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Reactivating software caused fatal Ethiopian airline crash: report

The update on the investigation came on the one-year anniversary of the crash that killed all 157 on board

March 10, 2020  by David Koenig And Tom Krisher, The Associated Press

Ethiopian investigators are mostly blaming Boeing for last year’s crash of a Ethiopian Airlines jet shortly after takeoff, saying in an interim report Monday that there were design failures in the jet and inadequate training for pilots.

The update from Ethiopian investigators – timed to beat the anniversary of the crash on March 10, 2019 – pointed to the role played by a new flight-control system that Boeing installed on the 737 Max and which repeatedly pushed the nose of the plane down.

The system, called MCAS, overwhelmed the pilots’ attempts to control the plane. When it triggered for the fourth and final time, the pilots fought back by pulling on their control columns with up to 180 pounds of force, but the nose of the plane sank even more and the jet flew even faster.

Shortly before impact, the plane was streaking downward at 575 mph – at a rate of more than 5,000 feet per minute – with its nose tilted down at a 40-degree angle, according to the interim report from Ethiopia’s Aircraft Accident Investigation Bureau.

All 157 people on board were killed when flight 302 crashed six minutes after takeoff from Addis Ababa. Every Max jet worldwide was grounded within days of the crash.

The investigators issued several recommendations to Boeing and placed little blame on the airline or its pilots. In that regard, the Ethiopian update differed from a final report that Indonesian investigators issued after a 737 Max operated by Lion Air crashed in Oct. 2018 and killed all 189 people on board.

Data in the Ethiopian update could renew questions about the pilots’ actions – in particular, their decision to turn MCAS back on after first disabling it when the plane’s nose pitched down. One aeronautics expert said restoring power to MCAS doomed the flight.


Related: Growing number of Boeing Max 8 planes grounded after crash


Monday’s interim report by Ethiopia’s transport ministry was not remarkably different from a preliminary report the government issued last April. Boeing and the U.S. Federal Aviation Administration said they were reviewing the update, but both already seemed to be looking ahead to a final report that the Ethiopians are expected to issue later this year.

Boeing shares plummeted 13% in afternoon trading. The stock sell-off, however, may have been more closely related to the worsening coronavirus outbreak, which is undercutting demand for air travel, and a report that the Max could be grounded longer than Boeing expects while the company fixes a wiring problem with the planes.

The FAA said on March 9 it was continuing to discuss the matter with Boeing, and that the plane will only be cleared to fly when the agency is satisfied that all safety-related issues have been fixed.

The interim report by the Ethiopian investigators added to pressure on Boeing. It came three days after a congressional report said Boeing’s development of the Max was marred by design failures and a “culture of concealment” to hide information from regulators and airlines. Democrats on the House Transportation Committee also slammed the FAA for poor oversight of Boeing. Committee leaders are vowing to propose changes in how FAA oversees aircraft manufacturers.

Boeing is addressing some of the recommendations by changing MCAS to make it less powerful. Boeing is also endorsing the use of flight simulators to train pilots on how MCAS makes flying the Max different from previous models of the 737.

There were no recommendations for Ethiopian Airlines, which has defended the actions of its pilots. The update, however, pointed out that pilots on flight 302 restored power to the MCAS flight-control system after initially turning it off. When they did that, the pilots couldn’t counter the downward pitch caused by the position of the stabilizer, a horizontal fin on the tail that pushes the nose up or down, because they were flying so fast, said John Hansman, an aeronautics professor at MIT.

It’s unclear why, but the pilots had left the throttles fully open after takeoff. Hansman believes the pilots might have been too busy and distracted to notice.

“They were saturated. They were dealing with so much stuff–all those warnings,” he said. “It is hard to diagnose exactly what is happening and what the causality is while you are trying to keep the airplane under control.”

In a statement, Boeing said it continued to provide technical help to the investigators as they finish their work.


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