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Just yesterday the NTSB report came out regarding the Alaska Air crash (see articles under 'this and that' category)which accused the FAA of poor oversight. I applaud the NTSB for a candid and honest investigation. In the case of sr111, we are also aware that the FAA failed once again to act on known problems prior to the crash and their lack of oversight in regards to the entertainment system installed on this aircraft is absolutely appalling. I thought it would be appropriate to post the following article. The writer is Martin Aubury, from Australia and is often quoted in Air Safety Week. Just wanted to mention too that CASA is a reference to Australia's Safety Authority. The article talks about sr111 as well as other tragedies. LAW AND PROFITS IN AVIATION On 1 January the Civil Aviation Safety Authority relaxed the rules by which it forces aircraft owners to fix faults. This is not the first time that CASA has cut safety standards but it is the worst change to impact on passenger jets as well as private planes. All aircraft have faults. When one is widespread the manufacturer develops a modification or special inspections but rectification is optional unless the local aviation authority issues an Airworthiness Directive. Neither a foreign AD nor a manufacturer's instruction has any legal effect in Australia until enforced by a CASA directive. The purpose of CASA's rule change is to cut the number of ADs mainly by copying those issued by the US Federal Aviation Administration. CASA will not normally take preemptive action ahead of overseas authorities and may sometimes allow extra time for local operators to comply. FAA is a fatally flawed model because by law FAA considers the commercial interests of airlines and aircraft manufacturers as well as passenger safety. When EgyptAir flight 990 crashed in the North Atlantic on 31 October suspicion first focused on the plane's thrust reverser. That was because the Boeing 767 and 200 like it potentially had a lethal defect; a locking pin in the reverser could be too short and the reverser might actuate in flight making the plane almost impossible to fly. Probably the reverser did not the cause of the EgyptAir crash, but the fault would have cost only $8632 to fix. Instead of ordering that this be done, the crash happened while FAA was tediously negotiating whether and when the modification should be mandatory. FAA is wrong to put hundreds of lives at risk for $8632 and CASA is wrong to blindly copy. The worst case of FAA inaction occurred on the Douglas DC-10 aircraft. When the first aircraft was pressure tested on the ground a cargo door blew open, causing the floor above to collapse on to control cables and jam them. A dispute ensued between Douglas and the design sub-contractor over how extensive the changes should be and who should pay for them. In 1972, less than a month after the DC-10 went into service an American Airlines flight from Detroit suffered a nearly identical failure and it took exceptional flying skill to land safely. Design changes had been inadequate. The DC-10 should never have entered service with a control system that could be disabled by loss of a door. FAA was aware of all this but for political and economic reasons still took no legal action, just told Douglas to "fix your God-damn airplane". Dan Applegate, Director of Product Engineering at the sub-contractor wrote a notorious memo which clearly set out the design faults of the door and conveyed his grave doubts about the safety of the aircraft. His warning was ignored, changes were minor, no AD was issued and not all aircraft got modified. Douglas sold a new but incompletely modified aircraft that crashed near Paris, killing all 346 people on board. Investigators found the rear cargo door and six bodies several miles from the crash site. It was a repeat of the two earlier failures. Since then the legislation that controls the FAA has been tightened. FAA is no longer required to "foster" aviation and it is supposed to give primacy to safety. Critics like Mary Schiavo in "Flying Blind, Flying Safe" (Avon Books, 1997) and Andrew Weir in "The Tombstone Imperative, the Truth About Air Safety (Simon and Schuster, 1999) contend that little has improved; that profit remains paramount and safety is secondary. Schiavo and Weir cite hundreds of examples. Another more recent one was the crash of Swissair Flight 111, a year before EgyptAir 990 and in the same general area. All were killed when fire broke out in the cockpit of a MD-11 airliner. Evidence emerged that faulty wires may have ignited thermal insulation blankets between the top of the cabin and the fuselage skin. This was two years after the aircraft manufacturer found that the particular type of blanket was hazardous and urged replacement. No AD was issued. Since the accident it has become clear that most other blankets also are too flammable. FAA proposed an extensive and expensive refit but quickly yielded to industry pressure and now only the worst blankets must be replaced. Even this will take four years. FAA argues that replacing all blankets poses a bigger risk than it solves because replacement may damage surrounding wires. FAA's rationale for inaction is both disingenuous and alarming. All blankets need to be removed regularly for corrosion inspections; does FAA mean that doing so is hazardous? At the very least whenever blankets are removed they should be replaced with less flammable ones. The fire may be associated with wiring for an entertainment system that provided passengers with individual screens to watch movies or gamble. Before the accident a US Congressional report into in-flight gambling had extolled the safety of the system and the thoroughness of FAA checks. Afterwards it was found that the entertainment system was hazardous. It has been banned by AD. Unless an accident happens, FAA routinely uses cost benefit analyses to justify inaction. Accidents are so rare that it is difficult to justify the cost of safety enhancements in terms of lives saved - compounded by the distasteful econometrics of putting a value on human life. A better way of assessing whether enhancements should be done is to calculate their cost in terms of cost per ticket. Then assess whether a "reasonable passenger" would be willing to pay that extra. It is a much easier hurdle than FAA's "cost per life saved" approach. The cost of upgrading insulation blankets would be around $2 per ticket. The cost of fixing reversers on the Boeing 767 would be just a couple of cents! Time and again coroners, government inquiries and accident investigators have criticized aviation regulators for not issuing ADs to fix known faults. Moreover, new entrant airlines and stiffer competition make voluntarily compliance less likely than ever. So it is risky for CASA to cut the number of ADs; and it could be fatal. | |||
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