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The Predicament of Air France 447

By Peter Garrison / Published: Oct 05, 2012
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Air France 447

This was the situation, but the information
was not presented to the Air France 447 crew.
To the designers of the flight control software,
it must have seemed inconceivable.

On the other hand, once the airplane was fully stalled and mushing downward, how many crews, however well trained, could have figured out what to do about it, since the situation lay outside the boundaries of any training or, for that matter, even any flight test scenario? If during several minutes the crew, including a captain with experience in a wide range of aircraft types, could not figure out what was going on, was attitude and flight path information being presented in the most usable way? A profile view of the airplane, nose up, with a flight path arrow angled steeply downward would have made everything perfectly clear in an instant. But in the normal course of events, what would be the use of such a display?

The English version of the BEA report frequently used the phrase “startle effect” to translate the rather less specific French surprise. The English expression seems intended to confer a sort of scientific prestige upon the common experience of alarm and confusion following a sudden, unexpected (and generally unwelcome) event. But many pilots have learned from experience that the combination of urgency and fear can produce a sort of cognitive paralysis, and the BEA report noted that this element is generally missing from airline pilots’ recurrent simulator training.

The BEA also noted that crews receive minimal simulator training in hand-flying at high altitude, and none at all in high-altitude stall recovery, even though cruising angles of attack in the upper flight levels are quite close to the stall.

But, while some sort of startle-induced reflex or muscular miscue might help to explain the pilot’s initial and disastrous pitch-up command, the subsequent confusion of the crew scarcely requires explanation. Even though the airplane had gotten into its predicament quite easily, it was now in the realm of the unknown. Simulators did not visit angles of attack of 40 degrees, in part because no one knew for sure how transports would behave there. Wind-tunnel investigations of high-altitude “upsets” produced confusing results and were unreliable because of scale effects.

Furthermore, the Airbus design philosophy makes a point of hiding “unnecessary” information from the pilots. Redundant cues are avoided. For example, the Airbus sidesticks do not communicate with one another in such a way that one pilot can tell, by the motion of his stick, what the other pilot is doing. They also lack proportionate resistance or “feel,” which might have alerted the pilot to his presumably unintended pitch command. Similarly, when the autothrottle is operating the throttle levers do not move, even though power is changing. Finally, Airbus pilots are scarcely aware of pitch trim, which automatically, continually and silently operates to zero out elevator actuation forces. In this case, however, trim was important, because the pilot’s continually holding the stick back had run the autotrim to its nose-up stop. If the crew had managed to understand that they needed to push over into a 35-degree dive to recover, they would probably have had to retrim manually.

The problems were not confined to cockpit ergonomics. The BEA criticized shortcomings in training as well. “The combination of the ergonomic design of the stall warning, the conditions in which airline pilots are trained and exposed to stalls during their professional training, and the process of recurrent training does not generate the expected behaviors with acceptable reliability.”

An A330 pilot once wrote to me that although “the systems design and presentation [are] superb ... safely flying the 320-, 330- and 340-series Airbus requires something of a nonpilot mindset.” The advice he gives new pilots is to treat the flight “as a video game.” Boeing applied a somewhat more classical, pilot-centric philosophy, and a richer array of secondary cues, to the design of its fly-by-wire airplanes (777 and 787), and pilots have for years argued passionately over the merits of the two approaches.

At this point it has become obvious, from this event and plenty of others, that the transition from computer-­mediated “protected” flight to manual “direct law” or anything close to it is fraught with difficulties. In fact, this was a well-known problem with ordinary autopilots long before fully-­digital fly-by-wire control systems came into use. “Out of the loop” of the handling of the airplane for long periods, human crews falter when they are thrust unexpectedly back into it. They don’t know where they are, what is real, what is spurious. Startled, frequently fixating on an incorrect interpretation of the situation, they may do more harm than good.

A very simple backup autopilot, without reliance on airspeed, could have kept the wings level and the pitch attitude at five degrees while the crew got things sorted out. But the titanically complex and carefully reasoned Airbus flight system made no effort to ensure a smooth transition from digital to human control.

The abrupt “Your airplane!” approach is particularly strange, because the edifice of digital fly-by-wire stands upon the premise that airplanes need to be protected from mistakes that human crews will make. In their zeal for protecting the airplane, Airbus programmers seem to have forgotten that human crews need a little protecting as well. Did they really think that what happened on Air France 447 was inconceivable? Do they still think so?

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chalete's picture

A very good summary of an extremely complex scenario. The bottom line which we´ve known for sometime: too much computerizing and not enough piloting.

Ken Lemon's picture

Good article. I retired from the Captain seat at the age of 60 and spent the next 9 years as a flight engineer for a freight carrier. I witnessed what I felt was an over emphasis of automation. Pilots did so little "hand flying" that their basic skills for such simple tasks as crosswind landings had deteriorated.

I was once asked by the Vice President of our company what safety issues concerned me the most. I told him I didn't feel we had many pilots left that could "hand fly" an ILS to minimums with both flight directors deferred (something that was permitted by the MEL). It was common practice to turn on the autopilot shortly after gear retraction and leave it on for the entire flight to within 100 feet of the ground at the destination and then be surprised at the poor crosswind landing.

fowen's picture

This is a troubling article, especially the description of the A330 controls. That the sticks of the two pilots don't register the same control inputs is unfathomable. One reason for having two pilots, rather than just one, flying an airliner is so that they are aware of what each is doing and they can correct each other if they see something amiss. Automated sticks that don't talk to each other for aileron and elevator control inputs...well, what were the designers of this cockpit thinking when they came up with that one? And then there's the automated trimming. There's a long history of the development of realistic force-feedback systems to simulate the resistant forces a pilot would feel if he/she were flying a plane with manual controls. It should feel hard to tug back on the stick with the vigor that the pilot-in-command apparently used. The automated pitch trim seems to have taken a lot of this feel away...and defeated decades of realistic force-feedback development. That was precisely the problem in the early days of fly-by-wire systems: there was no force feedback, and it was too easy to put in a command without feeling the customary resistance one would feel performing such an extreme manoeuver. An extreme rudder input into an A300 caused the vertical stabilizer to rip off a plane bound out of JFK Airport in 2001. The pilot put in excessive rudder inputs, partially because the A300 had poor force feedback in the rudder actuation system. It was too easy to push the rudder pedals to their stops, unlike it would be flying a plane with mechanical controls. So it seems that Airbus doesn't yet have it right.

I also like the idea suggested in this article of a simple backup autopilot that might buy the pilots some time to sort things out in a complex and confusing situation. Seems like that would be easy to implement with a little programming.

elmog's picture

Human performance and limitations have to be considered when designing "smart" airplanes. They need to include humans in the loop from the get-go, especially when emergency situation scenarios are being programmed. Also, there should be more input by the pilot during the flight, rather than being just another high paid "passenger" expecting to be delivered to the destination safe and sound by the on-board computers.

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