Posts about: "Preliminary Report" [Posts: 277 Pages: 14]

Gupeg
July 12, 2025, 08:15:00 GMT
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Post: 11920329
Originally Posted by Saab Dastard
(Admin/Mod)Folks, it appears that the message isn't getting through.
There were two professional pilots on that flight deck.
It is not acceptable to effectively accuse both of a criminal act, because there is no evidence to identify which hand - if either - moved the fuel switches, or for what purpose or reason.
Unless and until any such evidence is published by the relevant authorities, kindly desist from doing so out of respect for your professional colleagues.
The Mods have stuck to this principle, which I shall try to adhere to.
This preliminary report is just that, but maybe consider the issues the Indian AAIB have had to address in publishing it. They will have a similar concern to the pP mods, maybe more so since any apparent accusations directed at the pilots may lead to physical retribution.
I therefore conclude great care has been taken to "sanitise" what the AAIB know, or at least strongly suspect, (from EAFR) into the report. They have conspicuously failed to identify which of the pilots was each half of the conversation they have not repeated the exact words, there's a lot missing (was positive rate ever called, was rotate ever called, any discussion about putting FC back to Run, who/how flying aircraft meanwhile). As a result we, the reader, should step back and not over-interpret this sanitised report.

Secondly, given the mod statement above, if a criminal act is suspected by the AAIB, this will likely trigger all sorts of 'primacy' issues in the investigation i.e. police? AAIB? or joint? and all the history that involves (SAS Linate?) - in Europe we have 996-2010 Article 12 para 2, but India?

Summary : For good reason I believe this report has been very carefully worded, sanitised with great care, and as such easy to inappropriately speculate what went on.
DavidncRobson
July 12, 2025, 08:17:00 GMT
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Post: 11920331
Timing of Query Re Cut Off Switches

Originally Posted by Abbas Ibn Firnas
From the report, there is no indicated time stamp identifying the point when one pilot asked the other "why did you cut off"
This could explain the the assumption that it took ten seconds to reverse the switch positions.
Cut off could have been noticed at any point later than 08:08:42 but before 08:08:52.
From my reading of the AAIB report, the delay in noticing the cut off switch position could not have been any later than 08:08:47 because the reference to the verbal exchange was written before the reference to the RAT deployment and I assume the written narrative follows the chronological sequence of events. The delay in resetting those fuel switches might therefore have been no more than 5 seconds. It is a pity that the pilot making the challenge didn't simply reset the switches to run instead of challenging the other pilot. I frequently tell people who blow their horns at pedestrians or other motorists that blowing the horn isn't going to help them avoid an accident and that what they really need to do in the limited time available to them is concentrate on applying the brakes and turning the steering wheel.
MaybeItIs
July 12, 2025, 08:46:00 GMT
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Post: 11920368
Originally Posted by Natterjak
\x94STAB POS XDCR\x94 ... was released from maintenance (according to the preliminary report) at 06:40UTC ahead of an 07:40UTC departure (the crash flight) with \x94no fault found\x94.
May I ask where you found the "no fault found" info? I can't see that, though I suspected it.
Polar.Bear
July 12, 2025, 10:21:00 GMT
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Post: 11920462
Originally Posted by AirScotia
As someone suggested, the person asking the question might have asked it to cover the fact that he had performed the action.
That will be easily answered when investigators play CVR recordings to colleagues, family and friends who can recognise and identify the voices.

They probably know that answer but it is omitted from preliminary report.
InTheHighlands
July 12, 2025, 10:32:00 GMT
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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
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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
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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."
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 ?


Someone Somewhere
July 12, 2025, 11:02:00 GMT
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Post: 11920495
Originally Posted by Natterjak
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 believe the fuel cutoff switches are one of the exceptions to this. They are direct wired. Stab trim may well be too.

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.

Originally Posted by Musician
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?
I think I have seen a previous reference that the generators are disconnected when you select the switches to cutoff (or very shortly afterwards), not when the engine actually drops below idle. That could account for a few seconds of spool down time.

Originally Posted by AfricanSkies
What is 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.
That is a very good question IMHO.
violator
July 12, 2025, 11:26:00 GMT
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Post: 11920527
Originally Posted by Chronic Snoozer
15 pages of a preliminary report is worth more than 15,000 pages of a PPRuNe thread. Lock it mods.
Aside from anything technical, I find this attitude really strange. 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. What's the point in locking threads until the final report comes out?

You can always not read it.
KSINGH
July 12, 2025, 11:39:00 GMT
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Post: 11920546
Originally Posted by violator
Aside from anything technical, I find this attitude really strange. 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. What's the point in locking threads until the final report comes out?

