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| ATC Watcher
March 22, 2025, 22:11:00 GMT permalink Post: 11852334 |
Probably five dozen lawyers have added, or will add, to their work-in-progress plans for their fact investigation and discovery activities locating, interviewing, and taking the depositions of retired ATCOs - with pertinent knowledge and appropriate credibility and experience, of course.
There were many things done wrong here that all had to happen for this to take place.
This started long before that night.
1. The actively used heli routes near landing traffic with merely hundreds of feet or less of "separation ". 2. The CA system being unreliable , it goes off all the time.. very high % of CA alarms in towers are useless. They do not have the effect outsiders or higher management think they do. We get so used to them going off that they don't carry the weight some wish they did. I have seen close calls where the CA goes off after the planes are a mile already past each other. 3. Visual separation with helicopters that normally use airspace, how often do they actually have traffic in sight and can maintain it? Are they just saying they do to get their job done? Should visual separation be allowed under NVGs ? 4. Many TCAS-RA problems under similar conditions, but nothing solid done about it? Where was management before? LSC? I honestly wonder if some controllers hated that operation but felt pressured into doing it to keep rate high and let the helis do their mission at the same time ? Subjects
ATC
Close Calls
Night Vision Goggles (NVG)
Separation (ALL)
Traffic in Sight
Visual Separation
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| island_airphoto
April 09, 2025, 00:10:00 GMT permalink Post: 11863047 |
WillowRun
From your perspective then, could you clarify : Controlled Airspace, See and Avoid re same, duty of care re ATCre controlled Airspace, specifically short finals, etc? May as well add split or proportional liability?? I am trying to get even a basic understanding of how a large helicopter flew in visual flight rules into a jetliner on short final, which was on an IMC approach, on slope. Both were \x93legal\x94. The helicopter busted altitude by 125 feet vertically, and just exactly enough horizontally. Que? The airplane was not in IMC, it was a clear night. They were on a visual approach to 33 and got hit by a helicopter. The helicopter said they had the traffic in sight and obviously didn't. That is the short version. Subjects
Accountability/Liability
See and Avoid
Traffic in Sight
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| island_airphoto
April 20, 2025, 17:29:00 GMT permalink Post: 11870631 |
"..... this was definitely not a case of "Well, they had the traffic info so they should have avoided it!" - it's wayyyyyy more subtle and complex than that. . . ."
Regrets: in my post trying to comment on Sailvi767's observation regarding the RJ crew having the best situational awareness, in retrospect I should have emphasized and explained what I meant by using the the word "imminent". The thread previously did clearly reference factors such as the inhibition of TAs and RAs at specified heights, and the TA alert. What seemed different in the post about the RJ crew's SA was what I, as only SLF/attorney, understood as the suggestion that a different crew with different mindset might have realized before the last second prior to impact that "erring on the side of caution" was the correct action to take. Please note - this is not an effort to put words into Sailvi767's post whatsoever. Perhaps it was already pretty clear to others, but I had thought - for the reasons your post H&H talks about - that naming the airline as a defendant in the lawsuits would be just for form's sake at best, and to draw in its insurance coverages. Every law student (in the U.S. that is, I don't know about other systems) is taught that a shorthand for negligence is whether the alleged negligent party "knew or should have known" about the risk of harm the party was creating. The observation that I think the post about the RJ crew's SA justifies is certainly not that they "knew". But it does suggest that although it is highly unlikely they "should have known", there either are some facts supporting the assertion that they "could have known", or at least enough facts to warrant making the airline a defendant. About prior safety-related reports and whether any risk assessments were done and what those assessments showed, it appears very likely if not certain that some answers to "who knows" will be found through the discovery process particularly, although not only, if the airline is named as defendant. (Lastly, I apologize for convoluting the thread.) WR 6-3 In real life the pilots were on short final and paying attention to airspeed and glideslope lights. Traffic that said they had them in sight and would fly behind them would not be a priority. Even if there was no tower at all, they owned that last 500 feet, random crossing traffic would not have right of way. Subjects
Situational Awareness
TCAS RA
Traffic in Sight
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| visibility3miles
April 20, 2025, 18:01:00 GMT permalink Post: 11870642 |
https://media.istockphoto.com/id/125...gcSoTmRDpMdzk= Subjects
See and Avoid
Traffic in Sight
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| FullMetalJackass
April 20, 2025, 20:10:00 GMT permalink Post: 11870682 |
Lawyers will sue everyone remotely involved. It is throwing pasta against the wall to see what sticks.
