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Backcountry Pilot • PC-12 inflight breakup

PC-12 inflight breakup

Debrief, share, and hopefully learn from the mistakes of others.
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Re: PC-12 inflight breakup

a pilot should be proficient to hand fly in IMC but at the same time can't he have a reasonable expectation that everything is going to function normally?

As a retired pro pilot, the answer is not only no, but hell no.

You train specifically for things not functioning normally, and it's you the pilot's responsibility, to be able to maintain control of your airplane when equipment fails, and be proficient in unusual or emergency procedures.

When one becomes an instrument rated pilot you have to demonstrate partial panel skills, total loss of vacuum and electrical instruments, and other emergency skills and procedures. Every time you file an IFR flight plan, accept a clearance from ATC, and launch into the air IFR, you are expected to be current and proficient at all of the above. Not, "I'm current at turning on the autopilot, and I'm OK as long as everything functions normally."

As for widows and orphans getting money from aircraft and avionics manufacturers because the pilot couldn't fly worth a shit and crashed, that's why new Cessna 172's cost $500,000.

Gump
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Re: PC-12 inflight breakup

The lawyer logic vs pilot logic is bullshit. Theres no reason a manufacturer should have to pay a huge sum to a widow and her kids because her husband was over confident and killed himself. They are just lucky he didn't take them along. Unfortunately, in the case of this PC-12, and many other wrecks, pilots take friends or families with them.
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PC-12 inflight breakup

SA Maule...dude...I think you must be having a bit of sport with us Yanks.

First you tell us that "everything made by man will eventually fail", then talk to us about reasonable expectation of things functioning normally. Seems a bit contradictory to my hillbilly intellect.

Anyway...fun stuff. I don't blame lawyers for crushing the GA manufacturers in the USA by the way. Hell, somebody had to hire them. ;-)

I have an old friend from SA. He's a good fella and can tell a joke like nobody's business. I bet you can too.
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Re: PC-12 inflight breakup

I agree that a pilot should be able to have a reasonable expectation that things will operate normally, but I do NOT think it is reasonable to bet the lives of his passengers or his own life on things operating normally. I also believe that it is reasonable for passengers to expect a pilot to meet the minimum requirements of the certificate they are exercising the privileges of. If on any given day a pilot can not meet the performance requirements of that certificate, they should not fly that fight. There are many reasons a pilot may not be qualified to fly a flight and they are not all related to IFR or multi engine proficiency, such as crosswinds, wind shear, short runway, etc. and it is the pilots responsibility decide if they are qualified to act as PIC on any flight. I don't think that it should make any difference if the pilot has a private, commercial, or airline transport pilot certificate, dead is still dead. I do believe that passengers can reasonably expect a higher MINIMAL skill level from the holders of higher ratings and that they are held to higher standard, that is not to imply that there are NOT private pilots better trained, more experienced and more skilled than commercial or airline pilots, but keep in mind that they do EXCEED the minimum standards for the certificate they hold. SA Maule, I do not think that the fact you are only certificated as private pilot is an indicator that you are an unskilled aviator and believe in all probability that you are highly competent. I have never flown a Maule, all of my tail wheel time is in Cessnas, but the fact that you fly one does show that you have skills and more importantly you know which end the little tire goes on :D

I may be wrong but I think part of the difference about how you and I look at things deals with how we look at technology and may possibly be related to our ages. I am a 60 year old who spent his whole career flying old trapped out freighters. G159s, piston Convairs, Metroliners, 727s and 18 years on DC8 73s, the last 12 as Captain. I believe that automation and all that means are great tools but no substitute for a highly trained, experienced, current pilot. All of those gizmos are great until they quit and then you need a pilot. A well trained, proficient, and current pilot has always been the backup for aircraft and system failures. I hope for the children, wives and passengers when the failure happens that they have a good pilot that day.

Tim
Gump, you would have liked it where I worked, we had a saying "trust but verify"
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Re: PC-12 inflight breakup

The thing we all need to remember is this:

It is our moral (and in some cases, professional) obligation to ensure that we have the skill set to meet whatever threats are present whenever we fly, not so much because we need to be safe for ourselves, but because those who fly with us do not have the skill-set necessary to evaluate the risks present on any given day. They assume that if we say we're good to go, then we're good to go.

