Posts about: "Fuel (All)" [Posts: 1028 Pages: 52]

YYZjim
July 14, 2025, 16:30:00 GMT
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Post: 11922344
Why is the report worded this way, and not that way?

The preliminary report narrows things down a lot but not as much as it could have done. The report will have been approved by several people. What we see is their consensus. Why did they choose this version?

The report is written to point the finger directly at: (i) the fuel cutoff switches and (ii) either pilot error or pilot mal-intent using them. The report is not written to point the finger at an electrical or mechanical malfunction.

We have all role-played in our heads what would have been said in the cockpit in different scenarios. The investigating team already knows. They could have disclosed more of the cockpit conversation, which would be a lot of help to us PPRuNers, but didn't need to. They have let Boeing and the type off the hook and put the blame on the pilots. They have fulfilled the primary purpose of an investigation -- to find out what happened.

Interestingly, they did not disclose whether it was error and mal-intent. Perhaps that is because they couldn't answer the grisly question: which is least worst, from the point-of-view of the airline, the victims' families and future customers?

Two posters above have quoted AvHerald's report that "... India's media reports that the investigation is NOT focusing on a human action causing the fuel switches to appear in the CUTOFF position, but on a system failure." One interpretation of this is that the investigation knows all about the human action and that the system they refer to is the industry's approach to pilot mental heath and well-being.

YYZJim

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OldnGrounded
July 14, 2025, 16:41:00 GMT
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Post: 11922355
Originally Posted by STBYRUD
The fact that nobody apparently announced 'engine failure' as per training, but instead asked why the switches were in cut-off, speaks volumes. No need to labor the incredibly improbable double switch failure any further in my humble opinion.
Why do you think it is a "fact that nobody apparently announced 'engine failure'?" That was not included in the preliminary report or, as far as I know, in any other credible reporting here or elsewhere.

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za9ra22
July 14, 2025, 16:53:00 GMT
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Post: 11922363
Originally Posted by YYZjim
The preliminary report narrows things down a lot but not as much as it could have done. The report will have been approved by several people. What we see is their consensus. Why did they choose this version?
.....
Two posters above have quoted AvHerald's report that "... India's media reports that the investigation is NOT focusing on a human action causing the fuel switches to appear in the CUTOFF position, but on a system failure." One interpretation of this is that the investigation knows all about the human action and that the system they refer to is the industry's approach to pilot mental heath and well-being.

YYZJim
I don't know that we can treat media reports as being authoritative in any way, since the investigation team won't be conferring with reporters, whose likely sources will be in political/agency leadership, and not really in the loop either. But to pose an answer your question as to why the report we have was written in the form it is, I would say that firstly, it will have been intended to cover what the investigation knew to be all available material facts at the time of publication, and secondly, (as I posted earlier), likely to try and ensure the investigation ongoing remains as much in their grasp as possible, rather than being taken over by others.

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Feathers McGraw
July 14, 2025, 16:57:00 GMT
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Post: 11922366
Originally Posted by YYZjim
Two posters above have quoted AvHerald's report that "... India's media reports that the investigation is NOT focusing on a human action causing the fuel switches to appear in the CUTOFF position, but on a system failure." One interpretation of this is that the investigation knows all about the human action and that the system they refer to is the industry's approach to pilot mental heath and well-being.

YYZJim
Perhaps that is the Indian media fooling themselves. Maybe they looked in the mirror and tried to avoid seeing what was there.

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D Bru
July 14, 2025, 17:26:00 GMT
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Post: 11922380
Good analysis; AvH MN4 thing is an absolute ruse

