flight safety detectives episode 202 - Alaska Airlines Alaska Airlines Flight 1282 737 MAX 9 Update1/11/2024 Latest on the Alaska Airlines Alaska Airlines Flight 1282 737 MAX 9 aircraft plug door separation and rapid decompression. Todd, Greg, and John discuss recent developments, including the recovery of the plug door.
They talk about the value of having the plug door for inspection. They share the sequence of events that led to the door separation based on factual evidence. The spotlight is now turning to Boeing. Will the company’s future actions keep the CEO’s promise that Boeing will be transparent about what happened? Hear their insider take on the challenges Boeing may face when it comes to earning confidence that company will correct problems with the 737 MAX. The approach that Boeing has taken in the past may not be adequate to address the quality issues of the 737 MAX.
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Runway images show that the Coast Guard Dash 8 involved in the collision with Japan Airlines Flight 516 was in the wrong place. The crew was to hold on the taxiway, but were actually on the runway. The plane standing still on the center line would have been virtually invisible to the pilots of the JAL Airbus A350.
The scenario is similar to a runway collision involving US Air Flight 1493 that John investigated as an NTSB Board member. That investigation made midfield takeoffs illegal in the United States. John, Greg and Todd walk through the known details and the human factors that led to the plane crash.
Human errors and communication issues contributed to the crash. The episode also covers the role of aviation technology, including the heads-up display in the A350, surface radar/ASDI, and traffic collision avoidance systems (TCAS). This is a follow up to Episode 198, Expert Insights into the Japan Airlines A350 Aviation Disaster, where noted airport rescue and firefighting expert Jack Kreckie discussed the firefighting response. flight safety detectives episode 200 - United airlines finds loose bolts on 737 max 9 aircraft1/9/2024 United Airlines has reported loose bolts on five of their 737 MAX 9 aircraft plug doors. This is the latest in the unfolding look at what happened in the incident involving Alaska Airlines Flight 1282.
John and Greg use insights from their decades of experience inside NTSB and other aviation safety incident investigations to explain the latest developments. They cover the information that has been released so far and what is to come. John goes through the steps that aircraft mechanics would have used to address earlier reports of pressurization warnings on this specific aircraft. Mechanics likely would have checked the pressurization system and focused on the hardware. “It wasn’t quite there yet” to escalate to pressurizing the plane to check for leaks. John and Greg return to earlier discussions of the status of quality inspections at Boeing. The internal safety review that has been reported isn’t the right step to fix safety and quality issues. This latest black eye makes it clear that is time to address manufacturing process issues and “get some good planes out the door.” What happened to Alaska Airlines Flight 1282? What is going on at Boeing? In this special episode, Greg and John provide expert insight into the rapid decompression and inflight separation of an exit door panel on a Boeing 737-9 Max airplane.
The Flight Safety Detectives dissect issues surrounding this incident and the regulatory response that is already happening. They discuss similar incidents, including United Airlines Flight 811 747 near Honolulu where a Boeing 747-122 lost a cargo door. John and Greg share details that aren’t being discussed in media coverage. They explain the mandatory AD that has been issued by the FAA. All US-registered 737 MAX 9 aircraft with this type of exit door must be grounded and inspected. The Max fuselage is made by Spirit and provided to Boeing. All the steps in the manufacturing process will be scrutinized as the NTSB investigation proceeds. This is the latest high profile aviation safety issue involving the 737 MAX. John talks about the inadequate number of quality inspectors and quality safeguards in the Boeing manufacturing process as a potential shortcoming that has led to the issues with the Max. Greg points to some fundamental organizational issues that need to be addressed. flight safety detectives episode 198 - expert insights into japan airlines a350 aviation disaster1/4/2024 Airport rescue and firefighting expert Jack Kreckie and the Flight Safety Detectives discuss the January 2, 2024 runway collision between a Japan Airlines A350 and a Japan Coast Guard Dash 8 in Tokyo.
Kreckie shares his inside knowledge of aircraft firefighting techniques and the systems in place to save lives and manage fires. He shares how modern composite materials used on aircraft impact the job of firefighters. This event is compared with other notable accidents, including the ground collision between a USAir 737 and a Fairchild Metroliner in Los Angeles in 1991 and the crash of an Asiana 777 in San Francisco in 2013. Hear about the training and safety systems in place that aided firefighters and the flight crew and likely were key factors in the safe evacuation of the aircraft. flight safety detectives episode 197 - atsb report offers aviation safety details and insight12/27/2023 Todd Curtis and John Goglia analyze an accident that was investigated by the Australian Transportation Safety Bureau, Australia’s version of the NTSB. The ATSB report offers comprehensive aviation safety details and insight. John and Greg review the level of detail and compare it to what they find in NTSB reports from similar general aviation accidents.
