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Negligence Found in Gov. Carnahan Crash
Guardian.co.uk ^ | Jan 17, 2004 | Margaret Stafford

Posted on 01/16/2004 6:17:06 PM PST by Hillarys Gate Cult

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To: expatpat
I know it is counter intuitive.

If he had been looking at his instruments, he would have seen a buildup in speed sooner than he would hear it.

He had a turn coordinator (electric) so also would have known the was turning. When pilots get disoriented, they do not believe their instruments. Many have flown into the ground because they didn't believe the instruments.

Most of the time an accident is not a mechanical failure. They fly an airworthy airplane into the ground. The actual fact is that singles at night are safer than light twins in the daytime. A light twin will not fly on one engine, and they have twice as many to fail.

(I know that they are supposed to, but they don't. This is a never ending debate among pilots.)

I had a T210 (single) and flew almost 1000 hours combined IFR and night. They are almost the same.

41 posted on 01/17/2004 3:18:06 PM PST by Dan(9698)
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To: Criminal Number 18F
No sir! you were far from being kruel and unusual upon the the naive aviator.
The ability to properly asess a Vac/AHRS/Mag fail is something that sad to say is not being taught correctly in todays fine institutions of flight instruction.
On a personal note , my wifes Grandfather just passed into eternity and we do miss him so. He was and is a Mans Man a Hunter Fisher Gardener and just in general a lover of life and of all human beings.
42 posted on 01/17/2004 7:38:40 PM PST by JETDRVR
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To: Criminal Number 18F
Is there a ping list for flying threads?
43 posted on 01/17/2004 9:02:19 PM PST by FreedomFlynnie (Your tagline here, for just pennies a day!)
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To: expatpat; Hillarys Gate Cult; Squawk 8888; USNBandit; snopercod; Dan(9698); JETDRVR; ...
expatpat:
I assumed the vacuum pump had failed since that has been a problem.

I totally agree that vac pumps suck (figuratively, especially when they fail to suck literally). Definitely the least reliable thing on the airplane. Still, the physical evidence does not support the argument that they failed in this case.

you can fly on the DG and altimeter without too much skill.

INstead he tried to fly, acccording to his radio reports, on the backup AI. The problem with that is the AI is way over here and the rest of your scan is in front of you. He could probably have done it if he had ever practiced it. I bet when he practiced partial panel, he practiced DG, altimeter, even whiskey compass. I bet the instructor or safety pilot didn't let him use the backup AI. But when he was the only pilot on the flight deck, he couldn't resist trying.

IMC w/partial panel is a bad time to break in new procedures.

Hillarys Gate Cult:
I thought most planes have a back up indicator that isn't powered by pumps.

Some do, some don't. It isn't (or shouldn't be) a death sentence to lose this thing, but it is an emergency and you will be working harder. But... very important. The pumps didn't fail (or the DG would have been indicating wrong at impact too... this is a gyrocompass that is powered by the same vacuum system, and it was pointing right). What failed was the indicator itself.

Squawk 8888:
unless there was a compelling reason (such as low fuel) to make that approach he should have flown to some alternate airport

He was at altitude when he lost control of the plane. He didn't get to the approach phase.

USNBandit :
Depending on when he realized his primary failed he might have already been screwed up when he transitioned to the other instrument.

Good catch, and like you say moving your head around when you have no visual horizon reference is a recipe for disorientation.

the news reported right after the accident that the FAA had active TDs out on that type of aircraft for the instruments

There were two service bulletins that might be relevant (not mandatory AD's). One was definitely in Carnahan's possession (found in wreck) and witnesses said he was complying with it. Other one, nobody knows if he received it, but it was sent to same address as the first.

Dan(9698) :
This airplane is a twin and so would have had vacuum pumps on both engines.

It did, and also, the system is designed in such a way that one pump alone is enough. The second just provides redundancy. If one fails, the vacuum system automatically seals it out of the circuit.

snopercod:
I'm going all electric on my Lancair....Ever read Bob Nuckoll's Aeroelectric Connection?

