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| alf5071h
February 09, 2025, 17:11:00 GMT permalink Post: 11825027 |
The procedure was wrong , the safety case botched , and as I understand, the " book " allowing all this was followed by both the controller and the helicopter pilot .
Let's discuss the procedures and visual separation delegation at night in busy airports instead on focusing on what the controller should have done , implying indirectly some form of responsibility in this accident.. Subjects
ATC
Separation (ALL)
Visual Separation
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| deltafox44
February 09, 2025, 18:15:00 GMT permalink Post: 11825063 |
Just to put the things back into perspective : whether the controller had a radar display in front of him or not ,, whether there should have been a separate controller in the Heli frequency ,both would not have changed anything in this case since he delegated separation to the helicopter , The visual identification by the helicopter was confirmed ( twice) , instruction to pass behind was confirmed = controller no longer responsible , standard procedure in DC since the guys worked there , and he had a lot of other traffic to attend to.
To discuss what he could or should have done is just playing " Captain hindsight " The procedure was wrong , the safety case botched , and as I understand, the " book " allowing all this was followed by both the controller and the helicopter pilot . Let's discuss the procedures and visual separation delegation at night in busy airports instead on focusing on what the controller should have done , implying indirectly some form of responsibility in this accident.. cf FAA Order JO 7110.65AA 7.2.1.a.2 Pilot-applied visual separation
(d) If the aircraft are on converging courses, inform the other aircraft of the traffic and that visual separation is being applied.
(e)Advise the pilots if the radar targets appear likely to merge. Last edited by deltafox44; 9th February 2025 at 19:04 . Reason: adding source Subjects
ATC
FAA
Pass Behind
Pass Behind (All)
Radar
Separation (ALL)
Visual Separation
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| island_airphoto
February 09, 2025, 19:15:00 GMT permalink Post: 11825080 |
Just to put the things back into perspective : whether the controller had a radar display in front of him or not ,, whether there should have been a separate controller in the Heli frequency ,both would not have changed anything in this case since he delegated separation to the helicopter , The visual identification by the helicopter was confirmed ( twice) , instruction to pass behind was confirmed = controller no longer responsible , standard procedure in DC since the guys worked there , and he had a lot of other traffic to attend to.
To discuss what he could or should have done is just playing " Captain hindsight " The procedure was wrong , the safety case botched , and as I understand, the " book " allowing all this was followed by both the controller and the helicopter pilot . Let's discuss the procedures and visual separation delegation at night in busy airports instead on focusing on what the controller should have done , implying indirectly some form of responsibility in this accident.. The specific one only applies to DCA, so unless you fly there for your job or want to fill out 1001 forms to get your own airplane in there, no worries, no one else does crazy stuff like that with helos. The general one for me so far is how easy it is to see the wrong traffic at night and the next "do you see X" I get at night I am going to be triple-redundant sure and then some before saying I do. Subjects
ATC
DCA
Pass Behind
Pass Behind (All)
Radar
Separation (ALL)
Visual Separation
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| YRP
February 09, 2025, 20:32:00 GMT permalink Post: 11825106 |
Just to put the things back into perspective : whether the controller had a radar display in front of him or not ,, whether there should have been a separate controller in the Heli frequency ,both would not have changed anything in this case since he delegated separation to the helicopter , The visual identification by the helicopter was confirmed ( twice) , instruction to pass behind was confirmed = controller no longer responsible , standard procedure in DC since the guys worked there , and he had a lot of other traffic to attend to.
To discuss what he could or should have done is just playing " Captain hindsight " The procedure was wrong , the safety case botched , and as I understand, the " book " allowing all this was followed by both the controller and the helicopter pilot . Let's discuss the procedures and visual separation delegation at night in busy airports instead on focusing on what the controller should have done , implying indirectly some form of responsibility in this accident.. A second controller -might- have had more time to observe the conflict. They -might- have twigged and second guessed the helo's separation. But they very well might not have. The spacing might have been close enough to the every day occurances that the controller might not have been able to tell. Having the helicopters on a separate frequency from the fixed wing would certainly not have helped anyone's situational awareness. Subjects
ATC
Pass Behind
Pass Behind (All)
Radar
Separation (ALL)
Situational Awareness
Visual Separation
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| ATC Watcher
February 09, 2025, 21:03:00 GMT permalink Post: 11825124 |
Not implying any form of responsibility to anyone, the "book" says that in the case of a visual separation, if the 2 traffics converge, the controller should advise the other pilot. Perhaps the same controller on both frequencies was too busy to do so, and a second controller would have helped.
cf FAA Order JO 7110.65AA 7.2.1.a.2 Pilot-applied visual separation
@ YRP
:
Having the helicopters on a separate frequency from the fixed wing would certainly not have helped anyone's situational awareness.
