The 156-Tonne

Total Page:16

File Type:pdf, Size:1020Kb

The 156-Tonne COVER STORY The 156-tonne GIMLI GLIDER PHOTO : COURTESY ARCHIVES OF MANITOBA Grounded: Inspecting the damage after Flight 143’s unorthodox landing. It’s the 20th anniversary of aviation’s most famous deadstick landing. piloting Flight 143 on a routine flight loss of pressure in the right main fuel Merran Williams from Montreal to Edmonton, via tank. Realising the situation was becom- N THE WESTERN side Ottawa. The Boeing 767 was lightly ing serious, Pearson quickly ordered a of Manitoba’s idyllic loaded, with 61 passengers and five crew. diversion to Winnipeg Airport, 120 miles Lake Winnipeg lies an Flight 143 climbed to its cruising alti- away. It became clear they were running old Royal Canadian Air tude of 41,000 feet and the first hour of out of fuel. Force station. As a town flight was straightforward for the experi- The left engine was the first to flame ofO just 2,000 people, Gimli is a tiny dot enced flight crew. However, just after out. At 2021, when their altitude was on the map, eclipsed by its larger neigh- 2000 local time, Pearson and Quintal 28,500 feet and they were 65 miles from bour, Winnipeg. But thanks to a 20-year- were shocked to see cockpit instruments Winnipeg, the right engine stopped. old accident, Gimli is probably the most warning of low fuel pressure in the left Flight 143 was gliding. Most of the famous landing ground in Canada. fuel pump. At first they thought it was a instrument panels went blank as they On July 23, 1983, Captain Bob Pearson fuel pump failure. had been relying on power generated by and First Officer Maurice Quintal were Seconds later, warning lights indicated the engines, and suddenly Pearson was 22 FLIGHT SAFETY AUSTRALIA JULY-AUGUST 2003 Sideslipping a 767 COVER STORY Aircraft too high. Speed slowed to 180 knots flying blind. A magnetic compass, an out, the absence of a nose wheel saved artificial horizon, an airspeed indicator lives. The pilots were shocked to see peo- and an altimeter were the only instru- ple on the runway as they descended. ments still working. Unknown to Air Traffic Control, Gimli The ram air turbine dropped from airbase had become a two-lane dragstrip. near the right wheel well and used wind The rally spectators were startled to see power to turn a four-foot propeller, pro- a huge aircraft bearing down on them, viding enough hydraulic power to silent except for the rushing of wind manipulate the ailerons, elevators and against its body. People scattered as rudder. However, the pilots were unable quickly as they could, but only the fric- to operate speed brakes, flaps or the tion between the aircraft nose and the Pilot initiates slideslip. Left undercarriage or carry out reverse thrust ground as the partly extended nosewheel rudder pedal on landing. collapsed, brought the aeroplane to rest pushed while he At 2031, realising Flight 143 did not in front of them. turns the yoke to have enough height to reach Winnipeg, The time was 2038 hours. Just 17 min- the right. Aircraft the pilots called Winnipeg Air Traffic utes had elapsed since Pearson had start- manoeuvred into a steep angle, Control to request a change in heading ed flying a powerless 767 from 28,500 Aircraft rapidly to Gimli, a decommissioned airforce feet to a safe landing. loses altitude. base 12 miles away. Gimli wasn’t listed Pearson and Quintal became in Air Canada’s manuals but, fortuitous- overnight celebrities and Gimli a house- ly, Quintal had been stationed there hold name across the world. An accident when serving in the airforce. As far as that came so close to tragedy ended as a anyone knew, both of its 6,800-foot run- triumph of human ingenuity. ways would be deserted. But while the crew of Flight 143 were As the aircraft descended without praised for their skill and bravery under power, Pearson needed all his flying skills pressure, a vital question remained. How to keep it on track. He had only one did an aircraft as advanced as a Boeing Aircraft chance to land – there could be no 767, with all its cutting edge avionic straightened up at altitude 40 missed approach. Unfortunately the air- technology, run out of fuel? feet. craft was coming in too fast and was A federal government public inquiry going to overrun the runway at its cur- carried out a comprehensive investiga- rent speed, as there was no way of apply- tion into the accident, using reports ing reverse thrust. compiled by Air Canada and the Pearson took a gamble that the 767 Transportation Safety Board of Canada would respond in the same way as a (TSB). Pearson himself was on the wit- smaller aircraft and executed a sideslip ness stand for five days and remembers by turning the yoke to the right at the seeing seven television cameras trained same time as he jammed his foot against on him amid the