Crash at Shoreham Air show

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Discussion

anonymous-user

55 months

Friday 1st February 2019
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wobert said:
The 5 whys is an industry process to try and establish “root cause” usually used in conjunction with an 8D analysis.
Yes I agree, I used the term root cause incorrectly the not pulling out at the apex of the loop was just the last chance to sort out the mistake rather than the root cause.

So what do you think the “root cause” in this crash actually was and how do your 5 whys lead you to it in this instance?

pushthebutton

1,097 posts

183 months

Friday 1st February 2019
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El stovey said:
That’s just a load of questions? Is the cause not known yet then? Genuinely I thought it was thought to be the height at the top of the loop.

Isn’t that what normally happens, you start at the correct speed and height (which he didn’t do) climb using enough power and get to the top of the loop and check the speed and height and if it’s not enough then disbandon the manoeuvre regardless of what’s gone on before, that’s your last big gate to sort it out? I’ve not done much aerobatics but isn’t that what you’d do?

Obviously there may be loads of contributing factors that led the guy not being high enough at the top like speed and height at the bottom and power settings in the climb training and regency and mindset and culture within the operation and possible medical and physical issues etc etc
I don't understand the last few posts but according to the AAIB report you're correct.

The two causal factors, from their report, are pretty much what you've written.

wobert

5,071 posts

223 months

Friday 1st February 2019
quotequote all
El stovey said:
wobert said:
The 5 whys is an industry process to try and establish “root cause” usually used in conjunction with an 8D analysis.
Yes I agree, I used the term root cause incorrectly the not pulling out at the apex of the loop was just the last chance to sort out the mistake rather than the root cause.

So what do you think the “root cause” in this crash actually was and how do your 5 whys lead you to it in this instance?
They’re not “my” 5 whys, somebody else posted it....

anonymous-user

55 months

Friday 1st February 2019
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wobert said:
They’re not “my” 5 whys, somebody else posted it....
Ok sorry, so what’s the conclusion as to the root cause(s) based on whoever’ it is 5 whys? What industry does this root cause identifying method come from?

saaby93

32,038 posts

179 months

Friday 1st February 2019
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El stovey said:
wobert said:
They’re not “my” 5 whys, somebody else posted it....
Ok sorry, so what’s the conclusion as to the root cause(es( based on whoever’ it is 5 whys?
At some point he made a mistake

Mave

8,209 posts

216 months

Friday 1st February 2019
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El stovey said:
Is the cause not known yet then? Genuinely I thought it was thought to be the height at the top of the loop.
I don't think the root cause is known yet. As you suggested, there are many potentials further down the "why" chain, but insufficient evidence to come to a conclusion more detailed than "loop started too slow with insufficient thrust" and "failed to abort manoeuvre at top of loop"

wobert

5,071 posts

223 months

Friday 1st February 2019
quotequote all
El stovey said:
wobert said:
They’re not “my” 5 whys, somebody else posted it....
Ok sorry, so what’s the conclusion as to the root cause(s) based on whoever’ it is 5 whys? What industry does this root cause identifying method come from?
5 whys and 8D are used extensively in the manufacturing and engineering industries.

NDA

21,708 posts

226 months

Friday 1st February 2019
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anonymous said:
[redacted]
Totally agree.

The pilot was reckless - an avoidable crash that killed 11 people. I hope he goes to jail.

I made the point a long while ago that pulling high G manoeuvres over busy roads is introducing an unacceptable risk.

saaby93

32,038 posts

179 months

Friday 1st February 2019
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NDA said:
I made the point a long while ago that pulling high G manoeuvres over busy roads is introducing an unacceptable risk.
Which is probably why in this case the manoeuvres were over open countryside
The return path back to base was over the trees next to the road
The plan should have been agreed before hand - did that come out in the AAIB recommendations?

pushthebutton

1,097 posts

183 months

Friday 1st February 2019
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NDA said:
anonymous said:
[redacted]
Totally agree.

The pilot was reckless - an avoidable crash that killed 11 people. I hope he goes to jail.

