Professional Documents
Culture Documents
1958 4 Eng
1958 4 Eng
DFY LIBRARY
LIBRARY COPY -this
pub must be returned
COMMENT
AL CANADIAN AIR FORCE
Lt~ _
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pub must be retur ned.
COMMENT
ISSUED BY
Jl'LT ~ :1l'Gl ~'I' ) 9;, $ Editor-in-Chief In the early stages of RCAF jet experience, oxygen problems were
Squadron Leader Georye Sheahan anticipated and combatted by an aggressive indoctrination program.
Serious accidents did occur, but as each individual became aware of the
Eaitor implications of an oxygen malfunction, the frequency of such accidents
,' Il 1 T h; N T S Mr . Iack E. Nugent diminished until they virtually disappeared. Now, it seems, the cycle
is starting again.
Circulaiion
Flyinq Officer Peter Bremner In most of the recent confirmed oxygen cases we have been lucky-
aircraft and crew have returned intact . But can we afford to rely on
Arlists luck? Can we be sure that none of our obscure fatal accidents were
Mr, Jean A. Dubord relafed to oxygen problems? It is not an overstatement to say that
Editorial . 1 every oxygen malfunction is potentially lethal .
Mr . Harry K. Hames
ATC Clears Jet 405 2 ' Edilorial Assistant It is up to you-technician, supervisor, aircrew or commander-to
ensure that oxygen equipment is treated with the respect that it deserves
Good Show 5 Mrs . Nancy L, Chenier
in order that these potentially fatal situations will not arise. The
Near Miss 6 knowledge, equipment and training fatilities needed to eliminate
oxygen malfunctions are available in the RCAF. Faulty workmanship,
10 Rules for Flight Safety il inadequate supervision, and incomplete or irregular aircrew checks of
OFFICIAL INFORMATIQN
both aircraft installations and personal oxygen equipment are therefore
The Big Squeeze 12
The printinq of this publication has been np~
inexcusable.
Thrust 'n' Parry . . . . . . . . 16 proved by the Minister, Depertmenl ol
National Defence . Contributions are wel- The hazards are known and it is up to you to avoid them .
come, as are comments and cnttcisms .
Heads-Up Flying 18 Address all correspondence to the Editor,
Fhqht Comntent, Duectorate of FligF,t Safety,
19
n
ACAF Headquarters, Oltawa, Ontano . The
Hydraulics Edftor reserves lhe rtqht lo make any
chanyes in the manuscripl which he believes
Arrivals and Departures 21 will improve the rnaterial wtthoul altermq
the iniended meaning . Service orqanua-
tions may reprint articles from Flight
Commeni wilhout further authorizstion .
Non-Service orqanuatians must obtain
ofiicial permission in wrdiny from RCAF
* * * Headquariers before reprintiny any of the
contents of this puhhcation . The optnrons
expressed m Fliyht Comment are the personal
views ol conlnbutinq writers . They do not J . J. JORDAN, GROUP CAPTAIN
necessarily reflect the offrcial opinion of the
Aoyal Canadian Air Force . Unless other-
DIRECTOR OF FLIGHT SAFETY
wise stated, contents should nol be con-
strued as requlations, orders or drrechves .
;" :uawnro C~octrre . CV .G ., O.A ., D .S .I' ., f~uccn's Prmtrr and Cuntculler ut 5tatiunciti Otta~ea, 1 :~a8
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~- Proper could have been avoided .
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thi s ever progressing environment,
~ v,, ~ ,~~ , ~ ~ ~'r~ ~'~\~
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,ti
, evaluation a n d development of the a r t can be Problems, y e s , I w o n d e r how many are
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~1 achieved o n 1 y if there is ad~quat~ liaisor. b~ _ s~lf-i .^.flicted? Here we have acouple of eager
\~~0~~~~~~.: ,1 ~~~~~~~
tween pilot and controller, Do you accept YOUR beavers out for a spot of practice flymg . Once
\,a 1 ,~ ; . ,
5~~~ full responsibility as a member of the team? again, the flight is carefully prepared, clear-
, ~~ r~'~
,
~~ ~ 1 ~~ ~ ~~,,~1 ~~,
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ance obtained a n d followed to t h e lette r --but
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Clearance Limitatiuns where to? Why, Happy Valley, naturally!
~~~ I
~~\
~~~\~~~,~`'~~~`~~~.~~\\V ~~~~~~~~;~~~,~ ~~~~~
, .
\~ \\o\\\\\\\\\90\\\\\\\\\~ Admittedly it's one of the busiest terminals in
~~~~~~ \~ the country, but we know such nice people there,
'' `~~ ~ ~\ ~ ~ Let us consider a few incidents to see where
~ ,., \ .~\~ \ ,
~~\\\
\\ . , \ good team work could pay off, We have urgent As t h e flight progresses, and w e listen to
~~,~~\ \ business at Shangri-La . (I wonder why pilots the R~T, terminal conditions begin to emerge,
s ~
r
\ .>' :,,'>
, , ~ :~~~ \ always have urgent business? ) The weather is The weather appear s to be border)rne V R -IFR,
~ \
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checked and the flight planned to the very last and traffic seems to be building up . True, we
detail, Everything w o r k s out fine . Granted, have been c 1 e a r c d t o Happy Valley ; one has
the distance is a bit far and the fuel a bit one's rights, after all, We can ride it through,
.
short ; b u t if the f 1 i g h t is made at 37, 000 or Proving just what?
above we can h a c k it . Flight plan f i 1 e d , we Play i t smooth ; let's call a facility enroute
strap on the burner and scream for clearance, a n d find out th e score, "Solomon Radio, Jet
T h e controller, applying the m a g i c slide 405, IFR to H appy Valley . Request terminal
rule, can't seem to f i t us in at this p r e c i s e conditions and expected approach delay ." Back
moment, "Jet 405 stand by . T h e r e will be a cornes the word : "Jet 405, weather at Happy
li,i~l~
`,',i~'~~I~V Ilir'~qi ;~,~L~i~, ~~~ur~ ~~ slight delay in your clearance ." (Couldn't you Valley 800 and 1-1/2, traffic at peak load . You
guess? Don't theyknowthc bar closes at 10 .30? can expect a thirty-minute holding ."
Come on, make with the words ! ) Let's play this one straight . It's practice
"ATC clears jet 405 to the Shangri-La Beacon we're after . No sense i n being a contributing
v i a flight-planned route, to maintain 20, 000 . cause factor . Best we land at Solomon, stretch
T a k e off r u n w a y 27 . Climb to 10, 000 o n a our legs and refuel, By that time the traffic at
heading o f 350 before proceeding o n course ." Happy Valley will have eased ; or at least wetll
by S L H . PICKARD Steady, my boy . C a r e f u 1, No d o u b t the have plenty o f fuel and get an extra letdown to
A common enou gh P hrase . We all know how
Directorate of Air Services r~cc~~~sary it is to h ave an ATC clearance for clearance is OK so far as traffic is concerned- boot
IFR flight within a controlled air s pa c e . But hut what a b o u t fuel? We wouldn't make it at. How vital is your particular flight? If only
20, 000 let alone the climb off track . "Tower, p r a c t i c e or personal whim is involved, you
what i s a clearance? What protection does it
Jet405 unable 20, 000 . Require 37, 000 or above shouldn't flight plan into high d e n s i t y areas ;
a f f o r d ? What are i t s potential limitations'?
fuelwise ." Now the c o n t r o 11 e r knows, Of b u t if you m u s t visit them, m a k e sure you
An ATC clearance is an authorization to fly
within a controlled air space in accordance with course, had we specified th e requirement for arrive over the ficld with lots of fuel on board,
37, 000 or above in the f li ght plan, confusion What a b o u t non-standard approach clear-
the instructions contained in the clearance . All
of us are reasonablv familiar with the structure
of the airwa Y s network and the means b Y which
air traffic controllers space the aircraft to keep
a 11 known IFR traffic properly separated . So
the question arises : If controllers issuc clear-
ances that d o maintain a d e q u a t e separation
between a v a r i e t y of aircraft, a n d if pilots
comply precisely with those clearances,how
could there be any possibility of danger?