media frenzy on the the left rudder pedal. The aircraft first day. responded and descended enough to The reason for the accident turned out Aircraft touches down. bring it in on target. The manoeuvre to be all too familiar. Systemic problems required exceptional piloting skills as the with Air Canada training and proce- indicated airspeed wasn’t correct during dures, had led to a series of uncorrected the sideslip because the angle of the air- errors by ground and flight crew. The craft was different from its direction of TSB’s final report, a tome of almost 200 ILLUSTRATION travel. It came down to Pearson’s judge- pages, criticised Air Canada’s upper ment and experience as a glider pilot. management for serious communication Aircraft comes to During the nerve-wracking descent, failures. The TSB concluded that pro- : rest PETER MARKMANN Quintal tried using a back-up system to ducing manuals and procedures for per- lower and lock the landing-gear. The sonnel was a “corporate responsibility” gear on each wing was deployed but the not being adequately fulfilled by Air nosewheel stuck part way. As it turned Canada management. FLIGHT SAFETY AUSTRALIA JULY-AUGUST 2003 23 GIMLI RED LAKE WINNIPEG MONTREAL OTTAWA Cut short Travelling from Montreal to Edmonton via Ottowa, Flight 143 was forced to divert to Winnipeg because of a fuel shortage that led to the loss of both engines. When it became apparent the aircraft would not reach Winnipeg, the pilots changed course and headed to Gimli. The flight and cabin crews were Although he couldn’t diagnose the praised for averting a major disaster “The failure of one exact problem, Yaremko found that if he through their “professionalism and skill” disabled the faulty circuit breaker, the which helped them overcome the prob- inductor coil should not backup circuit breaker got the gauges lems caused by “corporate and equip- working again and provided the required ment deficiencies”. have disabled the fuel fuel readings. The mechanic labelled the The trouble started almost three weeks pulled circuit breaker with yellow main- before the accident when the fuel quanti- gauges.” tenance tape to prevent it being turned ty indicating system on aircraft No. 604 back on. But he did not clearly record in (later Flight 143) was examined follow- the logbook his reasons for doing this. ing a directive from Boeing. As each fuel self-testing mechanism enabling it to The 767 flew from Edmonton to gauge was checked, it mysteriously went recognise faults within the system. Montreal via Ottawa without incident blank. However, a later check found the These built-in redundancies did not after the pilot in command satisfied him- gauges apparently working normally, so prevent the processor from failing, how- self that it was legal to operate the air- the aircraft was given clearance to fly. ever. Tests performed after the accident craft under provisions of the Minimum On the night of 22-23 July, the prob- found the failure was caused by a “cold Equipment List (MEL) despite the devia- lem resurfaced and the same mechanic, solder” joint on the inductor between tion reported in the fuel processor. Conrad Yaremko, investigated, unaware one coil wire and its terminal post. While Because of the unreliable electronic it was the same aircraft. He discovered a the terminal post was pretinned and had fuel monitoring system, when the air- malfunction in the digital fuel gauge enough solder sticking to it, the coil wire craft reached Dorval Airport in processor but was told no replacement end was not pretinned and had poor Montreal, maintenance worker Jean processors were available. adhesion. Ouellet was assigned to conduct a manu- The processor was a dual-channel sys- Still, the failure of one inductor coil al drip check of the aircraft’s fuel levels tem that provided fuel quantity meas- should not have disabled the fuel gauges. before its dispatch to Edmonton. He was urement, calculation and indication, and Another inductor coil in the second intrigued by the problem with the fuel was located under the aircraft’s floor, processor should have taken over if the processor and despite not having the behind the cockpit. It was considered the processor had performed according to its authority or training, took it upon him- “heart” of the fuel quantity indication specifications. Investigations revealed a self to tinker with the electronics while system on the Boeing 767 and was built design error was to blame. The processor waiting for the fuel truck. As he later told by Honeywell to Boeing specifications. failed to switch from the defective chan- investigators: “I thought I would do a Its benefits included an ability to operate nel to a working channel because there BITE [built-in test equipment] test on on a second channel if one failed, and a had been a drop in the power supply.
