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#11
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Wide-ranging Safety Discussion...?
On Tuesday, June 26, 2012 1:21:13 AM UTC-5, Ramy wrote:
So I wouldn't consider those as true pilot errors, but as bad luck or outside cause, which happened to safe pilots. Ramy, I have to disagree a bit. We have remarkably few accidents that are due to mechanical failure out of the control of the pilot - the recent JS-1 rudder cable is apparently one of those. But just about every other glider accident we have seems to be the direct or indirect result of pilot error.. Direct in that the pilot intentionally does something stupid and breaks something. Indirect in that the pilot does something he doesn't know is stupid (due to poor training or lack of self-education) and breaks something. Midairs? Sure, it's hard to see another plane - but if we run into each other in a thermal - both pilots looking at the cu instead of clearing where they are going - is that bad luck, lazy lookout, or poor training? I think of myself as a safe, pilot (opinion not shared with some others, I fear). And I've done some really stupid things in gliders (only dinged one once, slightly). EVERY time I debriefed myself afterwards (as in, "YOU IDIOT, WTF WERE YOU THINKING!") it was pretty easy to see how I worked myself into the position to make a bad decision. That old chain of events is often glaringly obvious after the fact! My contribution to this safety thing? It's always pilot error. If the pilot hadn't flown the plane, there wouldn't have been an accident. So the pilot has to prepare himself to avoid situations that are dangerous, or if necessary, have the skill to get out of a dangerous situation. Expecting someone else to make you safe is NOT going to work. Kirk 66 |
#12
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Wide-ranging Safety Discussion...?
On Jun 26, 12:21*am, Ramy wrote:
On Monday, June 25, 2012 8:38:39 PM UTC-7, Bill D wrote: On Jun 25, 6:38*pm, Ramy wrote: On Monday, June 25, 2012 12:06:23 PM UTC-7, Bill D wrote: The most poisonous attitude that I fear are the people resistant to change. *They can resist for the sake of resistance and meanwhile poison the environment for everyone. *Adoption of Flarm or Transponders or Radio usage or safety practices can all be very detrimentally affected by a loud naysayer, even when the arguments lack validity. Everyone just needs to keep trying and start with focusing on your own behaviors. *Your personal safety culture as you pointed out. No kiddin'! The safety of the sport of soaring for any particular pilot is only as safe as he/she chooses to make his/her next flight. Apparently it is not working this way. Otherwise accidents would have happened only to unsafe pilots, but the statistics is showing otherwise. Problem is that most pilots are not aware that they are doing something unsafe. Most pilots are not aware of the many different ways they can kill themselves, since we do not have an effective system to learn from accidents and incidents and figure out ways to prevent them from happening again, as oppose to commercial aviation which constantly learn from every accident as much as possible and implement lessons, resulting in contiguous improved safety. Our safet record not only not improving, but getting worse. Last year was a record year for fatalities, and this year we would have already broke this record if not for some amazing luck. And it is only the beginning of the season. *Almost every fatality I heard of since I started flying many years ago had no useful information or conclusion other than speculation on RAS and the typical useless NTSB report. Those who knows the details, and those who survives the crashes, usually prefer to keep the details for themselves. Until we manage to implement such a system, pilots will continue killing themselves without realizing they are not as safe as they choose to be. Ramy It works like this. Fact: There was a crash. Uninformed speculation: The pilot was 'safe' so there must be an outside cause. I've discussed this with Greg Feith, a retired NTSB investigator (http://en.wikipedia.org/wiki/Greg_Feith). *Feith says we're naturally uncomfortable with pilot error since "they were one of us". *NTSB reports aren't useless just because they fail to list evidence the pilot was at fault - the investigation stops when it's obvious the cause was pilot error but the final report will stop short of calling a recently departed pilot an idiot. Never miss a chance to attend one of Feith's seminars. *It's a sobering, chilling experience but you will be a safer pilot because of it. *There are few accidents where the pilot was not at least a contributing factor. There are no secret new accident causes. *It's an informative exercise to download a couple of years of NTSB glider accident reports and tabulate them in Excel - something I do every year. *Almost every one will be pilot error - usually gross error. *Were these 'safe' pilots? It would be a stretch to say they were. *It only gets complicated if you try to re-interpret the facts to show the pilot