Fly Faster to Avoid Accidents?
US Air Reportedly Wants Pilots to Speed up 737s

The Associated Press
P I T T S B U R G H,   Sept. 27 — US Airways has ordered its pilots to fly the Boeing 737 faster during takeoffs and landings to avoid the type of rudder malfunction that is believed to have caused the crash of Flight 427 near Pittsburgh in 1994, according to a report.
     Citing US Airways memos dated this month, the Pittsburgh Tribune-Review reported Sunday that the airline told its pilots to fly 20 knots, or 23 mph, faster during certain phases of takeoffs and landings. Pilots say the added speed gives them more time to recognize and correct rudder problems that cannot be fixed at slower speeds.
     US Airways spokesman David Castelveter declined comment to the newspaper. The Arlington, Va.-based airline has a hub at Pittsburgh International Airport.

Not Relying on Mechanical Fixes
“I think it is an acceptance by US Airways that there is a problem, and they aren’t relying on the mechanical fixes put into place,” said Jim Burnett, a transportation safety consultant and former chairman of the National Transportation Safety Board. “It is a needed response ... The plane really shouldn’t have been certified to fly.”
     In March, the NTSB ruled that a rudder reversal most likely caused the plane to plummet on Sept. 8, 1994, killing all 132 people on board.
     The 737 is the only commercial jet with a rudder controlled by a single hydraulic valve. Other jets have multiple valves that can compensate if one jams, as the single valve has been known to do, according to the NTSB.

Problems Potentially ‘Catastrophic’
An NTSB report released in July lists 112 such “rudder events” in the past two decades, malfunctions “that could be catastrophic,” the 346-page report said.
     Because there are 3,111 Boeing 737s in use worldwide — and as many as 800 in the air at any given time — redesigning the rudder could cause severe airline disruptions, not to mention the hundreds of millions of dollars it would cost Boeing.
     Mary Schiavo, a former inspector general with the U.S. Department of Transportation who now teaches at Ohio State University, said US Airways’ edict to speed up its maneuvering speeds was certainly prompted by the NTSB investigation of Flight 427, as well as a 1991 United Airlines crash in Colorado Springs, Colo., that killed 25 people.
     “The pilots I talked to said the change was for safety reasons,” she said.

NTSB, Boeing Urge Speed Change
Both the safety board and Seattle-based Boeing have recommended maneuvering-speed changes as a precaution, though the Federal Aviation Administration has not ordered the change, instead making it optional for each airline.
     The FAA has ordered other changes, including regular testing of rudder-controlled units; the installation of devices that limit rudder movement; and replacement of the servo valve, part of the rudder’s control unit.
     John Mazor, a spokesman for the Air Line Pilots Association, said increased speeds do not guarantee protection against rudder-system failures on a 737, but his organization wants the FAA to require the practice if airlines do not voluntarily adopt it.
     “It’s not a guarantee that it will overcome the problem,” Mazor said. “It will, at the very least, slow down the onset and give the pilot time to take appropriate measures.”

HOWEVER

On the question of adding speed increments in order to retain a safe margin (and 737 appch speeds):

 It's rapidly panning out as a probable factor behind the recent QF1 runway overrun accident at Bangkok. If you’re carrying extra fuel because of weather, Vref is going to be higher because of that extra weight. It's well known that some captains also add a bit more fuel (over and above that legal minimum) because they're pessimists. If you then have to, in accordance with Boeing and Company policy, also add half the headwind and ALL the gust factor to your Vapp speed, this can significantly affect the stopping distance required.

 a.  The brakes can only do you any good once the Dunlops are firmly on the pavement, the nosewheel is "planted" and the lift spoilers are up (getting that weight onto the wheels for effective braking). You will recall (from the CVR) that the failure of the fatigued first officer to arm the spoilers was the probable cause of the MD80 accident in Little Rock.

 b.  Because of the built-in extra energy at the threshold, the touchdown must end up a lot further in. Hot, but attempting to plant it, you might end up three-pointing it.

 c.  It also means that lift spoilers will not be in play until you lose a few knots and the squat switches are made.. i.e. it's begins to get a bit "chicken and eggish". More on this factor later. However, suffice to say that each extra knot has an exponential effect on stopping distance required. It's all about inertia and the problem is very dynamic.

