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Subsy
July 09, 2025, 19:23:00 GMT permalink Post: 11918592 |
Muscle memory is a strange and (usually) wonderous thing. It allows us as humans to perform amazing things without actually thinking about what we are doing. Professional Athletes have perfected this to a high art, but the rest of us do things using muscle memory on a regular basis. Back when I was still racing, I happened to look down at my hands on the steering wheel in fast, bumpy corner, and I was simply amazed at the large, rapid steering inputs that I was making to compensate for the bumps - with absolutely zero conscious thought. Muscle memory at its best.
However, it can also bite us. The Delta dual engine shutdown during takeoff from LA (referenced way back when in the 1st accident thread) was caused by muscle memory - the pilot reached down to set the EEC switches (located near the fuel On-Off switches) but muscle memory caused him to do something else - set both fuel switches to OFF. Fortunately, he quickly recognized his error, placing the switches back to RUN and the engines recovered in time to prevent a water landing (barely). It is conceivable that a pilot - reaching down to the center console to adjust something unrelated - could have muscle memory cause him to turn the fuel off to both engines. While all new engines are tested for "Quick Windmill Relight" - i.e. the fuel switch is set to CUTOFF with the engine at high power - and the engine must recover and produce thrust withing a specified time (memory says 60 or 90 seconds) - it takes a finite amount of time for the engines to recover (spool down after a power cut at high power is incredibly fast - plus moving the switch to CUTOFF causes a FADEC reset, which means it won't do anything for ~ 1 second). Doing that at a couple hundred feet and the chance that an engine will recover and start producing thrust before ground impact is pretty much zero It's ironic that cognitive science arguably started with 'The Cambridge Cockpit'; an attempt to make sense of, and mitigate, pilots doing this sort of thing when tired, stressed and so on. This kick started an ergonomics revolution which appears to have come full circle. Now we have cognitive science offering Bayesian accounts of neural function that might explain how innocent but unfortunate priming of 'muscle memory' when practicing for emergencies could, almost predictably, lead to this sort of complex, protection overriding, error. As non consciously executing a complex, well practiced, but unintended, action is a fairly common experience in less critical situations, I'm surprised that there isn't already a more effective ergonomic fix than the safety switches fitted. Last edited by Subsy; 9th July 2025 at 21:58 . |
Kraftstoffvondesibel
July 10, 2025, 12:31:00 GMT permalink Post: 11918989 |
The switch itself is 4-pole, or a double-on, double-on switch, capable of independentently signaling whrough completely isolated poles. The plot thickens. IF the switches really are involved, there is either some kind of shortcut in within the LRU/very messed up witing harness, some freak automated muscle memory thing or deliberate action. |
GroundedSpanner
July 11, 2025, 21:51:00 GMT permalink Post: 11919859 |
One item in the report is the position of the LG Lever - Down.
Given the lack of a full transcript, and in trying to defend the crewmembers intentions , Is it possible that at the point of "Positive Rate - Gear Up" - PM Brain farted, and performed a different muscle memory action? Thus they would deny moving the Switches - and take a few seconds to compute what they just did? |
PPRuNeUser548247
July 11, 2025, 21:55:00 GMT permalink Post: 11919864 |
One item in the report is the position of the LG Lever - Down.
Given the lack of a full transcript, and in trying to defend the crewmembers intentions , Is it possible that at the point of "Positive Rate - Gear Up" - PM Brain farted, and performed a different muscle memory action? Thus they would deny moving the Switches - and take a few seconds to compute what they just did? |
KSINGH
July 11, 2025, 22:04:00 GMT permalink Post: 11919872 |
The landing gear lever is forward and up on the centre instrument panel, adjacent to the PFD. The two fuel control switches are aft and low, on the thrust pedestal. There's no reasonable way to confuse one for the other in terms of position, hand movement or 'muscle memory'.
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Diff Tail Shim
July 11, 2025, 22:04:00 GMT permalink Post: 11919874 |
The landing gear lever is forward and up on the centre instrument panel, adjacent to the PFD. The fuel control switches are aft and low, on the thrust pedestal. There's no reasonable way to confuse one for the other in terms of position, hand movement or 'muscle memory'.
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GroundedSpanner
July 11, 2025, 22:05:00 GMT permalink Post: 11919876 |
The landing gear lever is forward and up on the centre instrument panel, adjacent to the PFD. The two fuel control switches are aft and low, on the thrust pedestal. There's no reasonable way to confuse one for the other in terms of position, hand movement or 'muscle memory'.
