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27 November 2008

Risks from Incapacitated Pilots and Pilots Who May Deliberately Crash Airplanes

What an Air Canada Event Says About Incapacitated Pilots

AirSafe.com reviews the investigation into a January 2008 incident where an Air Canada pilot became mentally incapacitated and had to be removed from the cockpit. Once the first officer was removed, the captain was able to safely land the aircraft. The event caused some in the aviation community to question whether this kind of incident may have led to serious problems in the past. While a review of the available incident and accident record by AirSafe.com revealed no proven cases of a mentally incapacitated pilot deliberately causing death or serious injury to passengers, there have been several cases where such behavior was suspected, and one case where a pilot crashed an airliner on purpose.

On 19 November 2008, the Air Accident Investigation Unit of the Irish Department of Transport released their incident report on a 28 January 2008 event involving an Air Canada flight. The captain declared an emergency and diverted to Shannon, Ireland due to the incapacitation of a flight crew member.

The Air Canada 767 was on a scheduled flight from Toronto to London and carried 146 passengers and nine crew members. After the first officer became incapacitated, the captain declared an emergency and completed the flight with the assistance of a flight attendant who was also a licensed pilot.

According to the incident report, the first officer had arrived late for his flight, with the captain having already completed all preflight preparations before the first officer's arrival.

During the early phases of the flight, the first officer left the flight deck several times for short periods, and made it clear to the captain that he was tired.

At one point, the captain allowed the first officer to take a controlled rest break in cockpit. Over an hour later, as the aircraft was near the midpoint of its ocean leg, the first officer began to display unusual behavior, including rambling and disjointed conversation.

The first officer left the cockpit again, and after he returned he didn't follow proper cockpit reentry procedures, and also neglected to fasten his seat belt. It became apparent to the captain that the first officer was suffering from an unknown medical condition which impaired his ability to carry out his required duties on the flight deck. The captain summoned the lead flight attendant to get the first officer removed from the cockpit. The lead flight attendant removed the first officer with the help of other flight attendants. One of those flight attendants sustained a wrist injury during the removal.

After the removal of the first officer, the captain had the lead flight attendant check to see if there were any flight crew members among the passengers. None were on board, but one of the flight attendants held a commercial multiengine license, and she assisted the captain as the flight diverted to Shannon, Ireland.

The first officer was hospitalized in Ireland for 11 days before being transferred by air ambulance back to Canada for further treatment.

News reports about this incident focused on the more dramatic elements of the event, such as what the first officer said after being removed from the cockpit, or how and where the first officer was restrained in the cabin. However, this incident raised more serious issues in the minds of many passengers, such as whether the mental state of a pilot should be a concern, or whether a mentally unstable flight crew member has ever caused serious injuries or deaths to airline passengers.

AirSafe.com not aware of any reliable, publicly available information about the number of pilots in the US or elsewhere who have been removed from flight status due to some kind of psychological or psychiatric issue.

The information is more clear when it comes to cases where an airliner crashed as a result of deliberate flight crew actions. Quite simply, there are no proven events where an airline pilot's deliberate actions or mental state led to the deaths of one or more passengers. Correction (28 March 2012) - On February 1968, 24 passengers were killed in the crash of a JAL DC8 in Tokyo after the the captain deliberately disengaged the autopilot and flew the aircraft into Tokyo bay. All of the crew members survived, but 24 of the 166 passengers were killed. It was later reported that the captain had been suffering from schizophrenia.

There has been at least one case of a pilot deliberately crashing an airliner.
On 11 October 1999, an Air Botswana pilot, who had been grounded for medical reasons, took off alone in an Air Botswana ATR42 airliner, and crashed it into two of the airline's other ATR42s on the ground. Fortunately, there was no one else in the other two aircraft. The pilot was the only person killed in this event.

There were two other crashes that many in the aviation community suspected were caused by pilot actions, but investigative authorities found no conclusive evidence that they were deliberately caused by one of the pilots. On 31 October 1999, an EgyptAir 767 en route from New York to Cairo, crashed in the Atlantic, killing all 217 on board. The NTSB concluded that the airplane's departure from normal cruise flight and subsequent impact with the Atlantic Ocean was a result of the first officer's flight control inputs, but could not determine a reason for the first officer's actions.

