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Quoting rolfen (Thread starter): Hi, I just watched the helios 522 documentary (again) and something boggles me ... Isn't there a "cabin pressure" warning light somewhere in a visible place in the cockpit? |
Quoting Fly2HMO (Reply 1): Also, while I haven't seen that documentary, I seem to recall reading that the warning system was defective. |
Quoting rolfen (Thread starter): Isn't there a "cabin pressure" warning light somewhere in a visible place in the cockpit? |
Quoting Fly2HMO (Reply 1): IIRC, a master warning annunciation will go off directing attention to the pressurization panel, which will have yet another warning displayed. It will go off when the cabin pressure goes above 14000ft. Been a while since my 737 training though so take that with a grain of salt. |
Quoting Fly2HMO (Reply 1): Also, while I haven't seen that documentary, I seem to recall reading that the warning system was defective. |
Quoting tdscanuck (Reply 3): Yes. There can be a "CABIN ALTITUDE" light right next to the TAKEOFF CONFIG light (center console) but I'm not sure if the Helios flight had that, |
Quote: Following the Helios accident where the crew did not correctly identify the cabin altitude warning horn, new red "CABIN ALTITUDE" and "TAKEOFF CONFIG" warning lights were fitted to the P1 & P3 panels to supplement the existing aural warning system. |
Quoting rolfen (Reply 4): Anyway I'm no pilot I was just under the impression that the 737 cockpit had a clear visible cabin altitude warning, and it does, but unfortunately was only added after the Helios accident. |
Quoting rolfen (Reply 4): The second question I was asking myself is: even if there is no warning light, don't they have a reference at hand for understanding different warning sounds...? |
Quoting tdscanuck (Reply 6): This isn't a new problem from the Helios accident |
Quoting tdscanuck (Reply 3): However, the cabin altitude warning and the takeoff config warning use the same horn...apparently, the crew mistook one for the other. This is somewhat baffling, as you only get takeoff warning on the ground, and only get cabin altitude warning in flight (excepting very high altitude airports, which wasn't the case here). |
Quoting KELPkid (Reply 2): The warning horn sounded just like it should have, however the crew did not properly recognize the warning as a cabin altitude warning. |
Quoting tdscanuck (Reply 3): You should get a master warning and illumination of the AIR COND six-pack light, which directs the flight crew to look up at the air conditioning panel where you would see the actual cabin altitude, the AUTO FAIL light, etc. |
Quoting tdscanuck (Reply 3): Basically, the plane correctly told the flight crew exactly what was wrong. They misinterpreted the warning, for reasons unknown, and didn't take the appropriate corrective action. |
Quoting rolfen (Reply 4): You should get a master warning and illumination of the AIR COND six-pack light, which directs the flight crew to look up at the air conditioning panel where you would see the actual cabin altitude, the AUTO FAIL light, etc. |
Quoting Barney Captain (Reply 9): That is only true if there was a pressurization malfunction - which was not the case with Helios. The crew had inadvertently left the pressurization selector in manual, |
Quoting Barney Captain (Reply 9): That is only true if there was a pressurization malfunction - which was not the case with Helios. The crew had inadvertently left the pressurization selector in manual, |
Quoting tdscanuck (Reply 6): The argument that this was an acceptable thing to do is that the two modes are mutually exclusive (except very high altitude airports, which is a corner case with special planning anyway). If you get the horn in air, it's the cabin altitude. If you get the horn on the ground, it's takeoff config. The crew had all the information necessary (including the great big cabin pressure readout on the overhead panel) to understand what was happening. However, they got task focussed and misinterpreted the warning. There's obviously a human factors issues there, but it's an open question as to exactly how much misinterpretation can you assume on the behalf of the flight crew. This isn't a new problem from the Helios accident...pilots have flown aircraft into the ground while fixated on troubleshooting a different problem, or on torubleshooting what they think is the problem instead of what's actually the problem. This was just a particularly egregious example |
Quoting 777236ER (Reply 13): This is a ridiculous argument. |
