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Ethiopian Airlines: Boeing 737 Max 8 crashes on way to Kenya [ET302 ADD-NBO 10MAR19]

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Old Mar 13, 2019, 10:20 am
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Last edit by: JDiver
Boeing 737 MAX 8 ET 302 registration ET-AVJ from Addis Ababa (Ethiopia) to Nairobi (Kenya) with 149 passengers and 8 crew, was lost 10 March 2019 shortly after takeoff at 08:44L (05:44Z). There were no survivors.

Boeing 737 MAX 8 registration ET-AVJ performing flight ET-302 from Addis Ababa (Ethiopia) to Nairobi (Kenya) with 149 passengers and 8 crew, departed Addis Ababa's runway 07R and was climbing out of Addis Ababa when the aircraft levelled off at about 9000 feet MSL, radar contact was lost shortly after at 08:44L (05:44Z). The aircraft wreckage was found near Ejere at approximate position N8.8772 E39.2512. No survivors were found.

In a subsequent press conference on Mar 10th 2019 Ethiopian Airlines reported the crew reported difficulties and requested a return to Addis Ababa. The captain was with Ethiopian Airlines for 9 years and had about 8000 hours of flight experience, a first officer with 200 flight hours assisted, there were 35 nationalities amongst the 149 passengers. The crash site appears to be consistent with a steep dive, the aircraft is right inside the ground. The aircraft had undergone last "rigorous first check maintenance" on Feb 4th 2019. The aircraft had last operated to and from Johannesburg (South Africa) arriving back in Addis Ababa in the morning of Mar 10th 2019 before departing for the accident flight.

Link to Aviation Herald discussion.
The incident appeared similar to the 29 October 2018 crash of Lion Air 610, operated by a B38M.

Indonesian carrier Lion Air Flight 610 on October 29 crashed into the sea soon after takeoff with the loss of all aboard, apparently due to the erroneous data from a faulty Angle of Attack sensor, which caused the MCAS (Maneuvering Characteristics Augmentation System) to assume the plane was about to stall, which activated the downward force on the Stabilizer Trim to get the nose down. Link to BBC article.

This aircraft had been written up as having a faulty AOA indicator for previous flights it had taken. It is unclear if Lion Air had performed adequate maintenance procedures after the reports or withdraw the aircraft from service until the fault could be completely cleared.

Link to Aviation Herald discussion.

“Instead of switching off the Stabilizer Trim the pilots appear to have battled the system.” Link
Boeing 737 MAX and MCAS: See “What is the Boeing 737 MAX Maneuvering Characteristics Augmentation System?”, updated November 17 to explain the MCAS and electric trim override operation, here: link.

Boeing has stated a revised MCAS is in the works, and the FAA is expected to issue an AD note when the MCAS update is done. This is expected to occur in early April, 2019.

355 B38M deliveries have been carried out through 1 March 2019, out of 5,123 orders. Link to Wikipedia B38M list of Airlines, orders and deliveries.
Ethiopian Airlines ordered 25 Boeing 737 MAX 8 (B38M) and at the time of the crash of ET 302 on 10 March 2019. ET also operates 10 Boeing 737-700 and 16 Boeing 737-800 aircraft as part of its fleet.

Ethiopian Airlines is the flag carrier of Ethiopia, and commenced operations on 8 April 1946, expanding to international flights in 1951. The firm became a share company in 1965 and changed its name from Ethiopian Air Lines to Ethiopian Airlines. The airline has been a member of the International Air Transport Association since 1959 and of the African Airlines Association (AFRAA) since 1968. Ethiopian is a Star Alliance member, having joined in December 2011.

As of November 2017, the carrier served 105 international and 20 domestic passenger destinations and 44 cargo destinations. Ethiopian serves more destinations in Africa than any other airline. Ethiopian Airlines’ fleet consists of 106 aircraft.

- Wikipedia (link)
7 Nov 2018: The US Federal Aviation Administration / FAA issued an Airworthiness Directive (AD note) covering the AOA within a few days, giving US carriers 30 days to comply with the AD note.

6 Nov 2018: Boeing issued revised operating instructions covering the revised MCAS used in the MAX 8, updating the MAX operations manual. See the manual update and the switches referenced. See Aviation Herald discussion for information.