 d. Because of the higher weight (extra fuel) the brakes have a whole lot more energy to dissipate in the stopping process. Steel brakes will probably overheat and fade at some late stage. Carbon brakes don't overheat or fade. Anti-skid action inevitably means some stopping power will be lost. Dialling up a high "stop" setting on auto-braking will not help in aqua-planing conditions. Pax don't like it.  Reverse is more efficient at higher speeds and is normally de-selected at lower IAS because it is quite hard upon the engines.

 e.  Until speed drops below the aquaplaning figure, no effective wheel-braking can take place - in fact the risk of blowing tyres is high. The speed down to which the aircraft will aquaplane is a function of tyre pressure, tread quality, the undercarriage "footprint" and the depth of standing water. The higher fuel weight and the insurance [excess speed increments] means that touchdown IAS will be significantly above this speed (as well as being well into the runway). Can you see where these additive factors are taking us? Yes, that's right - towards the bitter end. Time goes by whilst you wait to get below that magic speed. In the interim, what is decelerating you? Only the reverse thrust.

 f.   So a very wet runway means poor braking action, anything else? All runways are cambered (i.e. slope down away from the centre-line). This is meant to stop water pooling on them. Unfortunately crosswinds normally mean that the water simply pools on the upwind side (the wind stops it from draining off). This can have a significant effect upon symmetrical braking, indeed it can mean that the upwind undercarriage is aquaplaning whilst the other is getting good braking action. This is often a cause of blow-outs and runway side departures. If you think about it, the upwind wing is also getting more lift in the crosswind than the downwind one (being  partly blanked by the fuselage). This means that there will be less weight on those wheels (despite aileron being held into wind).

 g.   Some runway surfaces are grooved in order to improve the surface quality for braking action. Unfortunately most runways are also heavily endowed with thick rubber deposits which don't assist braking action at all. Due to anti-skid cycling, reverted rubber aquaplaning (an interaction of water, as steam and molten rubber) braking efficiency can drop quickly towards zero. Where are these deposits heaviest? Why, just short of the departure end that you're about to depart off into the boonies - of course.

 h.   Now of course a micro-burst can either give you a whole lot more (or perhaps a whole lot less) airspeed - in the blink of an eye. You can suddenly find yourself picking up a tailwind during the landing roll. That’s guaranteed to spoil your day. You can lose a lot of speed (pick up a high consequent sink-rate) on late finals that's beyond your capacity to spool-up, in the time available.. However these sorts of events are rare, whereas the combination of heavy rain, X-winds, heavy aircraft and short contaminated runways is not. But, then again, if the cause of these runway overruns is the extra speed that we've added for safety, can we afford to dispense with those allowances?

 In short, yes. The F28 was popular because of its tail-mounted clamshell air-brake. On approach you could open that airbrake half-way and carry the extra spooled-up power as a ready safety margin all the way to the threshold. If you suffered an airspeed loss that couldn't be controlled normally (i.e. with incremental power) all you had to do was select A/Bk in as you went for the higher power. If you gained unwanted airspeed, in the flare you could go for full air-brake (or even earlier if desired). It was a beautiful way of retaining positive control over your arrival speed, regardless of gusting winds. It meant that you didn't have to carry any "fat" in the form of extra knots that might put you off the far end. Excellent for short runways and it didn’t have or need reverse. Unfortunately most aircraft aren't structurally able to take an airbrake there - and that's anyways where most manufacturers now mount the APU. Well what's the difference you might ask.... spoilers or airbrakes, they're all the same. Not really. Most aircraft are designed for full-panel auto-spoiler deployment at touchdown - they're not designed to meter drag against thrust on finals. This latter function is the beauty of the F28 style air-brake. It doesn't spoil wing-lift, it simply enables a safer speed-stabilized approach. The B47 used drag-bags to achieve the same thing. Of course the 757/767 have air-deployable spoilers and you might recall that the failure of them to auto-retract (upon max-power selection after GPWS warning) was a big factor in the Cali accident. But, as far as I know, they’re not utilised on approach.

