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DTA
July 12, 2025, 10:26:00 GMT permalink Post: 11920464 |
Well, speaking of fuel-cut switches, I read
NM-18-33 SAIB
with attention, and as a not-that-fluent english speaker, I stumbled on this sentence (my bold):
I could hardly figure what the "disengaged" word meant in this context, so I did a Google search for the switch part numbers (especially "766AT614-3D") to figure the difference between them, and a page from this chinese web site was part of the results. And while I was painfully crawling the thread, I noticed the following picture about an "undesirable condition": ![]() Incorrect lock tab position on fuel cut-off switch If this incorrect mounting is actually possible, it would possibly remain unnoticed from the pilots (normal "pull-up then move" action is unaffected), but it would cancel the protective function of the so-called "locking tab", and even limit the travel of the switch handle in both directions, making it more vulnerable to an undesired change of state. The photos above seem convincing enough, but I'd be very grateful for an informed opinion on this assembly mistake. Even if this is possible, the probability of both switches being unexpectedly snapped seems very remote to say the least, but not as remote as previously estimated. One other useful thing from that web site is a partial schematic which shows the connection of the 4 poles in the switch. I believe this is from a 737NG but it should be the same idea. ![]() |
InTheHighlands
July 12, 2025, 10:32:00 GMT permalink Post: 11920467 |
SLF. But I've read in full both original threads and this thread.
The Preliminary Report is written in excellent English, so I think one should pay close attention to what it says. One thing I noticed is that at the bottom of P4 NTSB are stated as "..participated in the investigation". However UK AAIB are only stated as "visited the site". My reading is that UK AAIB are not participating? Another is that some items on the timescale are v precise, others much more vague. A question : If the fuel switches were moved to cutoff, for whatever reason, what exactly would each pilot see as an EICAS warning. I'm still unclear why one pilot asked the other why he cut off - actual observation of the action, or message. |
nachtmusak
July 12, 2025, 10:43:00 GMT permalink Post: 11920474 |
SLF: I have a small observation but I'm not sure what it means or if it has any relevance to the accident.
Previously I had assumed that the ADS-B data cut out at the same time as power was lost, so I imagined that whatever caused the fairly clear loss of thrust would have happened not too long before. But this report throws a bit of a wrench in my understanding of that. According to the report, the fuel cutoff switches transition from RUN to CUTOFF at or very shortly after 08:08:42 UTC. Both engines' N2 values pass below minimum idle speed and the RAT begins supplying hydraulic power at about 08:08:47. Does this not imply that the generators have already been lost? With the APU also being off (the APU inlet door is noted to start opening at 08:08:54), I would have expected ADS-B data to cut out at or before 08:08:47. But curiously FlightRadar24 at least claims to have received data frames from the aircraft until 08:08:51.640970, almost five seconds later and almost ten seconds after the transition to CUTOFF (though the last frame containing coordinates comes at 08:08:50.871005). Could anyone with relevant experience confirm how long it would take for AC power to be lost in this situation? Also, is it usual/unusual for a preliminary report like this to mention if/when the flight recorder switched to its independent power supply? I imagine it would definitely be in the final report, but I'd hoped it would be easily observable enough to be in this one. Beyond idle curiosity I'm asking because the report also says the no. 1 engine's cutoff switch transitioned from CUTOFF to RUN at "about 08:08:52", which oddly coincides with the last ADS-B data frame at 08:08:51.640970, and that seems important somehow. Or more likely I'm just ignorant of some quirk of the 787's electrical system. For reference FR24's CSV containing all ADS-B frames supposedly received from the aircraft can be found in their post here: https://www.flightradar24.com/blog/f...rom-ahmedabad/ |
Uplinker
July 12, 2025, 10:51:00 GMT permalink Post: 11920482 |
"The aircraft achieved the maximum recorded airspeed of 180 Knots IAS at about 08:08:42 UTC and immediately thereafter, the Engine 1 and Engine 2 fuel cutoff switches transitioned from RUN to CUTOFF position one after another with a time gap of 01 sec."