10 March 2019: ET 302, operated by Ethiopian Airlines 737 MAX 8 ET-AVJ departing Addis Ababa to Nairobi turned back to the airport soon after takeoff, but crashed with the loss of all aboard.

Link to BBC article.

Link to Aviation Herald discussion.

11 March 2019: The US National Transportation Board / NTSB has dispatched an investigation team, as have Boeing, to Addis Ababa to assist the Ethiopian investigators in determining the cause(s) of the crash. The “black boxes” (cockpit voice and the flight data recorder have been recovered.

11 March 2019: Ethiopian Airlines announced airline both “black boxes” - the cockpit voice recorder and the flight data recorder are recovered.

11 Mar 2019: China grounded its 737 MAX 8 (not MAX 9) fleet, and a number of countries have followed suit on 12 March 2019, including the United Kingdom and the European Union.Link to New York Times article.

11 March 2019: The US FAA stated it would not ground US (AA, UA, WN) 737 MAX aircraft at this time.

Link to FAA Airworthiness Notification for USA registered B38M aircraft PDF.

Link to Wall Street Journal article.

12 March 2019: The USA and Canada are the only countries allowing the B38M to remain in operation.

13 March 2019: Ethiopian Airlines CEO Tewolde Gebremariam requests grounding of all B38M aircraft until the cause(s) of the crash of ET 302 is learned.

13 March 2019: Canada grounds Canadian B38Ms and bans B38M departures, arrivals and overflights.

13 March 2019: All USA operated Boeing 737 MAX -8 and -9 aircraft are grounded by US Federal Aviation Administration emergency order. At this time, all 737 MAX 8 are grounded until further notice.

14 March 2019: It is announced the French BEA will retrieve the data from the Ethiopian Cockpit Voice Recorder and Flight Data Recorder.

Link to Eight things you might not know about black boxes
By Cristen Tilley, ABC Australia

15 March 2019: Aircraft manufactured Boeing plans to roll out a software upgrade for its 737 Max aircraft in 10 days. The US FAA is expected to sign off on the anti-stall modification to the MAX software 25 March. CNBC

17 Mar 2019: The French BEA stated the Flight Data Recorder data have been given to the Ethiopian Investigation Team. Borpth CVR and FDR “black boxes” have been downloaded and turned over to investigators.

17 Mar 2019 the Ethiopian Transport Minister said: "Recently, the FDR and CVR of Ethiopian Airlines Flight 302 have been successfully read out. Our experts and US experts have verified the accuracy of the information. The Ethiopian government accepted the information, and the cause of the crash is similar to the Indonesian Flight 610. A preliminary reported will be published in a month with a detailed analysis. We are grateful to the French Government for its ongoing support." - Aviation Herald

17 Mar 2019 Ethiopian Airlines Twitter Account (Link) posted "The total flying time of the First Officer is 350 hours. Moreover, the Pilot in command is a senior pilot who has accumulated 8,100 hours. According to ICAO regulations any CPL holder can act as F/O in multi engine jet commercial flight up on successful completion of the full Type Rating training on the type of A/C. According to ICAO, it only requires a maximum of 200HRs to hold CPL. Ethiopean airlines in its effort to enhance safety established a crew pairing policy where by a less experienced F/O flies only with highly experienced Capt and vice versa".

17 Mar 2019: “Ethiopian transport minister Dagmawit Moge told reporters on Sunday that an evaluation of the black boxes from Ethiopian Airlines Flight ET302 and Lion Air Flight JT610 showed "clear similarities." - Link to Business Insider article.

18 Mar 2019: Aviation Herald learns new information of ET 302 departure routing and airport communication, and the possibility MAX simulator training and inclusion of training relating to MCAS and the JT 610 lessons learned may not have reached all ET cockpit crew due to the simulator training requirements of six month periodicity. Link.