Good idea, wave of the future, dual redundant buses, no vacuum instruments. ISTR the SR22 I flew was set up like that (factory exp). Never heard of Bob, I'll check him out on your recommendation.

the pilot was attempting to use the right-side AI indicates that he was unable or unwilling to use the needle-ball-airspeed method on the gages right in front of him.

I think he thought it would have been easier to do the off-side AI than needle-ball-airspeed. That AI indicated exact attitude at impact, which wasn't badly banked, or even severely nose down. It had just been nose-down long enough to break 300kt (which needle-ball-airspeed would have caught for sure). What's the VNE in one of those things? Immaterial if you do what NTSB calls "uncontrolled collision with trees and terrain." I don't think I'd be comfortable anywhere near 300kt in a Cessna twin.

expatpatagain:
It would be interesting to know if the two AI's each had separate vacuum pumps or if both ran off the same pump, with the other as backup for the first pump.

Ahhh... read the NTSB report. Not trying to be a smart-ass, but the vacuum system of the 335 is fairly involved (depending; for some of you guys with multiple type ratings, and especially who flew 40s and 50s equipment, it's trivial) and there are a couple of pages on the system there. Basically both pumps pull a vacuum on one shared vacuum manifold. The air they pull in is blown out into the deicing system. Each pump has a pressure relief valve to keep the vacuum from being too much. Each pump has a check valve at the manifold, so if it fails it's automatically cut off (so the surviving pump doesn't have to pull vacuum all the way out to the failed one). All vacuum operated instruments attach to that manifold. ONE PUMP CAN RUN EVERYTHING FINE. The POH says no action is necessary for a failed pump; just squawk it on landing.

?Dan again:
I see you explained the check valves. Cool. After reading the comments about his log book, it is obvious he was over his head.

For the record, it seems he had been flying regularly but was not keeping his log up. (Giving him the benefit of the doubt, maybe he was transitioning to a computer based logbook). I had a T210 (single) and flew almost 1000 hours combined IFR and night. They are almost the same.

My dad had one, I still miss it. He tells me buy my own. LOL.

JETDRVR:... not being taught correctly in todays fine institutions of flight instruction....

I don't know that any one thing did him in. A bunch of small things, but to me, going against training and trying something new (flying on the offside AI) is no good.

On a personal note , my wifes Grandfather just passed into eternity and we do miss him so. He was and is a Mans Man a Hunter Fisher Gardener and just in general a lover of life and of all human beings.

May God have mercy on his soul, sir, and may he be waiting for us all with advice on the best sporting locations in Paradise.

FreedomFlynnie:
Is there a ping list for flying threads?

I'm not sure. I thought bootless started one about three years ago! So I pinged her, too. If there isn't one, there should be. Who knows how?

d.o.l.

Criminal Number 18F

44 posted on 01/17/2004 11:14:24 PM PST by Criminal Number 18F
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To: Criminal Number 18F
From your link at post #18

"Pilot-rated Passenger
One of the accident airplane's passengers was a licensed pilot. On August 25, 1997, he obtained a private pilot certificate with an airplane single-engine land rating. On May 16, 1999, he obtained an instrument airplane rating. He held a third-class medical certificate with the limitation that he must wear lenses for distant vision and possess glasses for near vision. He owned and flew a Beechcraft B33 Debonair. Members of the security detail and other pilots who had traveled previously with this passenger stated that although he was a licensed pilot, he normally sat in the back of the airplane when there were other passengers on board or when he needed to prepare for his next campaign event."

Would that have helped or hurt in this case?
45 posted on 01/17/2004 11:45:00 PM PST by Hillarys Gate Cult (Proud member of the right wing extremist Neanderthals.)
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To: Criminal Number 18F; JETDRVR; bootless; snopercod; Archangelsk; Squawk 8888; USNBandit; ...
Very good summary.

bootless is very busy right now organizing SMX-gig, so I took the liberty of starting an aviation-related ping list in her stead. Let me know if you want on or off.

