The French in Denial

It could happen to anyone. This time it happened to be a French airplane with French pilots flying for a French airline.

For two years the “black boxes” (the voice recorder and the DFDR) lay in peace on the floor of the Atlantic Ocean, 13, 000 feet below the waves. For two years there was conjecture, speculation, and (some quite fine) attempts at reconstruction. Then the black boxes surfaced, along with other hard evidence, including the jackscrew from the Trimmable Horizontal Stabilizer.

For months as the Bureau d'Enquêtes et d'Analyses slowly released information, we (and the BEA) put together the tragic and terrifying story. But the story stopped abruptly, the last chapter removed or never written.

Now a French aviation writer, Jean-Pierre Otelli, has published that last chapter independently of Air France, Airbus Industrie, and The BEA. The story ends as we knew it would – badly and sadly – but now we have more grisly detail and less room for denial.

The Bureau d'Enquêtes et d'Analyses is incensed. In a press release on October 13, 2011, (look under News in the sidebar) they claim that the transcription released by Otelli “mentions personal conversations between the crew members that have no bearing on the event, which shows a lack of respect for the memory of the late crew members” (my emphasis). The same day the London Telegraph published an account of the final minutes. The account seems to have been shortened since October 13, and I have been unable to find the original. Those who are interested may add the following after “According to an official report released earlier this year, the last words were from Captain Dubois who said: 'Ten degrees pitch.'”:

But in his new book Mr Otelli asks who will be held responsible 'for this mess'. 'Is it a training problem, fatigue, lack of sleep, or is it due to the fact the pilots are confident that an Airbus can make up for all errors?,' he writes. France's air accident investigation unit, the BEA, reacted angrily to the publication of the book, with a spokesman saying printing the conversation showed a 'lack of respect to the memory of the crew who died'. Air France has denied that its pilots were incompetent, but has since improved training, concentrating on how to fly a plane manually when there is a stall. Both Air France and Airbus are facing manslaughter charges, with a judicial investigation led by Paris judges already under way. A judge has already ordered Air France to pay some £120,000 in compensation to the families of each victim, but this is just a provisional figure which is likely to multiply many times over. THE FINAL MOMENTS Marc Dubois (captain): 'Get your wings horizontal.' David Robert (pilot): 'Level your wings. 'Pierre-Cedric Bonin (pilot): 'That's what I'm trying to do... What the... how is it we are going down like this?'Robert: 'See what you can do with the commands up there, the primaries and so on…Climb climb, climb, climb. 'Bonin: 'But I have been pulling back on the stick all the way for a while. 'Dubois: 'No,no, no, don't climb. 'Robert: 'Ok give me control, give me control.'Dubois: 'Watch out you are pulling up. 'Robert: 'Am I?'Bonin: 'Well you should, we are at 4,000.'As they approach the water, the on-board computer is heard to announce: 'Sink rate. Pull up, pull up, pull up. 'To which Captain Dubois reacts with the words: 'Go on: pull.'Bonin: 'We're pulling, pulling, pulling, pulling.'The crew never discuss the possibility that they are about to crash, instead concentrating on trying to right the plane throughout the final four minutes. Dubois: 'Ten degrees pitch. 'Robert: 'Go back up!…Go back up!…Go back up!… Go back up! 'Bonin: 'But I’ve been going down at maximum level for a while.'Dubois: 'No, No, No!… Don’t go up !… No, No! 'Bonin: 'Go down, then!'Robert: 'Damn it! We’re going to crash. It can’t be true!'Bonin: 'But what’s happening?!'The recording stops.

What we know, briefly, is this: Air France 447 ventured into a line of thunderstorms along the InterTropical Convergence Zone. Four other flights diverted around the storms. In the zone the flight encountered unusually warm temperatures and supercooled water droplets – enough to briefly overwhelm the heaters in all three pitot tubes, denying airspeed information to the Flight Control Computers for long enough to cause them to kick off the autopilot and to degrade the flight controls from Normal Law to Roll Direct/Pitch Alternate Law. Despite the fact that by the book they were too heavy to climb, the pilot flying (First Officer David Robert) zoomed up from 35,000 feet to almost 38,000 feet, dissipating the aircraft's energy and exposing it to coffin corner, where Mach buffet meets stalling speed. With brief lapses he held back pressure on the sidestick for the remainder of the flight.