was somehow not responsible. *"Occam's razor" applies. I guess it all depends what falls under 'pilot error'. I agree that just about every accident you can blame the pilot, even if his rudder cable broke for example, after all, he didnt check his rudder cable before the flight.. But how many of us are perfect? Same goes to a recent fatal accident where the pilot tried to bail out too low, probably due to some sort of mechanical failure. And a recent mid air, where none of the pilots saw each other until impact. The NTSB will,of course, determine it was pilots failure to see each other. Case closed . But is it? It's been demonstrated over and over that our eyes are not able to detect collision threat on time. So I wouldn't consider those as true pilot errors, but as bad luck or outside cause, which happened to safe pilots. And yes, we do find new ways to kill ourselves. The recent Texas tragedy may reveal one. I know of other pilots who took a toddler for a flight. I am sure those who heard about this accident will think twice and hard before doing it again, and maybe, just maybe, another life will be saved thanks to sharing and speculating about the cause of this accident. Ramy The Texas tragedy has happened many times before - it's called improper loading. The manual clearly states it's a two-seat aircraft but it improper loading doesn't have to be people. There was a chillingly similar crash at about the same time in Colorado involving a home-built airplane. Midair's? I've had one and it was damn well pilot error - we were both responsible but fortunately survived. I hope someday to see PowerFlarm in every glider. Of course nobody's perfect but when we step up to commit flight, we take responsibility for our actions. If we didn't check that rudder cable (and everything else) we've chosen to accept the risk there's an unseen problem. Not being perfect doesn't allow us to shift the responsibility elsewhere. Like I said before, read the NTSB reports - not just a few but a lot of them. Patterns will emerge and the mysteries will be resolved. I remain convinced that after 109 years of flight, there are really few to no new ways to crash. The tragedy is we keep repeating the same mistakes. |
#13
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Wide-ranging Safety Discussion...?
Apologies for not trimming; just thought maintaining continuity of idea-flow
made sense here... Bob W. - - - - - - On 6/26/2012 12:21 AM, Ramy wrote: On Monday, June 25, 2012 8:38:39 PM UTC-7, Bill D wrote: On Jun 25, 6:38 pm, Ramy wrote: On Monday, June 25, 2012 12:06:23 PM UTC-7, Bill D wrote: The most poisonous attitude that I fear are the people resistant to change. They can resist for the sake of resistance and meanwhile poison the environment for everyone. Adoption of Flarm or Transponders or Radio usage or safety practices can all be very detrimentally affected by a loud naysayer, even when the arguments lack validity. Everyone just needs to keep trying and start with focusing on your own behaviors. Your personal safety culture as you pointed out. No kiddin'! The safety of the sport of soaring for any particular pilot is only as safe as he/she chooses to make his/her next flight. Apparently it is not working this way. Otherwise accidents would have happened only to unsafe pilots, but the statistics is showing otherwise. Problem is that most pilots are not aware that they are doing something unsafe. Most pilots are not aware of the many different ways they can kill themselves, since we do not have an effective system to learn from accidents and incidents and figure out ways to prevent them from happening again, as oppose to commercial aviation which constantly learn from every accident as much as possible and implement lessons, resulting in contiguous improved safety. Our safet record not only not improving, but getting worse. Last year was a record year for fatalities, and this year we would have already broke this record if not for some amazing luck. And it is only the beginning of the season. Almost every fatality I heard of since I started flying many years ago had no useful information or conclusion other than speculation on RAS and the typical useless NTSB report. Those who knows the details, and those who survives the crashes, usually prefer to keep the details for themselves. Until we manage to implement such a system, pilots will continue killing themselves without realizing they are not as safe as they choose to be. Ramy It works like this. Fact: There was a crash. Uninformed speculation: The pilot was 'safe' so there must be an outside cause. I've discussed this with Greg Feith, a retired NTSB investigator (http://en.wikipedia.org/wiki/Greg_Feith). Feith says we're naturally uncomfortable with pilot error since "they were one of us". NTSB reports aren't useless just because they fail to list evidence the pilot was at fault - the investigation stops when it's obvious the cause was pilot error but the final report will stop short of calling a recently departed pilot an idiot. Never miss a chance to attend one of Feith's seminars. It's a sobering, chilling experience but you