 Are there any other factors? The trailing-edge flaps and Leading Edge devices (droop-snoots or slats) that augment lift and enable slower approach speeds are actually acting against stopping after touchdown (if they're not retracted)... because they retain the weight on the wing and keep it off the wheels [where it's needed for braking]. In some aircraft the flaps are retracted after touchdown, and in others, only partially or not at all. There are two reasons for this. The tracks upon which the T.E. devices run are quite complex and retracting the flap whilst the airflow is very disturbed by the reverse thrust might not be a good idea or structurally practical. If in fact a pilot decides to convert to a touch and go after touching down too far in (or because of directional control problems), not having flap can catastrophically lead to not getting airborne again in the distance available. However, manually retracting flap just before going into reverse will plant the wheels more firmly on the bitumen (i.e. break through the water film) and allow the autoskid to enable more powerful braking. It's worthwhile remembering that flaps on modern aircraft are mostly Fowler flaps (i.e. they increase wing area and therefore lift, but don't hang down all that much so can't be really described as Drag flap - not much use for aerodynamic deceleration at lower speeds or for enabling safer/higher thrust-settings on approach).

What about pilot factors? If the alternative to landing is to go around and rejoin an instrument holding pattern (at the top of the stack), or divert due to fuel remaining, the pressure is there to make that full-stop. So, in most cases he's committed to perhaps making the best of a bad approach. The secret of continuing success is to carry out a speed-stabilized approach and aim to touch down as near to the threshold as is wise in the conditions. The shorter the runway (as in BKK), the more important that becomes. In the QANTAS case they were carrying the increments as decreed by Company policy. It put them off the end. 737 pilots are now expected to fly a non-stabilized approach with additional speed increments. This to me is like telling a cop to holster his weapon with the safety off and the weapon cocked. It might save his bacon on that one day that he's up against QuickDraw McGraw but in the meantime he's just as likely to shoot himself in the foot on a more regular basis. Of course when other aircraft are getting on the ground safely ahead of you that's also an incentive to "give it a go" - regardless that their configuration is different to yours and that bad weather is also very changeable weather.

What's the longer term solution? Design aircraft properly by remembering that, whilst the deceleration may occur on the runway, the stopping power starts on the stabilized approach. There’s no discussion of directional control problems above but that is obviously a complication that's ever-present for a multitude of reasons, even if you've got symmetrical thrust, no crosswind and don't blow any tyres. The need to maintain or regain directional control will normally mean that available stopping power is being under-utilised for some critical part of your journey down the runway..e.g. in a strong crosswind you'll find that most pilots steer with the reverse (so full symmetric reverse will not be used).

 By decree 737 pilots will now carry even more speed in all conditions and, I assume, attempt to eliminate it just prior to touchdown. The whole concept of a speed-stabilized approach seems to have been thrown out the window

 As you can see here: http://www.pprune.org/ubb/NonCGI/Forum3/HTML/000393.html  

there is obvious confusion (and concern) about it. Note the part about use of auto-throttle. Unfortunately it is in the auto-throttle's programming to reduce thrust at 50 feet and that is being seen as a factor in the MD-11 accident at Hong Kong (although obviously OK for a flare in normal headwind conditions). In short, the MD11 pilot had both hands on the yoke in order to decrab and maintain wings level for touchdown - and didn't notice that the auto-throttle had sneakily dispensed with his required thrust - leading to close-in sink and a heavy asymmetric touchdown on the right wing-gear (which broke off).

 As evidenced by Little Rock, the Brittania 757, the QANTAS 747 in BKK, QF1 747 in Perth and the HK MD-11, landing in weather needs a little more work to be done to capture the variables. Aircraft design would be a good starting point. And I can't help but wonder whether pilot experience levels, long-haul currency, commercial pressures, simulator training (both realism and fidelity) aren't also significant factors.

 It’s not just that the runway might be limiting, it’s the fact that all these factors can be additive and working against you – even assuming that you don’t cross the fence 10 knots hot because of no precision glide-slope.

 http://www.pprune.org/ubb/NonCGI/Forum1/HTML/004611.html

 http://www.pprune.org/ubb/NonCGI/Forum1/HTML/004642.html

Posted at 10:40 p.m. PDT; Sunday, September 12, 1999

Boeing 737 rudders still a hazard, say NTSB and other experts

by Byron Acohido
Seattle Times staff reporter

Metrojet Flight 2710 from Orlando, Fla., to Hartford, Conn., was cruising up the Eastern Seaboard at 33,000 feet one morning last February when something strange occurred:

Suddenly, the plane - a Boeing 737-200 - began inexplicably turning to the right. The co-pilot noticed the right rudder pedal was depressed to the floor, but no one had touched it.