Originally Posted by YYZjim
The preliminary report narrows things down a lot but not as much as it could have done. The report will have been approved by several people. What we see is their consensus. Why did they choose this version?
The report is written to point the finger directly at: (i) the fuel cutoff switches and (ii) either pilot error or pilot mal-intent using them. The report is not written to point the finger at an electrical or mechanical malfunction.
...... The investigating team already knows. They could have disclosed more of the cockpit conversation, which would be a lot of help to us PPRuNers, but didn't need to. They have let Boeing and the type off the hook and put the blame on the pilots. They have fulfilled the primary purpose of an investigation -- to find out what happened.
Interestingly, they did not disclose whether it was error and mal-intent. Perhaps that is because they couldn't answer the grisly question: which is least worst, from the point-of-view of the airline, the victims' families and future customers?
Two posters above have quoted AvHerald's report that "... India's media reports that the investigation is NOT focusing on a human action causing the fuel switches to appear in the CUTOFF position, but on a system failure." One interpretation of this is that the investigation knows all about the human action and that the system they refer to is the industry's approach to pilot mental heath and well-being.
YYZJim
In the middle of all hamster wheel posts, this one stands out. However, I do take issue only with the last point reported in this no longer reliable AvH website. Concerning the MN4 processor (Ive been looking into this one extensively prior to the preliminary report), according to the AD cited, MN4 board replacement on the GEnx1B was mandated within 12 years of production, engine that is, not A/C. According to the preliminary report AI171 engine 1 was produced 20 May 2012, engine 2 on 20 January 2013. This means that both AI171 engines were with replaced MN4 boards at the time of event, certainly taking into account that both engines have been mounted onto the aircraft in May and March 2025 respectively.

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EDML
July 14, 2025, 17:48:00 GMT
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Post: 11922392
Two questions for tdracer :

1. What happens to the FADEC channels if both channels have different data / information (e.g. T/L encoders or fuel switches)?
- Will the currently active channel win?
- Or will the most sensible information be used (e.g. keep the engines running)?
- Will there be a disagree message?
- Logged to the DFDR?

2. As per the data sheet the fuel switches are 4 pole versions. 1 pole will be used for each FADEC channel. Will one (or both) of the other poles be used for the DFDR or is that information collected from the FADEC through some data bus?

I know, it's very specific stuff that might only be known by the designer of the FADEC system.

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tdracer
July 14, 2025, 18:16:00 GMT
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Post: 11922406
Originally Posted by EDML
Two questions for tdracer :

1. What happens to the FADEC channels if both channels have different data / information (e.g. T/L encoders or fuel switches)?
- Will the currently active channel win?
- Or will the most sensible information be used (e.g. keep the engines running)?
- Will there be a disagree message?
- Logged to the DFDR?

2. As per the data sheet the fuel switches are 4 pole versions. 1 pole will be used for each FADEC channel. Will one (or both) of the other poles be used for the DFDR or is that information collected from the FADEC through some data bus?

I know, it's very specific stuff that might only be known by the designer of the FADEC system.
An unresolved difference in TLA between the channels is quite unlikely - the fault detection algorithm is quite good (sine squared plus cosine squared) - but it can happen. In the old days, we'd default to the higher TLA, but since the feds became preoccupied with Uncontrollable High Thrust, we tend to select the lower value. Worst case would be to default to idle. The fuel switch discrete doesn't really get used except for engine start - if it falsely indicates shutdown (on one or both channels), the FADEC won't do anything if the engine is already running. All this will set maintenance faults - and associated EICAS Status messages (L/R ENGINE CONTROL or ENGINE C1). I doubt that would be recorded on the DFDR - it would go to the QAR but that's unlikely to survive a crash. It would also be logged in the FADEC NVM - but again no guarantee that would survive either (although when the Lauda 767 crashed due to the thrust reverser deployment, the DFDR was destroyed but the FADEC NVMs both survived - much of what we know about that crash came from the FADEC NVM.)

Again, not familiar with the specifics of the 787, but on the 747-400/-8, one pole of the fuel switch feeds EICAS - which uses it in various message logic - and sends it out to any other aircraft systems that use it. There is "Digital Flight Data Acquisition Unit) DFDAU (pronounced Daff Du) that takes all the various system digital signals, sorts them and provides them to the DFDR and QAR. The 787 has something similar to the DFDAU but I don't recall what it's called.

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EDML
July 14, 2025, 18:50:00 GMT
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Post: 11922425
Originally Posted by tdracer
... The fuel switch discrete doesn't really get used except for engine start - if it falsely indicates shutdown (on one or both channels), the FADEC won't do anything if the engine is already running. All this will set maintenance faults - and associated EICAS Status messages (L/R ENGINE CONTROL or ENGINE C1)...
Sorry if my wording was not precise here - I meant the fuel cut off switches that more or less caused this accident.