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martinebrangan
July 12, 2025, 10:52:00 GMT permalink Post: 11920483 |
3 possibilities come to mind:
1. Pilot who moved fuel switches to off did not do so intentionally to cause the outcome, but for some reason unknown (extreme fatigue, medical condition, medication/drug) somehow confused the action of retracting gear with shutdown procedure at end of flight. 2. Unthinkably, but very possibly, pilot who moved fuel switches did so intentionally, likely planned ahead of time to catch out other pilot at a moment where focus was intently on flying & recovery most unlikely. Mental illness, drug use, personal circumstances behind it. 3. Something extraordinary which was never encountered before which caused or allowed fuel switches to move on their own. When both pilots flying & personal history is investigated, more is likely to emerge, maybe something to support possibility 1 above, where a pilot had on some previous occasions got sequences confused, or suffered brief episodes of seizures whee he took strange actions. |
AfricanSkies
July 12, 2025, 10:56:00 GMT permalink Post: 11920489 |
10 seconds to respond is a long long time if you’ve just made a silly mistake, you’d have those switches back on in a second. The startle factor isn’t really a factor here, because you
know
what just happened.
What is also unusual to me is the 4 second gap between moving Eng 1 fuel switch from cutoff to run, and moving Eng 2 fuel switch from cutoff to run. One would imagine that in this situation, speed of response would have been critical. Why the slow, deliberate ‘reaction’? |
Someone Somewhere
July 12, 2025, 11:02:00 GMT permalink Post: 11920495 |
The accident aircraft was written up for a status message of ”STAB POS XDCR” on the previous flight, which is a message relating to implausible data from the stab trim switches. It was released from maintenance (according to the preliminary report) at 06:40UTC ahead of an 07:40UTC departure (the crash flight) with ”no fault found”.
On the 787-8, as all modern planes, switches are not cabled as dry closing contacts all the way from the switch poles to the affected end devices (FADECs in the case of fuel cutoff switches), but rather connect locally to an analogue/digital converter to encode the switch position data onto the digital comms bus ARINC629 which allows all aircraft systems to talk to one another. Are the fuel cutoff switches, which are positioned adjacent to the stab trim switches, connected to the same ADC module which produced the error message on the previous flight, which maintenance was unable to resolve before the accident flight took off? I do not know, but it must be worthy of being looked into. I think they're called remote data concentrators - in many cases it is a conversion from a direct digital input to a bus signal; electronics would not call it an 'analog' input unless it was actually measuring a quantitative value.
Was the RAT deployed manually?
The report says, As per the EAFR data both engines N2 values passed below minimum idle speed, and the RAT hydraulic pump began supplying hydraulic power at about 08:08:47 UTC. This was 5 seconds after the fuel was cut off. It suggests to me that the RAT deployment was initiated while the engines were still above idle and generating electrical power. Obviously one of the pilots could have done it via depressing the switch, as it's a "dual engine failure/stall" memory item (see Air India Ahmedabad accident 12th June 2025 Part 2 ) that won't hurt anything. Is there a way for the RAT to deploy while the engines are still above idle? That is a very good question IMHO. |
ManaAdaSystem
July 12, 2025, 11:03:00 GMT permalink Post: 11920497 |
tdracer hit the nail on the head in one of the earlier threads. Two possibilities: Software shut down the engines, or someone put the fuel switches to cutoff.
It wasn\x92t software. The question now is who shut down the engines and why? Argue fuel switches mechanics, liquid, falling items, electronics, etc, as much as you want, but who and why is where we will end up. |
stickstirrer
July 12, 2025, 11:09:00 GMT permalink Post: 11920505 |
It doesn\x92t explain the reason behind going for the stab cut out switches when the report makes no mention of any stab warning - which surely would be a highly Important event given the closeness of the switches. |
Uplinker
July 12, 2025, 11:09:00 GMT permalink Post: 11920506 |
On this flight, the relative drop in noise and calm that follows the landing gear doors closing after the gear retracts during the initial climb, might have caused an action slip by PIC to perform the engine shut-down procedure used when parking on stand. Unlikely though, I would hope. |
MaybeItIs
July 12, 2025, 11:15:00 GMT permalink Post: 11920513 |
Has anyone answered whether there is any message when the engine CutOff switches are transitioned in this situation?
If there isn't then the asker must have seen it being done. If there is, then it's still not absolutely pinned to a pilot, is it? |
Propellerhead
July 12, 2025, 11:21:00 GMT permalink Post: 11920518 |
Just read all 16 pages - been flying! I think comment \x93why did you cutoff\x94 is not the reaction I would expect from a Training Captain who has just witnessed the co-pilot turn both fuel control switches off. They would possibly utter an exclamation, but would surely correct the error immediately - this didn\x92t happen for 10secs. The words are more likely to have come from an FO who has both hands on the control column and is concentrating on the rotation.