I made the point a long while ago that pulling high G manoeuvres over busy roads is introducing an unacceptable risk.
Nobody who flies any type of high performance aircraft thinks like that. There is a high degree of humility, rightly so, as everyone is fully aware of their own limitations and how quickly things can go pear-shaped.

There isn't a professional pilot, commercial or military, who hasn't been humbled at some point in their career. The 'master race' misnomer exists only from an outsider perspective.

pushthebutton

1,097 posts

183 months

Friday 1st February 2019
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anonymous said:
[redacted]
There's no meat on the bare bones of your post. Nothing I can respond to.

I've posted findings from the AAIB. It shows their thoughts on the accident and the thought processes prevalent throughout the industry. It shows AH's understanding of his DA height and the understanding of the some parts of the wider industry since 1996 which didn't result in a change or clarification from the CAA until after the AAIB's report.

Funnily enough, there are segments within the report which would help you to flesh out your viewpoint and so provide some meat for those bones. It'd attach some figures to your bluster: that's how I know you haven't read it.

pushthebutton

1,097 posts

183 months

Friday 1st February 2019
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anonymous said:
[redacted]
Not by anyone I recognise as being a professional pilot on here .

NDA

21,708 posts

226 months

Friday 1st February 2019
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saaby93 said:
Which is probably why in this case the manoeuvres were over open countryside
The return path back to base was over the trees next to the road
When he killed 11 people, he was still exiting the loop, at the bottom of it - at least in every single graphic I've seen.

Whatever. He was irresponsible and should go to jail. The deaths were his fault.

Mave

8,209 posts

216 months

Friday 1st February 2019
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anonymous said:
[redacted]
But there's nothing in the causal factors or contributing factors summary of the report that mentions the height at entry to the manoeuvre.

saaby93

32,038 posts

179 months

Friday 1st February 2019
quotequote all
NDA said:
saaby93 said:
Which is probably why in this case the manoeuvres were over open countryside
The return path back to base was over the trees next to the road
When he killed 11 people, he was still exiting the loop, at the bottom of it - at least in every single graphic I've seen.
yes but he shouldnt have been
The manoeuvre should have been finished and in level flight back to base
The level flight part turned into how do I try and get the nose up without pancaking into the..... too late

pushthebutton

1,097 posts

183 months

Friday 1st February 2019
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anonymous said:
[redacted]
However, there isn't lots in the report that backs your position up as I've shown. I've no intention of holding your hand and walking you through it. That's where you're going to have to suck it up and do it yourself. There are, however, a few pieces of information that would aid your comprehension and enable you to attach some figures to your position: a position you've arrived at by neither reading the AAIB report nor waiting for the court's verdict.

I clocked your personality type fairly early on in this thread. I'm more than aware that you're unable to move on from your position, even in the face of contrary findings from persons far more educated (AAIB) on this subject - and many others I suspect - than you. I do often wonder if you apply the same thought processes to other areas of your life where you develop inexorable stances on issues you are neither prepared to research nor equipped to understand.

Much love.

biggrin

2fast748

1,102 posts

196 months

Saturday 2nd February 2019
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pushthebutton said:
There isn't a professional pilot, commercial or military, who hasn't been humbled at some point in their career. The 'master race' misnomer exists only from an outsider perspective.
It would appear Andy Hill had a humbling moment in Southport but he missed the memo.

anonymous-user

55 months

Sunday 3rd February 2019
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First few pages make of this thread make for an interesting re-read. Lots of references to "Andy" make it sound like there are a fair few people who know him IRL.

Pesty

42,655 posts

257 months

Sunday 3rd February 2019
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Dr Jekyll said:
Nobody is saying he was blacked out a that point, the argument is that he blacked out briefly a few seconds earlier causing the top of the manoeuvre to be too low.
If you black out before a manoeuvre with chest pains it’s probably better to not do the loop I would have thought.


Robertj21a

16,495 posts

106 months

Wednesday 6th February 2019
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BBC today - 'No sign that pilot blacked out'

https://www.bbc.co.uk/news/uk-england-sussex-47150...