Our passengers, including our family, usually have no idea how quickly this hobby can turn deadly. It's our job as PIC to ensure that we're up to the challenge of mitigating whatever threats may be present so that they never have to find out.
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Re: PC-12 inflight breakup

While low experience was a factor the pilot does appear to have invested in getting appropriate training. I agree with SA Maule that the report might have spent more time on understanding other contributory factors.

The A/P disconnected at around 110 knots, possibly due to stick shaker activation. Vs clean is around 70 knots? Why did the stick shaker activate at this speed, if it was stick shaker activation that caused the A/P disconnect?

While speed and configuration are parameters, angle of attack/boundary layer separation via stall vane (s) or an AoA system may be the main parameter triggering the stick shaker/pusher? Also in clean configuration the un-accelerated Vs may be a bit higher, say 75 knots? It would have been interesting if there had been more comment on the design and activation parameters of the PC12 system? Activation at 109 Knots may suggest acceleration either due to gust/turbulence or the A/P or pilot had pulled some G – the pilot being possibly the more likely actor to pull G? Although being near convective activity turbulence would also be a candidate for triggering the stick shaker? Alternatively the stick shaker mode may have had quite conservative activation parameters if the aircraft is in clean configuration?

Very interesting accident scenario, however I think it somewhat jumped too quickly to the conclusion that it was pilot inexperience, which self evidently is a factor – a bit more engineering discussion on the automatic flight control aspects, the stick shaker/pusher system, and the interface with the A/P would have been useful.
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Re: PC-12 inflight breakup

L18C-95 wrote:While low experience was a factor the pilot does appear to have invested in getting appropriate training. I agree with SA Maule that the report might have spent more time on understanding other contributory factors.

The A/P disconnected at around 110 knots, possibly due to stick shaker activation. Vs clean is around 70 knots? Why did the stick shaker activate at this speed, if it was stick shaker activation that caused the A/P disconnect?

While speed and configuration are parameters, angle of attack/boundary layer separation via stall vane (s) or an AoA system may be the main parameter triggering the stick shaker/pusher? Also in clean configuration the un-accelerated Vs may be a bit higher, say 75 knots? It would have been interesting if there had been more comment on the design and activation parameters of the PC12 system? Activation at 109 Knots may suggest acceleration either due to gust/turbulence or the A/P or pilot had pulled some G – the pilot being possibly the more likely actor to pull G? Although being near convective activity turbulence would also be a candidate for triggering the stick shaker? Alternatively the stick shaker mode may have had quite conservative activation parameters if the aircraft is in clean configuration?

Very interesting accident scenario, however I think it somewhat jumped too quickly to the conclusion that it was pilot inexperience, which self evidently is a factor – a bit more engineering discussion on the automatic flight control aspects, the stick shaker/pusher system, and the interface with the A/P would have been useful.


So if the Auto-Pilot was disconnected, isn't it still the pilots duty to hand fly the plane safely? Just because the trim wheel or cable broke in my 182 inflight, doesn't mean I'm not going to keep flying my plane to a safe landing!

And also, IMOO. The chain of events started when the pilot was still on the ground which includes a weather brief, routing, and the decision of the pilot to take off knowing he was flying into severe Wx! Storm cells down in that part of the country usually roll through pretty quick. I don't know all the facts and don't mean to speculate. But sounds like another "GotaGetHomeItis" syndrome. This is just my own opinion!!
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Re: PC-12 inflight breakup

I've been reading NTSB reports ever since I started flying and have a routine I use while doing so. I read the incident report and smugly allow myself some fractional time to be amazed at how stupid those choices were. Next, I remind myself that I have never met another pilot who struck me as stupid, not one. Then, I read it again while remembering that the only difference between the guy in the incident and myself is that I am fortunate enough to have had him go there first. If it can happen to him, it can happen to me.
Just saying.
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Re: PC-12 inflight breakup

SA Maule wrote:In answer to A1skinner: the specific incident referred to was the result of. The airlines refusal to pay the pilots pension fund and insurance because he didn't follow protocol. The airline then went after the AMO for not doing the work on the engine properly and they succeeded, the claim was settled between the opposing companies insurance brokers.


See, this is my point. The pilot shouldn't get any money because he DIDN'T follow protocol. If he had shut down the engine that was on fire, could he have turned around and landed the plane?