In real life the pilots were on short final and paying attention to airspeed and glideslope lights. Traffic that said they had them in sight and would fly behind them would not be a priority. Even if there was no tower at all, they owned that last 500 feet, random crossing traffic would not have right of way. Subjects
TCAS RA
Traffic in Sight
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| galaxy flyer
April 20, 2025, 20:22:00 GMT permalink Post: 11870688 |
Unfortunately the RJ crew would not have known that the other traffic had them in sight and were looking to avoid because, if I recall correctly, they were on a different frequency to the helicopter. If I get a traffic alert in my personal aircraft (I don't get RAs, just traffic warnings), I'm taking action to increase the altitude difference between me and the conflicting traffic. As others have said: Hoping the other aircraft has me in sight to avoid is not a foolproof plan of action.....
Subjects
TCAS (All)
TCAS RA
Traffic in Sight
VFR
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| EDLB
April 28, 2025, 09:48:00 GMT permalink Post: 11874753 |
The IP radioed "traffic in sight" which clearly showed that they had the wrong plane, if any in sight and lost both situational awareness. If have no idea why the helicopter had not its ADSB turned on. Training for real sneaking at night through DCA is idiotic as we know now with 20/20 hindsight. Visual separation with several planes in the area is challenging in daylight, let alone at night. You easy miss one.
Subjects
ADSB (All)
DCA
Separation (ALL)
Situational Awareness
Traffic in Sight
Visual Separation
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| Winterapfel
August 06, 2025, 18:42:00 GMT permalink Post: 11934308 |
Subjects
PAT25
Separation (ALL)
Traffic in Sight
Visual Separation
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| JustusW
August 06, 2025, 19:35:00 GMT permalink Post: 11934332 |
That is ultimately the call of the crew. ATC only gives the option, it's the PICs responsibility to assess whether it is feasible and safe. I don't personally know any ATCo who would be comfortable offering that in this particular scenario, but that's coming from the European perspective where we have nothing even close to the proximity of military/civilian mixed traffic. I only did a little approach familiarization and no tower work, but just talking to colleagues who did, I don't think I'd be comfortable to offer visual separation in that environment. But then again threat normalization is a pretty effective thing.
Subjects
ATC
Separation (ALL)
Traffic in Sight
Visual Separation
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| WillowRun 6-3
August 08, 2025, 16:19:00 GMT permalink Post: 11935293 |
Just went ,very selectively of course, through the thousand of pages of to the dockets and they give a clearer picture , to me at least . of the huge normalization of deviance that took place from both the DCA control staff and the [P]AT pilots. . . .
And to reply to a question earlier by DIBO on the discussion about ADS-B out not avail on the [P]AT, and its relevance for TCAS, well it would have influenced the degree of accuracy of the Tau calculation ( with Alt returns every 25 ft instead of 100 feet) and could ( again emphasis on could) have changed the alert logic/timing of the TA. Non installation of ADS-B and flying 70 ft too high are probably one of the points the lawyers are going to get into to prove negligence from the military to get more money for their clients , possibly shadowing the real causes. ; which for me are still the design of the procedure and routes, and the failure of the Regulator to act on the alerts. . Love to hear Willow-Run 6-3 comment on this . . As for the airline, to fault the pilots when they were on short finals and expected to concentrate on flying - as others have expressed here numerous times - seems very ill-founded. Whether the airline company could be alleged to have responsibility for not having spoken up more effectively to cause the airspace design and procedure to be redone also strikes me as far too oblivious to the actual operation of the NAS, and the FAA and Congressional processes, to have any validity as an approach to liability. The airline and even Sikorski could still be named as defendants but, to reiterate, this would be just for leverage and not because there is any real pathway to liability for either one. That having been set as background, the first context ignores the existence of sovereign immunity issues and looks just at what happened and who was responsible. As a rubric for this, "normalization of deviance" seems very accurate. This includes the fact that over time, ignoring Conflict Alerts came to be routine. It includes the practice of confirming "traffic in sight" or related proper terminology, for visual separation even though no traffic had been sighted yet - because it had become routine that the traffic would come into view and be properly identified as the traffic ATC had called out. The testimony about "just make it work", as I heard it, similarly was very concerning; iirc an overall very credible FAA witness acknowledged that the "just make it work" attitude also resulted in decreased safety margins. As did the medical helicopter operator who also had Army helicopter service background. Add in the lack of advanced