First the airplane stalled (quit flying because the Angle of Attack was too great). Then, because of the steady back pressure on the sidestick, the autotrim wound the Trimmable Horizontal Stabilizer (more powerful than the elevators) to full nose up. (The THS jackscrew was found in this full nose up condition). By now the aircraft was in a deep stall, falling almost straight down in a near-level attitude.

There is plenty of room for argument about why it happened this way. Many (including David Learmount at Flight Global and myself) have started that discussion. It must continue, because we must know not only why F/O Robert stalled the aircraft, but much more importantly why he didn't know he had stalled it, why he had a totally inaccurate picture of what was happening, and why there was a complete absence of situational awareness on that Flight Deck.

It may look as if I am placing blame solely on F/O Robert. Absolutely not. That would be much too easy. I and others have already written many pages (see AF447 on my blog) trying to piece together all the factors at work in this accident. We will write many more.

As in all accidents, there is a chain of events and decisions which gradually (at first!) reduce maneuvering room. The first of these was Captain Dubois' decision to take crew rest approaching the ITCZ.

But before that came Air France's decision to carry less fuel than the spirit of the regulations requires, by filing the Flight Plan as Rio to Bordeaux, alternate Paris. Even earlier, the brilliant (I am not being ironic or facetious, I admire the man) Bernard Ziegler designed the Airbus to be “pilot-proof” and impossible to stall. However he (or his designers) also left the autotrim functional in Pitch Alternate Law, an oversight I believe should be corrected ASAP. Finally, (and earliest of all) you and I and everyone else who has traveled since Airline Deregulation in 1978 believes or wants to believe in cheap seats.

It could happen to anyone.

Sadly, it has all been foreseen. Recently I read an article which bluntly calls out the forces that led to this accident. It is called The Training Paradox, and was written by pilot, engineer, and lawyer Mark. H. Goodrich. Some of the accidents and incidents he describes stood my hair on end. Unfortunately I cannot provide a link to it. I read it in Position Report, November 2011, Volume VIII Number 3. (This is the magazine of the Retired Airline Pilots of Canada).

The very experienced and knowledgeable Mr. Goodrich shows how the forces of deregulation have derailed traditional career paths and interrupted the passing along of knowledge. As a result, the craft, the trade, the profession if you will of flying is dying a slow death. Neither are regulatory bodies or airline management immune from this decay.

This time it was the French. It is not surprising they are in denial. But it could happen to anyone, and it will.

 

AF 447: Let’s Talk About Why – 1

Thanks to the work of David Learmount at Flight Global, and that of the Wood's Hole Oceanographic Institution and the Bureau d’Enquêtes et d’Analyses, enough is now known about this accident to start looking for useful lessons and to analyze the data along with the BEA. Flight safety and the future of the piloting profession depend on this becoming a wide and serious conversation.

Pilots obsess about accidents for good reason. There is always so much to learn. The AF447 tragedy is an epochal example.

There is a mind-boggling number of lessons to be learned here, in a host of areas and disciplines: Pilot Training, Standard Operating Procedures, Instrument Flight, and Aircraft Design are but a few of them.

I will commit today to joining the conversation. I begin with a consideration of Angle of Attack.

Angle of Attack

Wolfgang Langewiesche (father of William) emphasized Angle of Attack in his excellent Stick and Rudder, published in 1944. Advocacy of AoA was an uphill battle then and it still is today. Instead of talking about AoA, we prefer to use airspeed and explain why certain speeds we use change with aircraft weight and G loading. Many or even most aircraft flying today have no Angle of Attack indication. The accident aircraft had two AoA sensors. The flight recorders had access to the signals from these sensors but the pilots did not, at least not when they needed it most.