Subjects
ATC
FAA
Separation (ALL)
Situational Awareness
Visual Separation
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| Wide Mouth Frog
February 10, 2025, 18:56:00 GMT permalink Post: 11825666 |
+1
I think many pilots would have made a mistake indentifying : seen from the helo, there are 3 aircraft in final, plus 1 on take-off, at the same bearing, how can you tell for sure which is the one "just south of Wilson Bridge" ?
NYT has attempted a reconstruction of the visual picture
from the Blackhawk at the time of the first traffic alert, with the CRJ just south of Wilson Bridge.
They could only later identify the correct light spot by following its trajectory according to their mental image of the approach to 33.
At the same time the accident aircraft peels off to the right to swing around and line up to 33, thus taking his (smaller) lights out of the helicopter's direct line of vision and leaving 3130's (brighter) lights still heading to 01 to decoy the pilot. The reflexive nature of the helicopter's responses suggest to me that the full implication of 'circling to 33' in the tower's first call was missed, and also sort of implies that the helicopter could not conceive that following (nearly) the published heliroute could lead him into conflict with an aircraft on final. Me neither.
NOTAM 5/1069 for DCA, valid from 07 Feb 0200 UTC until 31 March 2359 UTC
Last edited by Senior Pilot; 10th February 2025 at 21:22 . Reason: Quote Subjects
Blackhawk (H-60)
CRJ
DCA
New York Times
PAT25
Separation (ALL)
Visual Separation
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| Wide Mouth Frog
February 10, 2025, 20:51:00 GMT permalink Post: 11825711 |
Helicopter heading would affect where the picture appeared in the windows, but the actual picture itself is invariant under heading. Of course if the heading was such that the picture was behind the window pillar, then it would raise even further questions about the reflexive requests for visual separation and reinforce the notion that the helicopter had a reasonable assumption that a published heliroute would keep it deconflicted from landing traffic.
I'm more familiar with the London Heliroutes (see earlier posts on this thread) where the only time you'd be asked to accept visual separation is from opposite direction helicopter traffic also on the routes. You simply wouldn't get a clearance to start on any route unless all helicopters involved had already accepted visual separation. A helicopter would never need or ask for visual separation from fixed wing traffic, because the routes are designed and operated to achieve procedural separation. Subjects
Separation (ALL)
Visual Separation
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| DIBO
February 11, 2025, 13:27:00 GMT permalink Post: 11826087 |
as indicated by several others (but without formal proof ufn) the Route4 / RWY33 APP combination was never designed to give any vertical separation nor protection. So "their airspace" (=CRJ's) was the normal approach sector/path for a RWY 33 approach, without any relation to the 200ft max (recommended?) on the Heli route
Subjects
Separation (ALL)
Vertical Separation
Visual Separation
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| airplanecrazy
February 11, 2025, 19:28:00 GMT permalink Post: 11826281 |
I’m not sure your quoting FAA helicopter routes as having no defined centreline or width would strictly apply in DC versus what they wrote about the North Shore of Long Island route in NYC where they are required to be 1 mile off the shoreline. As shown on the published helo chart (DIBO’s post #863, and your little chart insert) and in writing (BuzzBox’s post #998) Route 4 directs traffic to track “via the east bank of the Potomac” from the Wilson Bridge to Anacostia River. If the impact point was 1000 feet or so (give or take some trig) from the east bank of a 3000 feet wide river at that point wouldn’t this mean that PAT25 was not only too high but off track too? Otherwise according to your graphic even at 200 feet max elevation, being that distance from the east bank any helicopter not maintaining visual separation could collide if an AC was still positioning itself from being low on the glideslope.