training, and though I have not practiced law as legal counsel for accident victims' families, the liability theories here appear strong. Then factor in the use of 3-3 to allievate congestion from high departure rates, rather than slowing or reducing departure slots. Part of the pressure to use 3-3 (as I understood the testimony) was that the Potomac Tracon wanted to increase in-trail separation but DCA instead increased use of 3-3. This was consistent with the attitude, "just make it work". As to ADS-B on the helicopters, my understanding is that given the roles and missions of the helicopter operations, ADS-B is not equippage the military and its civilian control (in the sense of oversight) could have approved consistent with those roles and missions generally, and especially the continuing-of-government function. Putting all the causal factors together into a "theory of the case" is perhaps better left to advocates for the accident victims' families (just as defense theories better left to defense counsel in this matter). But since you've impliedly asked, I would not - in this first context - parse out three of the four factors you noted, the lack of ADS-B being the one left out. That leaves the helicopter operating approximately 70 feet too high, the airspace design and procedures including the helicopter routes, and the inaction following the several safety alerts in databases and other reporting functions prior to the occurence of the accident. And including the forced enlistment of DCA for handling more traffic than the widely accepted airspace utilization and safe operation rules and procedures would allow - but they "just made it work." In other words, all of these three factors combine into the most likely theory of liability. There is a second context, however. Federal government defendants are protected, despite the broad removal (waiver) of sovereign immunity by federal statute, from liability if the alleged negligence resulted from the exercise of discretion. If the actions or omissions being challenged resulted from decisions in which the federal entity weighed economic, social, political and other factors against each other in a form of "policy" decision-making, sovereign immunity remains in place. You can see where this is leading, of course. At what point does the over-use of DCA move out of the protection of "discretionary functions and decision-making" and into the realm of ... just plain negiligence which needs to be addressed in a court action. And likewise, at what point does the Army's set of decisions about how the routes are flown, and how visual separation and traffic sightings are handled, move out of the protection given by discretionary decisions and into the realm of significant negligence not deserving of such protection? Same question for FAA - surely the presence of safety concerns in databases and reporting systems - as unorganized as they may be and as lacking in systematic review as they may be - are matters within the FAA's discretionary functions and decision-making . . . until they're not. (And not equipping PAT helicopters or other D.C.-based Very Important air transport operations by helicopter with ADS-B would have no chance of being ruled not resulting from a discretionary function and decision - it's not even arguable imo.) I almost included with this (already lengthy) post the "syllabus" of the U.S. Supreme Court's decision in the United States v. Varig Airlines case, which I think is the most pertinent aviation case in which the discretionary function rule is fundamentally involved....but this isn't a legal forum. Still, the U.S. S. Ct. opinion (467 U.S. 797 1984) gives me uncertainty about how any court of competent jurisdiction will draw the line between what would in a case against a not-federal defendant definitely appear to be negligence, and the actions and omissions of the federal defendants here. (My personal view is that the federal defendants acted with such severe negligence that the discretionary function protection has been lost - but that is a gut reaction to the "this accident never should have happened" idea and not legal analysis.) Finally and last for a reason, I am not commenting about the motives of legal counsel who are representing or advising clients involved in this matter. I have not practiced law a single day, or a single billable hour, or otherwise, on behalf of the families or representatives of aviation accident victims, or the defendants in such matters. As a result, in participation as a guest on this forum I think it's much wiser to let the members of the bar who do have clients and who do practice in this area let their conduct in their professional capacities speak for itself. Subjects
ADSB (All)
ADSB Out
ATC
Accountability/Liability
DCA
FAA
Separation (ALL)
TCAS (All)
Traffic in Sight
Visual Separation
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| ignorantAndroid
August 10, 2025, 06:48:00 GMT permalink Post: 11936029 |
There have been a number of references above to the woefully inadequate vertical separation provided between helicopter Route 4 and the approach to Runway 33. Given altimeter errors (expected and maybe not so expected) in the helicopter, a helicopter flying high (and possibly offset sideways towards the end of Runway 33) and an aircraft maybe low on approach, there really wasn\x92t any guaranteed separation.