Lift is produced when the air flowing over the top of a wing has a longer distance to travel than the air flowing underneath. The air “stretching out” over the top produces a lower pressure, allowing the higher pressure underneath to push the wing up. There is a caveat, however. The airflow must remain attached to the upper surface of the wing.

Imagine a cross-section of wing, with a line drawn from the middle of the rounded leading edge to the pointed trailing edge. This is the chord line. Now imagine an arrow pointing at the leading edge. This is the airflow.

If the arrow meets a (symmetrical) wing head-on there will be no lift. But let the wing meet the air at a slight angle and the airflow around the wing will no longer be symmetrical: it will meet the rounded leading edge at an angle and it will divide lower on the curve of the leading edge. The air flowing over the wing will have a longer distance to travel. Lift will be produced.

The angle at which the airflow meets the chord line is called the Angle of Attack. Up to a point, increasing the Angle of Attack will increase lift. But beyond a certain point – usually about 16° – lift will instead decrease because the airflow is beginning to separate from the upper surface of the wing. This is called the aerodynamic stall, and it always happens at the same Angle of Attack.

Angle of Attack is controlled by the elevators, the control surfaces on the trailing edge of the horizontal tail. When the pilot pulls back on the stick, the elevators lift, causing a down-force on the tail and forcing the wing to meet the air at a higher Angle of Attack. Trim tabs (small surfaces at the trailing edge of the elevators) can be moved to change the neutral position of the stick. (Another way to think of it is the trim tabs change the Angle of Attack at which there is zero stick force.)

In a modern jet transport the entire horizontal tail is usually moveable. This is because of the very wide speed range of the jet and because flaps and leading edge slats also change the “trim.” The other side of the coin is that this horizontal tail, or stabilizer, is very powerful in modern jet transports. A runaway stabilizer is a true emergency. Traditionally there has been a STAB IN MOTION aural warning, and an emergency cutout switch close to hand. Most cases where the stabilizer ran all the way up or down in flight have resulted in the loss of all on board.

In most aircraft the pilot is used to trimming as he flies. A change of speed or configuration, be it in a Beech Bonanza or a DC-9, will require a trim change. With some experience on type the pilot knows (for example on a DC-9) that extending the leading edge slats will require two beeps (of the STAB IN MOTION aural warning) of nose-up trim. He can use the thumb switches on the yoke to move the stabilizer as the slats are extending and thus remain stick-neutral during the configuration change. This is part of anticipation, or staying ahead of the aircraft.

Airbus aircraft, from the A320 onwards, are different. They are fly by wire, where computers are interposed between the pilots' sidestick inputs and the control surfaces. This arrangement allows some elegant additions to aircraft design, such as envelope protection (which among other things makes it impossible for the pilot to stall the aircraft) and, relevant to our discussion today, stick force per G and autotrim.

In Normal Law, which is where the Airbus is most (and the pilot hopes, all) of the time, configuration changes can be made hands off, even flying by hand. Of course the pilot has the tips of his fingers on the sidestick, but he can make a configuration change with no pitch input because the control system, in Normal Law, will maintain 1G flight. When he calls for FLAP 1 and the leading edge slats extend, the nose-down pitch is sensed and countered by the system, maintaining 1G flight. (1G is what you experience sitting in a chair at home or in an aircraft at cruise in smooth air). In effect, the airplane is doing the anticipation for the pilot.

Like the transition in the late 1950's from props to jets, fly-by-wire has been a major change for pilots. In general we welcome it for the many advantages it offers.

Experience has shown that to do his job, which is to ensure the safe arrival of his aircraft, the pilot must fully understand a much more complex airplane. Chesley Sullenberger reached up and started the APU (the Auxiliary Power Unit, a small turbine in the tail which can supply electrical and hydraulic power on the ground or in flight) as soon as his engines lost power. Why? Because he knew his airplane and he knew he wanted to keep it in Normal Law until touchdown.