The rudder - the hinged tail-section panel that controls the jet's direction - had deflected on its own. If it stayed that way, Flight 2710 would roll into a high-speed dive.

The captain pushed hard on the left rudder pedal to bring the rudder back into position. But it wouldn't budge.

The crew deactivated the errant rudder only by shutting down the plane's main hydraulic system.

Even that didn't entirely stop the rudder from phantom movements, though. Preparing for an emergency landing at Baltimore, the pilots watched nervously as the pedals moved on their own several times on the approach. The pilots knew a rogue rudder deflection at low altitude could flip the 50-ton jetliner into the ground.

They brought the plane down safely, and no one was hurt. But the incident jolted aviation-safety experts.

The focus of their alarm: The Metrojet plane had recently undergone an upgrade, with installation of a new rudder valve. This improvement was made over the past two years on all 737s registered in the United States and many registered abroad.

Boeing and the Federal Aviation Administration insist the upgrade, and two more to be made over the next year, make a safe airplane even safer.

But the National Transportation Safety Board (NTSB) and independent safety experts strongly disagree. They say that even with the improvements, the 737 rudder, with a 30-year history of malfunctioning, continues to pose a serious hazard.

"The 737 series airplanes . . . remain susceptible to rudder system malfunctions that could be catastrophic," a recently released NTSB report concludes.

That 346-page report, issued this summer, details the board's exhaustive examination of two air disasters: the 1991 crash of United Airlines Flight 585 in Colorado Springs and the 1994 crash of USAir Flight 427 near Pittsburgh. Everyone aboard both planes died, 157 victims all told.

The report reveals previously unreleased evidence supporting the NTSB's finding last March that rudder malfunctions caused both crashes and calls for a redesign of the 737 rudder system.

"Our charge is to investigate these accidents, report fully to the American people and make the best recommendations the staff and board together can produce," NTSB Chairman Jim Hall said in an interview. "We've done our job."

But the NTSB has no authority in the matter. Rather, its recommendations go to the FAA, which has responded by assigning 22 experts to study the 737's rudder problems and to report by next March on whether the rudder should be redesigned.

That panel is co-chaired by John McGraw, a top official from the FAA's Renton branch office, and Dagfinn Gangsaas, a Boeing senior manager. It includes six other Boeing employees, three other FAA officials, two from the National Aeronautics and Space Administration, two from the Department of Defense, three from the Air Line Pilots Association and two from the Air Transport Association, an airline-industry trade group. Also on the panel are a Ford Motor Co. computer simulation expert and a Russian flight-data expert.

"I've dedicated top people to this who have a wide-open view of the issue," said Beth Erickson, the FAA's director of aircraft certification. "This engineering evaluation board is completely independent, not biased, and is taking a clean-sheet approach to really understanding if there is any other action that needs to be taken."

Safety advocates are dubious. Given Boeing's stubborn defense of the rudder - described vividly in the NTSB report - and the makeup of the panel, they question the study panel's objectivity.

"There is no way Boeing is going to come out against its own product," said Gail Dunham, president of the National Air Disaster Alliance & Foundation, a passenger-advocacy group. "I'm quite sure they're going to come out with a report patting themselves on the back."

Boeing declined requests for an interview on the status of the rudder evaluation.

"At this point, we're providing ongoing support to the FAA's engineering evaluation board," said spokesman Russ Young. "We await their findings and recommendations of what, if anything, can be done to improve the rudder system."

The stakes for Boeing are immense. Redesigning the largest moving part on the world's most widely used jet model would:

  • Cost Boeing hundreds of millions of dollars and expose the company to potentially crippling product-liability lawsuits, should another rudder-related crash occur before the redesign could be completed.
  • Disrupt air travel and be extremely costly to airlines if 737s - the work-horse planes at US Airways, Delta, Southwest, United, Continental, Alaska and America West - need to be pulled from service for rudder work.
  • Embarrass the FAA for certifying the 737 rudder system in 1967 based on data provided by Boeing, and then certifying essentially the same rudder system for the so-called "Next Generation" 737-600s, -700s, -800s and -900s in 1997.

