing. That means that pilots can use the autopilot for 1/2 of the takeoffs and landings, yet, they would be required to keep developing their physical flying skills on the job. If it were up to me, I’d want pilots to fly from the takeoff roll up to 18,000 feet MSL and again to hand fly from 18,000 to touch down on every other flight. The exceptions could be during holding or abnormalities. Incidentally, I believe this practice would reduce aircraft accidents by at least 50%. Probably more.” D. Black
Note: For decades as a precaution I have advised family and friends not to fly in NEW aircraft or aircraft of NEW design until that aircraft has concluded 24 months of continual flying service. For my family and loved ones this 2 year time frame generally provides adequate experience for the aircraft and crews to become adequately debugged and experienced.
Updated 15:15 UTC, Mar. 14, 2019French air accident investigation agency BEA has received the flight data recorder (FDR) and cockpit voice recorder (CVR) that were recovered from the Ethiopian AirlinesBoeing 737 MAX 8 crash site.
A BEA spokesman told Aviation Daily Mar. 14 the so-called “black boxes” arrived at 1 p.m. local time, four days after the Mar. 10 crash.
BEA also tweeted “Coordination meetings are in progress. Technical work will start tomorrow.”
Flight 302 crashed near Addis Ababa soon after takeoff. All 157 people on board were killed.
The MAX is now grounded worldwide after FAA issued an emergency order Mar. 13 barring the aircraft from flying to or within the U.S., the last country to take such action.
The groundings are based on concerns about similarities of the flight 302 event with a Lion Air 737 MAX 8 that crashed off the Indonesian coast Oct. 29, killing all on board. While the Lion Air crash is still being investigated, satellite and wreckage evidence indicate similar patterns. Information on the FDR and CVR may be able to confirm or rule out those similarities.
Updated 19:05 UTC, Mar. 12, 2019 Dale Black
The European Aviation Safety Agency (EASA) decided Mar. 12 to suspend all Boeing 737 MAX flight operations in Europe until further notice.
EASA said in a statement that it has issued an Airworthiness Directive (AD) mandating the suspension “as a precautionary measure” and “following the tragic accident of Ethiopian Airlines flight ET302.” The agency also issued a safety directive suspending all 737 MAX operations by non-European airlines into and out of the region. Both decisions became effective at 19:00 UTC Mar. 12.
The agency said it is “continuously analyzing the data as it becomes available. The accident investigation is currently ongoing, and it is too early to draw any conclusions as to the cause of the accident.” EASA was referring to the Mar. 10 crash of Ethiopian Airlines flight 302 near Addis Ababa in which all 157 on board were killed. The cockpit voice and flight data recorders have been recovered from the crash site, but data analysis is still pending.
On Oct. 29, 2018, a Lion Air 737 MAX 8 crashed off the Indonesian coast. Early investigation results appear to show the maneuvering characteristics augmentation system (MCAS), introduced on the MAX, has played a role in the chain of events.
The EASA decision was preceded by individual European Union member states which decided earlier on Mar. 12 to ban 737 MAX operations. The UK went first, followed by Germany and France. Industry sources report serious behind-the-scenes disputes about the unilateral decision by the UK, which appears to have triggered reaction by other countries. Several more followed, including Ireland, Austria and Switzerland.
FYI: Aviation, especially aviation safety used to be my full-time profession. Although I have more than 50 years invested in the industry, now, it must be only a hobby. My current assignment from the Lord is to teach His word to the remnant church. Still, however, I’ll be offering a few aviation insights and personal recommendations for partners and friends of this ministry – as time permits and when I have a bit more pertinent data. DB