WAS AIR FRANCE 447 THE DRESS REHEARSAL FOR THE BOEING MAX
CRASHES?
A Commentary
By Roger Rapoport
Senior Editor
In the thirteen years since Air France 447 was lost for 22
months in the South Atlantic, French prosecutors, the families of the 228
people who died,, Airbus, and the airline have engaged in a dramatic legal
battle that impacts all who fly. Located by a Woods Hole Oceanographic
led team 22 months after the June 1, 2009 tragedy, this crash has
already reshaped flight training and airline safety practices.
Today pilots are routinely trained on how to prevent the
kind of aerodynamic stall that took down Air France 447. Unfortunately
new training in the wake of one tragedy does not necessarily rule out other
kinds of automation surprises on state-of-the-art jets sold on the
premise that they can’t stall.
In numerous interviews after the 2009 crash of that
Rio-Paris Airbus 330, aviation safety experts told me that it was only a
matter of time until there would be a similar disaster.
In a sense Air France 447 was the dress rehearsal for the
2018 and 2019 Boeing 737 MAX tragedies in Ethiopia and China that took 346
lives. In all three cases the pilots did not have the requisite
training to deal with the emergency situation they were forced
into.
The larger problem surrounding these events is the industry’s
questionable continuation bias toward automation without adding badly
needed training.
For example Boeing was so confident in the new unproven MCAS
automation system introduced on the 737 MAX that it promised customers no
additional pilot training was required to fly this redesigned
aircraft. In the case of major customer Southwest Airline, the company
promised a $1 million per aircraft payment if the FAA decided to mandate
training on this new MCAS automation that was not even explained to flight
crews.
After more than 300 conversations with the airline, the
manufacturer, the father and brother of two of the Air France 447 pilots,
officials from regulatory agencies, the scientists who uncovered the plane
and many academic experts, I’ve learned that aircraft safety systems
can’t be designed in a vacuum. They must be integrated into the design
itself.
Putting computers together and trying to understand all the
interactions can quickly become complicated. Even when each computer
is working as designed there is no guarantee that the system will be fail
safe. The hubris of aircraft designers who have zero flight
time can contribute to this unjustified bias against pilots.
The problem, as MIT’s Dr. Nancy Leveson has pointed out,
centers around interaction between all these different computers and human
operators trying to control the outcome. All too often the computers
and the humans don’t understand what the other “controllers” are
doing. Bad things can happen quickly and spiral out of control.
Fortunately this French manslaughter case focuses on
all the key issues that impact the future of aviation safety. In
particular the hard work of the families of the victims through the
Entraide et solidarité AF447 has defeated the libelous myth that this
accident was all the fault of three experienced pilots with more than
20,000 previous hours of successful flight time.
Both Airbus and Air France had ample warning from many
flight crews that the pitot tubes providing airspeed data critical to
Airbus 330 flight automation were failing in high altitude icing
conditions.
The plane operating as Air France 447 was scheduled to have
its problematic pitots replaced after landing in Paris on June 1,
2009. If those new pitots had been installed in Brazil it is probable that
the crash would not have happened.
Although Air France and Airbus had been discussing numerous
reports of high altitude pitot failure they did not elect to ground the 330
fleet and replace the problem pitots before allowing these aircraft to resume
operation. Air France saw the problem as a maintenance issue, not a
critical flight safety challenge.
Today pilots flying both these Airbus and Boeing jets
are required to complete the additional training both companies originally
insisted wasn’t necessary.
Is it possible that overconfidence in flight automation
while ignoring the need for more pilot training could lead to similar kinds
of accidents in the future?
The aviation experts and pilots I’ve spoken with agree with
Dr. Leveson and other experts agree that automation alone can not
solve every flight problem. This is one of the reasons why the march
toward single pilot jets with ground staff handling the duties of the
copilot is questionable. In all likelihood the trial balloon
could be freight carriers. The problem with this approach is that it
makes the false assumption that pilots are merely bus drivers who don’t
need backup crew..
The decision of some major carriers such as Virgin Atlantic
and Frontier to hire people with zero flight experience for pilot training
appears to be a quick fix. IT is aimed at people who want to
pay $90,000 or more to train and find out if they will be hired to fly
in the cockpit’s right seat.
Replacing experienced pilots with these newcomers assumes
that beginner’s luck is a substitute for the expertise that led to the
successful emergency landing of US Airways Flight 1549 on the
Hudson.
It took two veteran pilots with more than 40 years of
combined flight experience to save that flight in minutes. There is no
substitute for this kind of training and experience. Delicate hand flying
was critical to that emergency situation.
What’s at stake during the Paris manslaughter trial is the
future of pilot training. A not guilty verdict for the defendants
will validate the premise that the AF 447 pilots were their own worst
enemies because they failed to stop an untrained for aerodynamic
stall. A guilty verdict will tell the industry that more and better
pilot training is the best way to prevent the automation surprises that led
to the Airbus 330 and Boeing 737 Max crashes.
Roger Rapoport is the coauthor of Angle of Attack: Air
France 447 and The Future of Aviation Safety and Grounded: How to Solve the
Aviation Crisis. (lexographicpress.com). He is also the producer of
the award winning feature film Pilot Error
https://vimeo.com/ondemand/piloterror/117084584
https://www.rogerrapoport.com/latest-writings
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