The stakes in not redesigning the rudder, the NTSB report unequivocally states, are also immense: more 737 crashes.

737 has most 'rudder events'

It took the longest, most extensive accident investigation in history for aviation authorities to fully grasp the hazards associated with the 737's unique rudder system.

The 737 is the only large commercial jet with a rudder controlled by a single hydraulic valve. The valve works by directing pressurized hydraulic fluid to deflect the rudder. If the valve jams, it can direct fluid to the wrong place at the wrong time, causing rogue deflections.

Other jet models rarely report such unwanted deflections because they have multiple valves working together to control the rudder. If one valve jams, the others compensate.

Pilots have reported a pattern of rogue rudder deflections on 737 flights since the jet entered commercial service in 1968. The NTSB report lists 112 "rudder events" on 737 flights the agency has examined from the past two decades.

Over a comparable period, only three such events were reported on McDonnell Douglas DC-9 or MD-80 flights and just one on an Airbus Industrie A320 flight, the report states.

Since the Colorado Springs crash nine years ago, authorities have slowly come to understand the many ways the 737's rudder valve, a complicated two-piece mechanism, can jam.

For example, one kind of jam can deflect the rudder in a direction opposite of the pilot's command, a phenomenon known as a reversal. That's what the NTSB ruled happened in Colorado Springs and Pittsburgh.

Another kind of jam can cause the rudder to deflect to a more acute angle than called for by the pilot - known as a "hardover" - and remain in that position even after the pilot releases the rudder pedal.

Yet another jam can deflect the rudder with no pilot commands, as happened on the Metrojet flight.

Trouble detected early on

Boeing designed the 737's rudder valve in the late 1960s, then contracted with California-based Bertea Corp., now a division of Parker Hannifin Corp., to mass-produce it.

It didn't take Bertea engineers long to discover a serious weakness in Boeing's design for the part, called a "dual concentric servo valve."

Two U.S. patents spell out that the valve is prone to jamming. The patents, taken out by Bertea in 1969 and 1982 for devices that would address valve jams, surfaced in lawsuits filed by families of people killed in the Pittsburgh crash and were recently obtained by The Seattle Times.

"One failure that can occur in this type of servo valve occurs when the valve becomes stuck or jammed," the 1969 patent warns. "This may be the result of contaminants . . . warpage, thermal expansion or contraction of the elements of the servo valve or numerous other reasons."

The 1982 patent similarly cautions: "One failure that can occur in a servo valve is the sticking or jamming of the movable slide. This may be caused, for example, by contaminant on the slide, warpage, thermal expansion or contraction or numerous other reasons."

The Bertea patents are for devices that automatically detect and negate such jams. Bertea marketed the inventions for a time but never found a customer and the ideas were shelved, said Ray York, retired Bertea engineer who co-authored the 1969 patent and supervised the author of the 1982 patent.

NTSB officials were unaware of the existence of the patents until provided copies by The Times. By then, investigators had already drafted a broad suggestion, now part of the NTSB's report, to redesign the rudder system to include a means for automatically detecting and neutralizing a jammed valve.

Boeing officials won't discuss whether they knew about the Bertea patents, nor respond to criticisms laid out in the NTSB's report.

Some federal investigators were outraged by the time and resources it took to dispel increasingly far-fetched scenarios Boeing offered to explain the crashes in Colorado Springs and Pittsburgh.

For instance, Boeing devised an elaborate computer program to demonstrate how a wind rotor - an unusual horizontal tornado spinning off the Rocky Mountain foothills - had knocked the United plane out of the sky. But to flip the 50-ton jetliner, the rotor would have had to have been much stronger than any on record, and it would have had to have made a bizarre 90-degree turn at the moment it intersected with the 737.

In the Pittsburgh investigation, Boeing blamed the crew, going so far as to submit an elaborate psychological study of unusual cases of pilot error. Company officials intensively lobbied the NTSB to rule that one of the USAir pilots errantly stomped on the left rudder pedal and held it to the floor for 24 seconds as the jet plummeted 6,000 feet.