On 17 December 1997, a SilkAir 737, traveling between Jakarta and Singapore, crashed into a river, killing all 104 people on board. While there was ample evidence that the captain was under great personal stress, and indications that both the cockpit voice recorder and flight data recorder were turned off prior to the crash, there was no evidence that either pilot deliberately brought the aircraft down.

These past events, as well as the most recent event involving Air Canada, remind the public that while there's always a possibility that a pilot would deliberately put passengers or aircraft at risk, there have been no passenger deaths or serious injuries associated with incidents where such behavior was proven.


A copy of the Air Canada incident report from the Irish Air Accident Investigation Unit is available at http://www.airsafe.com/podcasts/air-canada-jan-2008.pdf.

You can hear the associated podcast at:
http://www.airsafe.com/podcasts/show75-air-canada-pilot.mp3

21 November 2008

Interview on 'The Gregg Knapp Experience' - 18 November 2008

This interview from the Radio America show The Gregg Knapp Experience focused on a TSA behavior detection program that singles out passengers for extra screening based on what the TSA describes as suspicious behavior. Since the program began in 2006, over 160,000 passengers were pulled aside for additional checks such as a pat-down search or an interivew. Less than one percent of those passengers were arrested, often on charges related to drugs or carrying false identification. The TSA didn't mention whether any of those searched or arrested were on any kind of terror watch list, or intended to commit a terrorist act. During this interview, Dr. Curtis and Greg Knapp discussed the effectiveness of this TSA program.

For more information about what passengers can do to deal with TSA security issues, please visit tsa.airsafe.org. There you'll a number of resources, including extensive information on current TSA rules, advice on packing, advice on traveling with duty free items such as alcohol and perfume, and links to airline complaint resources.

You can hear the associated podcast at:
http://www.airsafe.com/podcasts/show74-knapp2.mp3

22 October 2008

Complacency and the Qantas A330 Accident of 7 October 2008

The accident earlier this month involving a Qantas Airbus A330 on a flight from Singapore to Perth seriously injured several passengers, but didn't result in any fatalities. While the event drew substantial news media attention in Australia and Asia, there was very little mention of it by major US media. This is very likely another example of how when it comes to airline events, it's difficult to get the attention of the US public, or of the policy makers in the US, if no one is killed.

My belief was that there would have been more media attention in the US if there had been at least one recent fatal event involving a US airline. While researching recent fatal US events, I found that the most recent passenger fatality on a US airliner was in August 2006. Looking back further, I realized that the US airline industry had quietly passed a milestone. The 26-month period between the last fatal US event and the date of this recording on October 21st, 2008 is the longest period without a passenger fatality on a US airliner since airlines in the US first began using jet aircraft in 1958.

One could argue that there's a certain amount of public complacency about airline safety when there are no major accidents. Looking through my archives, I found that this wasn't the first time I'd dealt with this subject. In late May 2004, the US airline industry was in the midst of another fatality-free period. At the time, it had been nearly 17 months since the last fatal US airline event. That month, I was interviewed as part of a National Public Radio program on airline safety that discussed some of the reasons for that absence of fatal events.

In the following segment, you'll hear my interview with Mike Pesca of NPR about some of the reasons behind the reduction of accidents. Also interviewed was David Evans of the publication Air Safety Week, who talked about how accidents drive the regulatory process.

Five months after the show aired, a regional airliner crashed in Missouri, killing both crew members and 11 of the 13 passengers, bringing to an end a 21-month period with no US passenger fatalities. Currently, the US airline industry has gone 26 months without a passenger fatality. This current fatality-free period is a sign that in spite of all the problems faced the industry, that the risk faced by passengers continues to decline.

Although this record is a positive sign for the industry, the recent Qantas event demonstrated that no airline, even one with no passenger fatalities in its history, is immune from accidents.

I'd like to remind the AirSafe.com audience that however good the system may be, there's always room for improvement. One way to improve things is to learn from those rare events such as what happened with Qantas earlier this month. AirSafe.com will continue to follow the accident investigation, and any future podcasts about the event, or news from the investigation, will be available at qantas.airsafe.org.