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Dani
July 14, 2025, 19:35:00 GMT
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Post: 11922444
Originally Posted by Mrshed
It is reasonable, I would say, that the investigators have largely ruled out the switches themselves or the electronics around them as a cause here.
If you think everything is said...

Breaking News:
On Jul 14th 2025 India's DGCA instructed airlines to check the fuel switches on the Boeing 787 and Boeing 737 aircraft as used by Air India Group, Indigo and Spicejet for possible disengagement of the fuel control switch locking feature according to the SAIB released by the FAA on Dec 17th 2018. The checks have to be completed by Jul 21st 2025.

Source: Avherald.com

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Mrshed
July 14, 2025, 19:41:00 GMT
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Post: 11922448
Originally Posted by Dani
If you think everything is said...

Breaking News:
On Jul 14th 2025 India's DGCA instructed airlines to check the fuel switches on the Boeing 787 and Boeing 737 aircraft as used by Air India Group, Indigo and Spicejet for possible disengagement of the fuel control switch locking feature according to the SAIB released by the FAA on Dec 17th 2018. The checks have to be completed by Jul 21st 2025.

Source: Avherald.com




Interesting.

FWIW I don't think everything is said, and further elements may be uncovered - I just think the investigators have laid out pretty clearly areas they think are (and are not) likely causes when you read between the lines.

Incidentally the above smacks of optics to me following it being shared that air India had not performed these checks, and the associated speculation of cause, but that's just a theory 😉

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Shep69
July 14, 2025, 19:47:00 GMT
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Post: 11922454
Originally Posted by JustusW
Upfront: Sorry for my initial post on the topic, like some other people in this thread it obviously touches a nerve and was rightly removed for exceeding the rules of civil discussion.
This is my attempt to shed a bit of light on why I find pushing theories of suicide very objectionable at this point in time.


Let's actually run some numbers here.

https://www.boeing.com/content/dam/b...df/statsum.pdf gives us a nice statistic over the last 20 years and also has this little tidbit:
"965 million departures since 1959. 63% of those departures were on Boeing airplanes. (609 million on Boeing airplanes)"
For the last 20 years I'd eyeball an average of between 20-25 million departures per year. So 400-500 million flights in just 20 years. Maybe let that sink in for a moment. We have doubled the total number of flights in the 20 years since 2005.

In that timeframe we have:
Nov 2013, LAM 470, 33 fatalities, confirmed by CVR
Mar 2015, Germanwings 9525, 150 fatalities, confirmed by CVR

There are additionally these:
Mar 2014, MH370, 239 fatalities, no final report, no information available
Mar 2022, CES5735, 132 fatalities, no final report, media reports claiming pilot suicide, strong counter by the investigating agency: "CAAC has previously said speculation surrounding the crash had "gravely misled the public" and interfered with accident investigation work."

Both confirmed cases in that time have a very clear pattern that does in no way resemble the Air India Crash.
Even beyond that timeframe no confirmed pilot suicide involved any measures against discovery by the departed.

There is speculation regarding Silk Air 185 because the CVR failed to record the relevant part of the accident, but it is firmly in the "debated" category.

But we can ignore all of that. Even if we put any theoretically possible Pilot Suicide into the equation one fact remains: The actual likeliness of pilot suicide has not changed. There were 2 confirmed prior to 2005 and 2 after and 2 suspected prior to 2005 2 and after. And that is despite a higher sensitivity and a more stressful job as well as significantly increased environmental stress factors. Obviously we are talking about, statistically speaking, numbers too small for analysis, but all of this is actually well within expected parameters. The recent years have seen a focus on mental health in general in many countries worldwide, and mental healthcare availability is growing in most countries. And here the US is a great example as far as aviation goes: https://casten.house.gov/media/press...tion-committee With this bill whose merit can be assessed by the people supporting it: " The legislation is endorsed by the Pilot Mental Health Campaign, Air Line Pilots Association, Airlines for America, the National Air Traffic Controllers Association, National Flight Training Alliance, the National Business Aviation Association, and NetJets Association of Shared Aircraft Pilots (NJASAP)."