will be a safer pilot because of it. There are few accidents where the pilot was not at least a contributing factor. I married later in life to a glider PIC-in-training, so there was considerable disparity in experience levels. I'd known OF Greg Feith from years of head-shot TV exposures related to local crashes, and saw him once in person at an in-flight-breakup/winch crash investigation. When I married, I knew he'd retired from the NTSB, never encountered a reason to mention him to my wife, and was surprised one day to hear HER mention his name. She'd attended one of his seminars, for a work-related reason. It'd made a sufficient impression on her to warrant discussion. I got the same impression Bill D.'s "...sobering, chilling experience..." just made on me. From her description, I wished I'd been there too. There are no secret new accident causes. It's an informative exercise to download a couple of years of NTSB glider accident reports and tabulate them in Excel - something I do every year. Almost every one will be pilot error - usually gross error. Were these 'safe' pilots? It would be a stretch to say they were. It only gets complicated if you try to re-interpret the facts to show the pilot was somehow not responsible. "Occam's razor" applies. I guess it all depends what falls under 'pilot error'. I agree that just about every accident you can blame the pilot, even if his rudder cable broke for example, after all, he didnt check his rudder cable before the flight. But how many of us are perfect? Same goes to a recent fatal accident where the pilot tried to bail out too low, probably due to some sort of mechanical failure. And a recent mid air, where none of the pilots saw each other until impact. The NTSB will,of course, determine it was pilots failure to see each other. Case closed . But is it? It's been demonstrated over and over that our eyes are not able to detect collision threat on time. So I wouldn't consider those as true pilot errors, but as bad luck or outside cause, which happened to safe pilots. And yes, we do find new ways to kill ourselves. The recent Texas tragedy may reveal one. I know of other pilots who took a toddler for a flight. I am sure those who heard about this accident will think twice and hard before doing it again, and maybe, just maybe, another life will be saved thanks to sharing and speculating about the cause of this accident. Ramy Musing philosophically... I've no problem - from a PIC's perspective - acknowledging "Fate" accidents occur. A not terribly uncommon intermountain west example would be wings coming off firebombers. For all practical purposes, no PIC could be expected to detect such metal fatigue on a daily pre-flight inspection. Without meaning to imply "Fate" never has a hand in glider accidents, none come immediately to mind, though the wing failure that continues reverberating in the Blanik L-13 world might qualify. So put me in the category which chooses to believe Joe PIC is a crucial link in the 'chain of failure' typically associated with aircraft (and glider of course) accidents. I choose to believe this way NOT by way of inflating feelings of personal superiority simply because I'm still alive and someone else is not, but because: a) I believe it (duh), and b) I believe believing so has very real enhancing effect on my own longevity (so call me selfish). That said, I also readily admit many, if not most, of the fatal glider accidents I choose to place in the category 'pilot error' (e.g. spins into the ground, departures from controlled flight in the landing pattern, OFLs gone bad) can't be "causally guaranteed" with 100% certainty as such, and often aren't lacking in 'outside influences' I'd ask anyone who challenges based on that uncertainty, "So what? The uncertainty is a double-edged sword: neither of us can know for sure why this or that Joe PIC died." My next question is, "Is it potentially more safe for YOU or ME - all still-living-pilots - to assume Joe PIC screwed up fatally, or to assume 'something undefinable' beyond his control trumped?" In a perfect world, glider pilots would have access to all the investigative, informational, disseminational, training and refresher resources presently taken for granted in the commercial aviation world. In reality, it's up to Joe Individual Pilot, assisted by all the instructional resources we DO have (FAA mandated, instructors, peers, books, personal curiosity, software, etc.) to self-educate. We do the best we can, try to influence others as to the wisdom of our ways, seek to convey 'why' we think our way is wise, and hopefully enjoy long and gratifying soaring 'careers.' I still grieve for some friends and friendly acquaintances who 'somehow screwed up' piloting gliders, but any human frailties that may have contributed to their deaths don't diminish who they were in my mind. Call it putting a human face on otherwise impersonal NTSB accident reports, call it pure rationalization, call it what you will, I try to use their perceived gaffes to help improve my chances. |
#14
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Wide-ranging Safety Discussion...?