19 Mar 2019: The Secretary if the US Department of Transportation, of which the Federal Aviation Administration is part of, has requested the Inspector General conduct a formal audit “to compile an objective and detailed factual history of the activities that resulted in the certification of the Boeing 737-MAX 8 aircraft” as part of an ongoing review of factors related to the MAX aviation certification. Link

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Ethiopian Airlines: Boeing 737 Max 8 crashes on way to Kenya [ET302 ADD-NBO 10MAR19]

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Old Mar 18, 2019, 8:55 am
  #331  
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Originally Posted by RatherBeOnATrain
Ethiopian Airlines now saying First Officer had 350 hours.
Still grossly inadequate.
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Old Mar 18, 2019, 9:04 am
  #332  
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Originally Posted by TWA884
Still grossly inadequate.
In my opinion Captain “Sully” Sullenberger pretty much has made the definitive statement. A passenger aircraft is not the place for an apprentice pilot, and there’s a reason 1,500 hours is considered minimum in st least the YSA. What happens if the experienced “senior pilot” becomes disabled or unable to fly?

It has happened, and has happened to me. I recall a flight on a Mexicana DC-6 flying over the Sierra Madre with a radio antenna cable that became detached from the tail fastening point and was flailing about, losing one engine - while the Captain was incapacitated and had been removed to the aircraft lounge, where he was attended to by crew and a medically trained passenger. I’m glad MX didn’t use “apprentice pilots”, particularly as we began losing a second engine north of MEX threading the mountains. That was a flight with lots of white knuckles.
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Old Mar 18, 2019, 9:19 am
  #333  
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Link to Interesting article: “Can Boeing Trust Pilots?
by Mac McClellan, 11 March 2019, AirFacts.

Because the new MAX version of the 737 has heavier engines and other changes, Boeing added a system that under certain conditions of airspeed, CG location and weight, automatically moves the pitch trim to modify stick force. The pilot who is hand flying feels this as though he is pulling on the yoke and would naturally reduce pull force to lower the nose and angle of attack (AOA).

In the non-aviation media, this system is being called everything from new, to radical, to untested. In reality, nearly all airplanes larger than a basic four-seat piston single use some sort of device to alter the forces a pilot feels while maneuvering the airplane.

...

This concept of adding artificial feel using the pitch trim has been around for years. It has been used to add stick force at high speed cruise where Mach effects can alter stick force as well as at higher AOA where stall margins must be maintained.

What’s critical to the current, mostly uninformed discussion is that the 737 MAX system is not triply redundant. In other words, it can be expected to fail more frequently than one in a billion flights, which is the certification standard for flight critical systems and structures.

...

What’s critical to the current, mostly uninformed discussion is that the 737 MAX system is not triply redundant. In other words, it can be expected to fail more frequently than one in a billion flights, which is the certification standard for flight critical systems and structures.

...

Though the pitch system in the MAX is somewhat new, the pilot actions after a failure are exactly the same as would be for a runaway trim in any 737 built since the 1960s. As pilots we really don’t need to know why the trim is running away, but we must know, and practice, how to disable it.

The problem for Boeing, and maybe eventually all airplane designers, is that FBW avoids these issues. FBW removes the pilot as a critical part of the system and relies on multiple computers to handle failures.

Boeing is now faced with the difficult task of explaining to the media why pilots must know how to intervene after a system failure. And also to explain that airplanes have been built and certified this way for many decades. Pilots have been the last line of defense when things go wrong.
I heartily recommend reading the entire article. Particularly because today, we are all flying in Fly By Wire aircraft most of the time.

Other developments of interest in the USA, where Boeing is the manufacturer and the FAA is often the first to certify. It turns out the FAA can, and does, outsource critical parts of the testing and certification decision making to the very manufacturers they’re supposed to be evaluating critically, under a policy implemented ten years ago.

“FAA employees warned as early as seven years ago that Boeing Co. had too much sway over safety approvals of new aircraft, prompting an investigation by Department of Transportation auditors who confirmed the agency hadn’t done enough to ‘hold Boeing accountable’.”

Link to Bloomberg article “Boeing Had Too Much Sway in Vetting Own Jets, FAA Was Told”, By Peter Robison and Alan Levin, March 17, 2019, 7:31 PM PDT, Updated on March 18, 2019, 2:22 AM PDT

A USA Grand Jury and US Department of Justice are also investigating. Link to Wall Street Journal article.

