Posted by mckn1ght 12 hours ago
- Pilot Flying (PF) was the Captain, 55 yo (presumably) more experienced pilot, who only got certified to fly that type (B767) in May
- Pilot Monitoring (PM) was a 38 yo first officer, also not very experienced on B767
- PF made a number of mistakes, going too high, too fast (partially because he was descending too fast), not catching the glidescope on time
- PM was concerned that the approach/descent was abnormal but kept his mouth shut as the more experienced captain was at the controls (Edit: apparently he did speak up but PF did not acknowledge)
- PM lowered the flaps much later than required (PF orders flaps lowered and PM executes, but flaps can only be lowered when aircraft goes below certain speed) and the flaps were lowered all the way as the plane crossed the runway threshold, which likely caused plane to "float" and overshoot even further
- Plane touched down too late, and left wheel even later, which likely precluded some braking mechanisms from activating (or the PF forgot to since was busy trying to put the thing down)
- PM finally said "too fast, go around" but PF ignored him (or likely did not hear)
- In these situations PM has the right (and obligation) to take over the controls and start go around by themselves, but he didn't, presumably because the Cap was driving
- PF finally panicked and started the go around procedure, bit realized it was too late almost as the front wheel exited the runway, idled the engines and reapplied the brakes.
So, yeah...
If I try to force the captain to go around, (or follow procedures or whatever), then i am exceeding my authority and will probably be fired. Some cultures have this sort of mentality a lot stronger than others, and it has zero place in the modern cockpit.
While a captain can pull rank, they really should only ever do it with respect to the first officer if: an inexperienced first officer is trying to insist on something dangerous or forbidden by law or policy, or if the captain fully understands an FO's concerns, is fully accounting for them, and as the person ultimately responsible for safety, has determined from experience and training that the current action is safer than alternatives, and would explain but cannot explain right now for workload/emergency status reasons.
That's it, the only two reasons.
The reason I ask is, case in point, do you think the PM is going to be penalized in some way?
(not an aviation expert, just summarizing various bits and pieces I gathered from various YouTubers over the last days)
> Having pilots fighting over the controls is not a situation anyone wants
Nor crashing and killing 5 people.
I am a pilot; and although I don’t fly large transport category aircraft, this sort of procedural discipline makes all the difference no matter what you fly.
Wow, The Rehearsal season 2 flashbacks. Although the show was mostly pure absurdity, the central claim of crisis in cockpit communications / lack of adequate FAA mandated training around interpersonal dynamics was spot on.
Generally, that's under the 'crew resource management' umbrella.
When you try to land with too much energy the airplane refuses. When you get within a wingspan or two of the ground then ground effect starts giving you more and more lift. That plus excess speed means the airplane simply will not come down.
To force it down you lower the nose but that can end up castering on the nose wheel, starting a PIO event (pilot-induced oscillation), or as in this case the left wing just refused to stop flying. The "quartering tailwind" is a red herring. The jet was well within its tailwind limits - most of the wind was crosswind at that point and the tailwind contribution wasn't anywhere near enough to explain what happened. When you get above glide slope things get worse as you now need to lose altitude but that increases your speed. Even if you get the speed under control if you come at the runway with a 1700-2500fpm descent rate inertia can slam you into the runway.
They were coming in with way too much speed. They leveled off and got above glide slope because they were trying to bleed off enough speed to get within flap speed - flaps give you more drag which they desperately needed.
I made the transition this year into a much higher performance airplane and even going from a Cessna 172 to an A36 TN Bonanza the difference is stark. You must be way further ahead of the airplane in the Bonanza or you will find yourself screaming into the airport at 170kts when your landing speed is more like 80kts. And discover you are above flap and gear extension speed with all power taken out - thus without a good way to slow down.
Transport category jets are that times 100. You absolutely cannot get behind the aircraft. You plan your descents. You begin them much earlier. You pull power earlier. You add drag before speed runs away.
Above all else when you're barreling in 40kts above landing speed you call a go-around and try it again. It is way too late to fix it.
This accident started 30 minutes before they touched the tarmac. A complete failure of planning, of execution, and of ADM (to admit the problem and go-around).