You can always not read it.

indeed, it was valid to have closed earlier threads as we were all purely speculating but now the prelim report is out surely it\x92s fair game? The AF447 threads I\x92ve gone back and read have gone into 100s of pages multiple times

As long as things are mostly civil surely there\x92s zero reason to be shutting down organic conversations now

Seamless
July 12, 2025, 11:49:00 GMT
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Post: 11920556
If the thrust levers were found in idle but, according to the EAFR, were set to TO thrust until the end, doesn\x92t that also raise further questions? I mean: Of course, the impact causes compression at the nose, but the centrifugal forces act in the opposite direction. So, if there is an objective inconsistency here, and we have a pilot who says he did not operate the fuel cut-off switches, while the EAFR indicates otherwise, then we have yet another inconsistency.
Relevant section in the preliminary report
Relevant section in the preliminary report
paulross
July 12, 2025, 12:25:00 GMT
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Post: 11920578
AI171 Threads by Subject

I have rebuilt the site that organises these three threads by subject here: https://paulross.github.io/pprune-th...171/index.html

Changes:
  • Build threads up to July 12, 2025, 11:59:00 (built at July 12, 2025, 13:03:09).
  • Add thread about the published report: Preliminary Air India crash report published
  • Add subjects: "Guards", "Timeline (Preliminary Report)", "EICAS", "RUN/CUTOFF", "Special Airworthiness Information Bulletin", "SAIB NM-18-33", "Gear Lever", "Startle Effect" and "Cockpit Area Audio".
  • Minor improvements to the index.html page.
Project is here: https://github.com/paulross/pprune-threads
Raise issues here https://github.com/paulross/pprune-threads/issues or PM me.

za9ra22
July 12, 2025, 18:02:00 GMT
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Post: 11920717
Two things I would like to add:

1: in the context of 'evidentiary' posts, the fact we discuss an issue here which is then embedded in a YouTube expert's analysis, doesn't then make that YT video credible evidence to prove a point here. It's a hamster wheel in action.
2: The absence of some detail or another from the preliminary report doesn't speak to a cover up. What it does is tell us that either that detail was absent from the investigatory evidence, so not available to consider, or it was present but not considered (at this stage at least) a material detail which was useful to report.
njc
July 12, 2025, 18:11:00 GMT
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Post: 11920724
(First, I've read the whole thread, and most of the content in the previous threads, though they are obviously of less relevance in some areas now.)
Originally Posted by Propellerhead
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.
This notion has caused me some concern, since seeing at least one very similar remark when I read the other threads (possibly by the same poster, though?).
It seems extremely undesirable for TCs to end up habituated to taking actions like this without thought. I wonder if it creates a case for the sim setups being performed by non-flying personnel?

Meanwhile, I read the prelim report. The English is generally fairly good but I note multiple mistakes/typos, and some oddities. One such oddity is that the timestamp of the second cutoff switch change isn't listed explicitly anywhere I can find, but instead just a relative time: "gap of 01 second". To write "1" as "01" like this invites speculation that it's a typo for 0.1; this is unlikely, given the polling frequency mentioned by some posts above, but nonetheless seems odd. (I am aware that Indian conventions differ from those in US/UK English, including placement of commas in large numbers, but I don't think this is such a case.)
Another indication to suggest it hasn't been proof-read very effectively: the FADEC is also described as a "... Dual ..." instead of "... Digital ...".
EXDAC
July 12, 2025, 18:17:00 GMT
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Post: 11920727
Originally Posted by Pilot DAR
The engine \x93run/cutoff\x94 switches have a well designed locking mechanism, visible in the photo in the report as being in place to \x93run\x94. Grip by a hand is required to lift them over a lock, before they can be repositioned.
That account, which is posted as being authoritative, appears to disregard SAIB NM-18-33 which states, in part:

"In order to move the switch from one position to the other under the condition where the locking feature is engaged, it is necessary for the pilot to lift the switch up while transitioning the switch position. If the locking feature is disengaged, the switch can be moved between the two positions without lifting the switch during transition, and the switch would be exposed to the potential of inadvertent operation. Inadvertent operation of the switch could result in an unintended consequence, such as an in-flight engine shutdown.'

Since the preliminary report does not specify that this SAIB was actioned on this aircraft we do not know if it was fitted with defective switches.