Link to Wall Street Journal article “Prosecutors, Transportation Department Scrutinize Development of Boeing’s 737 MAX; A grand jury’s subpoena seeks broad documents related to the jetliner”, by By Andrew Tangel, Andy Pasztor and Robert Wall, Updated March 18, 2019 11:38 a.m. ET

Last edited by JDiver; Mar 18, 2019 at 11:46 am Reason: Add
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Old Mar 18, 2019, 2:59 pm
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Originally Posted by JDiver
A passenger aircraft is not the place for an apprentice pilot, and there’s a reason 1,500 hours is considered minimum in st least the USA.
That reason is quite simply that the training system in the USA is grossly inadequate to prepare pilots for airline flying. The US system is geared towards producing General Aviation pilots which creates an entirely different set of qualities than something like the EASA MPL, which is designed specifically for airline pilots, does. A well trained MPL with 350 hours and a type rating is a lot more qualified to fly a passenger aircraft than a guy who has 1500 hours towing banners in a Cessna.
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Old Mar 18, 2019, 5:40 pm
  #335  
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Originally Posted by B747-437B
That reason is quite simply that the training system in the USA is grossly inadequate to prepare pilots for airline flying. The US system is geared towards producing General Aviation pilots which creates an entirely different set of qualities than something like the EASA MPL, which is designed specifically for airline pilots, does. A well trained MPL with 350 hours and a type rating is a lot more qualified to fly a passenger aircraft than a guy who has 1500 hours towing banners in a Cessna.
That gets back to the training channels themselves. The USA relies on military trained pilots, professionally trained pilots from Purdue, Embry Riddle, etc. and a group of people who climb their way up the treadmill beginning with Private licenses to CFI to building hours any way they can, whereas many non-US recruit non-fliers and put them through an ab initio intensive training program that ultimately leads to the right seat.

In the end, rigorous standards throughout nations and airlines are important. Unfortunately, it will never be so, though the majors try.

That’s quite a range of training. But more hours of diverse experience will always be better prepared (and in higher demand).

Last edited by JDiver; Mar 18, 2019 at 6:04 pm
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Old Mar 18, 2019, 8:00 pm
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article on seattletimes, contain more detail on the FAA certification process failure. https://www.seattletimes.com/busines...ion-air-crash/
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Old Mar 19, 2019, 5:55 am
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Originally Posted by chrisfwm
article on seattletimes, contain more detail on the FAA certification process failure. https://www.seattletimes.com/busines...ion-air-crash/
One of the posters above posted a link to an article suggesting 737MAX shouldn't have been grounded only the pilots to retrain them. The decision taken by China and subsequently followed by other countries was the correct one, because it gives an opportunity to look at all other processes as well and what can be improved.

Also, this will have Boeing's full attention now because I'm sure there will be airlines around the world watching this closely especially those with 737Max on order.

And with so much scrutiny now there will be no sticky tape solution for the interim. It will have to be a proper fix and they will have to wait for general release software rather than putting in beta software and praying it doesn't happen again.
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Old Mar 20, 2019, 8:56 am
  #338  
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The Secretary of the US Department of Transportation, of which the Federal Aviation Administration is part of, has requested the Inspector General conduct a formal audit “to compile an objective and detailed factual history of the activities that resulted in the certification of the Boeing 737-MAX 8 aircraft” as part of an ongoing review of factors related to the MAX aviation certification. Link

New details are emerging about the ET departure routing and final communications, as well as the Ethiopian Airlines MAX simulator and training related to the Boeing MCAS Bulletin release on 6 Nov 2018 may not have been implemented in time to cover all ET flight crew, as they’re only required to undergo simulator training every six months. - Link to Aviation Herald

Last edited by JDiver; Mar 20, 2019 at 9:14 am Reason: Add
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Old Mar 20, 2019, 2:02 pm
  #339  
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Air Canada has now taken them off the schedule through July 1. Are they being too conservative, or is Boeing giving the airlines information indicating this will be a while?
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Old Mar 21, 2019, 7:01 pm
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Two articles in The New York Times:
Doomed Boeing Jets Lacked 2 Safety Features That Company Sold Only as Extras

Boeing’s optional safety features, in part, could have helped the pilots detect any erroneous readings. One of the optional upgrades, the angle of attack indicator, displays the readings of the two sensors. The other, called a disagree light, is activated if those sensors are at odds with one another.

