FAA safety engineer goes public to slam agency’s oversight of Boeing’s 737 Max
seattletimes.com
seattletimes.com
In the upgrade to the MAX that allowed it to return to service, the FAA did not require any such change but did add an explicit instruction that pilots in this kind of emergency should “disengage the autothrottle.”"
In the many articles about the MAX that have shown up on HN the underlying concern seems to be that this is still not a safe plane. This excerpt is scary.
Anyone with aviation experience want to weigh in?
Not only will I never fly this plane again, but I'll do my best to avoid Boeing altogether. Given that I'm European, it should be fairly easy.
https://www.reuters.com/article/us-airbus-probe/airbus-bribe...
Yes, in almost duopoly in civilian flying, I will take Airbus anytime. And never, ever, fucking ever 737 Max.
I've more critical of Boeing than some folks here in the past, but if your goal is safety, you're just limiting your own options by rejecting planes with provably good safety records. (Or if you somehow think that's warranted, then there seem to be plenty of reasons to question Airbus's integrity too.) OTOH, if your goal is to just do this as some kind of economic retaliation (a "vote with your wallet" thing), in which case, never mind, I misunderstood your goal as being safety-related. Though you're not the person who wrote the initial comment, so I guess your reason could be different.
As much as all other Boeing airframes can be safe, I'm not confident at all with the way Boeing's management runs the company. What other cost-cutting measures have been implemented? How can they affect current airframes maintenance and reliability? It probably doesn't affect them much but it's been blunder after blunder from Boeing, from the 777 built at Charleston, the 737 MAX fiasco and the 787.
As an airline customer I'm completely dependent on trust that Boeing was doing things correctly, from a safety standpoint at least. I don't have that trust anymore and it'll take decades to earn it back.
> A conversational tactic in which a person responds to an argument or attack by changing the subject to focus on someone else’s misconduct, implying that all criticism is invalid because no one is completely blameless
> Excusing your mistakes with whataboutism is not the same as defending your record.
This was emphatically not what I was doing.
and how is highlighting airbus misconduct not a textbook example of this?
you even linked the explanation sentence, but did you read it?
That said, GGP post did not point out similar actions. Airbus did not risk passengers' lives. That is the issue here: public safety.
Doesnt mean Boeing shouldnt restructure or disappear.
I think we disagree on what whataboutism means. I think we're just gonna have to agree to disagree, because we're having a meta argument at this point.
Why does this change anything? Every major European carrier flies Boeing aircraft. Some exclusively.
Two Boeing 737max out of a total close to 400 crashed in the span of around a year before being grounded.
https://en.wikipedia.org/wiki/Boeing_737_MAX_groundings
The FAA predicted that the Boeing 737max would cause about 15 crashes during the next 30 years.
The right figure to look at is how many plane crashes there are with other commercial flight planes of the same class due to design defects covered up like Boeig did, which is zero.
You seem to have mistakenly believe that I'm defending Boeing here. I'm not. The following two things can be simultaneously true: The 737 MAX is less safe than other aircraft, and the 737 MAX is still safer than driving.
Look at how many car crashes leading to fatalities there were over those two years and it's a lot more than the mere 2 with the 737 MAX. The point still stands; the only reasonable way to make comparisons here is not by absolute number, but per passenger distance traveled. Any other comparison isn't correctly normalizing the things being compared.
That's your personal decision, and one you feel you meet to be vocal about on public forums.
Others feel the exact opposite, and flying Boeing is a risk not worth taking due to the company's track record.
Think about it for a second: your decision comes down to either fly with company A or company B, who have pretty identical offers, and company B flies planes with known safety problems. Not a hard decision.
Seems excessive. Most of Boeing plane families have been flying for decades. We're unlikely to discover new major failure modes in them at this point.
If anything, I'd wait before flying any recent Boeing designs.
That is a common IMHO misconception. Since the new version with "fixed" MCAS requires additional training, it does not follow that MCAS exists simply to avoid retraining and non certifying it the same. In that case, Boeing should have simply dropped MCAS and did the certification and training. Instead they opted for the near financial disaster and disruption to their supply chain AND failure to avoid additional training.
I suspect MCAS is covering for a very bad corner case in the flight dynamics.
yeah, much larger, stronger, and more forward positioned engines so the thrust leads to pitch up stalls in worst case scenarios.
I cannot judge the severity, but it covers for rule 14CFR §25.203(a) "Stall characteristics", see http://www.b737.org.uk/mcas.htm#background
FAA rules require on all planes that the control stick takes more and more pressure to pull back as the plane approaches stall.
The 737 MAX doesn't meet this requirement, apparently it gets easier to pull the stick back as it approaches stall due to engine nacelles. This is what MCAS fixes, as the plane approaches stall, it adjusts trim to provide that extra back-pressure on the stick.
No amount of additional pilot training will allow the plane to fly without MCAS, because this is a hard rule and it's not certifiable without it.
This is only superseded in absurdity by the fact there are two switches to disable the stabilizer trim motors, thereby making the airplane no longer airworthy while in flight.
How would you make that happen in a fly-by-wire airplane? In fact, how would you implement it at all in a digital fly-by-wire system without software?