I am a low time pilot. I fly a C180 with hardly any avionics around for fun. Its a blast. If I was to buy myself a complex, high speed aircraft with a glass panel, would 35hrs in it be spending lots of time getting familiar with it to fly into hard IFR with my family on board? Hell no.
To answer L19. I could see there being more investigation into the stick shaker if there was more issues with stick shakers in PC-12s. SA says it himself, they are a docile aircraft to fly. You don't see them breaking apart regularly and pwople love them. If there was so many mechanical issues, there would be more issues that would arise fleet wide.

Like I said, I am a low time pilot. But we as pilots are trained to deal with anything that gets thrown at us in the sky. Be it engine failure, fire, flight into IMC, anything and any accumulation of things. We train for it. So when it happens we can handle it. If we can't handle it, we are not current and should not be flying our families and other people around. Only we can put ourselves into a situation we can't handle, short of a major control failure. As you say SA, am i going to trust a 10000hr jet guy or a 600hr maule guy to fly me into a short bush strip. I'm gonna take the 600 hr maule guy.
We as pilots have the responsibility to say yes or no. And when we f*ck up, we need to admit it and keep on going. We also need to be able to look at events like this and be willing to be willing to learn from them, not try to think of a million other possibilities that it could have been.
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Re: PC-12 inflight breakup

In my opinion. This appears to be where the chain of events started for this fateful and senseless flight.

Quote from the NTSB.GOV report:
METEOROLOGICAL INFORMATION

There was no record of a preflight weather briefing with Lockheed Martin Flight Services, or with DTC or CSC direct user access terminal (DUAT) vendor; however, the pilot did file the instrument flight rules (IFR) flight plan with CSC DUATS.

Earlier that day after landing at FPR following a flight from the Bahamas, the pilot informed the fueler about the need for a quick turnaround. The pilot and fueler also discussed the local weather conditions.

The fixed base operator (FBO) where the pilot had been seen before departure contains a computer with access to weather information products; however, the software provider indicated there was no record of the pilot utilizing their system. No determination could be made whether the pilot obtained weather information from the computer at the FBO before the flight departed.

The southeast section of the surface analysis chart issued at 1100 EDT, or approximately 1 hour 5 minutes before the flight departed indicates a stationary front extended across northern Florida. The area forecast encompassing the area of southern and central portions of Florida issued on the day of the accident at 0445 EDT, and valid through 1700 EDT, indicated scattered clouds at 2,000 feet, broken clouds between 4,000 and 6,000 feet, with layered tops to 25,000 feet. Widely scattered light rain showers and isolated thunderstorms with light rain were forecast, with cumulonimbus cloud tops to 40,000 feet. Between 1100 and 1400 EDT, the forecast was for clouds scattered at 2,500 feet, broken at 5,000 feet, and broken at 12,000 feet, with widely scattered light rain showers and thunderstorms with tops to 42,000 feet. Convective Sigmet 35E existed over the planned route of flight, but it did not extend over the accident site area. Further, there was no organized area of turbulence or icing identified outside of the convective activity area.

The Geostationary Operational Environmental Satellite No. 13 (GOES 13) infrared image at 1232, at 2X magnification indicates the accident site location was on the eastern side of an area of enhanced cloud cover associated with high cirrus clouds potentially from anvil from cumulonimbus clouds located to the west depicted by the enhanced areas in blue to yellow. Also depicted were multiple layers of clouds producing a broken to overcast layer of clouds over the accident site. No defined cumulonimbus clouds were observed within 20 miles of the accident site; however, cumulonimbus clouds were observed to the west through northwest between Plant City and Ocala, Florida.

The closest Weather Surveillance Radar (WSR-88D), was located about 48 miles east of the accident site. The 4.3 degree elevation scan, which encompassed altitudes between 21,080 and 25,920 feet, at 1233, depicted reflectivity of 0 to 15 dBZ, which equates to light intensity echoes. Additionally, the 4.3 degree elevation scan for 1233 with the flight path overlaid depicts clear areas east and southeast of the accident site area before the flight encountered the light intensity echo.

The current icing product (CIP) which provides a forecast of icing conditions indicates that for 25,000 feet at 1200 and 1300 EDT, the chance for light to moderate icing existed. The NTSB Weather Factual report is contained in the NTSB public docket.