So the next issue of Soaring magazine will come off the press without a single word about this horrible accident... like it never happened!! Head in the sand attitudes will not fix this problem. WE NEED to air the dirty laundry until this problem is much better. We can't depend on speculation on RAS or digging for NTSB reports which often don't contain anything helpful. Give me the facts, ma'am. |
#15
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Wide-ranging Safety Discussion...?
On Jun 26, 9:46*am, BobW wrote:
Apologies for not trimming; just thought maintaining continuity of idea-flow made sense here... Bob W. - - - - - - On 6/26/2012 12:21 AM, Ramy wrote: On Monday, June 25, 2012 8:38:39 PM UTC-7, Bill D wrote: On Jun 25, 6:38 pm, Ramy wrote: On Monday, June 25, 2012 12:06:23 PM UTC-7, Bill D wrote: The most poisonous attitude that I fear are the people resistant to change. *They can resist for the sake of resistance and meanwhile poison the environment for everyone. *Adoption of Flarm or Transponders or Radio usage or safety practices can all be very detrimentally affected by a loud naysayer, even when the arguments lack validity. Everyone just needs to keep trying and start with focusing on your own behaviors. *Your personal safety culture as you pointed out. No kiddin'! The safety of the sport of soaring for any particular pilot is only as safe as he/she chooses to make his/her next flight. Apparently it is not working this way. Otherwise accidents would have happened only to unsafe pilots, but the statistics is showing otherwise. Problem is that most pilots are not aware that they are doing something unsafe. Most pilots are not aware of the many different ways they can kill themselves, since we do not have an effective system to learn from accidents and incidents and figure out ways to prevent them from happening again, as oppose to commercial aviation which constantly learn from every accident as much as possible and implement lessons, resulting in contiguous improved safety. Our safet record not only not improving, but getting worse. Last year was a record year for fatalities, and this year we would have already broke this record if not for some amazing luck. And it is only the beginning of the season.. Almost every fatality I heard of since I started flying many years ago had no useful information or conclusion other than speculation on RAS and the typical useless NTSB report. Those who knows the details, and those who survives the crashes, usually prefer to keep the details for themselves. Until we manage to implement such a system, pilots will continue killing themselves without realizing they are not as safe as they choose to be. Ramy It works like this. Fact: There was a crash. Uninformed speculation: The pilot was 'safe' so there must be an outside cause. I've discussed this with Greg Feith, a retired NTSB investigator (http://en.wikipedia.org/wiki/Greg_Feith). *Feith says we're naturally uncomfortable with pilot error since "they were one of us". *NTSB reports aren't useless just because they fail to list evidence the pilot was at fault - the investigation stops when it's obvious the cause was pilot error but the final report will stop short of calling a recently departed pilot an idiot. Never miss a chance to attend one of Feith's seminars. *It's a sobering, chilling experience but you will be a safer pilot because of it. *There are few accidents where the pilot was not at least a contributing factor. I married later in life to a glider PIC-in-training, so there was considerable disparity in experience levels. I'd known OF Greg Feith from years of head-shot TV exposures related to local crashes, and saw him once in person at an in-flight-breakup/winch crash investigation. When I married, I knew he'd retired from the NTSB, never encountered a reason to mention him to my wife, and was surprised one day to hear HER mention his name. She'd attended one of his seminars, for a work-related reason. It'd made a sufficient impression on her to warrant discussion. I got the same impression Bill D.'s "...sobering, chilling experience..." just made on me. From her description, I wished I'd been there too. There are no secret new accident causes. *It's an informative exercise to download a couple of years of NTSB glider accident reports and tabulate them in Excel - something I do every year. *Almost every one will be pilot error - usually gross error. *Were these 'safe' pilots? It would be a stretch to say they were. *It only gets complicated if you try to re-interpret the facts to show the pilot was somehow not responsible. "Occam's razor" applies. I guess it all depends what falls under 'pilot error'. I agree that just about every accident you can blame the pilot, even if his rudder cable broke for example, after all, he didnt check his rudder cable before the flight. But how many of us are perfect? Same goes to a recent fatal accident where the pilot tried to bail out too low, probably due to some sort of mechanical failure. And a recent mid air, where none of the pilots