Investigators instead determined that the pilot depressed the right rudder pedal while properly trying to correct a leftward swerve, only to have the rudder valve jam and reverse the rudder.

Boeing disputes crew's story

Neither the United nor USAir pilots survived to give their versions of the crashes. But Eastwind Airlines chief pilot Brian Bishop encountered a 737 rudder reversal over Richmond, Va., in June 1996 and lived to tell about it.

Bishop told investigators he "stood" on his left rudder pedal trying to compensate for a sudden rightward swerve. But the pedal barely moved.

Using information from the flight data recorder, investigators coordinated the jet's moment-to-moment position with the crew's detailed, first-hand description of what was going on in the cockpit. They concluded the jet's rudder reversed, unbeknownst to the crew. Only a series of quick-thinking maneuvers by Bishop and his co-pilot averted a crash.

But Boeing refused to accept that explanation. The company took the same positioning data, ignored the crew's testimony and insisted the pilots must have made several gross errors both before and during the flight. Boeing blamed the crew for exacerbating what might otherwise have been a minor mechanical glitch not involving the rudder valve.

Boeing's assertion that Bishop reacted in one-quarter of a second to the supposed glitch, then delicately depressed the right rudder pedal exactly 1 inch, is "highly unlikely," the NTSB report concludes.

FAA sides with Boeing

When the FAA certified the single-valve rudder for the original 737-100 in 1967, Boeing assured the agency the valve would not jam.

And even if it did, the company insisted, pilots could easily counter by deploying wing panels, called ailerons.

Both assurances proved wrong.

Pilots began reporting rogue rudder movements in the early 1970s, and continue to do so. But it wasn't until 1995, during testing related to the Pittsburgh crash, that authorities discovered that the 737's comparatively small ailerons lacked the leverage to counteract a rogue rudder deflection at low speeds.

The revelation that the 737 had a "crossover speed" below which nothing could stop a runaway rudder from flipping the plane into a steep dive could not have come at a worse time for Boeing: The company was in the final stages of designing and marketing a new version of the plane, the 737-700.

The 737-700 was to have a new wing, new engines, new cockpit controls and a larger rudder panel - but the rudder would still be controlled by a single valve.

To appease the FAA's concerns over that, Boeing said it would add a device called a pressure limiter to reduce the amount of pressurized hydraulic fluid available to move the rudder as the aircraft gained altitude.

The limiter would thus restrict the rudder's range of motion, making rogue deflections benign above 1,000 feet. But that still left a 60- to 90-second window during takeoffs and landings when the rudder would be fully powered, a time during which pilots have nothing available to counter a rogue deflection.

Boeing made the case that the 737 rudder normally moves no more than 2.5 degrees during a typical flight. If a rogue deflection of that magnitude occurred near the ground, Boeing analysis showed, the pilot could still safely land the plane.

The FAA bought Boeing's argument, ignoring the fact that a jammed valve could deflect the rudder up to 26 degrees, and certified a single-valve rudder for the 737-700 in November 1997.

The NTSB report looks askance at Boeing's analysis, calling it "unrealistic."

"Such a narrow interpretation may well reduce the level of protection that should be provided," the report states.

737's safety record

Boeing has long argued that the 737 is as safe as any jet model flying, crashing on average less than two times for every million departures.

According to statistics from BACK Associates, an aerospace-industry data source, older model 737-100s and -200s have crashed 1.06 times for every million flights. The crash rate for newer model 737-300s, -400s and -500s has been 0.41 per million flights.

The crash rate among passenger jets of all types has been 1.35 per million flights. The competition's closest model, the Airbus A320, has a rate of 0.69 per million but has been in existence only since 1988.

There are more 737s flying - 3,111 - than any other plane.

Since 1996, spurred in part by a Seattle Times investigation, safety critics - and ultimately, the FAA - have focused on problems with the 737 rudder. Each time a 737 crashes, safety advocates and plaintiffs' lawyers wonder whether the rudder could have been the culprit.

The Aug. 31 crash of a 737 in Argentina is still being sorted out, and early indications were that an engine problem might have been the cause. The three most recent 737 crashes before that one remain unsolved:

In December 1997, a newer SilkAir 737-300 dove from 35,000 feet, smashing into an Indonesian river and killing all 104 aboard.