The answer is that saf ety in air traffic con-
trol is dependent largely u p o n the ability and H ;r~l ~c ~pecificd tht rcquirctncnl fnr
3 ~,II(10 ur abo~~" in rh~ " IliRht plan,
cooperation of both controllers and pilots . Too confu~ion couid ha~c Lccu a~oidcd .
frequently th e individual f o r g e t s the TEAM
r
aspect of flying and attempts either to operate
as a lone wolf or to transfer all responsibility .
onto the other fellow's shoulders, ,
; .,
During r e c e nt years, the vo 1 u m e of air
traffic has doubled a n d tripled, and the intro- I
duction of h i g h performance j e t aircraft has
significantly affected the complexities of con-
trol . W i d e speed differentials, together with
critical fuel reserves, demand faster and more
accurate control procedures . As higher per-
formance a i r c r a f t become available, pilots
m ust d e v e 1 o p newer operational techniques . .
Obviously, c o n t r o 11 e r s must a 1 s o become
familiar with th e s e changes so that they may
1IIF Alll ,,nd l II1 II1F ,~n Ih~~ j~~b whcn ~nu n~ " ~ " d il . "~t~~~ " r 1~11 ." t h i n k and act in response t o the challenge of
Z
ances? 0 u r p i 1 o t, approaching destination, a clearance a n d haven't got a clear picture of
calls for further clearance . The controller is what is required, a v e r y simple "unable that
up to his proverbialelbows intrafficproblems, clearance" will avoid that half-safe condition,
"ATC clears jet 405 to the airport for a Remember, appearances s om e ti m e s to the
uooii siion
range approach, Cross t.he range westbound at contrary, t h e controller's chief aim in life is
25, 000, descend west of the range station so as t o expedite your traffic and provide maximum
to recross the range at 14, 000, Make penetra- safety, He can help--IF yau let him know your
tion in the southwest quadrant so as to intercept difficulties,
th e south course at 2000 or below . Report by
th e range w2 stbound and eastbound a n d upon Summary for Pilots
reaching 2000 .'r (This only r e q u i r e s a b o u t
th r e e repeats to get it straight .~ Descent to Give the controller ALL of the d e t a i 1 s
25, 000 is commenced and the range c r o s s e d pertinent to your flight,
outbound, I f the clearance w i 11 create significant
Now, w h a t was t h a t gobbledygook a b o u t alterations to your prepared fuel require-
crossing, recrossing o r double-crossing t h e ments, advise that you cannot accept it .
beacon, or the range or what have you? What Anticipate the traffic situation into which
altitude did he say to b e g i n penetration turn'? you are f 1 i g h t planning . Never a d d to
Was it 2000? The situation naturallydeterior- traffic congestion without a good reason .
ates until, i n desperation, a missed approach r. Never pester for clearances .
is initiated, Our Father which art in Heaven- , Never attempt to comply with a clearance
is it too late? you can't understand, Ask the controller
Far fetched, y o u say? Maybe, B u t let's for assistance .
face it-the flight safety boys have records to r. Never hesitate . Wiien in doubt, u s e the
prove t h a t fact is stranger than fiction . W hat alternate .
can be done? To begin with, controllers must
realize and a c c e pt the fact that the jet pilot, Summary for Controllers
strapped in his crowded cockpit a n d operating
at high speeds, justcannot be expectedto follow , Never issue clearances for non-standard
a complicated clearance leisurely, Jet aircraft procedures .
should b e cleared f o r standard published ap- , If the pilot is h a v i n g difficulty, keep it
proaches only . In e x t r e m e situations, when simple--give him a hand,
non-5 t a n d a r d procedures are essential, in- , Never hesitate . When in doubt, u s e the
structions must be straightforward and brief, alternate . _
P i 1 o t s , if you don't thoroughly understand
i ~
the cvckrd rehpcl to i,ti degrePS. ,~In etncr~errcy u~as
t h e n returned t o his home bas e, landed, and rhrrrrrrrl tn Station f,hathanr, nnd nll olher nirrra t rcere
/ ,
recounted his e x p e r i e n c e . Inasmuch as no cithNr rr~crrl(Pd vr diccrtr'd. (ln thc runrcay n Jvnm strrp
report had b e e n received from the formation rfa3 Inid, stnrti.n~ 2,i00 /eet /rnm ihc cnrl .
he h a d flown through, it w a s called a nd re- :1/ter hurnin~~ of~ czr" ess /rrel, F'L Cnm f~bcll landcd
thc tinbre rcith thF nose uhccl vrFr the /onmile strip, nnrl
quested to 1 a n d , When it landed it was found
k~/rt th~ nircrn/I strnight 6~~ nsing Ih~ hrrrkc . ('rtf orhrnateh~
that the formation consisted not of three aircraft the /vamitc strip tcas too short, arrrl u~hPn tire ,tinbre rnn
but of six . The aircraft wh o s e tail had been onto tfrc drv ramcay nt 4~ knvts, it bc~,ran n srcin~Y to tlre
hit was not significantly damaged , right rehich hnd to Ge carrr~clr'd 6,v harsh port brnke .
What is amazing is that neither the pilot, the ,dlthoufih the nvse u~hPCl cibrated rou~hlti~, the nircrnjt
copilot nor the observer in any of the six aircraft tcas kept urrder control nntil it cnme to n stop .
had seen the other bomber fly through t h e for- F/L Cnmp6cll did a conrmendnlrle. jv6 throu~hatl
the erncrgen~y, anrl the /iyin~ cvntrol nnrl ~re fe~)rtin~,
mation!
sr~ctivns o~ Stntion Chnthnm also tlesercc our cvngrntu"
Flight Safety Foundation lnfi~ns .
. . , .. . , x ~'~y~:'~'~,~~
~ tNl~ .~'; ;k
quantity . But this is a keen young fellow, so c h a p s have roughly 285 chance s left b e f o r e
h e checks the oxygen system while he's a t it . getting th e chop, That is if no one else in the
Horror of horrors! The cotton-pickin' thing RCAF has made, i s making, or will make the
NEAR isn't workin' at all!
So what did he do? Strange as it seems, he
same errors, (Fat chance!)
How many of us do a complete oxygen check
MISS
put the bird u~ s and r e p o r t e d it to the NCO. every time we g o up? Most people check the
Because it was a weekend, they h a d to call in connections, contents and blinker, and that is
a couple of bods, a n d they pulled the seat and all, The odd one checks the normal and 100°~0
put her back together again-the right way this positions . How many of us push the press-to-
time . Finally, o u r young birdman blasted off t e s t button in a T-Bird or a MK 4? Or t u r n
for the f a r east, (The fact t h a t the tip tanks the red lever i n the MK 3? Did you know that
a ~
wouldn't feed and that he had to come ba c k to you can make the blinker w o r k even when the
base an hour 1 a t e r is another story a n d has connections are 10 o s e or undone? W ell, you
nothing to do with this case .) can . The blinker merelyindicates a difference
This is a real sad story, Suppose we take a of pressure inthe regulator . The only way you
OXYGEN,ANYONE? look at a list of the errors, It's quite impres- can b e sure that you're g e t t i n g oxygen is to
sive-an authentic record-breaker . push the press-to-test button and get a positive
According t o Flying P e r s o n n e 1 Medical finished the check at Z0, 000 feet with the cabin ~The seat was improperly installed pressure inyour mask, In a T-Bird or a MK 4
Officers' statistics, an error has to be com- pressure around 1 L, 000, Since this would n o t ~ The oxygen c o n n e c t i o n was not right it is a strong pressure, but in a MK 3 it is not
mitted 300 times b e f o r e it k i 11 s somebody . nncover an oxygenproblem, the testpilot signed ~ The NCO in charge of th e crew d i d not very strong .