saw each other until impact. The NTSB will,of course, determine it was pilots failure to see each other. Case closed . But is it? It's been demonstrated over and over that our eyes are not able to detect collision threat on time. So I wouldn't consider those as true pilot errors, but as bad luck or outside cause, which happened to safe pilots. And yes, we do find new ways to kill ourselves. The recent Texas tragedy may reveal one. I know of other pilots who took a toddler for a flight. I am sure those who heard about this accident will think twice and hard before doing it again, and maybe, just maybe, another life will be saved thanks to sharing and speculating about the cause of this accident. Ramy Musing philosophically... I've no problem - from a PIC's perspective - acknowledging "Fate" accidents occur. A not terribly uncommon intermountain west example would be wings coming off firebombers. For all practical purposes, no PIC could be expected to detect such metal fatigue on a daily pre-flight inspection. Without meaning to imply "Fate" never has a hand in glider accidents, none come immediately to mind, though the wing failure that continues reverberating in the Blanik L-13 world might qualify. So put me in the category which chooses to believe Joe PIC is a crucial link in the 'chain of failure' typically associated with aircraft (and glider of course) accidents. I choose to believe this way NOT by way of inflating feelings of personal superiority simply because I'm still alive and someone else is not, but because: a) I believe it (duh), and b) I believe believing so has very real enhancing effect on my own longevity (so call me selfish). That said, I also readily admit many, if not most, of the fatal glider accidents I choose to place in the category 'pilot error' (e.g. spins into the ground, departures from controlled flight in the landing pattern, OFLs gone bad) can't be "causally guaranteed" with 100% certainty as such, and often aren't lacking in 'outside influences' I'd ask anyone who challenges based on that uncertainty, "So what? The uncertainty is a double-edged sword: neither of us can know for sure why this or that Joe PIC died." My next question is, "Is it potentially more safe for YOU or ME - all still-living-pilots - to assume Joe PIC screwed up fatally, or to assume 'something undefinable' beyond his control trumped?" In a perfect world, glider pilots would have access to all the investigative, informational, disseminational, training and refresher resources presently taken for granted in the commercial aviation world. In reality, it's up to Joe Individual Pilot, assisted by all the instructional resources we DO have (FAA mandated, instructors, peers, books, personal curiosity, software, etc.) to self-educate. We do the best we can, try to influence others as to the wisdom of our ways, seek to convey 'why' we think our way is wise, and hopefully enjoy long and gratifying soaring 'careers.' I still grieve for some friends and friendly acquaintances who 'somehow screwed up' piloting gliders, but any human frailties that may have contributed to their deaths don't diminish who they were in my mind. Call it putting a human face on otherwise impersonal NTSB accident reports, call it pure rationalization, call it what you will, I try to use their perceived gaffes to help improve my chances. The water bomber pilot certainly knew flying a half century year old overloaded derelict in severe fire turbulence was "pushing it". That he chose to do so is part heroics and part something else. Since I'm sitting in Colorado smelling wildfire smoke I have a particular appreciation for fire fighting pilots and what they do. The pilot is responsible because he is the last person in a position to prevent an accident. Certainly a mechanic SHOULD have checked for metal fatigue but the pilot is responsible for knowing it actually happened. If he doesn't know and doesn't check for whatever reason, he's gambling with his life and his crew's. A lot of 'outside influences' can add up to an accident but the pilot is charged with knowing all of them and factoring them into the risk equation. It's actually in the FAR's (Part 91.103 & 91.9 are two) They require a pilot to consider anything which could adversely effect the outcome of a flight. |
#16
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Wide-ranging Safety Discussion...?
On Tuesday, June 26, 2012 12:54:09 PM UTC-4, soartech wrote:
So the next issue of Soaring magazine will come off the press without a single word about this horrible accident... like it never happened!! Head in the sand attitudes will not fix this problem. WE NEED to air the dirty laundry until this problem is much better. We can't depend on speculation on RAS or digging for NTSB reports which often don't contain anything helpful. Give me the facts, ma'am. WTF. How is airing dirty laundry going to improve safety? I'm not saying bury it, but airing it won't change anything. |
#17
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Wide-ranging Safety Discussion...?