If you feel that using software to control an airplane is perverse, you might want to avoid flying.
Airbus fly-by-wire have an alternate law mode where yoke input has matching control surface deflection, just like cable or hydraulic planes. I did not say no software anywhere ever. I said using it to mask aerodynamic deficiency is wrong.
These are transport category aircraft. Not fighter jets. Positive static and dynamic stability is required. All of this is reviewable. Is the software?
The MAX is a bad aeronautical design that Boeing made more "controllable" through additional control system engineering. Problem is, the additional control system engineering was pretty bad.
Yeah, it's really frustrating that the solution was already a band-aid, and they didn't even bother to do that properly so they covered up what was questionably fraud (the lazy way of not getting a new certification) with what was unquestionably fraud (lying about the MCAS system).
What's really sad though is it exposes just how defanged the FAA has become over the years, so now who the hell do we rely on to tell us what's safe for aviation?
I flew an airplane that was getting ready to be retired after it's been in service for ~30 years and we had a lot of emergency procedures and memory items (items that pilots have to memorize) that were add over the years after various incidents.
The 737 MAX wasn't necessarily an unsafe airplane, it's pilots were not made aware of how everything worked, which led to the two crashes.
A human pilot properly informed in advance could paper over an act of sabotage by a flight control system, but that does not make the airplane safe.
A single sensor reporting bogus data was used by a system to automatically take dangerous action. Both are dangerous. But in particular the latter, because it permits an excessive reaction to what is supposed to be merely stall avoidance, not recovery. Even stall recovery does not require anywhere near the kind of nose down amount MCAS was permitted to induce. That behavior is sabotage. If a human pilot did the same thing, with the same available bogus information, it would be incompetency. And if it lead to death, it would be manslaughter.
I understand that aircraft are complex systems, and they need to be used by experts, and that those experts are aware of, and have to work to mitigate a lot of catastrophic failure scenarios. Is the unstable flight caused by the forward-mounted engines a particular example of a 'typical' quirk of a commercial airliner?
The takeaway here is that the FAA is dysfunctional, so any plane certified by them in recent years is potentially unsafe.
The FAA has to demonstrate how they fixed their process, then re-certify every plane tested under the old, broken, process.
One plane model being obviously defective is just a symptom.
Uh, what. How does something like this even happen?
By "this" do you mean "egregious lies focused on making a case for plausible deniability"?
I use scare quotes above because it's not even a light, but instead an icon on the main console display.
Two AOA sensors exist on all of the original 737MAX aircraft. The original MCAS would use one sensor at a time for its calculation in an alternating fashion, which would swap between flights.
The AOA disagree was only an indication for the pilots and wasn't an actual upgrade to the function of the original MCAS for those that paid for the icon.
Juan Brown of the youtube channel blancolirio has given really excellent coverage if you look back through his explainations.
This is the norm in every company I've been in. It's infuriating.
There is generally a very sad reticence to acknowledge mistakes within organizations, but failure to earnestly acknowledge, show contrition, and learn from mistakes is dereliction of duty in the public sector in my view. In my own experience, I was a lone voice asking "What are we going do based on learning from this that lessens the likelihood of future such failures?" It was and is an unpopular question. I don't foresee any organizational changes taking place, even though they should. And I don't just mean staff changes, I also mean clear commitments to principle, intent, and wiser behavior.
It seems that now the Boeing hopes that those complex interactions are rare enough that they don’t pose a serious problem. We’ll see in a few years.
Part of what made this such a fiasco is that the behavior and interactions of these systems were purposely not documented and kept not just from the FAA, but pilots in particular. This meant they had no chance to do their job well and operate the equipment correctly. Add to this manufacturers reaching for "pilot error" quickly and as a pilot I'd imagine being rather pissed off.
This seems interesting with the 737 in particular: It's been around for a long time and was probably considered well-understood. Boeing introduced the MAX telling everyone "it's still the same", and then threw pilots one gigantic (as well as defectively implemented) curveball. Instead, deviations from and additions to a well-known system should have been pointed out and documented especially well.
It also seems to suggest there must be a system complexity ceiling where pilot recall of checklists and subsystem interaction permutations fails to scale anymore, and the addition of new systems probably needs to be evaluated against that notion. Assistance systems like MCAS are supposed to make things easier - but their edge cases and interactions potentially carry a "recall tax".
Another pattern I see in articles like this (another example is the A380 engine failure in I think a Quantas plane years ago) is that planes rely on informing pilots of subsystem state through what's basically a stack of notification message dialogs with the goal to get pilots to explicitly confirm/react to each one, but that means by the time the pilot has time to work through the stack during a crisis the content may already be outdated, or there's no time to tend to the stack to begin with. There may be better UX designs possible such as master system diagrams with status? Dunno.
Note: I'm a layman, and in topics like this I feel uneasy whenever I relay or suggest what may be based on wrong assumptions.
A US-crash, I think, would push greater scrutiny and overhaul of the FAA. Boeing could shift some of the blame to them. And they could actually benefit in the long run (as terrible as that is.)