The pilot of a Beechcraft Corporation 400A that was determined to be located about 13 nautical miles southeast of the accident airplane and at Flight Level (FL) 290 about the time the accident airplane began a right descending turn, reported his on-board weather radar was not depicting any returns. He also reported encountering light rime ice at the top of FL260 while in a cloud layer climbing to his assigned altitude; the airplane was clear of icing conditions within seconds. He further reported the temperature at FL 260 was ISA plus 10 to ISA plus 15.



And here is the FlightAware tracking of the flight that shows that the pilot could have at least choose a better route to the north for a while instead of heading right straight into a storm cell. http://flightaware.com/live/flight/N950KA

I don't buy into the BS that there was equipment failure beyond the pilots control on this one. Of course there was equipment failure, because the pilot choose to continue flight into a severe thunderstorm!!
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Re: PC-12 inflight breakup

The single most telling thing to me, that the pilot must shoulder the responsibility, is that when the autopilot disconnected, he apparently spent some time trying to figure out why, instead of immediately flying the airplane. In a matter of half a minute, the airplane banked extremely steeply (from a 25 degree bank to over 100 degrees) with no input from the pilot until it was in a screaming dive well past its maneuvering speed. Good bet that by that time, the pilot was totally disoriented--like most of us, he hadn't seen an attitude indicator with the colors reversed.

I've never flown a PC12. My time is strictly in light singles, high wing Cessnas 150s through T210s, several Mooneys, older and newer, an Archer, and a smattering of time in Decathlons for aerobatic training, a T-craft, etc. The newest T210 and the Mooney 231 were state of the art equipped for the time, and although I had the experience of flying older versions so that acclimating to the airframes were non-events, getting used to the high tech avionics was time consuming. The 231 had not only a 3 axis autopilot/flight director/HSI but also radar, radar altimeter, a Flite-fone, and a LORAN-C. VFR was easy; IFR took quite awhile to get comfortable. The newer T210 had the same autopilot/flight director/HSI, but not the other stuff, so it was much easier to become acclimated.

I suggest that the PC-12's pilot was simply incapable of flying the airplane without either being in good VFR weather or on the autopilot. His reaction to an autopilot malfunction was to try to fix the autopilot instead of flying the airplane. The No. 1 rule is fly the airplane--everything else is secondary.

I'd say that 98% of my IFR time in the past 40 years has been hand-flown, either because the airplanes had no autopilot, or their autopilots weren't working correctly, or I simply didn't trust them enough to rely on them. It's not overly difficult, but it has to be done regularly to do it comfortably. If the pilot's practice is to turn it on soon after wheels up and leave it on to the FAF, his/her ability to hand-fly will be greatly compromised.

I'm thinking like both a lawyer and a pilot now, and placing the primary responsibility on the pilot is the only thing the NTSB could rationally do. He flew the airplane into an area of extreme weather, he failed to reasonably and correctly respond to the autopilot disconnect, and he mishandled the airplane thereafter. He had the tools to build a safe flight, and he didn't use them properly. That's the basic definition of negligence, the doing of what a reasonable person in the same or similar circumstances would not do, or the failure to do what a reasonable person in the same or similar circumstances would do, having a duty to properly act.

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Re: PC-12 inflight breakup

SA Maule I don't want you or anyone else to think I posted that I was a retired airline pilot because I feel that that makes me a superior pilot. I did it for the money, sure it was fun, but I find shooting landings in a tail dragger far more fun. I am sure there are several on this forum who are better sticks than me and SA Maule you are probably one of them. My point in posting my airline back ground was to indicate the type of equipment, training, and checking I was exposed to. As far as your question regarding the Maule and the short strip I believe that training, proficiency and currency in type of equipment and operation is more important than type of certificate or total flight time. Higher level certificates do validate that a pilot has demonstrated at least the minimum proficiency to hold that certificate. Experience does have value in aviation as in other fields. I would guess that you are a far more effective litigator today than you were when first out of law school. And rightly so you are probably more highly compensated for your experience, just as a more experienced pilot is. As far as those short field skills they are the same for both small and large airplanes, the numbers are just larger for the jet. Both require the same skill level to be safe, ie on speed, on glide path, on touch down point. Just ask the Southwest 737 crews going into places like Chicago Midway. For us it was 7490 feet at East Midlands north of London, if the runway was wet we had to leave 28,000 pounds of revenue freight on the ramp in New York.