You fly an approach on airspeed and/or angle of attack, and on glideslope. Period. You're either there or you're correcting to get there, and you're correcting at a point that you don't need huge oh-my-God corrections in close. If you can't do that, sucks to be you, take your waveoff like a real man or woman, and next time suck less.
It's almost the opposite. There is automatic monitoring for stable approach criteria (simplified: you must be at speed X with flaps selected etc by altitude Y). So this example would cause an automatic report from the aircraft to the airline, because they were too fast (not within stable approach criteria) and still continued the approach instead of going around.
However even in those cases it's not meant for punishment but for safety improvement. In most professional operations these reports are made anonymous, and only for example someone from a union committee gets to know who the crew were and could have a talk with them if necessary.
However, I don't doubt shady operations might be doing this(more so if they aren't carrying passengers). They won't be around for long if they are caught doing this kind of nonsense and it causes an incident (or accident in this case).
Today there may be some rules (more than X go arounds because of weather, you have to divert, etc).
>> CVR: 00:15 A pilot called for a go-around.
>> FDR: 00:15 Brakes were released at a groundspeed of 120 knots and throttles were increased to a value consistent with go-around thrust.
>> FDR: 00:11 The throttles were reduced to idle power and the brakes were re-applied. The groundspeed was 117 knots. The throttles remained at idle, and brakes remained applied until the end of the recording.
So they decided to go-around (i.e. do not land and climb immediately, going full thrust), then 4 seconds later changed their mind and went back to power idle and brakes (unclear how speed didn't increase).
While they were still late in calling a go-around (they should have done it before being anywhere close to touching down due to their unstable approach), guessing those 4 seconds contributed to the disaster by a lot.
How can you comment as if you are knowledgeable enough about aviation to speak on this with authority, but you aren't aware that turbofan engines don't have instant throttle response and need time (up to 8 seconds) to spool up? I think a little more restraint is warranted in something like this if you don't know something that basic.
You can actually do the math to work backwards and approximate how much thrust the engines were producing during that time, which was about 15,000 lbf (vs ~120,000 lbf max thrust for a 767-300er) which reduced how quickly they were decelerating by... Maybe a few % or so. But they didn't start accelerating yet. They would have in another second or two, however.
I'll agree that they should have gone around far earlier; getting non-spurious GPWS callouts on final because you're trying to dive and find the glideslope is... Crazy, and configuring landing flaps over the numbers is also crazy, and so is landing 10-20kts faster than the highest possible Vref value for the type, and everything else. But that's fairly obvious...
This is par for the course for HN; smart people applying first-principle thinking on unfamiliar domains for about a minute, which confirms the biases of other outsiders who vote the plausible, but not-quite-right comments to the top.
The comments here during the 737 MAX MCAS thing were fucking wild. So many randoms spitting out confidently incorrect nonsense.
Maybe that helps explain some of the fraction of HN that loves LLMs: they found their soulmates.
The trim motors only have 2 speeds - on and off.
I'm a pilot, and I don't fly turbofans/jets. Not claiming any "authority", but qualified to comment... It's not "something that basic" unless you fly in that category, there's a lot more to aviation experience than knowing a fact about an engine you don't use. (But hey, congrats to you that you know it!)
> I think a little more restraint is warranted in something like this..
More restraint than saying "unclear <i.e. to me> why ...", an exact statement about what I didn't know, which harms no one and led to several informative explanations by people who know (most of them in good spirit)?
This is what good conversation is about.
...
Anyway, the point I was making holds and is this:
Orthogonal to whether they could/should have gone around at that point, and given that they stayed on the ground after all, it may turn out that that 4 seconds of indecision (instead of pure deceleration) may have directly contributed to the fatalities at the end of the crash.
The more egregious thing to me though is ignoring the GPWS callouts on approach because they were chasing the glideslope. If you can't maintain a stable approach, you need to go around, it's the first thing you learn.
You expect this behaviour from a first-timer in the sim, not a commercial cargo pilot.
I'm curious - are commercial pilots reprimanded for doing a go-round after messing up the approach?