Here is a long sad story that proves the point her out a s serviceable . (We assume that a DI check before he signed Let's all r e v i e w our oxygen c h e c k s and
and r e d u c e s (by a conside rable amount) our was carried out before the aircraft flew again ~ The NCO who did the 2J didn't throw off this "familiarity b r e e d s contem pt"
chances of getting away with an oxygen problem . and that it was c h e c k e d and found to be OK,) ~ The supervisor d i d not check before he business, That way we may live 1 o n g enough
This is how it came to pa s s . A T-33 went The next pilot to fly the T-Bird took a long signed to collect o u r pensions . In c a s e you haven't
in for an inspection, and in the course of this trip do wn south at 20, 000 feet, with a cabin ~ The first pilot did not do a proper oxygen seen it lately, o r have forgotten what it looks
job the seat was removed . Now, when you take pressure of about 12, 000, When h e got there, check like altogether, here's that old check list that
the seat out of a T-Bird, the oxygen is auto- he n o t i c e d that he had u s e d only a b o u t 50 ~ The DI could not have been done was invented to keep you breathing :
matically disconnected . T h e line is normally pounds o f oxygen . He thought this was a little ~ The second pilot did not do a proper oxygen
connected to the seat, and runs from there to strange but didn't w o r r y about it-and didn't check ~ Check your mask and fittings
the pilot's mask . There a r e male and fernale enter it in t h e L 14 ! ( Economical run, wasn't ~ The secondpilot knewthat he should have ~ Check all hoses and connections
connections t h a t fit together when the seat is it? ~ used more than 50 pounds of oxygen but ~ Check the contents
i n s t a 11 c d , and which com e a p a r t when the Along came the n e xt driver airframe, and he failed to enter it in the L14 ~ Check the b 1 i n k e r on norrnal and 100%
seat is t a k e n out, So f a r so good ; no sweat, he went o u t on a target t r i p for two hours at ~ Another DI wasn't done ~ Check the safety pressure for sure
However, when th i s particular s e a t was put 35, 000 feet, w i t h a c a b i n pressure of about ~ The third pilot did notdo a proper oxygen ~ Clieck the emergency bottle if you can
back in, a chain of errors started ; a nd we're 23, 000 . He suffered from anoxia a nd decided check see it,
very 1 u c k y that we didn't h a v e one o f those ihat ii he was getting h i s fair share of the old ~ The third pilot suffered from anoxia but
o b s c u r e accidents and a c o u p 1 e of funeral OZ, h e wouldn't be f e e 1 i n g so rough . S o he didn't quarantine the aircraft ~What you have read is the Near Miss as re-
parades, pushed the press-to-test b u tto n and began to ~ The third p i 1 o t knew he was no w h e r e p~rted . W hi 1 e the impressive list o f errors
When the seat was re-installed in the aircraft, f e e 1 better . Throughout the rest o f his jaunt near the right pressure when he pushed might be s 1 i g h t 1 y exaggerated, it was still a
a plate on the bottom of the seat was bent so that h e wasn't g e t t i n g anywhere n e a r the usual th e press-to-test button . But h e didn't v e r y Near Miss indeed . We suspect that t h e
amount of pressure-but he didn't e nte r itin enter it in the L 14 . number of red-faced p e o p 1 e in the world has
the seat would not go down as far as it should .
The result of this was t h a t the oxygen did not the L 14 either ! Apropos of o u r opening paragraph, t h c 5 e ri~en substantially in recent days .-ED~
get hooked up properly, although the connection Well, what aboutdriver four? He was plan-
overlapped just e n o u g h to make th e blinker nin b~ a t r i p down e a s t a t 35, 000 feet (which
work when t h e pilot inhaled . Maybe it w a s a means a cabinpressure of about 23,000) . So
bit sluggish-but who the hell w o r r i e s about h e would have been a i r b o r n e for about 2 :15
details'? b e f o r e he reached Lakehead . Now a healthy
The next step in our s t o r y involved an in- man is good for about six o r seven minutes at
spection : 05 -1-2J i s the n a m e of the job . It this height with no oxygen, and o u r boy would
was h a n d 1 e d by a s e n i o r NCO who had had have b e e n getting som e but not enough . A t a
s~
nothing to do with the work done o n the "bird" rough guess, we can assume that he might have
up to t h i s point . W hat it entailed w a s an in- lastedan hour before goingbye-bye-if he fail-
dependent check of certain critical systems to ed to notice what was going vn . However, we'll
eliminate errors . We wonder how he did it-- never know whether he would have done a good
but anyway, the "bird" was signed out as servi- oxygen check o r not, He didn't g e t a chance ;
ceable and put up for an air test, t he travelling c o p y of the L 14 w a s so sadly
N o w we 1 e a v e the groundcrew a n d start o ut of date that he insisted it be brought up to
picking o n the f 1 y b o y s . Our noble test pilot scratch,
appeared on the scene . He checked his blinker There w a s a certain NCO i n charge of the
and contents, hopped into the bird, and blasted duty crew that day and he said to himself,
off . It was late inthe afternoon, you know, and "This guy is going on a long trip at high altitude,
maybe he was in a bit of a h u r r y . (Excuses, so we had better check to make sure the oxygen
excuses,) H~~ we nt up to Z5, 000 feet and was i s topped up ." (At last-a man w i t h a clue ! )
there f o r only a couple of minutes . T h e n he So he s e n d s one of his 1 a d s out to check the
6 7
WANTED : A CHANGE OF ATTITUDE not all of a sudden a p p e a r to be upside down way which th e compass heading indicated was
but seemed to roll into that position during the the one in use . Three miles out, the pilot ad-
During the climb to height, the oxygen roll-out to starboard and climb away . Actually vised that h e was on "initial" and was cleared
system did not appear to be working correctly . it was myself who continued the roll and became to t h e "break" . At that point th e canopy was
All connections were checked and in tight, How- inverted . After recovering at 3000 feet, it took c o v e r e d with mist, the sun was in the three
ever, with normal breathing, the blinker would four to five seconds to relax myself and com- o'clock position, and there was scattered cloud .
not work . Only by h o 1 d i n g the mask tight by mence to clean th e aircraft u p for the return Throughout his approach the pilot, knowing
hand w o u 1 d the blinker move, and th e n only to base, that three other jet aircraft had been diverted
slightly . Even hard inhalation would n o t keep [The a b o v e is a direct quote of t h e pilot's to this aerodrome, maintained a close lookout ;
the blinker closed . Pressure inthe system was statement and p r e s e nt s a c 1 e a r picture of but on the downwind leg after the "break", he
j u st under 400 pounds, but there was no im- what h a p p e n e d . The accelerometer reading had difficulty seeing the field b e c a u s e of the
w a s approximately plus 12G, The importance sun's glare and haze on the canopy . However,
provement when 100°~0 oxygen was tried .
Upon levelling out at 33, 000 f e e t I noticed of immediate transition to instruments, and of h e cornpleted the t u r n onto f i n a 1 approach,
I w a s starting to f 1 u s h and sweat profusely . the need for accurate appraisal ~~f the instru- asked for 1 a n d i n g clearance, and understood
Irnrnediately I asked the c a p t a i n to descend . ment presentation is obvious .- ED] that he had received it .