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Re: PC-12 inflight breakup

The note to self I got out of this is letting the plane get to 100 degrees of bank. Staying current with the 6 in 6 doesn't cover that. It sounds like some ham fistedness overriding the auto pilot to get to that point, but once he was there, and the inner ear was in motion, that's a tough surprise to recover from.
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Re: PC-12 inflight breakup

I'm sorry SA, but I still have to disagree. If I don't feel that I can safely hand fly in IMC, or do a 180* turn to fly out of inadvertent IMC, or safely handle an engine out in flight, then I'm certainly not going to load my friends or family up into my plane, not check the weather and fly us into a thunderstorm, hoping all my electronics will save the day. Just like if I haven't flown in 6 months and I know my landings are gonna be rusty. I'll call an instructor and get a quick check out. I'm not gonna just load my family up and say screw it, maybe I'll get lucky today.
Sure training may not be able to save us if we've already made 10 mistakes and are some far deep that its too late, but it should stop us from making that forst mistake and being able to deal with the smaller problems before they become huge, like a 100* bank at 300kts...

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Re: PC-12 inflight breakup

It is the beautiful thing about it for sure. And I agree, you gotta keep flying the plane. Something that the pilot of this PC-12 did not do.
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Re: PC-12 inflight breakup

A1Skinner wrote:It is the beautiful thing about it for sure. And I agree, you gotta keep flying the plane. Something that the pilot of this PC-12 did not do.



Amen!!! =D>

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Re: PC-12 inflight breakup

Advice from Lowell Thomas Jr. when I was starting out: "The cockpit is no place for an optimist." David, Gump, I'll ride with you guys anytime.
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Re: PC-12 inflight breakup

SA Maule wrote:
Most unfortunately we live in a very litigious environment, much more so in the USA than SA, at least here our courts allow common sense to prevail, if you put a hot cup of coffee between your legs, don't cry when you get burned



I 100% agree that many lawsuits are frivolous, but in the spirit of not making judgment without the full facts: the reason McD’s got in trouble for the hot coffee incident is because they had a corporate policy to serve the coffee extra hot. The reason was because if the coffee is too hot to taste, the customer can’t tell they were skimping on the grinds and essentially serving black water. The lady in question sustained 3rd degree burns and simply wanted her roughly $30-40k of medical bills covered. McD’s refused, lawsuit ensued, and in the end she got a couple hundred k (the millions initially awarded was reduced, but nobody ever mentions that). If you think about it, this is very similar to the engine fire case that has been brought up:
Could she have prevented the 3rd degree burns? Yes, don’t put coffee in lap while driving. But what caused the 3rd degree burns? The jury decided it was McD’s policy to serve extra hot coffee to save a few fractions of a penny with each cup a joe.
Could the pilot have prevented the crash? Yes, don't shut down good engine (I know that was hammered many times during my multi engine training). But what caused the crash? The fire due to negligence.

I guess one big difference is presumably the mechanics in the engine fire screwed up due to a mistake, not by design (like McD’s).
Again, don’t read this the wrong way, the modern litigious society drives me crazy, but like many have said in this thread and countless others on BCP, be careful about jumping to conclusions without all the facts.
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Re: PC-12 inflight breakup

Hmmm....autopilot disconnect is an "emergency"? Air France 447, here we go again. At least this one didn't kill hundreds because of a pilot's failure to fly the airplane.

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Re: PC-12 inflight breakup

fredy wrote:
SA Maule wrote:



Could the pilot have prevented the crash? Yes, don't shut down good engine (I know that was hammered many times during my multi engine training). But what caused the crash? The fire due to negligence.

I guess one big difference is presumably the mechanics in the engine fire screwed up due to a mistake, not by design (like McD’s).
Again, don’t read this the wrong way, the modern litigious society drives me crazy, but like many have said in this thread and countless others on BCP, be careful about jumping to conclusions without all the facts.


I guess we'll all agree to disagree. If, by shutting down the engine that was on fire, the plane could have safely turned around and landed safely, then what caused the crash was the pilot. The fire was a contributory. He wss the guy in charge, with the proper training to deal with emergency situatations. I'd like to think all that training has a lot more to do with emergency situations then luck does. But if I'm wrong, boy do the airlines ever do a lot of extra work in marketing and training...
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