DCA Helicopter Routes Given these chart differences, I wonder how far a helicopter can stray from the various depictions of a route before it is considered a pilot deviation? Perhaps the NTSB will give us some insight with their accident report. Last edited by airplanecrazy; 14th February 2025 at 23:53 . Reason: Emphasize the route "appear" Subjects
DCA
FAA
NTSB
PAT25
Route 4
Separation (ALL)
Visual Separation
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| ATC Watcher
February 12, 2025, 16:42:00 GMT permalink Post: 11826805 |
Hi, ATC Watcher,
I am sorry you see a witch hunt in my post. It was supposed to be an idea for a future improvement, rather than a criticism of the very hard worked man who was on the job. On the flying end, there is quite a rigid procedure to follow if a TCAS RA goes off. From posts since I see, that there seems to be one for for STCA triggers too. It seems to me that the gravity of the situation is brought faster to a pilot's attention if the Conflict warning is announced on the RT. That is just one factor in this sad affair of course. Both TCAS and STCA are last ditch saviours but only if full attention can be paid to them. Now on the Conflict alert on the BRITE display . I have no first hand info on the SOPs in DCA on how a TWR controller uses the BRITE and if STCA are even displayed . `, but if they are, seen the charts and the routes , I guess STCA alerts are very common .especially when you delegate separation and you then play with a couple of hundred feet, vertical separation Too many unnecessary alerts equals normalization of deviance, . Look at the Haneda preliminary report , same .. Finally since you mention TCAS RAs , there is a major difference with STCA , it is not the same as a TCAS RA . With an RA , as a pilot you have to react and follow , it is mandatory , for a controller a STCA is just an alert , just like a TCAS TA , if in your judgement it will pass you will not do anything , and if you have already issued a correcting instruction ( heading, level , etc,,) or here delegate visual separation , the STCA just becomes a nuisance. . I sincerely hope the DC Controller will not be made the scapegoat of this accident . Not so sure it will not. Subjects
ATC
DCA
FAA
NTSB
Preliminary Report
Separation (ALL)
TCAS (All)
TCAS RA
Vertical Separation
Visual Separation
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| PJ2
February 12, 2025, 19:46:00 GMT permalink Post: 11826918 |
Hi Bill , understood, I was a bit too harsh maybe, but I get upset to continuously read what the controller should have done. Remember he was trained like this , to follow procedures that were basically unsafe in order to move the traffic . I can say unsafe because they were removed immediately after the accident , not waiting for the NTSB to recommend it . No everyone is stupid in the FAA , they knew this route was in conflict with 33 Visual arrivals. And did not pass any safety case, but the procedure was kept , most probably due political or military pressures , relying on controllers and pilots to mitigate the risks.
Now on the Conflict alert on the BRITE display . I have no first hand info on the SOPs in DCA on how a TWR controller uses the BRITE and if STCA are even displayed . `, but if they are, seen the charts and the routes , I guess STCA alerts are very common .especially when you delegate separation and you then play with a couple of hundred feet, vertical separation Too many unnecessary alerts equals normalization of deviance, . Look at the Haneda preliminary report , same .. Finally since you mention TCAS RAs , there is a major difference with STCA , it is not the same as a TCAS RA . With an RA , as a pilot you have to react and follow , it is mandatory , for a controller a STCA is just an alert , just like a TCAS TA , if in your judgement it will pass you will not do anything , and if you have already issued a correcting instruction ( heading, level , etc,,) or here delegate visual separation , the STCA just becomes a nuisance. . I sincerely hope the DC Controller will not be made the scapegoat of this accident . Not so sure it will not. Rarely does the "bad apple" theory of accident causation survive the scrutiny of a robust, honest investigation. Last edited by Senior Pilot; 12th February 2025 at 23:14 . Reason: Quote was unreadable Subjects
ATC
DCA
FAA
NTSB
Preliminary Report
Separation (ALL)
TCAS (All)
TCAS RA
Vertical Separation
Visual Separation
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| FullWings
February 13, 2025, 10:16:00 GMT permalink Post: 11827259 |
I am not a US controller but as I understand it their conflict alert is not a last minute save in the way TCAS is.
TCAS RA says that a collision is imminent (within the accuracy of the system, ie it probably means the system can\x92t prove the planes won\x92t hit). Conflict alert is to notify the controller well in advance \x97 maybe a few minutes for en-route. It isn\x92t a loss of separation, it is so they can avoid a loss of separation (3 or 5 miles for radar). The problem with conflict alerting is that in mixed-use airspace you will get a lot of warnings; I hesitate to say false as they are defined by preset parameters that may or may not be relevant to the potential conflict. Talking to controllers in the UK, they often turn this feature (STCA) off as GA traffic happily avoiding each other by visual and/or electronic means can fill the screen with so many alerts it distracts from the main job, especially if you are not in communication with either aircraft. I would expect, given the traffic density around DCA, that CAs are so commonplace they have become unremarkable, indeed expected. Twice the controller was told that the traffic was in sight, so in their mind they are applying visual separation (no minima, just don\x92t collide). The takeaway has to be that IFR/VFR separation at night by visual means is inherently risky and so a questionable pursuit. Subjects
ATC
DCA
Radar
Separation (ALL)
TCAS (All)
TCAS RA
Traffic in Sight
Visual Separation
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| Downwind_Left
February 13, 2025, 22:16:00 GMT permalink Post: 11827672 |
I just can\x92t help compare the general situation to London, where it\x92s again very busy airspace, and the helicopter routes generally follow the river. You have Heathrow at western end and London City at the eastern end.