Quoting 777236ER (Reply 13): In a hypoxic state it's clear that flight crew will jump to the cognitively easy solution: it's a t/o warning. |
Quoting 413X3 (Reply 16): But you wouldn't start suffering until above 12k feet, correct? So they had how many minutes to listen to this horn while doing nothing before the airplane climbed to an altitude where the effects could be seen? |
Quoting 777236ER (Reply 13): This isn't the first example of that 737's poor human-machine interface causing deaths (BMA92 and TK1951 spring to mind). It's shocking that this out-moded 60s flight deck design is still being produced and sold as one of the most popular large commercial aircraft. In the days of dark cockpits, EICAS/ECAM, clear warning hierarchy and system synopses it's a travesty that the 737 can still be produced. |
Quote: On 22 October 1995, G-BGJI, a 737-200Adv experienced undemanded yaw & roll oscillations during an air test. This was put down to fluid from the cabin leaking into the E & E bay and onto the yaw damper coupler. The report stated: "The location of the Electronic and Equipment (E&E) Bay, beneath the cabin floor in the area of the aircraft doors, galleys and toilets made it vulnerable to fluid ingress from a variety of sources |
Quoting 413X3 (Reply 16): But you wouldn't start suffering until above 12k feet, correct? So they had how many minutes to listen to this horn while doing nothing before the airplane climbed to an altitude where the effects could be seen? |
Quoting 777236ER (Reply 13): This is a ridiculous argument. The fact that the two modes are mututally exclusive is nonsense - a t/o config warning is significantly more likely to occur than a cabin altitude warning, hence more likely for the crew to interpret the warning as a t/o config. |
Quoting 777236ER (Reply 13): The crew didn't have all the information necessary in the physiological state they were in |
Quoting 777236ER (Reply 13): In the days of dark cockpits, EICAS/ECAM, clear warning hierarchy and system synopses it's a travesty that the 737 can still be produced. |
Quoting KELPkid (Reply 16): IIRC, 14,000' is the magic cabin altitude at which the warning begins to sound...I would imagine a fairly typical climb in a 737 would be around 1500'/minute or so. |
Quoting autothrust (Reply 17): Very well said. Not only is the flight deck poorly designed also the E&E bay is misplaced |
Quoting 777236ER (Reply 18): The fact that the 737 can take off, with no warnings, with the pressurisation system in 'manual' is another simply dangerous feature. |
Quoting LTC8K6 (Reply 20): Clearly, the 737 should set itself up preflight, and then fly itself, auto correcting any errors those pesky humans make...how dare Boeing produce a plane that doesn't... |
Quoting tdscanuck (Reply 21): Actually, this is almost what the Helios aircraft did...with the crew incapacitated, the aircraft flew its flight plan properly and, absent further instructions, continued to fly safety until it exhausted its fuel. Tom. |
Quoting tdscanuck (Reply 19): The system could be better (and now is better on new aircraft), but to say that something that's fully accepted by the FAA, EASA, and the vast majority of airlines is "ridiculous" and "nonsense" is stretching it a little far. If the flight crew is so unfamiliar with the aircraft as to think they've got a takeoff config warning *after* takeoff, there is more at work than just bad flight deck design. |
Quoting tdscanuck (Reply 19): The whole point of having it there is that you *haven't* started changing physiological state at that point and you're supposed to respond properly |
Quoting tdscanuck (Reply 19): The 737 is essentially a dark cockpit, i |
Quoting tdscanuck (Reply 19): and it does have system synoptics |
Quoting tdscanuck (Reply 19): Why? You're supposed to set it during preflight, and if you forget to set it you get a warning before it becomes dangerous. It's only dangerous if you forget to set it *and* ignore the warning horn. Takeoff warnings are supposed to warn you of things that threaten *the takeoff* |
Quoting LTC8K6 (Reply 20): Clearly, the 737 should set itself up preflight, and then fly itself, auto correcting any errors those pesky humans make...how dare Boeing produce a plane that doesn't... |
Quoting tdscanuck (Reply 21): Actually, this is almost what the Helios aircraft did...with the crew incapacitated, the aircraft flew its flight plan properly and, absent further instructions, continued to fly safety until it exhausted its fuel |