Every flight we do as PM we move both fuel control switches to cutoff, 1 after the other, with a gap of about 1 sec between each one. It\x92s a learnt action in response to the phrase \x93shutdown\x94. Every sim the TC has conducted he will have moved critical switches without much thought in order to setup the sim for the exercise. I remember being slightly shocked one day on the aircraft, having been training in the sim the previous day, that I nearly operated a critical control without thought. It\x92s something I had to consciously guard against after that. There is no rational explanation for doing it though - moving both fuel control switches down instead of moving the gear lever up is not a likely action slip. It seems either a totally subconscious act or a totally deliberate act. Last edited by Propellerhead; 12th July 2025 at 12:11 . |
AfricanSkies
July 12, 2025, 11:22:00 GMT permalink Post: 11920522 |
Engine shutdown/restart.
As Captains of Boeing twins, which fuel switch do you typically move first, Eng 1 or Eng 2? As First Officers, same question. Higher probability that the PM (Captain) manipulated the switches given the sequence of events. |
Capn Bloggs
July 12, 2025, 11:32:00 GMT permalink Post: 11920533 |
Originally Posted by
Uplinker
This might have been discussed but as has been suggested upthread; a possible scenario is that at some point, PIC took their hands off the thrust levers and/or placed them in a guarding position behind the thrust levers at their base - but by doing so unfortunately nudged the Fuel cut-off switches to 'Off' - perhaps 'helped' by there either being incorrectly fitted locking mechanisms or worn locking mechanisms ?
Originally Posted by
Uplinker
On this flight, the relative drop in noise and calm that follows the landing gear doors closing after the gear retracts during the initial climb, might have caused an action slip by PIC to perform the engine shut-down procedure used when parking on stand.
Mods, if you don't lock the thread, I'm going back to Facebook! ![]() |
martinebrangan
July 12, 2025, 11:36:00 GMT permalink Post: 11920539 |
It's established fact both fuel control switches moved to CUTOFF 4 seconds after Vr, a deliberate guarded action, not easily done accidentally.
The CVR records one pilot asking \x93Why did you cut off?\x94, the other replies \x93I didn\x92t\x94. Then a bland Mayday attributed to the Captain \x93engine failure, returning\x94 in the middle of the crisis. The language, if reported correctly, feels strangely detached. No confusion, no urgency, no clear troubleshooting. Not drawing conclusions, but does anyone else see signs of performative behaviour, that is saying the right things outwardly, while being at odds with the underlying cause? I appreciate that both crew members lost their lives, however if we avoid discussing uncomfortable patterns, we miss the point of investigation and learning. |
violator
July 12, 2025, 11:38:00 GMT permalink Post: 11920542 |
Seriously??
Come on! The gear never moved! You're an Airbus pilot; do you really think that could happen? If so, would the captain then sit there fat, dumb and happy wondering what was now going on... for 10 seconds? Even I would say "Sh1t" and whip those fuel switches back on quicker than the FO could say "WTF!". Mods, if you don't lock the thread, I'm going back to Facebook! ![]() |
Capn Bloggs
July 12, 2025, 11:39:00 GMT permalink Post: 11920544 |
Originally Posted by
Viloator
This is a discussion forum, of course there is (and should be!) significant discussion about a bizarre crash of a modern widebody aircraft. There will naturally be speculation and some nonsense but this is a discussion forum and that is to be expected.
Originally Posted by
Firesok
​​​​​​​
I posited this very thing weeks ago but it was immediately removed by mods.
![]() |
nachtmusak
July 12, 2025, 11:39:00 GMT permalink Post: 11920545 |
nachtmusak
the RAT can be deployed manually, and I believe a pilot did that here before power was lost.
The timing of data loss seemingly lining up with the first cutoff switch being flipped back to RUN seems a little too coincidental to me, but again hopefully someone with relevant knowledge has a mundane explanation for this. On top of that I feel like people are overestimating how long ten seconds actually is, especially considering some of those seconds are reported to have been taken up by confused dialogue (that isn't even reported in its entirety). I thought it was common wisdom that accidents are never down to one thing; it would be light-years from being the first time that suboptimal crew response turned a maybe-recoverable error into a definite disaster without an ounce of malice in the mix. |
Icarus2001
July 12, 2025, 11:40:00 GMT permalink Post: 11920548 |
Training Captain who has just witnessed a trainee turn both fuel control switches off.
People please, read the report before posting. https://aaib.gov.in/What's%20New%20A...t%20VT-ANB.pdf
​​​​​​​
In most international operations however the CA flies the first leg.
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Sailvi767
July 12, 2025, 11:42:00 GMT permalink Post: 11920553 |
The fuel control switches were moved to the off position approximately 3 seconds after weight off wheels.
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