However I will say that the majority of unstable approaches (97%!!) do continue to landing: https://flightsafety.org/wp-content/uploads/2017/03/Go-aroun...
...but I think that most of these unstable approaches are likely marginally unstable and only in one dimension. This landing was so far outside the realm of normal it's actually mind boggling that it actually happened. Pilots are trained to immediately go around without questioning it if many of the things that happened on this flight occur (such as not being in landing configuration well before touching down!)
Barring a massive tailwind, they had enough groundspeed to go around at touchdown (158 kts).
I think we'll find throttling to G-A and then aborting the G-A caused the crash. If they'd committed to landing they at least wouldn't have overshot with that much energy. If they'd decided to G-A even at 00:15, they may have been well within margin to take back off.
Should have had a better approach; should have gone around before they even touched the ground; conditional on the bad approach and first touch, they should have gone around after the initial touch 50% down the runway. But they made the wrong choices at all of those points.
Literally 5 consecutive minutes of making 100s of wrong decisions snatching defeat from the jaws of victory.
According to news reports, a magistrate judge at OSHA has been sandbagging an investigation into retaliatory firings by this airline (of pilots who reported unsafe practices with maintenance, CRM, training, scheduling, everything). I wonder if the NTSB will include that judge in the investigation. It seems like he or she has a lot to answer for.
https://www.cbsnews.com/news/miami-plane-crash-21-air-safety...
This tends to be something we see in most incidents, because the cases where someone makes the right choice at one of the points tend to not become incidents.
An interesting thought is that the more obviously bad/incompetent/terrible decisions or (in)actions were involved in an incident, the better it is, because it means more things had to go wrong for a disaster to occur (more slices of cheese in the Swiss Cheese model).
You're correct. When they first annunciate G-A, they've missed the chance. (They almost certainly had enough airspeed to G-A even after touching down, though.)
My question is whether throttling up for G-A at 00:15 is what caused the overshoot to extend out of the airport (versus if they'd committed to braking). This will come down to runway conditions, braking performance and the throttle responsse of their engines.
Well also, at what time point did all the tires finally make simultaneous firm contact with the ground? Ie were they going slow enough for braking performance to even matter?
Not even a chance.
Large high-bypass turbofan engines take several seconds to spool up from idle (as they would be on landing) to full thrust. The 4 seconds that the thrust levers spent in the full thrust position in this accident was not long enough.
Sadly if they had made the call earlier they were going so fast they were basically at rotation speed when they touched down so could have just pulled back and gotten into the air.
They landed flat (and the left wing refused to come down) because they tried to force the plane onto the runway. That just doesn't work. The wings are creating too much lift when you're that fast.
Disclosure: Pilot but not ATP or Jet rated.
If so, it’s tight… but i feel like they should have made it if they had stuck to that plan. They commanded full power 15 seconds before the crash, and were pretty close to (if not slightly above) their stall speed (depends on load). I suspect they just needed another 10-20 knots and enough energy to climb.
Not 15 seconds before the crash, 15 seconds before the end of the recording. Then overran the runway 10 seconds before the end of the recording, then started crashing into objects 7 seconds before the end of the recording.
Thrust was reduced back to idle 11 seconds before the end of the recording, so just before departing the runway.
They aborted the go-around attempt because they were literally at the end of the runway; Probably because they thought it would be "safer" to run off the end without the engines rapidly reaching full thrust.
How sure are you? Could it actually happen that way 95% of the time, which means they don’t crash and we never hear about it? Likely a pilot gets disciplined for the other errors and nobody else cares? This exact thing could happen 20 times with everything turning up relatively ok and we only heard about it because they didn’t make that final call correctly either.
To be clear I’m not an aviator, just an armchair statistician with an interest in aviation
What the outcome of the discussion was that it depends on the culture and training of the organisation. It could be possible that it does happen like this 95% of the time with no crash in that specific organisation.
- a) Flying an unacceptably sloppy approach that put them on short final going that fast, high, and overpowered. Professionalism is being on airspeed and/or angle of attack and on glidepath . . . no excuses.