Summing up I would like to point out that there are good indications that there are no mental health issues involved here. Taking the aforementioned accidents as reference the issues were usually quite obvious once any kind of scrutiny was placed on the individuals involved. The individuals also made little to no effort of concealment in all confirmed cases and while the absence of evidence can be interpreted as indicative of successful concealment it is not proof and cannot be treated as such. Especially when it is documented that the overwhelming majority of suicides do not involve any element of concealment, and the psychological mechanisms at work commonly preclude any thought about what happens after, as far as medical study of the issue is concerned. This does not mean it does not happen, cases of concealment attempts or even partial successes are well documented, but it is a lot less prevalent. In this case estimates range mostly from between 10% to 30% of all suicides being misreported as unintentional injury with massive variation depending on multiple factors like country, ethnicity, gender, sexual identity, etc.

In final conclusion: Anyone can make mistakes. It is possible one or both of these pilots made a mistake. It is also possible that a combination of bad luck lead to an alignment of the holes. In my opinion the inability to receive urgently required medical support is as much a hole in the Swiss Cheese as the worst maintenance or design error imaginable. We know from the previous discussions in all threads on this Accident and the report itself that the pilots were flying their aircraft until they ran out of time and airspace. One cannot demand more from a human being, no matter what the final cause is ultimately determined to be.
Disagree that there is no mental health/cognitive issue.

ANY Boeing pilot who grabs for the FCSs immediately after takeoff has SOME type of mental health issue. It might be suicidal, it might be cognitive, it might be a stroke, it might be some type of blood interruption to the brain, chemical imbalance, drug reaction, or whatever.

It’s not a simple mistake.

I’m not saying it’s necessary deliberate or homicidal (which it could be) but there is some type of impairment there. Everyone knows the consequences of shutting off a FCS or pulling a fire handle. The switches aren’t easily confused with others. Bumping them doesn’t cause them to go to cut off. And have dire consequences if actuated at the wrong time.

I guess there might theoretically be a way to snag them with loose clothing (like having a very frayed sweater with holes in the sleeve putting one’s arm in a really strange place) somehow and while pulling to free it manage to pull them out and down but I’m going to put this in the asteroid hitting earth category.

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beamer
July 14, 2025, 19:53:00 GMT
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Post: 11922462
I find it hard to believe that, in this instance, there is anything inherently wrong in the aircraft or its associated powerplants. The report appears to indicate that all the correct parameters had been met with regard to W&B and performance planning whilst the aircraft was performing normally until just after rotate.

The apparent lack of information with regard to the CVR transcript appears to be telling. If the F/O was handling pilot using a mixture of visual references and the HUD, one wonders what he would have seen or sensed to make him ask the question ‘why did you do that ?’ when it became apparent through Eicas or simple loss of thrust that the engines had shut down - his remark is very specific and not perhaps the normal expletive ridden response that one might expect.

Again, here, I am making as assumption that the initial remark was made by the FO because the report does not tell us who said what. Whilst it may be easy to jump on the bandwagon of the deliberate and premeditated act I would still give some credence to the idea that the fuel control switches were actioned in a completely erroneous act if for no other reason that I have seen similar faux pas in the simulator on multiple occasions.

There may of course be a cultural issue in play here with the relationship between the two pilots which has been seen in many previous accidents/incidents. Equally the strange timing of the releasing of the report potentially raises a question or two though maybe that is a conspiracy theory too far !

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nrunning24
July 14, 2025, 19:59:00 GMT
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Post: 11922466
Originally Posted by Dani
If you think everything is said...

Breaking News:
On Jul 14th 2025 India's DGCA instructed airlines to check the fuel switches on the Boeing 787 and Boeing 737 aircraft as used by Air India Group, Indigo and Spicejet for possible disengagement of the fuel control switch locking feature according to the SAIB released by the FAA on Dec 17th 2018. The checks have to be completed by Jul 21st 2025.

Source: Avherald.com
This also could be in the sake of thoroughness from the governing body, and frankly its low intrusiveness to the operation and can at least rule out random theorized possibilities. I would probably advise the same.

Realize this is a pilots forum, and its always easier to blame the engineers (me), but I'm surprised at the amount of people grasping at (at least what I think) straws to try and make this not a case of pilot error (either intentional or unintentional). I get lots of parts frequently break and pilots do frequently see things on MEL etc. I know our partner airline engineering teams would love to see increased reliability of certain components, but the certification scrutiny of flight critical items is very intense including isolation from each other.