The Australian accident involved a Cessna 172 aircraft that crashed due to pilot decision making. This was the pilot’s first solo flight using the autopilot system. His confusion led to the fatal plane crash. John compares the pilot’s decisions in the Australian accident with those of the pilots in the 2000 crash of Alaska Airlines Flight 261. In that aviation disaster, the crew decided to keep flying rather than make a precautionary landing. Todd discusses the steps he takes to avoid making autopilot-related errors in flight. He uses both a laptop-based flight simulator at home and a more sophisticated fixed based simulator to complement his flight training. Greg Feith and John Goglia review recent general aviation safety issues. Lack of operation discipline is leading to avoidable plane damage insurance claims. Because the claims increase insurance rates, all general aviation pilots are paying a price.
Multiple incidents are shared as examples: planes running over taxi lights, ground collisions with aircraft and other objects, engines started with tow bars attached. John and Greg see a lack operational discipline by general aviation and professional pilots as a root cause of these avoidable incidents. The issues are not limited to smaller general aviation aircraft. John mentions 2014 fatal accident involving a Gulfstream aircraft where the aircraft operator exhibited operational discipline issues. John and Greg also use as an example the Piaggio elevator separation event mentioned in Episode 195. Aviation safety depends on pilots having a high level of operational discipline at all times when the plane is moving. WEST COVINA, CA - The 4th Annual Concorde Battery Virtual IA Renewal Series provides access to maintenance training by prominent speakers worldwide from the comfort of your device. The FAA approved IA Refresher courses are taught by subject matter experts and may be used to meet the annual requirements of §65.91(c) for Inspection Authorization renewal.
Concorde Battery is pleased to announce that PAMA President John Goglia will present A Chat on the Back Porch during the Piston session of the Concorde Battery Virtual IA Renewal Series January 11 & 12. During his 50 minute presentation he delivers “observations from someone with 50 years in the business,” as he states. Concorde Battery Corporation’s Virtual IA Renewal Series is a free online Maintenance Training Event. Distinguished speakers teach one-hour courses on Piston (January 11-12), Turbine (January 17-18) and Rotorcraft (January 25-26) specific topics. The three series run for four hours daily over two days and are available in a morning (8 AM – 12 PM EST) and evening (5 PM – 9PM EST) session to accommodate worldwide audiences. Each session is eligible for up to 8 hours of IA and FAA AMT credit. For more information contact: iarenewal@concordebattery.com Pilot and maintenance failures combined to create a dramatic turboprop incident that became a criminal case. John Goglia and Greg Feith explore the incident with a Piaggio aircraft that lost an elevator on the first flight of the day and continued with operations.
The air taxi flight crew landed and flew to next airport without performing a preflight inspection. John and Greg talk about the indications the pilots could have detected to recognize problems even if they could not visually inspect the elevators. John cites the NTSB investigation of the 2000 crash of an Emery Worldwide Airlines DC-8 as an example of how a pilot may be able to feel the difference in the control response when a flight control surface fails. The investigation found that maintenance done in response to mandatory AD 28 days before this incident had not been done properly. The nuts holding the elevators in pace were not torqued properly. The plane flew 128 hours with loose hardware. Adding to this incident, the head of maintenance of the charter company operating the plane took steps to hide evidence from the NTSB and FAA. A criminal investigation led to a fine that put the company out of business and a conviction for the head of maintenance. The 2019 Agusta AW139 helicopter crash at sea killed both pilots and all five passengers. While the crew had flown the route on at least 10 previous occasions, this was their first night flight.
Greg, Todd, and John raise many issues beyond the probable causes listed in the NTSB report:
“There were no mechanical issues. This is all about a lack of planning and poor decision making by the pilots,” John says. The helicopter CVR does not indicate that the pilots did any of the proper checks for IFR at night. They also were not monitoring their gauges, and seemed to misread the instruments. Fatigue may have been a factor, since the pilots were awakened to make the 2AM flight. John ends the show by encouraging pilots and aircraft operators to use flight risk assessment tools (FRAT) from the FAA and the NBAA to help prevent accidents. |
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