Quoting KELPkid (Reply 22): Didn't a PPL-rated flight attendant, wearing a portable oxygen mask, attempt to gain access to the cockpit, as I recall? (too late to do any good...) |
Quoting 777236ER (Reply 23): It doesn't get anywhere near the certification standards of today. The classics didn't even get near the certification standarsd of the 80s. |
Quoting 777236ER (Reply 23): Quoting tdscanuck (Reply 19): The whole point of having it there is that you *haven't* started changing physiological state at that point and you're supposed to respond properly The reality proves you wrong. |
Quoting 777236ER (Reply 23): The dark cockpit means that when everything is normal, it's dark. |
Quoting 777236ER (Reply 23): A simple glance upwards at a A320, A330/A340, A380, 777 or 787 flight deck will tell you if everything is normal. |
Quoting 777236ER (Reply 23): With the 737? No. The mistake the pilots made resulted in no abnormal lights, and regardless of that normal operation lights glare away on every 737 cockpit (window heat lights being a good example). |
Quoting 777236ER (Reply 23): No, it doesn't. It has a bunch of warning lights that correspond to problems, like the 707 did. There are no system synoptics. |
Quoting 777236ER (Reply 23): And yet Boeing, Airbus and modern regulators disagree with you. |
Quoting 777236ER (Reply 23): It's crazy to allow an aircraft to depart, with no warnings of an unsafe condition, then expect the flight crew to understand the details of a system they hardly ever touch in flight, whilst hypoxic, with a warning they assosicate exclusively with another flight phase. |
Quoting 777236ER (Reply 23): A modern aircraft will provide a warning for the unsafe state of any system before take off. The 737 still doesn't. |
Quoting 777236ER (Reply 23): This is a slightly sleazy attempt at suggesting that the Helios 737 actually displayed good system design in what it did. The 737 did NOT auto-correct any of the flight crew errors. The actions of the 737 did nothing to save the passengers - are you suggesting this 'marvel' of actually following the flight plan is a somehow remarkable design? It's a bit like saying that despite the pressurisation failures, the oxygen masks in the cabin deployed...how clever of the 737! Nonsense - the 737's poor design caused this crash, as you have admitted yourself. |
Quoting 777236ER (Reply 23): A modern aircraft will provide a warning for the unsafe state of any system before take off. The 737 still doesn't. |
Quoting 777236ER (Reply 23): The 737 did NOT auto-correct any of the flight crew errors. |
Quoting tdscanuck (Reply 24): But that does not excuse the flight crew from 1) incorrectly doing their preflight, 2) incorrectly responding to a clear warning, 3) allowing the warning to continue to the point that hypoxia did start to take hold. |
Quoting 777236ER (Reply 23): t doesn't get anywhere near the certification standards of today. The classics didn't even get near the certification standarsd of the 80s. |
Quoting tdscanuck (Reply 24): I love it when this red herring comes up. The classics were certified to Amendment 25-15 (1967), the original basis, *but* included specific supercessions up to and including 25-51 (1980). The FAA never lets you grandfather superceded safety regulations, so you'll always be within 5 years of whenever you applied for the amended TC |
Quoting tdscanuck (Reply 24): You know something to suggest they were going hypoxic at 10,000'? That suggests a medical issue with the crew that wasn't mentioned, *at all*, in the accident report. |
Quoting tdscanuck (Reply 24): It does mean the *indication* lights are dark in normal configuration...the 737classics follow this on some, but not all, systems. |
Quoting tdscanuck (Reply 24): It did not result in an abnormal light. It did result in an abnormal dial. The information was all there. Could it have been presented in a clearer way? Certainly, and improvements have been made to the 737 specifically, and more modern flight decks in general, to mitigate that |
Quoting tdscanuck (Reply 24): 2) The 737 did not auto-correct any of the flight crew errors. The 737, of any generation, has never had that capability and every flight crew knows it. The fundamental design of the airplane is to tell the flight crew there is a problem and allow the flight crew to respond |
Quoting tdscanuck (Reply 24): but it's ludicrous to suggest that the design *caused* the crash |
Quoting tdscanuck (Reply 24): Then why is it certified then? |