ATC do a fantastic job of managing the flow, basically by issuing helicopter traffic clearance limits based on the VRPs - usually based on Thames bridges. The Eastbound clearance limit is usually the Isle of Dogs\x85. Before London City Tower take over to manage traffic closer to the airport. At the Western end the heli routes go nowhere near the LHR approaches due or traffic density. ATC will not in my experience clear any helicopter traffic to visually proceed behind airline traffic based on the helicopters visual perception. Day or night. They do a great job of keeping both airline and rotary traffic advised about each other, and prioritise air ambulance and police helicopters as required. But, they keep control over the overall traffic flow and it works. I just fail to see why the FAA couldn\x92t employ a similar system, where helicopter traffic is issued a clearance limit - pending a gap in traffic - either a natural one or an ATC created gap. Before being cleared to continue. I have also been in the situation having started engines at London City and police helicopter then was tasked to something going on off the departure end of the runway. All departures and arrivals suspend. Indefinite delays. It\x92s part of the bigger picture. CAVOK day but no possibility of visual separation. So the London system gives priority to helicopters where appropriate. But seems infinitely safer for both airline and helicopter traffic. Subjects
ATC
FAA
Separation (ALL)
Visual Separation
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| deltafox44
February 14, 2025, 22:44:00 GMT permalink Post: 11828270 |
No, hence the tower telling the Blackhawk to pass behind.
Seems to me like a reaction to seeing the Blackhawk right before impact and a reflex/reaction with intent to avoid. The subtext for me is that the Blackhawk crew never saw them...but there's more for the NTSB to sort out, as the lady was VERY CLEAR about.
) if there had been any discussion in the black hawk cockpit about the CRJ (where it was, whether the PF did see it or not) when PM requested visual separation
Last edited by deltafox44; 14th February 2025 at 23:19 . Subjects
Blackhawk (H-60)
CRJ
NTSB
Pass Behind
Pass Behind (All)
Separation (ALL)
Visual Separation
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| Stagformation
February 14, 2025, 23:34:00 GMT permalink Post: 11828293 |
NTSB didn\x92t mention much in the way of cross cockpit intercom chatter. Must be a lot more that could have been said about the SA on both aircraft, eg altimeter checks, visual lookout, intentions, perceptions, checklists\x85etc.
Subjects
Blackhawk (H-60)
CRJ
NTSB
Separation (ALL)
Situational Awareness
Visual Separation
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| Commando Cody
February 15, 2025, 05:36:00 GMT permalink Post: 11828365 |
It appears from the NTSB's most recent press conference that the instruction "pass behind the CRJ" was not heard in the helo's CVR and, therefore by inference, not heard by the crew. Am I correct in assuming that there is no requirement to readback an instruction like that in the USA? ATC appeared not to expect one.
Last edited by Commando Cody; 15th February 2025 at 07:45 . Reason: precision Subjects
ATC
CRJ
PAT25
Pass Behind
Pass Behind (All)
Separation (ALL)
Visual Separation
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| Easy Street
February 15, 2025, 10:24:00 GMT permalink Post: 11828489 |
absolutely . the altimeter talk is just a distraction or at best contributing factor, Not the cause .. which brings us back to the safety assessment of the procedure , which the NTSB did not mention at all,, but I am sure , or at least I hope they will go into in their final report.
I sincerely hope the NTSB can avoid being distracted by the distractions of altimetry and the missing ATC words on the Blackhawk CVR. Upthread, Luca Lion calculated the 3 degree PAPI approach path as crossing the eastern riverbank at 270ft. If that's correct, then the CRJ's 313ft radar height 2 seconds before collision puts it at least 43ft above the approach path, so the Blackhawk's radio height deviation of 78ft would have contributed only about 35ft to the erosion of any intended "procedural separation" (*) between the aircraft. Or, to put it another way, the same outcome would have resulted if the Blackhawk had been at 235ft radio and the CRJ on the glide. Height keeping of plus or minus 35ft can only be achieved by instrument flying, which is obviously not compatible with visual separation (or indeed VFR) so cannot be reasonably cited as part of a safety case for the procedure. And of course a landing aircraft could easily be below the glide. Altimetry and height keeping are not the cause of this accident. Missing the word "circling" wouldn't have influenced the helo crew getting visual with the CRJ at the time of the trasnmission. At best, it would have given them an extra nudge that "runway 33" (which was audible) meant the CRJ would be taking an easterly flight path. Missing "pass behind" with only a few seconds to collision was irrelevant if, as seems likely, the helo crew did not see the CRJ at that point. (*) The quotes around "procedural separation" are intended to convey a tone of disgust and sarcasm. Last edited by Easy Street; 15th February 2025 at 10:47 . Subjects
ATC
Blackhawk (H-60)
CRJ
Final Report
NTSB
Pass Behind
Pass Behind (All)
Radar
Separation (ALL)
VFR
Visual Separation
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| Winterapfel
February 15, 2025, 10:55:00 GMT permalink Post: 11828510 |
+1 to everything you and Wide Mouth Frog said.