On Jun 26, 10:54*am, soartech wrote:
So the next issue of Soaring magazine will come off the press without a single word about this horrible accident... like it never happened!! Head in the sand attitudes will not fix this problem. WE NEED to air the dirty laundry until this problem is much better. We can't depend on speculation on RAS or digging for NTSB reports which often don't contain anything helpful. Give me the facts, ma'am. Soaring Magazine isn't the place for this subject but the SSF web site is. I'd like to see detailed no-holds-barred discussion of every accident. Unfortunately, making public allegations of incompetence against a deceased pilot CAN get you sued by irate family members. There is a need to tread responsibly - and carefully. |
#18
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Wide-ranging Safety Discussion...?
On Jun 26, 9:46*am, BobW wrote:
Apologies for not trimming; just thought maintaining continuity of idea-flow made sense here... Bob W. - - - - - - On 6/26/2012 12:21 AM, Ramy wrote: On Monday, June 25, 2012 8:38:39 PM UTC-7, Bill D wrote: On Jun 25, 6:38 pm, Ramy wrote: On Monday, June 25, 2012 12:06:23 PM UTC-7, Bill D wrote: The most poisonous attitude that I fear are the people resistant to change. *They can resist for the sake of resistance and meanwhile poison the environment for everyone. *Adoption of Flarm or Transponders or Radio usage or safety practices can all be very detrimentally affected by a loud naysayer, even when the arguments lack validity. Everyone just needs to keep trying and start with focusing on your own behaviors. *Your personal safety culture as you pointed out. No kiddin'! The safety of the sport of soaring for any particular pilot is only as safe as he/she chooses to make his/her next flight. Apparently it is not working this way. Otherwise accidents would have happened only to unsafe pilots, but the statistics is showing otherwise. Problem is that most pilots are not aware that they are doing something unsafe. Most pilots are not aware of the many different ways they can kill themselves, since we do not have an effective system to learn from accidents and incidents and figure out ways to prevent them from happening again, as oppose to commercial aviation which constantly learn from every accident as much as possible and implement lessons, resulting in contiguous improved safety. Our safet record not only not improving, but getting worse. Last year was a record year for fatalities, and this year we would have already broke this record if not for some amazing luck. And it is only the beginning of the season.. Almost every fatality I heard of since I started flying many years ago had no useful information or conclusion other than speculation on RAS and the typical useless NTSB report. Those who knows the details, and those who survives the crashes, usually prefer to keep the details for themselves. Until we manage to implement such a system, pilots will continue killing themselves without realizing they are not as safe as they choose to be. Ramy It works like this. Fact: There was a crash. Uninformed speculation: The pilot was 'safe' so there must be an outside cause. I've discussed this with Greg Feith, a retired NTSB investigator (http://en.wikipedia.org/wiki/Greg_Feith). *Feith says we're naturally uncomfortable with pilot error since "they were one of us". *NTSB reports aren't useless just because they fail to list evidence the pilot was at fault - the investigation stops when it's obvious the cause was pilot error but the final report will stop short of calling a recently departed pilot an idiot. Never miss a chance to attend one of Feith's seminars. *It's a sobering, chilling experience but you will be a safer pilot because of it. *There are few accidents where the pilot was not at least a contributing factor. I married later in life to a glider PIC-in-training, so there was considerable disparity in experience levels. I'd known OF Greg Feith from years of head-shot TV exposures related to local crashes, and saw him once in person at an in-flight-breakup/winch crash investigation. When I married, I knew he'd retired from the NTSB, never encountered a reason to mention him to my wife, and was surprised one day to hear HER mention his name. She'd attended one of his seminars, for a work-related reason. It'd made a sufficient impression on her to warrant discussion. I got the same impression Bill D.'s "...sobering, chilling experience..." just made on me. From her description, I wished I'd been there too. There are no secret new accident causes. *It's an informative exercise to download a couple of years of NTSB glider accident reports and tabulate them in Excel - something I do every year. *Almost every one will be pilot error - usually gross error. *Were these 'safe' pilots? It would be a stretch to say they were. *It only gets complicated if you try to re-interpret the facts to show the pilot was somehow not responsible. "Occam's razor" applies. I guess it all depends what falls under 'pilot error'. I agree that just about every accident you can blame the pilot, even if his rudder cable broke for example, after all, he didnt check his rudder cable before the flight. But how many of us are perfect? Same goes to a recent fatal accident