You can hear the associated podcast, which includes my interview with NPR, at:
http://www.airsafe.com/podcasts/show73-npr.mp3

11 October 2008

Interview with a Passenger on the Qantas A330 Accident Flight of 7 October 2008

This show features an interview with Keesin Ng, a passengers on a Qantas A330 aircraft that experienced a violent in-flight upset during a flight from Singapore to Perth on 7 October 2008. About 75 passengers and crew members were injured during this event, with 14 hospitalized with serious injuries such as fractures and lacerations.

The Australian Transport Safety Bureau, or ATSB, is currently investigating this event, and because of the extent of the injuries on board, the ATSB has classified it as an accident. In a media briefing three days after the accident, the ATSB reported that the Qantas A330-300 aircraft was in level flight at 37,000 feet when the pilots received messages from their aircraft's monitoring system indicating some kind of control system problem.

The aircraft reportedly had a uncommanded climb of about 200 feet, followed by a return back to 37,000 feet. About a minute after returning to cruising altitude, the aircraft abruptly pitched nose-down, to a maximum angle of about 8.4 degrees, and descended about 650 feet in about 20 seconds, before returning to the cruising level.

About 70 seconds later, there was a further nose-down pitch, to a maximum pitch angle of about 3.5 degrees, and the aircraft descended about 400 feet in about 16 seconds. During the first pitch-down event, a number of passengers and crew members were thrown about the cabin, resulting in a range of injuries.

The crew declared an emergency and diverted to Learmonth, landing about 40 minutes after the start of the event.

The interview occurred three days after the event with passenger Keesin Ng, who provides additional details about the in-flight drama. You can hear that interview at the link below:

Interview with Keesin Ng (MP3)


For additional information, including AirSafe.com's initial video and audio podcast about the accident and updates to the ATSB's accident investigation, visit qantas.airsafe.org

08 October 2008

Serious Injuries on a Qantas A330 Flight on 7 October 2008

A Qantas Airbus A330-300, with 303 passengers and 10 crew members on board, was on a scheduled international flight from Singapore to Perth. While in cruise, the aircraft reportedly experienced some type of sudden and unexpected altitude change. The crew issued a mayday call before diverting the aircraft to the airport at Learmonth, near the town of Exmouth, about 1100 kilometers or 680 miles north of its intended destination of Perth.

Overview of the Event


Other Podcast Links
Audio: MP3
Video: iPod/MP4 | WMV | Google Video | YouTube

About 36 passengers and crew members were injured, with over a dozen severe injuries. Reportedly, several occupants were slammed into the ceiling during the event. Most of the injuries were to passengers and crew in the rear of the aircraft, and at least one person was carried off the plane in a stretcher. About 13 of the most seriously injured were flown to Perth by four aircraft from the Royal Flying Doctor Service. One flight attendant was hospitalized with suspected head and spinal injuries. Other serious injuries included fractures, lacerations, and a concussion.

The Australian Transport Safety Bureau has a team of seven investigators currently working on this incident, and it will likely be several days before a preliminary cause is announced, and several months before a final report is issued.

This is the first significant passenger safety event for the A330. Qantas currently has 15 A330 aircraft in its fleet, including 10 of the A330-300 model.

This is the second significant safety event for Qantas this year. On July 25, an exploding oxygen bottle blew a hole in the fuselage of a Qantas 747 en route from Hong Kong to Melbourne, causing a rapid decompression and forcing an emergency landing in Manila. No passengers were injured in that event.

Other significant safety events for Qantas in the last decade include a 2000 event in Rome involving the collapse of a 747 landing gear, and in 1999 a landing overrun in Bangkok severely damaged another Qantas 747.

In August 2008, the Civil Aviation Safety Authority of Australia conducted a review of Qantas safety and found no system-wide safety issues, but did recommend an audit of the airline's maintenance practices, including a full maintenance audit of one aircraft from three of the models flown by Qantas, the 737-400, 747-400, and 767-300. No maintenance audit was ordered for the airline's A330 fleet.

Additional information about this event, including updates or findings from the investigation or from the Qantas maintenance audit, will be available at qantas.airsafe.org.