The transition from props to jets was all about speed range, speed brakes and spoilers, high Mach number, coffin corner, Dutch Roll and super-stall, but in everyday life it was more about high drag on approach, no propwash, slow spool-up times, and operating on the back side of the power curve. This change took some adjustment on the part of pilots: the more experienced pilots had more adjustments to make. The same is true with the transition to fly-by-wire.

In a traditional airplane the pilot controls Angle of Attack with the elevator and the trim tabs or stabilizer. (More often he will be thinking of Airspeed, which is the constant-weight, 1G manifestation of AofA). He is used to feel, which is essentially the change in elevator neutral point with AofA. Should the aircraft slow on approach, the nose will get “heavy”, prompting him to pull back or trim nose-up.

That feel is totally absent in Airbus aircraft. (Boeing, in the B777, have added artificial feel to their fly-by-wire system). The Airbus pilot points and shoots, so to speak. Flying by hand he can take the bird, turning on a symbol (like a bird or an aircraft seen from behind) on his Primary Flight Display. The bird shows where his velocity vector is pointed; in other words, where is airplane will be so many seconds from now if he makes no further adjustments. On approach he can pin the bird on his flare point on the runway and either let the autothrust take care of the speed or adjust the thrust levers manually. If he does the latter, he must remember that there is no feel or feedback in the sidestick.

Obviously there are quite different assumptions operating during an approach in a Bonanza, one one hand, and an Airbus, on the other. This is not necessarily a bad thing. Take for example driving a car versus riding a motorcycle. In a car you steer with the steering wheel. In a motorcycle you counter-steer, putting pressure on the inside foot-peg and forward pressure on the inside bar, in effect trying to steer the front wheel the opposite way.

But you know you're on a motorcycle and not in a car. You have learned how to ride a motorcycle.

Consider, however, flying an Airbus if something goes wrong with a sensor or a computer and you wind up in Alternate Law or Direct Law. You are in the same vehicle but suddenly the rules have changed; the assumptions have changed. It is, in effect, no longer the same machine. This is a recipe which messes with a pilot's head.

Unfortunately, experience has shown that Direct Law, where control displacement is proportional to stick force and the airplane handles like a wet fish, is actually the more benign of the two degraded modes. There is a big message in red on the ECAM saying USE MAN PITCH TRIM. The pilot moves the THS (Trimmable Horizontal Stabilizer) by moving a wheel almost a foot in diameter. This is old-style, normal airplane flying, commanding AofA with stick force and trim. There is still no feel in the sidestick, but the procedure is familiar.

Alas, in Alternate Law there is no such familiarity. It is still point-and-shoot, sort of, but autotrim is still working. As long as there is back pressure on the stick the THS trims nose-up, and vice-versa. There is NO Stabilizer in Motion warning except the movement of the trim wheels. That would seem to be an easy thing to detect, but I can testify from personal experience that it is not. On every landing (in Normal Law) the flight control computers memorize the attitude at 50 feet Radio Altitude and at 30 feet start rolling in nose-down trim, in effect trying to mimic the feel of a normal aircraft slowing in the flare. In almost a decade of flying as Captain and Training Captain, whether as Pilot Flying or Pilot Not Flying, I cannot remember ever seeing the trim wheels move.

In two recent accidents an Airbus has hit the ocean with the THS wound to full nose up. In both cases the aircraft was in Alternate Law.

I am not an engineer. There are likely many ramifications that have not crossed my mind. But sitting here this afternoon my personal recommendation would be as follows:

Disable Autotrim in Alternate Law

AF 447: Let's Talk About Why – 1

Thanks to the work of David Learmount at Flight Global, and that of the Wood's Hole Oceanographic Institution and the Bureau d’Enquêtes et d’Analyses, enough is now known about this accident to start looking for useful lessons and to analyze the data along with the BEA. Flight safety and the future of the piloting profession depend on this becoming a wide and serious conversation.

Pilots obsess about accidents for good reason. There is always so much to learn. The AF447 tragedy is an epochal example.

There is a mind-boggling number of lessons to be learned here, in a host of areas and disciplines: Pilot Training, Standard Operating Procedures, Instrument Flight, and Aircraft Design are but a few of them.