46 posted on 01/18/2004 4:22:20 AM PST by snopercod (I am waiting for the rebirth of wonder.)
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To: snopercod
Put me on your ping list.

This appears that the whole crew took flying much too casually. I never flew a twin but flying a T210 in weather was serious business.

47 posted on 01/18/2004 7:34:27 AM PST by Dan(9698)
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To: Eric in the Ozarks; Hillarys Gate Cult
Once again, the deep pockets of responsibility have been accessed by an emotional event, propagated by enrichment of a few lawyers who will make it all better for the victims. How many more victims will be created if the company goes bankrupt? Guess the little guy don't matter anymore. It just don't pay to get out of bed any more, because of the risk involved. Does that justify suing the people who make beds?
I think even less of the Carnahan klan now. Any noble family would have accepted the loss and moved on without giving lawyers a chance at profit.
48 posted on 01/18/2004 7:55:20 AM PST by o_zarkman44
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To: Dan(9698)
Roger, Wilco.
49 posted on 01/18/2004 8:12:28 AM PST by snopercod (I am waiting for the rebirth of wonder.)
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To: Criminal Number 18F
Thanks for the info. As I'm sure you could tell, I was too lazy to dig out the accident report.
50 posted on 01/18/2004 9:19:19 AM PST by expatpat
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To: Criminal Number 18F
I thank you very much for that. He was a Missurah born and raised Mossberg Man.....still have it.
I believe SnoperC is going to continue the Av ping list....being the true sky warrior that he is!
51 posted on 01/18/2004 9:37:28 AM PST by JETDRVR
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To: snopercod
"I took the liberty of starting an aviation-related ping list in her stead. Let me know if you want on or off."


It would be a honor ;0)
BTW Do you know an ex Air Amer guy Capt J Rhymes (sp)he lost a leg being a kicker on a pschy leaflet deal over ....;)
iirc he was flying for Aero contractors some where in NC?
I met him in FSI at SAV ga had more then one war story and beer.
52 posted on 01/18/2004 9:44:23 AM PST by JETDRVR
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To: JETDRVR
Sorry, I don't know Capt. Rhymes.
53 posted on 01/18/2004 9:51:03 AM PST by snopercod (You know something is going on here, but you don't know what it is, do you Mr. Jones?)
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To: expatpat
Having been fortunate enough to survive slightly over 10,700 hours of pilot-in-command time--of which at least 0ne-third was in IMC (instrument meteorological conditions--ie: really bad weather), the failure of a vacuum pump at a critical point in the instrument approach is expected to result in an early intersection with the ground. Moving at a low speed, just above stall speed, in a turn that increases the risk of disorientation and low-wing stall, and a loss of physical spatial relationship with the rest of the world, all make for imminent tragedy.

The crash was found to be not pilot error and the fault of a failed product that, had it functioned properly, would have made the approach and landing an uneventual happening.

Our tort/negligence system is based on fault, not who one is or one's status. Fault and the forseeability of the consequence of one's failure to act reasonably. In this case, the foreseeable result from a profit oriented manufacturer placing a defective product into the stream of commerce and it being used for the purpose for which it was intended and sold and nonetheless causing an injury by its unreasonable failure.

The jury did the right thing and so did the widow. That's the way the system is meaqnt to operate.

54 posted on 01/18/2004 11:45:46 AM PST by middie
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To: middie
You appear to have it wrong, here. The available evidence points to a failure of the AI, not the vacuum pump, which was apparently still spinning at impact (plus, there was a backup pump). Unfortunately, this same tort system you revere assessed damages against the vacuum-pump manufacurer, not the AI manufacturer.

Finally, more generally, no piece of equipment that has ever been designed and built will function forever without failure, and to impute negligence to that failure is a distortion of the intent of the tort system.

55 posted on 01/18/2004 11:57:44 AM PST by expatpat
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