More Details on this Event
Other AirSafe.com Videos

03 October 2008

Discovery of the Steve Fossett Crash Site

On September 3rd, 2007, adventurer Steve Fossett took off from Yerington, Nevada on a short flight in a Bellanca Super Decathlon, and went missing. After more than a year, a hiker found some of his personal effects high in the Sierra Nevada Mountains of California on September 29, 2008. Two days later, authorities spotted wreckage from his aircraft. Possible human remains were also found at the site.

The aircraft crashed into a steep granite slope at an elevation of about 10,000 feet, seven miles west of the town of Mammoth Lakes, California. The crash site is about 93 miles or 150 kilometers south of Yerington, Nevada. Pieces of the plane were scattered over a steeply sloped area, with the engine about 300 feet from the fuselage wreckage. There was also evidence of a post crash fire. Fossett was the only occupant.

About Steve Fossett
According to an earlier NTSB report, Fossett's most recent medical certificate was completed seven months before his final flight. At that time, he had over 6,700 hours of flight experience, with 350 hours in the previous six months. He was certified as an airline transport pilot, and was also certified to fly a balloon, helicopter, seaplane, and glider.

He had set over 100 records in five different sports, including over 90 in aviation. Among those aviation records was the first solo nonstop flight around the world in an aircraft, as well as the first solo round the world balloon flight. Outside of aviation, he had also sailed around the world and swam across the English Channel.

About the Bellanca Decathlon
The accident aircraft was a Bellanca Decathlon, a two-seat, single engine aerobatic aircraft. That model was produced between 1970 and 1981, and the accident aircraft was manufactured in 1980. According to the NTSB, between 1973 and 2008 there have been 105 Decathlon accidents, with 80 resulting in fatalities.

Accident Investigation
The NTSB has sent a team to investigate the crash, and is headed by the NTSB chairman Mark Rosenker. The investigation, including a determination of the probable cause of the accident, will likely take several months to complete.

Additional information about this event, including updates or findings from the NTSB investigation, will be available at fossett.airsafe.org.

Below are links to the podcast and video about this event.
Audio: MP3

Video: iPod/MP4 | WMV | Google Video | YouTube


Video Report on the Fossett Crash




More Details on This Event
Other AirSafe.com Videos

28 September 2008

Fatal Jet Crash Injures Blink-182 Drummer Travis Barker

Travis Barker, former drummer for the music group Blink-182, Adam Goldstein, more widely known as DJ AM, and two other passengers were in a Learjet 60 aircraft that was on a chartered flight from Columbia, South Carolina to Van Nuys airport in Los Angeles. The crash, which happened shortly before midnight, occurred during takeoff. According to information from the plane's cockpit voice recorder, the crew was attempting to abort the takeoff because of what they thought was a blown tire. The NTSB also reported that accident investigators reviewing the recording heard sounds consistent with a tire blowout.

The crew was unable to stop the aircraft before it departed the runway. The plane struck a series of antennas and lights, crashed through a fence, crossed a nearby highway, and came to rest on an embankment where it burst into flames.

The crash and subsequent fire killed both flight crew members and two of the four passengers. The two survivors, Barker and Goldstein, escaped the aircraft but suffered severe burns. Goldstein is also the former fiance of television personality Nicole Ritchie. Barker and Goldstein had performed at a concert earlier in Columbia, and the two passengers who did not survive were support staff for the artists.

The aircraft was operated by Global Exec Aviation of Long Beach, California. Less than an hour before the accident, the plane had arrived in South Carolina from Teterboro, New Jersey. The FAA and NTSB online incident and accident databases showed no other events involving this aircraft, or the aircraft operator.

The Learjet 60 first flew in 1991 and was certified in 1993. This was the second fatal Learjet 60 crash, with the first occurring in 2002 in Brazil. According to the NTSB, there were six other Learjet 60 accidents and serious incidents, including one during flight testing in 1992. The FAA lists 23 less serious incidents since 1996.

The NTSB has dispatched an 11-member team to investigate this crash. The investigation, including a determination of the probable cause of the accident, will likely take several months to complete.

Additional information about this event, including updates or findings from the NTSB investigation, will be available at blink182.airsafe.org.

Accident Overview



You can also use the links below for the podcast:
Audio: MP3
Video: iPod/MP4 | WMV | Google Video | YouTube

For Other AirSafe.com podcasts, visit
http://podcast.airsafe.org