My recollections were hazy after that . When Concentrating on the approach angle, air-
speed and altitude, the pilot h a d little time at
I recovered my senses I w a s at 8000 feet and
trying to get oxygen to 100°~0, Our aircraft was t h i s stage to examine the airfield . So i t was
placed u~s and th e mask ta ke n to the Safety
NO ONE HOME not until after he landed and looked around that
Equipment section . he realized he was at an abandoned aerodrome,
A n all-weather Canuck f i g h t e r crew was Applying takeoff power he had no difficulty in
~I'he aircraft's oxygen regulator was changed .
5c rambled to intercept an u n k n o w n aircraft, becoming airborne andclimbing backto circuit
'I'he old o n e has not b e e n checked yet, but it (Inlv th~~n ~lid I realizc that i was
imcrtc~l and Jc~ccndin~ el Mach .9 : Mission o v e r , the p i 1 o t requested a letdown height, Once there, h e again c o n t a c t e d his
appeare.d serviceable . When the mask was ex-
amined for malfunction, o n e exhalation valve clearance a n d was d i v e r t e d to an alternate destination aerodrome, was cleared tothe cir-
I put the speed b r a k e s out, throttled back aerodrome, cuit, located his home f i e 1 d in a v e r y short
was found stuck o p e n , It is the opinion of the
SFSO t h a t , w h e n the malf unction w a s fir st and rolled the aircraft right side u p . I was at Approaching the alternatc' S r a d i o r a n g e tim e, and m ade a no r m al landing,
noticed during the climb, the pilot should have 16, 000 feet indicated when this was completed, station, h e noticed that t h e ceiling was scat- Putting i n at a n abandoned aerodrome can
and doing Mach ,86 in a very steep dive . I pul- tered to broken, He then spottedan aerodrome be a risky business-and this particular case
levelled off o r descended t o an altitude below
8000 feet . If f u r th e r checks prove that th e led back hard with b o t h hands a n d caused an be 5ide a large city, and deciding it must be his has been classed as a near miss for four good
oxygen is still not functioning p r o p e r 1 y , the over-G condition . I d o not remember greying de stination, cancelled the IFR flight p 1 a n and reasons . In the first place the pilot was unfam-
or blacking out, but the high G forced my chin advised ATC that he was refiling VFR to the iliar with t h e destination aerodrome and w a s
pilot should return to base . From this incident
down on my chest, and I found i t very hard to aerodrome, Radio contact was establi$hed with unaware that there were any other aerodromes
-and others which h ave happened recently-
the SF50 c a n only c o n c 1 u d e that there is a get my eyes high enough to readthe instruments . the destination control tower, landing instruc- i n the a r e a -abandoned or otherwise, Next,
tendency towards over-confidence in the use of When th e airspeed started to decrease and tions were received, and the pilot commenced a he changed his flight plan from IFR to VFR
02equipment . What evcry unitneeds right now the altimeter began slowing down I was a t ap- descent from thirty thousand feet . w h e n he was not absolutely sure th a t he had
-if this attitude is to be nipped in the bud-is proximately 10, 000 feet . I released pressure on When he r e a c h e d one thousand f e e t , the his destination in sight ; and although he checked
the stick a n d maintained 6G, broke c 1 o u d at aerodrome was a p p r o x i m a t e 1 y eight miles the heading of the r u n w a y in use against t h e
a ri~fre~her indoct,rination lecture by the SMO .
- ED~ 5000 feet i n a 45-degree dive with wings level ahead, and the aircraft was lined up on a run- reading on h i s compass, he d i d not properly
and speed approximately 380 knots, and was in identify the aerodrome prior to landing . Also,
a level flying condition by 3000 . I then applied in th e destination aerodrome's circuit were
power, brought in the speed brakes, and asked other jet aircraft with the same squadron call
TRANSITION TROUBLE for a check steer to b a s e . The tower replied sign ; and during the numerous transmissions
with a heading of 145 degrees . W ith 1500 pounds the pilot understood wrongly that he was cleared
of fuel left, I started climbing . to land . F i n a 11 y , and m o s t important, the
At approximately 1440 local, 1 was f 1 y i n g
My norrnal trims and alternate trims were crew-without questioning th e possibility that
number 2 to Lirna 1 e a d engaged in a dogfight .
Lima lead chased two Sabres into heavy haze not working, so I did a gradual climb to 20, 000 there w a s another ianding field i n the area-
feet where I was between an overcast condit.ion took it for granted that they were landing at the
or cloud, a n d I was following him a b o u t 200
feet back and to starboard . and a lower broken condition . I notified tower correct aerodrome .
Immediately after entering this haze condi- of my u~s trims and asked permission to des- [An IFR flight plan should not be cancelled
cend visually . This was granted, so I immed- until positive identification of one's destination
tion, and while I was in a steep turn at Mach .9
iately popped my speed brakes and automatically airfield h a s been t~iade, A n d aircrew should
and 24, 000 feet, lead called up and said he was
trimmed the aircraft-at which time I noticed never take any situation or condition for granted
r o 11 i n g out a n d climbing on a southeasterly
the trims were working again, but should adopt a questioning attitude until a11
heading . H e was still visual t o me, and I at-
I d i d a complete c h e c k of the normal and the factshave been positivelyestablished .- Eo~
tempted to follow him . He then appeared to be
upside down, so I looked away from him tu check alternate trim system s and f o u n d them to be
m y instruments, I g 1 a n c e d at my artificial completely serviceable, I then c h e c k e d my
horizon and noticed that the bar was in a hori- undercarriage e x t e n s i o n and retraction and
zontal position in level flight, I looked back for found them to be in good working order, Upon TIMELY WARNING
the lead, but he was not in sight ; I also noticed completion of this I asked Lima lead to do a
the sun throu g h the haze o n my port side, and visual s k i n check o f the aircraft, and he re-
. A straight- Returnmg from a multr-fighter exercise on
pulled backto climb up, Only thendid I realize Ported t h a t all appeared normal Canucks, w e were cleared number one f o r a
in approach and landing w a s then carried out,
that I musthave misread the artificial horizon- GCI/GCA stream approach to runway I 1 . Ceil-
for I was inan invertedposition anddescending Prior to flying on this particular day, 1 had
ing at Comox w a s reported as "t w o thousand
at Mach ,9! plenty of rest and nourishment . The 1 e a d did
1 hr aeralrome wa+ aphro~imalcl~ cight milc~ ahcad . feet overcast, visibility ten miles" . Twelve to
9
15 miles out, we broke into the clear with base
and the town o f Comox clearly visible . There
appeared to be about the same cloud conditions
lll Nides t'or FT.IGH'P SAI'ETY
over Georgia Strait, although Powell River was S L T. WALLNUTT
not. visible . At this point we cancelled IFR and
requested a low GCA approach and overshoot .
On completion of the overshoot w e climbed
to 1500 feet, and orbitted to port over Georgia
Strait w i t h the intention o f proceeding down- crews", we can wrap them in one package with
ver y' few of us have had to assess the cause
wind and remaining well clear of the approach the 1 ab e 1 "Aircrew Errors" . Now, if we ex-
cif flying accidents ; hence w e seldom, if ever,
t,o r unway 11 until t h e othe r a i r c r a f t of the press these five errors in positive terms, we
read the instructions inAFAO 21 .56/0~1 on how
mull .i-fighter section completed their GCIj GCA
to c o d e accident causes . However, we would come up with some pretty sound advice on how
letdowns, to avoid flying accidents, In fact, we can con-
do well to lookat them-particularlythe Cause
During the latter h a 1 f of the t u r n , and on dense these five points of advice into simple
Factor Code, willch tells us i n a nutshell how
d o w n w i n d , the crew encounte red a lowering rules for flying, and call them "The Five Basic
everyday flying accidrnts occur,
clnud condition which forced them to descend Aircrew Flight Safety Rules" :
The C o d e is a comprehensive summary of
in o r d e r to maintain VFR f 1 i g h t . The turn
the basic causes of accidents, a nd frorn it wz
downwind was made o n instruments, the alti- should be able to make up a set of broad Flight . Exercise good flying judgment
meter reading 1500 to 2000 feet . On the down- Safety Rules to c o v e r all a s p e c t s of flying . . Maintain flying proficiency
wind 1 e g , a quick check of t h e altimeter was The Code i ~ reprcduced here for the readerts . Be careful-pay attention
interpreted as 1500 f e e t wtren a c t u a 11 y the . Be diligent in all flyinf; procedures
cunvenience .