In May 1998, an older 737-200 carrying oil-field workers crashed on approach to landing in a remote jungle airfield in Peru, killing 74 of the 87 people aboard.

In April of this year, a Turkish Airlines 737-400 went down near Adana, Turkey, killing the crew of six.

Although investigators have not implicated the rudder in any of those incidents, safety advocates and lawyers have kept that possibility alive. In each case, investigators are missing a key piece of evidence, the flight data tape.

Boeing's fixes

In an interview last fall, before the Metrojet incident, Boeing's then-chief 737 engineer Mike Denton said the scores of rudder problems reported every year posed no great hazard.

Denton blamed the reports on pilot error, encounters with unexpected turbulence and mechanical glitches that had nothing to do with the rudder valve. He noted the company planned to fix what it believes to be the primary source of such glitches by upgrading a device called the yaw damper on all 737s by August 2000.

The yaw damper automatically makes small rudder adjustments constantly during flight to keep the plane flying straight. Denton acknowledged that a mechanical part that tells the yaw damper when to adjust the rudder had a long history of sending bad signals. It will be replaced with a highly sophisticated digital computer.

"Let's say that the number of yaw damper-type failures was 100 a year. With the new computer we think that number will drop to about one," Denton said.

The other improvement Boeing has undertaken is to install pressure reducers on the worldwide fleet of 737s by August 2000. The device will serve the same function as the pressure limiter now factory-installed on new-version 737s: to make the rudder benign once the aircraft climbs higher than 1,000 feet.

But while the upgraded rudder valve may reduce the chance of reversals, and the new yaw damper and pressure reducer lessen problems when the jet is cruising, none of the changes eliminate the valve's inherent propensity to jam, said hydraulics-parts designer Paul Knerr, who chaired a panel of independent experts invited by the NTSB to examine the Pittsburgh jet's rudder valve.

If the valve jams during the 60- to 90-second window when the aircraft is close to the ground, the rudder fully powered and the ailerons bereft of the leverage needed to offset a rogue deflection, catastrophe is sure to result, said Knerr.

He compared the risk posed by the 737's single-valve rudder to a mountain climber relying on just one safety rope.

"You can braid your rope differently or get a rope made of better material and certainly it might be safer, but in the end, you've still got one rope," said Knerr.

"And if the rope breaks, you're gone."

   And so they had their day in court

http://www.alpa.org/internet/alp/novcommentary.htm

Commentary: A Bad Day Flying the B-737-300

By Capt. Ronald J. Rogers (United) Director, ALPA Aircraft Development and Evaluation Programs

Shortly after a rudder hardover was suspected to have caused the USAir 427 accident in Aliquippa, Pa., ALPA issued Safety Alert Bulletin 95-3. Dated Dec., 29, 1995, this bulletin urged B-737 operators to increase block maneuvering speeds by 10 knots to aid in recovery from an uncommanded rudder hardover. Capt. John Cox, Central Air Safety Chairman for US Airways ALPA pilots, had been working diligently with US Airways flight operations management to implement the speed increase. As a result, that airline was in full compliance with the Safety Bulletin when it was issued. This is an excellent example of a successful use of the Association's funds, time, and effort to improve safety.

Capt. Dave Haase (TWA), then ALPA Executive Central Air Safety Chairman, in conjunction with ALPA's Airworthiness, Performance, Evaluation, and Certification Committee, presented the Safety Bulletin to the FAA's Transport Airplane Directorate. In a written response to ALPA, the FAA agreed "that the approach recommended in Bulletin 95-3 would definitely result in a more expeditious and easier recovery from any uncommanded directional control system failure." The Aircraft Certification Service highly recommends that all operators of the Boeing 737 adhere to the principles in ALPA Alert Safety Bulletin 95-3."

The ALPA Bulletin notes that if a pilot experiences an uncommanded yaw or roll, "it is important to immediately and aggressively fly the aircraft manually to correct the roll or yaw with both rudder and wheel." Completely disconnecting the autopilot is extremely important because control-wheel steering can interfere with a pilot's ability to recover the aircraft. In addition, when the airplane has recovered to a normal bank angle (less than 30 degrees), and not before, the pilot can begin to correct pitch with the elevator to return the airplane to a normal attitude.