I strikes me that, from my layman\x92s point of view, that this is the primary and gaping hole (among numerous others) in the Swiss cheese here. At the same time, I get the sense that no controller was ever going to allow a helicopter to pass directly under an approaching aircraft and challenge that limited clearance. My question is, should this have been (or was it?) formalized as an ATC procedure? Because if this had been proceduralized, I find it hard to believe that just nighttime VFR separation would have been found acceptable in that environment. Rather I would think that lateral separation should have been actively managed by ATC.
For one thing, with the CRJ (or whatever aircraft) pilots making a late switch to 33, turning to line up with the runway, etc., they may not have had the bandwidth to scan for a possibly conflicting helicopter, if they could even have seen it from their cockpit. (IIRC from the inquiry, the NTSB will be investigating that last point.)
Subjects
ATC
Blackhawk (H-60)
CRJ
IFR
NTSB
Route 4
Separation (ALL)
Traffic in Sight
VFR
Vertical Separation
Visual Separation
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| andihce
August 10, 2025, 07:27:00 GMT permalink Post: 11936037 |
It's simple; the altitude restriction was never intended to be the sole method of separation. At most, it was an additional layer of protection. The controller wouldn't have cleared the Blackhawk to continue if they hadn't said they had the traffic in sight. But they did say that, whether it was true or not. ATC is a service provided to pilots, not an authority. Pilot-applied visual separation essentially overrides any procedure used by ATC. When you say "Traffic in sight," you are saying "I don't need your help maintaining separation, I have it under control and I take full responsibility."
Yet was not the controller required to inform the CRJ of the helicopter, which (as the inquiry noted) he failed to do? Thus a possible cross-check was lost. Last edited by andihce; 10th August 2025 at 07:28 . Reason: Fixed quoting Subjects
ATC
Blackhawk (H-60)
CRJ
IFR
Separation (ALL)
Traffic in Sight
Visual Separation
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| Stagformation
August 10, 2025, 09:11:00 GMT permalink Post: 11936070 |
Are you sure about that? My understanding of Class B airspace is that all aircraft proceed only on the basis of an ATC clearance. So to re-parse your statement\x85When a pilot says \x93Traffic in sight\x94 it just means he can see it, nothing more. It\x92s when he then says, \x93Request visual separation\x94 that he\x92s suggesting to the Local Controller he doesn\x92t need help with separation. And then it\x92s only when the Local Controller says, \x93Visual separation approved\x94 that the pilot takes on the responsibility for separation. Subjects
ATC
Separation (ALL)
Traffic in Sight
Visual Separation
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| ignorantAndroid
August 10, 2025, 18:08:00 GMT permalink Post: 11936308 |
Are you sure about that? My understanding of Class B airspace is that all aircraft proceed only on the basis of an ATC clearance. So to re-parse your statement\x85When a pilot says \x93Traffic in sight\x94 it just means he can see it, nothing more. It\x92s when he then says, \x93Request visual separation\x94 that he\x92s suggesting to the Local Controller he doesn\x92t need help with separation. And then it\x92s only when the Local Controller says, \x93Visual separation approved\x94 that the pilot takes on the responsibility for separation.
"Request visual separation" is non-standard.
https://www.faa.gov/air_traffic/publ...section_2.html Subjects
ATC
Separation (ALL)
Traffic in Sight
Visual Separation
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| Sailvi767
August 11, 2025, 17:19:00 GMT permalink Post: 11936840 |
@
Sailvi767
: Are you suggesting that somehow the CRJ crew bears some responsibility in not acting on a TA and therefore bears some responsibility in this accident ? At least this is what I am making of your posting .
If I am correct can you stop this discussion Remember journalists and possibly families members of those 2 pilots are watching too. To close that bit just read the CRJ CVR transcript (*) 47:29 : eGPWS : 500 hundred 47:35 : I got 2 whites and 2 red 47:37 : cool ( my note : so they were looking at the PAPI ) 47::40 : "Traffic traffic " ( my note : TA audio) 47:47 : TWR :" PAT 25 pass behind the CRJ " 47:55 : eGPWS : ...hundred .. 47:58 " Oh Sh!!!!! 47:59 : sound of impact . Subjects
ATC
CRJ
DCA
Pass Behind
Pass Behind (All)
Pass Behind (PAT25)
TCAS (All)
Traffic in Sight
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| Stagformation
August 12, 2025, 00:21:00 GMT permalink Post: 11936996 |
No, they're exactly the same. If you say "traffic in sight" then the controller will immediately say "Maintain visual separation."