The likelihood of two flight critical components which are isolated from each other failing instantaneously is so small its basically impossible. Especially when you consider they also turn back on 10 secs later.

Last edited by T28B; 14th July 2025 at 20:57 . Reason: pulled out the bottom line with formatting

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ignorantAndroid
July 14, 2025, 20:32:00 GMT
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Post: 11922481
Originally Posted by tdracer
Again, not familiar with the specifics of the 787, but on the 747-400/-8, one pole of the fuel switch feeds EICAS - which uses it in various message logic - and sends it out to any other aircraft systems that use it. There is "Digital Flight Data Acquisition Unit) DFDAU (pronounced Daff Du) that takes all the various system digital signals, sorts them and provides them to the DFDR and QAR. The 787 has something similar to the DFDAU but I don't recall what it's called.
It was stated earlier that 2 of the poles in the switch are wired to separate Remote Data Concentrators. The RDCs feed data into the Common Data Network (essentially an Ethernet LAN).

The EAFRs simply sniff the required data from the CDN, so there's no DFDAU as such.

For some parameters, including the fuel cutoff switches, the EAFRs also record a "Source Index." For the fuel cutoff switches, there are 4 sources numbered 1 through 4 as well as a valid/invalid flag. I don't know what the sources are, but perhaps they're the 2 RDCs plus the 2 channels of the EEC/FADEC. It appears that source 1 (the default) is not the EEC.

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DutchRoll
July 14, 2025, 20:46:00 GMT
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Post: 11922486
Originally Posted by nrunning24
I'm surprised at the amount of people grasping at (at least what I think) straws to try and make this not a case of pilot error (either intentional or unintentional)
I'm not surprised though it gets frustrating when folk start defaulting to the most remote possibilities instead of the more likely ones. The flight data recorder logged the fact that the switches were moved to cutoff, 1 second apart, very soon after airborne, then some seconds later moved back to run. None of that fits with any realistically conceivable mechanical failure nor automated system fault. Both of those are physical actions taken by a pilot. The first action was to shut them down, and the second action was an attempt to start them up again (tragically close to being successful). Nor does it fit with a muscle memory mistake or confusion with another switch.

Which leads to a very unpleasant possibility that many people would rather not consider, and some even refuse to consider, despite there being at least one historical precedent that I can think of (a pilot for a particular airline many years ago who had an undiagnosed mental health condition and admitted to struggling with impulsive thoughts of shutting down all 4 engines on a B747).

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LTC8K6
July 14, 2025, 20:51:00 GMT
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Post: 11922492
Originally Posted by Dani
If you think everything is said...

Breaking News:
On Jul 14th 2025 India's DGCA instructed airlines to check the fuel switches on the Boeing 787 and Boeing 737 aircraft as used by Air India Group, Indigo and Spicejet for possible disengagement of the fuel control switch locking feature according to the SAIB released by the FAA on Dec 17th 2018. The checks have to be completed by Jul 21st 2025.

Source: Avherald.com
A bit late to check them now, but I don't expect anything will be found on the 787s. They are just doing this to cover themselves, I think.

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nrunning24
July 14, 2025, 21:01:00 GMT
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Post: 11922500
Originally Posted by DutchRoll
I'm not surprised though it gets frustrating when folk start defaulting to the most remote possibilities instead of the more likely ones. The flight data recorder logged the fact that the switches were moved to cutoff, 1 second apart, very soon after airborne, then some seconds later moved back to run. None of that fits with any realistically conceivable mechanical failure nor automated system fault. Both of those are physical actions taken by a pilot. The first action was to shut them down, and the second action was an attempt to start them up again (tragically close to being successful). Nor does it fit with a muscle memory mistake or confusion with another switch.