where the pilot tried to bail out too low, probably due to some sort of mechanical failure. And a recent mid air, where none of the pilots saw each other until impact. The NTSB will,of course, determine it was pilots failure to see each other. Case closed . But is it? It's been demonstrated over and over that our eyes are not able to detect collision threat on time. So I wouldn't consider those as true pilot errors, but as bad luck or outside cause, which happened to safe pilots. And yes, we do find new ways to kill ourselves. The recent Texas tragedy may reveal one. I know of other pilots who took a toddler for a flight. I am sure those who heard about this accident will think twice and hard before doing it again, and maybe, just maybe, another life will be saved thanks to sharing and speculating about the cause of this accident. Ramy Musing philosophically... I've no problem - from a PIC's perspective - acknowledging "Fate" accidents occur. A not terribly uncommon intermountain west example would be wings coming off firebombers. For all practical purposes, no PIC could be expected to detect such metal fatigue on a daily pre-flight inspection. Without meaning to imply "Fate" never has a hand in glider accidents, none come immediately to mind, though the wing failure that continues reverberating in the Blanik L-13 world might qualify. So put me in the category which chooses to believe Joe PIC is a crucial link in the 'chain of failure' typically associated with aircraft (and glider of course) accidents. I choose to believe this way NOT by way of inflating feelings of personal superiority simply because I'm still alive and someone else is not, but because: a) I believe it (duh), and b) I believe believing so has very real enhancing effect on my own longevity (so call me selfish). That said, I also readily admit many, if not most, of the fatal glider accidents I choose to place in the category 'pilot error' (e.g. spins into the ground, departures from controlled flight in the landing pattern, OFLs gone bad) can't be "causally guaranteed" with 100% certainty as such, and often aren't lacking in 'outside influences' I'd ask anyone who challenges based on that uncertainty, "So what? The uncertainty is a double-edged sword: neither of us can know for sure why this or that Joe PIC died." My next question is, "Is it potentially more safe for YOU or ME - all still-living-pilots - to assume Joe PIC screwed up fatally, or to assume 'something undefinable' beyond his control trumped?" In a perfect world, glider pilots would have access to all the investigative, informational, disseminational, training and refresher resources presently taken for granted in the commercial aviation world. In reality, it's up to Joe Individual Pilot, assisted by all the instructional resources we DO have (FAA mandated, instructors, peers, books, personal curiosity, software, etc.) to self-educate. We do the best we can, try to influence others as to the wisdom of our ways, seek to convey 'why' we think our way is wise, and hopefully enjoy long and gratifying soaring 'careers.' I still grieve for some friends and friendly acquaintances who 'somehow screwed up' piloting gliders, but any human frailties that may have contributed to their deaths don't diminish who they were in my mind. Call it putting a human face on otherwise impersonal NTSB accident reports, call it pure rationalization, call it what you will, I try to use their perceived gaffes to help improve my chances. One of Feith's presentations uses a picture of burning wreckage with, he says in his chilling way, 4 dead people inside. The light airplane had stalled and crashed on takeoff while Greg happened to be at the same airport so he was at the wreck site within a minute or so.The flight was on an instrument flight plan in IMC with a ceiling of 600 feet but stalled and crashed before reaching the clouds. He points to the cover with it's "remove before flight" flag still on the pitot tube indicating the pilot had no airspeed data. He then asked the audience if the pilot should have been able to fly without a reliable ASI. They demur and Greg points out that every instrument student learns to fly without one - that's why Sporty's sells black suction disks to cover instruments. Greg then asked when the pilot should have noticed the malfunctioning instrument and gets various answers. Greg points out the pilot should have noticed it before rotation and aborted the takeoff - even going off the end of the runway would have been survivable. (I used to carry a small cardboard slide rule which gave me the exact time to Vr with consideration for density altitude and airplane weight.) Without saying it is so many words, the damming evidence pilot error caused 4 deaths is plain to see. Three errors in fact. (1) Failure to remove pitot cover in the pre-flight. (2) Failure to notice a malfunctioning instrument on the takeoff roll. (3) Inability to fly the airplane without an ASI. What more would the NTSB need to say? One might argue the pilot might have been fatigued or distracted as possible "outside causes" but that won't do. A pilot is responsible for a personal pre-flight as well as for the aircraft. |
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Wide-ranging Safety Discussion...?
