Posts about: "Wikipedia" [Posts: 9 Page: 1 of 1]ΒΆ

Semreh
January 30, 2025, 09:18:00 GMT
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Post: 11817034
Putting humans in situations where failing to notice something results in catastrophic consequences is bad engineering, not human error. I am very glad that no-one is pointing at one, or either, pilot or flight-crew's actions or inactions and saying pilot/human error.

The human visual system is good at picking up movement across the visual field. As other have pointed out, if the two aircraft were on intersecting vectors, there would be no relative movement to be picked up. Bright(er) lights don't help: if anything, they make it harder to make out the source from the background, as the bright light makes the local background look like a uniform dark field.

From a 'human factors' point of view, if you have an incorrect situational awareness model in your consciousness, it is difficult to remain flexible enough to recognise you might be wrong - misidentifying the next in sequence, AAL3130, landing runway 1, as the CRJ (IF that is what happened) is hard to recover from.

We should not blame the flight-crews. We should not engineer them into situations where incorrect interpretation of what were likely inputs that were easy to interpret in more than one way become catastrophic. The problem is not restricted to air-navigation. One of the many reasons Norway lost the frigate Helge Ingstad in a collision was misidentification of a moving object (a brightly lit oil tanker) as a stationary object (an oil terminal), and incorrectly ascribing radio transmissions as coming from other moving ships in the vicinity,

The personnel on the bridge of Helge Ingstad both before and after the change of watch 20 minutes before the accident were of the opinion that the lights they saw from Sola TS were from a stationary object in connection with the Sture Terminal , and not from an oncoming ship. Contrary to the International Regulations for Preventing Collisions at Sea , [60] "Sola TS" had the same deck lights on after the ship left as when they were still at the terminal. The personnel on the bridge of Helge Ingstad were of the opinion that the radio call just before the accident was from one of the three other oncoming ships.
We should look at how to engineer things better to avoid this happening: this does not mean 'more training', 'brighter lights', or putting additional human-operated steps in already complex procedures.


Subjects CRJ  Situational Awareness

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OldnGrounded
January 30, 2025, 22:30:00 GMT
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Post: 11817712
Originally Posted by canigida
The operation of DCA is a decision for Virginians (there are no 'DC' airports).
Umm, no. DCA and IAD are both operated by the Metropolitan Washington Airports Authority. The real estate itself is still owned by the US Government (via the Department of Transportation, I think). Per the Wikipedia entry:


Last edited by OldnGrounded; 30th January 2025 at 22:53 . Reason: Typo

Subjects DCA  President Donald Trump

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Easy Street
February 16, 2025, 09:42:00 GMT
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Post: 11829100
Originally Posted by HaroldC
But the take home point is that one cannot admit to knowing a practice is fundamentally unsafe, yet do it anyway.
It's an interesting comparison, but I am not sure it's fair to say that a controller would know that visual separation at night is unsafe or appreciate the counterintuitive point that NVG make it less safe. Of course, they *should* know, but since they don't need to have night flying (or any flying) experience of their own, they are reliant on being educated on that point. That would be a matter for the regulator (specifically, pilots and human factors specialists within the regulator) to ensure. The same goes for the more robust option of prohibiting night visual separation entirely.
Spoiler
 
Returning to your doctor analogy: if front line medics prescribed a drug which years later turned out to be harmful to patients, despite following all professional best practice and having no reason at the time to suspect that the drug had been wrongly certified, it would be grossly unfair to hold the medics responsible. Instead we would turn to the drug regulator and those who carried out the trials.
Spoiler
 

Last edited by Easy Street; 16th February 2025 at 10:32 .

Subjects ATC  Night Vision Goggles (NVG)  Separation (ALL)  Visual Separation

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Wide Mouth Frog
February 17, 2025, 15:07:00 GMT
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Post: 11829956
Originally Posted by Chiefttp
Those helicopter routes NO NOT HAVE LATERAL BOUNDRIES. According to a few military helicopter pilots I spoke to, there is no listed lateral BOUNDARIES outside of common sense and following the charted route. , but there are HARD ALTITUDE BOUNDARIES.
Playing Devil's Advocate for a moment, if the heliroutes are published for the common sense use of participants, not for the protection of air transport, and we further accept that it is not within the purview of ATC to question the discretion of willing users, I'm afraid we can only fall back on this accident being the sole responsibility of the helicopter. Which I guess is is another way of re-stating your last post.