In my personal opinion a defective locking feature does not explain the reported event sequence. That does not mean the switches were not defective.




za9ra22
July 12, 2025, 18:25:00 GMT
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Post: 11920730
Originally Posted by Bristolhighflyer
One suggestion about why the report was sanitised and a fuller transcript was not provided could be to delay public reaction on this and avoid copycat events.
Jump seaters should be mandatory on all flights. On AS2059 the jumpseater maniac was overpowered by the other pilots. Two against one is better than pilot against pilot.
The 10 second delay could be explained by a cabin altercation when one pilot saw the other one deliberately perform the cutoff.
I've been on record in the past advocating for this, but not as the means for intervention. - in the kind of instance we may have seen here, that likely wouldn't have helped anyway - but as a moderating influence on a crew member who may have been contemplating wayward actions. Being observed is often a powerful influence in behavioural extremes.

On edit: and No, I doubt the preliminary report was written to avoid the risk of copycat actions or delay public reaction. The investigatory team are not at all likely to be considering that kind of audience in what is essentially a finding of fact. An altercation would have been caught on the CVR... and reported upon.
AfricanSkies
July 12, 2025, 18:33:00 GMT
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Post: 11920736
Originally Posted by EXDAC
That account, which is posted as being authoritative, appears to disregard SAIB NM-18-33 which states, in part:

"In order to move the switch from one position to the other under the condition where the locking feature is engaged, it is necessary for the pilot to lift the switch up while transitioning the switch position. If the locking feature is disengaged, the switch can be moved between the two positions without lifting the switch during transition, and the switch would be exposed to the potential of inadvertent operation. Inadvertent operation of the switch could result in an unintended consequence, such as an in-flight engine shutdown.'

Since the preliminary report does not specify that this SAIB was actioned on this aircraft we do not know if it was fitted with defective switches.

In my personal opinion a defective locking feature does not explain the reported event sequence. That does not mean the switches were not defective.
Both of them? 1-2 seconds apart? That\x92s extremely unlikely.
Feathers McGraw
July 12, 2025, 18:59:00 GMT
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Post: 11920753
Earlier today I watched Mentour Pilot's YouTube discussion, one of the things Petter said was "Brain fart of the century" regarding the erroneous selection of cut-off 3 seconds after leaving the ground. Somewhere else I saw this sort of thing described as a "Car keys put in the fridge" event.

I'm also reminded of the Moorgate tube train crash in 1975, no one has ever determined why an experienced driver who had driven the short out and return route 4 times that day suddenly accelerated while bringing his train into a terminus station with a closed tunnel beyond the platform end.

As someone married to a person who suffers with epilepsy, I'm used to short term memory interruption events where my wife will have done something and then not remember doing it 10 seconds later. I suppose such a thing in a pilot is a possibility, a new sufferer may not even realise that they have this kind of condition or even know they have performed an action.

I don't have anything else I can add to this, I read the preliminary report twice and checked every word. It doesn't offer any clear suggestions without expanding on the limited information provided. Undoubtedly the investigators have a lot more information they can examine but it will take time. One thing is that it doesn't mention a positive rate call, in the circumstances that suggests that this wasn't made and was replaced with the "Why did you cut-off?" question.

I note that this crash might have been more survivable with a 15 degree change of heading to the left towards a more open area to the south of the 5 buildings involved, but of course there would be no reason for the crew to have done this or indeed any time to do it.

Gupeg
July 12, 2025, 19:01:00 GMT
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Post: 11920757
Originally Posted by za9ra22
...
On edit: and No, I doubt the preliminary report was written to avoid the risk of copycat actions or delay public reaction. The investigatory team are not at all likely to be considering that kind of audience in what is essentially a finding of fact. An altercation would have been caught on the CVR... and reported upon.
With all due respect I disagree I think the prelim report was very sanitised to achieve the aim of a prelim report (are there any urgent safety actions relevant to this accident to be addressed?) whilst avoiding 1) Extreme public reaction 2) Addressing potential criminal behaviour - which the AAIBs are not experts in, nor the correct investigatory authority.
Your final sentence similarly I doubt - I suspect the CVR does reveal a lot more - certainly the timings of the reported interactions. It's just sensitive information... The report was written at 4AM ish Indian time and released shortly afterwards, and I surmise most of the delay was not "what to include" but "what NOT to include" to (only) achieve the aims of a prelim report.
I am not trying to be disrespectful, just put forward a different point of view, and you may well be right...
Eutychus
July 12, 2025, 19:05:00 GMT
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Post: 11920760
With the distance of an SLF

This
takes the trouble of going through the preliminary report in some detail, and picks up on the inclusion of a psychologist in the investigation team, which I don't think has been mentioned here yet.

Is there anything professional pilots would take exception to in the explanation by the pilot in this video?