"Request visual separation" is non-standard.
https://www.faa.gov/air_traffic/publ...section_2.html Absolutely, it was a non-standard discourse. But however you look at what was said, PAT 25 requested the change to visual separation. Meaning PAT25 correctly believed he was under standard 1.5nm/500ft separation at the time and that he needed LC approval for Visual separation to be applied. The change in the separation standard being applied did not happen until the LC accepted PAT 25\x92s traffic visual report and authorised the change. It\x92s not an automatic change made just on the pilot\x92s say so, ie by reporting visual, which I think is what you may be implying (happy if you correct me). Both pilot and LC are necessary (and both made errors here). Subjects
ATC
PAT25
Separation (ALL)
Traffic in Sight
Visual Separation
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| missy
August 12, 2025, 04:41:00 GMT permalink Post: 11937043 |
As I posted on here before I had that exact same scenario happen to me on runway 33 in DCA. Traffic closing on a collision course on TCAS. Tower reported the traffic had us in sight. When the traffic closed to \xbd mile with no vector change apparent We went around from 400 feet. We never saw the traffic. Tower chewed my butt saying the traffic had us in sight. I didn\x92t care.
In the case you quote, Tower reported the traffic had you in sight. In the case in question, AA5342 was not provided traffic by the DCA LC. In the case you quote, did Tower say that the traffic was going to maintain own separation? Did Tower provide a bearing/direction and distance to this traffic? Did Tower provide the height of the traffic? Subjects
AA5342
DCA
Separation (ALL)
TCAS (All)
Traffic in Sight
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| Hot 'n' High
August 12, 2025, 10:13:00 GMT permalink Post: 11937144 |
In other words, Twr would delegate separation to me with the initial clearance but, if for whatever reason, they became unhappy - I got issued with a revised, more restrictive, clearance. Similarly, if I lost sight of the traffic at any point after the initial "Report Final" clearance, it was my responsibility to advise ATC that I was no longer visual with XYZ (ie I could no longer comply with the clearance ATC had given me) and ATC would then update my clearance on that basis - "..... report ready for base" or similar until they could visually assure themselves of separation. Indeed, on those occasions, it was not unknown for ATC to say "C/S, I have you both in sight - that traffic is well ahead of you, report Final XX, No 2". I was thus relieved of my responsibility to self-position. What ATC giveth away in their airspace ATC can taketh back again in their airspace! Now, "normalised deviation" may skew such a way of working such as PAT routinely expecting to get what they ask for and ATC routinely giving them what they want......... Not saying that happened at DCA but............ Also, I've lost track in the Thread if PAT were visual but with another a/c or the intended one but simply "lost it" at some point........... And whether visual separation at night in such busy airspace was wise ............ Last edited by Hot 'n' High; 12th August 2025 at 10:23 . Subjects
ATC
DCA
IFR
Separation (ALL)
Traffic in Sight
Visual Separation
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| Sailvi767
August 12, 2025, 18:10:00 GMT permalink Post: 11937389 |
Subjects
Traffic in Sight
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| Musician
August 14, 2025, 08:04:00 GMT permalink Post: 11938210 |
That would perhaps be a standard definition of "normalization of deviance". But I think there is a possible extension of that definition, which allows for the procedure to be flawed or open to interpretation, and considers "deviance" as
departure from safe operation
, even while the procedure is technically observed. It could also be the case that the procedure was initially valid, but became marginal as a result of changes in its area of application since its inception.
In the present case (without knowing exactly what procedures were in effect), I could argue that permitting visual separation at night in this particular environment was a key procedural flaw. But it was accepted as there had been no accidents as a result, even as perhaps traffic density, etc. increased risk over time.
We don't know if the heli crew thought they had seen that traffic (but picked the wrong one) or not, though the CVR conveys the impression they didn't, because they didn't talk about it (like they did about other traffic earlier in the flight). It's also difficult to judge distance if all you see is a light, in your night vision goggles. And it's especially difficult if you fail to predict the other aircraft's maneouver. The CRJ rolled out on final only 7 seconds before the collision. Until then, from a purely visual standpoint, everything would've looked fine. It required the heli crew to be aware of where the runway 33 extended centerline was (and where they were) to avoid being where the CRJ was going. Subjects
CRJ
Separation (ALL)
Traffic in Sight
Visual Separation
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