Quoting 777236ER (Reply 26): are certified to hold 189 passengers with only 4x Type C doors and 4x Type IIIs, despite the 737's record of poor evacuation standards (see the Manchester Airport Fire). |
Quoting 777236ER (Reply 26): or CLs and NGs with spoilers that don't automatically retract when power is added. |
Quoting 777236ER (Reply 26): Yet Boeing produced 737s without these simple warnings, at a time when they were also producing 777s, 757/757s and 747-400s with exactly these warnings. |
Quoting 777236ER (Reply 26): I suggest they continued to climb whilst troubleshooting, which is understandable and trained for. |
Quoting 777236ER (Reply 26): They will only know when the cabin pressure is approaching a dangerous state. This is different to all other large commercial aircraft built in the west, including those designed and certified before the 737NG. |
Quoting 777236ER (Reply 26): It failed. The aircraft did not tell them there was a problem. |
Quoting 777236ER (Reply 26): How about 737CLs and NGs with centre tank pumps that don't turn off when they go low pressure |
Quoting 777236ER (Reply 26): CLs with rudder PCUs that didn't fail safe |
Quoting 777236ER (Reply 26): The fact that the horn was ambiguous just increased the trouble shooting time. |
Quoting 777236ER (Reply 26): An EICAS/ECAM 'Cabin Pressure' is much simpler and much more likely to result in the correct action. |
Quoting 777236ER (Reply 26): Yet Boeing produced 737s without these simple warnings, at a time when they were also producing 777s, 757/757s and 747-400s with exactly these warnings. |
Quoting 777236ER (Reply 26): It failed. The aircraft did not tell them there was a problem. |
Quoting 777236ER (Reply 26): Quoting tdscanuck (Reply 24): Then why is it certified then? Good question. |
Quoting 777236ER (Reply 26): From the accident report under 'causes': |
Quoting 777236ER (Reply 13): The crew didn't have all the information necessary in the physiological state they were in - a state brought about by a problem with the aircraft. |
Quoting LTC8K6 (Reply 29): Maybe the plane should slap them? |
Quoting MarkHKG (Reply 30): In the future, flight decks will have one pilot and one dog...the pilot to feed the dog, and the dog to bite the pilot if he try to touch anything. |
Quoting mandala499 (Reply 27): The 737NG exits are upward hinging swing type and not the "manually remove and manually dispose/stow prior to use" type. This reduces the time required to start using the emergency exit which enables total cabin evac using 1/2 the available exits within 90 seconds. |
Quoting mandala499 (Reply 27): The use of "Type III exits with a fixed stowage point" can/does increase your maximum capacity based on exit limits! |
Quoting mandala499 (Reply 27): Simple warning of a horn is legally adequate |
Quoting mandala499 (Reply 27): Well if one is properly trained and has the right mindset to troubleshooting, then one should realize that hearing that horn whilst airborne means your cabin pressure is having problems. |
Quoting mandala499 (Reply 27): The NG does not have the CAS/CAM part of EICAS/ECAM... it's an EIS not an EICAS. Are you suggesting that non EICAS aircraft be refused certification? |
Quoting mandala499 (Reply 27): The horn will sound when cabin altitude exceeds 10k ft. That's not much difference from other aircraft... albeit EICAS/ECAM equipped aircraft will display the alert |
Quoting mandala499 (Reply 27): The problem was on the crew. You can have all the wonderful bells and whistles to alert the crew but it will all be useless if the crew ignores it! |
Quoting tdscanuck (Reply 28): The service bulletin for that has been out for years. In addition, dry-running a center pump is a violation of procedure and, even if you do do it, it's only dangerous if you have another concurrent failure (faulty fuel pump). |
Quoting tdscanuck (Reply 28): How is "horn in air = low cabin pressure" ambiguous? |
Quoting tdscanuck (Reply 28): There is no reasonable interpretation of a warning horn in flight as a takeoff configuration warning; the only other alternative is high cabin altitude |
Quoting tdscanuck (Reply 28): Absolutely true, but the 737 (and many other jets still in commercial service) aren't EICAS/ECAM airplanes. |
Quoting tdscanuck (Reply 28): If your argument is just that all 737's, or all non-EICAS/ECAM aircraft, should have their certification pulled, we might as well let the thread die because I don't think there's any common ground to work with. |