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eagle21
July 11, 2025, 22:06:00 GMT permalink Post: 11919878 |
Out of interest, hypothetically if the captain was an instructor, is there a possibility that any kind of muscle memory from simulated failures in the simulator may have been triggered?
Let\x92s say that you are having to retrain another pilot on v1 cut handling whilst you occupy the P1 seat. Temptation may be to use the fuel cut off switches to save time rather than going back to the sim operator panel to reprogram the failure. |
unmanned_droid
July 11, 2025, 22:07:00 GMT permalink Post: 11919882 |
One item in the report is the position of the LG Lever - Down.
Given the lack of a full transcript, and in trying to defend the crewmembers intentions , Is it possible that at the point of "Positive Rate - Gear Up" - PM Brain farted, and performed a different muscle memory action? Thus they would deny moving the Switches - and take a few seconds to compute what they just did? I would think it would be the PM that would be required to action the PF calls such as 'positive rate- gear up' as the PF would have left hand on throttles and right hand on the controller? What happened in the next 10 seconds is literally everything here. The report does not assign ownership to any of the recorded voice or any of the actions. Noting Saabs following post and keeping the wording of the prelim report in mind, I have re-worded this post. Last edited by unmanned_droid; 11th July 2025 at 22:19 . |
tdracer
July 11, 2025, 23:12:00 GMT permalink Post: 11919974 |
OK, a couple of informed comments, again with the disclaimer that I have very little first hand knowledge of the 787.
Every single engine parameter I've seen on a DFDR readout has been recorded at 1/second (most parameters), or slower. I've never seen an engine parameter recorded at more than once/second. The recorder doesn't do an instantaneous snapshot - it cycles through the thousands of recorded parameters. So a once second difference on the data could - in reality - be anywhere from 0.01 seconds to 1.99 seconds. If it matters, a deep dive into the avionics and FDR logic could narrow that time interval down. That being said, moving both switches to cutoff could happen in about a second. The switches make a rather distinct noise (especially if moved rapidly) so the CVR should give better resolution. There have been instances in the past where the locking tab on the switch has been broken or 'worn down' from heavy use. But that's been seen on very high cycle aircraft - usually 737s that fly short hops. No memory of ever hearing of an issue with relatively new 787s that are - by nature - long range aircraft and don't get a lot of cycles. On the 747-400, the fuel switches are a 'break before make' design with a distinct gap of ~0.050 seconds during a normal switch cycle (it's a long, somewhat painful story about why I know that...). I don't know the specifics of the 787, but I'd be very surprised if it's any different. BTW, if the investigators had reason to believe the switches somehow moved on their own, I think a fleet wide inspection would have been ordered by now. I keep coming back to my 'muscle memory' hypothesis... |
Someone Somewhere
July 12, 2025, 02:34:00 GMT permalink Post: 11920108 |
Regardless of how this happened I find it perplexing that a switch with such consequence in either position can be operated with a flick of the wrist.
Firewall shutoff switches are guarded, fire bottle switches are guarded or require both hands to operate, all require two deliberate actions to operate, except two switches in the middle of the console which do so many consrquential things.. Over-guarding stuff can have its own issues. People become used to operating the guard as part of normal operations, and it becomes muscle memory. Apparently Embraer aircraft inhibit the shutoff switch if the thrust lever is above idle - if you have a stuck thrust lever, you need to use the fire shutoff. Another option would be to have a blocking solenoid (with override button) similar to the landing gear lever while airborne or at high speed. |
albatross
July 12, 2025, 02:35:00 GMT permalink Post: 11920109 |
I have flown aircraft with those type of switches controlling various systems. Fuel valves, governor switches ext.
After a bit you move them, if required, in one motion without even thinking about it. It becomes muscle memory. |
MaybeItIs
July 12, 2025, 02:42:00 GMT permalink Post: 11920116 |
I'd like to say something here that might help us all understand what probably happened. It's sad, but now that we know some clear facts, I think this probably goes a long way to understanding this tragedy.