Canuck must have been at 500 . A s h o r t time .
" F'ilot Error : Errors attributable to o n e Obey all flying orders .
later the aircraft was so low that the navigator ar mclre of the following :
s h o u t e d "pull-up ! " The p i 1 o t immediately Error in judgment, Failure to make Carryina on down through the Cause Factor
(1)
climbed into the overcast at two thousand feet, 7'1u~ nuii ator ~hout~~d "Pull uE~ :'' t.he correct decision under prevailing cir- Code, we see that t h e r e are additional areas
returned t o the c i r c u i t and 1 a n d e d safely . cumstances after intellibent appraisal of o f weakness w h i c h produce accidents, They
A commendation is due the navigator in this Finally, with only about 1000 feet of runway
the s i t u a t i o n in relation to a 11 known can be expressed in similar p o s i t i v e term s
instance, a n d his action would suggest that in left, the nosewheel came unstuck again and thc
f a c t o r s in t h e light of experience and from whichFlight Safetyrules may be derived .
future a 11 navigators should monitor the alti- Canuck jumped into the air . I flew back to St,
trainino . Sometimes the lack of any de- Such rules are more directly applicable to sup-
meter and call off the altitude below 1500 feet Hubert and landed without difficulty ; but while
cision would refer, portino personnel and g r o u n d organizations,
at ni~ht or in cloud, For even the experienced I was t a x i i n g in to the line, the s a m e thing
(2) Poor technique, Poor operation re- and are largely beyond the s c o p e of aircrew .
pllots, we would r e p e a t the o 1 d warning "In occurred every time I tried a turn to the right .
sulting from lack of skill and coordination . Nevertheless, aircrew s t i 11 have a very real
marginal conditions, 5 ta y on instruments"- I t was then that I discovered what had been
(3) Carelessness . W h e r e the p i 1 o t responsibility to help maintain-through their
and be s u r e of VFR conditions b e f o r e can- happening, The p o c k e t on the left leg o f my
know~ better, but because of inattention, interest and coolleration-the efficiency of the
celling IFR ! flying s u i t was bulging with m a p s and a let-
wlrich is usually the result of preoccupa- ground organizations and other agencics which
down book, Whenever I a p p 1 i e d right rudder
tion or depression, fails to do the right support them in the air, Ti~us w ~ may expand
o n the t a k e o f f , my left 1 e g would naturally
thing, our list of rules for flying safely, basing it on
move backward-and my pocket would promptly
UNUSUALSNAG catch on the emergency brake! So little pres- (4) Negligence . E r r o r s by omission the rem zining five areas which cause accidents,
starting with maintenance . These rnay be cal-
rather t h a n commission, u s u a 11 y the
sure was needed to apply considerable braking
result of forgetfulness or absent-minded- led "The Five Secondary Flight Safety Rules" :
I was taking off o n runway 24 a n d had just actionthat Ifelt no dra g whatsoever on my leg .
ness . " Reportallmaintenance unserviceabilities
applied takeoff power wh e n the Canuck swung I would recomrnend that this b r a k e handle
(5) Disobedience of orders . Intentional a n d discrepancies in t h e L 14, a n d general-
slightly to the left, By this time the nosewheel be made shorter i n length and mounted higher
and unintentional ; usually the result of ly help to promote maintenanceefficiency
was clear of the runway . Consequently, when- on the sidewall of the c o c k p i t . In any event,
refraction a n d ignorance respectively . " R a i s e UCRs on all faulty or poorly de-
ever I put on starboard rudder to hold the air- either the left pocket of the flying s u i t should
. Other Crew Error : Errors due to same signed materiel
craft straight, the nosewheel returned forcibly be kept free of bulky items or a flap should be
factors outlined under Pilot E r r o r but com- . Report on, and assist ground flight facili-
to t h c runway . Each time it h a p p e n e d , th~~ sewn over the lip of it so that the brake handle.
mitted by aircrew other than the pilot, ties to promote efficiency
aircraft felt as t h o u g h it was b e i n g brake.d . will not be able to catch it so readily,
" Maintenance : F' a u 1 t y workmanship o r . Ensure adequate instructions, briefing,
n o n -compliance w i t h rnaintenance o r d e r s . ~rltd supervision
" M3teriel : Faulty materiel, d e s i g n, or . Make extra preparation a g a i n s t known
i_i_~llt ;'iiCtor Il~alntenanCC . i~ ; ;L~rl'dS .
" Ground : E r r o r s on the p a r t of flying Kc:ep these ten simple Flight Safety rules in
I'H11PIL-11:11~6F111 ST:1LhS
the pencil graphite (almost pure carbon) is ab- c cr n t r o 1 ~r tarmac personnel, ground facili- mind before, after, and d u r i n g every flight,
sorbed by t h e stack material, which rr~akes a tic~ ancl general aerodrome conditions . and you will b e doing your p a r t in promotin ;
localized spot of high carbon steel extra hrittle, . 1'~riefin~, : Faulty or lack of instructions, safety inthe RCAF . These rules are based truly
Then expansion, contraction, and vibration inad~:quate supervi~ion, inrorrectmeteorologi- on the best teacher in the world-Fast Experi-
cause the area to crack . The crack is not con- cal forecasts, etc, ence-which i s accurately represented i n the
WtIE'fl you p u t a pencil mark on a n exhaust fined to the area of the pencil mark, but spreads, . Acceptable : An accidentwhich is caused Cause Factor Code whose design h a s evolved
~;ystc~m component, you have really marked it . An innocentdeposit of suchfree carbon on a b y knuwn hazardous conditions when the flight from ,nany years of experience in assessing and
hot pipe can start an insidious chain of events, ha~ f~cen authorized as a necess~ry operation . classifying flying accidents as to cause . From
For a failure, that is,
If it' ~ i n an area that gets g o o d and hot- Exhaust stacks should be marked with chalk or . Obscure : Cause unknown . the se cause f a c t o r s we d e v i s e corrective
It can b e seen that under Pilot Error there measures from t i m e to time-why not rules'?
and that's practicallyall over-the carbon from grease pencil, or tagged .
are five basic errors c o m m i t t e d by pilots, ItEMEMBER THESE TEN F L 1 G H i SAFE'TY
B e c a u s e these errors also a p p 1 y to "other RULES -AND USE 'I'HEM !
10 il
r
DFS Ll~2~E'~Y j
!JD
, LIBf'~ARY COPY -this
.
;C~,~ ~5;~~ : :i;~l~i~r
' pub must be returne.d.
.-
:
i.