The debate about how the altimeters could have been calibrated wrong seems like they are looking for an excuse that most pilots won’t believe.
I wouldn't put it past the FAA to pull a stunt like that, read Mary Schiavo's (ex IG of the Dept. of Transportation) book if you want to know how wily they can be. And Jennifer gave them the perfect lay up in the last briefing.

Last edited by Wide Mouth Frog; 17th February 2025 at 15:28 .

Subjects ATC  FAA

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truckflyer
February 18, 2025, 08:00:00 GMT
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Post: 11830516
Originally Posted by Wide Mouth Frog
Playing Devil's Advocate for a moment, if the heliroutes are published for the common sense use of participants, not for the protection of air transport, and we further accept that it is not within the purview of ATC to question the discretion of willing users, I'm afraid we can only fall back on this accident being the sole responsibility of the helicopter. Which I guess is is another way of re-stating your last post.



I wouldn't put it past the FAA to pull a stunt like that, read Mary Schiavo's (ex IG of the Dept. of Transportation) book if you want to know how wily they can be. And Jennifer gave them the perfect lay up in the last briefing.
If you put bad data into the best computer in the world, you will get bad data coming out of it. I would rather set the blame to the procedure designers and those who approved these Heliroutes.
It's way to easy to blame the pilots, over the years there have been incidents due to incorrect QNH settings, were both pilots and ATC have failed to catch the error, in a busy airspace with overworked ATC, late change of runway for airlines, and military helicopters using Night Vision Goggles, altimeter equipment failure/error.

Even the Max 200 ft altitude under the approach to a major US airport is an accident waiting to happen, and whoever approved this to be used during normal operations should be investigated. The CRJ was at around 325 ft on a visual/circling approach when it crashed, does anyone really think it's great airmanship to have a Black Hawk helicopter at 200 ft passing under you?

That's what made the Swiss Cheese model line up perfectly, a planned approved separation of 125 ft was the "best case" scenario.

Subjects ATC  Accident Waiting to Happen  Blackhawk (H-60)  CRJ  FAA  QNH  Separation (ALL)

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Wide Mouth Frog
February 22, 2025, 17:10:00 GMT
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Post: 11833774
Originally Posted by PEI_3721
WMF,
… well having searched the usual places and the NTSB, you will have to help with directions and text for reference.

There is a NTSB Charter for data, but nothing which explains the link between ICAO and the USA, and thence to the NTSB and investigation, or the required statement of any USA deviation from the ICAO guidance (Annex 13).
Notwithstanding https://www.ntsb.gov/about/organizat...office_as.aspx
" fulfill U.S. obligations under International Civil Aviation Organization agreements"
"to examine specific aviation safety problems from a broader perspective.
"

But back to the thread. Are there any reasons why NTSB might not comment on the wider organisational aspects as indicated in the discussion. Also noting that the NTSB have no powers of enforcement, relying on the FAA; thus if the FAA process were to be identified as deficient, who mandates change.
,,
There you go. A bit of work with google is never time wasted. I offered an opinion about the extent to which the NTSB might be incentivised to explore issues of the mission of the FAA, and like all opinions, it resides in the domain of politics. That's a possible reason why the NTSB might not choose to go there. However an ex-Inspector General of the Dept of Transportation had strong views on the subject, and I give a lot of weight to her opinion, supported as it is by her personal experiences of dealing with the FAA.