Recommended publications
  • PDF Version June/July 2016
    IDWEST FLYER M AGAZINE JUNE/JULY 2016 Published For & By The Midwest Aviation Community Since 1978 midwestflyer.com Finding a fi x for TFRs Just about anyone who has planned a fl ight in or near a major metro area has had to worry about temporary fl ight restrictions (TFRs) at one time or another. Scrolling through dozens, even hundreds, of NOTAMs to identify TFRs that are relevant to your fl ight can be daunting. The sheer number can make it easy to miss something. But when you have access to good graphics, you can instantly see if a TFR will a ect your fl ight. Unfortunately, graphics aren’t available for every TFR. And when graphics are unavailable or are inaccurate, the number of violations goes way up. That’s why AOPA will be helping to lead an e ort to improve TFR graphics, from how the information is delivered to how it is depicted. Back in 2015, we started asking questions about the scope and extent of problems we were seeing with TFRs that either had no graphics or, maybe worse, showed incorrect graphics. After uncovering recurring issues, we asked the FAA to provide an authoritative online source of TFR information, provide TFR information in a consistent format so that automated systems used by third-party vendors can translate it into accurate graphics, and work to make the text of TFR NOTAMs more user friendly for pilots. This April, the FAA responded by formally tasking the RTCA Tactical Operations Committee to address the issues we raised and report back with recommendations within six months.
    [Show full text]
  • Aviation Maintenance Alerts
    ADVISORY CIRCULAR 43-16A AVIATION MAINTENANCE ALERTS ALERT JULY NUMBER 2006 336 CONTENTS AIRPLANES BEECH ........................................................................................................................................1 CESSNA ......................................................................................................................................3 ENGINES LYCOMING................................................................................................................................3 CONTINENTAL .........................................................................................................................4 PRATT & WHITNEY .................................................................................................................4 ROLLS ROYCE ..........................................................................................................................6 PROPELLERS MC CAULEY ..............................................................................................................................8 ACCESSORIES ELECT. WIRE.............................................................................................................................9 ELECTROSYSTEMS................................................................................................................10 KELLY AEROSPACE ..............................................................................................................10 LAMAR TECHNOLOGY.........................................................................................................11
    [Show full text]
  • The Last Word in Airfields a Special History Study Ofcrissy Field Presidio Ofsan Francisco, California
    The Last Word in Airfields A Special History Study ofCrissy Field Presidio ofSan Francisco, California by Stephen A. Haller Park Historian Golden Gate National Recreation Area San Francisco National Park Service 1994 Table ofContents Management Summary ................................III Site History .......................................... 1 Project Background .................................... .IV Chapter 1: In the beginning .............................. 1 Historical Context . .................................... .IV Chapter 2: An Airfield is Established, 1919-1922 ............. 11 Site History Summary ...................................V Chapter 3: Early Operations, 1922-1924 ...................29 Study Boundaries ..................................... .IX Chapter 4: Of Races and Runways, 1924-1934. ............. 51 Methodology and Scope . ..................................X Chapter 5: Winding Down, 1935-1940 ....................79 Administrative Context. .................................x Chapter 6: War and Post-War, 1941-1993 ...................S9 Summary ofFindings ....................................X Significance and Integrity Assessment .................. 103 Recommendations .................................... 10S Acknowledgements ................................... 112 Bibliography ........................................ 114 Appendices A Commanding Officers, Crissy Field ...................... 116 B Types of Aircraft at Crissy Field ......................... IIS C Roster of Fourth Army Intelligence School. ...............