On Tuesday, June 26, 2012 4:45:38 AM UTC-7, kirk.stant wrote:
On Tuesday, June 26, 2012 1:21:13 AM UTC-5, Ramy wrote: So I wouldn't consider those as true pilot errors, but as bad luck or outside cause, which happened to safe pilots. Ramy, I have to disagree a bit. We have remarkably few accidents that are due to mechanical failure out of the control of the pilot - the recent JS-1 rudder cable is apparently one of those. But just about every other glider accident we have seems to be the direct or indirect result of pilot error. Direct in that the pilot intentionally does something stupid and breaks something. Indirect in that the pilot does something he doesn't know is stupid (due to poor training or lack of self-education) and breaks something. Midairs? Sure, it's hard to see another plane - but if we run into each other in a thermal - both pilots looking at the cu instead of clearing where they are going - is that bad luck, lazy lookout, or poor training? I think of myself as a safe, pilot (opinion not shared with some others, I fear). And I've done some really stupid things in gliders (only dinged one once, slightly). EVERY time I debriefed myself afterwards (as in, "YOU IDIOT, WTF WERE YOU THINKING!") it was pretty easy to see how I worked myself into the position to make a bad decision. That old chain of events is often glaringly obvious after the fact! My contribution to this safety thing? It's always pilot error. If the pilot hadn't flown the plane, there wouldn't have been an accident. So the pilot has to prepare himself to avoid situations that are dangerous, or if necessary, have the skill to get out of a dangerous situation. Expecting someone else to make you safe is NOT going to work. Kirk 66 I think we all basically saying the same things. My main point was that to really be safer, we need to know better and understand better what kind of problems and mistakes can kill us and how. Will a forgotten tail dolly just embarrass us or can it kill us? What can go wrong if we put a toddler on our laps, should we bother wearing a parachute when not doing aerobatics or contests, etc. Those are just recent examples and perhaps obvious, but there were much less obvious causes. So the point is our poor job in analyzing accidents, sharing the results and finding solutions in a timely manner, rather than the all so lame reaction of "waiting for the NTSB report". This is perhaps the main thing we can do to try to improve our dismay safety record. Ramy |
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Wide-ranging Safety Discussion...?
On Tuesday, June 26, 2012 3:34:27 PM UTC-5, Ramy wrote:
I think we all basically saying the same things. My main point was that to really be safer, we need to know better and understand better what kind of problems and mistakes can kill us and how. Will a forgotten tail dolly just embarrass us or can it kill us? What can go wrong if we put a toddler on our laps, should we bother wearing a parachute when not doing aerobatics or contests, etc. Those are just recent examples and perhaps obvious, but there were much less obvious causes. So the point is our poor job in analyzing accidents, sharing the results and finding solutions in a timely manner, rather than the all so lame reaction of "waiting for the NTSB report". This is perhaps the main thing we can do to try to improve our dismay safety record. Ramy Ramy, analysing accidents after they happen is one source of information. But what we need to be doing better is analyzing potential accident scenarios before they happen, and getting a good idea of what can happen. To take your example of the tail dolly - the CG effect can be calculated, and the behaviour of the glider in question at aft CGs can be investigated, so that a good idea of what will happen if a tail dolly is left on can be developed. But there are other issues - the reduced angle of attack during the takeoff and landing roll due to the dolly wheel: longer takeoff roll? Tail first touchdown requiring a faster, flatter "wheel landing"? Loss of directional stability due to castering tailwheel and resulting groundloop if release during takeoff or at end of landing roll? The military and commercial aviation spent a lot of time developing emergency scenarios and practicing them in simulators (and in flight, by the way). I practice various contingencies in my glider - full spoiler landings, hard over rudder (yes mine will lock over, but easy to push back), bailout sequence, full flap spin entries, unusual attitude to spiral dive recoveries, etc. No-one tells me to do this - I do it because it is fun and keeps me sharper, I hope. Kirk |
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