- b) Responding to a) by trying to force the jet onto the runway, when any aircrew member with half a brain should understand how badly you're going to float in ground effect when you're that fast and that overpowered. And what that's going to in turn do to your spoilers and thrust reversers that depend on weight-on-wheels before activating. Professionalism is recognizing a botched approach, swallowing your ego, and taking it the hell around.
- c) The pilot not flying sitting there like a coward and not taking the controls from the pilot flying. If someone hits a go-around criterion and isn't going around, YOU TAKE THE CONTROLS AND EXECUTE ONE. Professionalism is proper crew coordination and proper assertiveness in the cockpit.
This whole thing seems to just boil down to a complete failure of airmanship and a complete failure of professionalism all around. If I'd done that or allowed my pilot to do that, I'd expect to have had my wings pulled. If the investigation reveals more, I'll change my mind. But it ain't looking good.
And the other pilot is another Amazon driver riding shotgun as required by law.
“As required by law” is a synonym for “as bad as is still legal.”
Airplanes don't pay any attention to excuses. The only way to fly is do it perfectly, every time.
If the culture allows for it, yes.
On final my instructor was talking about the next approach. I heard the words 'go around' and immediately executed one. He realized that (1) that conversation was unnecessary at that phase of the flight and (2) to not use those words unless he wants me to immediately go around :)
After soloing, I sometimes report that I had to go around because I didn't like how the approach or landing was looking like. I got praised for it every time.
So yes, it's all culture.
A supportive culture encourages you to declare early at the first sign you feel something isn't right.
The fact you're struggling to decide means it should be declared but you feel some negative force if ends up not as serious as you think.
A supportive culture will work with you and if necessary down grade the priority if it can wait until a regular release cycle.
It's the same rot that set into Telstra https://news.ycombinator.com/item?id=49534127
I don't know anything about flying. Is this normal? Doesn't sound like it, but I don't know why the pilots would not have used these things that sound useful.
Every single thing they could do wrong at, they did.
There are just too many ways to screw up for that ever to be the case.
For instance, they could also have been lined up to land on something other than the runway they were cleared to land on -- see Air Canada Flight 759, https://en.wikipedia.org/wiki/Air_Canada_Flight_759, which came within 14 feet of colliding with an aircraft on the taxiway they mistook for the runway..
I recently learned that you wash/soak the salt off before consuming it. So, are you talking pre or post wash? ;)
Here's a neat video of an accurate reproduction, including a taste test after sitting "in a ship hold" for 7 months! https://www.youtube.com/watch?v=2tWQpJ8kR5U
They hit the ground at 158 knots. 767-300ER rotates at 130 to 160 knots. Given it had burned through its fuel, at the moment they touched down they could have immediately taken back off and gone around.
Given the pilots braked at 146 kts, released at 120 kts to throttle up for G-A, then four seconds later ditched the G-A and re-applied brakes, this sounds like they got stuck between going around and committing to the landing and never quite did either.
Really that's all that needs to be said at the moment. They had way too much energy[1], which anyone with flight sim or RC experience will recognize as a routine mistake when hand-flying.
The question is why all (all!) the layers of checklists and warnings and process and ATC direction somehow failed in combination to prevent. Yeah, they should have aborted for sure, but they didn't, and we won't know why for a good while yet.
[1] Which can just as easily mean "too high" as "too fast", c.f. the sink rate warnings in the logs which would be consistent with trying to squeeze the airplane down onto the runway. But again we won't know without more data.
https://www.reddit.com/r/aviation/comments/1w9jsrb/put_toget...
I'm not a pilot but from my understanding there's a lot of failsafes to ensure things that slow the plane down only trigger when the plane is actually on the ground. Considering that the left gear touched down at 0:19 and pilot called for TOGA at 0:15 they didn't stand a chance.
The pilot flying appears to have been dead set on landing on the first try no matter the cost and the first officer did not intervene as he should have.
They got incredibly lucky and both survived, however likely will never be behind the controls ever again.
Not deploying thrust reversers is normal, not all situations require them. But brakes are terrible when the wings are still flying, so spoilers (if armed as they should) automatically deploy when all wheel sensors report the aircraft is on the ground, so that there will be more weight on the wheels and the brakes can work properly.
I would not be referencing him as a good source.