    [Show full text]
  • Flight Safety Magazine Jul-Aug 2003
    COVER STORY The 156-tonne GIMLI GLIDER PHOTO : COURTESY ARCHIVES OF MANITOBA Grounded: Inspecting the damage after Flight 143’s unorthodox landing. It’s the 20th anniversary of aviation’s most famous deadstick landing. piloting Flight 143 on a routine flight loss of pressure in the right main fuel Merran Williams from Montreal to Edmonton, via tank. Realising the situation was becom- N THE WESTERN side Ottawa. The Boeing 767 was lightly ing serious, Pearson quickly ordered a of Manitoba’s idyllic loaded, with 61 passengers and five crew. diversion to Winnipeg Airport, 120 miles Lake Winnipeg lies an Flight 143 climbed to its cruising alti- away. It became clear they were running old Royal Canadian Air tude of 41,000 feet and the first hour of out of fuel. Force station. As a town flight was straightforward for the experi- The left engine was the first to flame ofO just 2,000 people, Gimli is a tiny dot enced flight crew. However, just after out. At 2021, when their altitude was on the map, eclipsed by its larger neigh- 2000 local time, Pearson and Quintal 28,500 feet and they were 65 miles from bour, Winnipeg. But thanks to a 20-year- were shocked to see cockpit instruments Winnipeg, the right engine stopped. old accident, Gimli is probably the most warning of low fuel pressure in the left Flight 143 was gliding. Most of the famous landing ground in Canada. fuel pump. At first they thought it was a instrument panels went blank as they On July 23, 1983, Captain Bob Pearson fuel pump failure.
    [Show full text]
  • Some Special Aircraft
    Journal of Aircraft and Spacecraft Technology Review Some Special Aircraft 1Relly Victoria Petrescu, 2Raffaella Aversa, 3Bilal Akash, 4Juan Corchado, 2Antonio Apicella and 1Florian Ion Tiberiu Petrescu 1ARoTMM-IFToMM, Bucharest Polytechnic University, Bucharest, (CE), Romania 2Advanced Material Lab, Department of Architecture and Industrial Design, Second University of Naples, 81031 Aversa (CE), Italy 3Dean of School of Graduate Studies and Research, American University of Ras Al Khaimah, UAE 4University of Salamanca, Spain Article history Abstract: In this study, the authors want to present a few more distinct Received: 10-07-2017 aircraft from a constructive and functional point of view. Their role has Revised: 10-08-2017 often been determined by the need to achieve or fulfill certain more or less Accepted: 18-08-2017 strategic objectives. Such ships will also be built in the future more and more often in order to be able to respond to all new flight requirements and Corresponding Author: to meet, under optimal conditions, the new and increasingly demanding Florian Ion Tiberiu Petrescu ARoTMM-IFToMM, Bucharest requirements. Many of the new special aircraft have been built so far to Polytechnic University, achieve special tasks, or at the request of the defense ministry in some Bucharest, (CE), Romania highly developed countries, even with the United States of America. The E-mail: [email protected] PA-23 was the first twin-engine design from Piper and was developed from a proposed "Twin Stinson" design inherited when Piper bought the Stinson Division of the Consolidated Vultee Aircraft Corporation. The prototype PA-23 was a four-seater low-wing all-metal monoplane with a twin tail, powered by a two 125 hp Lycoming O-290-D piston engines the prototype first flew 2 March 1952.
    [Show full text]
  • Aerosafety World March 2012
    AeroSafety WORLD MAINTENANCE FATIGUE Awareness training needed MANAGING ANOMALIES Cockpit cooperation essential VISUALIZING SAFETY Turning data into pictures DISORIENTATION, POOR CRM TOXIC CAPTAINS Cockpit unhappy, unsafe SPIRAL DIVE THE JOURNAL OF FLIGHT SAFETY FOUNDATION MARCH 2012 ESEXECUTIVE’SXMEECUTIVE’ MESSAGESSAGE Value Proposition n the last issue, I wrote about some of the high Look for the new membership structure to be points of what we are doing at Flight Safety unveiled about October, and please think about Foundation. This month, I am going to go a your budget in order to join for 2013. You are go- little deeper into our operations and how we ing to hear me say this many times: If you have to Iare able to function. First off, the support of our choose one safety resource to keep you in touch members is very valuable, and if you are one, we with what is taking place in the industry, Flight thank you! If you aren’t, then you should be. The Safety Foundation is the one. largest amount of our operating budget comes The other area that I would like to draw your from members’ support. The technical projects, attention to is our outreach activities. Outreach research, advocacy, safety communication and keeps our members and the aviation/aerospace shaping of safety culture and policy come from the industry informed on current hot topics such as support you provide through your membership. lessons learned from an incident or accident, and As a matter of fact, 47 percent of the Founda- on the long-range issues that need our attention.