Boeing will soon update the MCAS software, and will also make the disagree light standard on all new 737 Max planes, according to a person familiar with the changes, who spoke on condition of anonymity because they have not been made public. Boeing started moving on the software fix and the equipment change before the crash in the Ethiopia.

The angle of attack indicator will remain an option that airlines can buy. Neither feature was mandated by the Federal Aviation Administration. All 737 Max jets have been grounded.
And:
Ethiopian Airlines Had a Max 8 Simulator, but Pilot on Doomed Flight Didn’t Receive Training On It

Ethiopian Airlines surpassed many carriers by becoming one of the first to install a simulator to teach pilots how to fly the new Boeing 737 Max 8, but the captain of the doomed Flight 302 never trained on the simulator, according to people close to the airline’s operations.

The people, who spoke on condition of anonymity because Ethiopian Airlines had not authorized disclosure of the information, said the carrier had the Max 8 simulator up and running in January, two months before Flight 302 crashed.
The pilot of Flight 302, Yared Getachew, who had 8,000 hours of flying experience including on the 737, took a refresher course on a different simulator in late September and early October, according to one person familiar with the airline, and was not due for another round of simulator training until after the crash on March 10.

It was unclear if the second pilot on Flight 302, the co-pilot, had trained on the Max 8 simulator. Nor was it clear if the airline had used the simulator for refresher courses it requires pilots to take every six months, or only to train new pilots. Still, use of the simulator by Ethiopian Airlines means the carrier was among the few in the world that not only had a working simulator for Boeing Max jets but was using it a few months after the first Max 8 crash, Lion Air Flight 610.
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Old Mar 21, 2019, 11:47 pm
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Since the MCAS can only be activated when the AP is off, shouldn't the constant movements of the trim wheels have alerted the pilots that something is wrong with the stabilizer?
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Old Mar 22, 2019, 5:21 am
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Garuda is cancelling order of 49 737 MAX 8

https://www.washingtonpost.com/world...=.b79d906dae84
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Old Mar 22, 2019, 6:29 am
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Originally Posted by chrisfwm
Garuda is cancelling order of 49 737 MAX 8

https://www.washingtonpost.com/world...=.b79d906dae84
Would be interesting to see if anyone else follows. I would be looking at Norwegian particularly, they've got 100 odd on the order book, and they've indicated they will ask Boeing for compensation for grounding their existing Max fleet.
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Old Mar 22, 2019, 7:55 am
  #344  
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The UA forum has its own crash thread that is much busier, so I will not quote from it, merely rephrase. If you anyone is interested, it's always on first page of forum (for now).

Originally Posted by rdchen
Since the MCAS can only be activated when the AP is off, shouldn't the constant movements of the trim wheels have alerted the pilots that something is wrong with the stabilizer?
We have several pilots posting in the thread, and according to one the software moves it on takeoff (maybe landings) quite a bit, so probably would not be noticed.

Originally Posted by JamesKidd
Would be interesting to see if anyone else follows. I would be looking at Norwegian particularly, they've got 100 odd on the order book, and they've indicated they will ask Boeing for compensation for grounding their existing Max fleet.
According to a poster in UA thread, Garuda may be using this to dump the order due to its financial situation. I'm no economist, but suspect not too many orders will be cancelled once the software is fixed. And of course Boeing is now offering the second AoA sensor activated for free on new orders (and probably will do something about the frames already delivered - compared to orders there aren't that many deliveries). Just wonder what Boeing is going to do with all those planes they are still building since they suspended deliveries
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Old Mar 22, 2019, 10:20 pm
  #345  
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Originally Posted by EmailKid
Just wonder what Boeing is going to do with all those planes they are still building since they suspended deliveries
I guess they'll run out of parking space, seek special permissions to ferry them to another airport with parking space, and meanwhile if it looks to drag on, they'd need to slow down the production line.

I would still want to ask the question of aerodynamic appropriateness regardless of whether the AoA sensor issues and software mods are made (and still question whether that's appropriate too).
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