I will commit today to joining the conversation. I begin with a consideration of Angle of Attack.

Angle of Attack

Wolfgang Langewiesche (father of William) emphasized Angle of Attack in his excellent Stick and Rudder, published in 1944. Advocacy of AoA was an uphill battle then and it still is today. Instead of talking about AoA, we prefer to use airspeed and explain why certain speeds we use change with aircraft weight and G loading. Many or even most aircraft flying today have no Angle of Attack indication. The accident aircraft had two AoA sensors. The flight recorders had access to the signals from these sensors but the pilots did not, at least not when they needed it most.

Lift is produced when the air flowing over the top of a wing has a longer distance to travel than the air flowing underneath. The air “stretching out” over the top produces a lower pressure, allowing the higher pressure underneath to push the wing up. There is a caveat, however. The airflow must remain attached to the upper surface of the wing.

Imagine a cross-section of wing, with a line drawn from the middle of the rounded leading edge to the pointed trailing edge. This is the chord line. Now imagine an arrow pointing at the leading edge. This is the airflow.

If the arrow meets a (symmetrical) wing head-on there will be no lift. But let the wing meet the air at a slight angle and the airflow around the wing will no longer be symmetrical: it will meet the rounded leading edge at an angle and it will divide lower on the curve of the leading edge. The air flowing over the wing will have a longer distance to travel. Lift will be produced.

The angle at which the airflow meets the chord line is called the Angle of Attack. Up to a point, increasing the Angle of Attack will increase lift. But beyond a certain point – usually about 16° – lift will instead decrease because the airflow is beginning to separate from the upper surface of the wing. This is called the aerodynamic stall, and it always happens at the same Angle of Attack.

Angle of Attack is controlled by the elevators, the control surfaces on the trailing edge of the horizontal tail. When the pilot pulls back on the stick, the elevators lift, causing a down-force on the tail and forcing the wing to meet the air at a higher Angle of Attack. Trim tabs (small surfaces at the trailing edge of the elevators) can be moved to change the neutral position of the stick. (Another way to think of it is the trim tabs change the Angle of Attack at which there is zero stick force.)

In a modern jet transport the entire horizontal tail is usually moveable. This is because of the very wide speed range of the jet and because flaps and leading edge slats also change the “trim.” The other side of the coin is that this horizontal tail, or stabilizer, is very powerful in modern jet transports. A runaway stabilizer is a true emergency. Traditionally there has been a STAB IN MOTION aural warning, and an emergency cutout switch close to hand. Most cases where the stabilizer ran all the way up or down in flight have resulted in the loss of all on board.

In most aircraft the pilot is used to trimming as he flies. A change of speed or configuration, be it in a Beech Bonanza or a DC-9, will require a trim change. With some experience on type the pilot knows (for example on a DC-9) that extending the leading edge slats will require two beeps (of the STAB IN MOTION aural warning) of nose-up trim. He can use the thumb switches on the yoke to move the stabilizer as the slats are extending and thus remain stick-neutral during the configuration change. This is part of anticipation, or staying ahead of the aircraft.

Airbus aircraft, from the A320 onwards, are different. They are fly by wire, where computers are interposed between the pilots' sidestick inputs and the control surfaces. This arrangement allows some elegant additions to aircraft design, such as envelope protection (which among other things makes it impossible for the pilot to stall the aircraft) and, relevant to our discussion today, stick force per G and autotrim.

In Normal Law, which is where the Airbus is most (and the pilot hopes, all) of the time, configuration changes can be made hands off, even flying by hand. Of course the pilot has the tips of his fingers on the sidestick, but he can make a configuration change with no pitch input because the control system, in Normal Law, will maintain 1G flight. When he calls for FLAP 1 and the leading edge slats extend, the nose-down pitch is sensed and countered by the system, maintaining 1G flight. (1G is what you experience sitting in a chair at home or in an aircraft at cruise in smooth air). In effect, the airplane is doing the anticipation for the pilot.