    [Show full text]
  • Developing the U-2
    C00190094 Approved for Release: 2013/06/25 Chapter 2 39 Developing the U-2 THE ESTABliSHMENT OF THE U-2 PROJECT On 26 November 1954, the day after Thanksgiving, Allen Dulles called his special assistant, Richard Bissell, into his offiae to tell him that President Eisenhower had just approved a very secret program and that Dulles wanted Bissell to take charge of it. Saying it was too ?ecret for him to explain, Dulles gave Bissell a packet of documents and told him he could keep it for several days to acquaint himself with the project. Bissell had long known of the proposal to build a high-altitude reconnaissance aircraft, but only in the most general terms. Now he learned in detail about the project that proposed send- aircraft over the Soviet Union. Late on the morning of 2 December 1954, Dulles told Bissell to go to the Pentagon on the following day to represent the Agency at an organizational meeting the 1 project. Before leaving, Bissell asked Dulles which was to run the project The DCI replied that had been then asked who was the "That wasn't even July C00190094 Approved for Release: 2013/06/25 sat down with a group of key Air Force officials that included Trevor Gardner and Lt. Gen. Donald L. Putt. The participants spent very lit­ tle time delineating Air Force and Agency re sponsibilities in the pro­ ject, taking for granted that the ClA would handle the security matters. Much of the discussion centered on methods for diverting Air Force materiel to the program, particularly the Pratt & Whitney 157 engines, because a separate contract for the engines might jeop­ ardize the project's security.
    [Show full text]
  • HEIGHT VELOCITY CURVE for GYROPLANES - by Greg Gremminger
    HEIGHT VELOCITY CURVE for GYROPLANES - By Greg Gremminger This article is an update to the original article on the H/V curves also apply to gyroplanes – they have “Deadman’s subject we had published in Rotorcraft several years ago. The Zones” also! All rotorcraft require a sufficient amount of rotor subject is an important safety issue for gyroplane fliers to RPM and airspeed to be able to raise the nose and make a safe understand and respect. Recent events suggest reasons to review “deadstick” landing. If the engine is not available to provide some this subject again. But, importantly also, this article is to point out of this landing energy, the rotorcraft – including gyroplane – has additional significant and possibly inadequately understood only its potential energies of height and velocity to use up for the “aggravating conditions” within the Height Velocity (H/V) curve required energy for a safe landing. Height is a form of energy – that gyro pilots should understand and appreciate. “potential” energy because you can convert height above the “Deadman’s Zone!” - is an ominously descriptive term ground into landing energy of rotor RPM and airspeed. Airspeed for the Height Velocity curve for rotorcraft. Helicopter pilots are is also a form of potential energy, and if there isn’t enough airspeed drilled on this issue and the limitations it presents for helicopter for a safe landing, the pilot needs to increase airspeed by trading operations. Most people think that helicopters can go straight up some height for additional velocity, or applying engine power. from the ground and straight down to a landing.
    [Show full text]
  • Aeronautical Decision Making: Experience, Training and Behaviour
    Aeronautical decision making: Experience, training and behaviour Richard Batt A thesis submitted for the degree of Doctor of Philosophy at the University of Otago, Dunedin, New Zealand. 1 November 2005 Richard Batt 6 Bishop Place, Melba ACT 2615, Australia. [email protected] [email protected] [email protected] to Lincoln i Abstract Decision making is fundamental to all aspects of flying operations. The results that flow from poor aeronautical decision making can be both swift and devastating. The work of this thesis uses data from a variety of sources to investigate the following aspects of aeronautical decision making; • accident and incident case histories and pilot decision making • case-based versus rule-based pilot decision training • pilot behaviours in the face of adverse weather The first part of thesis uses survey data to gain a better understanding of the role of accident and incident case histories in aviation safety and training. Anecdotal evidence suggests that exposure to case-based information can leave a lasting impression on a pilot and significantly influence their flying behaviour. To investigate this aspect more formally, information was obtained from a survey of 138 pilots. A questionnaire was then distributed to pilots worldwide and responses were received from 409 pilots, from all areas of aviation. The combined experience of pilots who responded was over 700,000 hours flying time. The second part of the thesis uses experimental data to compare the effectiveness of aviation safety training using case-based material or rule- based material. Two experiments were carried out, based on the two areas that account for the majority of fatal general aviation accidents: flight into adverse weather and low flying.