It's a bit long, but that's probably necessary. I hope you find it worth the read. First up, I notice there's a tradition here to talk about "muscle memory". I understand it, but this is really quite the wrong term, and I think using the correct term will help clarify this a great deal. The muscles don't remember actions (at all, I think). It's part of the brain that's responsible (and I truly think that aircraft designers need to understand and take this fully into account when designing new aeroplanes/airplanes.) The part of the brain in question is called the Cerebellum. It has been called "The Brains Brain" but again, that's inaccurate. The cerebellum is actually the brain's Automaton! Pretty close to automation, and in some ways, nearly the same. The Cerebellum is located at the back, lower part of the brain. It looks quite different, and appears to have a stringy appearance. This part of the brain is responsible for all manner of physical (i.e. motor) actions. It is like an ECU or an EEC or a FADEC, or a GPU or all manner of sub-processing units in cars, planes, factories and so on, and I guess, in virtually all animals and humans. Basically, it is designed to take a lot of the workload off the brain itself. That's where the problem arises. Just think about walking. You can work along without even thinking about it. In fact, if you do think about it, your walking is likely to become "unnatural". Just think about how it feels to nervously walk on stage in front of a big crowd. Am I even walking properly...? I feel like a robot! The conscious mind has taken control, and it's not as good at walking naturally as the cerebellum is. After all, it's been the one doing it, all your life. So, think about talking, writing, signing your signature, typing, riding a bike, stirring your tea, driving a gold ball, playing a well-practised video game. Think of "Getting the hang of it" - it's the process of the cerebellum learning a new sub-routine. Slow to start, but capable of lightning fast action once learned. And some of its learning is evidently built-in from birth. Eye movement (& focussing?), for example. So, having a cerebellum allows you to walk very successfully, while watching the traffic, talking to your companion, thinking up jokes, listening to the birds singing, etc etc. You don't need to think about it, because your cerebellum has learned since you were a toddler "How to Walk". It knows very well, and can even handle trips and especially slips. All you have to do is say "Walk to A" and the cerebellum does it, unless the thinking brain says "Hold on, stop." This is where the term "muscle memory" comes from. Automated actions, not from muscles but from the cerebellum. Now, the problem here is that in effect, what I'm describing is, in a way, two brains. Scary thought! Even more scary when you recognise that it's virtually true. If you take a look at the anatomy of the brain in a suitable drawing, you'll see that the cerebellum is not fully connected to and integrated with the rest of the brain. It's actually a separate sub-unit which is not even wired directly into the brain (the cerebrum, just to be confusing) itself. It's attached / wired to the rear side of the brain stem, below the Main Brain: https://teachmeanatomy.info/neuroana...es/cerebellum/ - scroll down to Fig 1. Those of us who understand computers, networks, data-buses and so on will immediately recognise the problem. For a start, there's a bottleneck. And a source of latency. (The perfect word for this situation.) There's also a need for multiplexing - or, you could say switching. At least, there are two possible sources of control. Just like in the cockpit! Oh No! Having the cerebellum where it is had/has a huge survival advantage. It means it's much "closer" to all the nerves that control the muscles - so that in life-threatening emergencies, the cerebellum can get the commands out much, much faster than the conscious brain can even think of them. If you're falling, the cerebellum will have reacted even before you've had a chance to think. I learned this one day in England. I was riding an old bike to work, accelerating at a roundabout as hard as I could push. Suddenly, at full push, the chain came off. I don't (and didn't) even remember, maybe didn't even see, what happened next. One moment, I was up on the pedal, pushing hard. Next, I was in mid-air. Seriously, I remember this. I was in mid-air on the right-hand side of the bike, looking back towards the bike still rolling along beside me as I was falling. I was already about half turned, nearly onto my back. No idea how. (I was wearing a backpack, so apparently, it was my designated crashpad.) Next, I was on the road, completely free of any entanglement with the bike. It (cerebellum) didn't manage to get my right elbow out from under (maybe deliberately) but I landed mostly on my backpack, with my elbow pinned about under my right hip. The scars have faded now, but my forearm/elbow became a brake pad... Next thing I remember was sliding along a cold but fairly smooth section of road, head craned up, looking back down the road to see if anyone was going to run me over. A brown-haired young woman in a car was coming behind me, safely, watching, slowing. I firmly believe that my cerebellum was responsible for me landing so well. Nothing broken, just some skin off my elbow. Like I say, I didn't have a chance to even think about it. So, there's a big advantage in having a semi-autonomous processor operating in parallel, alongside the higher intellect. But every advantage seems to bring with it a downside, as I think we might all be seeing. The downside is, given a command by the cerebrum, the cerebellum will perform it. Accidentally, unintentionally, mistakenly, prematurely, casually, give it the wrong command, and guess what? To tell you the truth, the older I get, the more often this happens. My wife and I jokingly call it Autopilot. We're out shopping or whatever, a list of places to go, me at the wheel. A to B to C... Suddenly, we're back home, and I forgot to stop at the Drug Dealers... I jest - I mean, who would forget that! But talking is a great way to facilitate this. The cerebellum knows the way home far better than the way to the Candlestick maker, so, when lacking clear direction, evidently, it reverts to the most familiar. Exactly what happened here, who can really say? Not me. But this article (many thanks to https://www.pprune.org/members/198630-limahotel ) for this link. It's totally relevant, the PF the obvious cause: https://avherald.com/h?article=48d1e3ae&opt=0 I wonder what might have been the trigger here. Sudden high stress? Why didn't the gear go up? Who should have done that? When, compared with actual events? (Might have already been answered, sorry. I've been busy! ) |
LSACapt
July 12, 2025, 05:27:00 GMT permalink Post: 11920213 |
The cutoff switch movement doesn\x92t look like a procedural error in isolation , more like a symptom of
heat, stress, and cognitive load
catching up at the worst possible moment. Muscle memory kicks in, hands move before thought does.