Which leads to a very unpleasant possibility that many people would rather not consider, and some even refuse to consider, despite there being at least one historical precedent that I can think of (a pilot for a particular airline many years ago who had an undiagnosed mental health condition and admitted to struggling with impulsive thoughts of shutting down all 4 engines on a B747).
Fully agree just seems crazy to me that a non-insignificant number on this forum are chasing a 0.00000000001% chance over the 99.99999999% very obvious answer looking at you square in the face. We might never know if it was intentional or not, only the full CVR may give insight but even then who knows. While its fun to try and dive into the system details, but main problem is no currently employed Boeing engineer who knows the system well enough or could cross check could even comment here without losing their job. All of us who no longer work there can comment but without access to the internal details their is no way any of us can exactly remember the systems 100%.

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GroundedSpanner
July 14, 2025, 21:09:00 GMT
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Post: 11922503
Originally Posted by tdracer
Again, not familiar with the specifics of the 787, but on the 747-400/-8, one pole of the fuel switch feeds EICAS - which uses it in various message logic - and sends it out to any other aircraft systems that use it. There is "Digital Flight Data Acquisition Unit) DFDAU .... that takes all the various system digital signals, sorts them and provides them to the DFDR and QAR. The 787 has something similar to the DFDAU but I don't recall what it's called.
787 has RDC's - Remote Data Concentrators. Doing the same function. Two of the switch pole-sets go each to one of 2 different RDC's, that feed the EAFR's / QAR, and the common core network so that any system that wants to know, can. The wiring is positive voltage from the RDC's to the switch and to GND through the common pin. So the RDC's would be able to detect anomalies such as both contacts open, or both contacts closed. The EAFR will see two independent channels per switch.
The other 2 contact sets feed latching relays (again driven each coil independently by dropping to GND at the switch) that then drive spar valves and reset signals to the FADEC Channels. (and more).

So - for the benefit of those that hang on to the 'possibility' of electrical gremlins and 'ghost' switch signals.

Each switch has 4 mechanically separated 'channels' - 2 of which do electromechanical things to the engines through separate paths, the other 2 feed through independent paths the FDR and the rest of the computer systems. The results of the electromechanical actions also feed back to the FDR.

Thus the readout from the EAFR will PROVE that the switches MUST have been PHYSICALLY MOVED.

And - I'm nervous to challenge you tdracer - there's quite the authority gradient and I know I'm at the bottom end, but I can't let this fly...
Originally Posted by tdracer
DFDAU (pronounced Daff Du)
Its 'Deefer Doo'. Fight me.

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LTC8K6
July 14, 2025, 21:11:00 GMT
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Post: 11922506
I'm still not clear on something, no surprise there.

If you are the PF and you are just after rotation, and for whatever reason, the fuel control switches transition to "CUTOFF", when and how do you notice this?
Presumably your hands are on the yoke and you are looking very intently out the windshield. So, to me it seems unlikely that you saw whatever happened to the switches, however they moved.

Do you get a warning indication that the switches have moved? If so, then that would be what I needed to know. You got a warning and therefore you looked right at the switches.

If not, do you just notice that you have lost power? If that is the case, where do you look first? I presume it would be at the engine info gauges/displays.

What I'm getting at is what priority is given to looking at the fuel cutoff switches in this situation?
How long until you look at those switches as the possible cause of the engine problems?

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nrunning24
July 14, 2025, 21:23:00 GMT
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Post: 11922512
Originally Posted by LTC8K6
I'm still not clear on something, no surprise there.

If you are the PF and you are just after rotation, and for whatever reason, the fuel control switches transition to "CUTOFF", when and how do you notice this?
Presumably your hands are on the yoke and you are looking very intently out the windshield. So, to me it seems unlikely that you saw whatever happened to the switches, however they moved.

Do you get a warning indication that the switches have moved? If so, then that would be what I needed to know. You got a warning and therefore you looked right at the switches.

If not, do you just notice that you have lost power? If that is the case, where do you look first? I presume it would be at the engine info gauges/displays.

What I'm getting at is what priority is given to looking at the fuel cutoff switches in this situation?
How long until you look at those switches as the possible cause of the engine problems?
Well this is probably why it took 10 seconds, whole right side of the flight deck would be blacked out. My guess is that the EICAS messages that you see during sim engine fires/relights training helped. Don't have the post but it exists earlier upthread but there is an fuel cutoff EICAS message that happens when fuel switches move. Obviously can never count out a side vision of the PM, especially if its not a traditional movement in that stage of flight.

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