I sincerely hope the NTSB can avoid being distracted by the distractions of altimetry and the missing ATC words on the Blackhawk CVR. Upthread, Luca Lion calculated the 3 degree PAPI approach path as crossing the eastern riverbank at 270ft. If that's correct, then the CRJ's 313ft radar height 2 seconds before collision puts it at least 43ft above the approach path, so the Blackhawk's radio height deviation of 78ft would have contributed only about 35ft to the erosion of any intended "procedural separation" (*) between the aircraft. Or, to put it another way, the same outcome would have resulted if the Blackhawk had been at 235ft radio and the CRJ on the glide. Height keeping of plus or minus 35ft can only be achieved by instrument flying, which is obviously not compatible with visual separation (or indeed VFR) so cannot be reasonably cited as part of a safety case for the procedure. And of course a landing aircraft could easily be below the glide. Altimetry and height keeping are not the cause of this accident. Missing the word "circling" wouldn't have influenced the helo crew getting visual with the CRJ at the time of the trasnmission. At best, it would have given them an extra nudge that "runway 33" (which was audible) meant the CRJ would be taking an easterly flight path. Missing "pass behind" with only a few seconds to collision was irrelevant if, as seems likely, the helo crew did not see the CRJ at that point. (*) The quotes around "procedural separation" are intended to convey a tone of disgust and sarcasm. Following "5*why", keep asking... Why did the did miss part of the message Why was the incomplete read back missed Why does missing a few words lead to this disaster within seconds. Does this lead an answer like: helicopter in a very busy airspace, busy controllers (insufficient time to be fully focused on full read backs) being by default too close to (and even needing to cross) the glideslope. ​​​​​​ Subjects
ATC
Blackhawk (H-60)
CRJ
NTSB
Pass Behind
Pass Behind (All)
Radar
Separation (ALL)
VFR
Visual Separation
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| Easy Street
February 15, 2025, 12:41:00 GMT permalink Post: 11828596 |
Following "5*why", keep asking...
Why did the did miss part of the message Why was the incomplete read back missed Why does missing a few words lead to this disaster within seconds. Does this lead an answer like: helicopter in a very busy airspace, busy controllers (insufficient time to be fully focused on full read backs) being by default too close to (and even needing to cross) the glideslope. ​​​​​​ Helicopters in busy airspace are not a problem if a safe system exists for separating them from airline traffic. There is no evidence yet of the controller having made a mistake. He was undoubtedly busy, but that was not his fault. What could be done about it? The answers to that question take us another step along the causal chain:
The authorities (by which I mean FAA and DoD) have questions to answer on all three points. Why was the helicopter controller position vacant? Did the ATC rulebook or staffing requirements rely on a false assumption that procedural separation existed? How did any such assumption remain in place after previous near misses? Is visual separation between helicopters and airline traffic a reasonable thing for regulations to permit, at night and using NVG? Ultimately it seems to have routinely been used as a release valve for the pressure building in the system due to the failure to address points 1 and 2. Hopefully the investigation will be bold enough to ask these questions, which expand the potential scope of responsibility well beyond the individual controller and pilots. Last edited by Easy Street; 15th February 2025 at 13:36 . Subjects
ATC
Close Calls
DCA
FAA
Night Vision Goggles (NVG)
Route 4
Separation (ALL)
Visual Separation
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| MPN11
February 15, 2025, 18:34:00 GMT permalink Post: 11828759 |
Whilst these are valid observations, it is also micro-managing a procedure whose altitude separation was always totally flawed. I cannot personally attribute any blame to ATC or either pilot when the scenario was so badly devised ... and that means not only the infamous Route 4 but the concept of visual separation in the dark.
It was doomed to fail, eventually, but sadly someone [other than those directly impacted] never saw it coming. THEY are the culprits. MPN11, former Mil ATCO Subjects
ATC
ATCO
Route 4
Separation (ALL)
Visual Separation
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