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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’? Subjects (links are to this post in the relevant subject page so that this post can be seen in context): Fuel (All) Fuel Cutoff Switches |
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. Subjects (links are to this post in the relevant subject page so that this post can be seen in context): Fuel (All) Fuel Cutoff Switches |
AfricanSkies
July 12, 2025, 11:59:00 GMT permalink Post: 11920565 |
Regardless of what actually happened in that cockpit, reasoning like this seems completely backwards to me. Since when do humans reliably, instantly recognise that they've just made a mistake? If they were
that
attuned to their actions they're almost certainly attuned enough to
not
make the mistake in the first place, especially if we're talking about an action slip. I've e.g. absentmindedly added salt to my tea instead of sugar and I certainly didn't immediately realise that I'd done that - in fact it took a good few seconds even after sipping and spitting it out for my brain to catch up to what must have happened. Even if an observer had pointed out to me before drinking it that my tea had salt in it, I would just have been confused because
obviously
I wouldn't do something that silly (spoiler alert: I did)..
When they rip their hand away from the hot stove they’ve just touched. Had this been a silly mistake, it was one with immediate, severe consequences, not something like discovering a mistake you made some time ago. As for response to the mistake, see below
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.
Again, the situation isn’t a surprise to you, you know what just happened. Subjects (links are to this post in the relevant subject page so that this post can be seen in context): Action slip Fuel (All) Fuel Cutoff Switches |
AfricanSkies
July 12, 2025, 12:05:00 GMT permalink Post: 11920570 |
Subjects (links are to this post in the relevant subject page so that this post can be seen in context): EAFR |
AfricanSkies
July 12, 2025, 12:14:00 GMT permalink Post: 11920575 |
Deliberate pilot action should be ruled out until any evidence and motivation for why that's the case emerges.
All we know is the fuel cut off switches were flipped to Cutoff for 10 seconds and then to run again. Not how or by what. The focus should be on how this could occur. Accidentally, technical malfunction, a foreign object somehow hitting and moving them or other reason? Theories needs to be tested in a cockpit with the exact configuration of this aircraft and with the angles and forces involved as much as we can. It should be possible to simulate it pretty closely and whatever happened should be repeatable. It's going to be something extremely unlikely, or we'd have seen it before in 10 years of 787 service. He didn\x92t say, \x93did you just see that pink elephant fall off the dashboard?\x94 How are you going to \x93simulate something pretty closely\x94 when it\x92s also \x93extremely unlikely\x94? The chance that it was a mechanical or electrical failure of both fuel switches , 2 seconds apart , is for all intents and purposes, zero. Therefore they were moved by hand. Subjects (links are to this post in the relevant subject page so that this post can be seen in context): Electrical Failure Fuel (All) Fuel Cutoff Fuel Cutoff Switches |
AfricanSkies
July 12, 2025, 18:33:00 GMT permalink Post: 11920736 |
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. Subjects (links are to this post in the relevant subject page so that this post can be seen in context): Engine Failure (All) Engine Shutdown Preliminary Report SAIB NM-18-33 Special Airworthiness Information Bulletin |
AfricanSkies
July 13, 2025, 05:12:00 GMT permalink Post: 11921023 |
Just a thought \x97 the fire extinguisher handles perform the same function as the fuel cut-off.
Could there have been a strap /booklet or something else that accidentally got under the fire handles and activated them when one of the pilots pulled on the item? The fire handles are not particularly well protected against something getting underneath them Is there any information on whether the fuel cutoff switches and fire handles register as separate events on the flight data recorder, or if both are logged under a common indication, such as 'fuel switch cut off'? ![]() Subjects (links are to this post in the relevant subject page so that this post can be seen in context): Fuel (All) Fuel Cutoff Fuel Cutoff Switches |
AfricanSkies
July 13, 2025, 09:14:00 GMT permalink Post: 11921166 |
Exactly. May I add, Multiple simultaneous separate failures, on each switch, 1-2 seconds apart, which adds another level of improbability.
Subjects: None |
AfricanSkies
July 13, 2025, 15:25:00 GMT permalink Post: 11921392 |
It might be 3.01 seconds, due to the sampling rate. Still not quick, but a lot quicker than 4 seconds in the context. If it was being done by PF while trying to fly the aeroplane, then it wouldn't be as slick as the shutdown routine (and it would be against muscle memory of that routine as the switches are being moved in the opposite direction).
MrShed will have to redo his drawing. Subjects (links are to this post in the relevant subject page so that this post can be seen in context): Muscle Memory |
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