At Vr, you\x92re saturated \x97 hot cockpit, high workload, maybe a tech snag pre-departure. You\x92re doing everything right, until your hand isn\x92t. It doesn\x92t take malice or incompetence. Just a second of invisible overload , and the wrong switch moves. |
B2N2
July 12, 2025, 07:40:00 GMT permalink Post: 11920291 |
The cutoff switch movement doesn\x92t look like a procedural error in isolation , more like a symptom of
heat, stress, and cognitive load
catching up at the worst possible moment. Muscle memory kicks in, hands move before thought does.
At Vr, you\x92re saturated \x97 hot cockpit, high workload, maybe a tech snag pre-departure. You\x92re doing everything right, until your hand isn\x92t. It doesn\x92t take malice or incompetence. Just a second of invisible overload , and the wrong switch moves. |
PPRuNeUser548247
July 12, 2025, 07:49:00 GMT permalink Post: 11920305 |
There’s a line of argument in some of the discussion around AI171 that gives me pause. Understandably, nobody wants to rush to judgement, especially when the crew can’t speak for themselves. But I’m concerned we’re leaning too far in the opposite direction: treating almost any possibility, even when it stretches beyond reason, other than unintentional error as "off-limits"
I’m not suggesting intent. But at some point, professional integrity requires us to ask hard questions. If the evidence points to deliberate human action, whether through disorientation, procedural lapse, or something worse, we can’t just explain it away with ambient heat and "muscle memory". The aircraft didn’t crash itself. If we're unwilling to face uncomfortable data, we risk turning investigation into deflection. |
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. |
mbd
July 12, 2025, 21:51:00 GMT permalink Post: 11920867 |
The fact the gear wasn't retracted is a clue. We don't yet have the full CVR but normally the PF would call for gear retraction.
The PNF (in this case the captain) responds by operating the CUT OUT switches from muscle memory. He would have had to have been mentally checked out from his tasks as captain and PNF. Mental illness? Acute fatigue? Mental fog? Depression? It's so hard to accept these switches were moved by one of the pilots just after liftoff. |
Bergerie1
July 13, 2025, 05:15:00 GMT permalink Post: 11921025 |
May I refer you to
MaybeItIs'
post
183
and my post
351
. I think that
tdracer
has laid to rest most (if not all) of the electrical theories that have been put forward on this thread. And I find the accusations of malicious operation of the switches by one or other of the pilots to be repugnant.
This leaves the so-called 'muscle memory' and 'brain fart' theories. Those who work in the field of psychology can show quite clearly that we are all liable to seemingly inexplicable mistakes, both in normal life and in the cockpit. MaybeItIs wrote about the cerebellum and the cerebrum in his post 183, his words are very wise. Those of us who have worked as instructors will have spent many hours embedding in our students essential habit patterns, most of which are life-savers. But, equally, habitual actions can very occasionally go wrong, despite our best intentions. I have a strong feeling that the root cause of this accident will be found to be psychological. Some may simply try to put this down to 'pilot error' which, in a way, it is but it is not a culpable error . It is simply a result of being human. |
Sizzling_foil
July 13, 2025, 05:28:00 GMT permalink Post: 11921031 |
I'm a bit worried that 'muscle memory' becomes an all too convenient construct to blame this on like 'scenario fulfillment' and Iran Air 665. If we can name something we thing we control something.
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