    [Show full text]
  • The Last Word in Airfields: a Special History Study of Crissy Field, Presidio of San Francisco
    The Last Word in Airfields A Special History Study ofCri ssy Field Presidio ofSan Francisco, California The Last Word in Airfields A Special History Study ofCrissy Field Presidio ofSan Francisco, California by Stephen A. Haller Park Historian Golden Gate National Recreation Area San Francisco National Park Service 1994 Table ofContents Management Summary ................................III Site History .......................................... 1 Project Background .................................... .IV Chapter 1: In the beginning .............................. 1 Historical Context ..................................... .IV Chapter 2: An Airfield is Established, 1919-1922 ............. 11 Site History Summary ...................................V Chapter 3: Early Operations, 1922-1924 ...................29 Study Boundaries ..................................... .IX Chapter 4: Of Races and Runways, 1924-1934............... 51 Methodology and Scope ...................................X Chapter 5: Winding Down, 1935-1940 ....................79 Administrative Context. ................................ .X Chapter 6: War and Post-War, 1941-1993 ...................89 Summary ofFindings ................................... .X Significance and Integrity Assessment .................. 103 Recommendations .................................... 108 Acknowledgements ................................... 112 Bibliography ........................................ 114 Appendices A Commanding Officers, Crissy Field ...................... 116 B Types of Aircraft
    [Show full text]
  • VAM Club Rules Revision a 07112015
    VOLUNTEER AEROMODELERS VOLUNTEER AMA Charter # 1572 AEROMODELERS Club Organization and Rules Established and Adopted: July 11, 2015 CLUB ORGANIZATION AND RULES VOLUNTEER AMA Charter No. 1572 R/C Model Aircraft AEROMODELERS Adopted July 11, 2015 Club of Knoxville, TN Revision Level A VOLUNTEER Table of Contents AEROMODELERS Membership ...................................................................................................................... 3 Meetings .......................................................................................................................... 3 Club Grounds .................................................................................................................... 3 Safety .............................................................................................................................. 3 Club Safety Rules ........................................................................................................... 3 Frequency Control .......................................................................................................... 5 Pilot Proficiency ............................................................................................................. 5 Aircraft Flight Worthiness ................................................................................................ 6 APPENDIX ........................................................................................................................ 8 AMA Introductory Pilot Program ......................................................................................
    [Show full text]
  • Taxiway Takeoff Pilots Were Distracted by a ‘Sudden Surge in Cockpit Workload’ During Line-Up
    ONRECORD Taxiway Takeoff Pilots were distracted by a ‘sudden surge in cockpit workload’ during line-up. BY MARK LACAGNINA The following information provides an aware- responsibility for taxiing solely to pilots-in- ness of problems that might be avoided in the command and “did not provide a sufficiently future. The information is based on final reports robust process for the verification of the de- by official investigative authorities on aircraft parture runway before commencement of the accidents and incidents. takeoff roll.” The passenger terminal is on the east JETS side of the Hong Kong airport and between parallel east-west runways, both 3,800 m Controller Called for Abort (12,467 ft) long and 60 m (197 ft) wide. Airbus A340-300. No damage. No injuries. The south runway was closed for scheduled he flight crew had been instructed by air traf- maintenance, and the A340 flight crew was fic control (ATC) to expedite their departure told to taxi to Runway 07L for their departure Tand were completing a variety of tasks when to Helsinki, Finland. Visual meteorological they inadvertently turned onto a parallel taxiway conditions (VMC) prevailed, with 10 km (6 and began a rolling takeoff. The A340 was ac- mi) visibility. The report did not specify the celerating through 75 kt when the air movements number of people aboard the A340. controller told the crew to stop. The pilots re- The aircraft was about 1,400 m (4,593 ft) jected the takeoff and, after waiting for the brakes from the end of the outer parallel taxiway, to cool, departed without further incident.
    [Show full text]