The Alert Bulletin warns that ALPA believes these operating techniques "may provide flight crews with the ability to respond in an appropriate manner should their aircraft experience a yaw or roll upset due to a fully deflected rudder." However, the Association warns that the effect of such operational variables as turbulence, wind, and wake turbulence on the aircraft's lateral versus directional control remains unknown.

After the NTSB determined that the rudder control system was the culprit in the USAir 427 accident, the FAA issued Flight Standards Information Bulletin for Air Transport (FSAT) 99-02, on March 24, 1999, more than 3 years after ALPA's Bulletin. Until the NTSB's report on the USAir 427 accident settled the argument, Boeing strongly held to the premise that pilot error, not a malfunctioning rudder PCU, caused the accident.

The FAA has issued a number of ADs in response to the rudder problem. The first AD required that airlines install in each of their B-737s a redesigned rudder power control unit (PCU) by August 1999. A second AD mandated the installation of both a digital yaw-damper system and a rudder-pressure reducer by August 2000. The rudder-pressure reducer will limit the amount of rudder input during noncritical phases of flight, thereby reducing the severity of uncommanded rudder input.

Until the ADs are complied with, the FAA recommends the speed increase at least 10 knots over the previous block speeds shown in the box.

All U.S. operators are now complying with the speed increases. Unfortunately, at least one European operator appears to still be using the old speeds.

In a rudder hardover, the rudder suddenly malfunctions and deflects fully to the left. The crew responds professionally and quickly; but even a quick response takes time. By the time the pilot flying has put in full opposite aileron, the aircraft has rolled to 30 degrees of bank.

Several things now start to rapidly occur. The pilot flying holds full opposite aileron and applies some back pressure to hold altitude. Boeing's flight-test data show that the crossover speed has now increased from 190 KIAS (due to the bank) to 197 KIAS. The B-737-300 is now 7 knots below the crossover speed. Also, because of the increased drag due to the airplane's being in a full slip, the airspeed has started to bleed off. As the difference between the actual airspeed and the crossover speed increases, the roll also increases. The aircraft is now at 45 degrees of bank, and the crossover speed has risen to 205 KIAS.

The crew is now faced with only two choices continue to hold full opposite aileron and corkscrew into the ground, or relax back pressure, accelerate, and regain control. Remember, being at the crossover speed guarantees only that the full rudder displacement can simply be countered (zero roll rate). To actually roll out, that is, have roll authority in the direction opposite to the hard-over rudder, requires a speed greater than the crossover speed for the given bank angle.

A rudder hardover happened on USAir Flight 427, United Flight 585 (Colorado Springs, Colo.), and Eastwinds Flight 517 (Richmond, Va.).

Crossover speeds are demonstrated in the simulator to make pilots aware of the severity of the problem. But pilot perceptions of the problem can vary, depending upon the accuracy or quality of the simulation. This perception can affect a pilot's attitude regarding his or her margin of safety in relation to canned speeds.

That problem in perception may be resolved by looking at the Boeing flight-test data. The slope of the line that plots the relationship between crossover speed and airplane weight is rather steep. That is, if the actual aircraft weight goes up, the crossover speed goes way up. At just under 80,000 pounds, the margin between crossover speed and block speed can be 30 knots. At 105,000 pounds, the crossover speed for flaps 1 is 185 KIAS, giving just a 5-knot buffer over the canned speeds.

If the demonstration of weight versus flap setting is not properly set up in the simulator, the demonstration is not only worthless, it is actually dangerous because it is misleading.

Has the problem with the rudder gone away? In February, a B-737 US Airways Metrojet with a modified PCU experienced a rudder hardover at FL330. The crew followed the procedure (which ALPA helped develop) and safely landed the airplane. The procedure for a "jammed or restricted rudder" proved effective. All B-737 pilots should be familiar with this procedure.

As the old fighter pilot saying goes, "speed is life." Fly safely.

AIRSPEED (KIAS) OLD TO NEW
Flap Position <117,000 pounds 117,000 to 138,500 pounds >138,500 pounds
UP 210 to 220 220 to 230 230 to 240
1 190 to 200 200 to 210 210 to 220
5 170 to 180 180 to 190   190 to 200
10 160 to 170 170 to 180 180 to 190

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