Boeing 737 Max Lion Air crash caused by series of failures
Posted: Fri Nov 01, 2019 5:02 am
Yeah, I think most of us know that these things happen as a result of a series of events, usually 7 or more. In this case, it was 9 (I only listed 7 which I think was of interest - particularly first 2 below):
- the jet should have been grounded before departing on the fatal flight because of an earlier cockpit issue
- a crucial sensor - which had been bought from a repair shop in Florida - had not been properly tested
- first officer, who had performed poorly in training, struggled to run through a list of procedures that he should have had memorised.
- 31 pages were missing from the plane's maintenance log
- If the crew of the previous days flight had given a more detailed description of the problems they'd faced, the aircraft might never have taken off on its fatal flight
- if the captain, who'd successfully kept the plane in the air - despite the intervention of a rogue automated system he didn't understand - hadn't handed over to his less-capable first officer, disaster might still have been avoided.
- at the heart of that chain was MCAS - a control system that the pilots didn't know about, and which was vulnerable to a single sensor failure
- and more
https://www.bbc.com/news/business-50177788
- the jet should have been grounded before departing on the fatal flight because of an earlier cockpit issue
- a crucial sensor - which had been bought from a repair shop in Florida - had not been properly tested
- first officer, who had performed poorly in training, struggled to run through a list of procedures that he should have had memorised.
- 31 pages were missing from the plane's maintenance log
- If the crew of the previous days flight had given a more detailed description of the problems they'd faced, the aircraft might never have taken off on its fatal flight
- if the captain, who'd successfully kept the plane in the air - despite the intervention of a rogue automated system he didn't understand - hadn't handed over to his less-capable first officer, disaster might still have been avoided.
- at the heart of that chain was MCAS - a control system that the pilots didn't know about, and which was vulnerable to a single sensor failure
- and more
https://www.bbc.com/news/business-50177788