Subjects FAA  ICAO  NTSB

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Someone Somewhere
March 18, 2025, 00:23:00 GMT
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Post: 11849335
Originally Posted by safetypee
Dr David Woods PhD

"\x85 to everyone in safety: look at the DCA midair collision given info in urgent action letter from NTSB. Widespread systems issues, total breakdown of proactive safety; repeats history from Herald of Free Enterprise to Challenger, Columbia etc. see my chapters on (Columbia testimony to Congress, RE book 2006 & 2005 Organization at the Limit book). Highlights real issues of multiple sometimes conflicting goals over multiple jurisdictions/perspectives, signals discounted in the face of ongoing production pressures, etc. Also note the reactions to failure. All well understood in 3 books capturing the new look work of the 80's -- 1990 (Reason) / 1994 (Woods etal) /1997 (Reason)."
Yet here we are all over again. All over again.

https://www.linkedin.com/posts/davidwoods3_to-everyone-in-safety-look-at-the-dca-midair-activity-7307401640821563392-I5Ez/?utm_source=share&utm_medium=member_ios&rcm=ACoAAAizWBQBjDn2 SfSP5os0fcB7hU2U_S8Iv3k

..
Frankly, a lot of lessons shown in rail accident reports from the 1800s still haven't fully been learnt outside the rail industry. Aviation is unforgiving of mechanical failures but rail is equally unforgiving of procedural failures.

https://en.wikipedia.org/wiki/Clayton_Tunnel_rail_crash
The catastrophe publicised the problem of trains travelling too close together, with signalmen having to appraise the situation too quickly for safety's sake. A simple communication mistake between the two signal boxes caused havoc that Sunday, but the telegraph was also blamed for the tragedy because it did not register without continual pressure on the switch. The signal, too, was also at fault for not returning to "danger" immediately after the train had passed. The accident encouraged the use of the block system (rather than the time interval system ) for the remainder of the railway system.

One other aspect of this accident was that Signalman Killick was working a continuous 24-hour shift that day, rather than the regulation 18 hours to gain a complete day off duty. In his report on the accident Captain Tyler stated that "it was disgraceful that a man in so responsible a position as Signalman Killick should be compelled to work for twenty-four hours at a stretch in order to earn one day of rest a week."

Subjects DCA  NTSB

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Someone Somewhere
March 26, 2025, 02:26:00 GMT
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Post: 11854317
Originally Posted by galaxy flyer
Surely you jest on overheight warning systems—I’ve never heard of or seen. You around for videos of truck-overpass collisions. As a permit load trucker told me, “you can swerve but you can’t duck”. I looked at the CBE traffic and couldn’t count the number of 13’6” trucks going under12’8” overpasses.
For the extreme option , here's a projection onto a water curtain:



The classic 11'8" bridge of youtube fame has overheight lights. The bridge has since been slightly raised and the warning systems improved but still gets people driving straight through them.



Even the London Underground has frangible fittings to detect taller surface stock trains incorrectly approaching a deep-level tube tunnel, throwing signals to danger and thus raising trainstops, which if passed apply the emergency brakes. The latter is important, because SPADs (Signal Passed At Danger) are still not uncommon.


They're not everywhere. It's a risk analysis based mainly on the inconvenience and cost of the cleanup and closure for the bridge/tunnel, and how many overheight vehicles are actually impacting the obstacle. They also don't work especially well because people assume the overheight warning couldn't possibly apply to them .

There's probably some degree of tolerance involved; e.g. bridge marked at 4.4m, sensors at 4.6m, bridge is actually 4.8m. I'm not sure what the actual standards are.

Subjects: None

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Musician
September 30, 2025, 18:35:00 GMT
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Post: 11962172
Big bus for the Concorde accident WillowRun 6-3 :
https://en.wikipedia.org/wiki/Air_Fr..._investigation
In March 2008, Bernard Farret, a deputy prosecutor in Pontoise, outside Paris, asked judges to bring manslaughter charges against Continental Airlines and two of its employees – John Taylor, the mechanic who replaced the wear strip on the DC-10, and his manager Stanley Ford – alleging negligence in the way the repair was carried out.[...] The convictions were overturned by a French appeals court in November 2012, thereby clearing Continental (which had merged with United Airlines by then) and Taylor of criminal responsibility.
Continental still retained the civil liability.

Subjects Accountability/Liability

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