._
S L W. McLEISH
CEPE RCAF Station Uplands
Th e AAE Type 340 a r r e s t r n g engine, or plates once th e cable is released, the ends of once the arrcraft is released from the arrestmg
"water squeezer" as it is affectionately known th e horizontal webbing strap shear out f r o m cable. .
to barrier types, has recently b e e n buried in their end f i tt i n g s , and the webbing stream s
the over-run areas of a 11 CF bases, (Here is back from the nose oleo like the bow-wave of a Pilot's Reaction
the one case where a burial has b e e n marked ship .
by barrier p o s t s instead of th e conventional From his office in the CF, the pilot senses
last post,) Arresting Engine the arrest as a steady sustained G which feels
This latest piece of jet ground support gadg- about the same a s harsh braking in a car, but
etry, which should s p e 11 the end of over-run The energy absorbingdevice or squeerer is sustained for a longer p e r i o d . The a r r e s t
accidents a t CF bases, consists of t w o corn - illustratedinfigure l, It workslike this : When ta k e s 15 seconds, plus o r minus a couple of
ponents : the arrestina cable engaging mech- the arresting cable connects with the main gear, seconds, depending on the engaging speed . As
anism and th e arresting engine, T h e names i t tightens to e n s u r e a positive engagement ; for the distance covered, an aircraft will always
are impressive but they really only describe a then its pretensioning pendants shear out, al- c o n s u m e 1000 feet of the over-run because wheel may run down the net and rip it out with-
length of cable and nylon webbing, a few hundred lowing t h e cable to t r a n 5 f e r its load to the this is a design characteristic of the squeezer, out picking up the cable .
feet of pipe filled with water and glycol, and a p u r c h a s e cable and th e n c e to the pistons . The variable is the G imposed on the pilot and T h e squeezer h a s rather good directional
couple of pistons . Wnile the pistons are travelling through the the CF, At low speeds, say ?0 knots or less, characteri stics, b u t it might pull t o one side
roughly 300 f e e t of d r y tubing, the purchase there is a c}-rance of ripping off the nose wheel if th e over-run surface happens to be uneven,
Engaging Mechanism cable is supplyingthe initialretardation exert- rear door, But, nq sweat ; it just sounds like a If this should occur, just sit tight ; the aircraft
ed by the fluid friction on the cable . When the fender being torn from a car, will be stopped before the pilot has a chance to
F i g u r e 1 illustrates t h e engaging device p i s t o n s dive into the f 1 u i d , the drag really react, even by instinct .
which t h r o w s the arresting cable i n t o your starts to build up ; and it continues to increase Reliability T h e barrier has b e e n tested at an energy
main gear after the nose oleo has triggered the after the pistons encounter the smaller diameter c o n d i t i o n of 25 x 106 foot-pounds, which in
cable . It w o r k s like this : As the n o s e oleo tubing . The initial piston drag is created when U s i n g only one Canuck throughout, CEPE round f i g u r e s is 34, 000 pounds of CF at 130
engages the horizontal piece o f webbing adap- the fluid flowspast the piston ; butas the tubing has conducted 56 trials on the webbing, and knots, At the low-speed end, the barrier can
ter, the n o s e wheel runs o v e r the arrestin g narrows, a n orifice a c t i o n is set up and the 2Z runs on th e squeezer . The webbing can be be engaged down to 35 knots,
cable which 1 i e s on the ground, and the cable fluid is 1 i t e r a 11 y squeezed past the pistons . engaged in any weather, night or day, with the
is lifted up behind the nose gear by the verti- Hence the name . Finally a higti fluid pressure aircraft off centre up to 30 feet, and yawing up Aircraft Damage
cal nylon risers of the adapter . '1'hese risers is built up near the e n d of the stroke, and the to 15 degrees,
tear apart systematically, freeing the cable so arrest comes to a smooth stop . The brakes cannot be used durin b7 the en gg
7a e- The main o 1 e o doors are usually damaged
that it can m o v e up and forward and be over- Notice that a retrieving rope i s fastened to ment because the extra load c o u 1 d strip t h e when t h e Canuck runs into a b arrier, but the
taken by the main oleos . The lower extremities the pistons for r e s e tting the gear . This i s oleos . If at allpossible, avoidstriking a verti- extent of the damage varies with th e height of
of the risers free themselves from the anchor achieved by a truck or j e e p in a few minutes, cal r i s e r with the nose wheel ; otherwise t h e t h e cable on the 1 e g s . (Figure 3 is a typical
.
r
'_IP1 . -- 4~
r,
Retric~in~ Iul
:lrrrstinF hit
>
Engine Power
Present barrier installations have no remote T -33, With the Sabre, p r o c e d u r e s are the
facility for r a i s i n g or lowering the adapter ; same for both barriers, IN A T-33, REMEM-
hence the barrier wi11 be up at all times at the B ER TO R E T R A C T THE S P E E D BRAKES
w i n d w a r d end of the strip, a n d down at the BEFORE ENGAGING .
downwind e n d . After an a r r e s t , it take s an
experienced crew at 1 e a s t 30 minutes to free BARRIER DO'$ AND DQN'TS
an aircraft, retrieve th e pistons and put up a
new net ; however, i f a 180-degree wi nd shift DO flame out if possible .
Rrlriecr rohr roil takes place, then the reset time for putting one
barrier up and th e other down is the time re- DO select idle RPM if flameout is
quired to drive out to each button . irnpossible .
Some of you will be tempted to ride into this DO attempt to stay close to the centre
gear just for laughs -so herets a word of line if you have ony directional control.
r
~.Oll6lillll 111hr ~rr11011
caution : the number two man might really need
it ; or maybe the next section will have an abort DO consider the man behind you.
o n takeoff, Keep the o t h e r guyt s welfare i n
tilrp dr~~reat ;in~
1(axinuun pipr 4rrtinn pihr ~rrliunr~ mind, and dontt use the b a r r i e r gear unless DON'T hit the webbing riser with the
Diinituum Iuhr ~rction you really require it . Remember that it takes nose wheel,
30 minutes or more to reset it .
Another point worth considering is the under- DON'T apply brakes during arrest .
shoot problem, Several tests w e r e conducted
t o ascertain what happens if an aircraft r u n s DON'T hit the barrier when airborne .
o v e r the retracted barrier, The answer was
"nil problem", DON'T undershoot on top of the retracted
The water squeezer type b a r r i e r has the downwind barrier.
flf, 2, ('.roes~seetion of arrestinR en`ILe . s a m e engaging mechanism as t h e chain type
barrier, and is also suitable for the Sabre and DON'T use it unless you need it,
14 1~
About Buttons "Design E r r o r" , w e would employ "Design
Difference"-andreflectthatwhena manmoves
You report a near accident under the heading from o n e line of endeavour t o another, there
"It Happened Again" on page Z6 of your Jan-Feb are differences which h e must overcome if he
issue . Evidently the pilot pressed the wrong is to master the new job .
b u t t o n , which was located where the correct There are valid reasons forthe assessment
button had been in another type of aircraft with we have made . In the first place, the standard-
which he was familiar . ization of c o c k p i t s is impossible because of
I must disagree with your conclusion that (1) d i v e r g e n c e i n manufacturer's policies
"there is no logical excuse for p r e s s i n g the (2) operational differences b e t w e e n aircraft
ketters to and frorn the Editor wrong button," There was avery good excuse, (wherein the role which a t yp e is t o perform
which experimental psychologists would sub- dictates the cockpit design that must be used)
sume under the heading of "negative transfer" and (3) thetime lapse betweendesigns . In the
or "h a b i t interference" . I therefore suggest second p 1 ac e , the standardization committee
that the faultybehaviour you reported should be o f the R C A F , RAF and U S A F have already
The Road Back classified as Design Error rather thanas Pilot agreed (for the above r e a s o n s ) that cockpits
Error . cannot be standardized .