Quoting mandala499 (Reply 27): On the ground whenever the ground spoilers are extended and the thrust levers are advanced the spoilers will retract. That has been standard feature for a loooong time! In the air... well the 757 does not auto-stow the spoilers when power is added. In reply 12 it was written: "757 Speedbrakes/flight spoilers can be deployed in flight without automatic stow if full power is selected. There is a message in the EICAS, though" and on the 737 there is a "SPEEDBRAKE EXTENDED" light that goes on whenever it's not in the stowed position... in the ground or in the air! On the 777 there's an EICAS message "SPEEDBRAKES EXTENDED" with a beeper whenever you extend them when either thrust levers are not in idle position. And yes... you can extend them with power above idle except when on the ground (just like a 737 with it's lights) |
Quoting mandala499 (Reply 27): On the Airbus fly-by-wire you it is the same (except it autostows when you put the thrust levers above MCT position (ie: TOGA |
Quoting 777236ER (Reply 32): It seems not, as the FAA created an AD to fix the 737's safety flaws following Helios. I would also argue that 'legally adequate' is not the level of safety that manufacturers should strive for. |
Quoting 777236ER (Reply 32): 'Proper training' and 'should realise' would have prevented nearly every CFIT, yet GPWS and its further enhancements has improved safety. |
Quoting 777236ER (Reply 32): The fact that Helios happens shows that this warning IS ambiguous. |
Quoting 777236ER (Reply 32): What large Western commercial aircraft certified since 1990 doesn't have EICAS/ECAM? |
Quoting 777236ER (Reply 32): This concerns me, because you seem to be implying that the AD was frivolous and not required for continuing airworthiness. The fact is that the investigating authority found deficites in the 737's warning architecture, and the FAA mandated remedial action. |
Quoting 777236ER (Reply 32): On 737CL, there's no auto-stow, and there's no light. On 737NG there's a single light, no warning. |
Quoting 777236ER (Reply 26): or CLs and NGs with spoilers that don't automatically retract when power is added. |
Quoting 777236ER (Reply 32): Quoting mandala499 (Reply 27): The NG does not have the CAS/CAM part of EICAS/ECAM... it's an EIS not an EICAS. Are you suggesting that non EICAS aircraft be refused certification? Why not? Every modern large commercial aircraft has these systems, except the 737. |
Quoting 777236ER (Reply 32): This ambiguity existed (and was certified) in an era when Boeing (and Airbus) were certifying aircraft with much clearer warnings. Why wasn't the 737 held to the same standards? |
Quoting 777236ER (Reply 32): My point is simple: aircraft certified at around the same time that the 737NG was certified had automatic cutoff of the centre tank pumps. |
Quoting 777236ER (Reply 32): The only time the crew hear this warning, in training and almost always in operation, is for takeoff config. It's clear that many crew's first thought would be 'take off config', leading them down a dangerous chain of spurious warnings and confusing indications. |
Quoting 777236ER (Reply 32): The fact that Helios happens shows that this warning IS ambiguous. |
Quoting 777236ER (Reply 32): So you disagree with the FAA and the investigating authority? |
Quoting 777236ER (Reply 32): It's also rather callous of you to accuse a properly licensed and professional flight crew of being not reasonable (irrational?) - especially when they cannot defend themselves. |
Quoting 777236ER (Reply 32): Quoting tdscanuck (Reply 28): Absolutely true, but the 737 (and many other jets still in commercial service) aren't EICAS/ECAM airplanes. What large Western commercial aircraft certified since 1990 doesn't have EICAS/ECAM? |
Quoting 777236ER (Reply 13): This isn't just my conjecture, to quote one of the causes from the final report: "Ineffectiveness and inadequacy of measures taken by the manufacturer in response to previous pressurization incidents in the particular type of aircraft, both with regard to modifications to aircraft systems as well as to guidance to the crews." |
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Quoting tdscanuck (Reply 34): Egyptair crash shows that Airbus envelope protection is inadequate |
Quoting nycbjr (Reply 36): Tom I would never try and correct you, so I'm going to ask a question instead, are you referring to 990? If so then it was a 767. |
Quoting tdscanuck (Reply 34): the Egyptair crash shows that Airbus envelope protection is inadequate. |
Quoting rheinwaldner (Reply 39): IIRC the envelope protection does not prevent a flight into terrain. As long as the aircraft is doing that within the flight envelope! |