As a software tester, it's actually fairly amazing to me that planes these days don't fall from the skies every day.
Free at last to speak hard truth.
Now sharing his concerns with the press for the first time, he’s risking his post-FAA employment prospects.
....
After retiring from the FAA, Jacobsen hopes to work part-time.
Someone with his credentials would typically find lots of lucrative freelance work at smaller aerospace companies who need help navigating the maze of FAA regulatory compliance to certify their products.
Now, he may struggle to get such gigs if he’s perceived as an antagonist of the agency.
“I recognize this could cost me future employment opportunities,” Jacobsen said. “But I feel like my allegiance right now is to these families.”
It doesn't mention any retirement package.
As of right now my post has 7 upvotes and no downvotes which means 7 people agreed with me. That means either a lot of people didn't read the article or they misread the article like I did.
I wonder how many downvotes my post will get after they read your comment which essentially categorically proves my initial reply is completely and utterly wrong.
Which goes to show how many people just skip over reading the article and go straight to the comment section for a summary/full analysis.
The great thing about HN is that misinformation is quickly rectified. Usually.
On the other hand, reading before reacting requires resisting going after the dopamine hit and actually works the other way. You have to get sadder consuming time and attention to read material that may or may not be informative.
A large percentage of Hacker News is the reaction (probably a majority). And if you point out that they haven’t read the article, some people treat it as a personal attack because it shows them in bad light. Then they start arguing.
The US has about 200,000 CEOs. Not all CxO’s are crooks, but if they were, we could jail all the CEO’s and an average of 6 of each one’s direct reports using our existing prison infrastructure.
I’d wager the average criminal CxO does significantly more ongoing damage to society than the average person in US prisons would if released.
Steal $500 from your boss, you may get prison time. Your boss steals $500 from each of his employees through wage theft, and the worst he would face is being out some money from losing a civil labour lawsuit.
That's because most high level behaviour has an incredibly high bar that it needs to meet to be criminal, with a lot of subjective argument over intent.
The bar for low level crime is much easier to meet. Take something that doesn't belong to you? Hit your neighbour with a club? Ingest a taboo mind-altering chemical? All of those are crystal-meth-clear violations of the social contract.
"The ET302 pilots, however, jumped immediately to the step in the checklist that Boeing emphasized in its bulletin after the Lion Air crash: hitting the cutoff switches to stop MCAS from pushing the jet’s nose down. In their rush to do that, they didn’t first bring the nose back up with the electrical switches and didn’t disengage the autothrottle."
What the bulletin (actually an EMERGENCY AIRWORTHINESS DIRECTIVE) says is:
"Initially, higher control forces may be needed to overcome any stabilizer nose down trim already applied. Electric stabilizer trim can be used to neutralize control column pitch forces before moving the STAB TRIM CUTOUT switches to CUTOUT. Manual stabilizer trim can be used before and after the STAB TRIM CUTOUT switches are moved to CUTOUT."
https://theaircurrent.com/wp-content/uploads/2018/11/B737-MA...
The pilots simply did not follow the procedure.
Note that this procedure was followed in the first incident of MCAS failure, and the Lion Air airplane recovered and landed safely. (That same airplane crashed on the very next flight with a different crew on it.)
Here's the procedure:
1. trim back to normal with the electric trim switches
2. turn off the stab trim system.
It simply is not complicated.
> muscle forces you don't have
Turning two electrical switches?
> counterintuitive
That's debatable, but consider that much of flying is counterintuitive - for example, stall recovery. Humans have not evolved to fly, and do not have the right intuition about it. That's why pilots get extensive training.
Keep in mind that all three crews experiencing MCAS failure used the electric trim switches to trim it back to normal. One of them then turned it off, the surviving crew.
On the plus side, finally, after maybe a hundred articles about the 737MAX, the paper finally acknowledged that the pilots did not follow the emergency procedure. Progress.
> How about "make computer not fly plane into ground?"
I did not absolve Boeing's role in the crashes.
> Electric stabilizer trim can be used to neutralize control column pitch
Maybe EADs are written in a different language than computer standards, but, when an RFC says that one “can” do something, it generally does not mean that one actually MUST do it at risk of failure to interoperate or death.
Don't pull quotes out of context. This was an EMERGENCY AIRWORTHINESS DIRECTIVE, meaning "how to not die". It was not a memo about remembering to wipe the sink after using the lav.
I expect pilots, when handed an EMERGENCY AIRWORTHINESS DIRECTIVE, to:
1. read it
2. understand it
3. remember it
Flying is no joke. John Denver died because he forgot to put fuel in his airplane. JFK jr died because he flew into haze without IFR training. AF447 killed everyone aboard because the pilot forgot that you push the stick forward to recover from a stall rather than pull it back.
And Boeing should never have created a flight critical system that was vulnerable to a single point of failure.
"Jacobsen points out that the FAA’s emergency directive after the Lion Air crash lists the procedure pilots should follow — but omits the instruction on the autothrottle and fails to mention that it could malfunction."
The way I understand it, that's the new information in the article to which you respond with quoting... exactly the very EAD which obviously lacks any mention of it, confirming the claims from the article.