E v e r s ince man m a d e his f i r s t monkey What, t h e n can be done to as sist the tech- C. H. Baker, Chief ThE~ RCAF's only "fix" f o r such a problem
wrench a n d thereby became n u r s e m a i d to nician to regain th at continuity of thought and Applied Experirnental Psychology Section isto "train out" a pilot's habits onone aircraft
various and s und ry forms of machinery, his action which guided his work up to the moment Defence Research Medical Laboratories type, and "train in" the habits he must acquire
greatest preoccupation has b e e n the problem he put down his wrench and pushed off ? A re- Toronto, pntario to fly the new type . This "transition trainmg"
of ensuring that all the pieces go back into the minder of some sort willhave to be devised so is intensive, and i s designed t o assist a pilot
right place-a n d in t h e intended manner . In t h a t , on rc~turning to h i s job, the technician i n overcorning errors o f the sort we are dis-
othc~r words, f i tt e d , tolerance-checked, and will have his attention directed immediately to Ou r statement ("there is no logical excuse cussing . H e n c e , when a pilot has completed
locked . By the nature of things this is a par- the last area or item on whichhe was working . for pressing th e wrong button") was certainly h i s transition to a n e w type, we must therc~-
ticularly c r i t i c a 1 problem f o r the airc raft There is more than one means of achieving inaccurate in t h e light of y o u r comments on after class errors via negative transfer or habit
technician . this, b ut perhaps some forrn o f visual signal "negative transfer" and "habit interference" . interference as "unacc~~ptable" .
Once a technician commences a repair job, would b e most effective-an eye-catching and However, w e must, in o u r turn, disagree We are grateful for your interest in our work,
the ide.al situation would b e for him to remain unrnistakable rerninder which would assist the with your conclusion that the behaviour reported and p 1 e a s e d that you would t a k e the time to
o n it until h e is completely finished, thereby t c c h n i c i a n t o rea, ;tivate that all-important should be classified as "Design Error" rather write us , Your c o m m e n t s will cause us to
eliminating a s m u c h as possible the chances train of thought which p r o m p t e d his actions than as "Pilot F,rror" . Where you use the term scan o u r copy more critically in future . -1:D
such
o f crror which automaticall y occur each time P rior to his leaving the work . Adrnittedly
a requirement would not be necessary for every
a t<-~chnician's continuity of e f f o r t is broken .
it Flyboys, Ahoy!
It is obvious r h o w e v c r , that continuity of J'ob undc~rtaken on an aircraft ; but certainly
effort to t h i s extent is impossible to achieve ; should be considered for use where maintenance
The enclosed photograph show s the lake that
for no matter to what extent management strives is being done on h i g h 1 y critical linkage, fuel
and electrical systems . f o r cn e d on t h e button of runway L4 at RCAF
towards t h i s aim, the technician will always
The most suitable visual signal would be the Station S t . Hubert d u r i n g this year's spring
be faced withthe problem of "picking up" where run-off . A f t~ w pilots tended to disregard the
hE~ "lcit off'' or-what is more difficult-picking t YP e whichhas proved so successful in marking
undercarriage pins and externalcontrol locks- dange rs of' 1 a n d i n g or taking off through this
up where someone else left off . . I1'11CS ST . HCBERT!
red streamers . Just b e f o r e packing up, the amount of water (to their sorrow-ED) , Hence
T h e r e are dozens o f r e a s o n s w h y this
technician could a tt a c h such a marker to the the photographs plus caption .
happens and a11 of them are valid . F'or example :
nature's demands and pay parades ; restricted item on which he is working . There it would J, C. Cottrell, F 0
h o u r s for ord~~rly r o o m s , supply sections, remain, standing out like a sore thurnb to assist RCAF 5tation St . Hubert
accounts st: ctions, M I R S and m e s s e s ; and hirn to get going when he r~>turns .
m u s t e r parades, 1 a c k of spares, sicknes s, These streamers should be long enough to
accidents and leave . ensure (a) that they would not accidcntally be
Under the circumstances, then, the tech- left in place after a job is completed, and (b)
nician must not only possess a high degree of that even in relatively inaccessible areas they
would still be plainly v i s i b 1 e , Their prime
skill and sound work habits ; he must also have
purpose should be to catch the eye and jog the
,g ood supervision and a good memory, The latter
memory-instantly .
i s 1~articularly important if th e technician is
working on complicated and critical equipment After all, adrninistrators have their memo
such as aircraft andtheir components ; for when pads . Why not r e m i n d e r s for technicians ?
he returns to a job, he must remember exactly W. E. Edser, W C
whcre he 1 e i t off in order to k n o w precisely AFHQ
where to start in again .
It should be obvious to anyone, howeve r, that
W/C Edser's remarks comprise a pertinent
even with the most conscientious tradesmen
and the m o s t expert supervisors, here i s an sequel to two accident reports which appeared
area o f great potential hazard wherein lie un- recently in Flight Cornment ("Hev, Jack! " and , s
" D r i v e That Bolt! "-page L 2 , March-April
limited possibilities for error . Here lies the
" R o a d B a c k" which every technician must issue) . If the a u t h o r' s excellent suggestion Apropos of thr arrompan~ina sea photn , uur ~t . Ilubrrt enrrc~pnnrlent ha~ a~kcd u~ tn pa~s the
follninp mc~~aRr alon~ to thc Irnnps (rlir) . "~r~nn pilot, wnuld tasi IhrouRh thi, lakc ; othcr~ w~nuld
traverse mentally before he lays hand on a had been in actual use at the time, those two att~~mp1 t~ land un it . Ilnt EI)s ad~i~r agaimt ilitelunt; a jct airrraft . So wh~~ tr+~ it? Call thc tit . I(ubcrt
a c c id en t s might never have occurred . --ED Alarinc Eicseue Ser~ice at Ineal ~11i . Go ID .(1 .A .'1'. and be ~ure."
wrench and continues with his job .
17
16
HFaD~ - CP ~~L11~1'~
HYDRAULICS
18 19
of the normal system .
D F S LIBR/~RY
Everymonththere are seven or eight accid-
ents or incidents caused byfailure of some part LIBRARY COPY " thi~
o f the hydraulic system, Roughly one third of pub must be returned.
these are the result of inadequate maintenance-
leaking connections, tanks not filled, parts not
properly assembled-and two thirds arise
through internal f a i 1 u r e o f some part of the
system .
r d/
s ~
some aircraft-so that even a very small leak
can cause the 1 o s s o f all the fluid in a short
time . A n additional hazard may b e provoked
' v
20 21
The aircraft was climbed and the tower was o f a Mobile Repair Party while a rework was Otherwise a positive accident cause factor might when the button was pulled out? This cuts the
advis ed that the two pilots were ejecting . being done to Mod EO 05-50C-6A/281, never have been established . power to the feathering pump, and in fact d~es
The negative wire f r o m the r e a r cockpit Leaving an air d rill in the f u s e 1 a g e of an stop the feathering action . To find out why, we
F o r t u n a t e 1 y the warning light went out just
aircraft following a modification is so serious t o o k up a C-45 and t r i e d a few experiments
then, so the p i 1 o t in the rear seat once again 1 o a d m e t e r was scorched a n d burned to the
headed towards base, set up a flameout landing right-hand aft lower instrument panel discon- an oversight that it borders on criminal neg- (o n e engine operating) . U s i n g l5" and 1800
pattern, and touched dou~n successfully . The nect, and from the r i g h t - h a n d aft terminal ligence . The incident has been brought t o the rpm we depressed the feathering button and
c anopy was c r a r. k e d open and both pilots got panel terminal strip up t o the front loadmeter attention of all controlling agencies . pulled it out immediately . The rpmdecreased,
disconnect on the right-hand side of the forward then returned to the constant speed range . We
out of the a i r c r a f t , which w a s still on fire .