Like the transition in the late 1950's from props to jets, fly-by-wire has been a major change for pilots. In general we welcome it for the many advantages it offers.

Experience has shown that to do his job, which is to ensure the safe arrival of his aircraft, the pilot must fully understand a much more complex airplane. Chesley Sullenberger reached up and started the APU (the Auxiliary Power Unit, a small turbine in the tail which can supply electrical and hydraulic power on the ground or in flight) as soon as his engines lost power. Why? Because he knew his airplane and he knew he wanted to keep it in Normal Law until touchdown.

The transition from props to jets was all about speed range, speed brakes and spoilers, high Mach number, coffin corner, Dutch Roll and super-stall, but in everyday life it was more about high drag on approach, no propwash, slow spool-up times, and operating on the back side of the power curve. This change took some adjustment on the part of pilots: the more experienced pilots had more adjustments to make. The same is true with the transition to fly-by-wire.

In a traditional airplane the pilot controls Angle of Attack with the elevator and the trim tabs or stabilizer. (More often he will be thinking of Airspeed, which is the constant-weight, 1G manifestation of AofA). He is used to feel, which is essentially the change in elevator neutral point with AofA. Should the aircraft slow on approach, the nose will get “heavy”, prompting him to pull back or trim nose-up.

That feel is totally absent in Airbus aircraft. (Boeing, in the B777, have added artificial feel to their fly-by-wire system). The Airbus pilot points and shoots, so to speak. Flying by hand he can take the bird, turning on a symbol (like a bird or an aircraft seen from behind) on his Primary Flight Display. The bird shows where his velocity vector is pointed; in other words, where is airplane will be so many seconds from now if he makes no further adjustments. On approach he can pin the bird on his flare point on the runway and either let the autothrust take care of the speed or adjust the thrust levers manually. If he does the latter, he must remember that there is no feel or feedback in the sidestick.

Obviously there are quite different assumptions operating during an approach in a Bonanza, one one hand, and an Airbus, on the other. This is not necessarily a bad thing. Take for example driving a car versus riding a motorcycle. In a car you steer with the steering wheel. In a motorcycle you counter-steer, putting pressure on the inside foot-peg and forward pressure on the inside bar, in effect trying to steer the front wheel the opposite way.

But you know you're on a motorcycle and not in a car. You have learned how to ride a motorcycle.

Consider, however, flying an Airbus if something goes wrong with a sensor or a computer and you wind up in Alternate Law or Direct Law. You are in the same vehicle but suddenly the rules have changed; the assumptions have changed. It is, in effect, no longer the same machine. This is a recipe which messes with a pilot's head.

Unfortunately, experience has shown that Direct Law, where control displacement is proportional to stick force and the airplane handles like a wet fish, is actually the more benign of the two degraded modes. There is a big message in red on the ECAM saying USE MAN PITCH TRIM. The pilot moves the THS (Trimmable Horizontal Stabilizer) by moving a wheel almost a foot in diameter. This is old-style, normal airplane flying, commanding AofA with stick force and trim. There is still no feel in the sidestick, but the procedure is familiar.

Alas, in Alternate Law there is no such familiarity. It is still point-and-shoot, sort of, but autotrim is still working. As long as there is back pressure on the stick the THS trims nose-up, and vice-versa. There is NO Stabilizer in Motion warning except the movement of the trim wheels. That would seem to be an easy thing to detect, but I can testify from personal experience that it is not. On every landing (in Normal Law) the flight control computers memorize the attitude at 50 feet Radio Altitude and at 30 feet start rolling in nose-down trim, in effect trying to mimic the feel of a normal aircraft slowing in the flare. In almost a decade of flying as Captain and Training Captain, whether as Pilot Flying or Pilot Not Flying, I cannot remember ever seeing the trim wheels move.

In two recent accidents an Airbus has hit the ocean with the THS wound to full nose up. In both cases the aircraft was in Alternate Law.

I am not an engineer. There are likely many ramifications that have not crossed my mind. But sitting here this afternoon my personal recommendation would be as follows:

Disable Autotrim in Alternate Law