Atechnicalinvestigationwas set upto deter- lower instrument p a n e 1 . This negative wire Split Flap depressed the button again, leaned back in the
is contained in bundles of various s i z e s , and seat, and then reached out and pulled the button .
mine the cause of this i n c id e n t , and initial
examination revealed extensive f i r e damage these were badly scorched from the rear cockpit While carrying out an air test in a T-33, the Too late ; the engine rpm w a s passing through
~ i
pilot r a n into difficulty as he w a s simulating 700, and it fell to 40U rpm after the button was
to the electrical wiring behind the front instru- to the disconnect cannon plug on the front cockpit
ment p a n e 1 . For this reason i t was thought lower instrument panel . a final turn stall (wheels and flaps down) . At released . T h e prop t h e n became fixed pitch
at the t i m e that t h e cause of the f i r e was a The fire had c e n t e r e d on t h e right-hand an altitude of 14,500 feet, and while flying at and would not unfeather .
short circuit i n the electrical w i r i n g in that side of the front cockpit (see attached photos), a n indicated airspeed o f 155 knots, h e felt a It is important to note that if the feathering
area . H o w e v e r , as t h e investigation pro- and the heat was so intense that it burned wiring jolt and suddenly found it n e c e s s a r y t o use action h a s f o r c e d the blade changing mech-
gressed, an air d rill was found in the rear bundles beyond recognition, damaged instru- excessive aileron control in order to stay in a anism past the change in t h e slope of the cam
cockpit, jammed between the negative terminal ments, and ignited rubber inserts on clamps turn to the right . slot, which is just beyond the full coarse posi-
of the loadmeter and the canopy remover adaptor a n d rubber terminal covers , The wiring was The pilot completed a check and realized tion, the propelle r c a n n o t be returned to the
tracks . The drill had b e e n lost by pcrsonnel also scorched and burned from the right-hand that he had a split flap condition ; only the right c o n s t an t sp4ed range unless t h e ft:athering
forward lower instrument panel disconnect to one was operative , f~ handling check indicated and u n f e a t h e r i n g cycle is completed . The
the right-hand forward floor disconnect, and in that with the r i g h t flap selected, the airc raft button wa s reselected and the propeller fully
t h e sub-cockpit a r e a . Here the evidence of could be held level down to 130 knots . A flap- feathered .
burned and s c o r c h e d wire was less , but the less landing was made withoutfurther incident . Further e x p e r i m E~ n t s proved that if you
i n s u 1 a t i o n on the wires to the lower engine The driving sleeve of t h e flap actuator had activate the wrong feathering button, you have
junction box wasblistered at uneven intervals, failed atthe inboard end ofthe internal threads approximately t h r e e s e c o n d s to rectify the
The action taken by the pilots was in accord- to cause the split f 1 a p . Although this sort of error . If you're not fast enough on the draw,
anc e with s t a n d a r d emergency proc edures . failure happens o n 1 y rarely, it points out the you'd better take some glider lessons . When-
It was f o r t u n a t e that t h e fire warning light a d v a n t a g e of selecting flap before initiating ever two e n g i n e s are feathe red, the batte ry
went out, and thatthe pilots were able to remain the final turn for landing . Some pilots believe has insufficie.nt power to unfeather . But then--
with the aircraft and effect a successful landing . that a split flap condition can't happen ; s o you who would want to feather both engines?
non-believe rs takc note ; i t c a n a n d i t d i d .
R'c didn't ~ct to prr,~s 4oon enouttlt' Jast befnrc thc ]uhau~
i~cu~ Ha~ turntl o~i " r tn lhc printer, a report urri~ed tcllin,q o!
anotltrr :tceidcnt Hhich ncrurrcd Hhen a pilol fenthered both
eugine, in an Expeditor (sec lohcr photo) .
Feather Folly
liave you ever f 1 o wn a glider'? Likely not
many of us have, because our Air Force doesn't
use them . However, two of our pilots rect~ntly
improvised and made a g 1 i d e r out o f an I~.x-
peditor . T h e a i r c r a f t handled w e 11 and a
s u c c e s s f u 1 forced landing ended their first
1
unpowe red flight .
This a 11 happened while. t h e y werc having
instrument practice under the hood . The air-
craft wa s being flown on a sinRle engine, and
w h e n the c a P t a i n reached t o unfeathe r, he
depressed the wrong button . When he realized
his mistake, he pulled t h e button . But it was
too late ; the engine had feathered . Every effort
was made t o unfeather, but t o no avail . The
aircraft was landed wheels up in an open field .
Now why wouldn't the engine stop feathering
23
22
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D F S LI~RARY
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Leaping into the saddle, h e put the mule in
pub must be returned .
BIRD WATCNERS'CORNER
r .~`'
gear, released the automatic clutch, and poured p ~`
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on the oats . The clutch a p p e a r e d to slip at f~< , r
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slightly, ou r hero opened up th e throttle and , .~ ~ s. ~ :.rl
~ ;t < <~ ~ ~'
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the mule b u c k e d in earnest, By t h i s time, ,~~, . . ,j
rCY"
Hangar Hassle p e o p 1 e were appearing from every nook and 'C ~!, A.:
v.'i .~
cranny in t h e hangar to investigate the noise . x~.;?! .,;: ~°'~y f
(~,
A n airman driving a m u 1 e towed a Dakota The airman couldn't hear because of th e roar I,'~ . ly~~ ~~~'~
/
f~ /
into the hangar and parked it facing the doors , of the mule's engine .
Two other Dakotas, positioned to the right and Likely yo u' v e guessed the rest, Aircraft
left of it, were also facing forward . No . 1 w a s trying to plow i t s way through the
After placing the aircraft where he wanted it, other two Dakotas . It was a jackpot, all right-
the airman got o f f the shop mule t o report to three Dakotas badly bent!
the flight sergeant for any further details . He Between sobs the following day, the CTSD
left the tow bar attached to the aircraft and the enlarged on the story . I t was h a r d to follow
mule . the details because the WQnext door was making
A s the mule driver opened th e door to the a lot of racket beating his head against a wall . ..
FS's office--and before he could say a word- The FS swinging a large bull whip around the .
the FS t u r n e d to another a i r m a n and s aid, hangar didn't help matters either . ~'
.
"Check the f u e 1 in aircraft N o . 123 ." (This The m o r a 1 of t h e story is ; Don't leave a
aircraft was in the rear facing the door .) The mule attached to an aircraft after it has been
airman t o whom h e gave the order must have positioned ; d o n' t use a mule i n a hangar for
had Wheaties f o r breakfast and lunch because anything except towing an aircraft ; and don't
he scampered out the door on the double . He drive o f f in a m u 1 e until you've made an ex-
spied the mule and decided to position it close ternal check .
' ~ ~,~i~
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,.,
HAZE-HATING HEDGE-HOPPER
This bird is determined to take off VFR and bore holes in haze and low lyinq cloud
enroute to destination when weather conditions dictate that the trip should be made
IFR or not at all . Qualifications of the Haze " Hater include no instrument rating
and a high degree of determination to get somewhere in a hurry . Destination is
occasionally a nest in a hole in the ground or an insecure perch on some high tree or
power line . The bird is a constant headache to UICP Flight of Station Saskatoon,
which, through continued struggle, is end~avouring to control its birth rate .
CALL : I'MLOOKINGFORTHESUNNYSIDESUNNYSIDESUNNYSIDE
Thenks to F L J. R. Wriaht
24
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pub must be remrned.
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ka I I] 6qTMLAAA%*1 12 k
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"A place for everything and everything in its
place," goes an old saying . Its opposite is
"foreign object" something that isn't in its
place . Where property and human lives are
involved, a foreign object can be as destructive
as a foreign agent .
~~~~-a a I ~~"~~I M r