Turbulence Ahead? Assessing Boeing 737 Safety Concerns After Recent Incidents

Post originally Published January 21, 2024 || Last Updated January 21, 2024

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Turbulence Ahead? Assessing Boeing 737 Safety Concerns After Recent Incidents - Scrutinizing the 737 MAX


Turbulence Ahead? Assessing Boeing 737 Safety Concerns After Recent Incidents

The Boeing 737 MAX has faced intense scrutiny in recent years following two deadly crashes that killed 346 people. The crashes, Lion Air Flight 610 in 2018 and Ethiopian Airlines Flight 302 in 2019, highlighted potential issues with the aircraft's design and led to the entire 737 MAX fleet being grounded worldwide.

Investigations into both crashes identified problems with the Maneuvering Characteristics Augmentation System (MCAS), an automated stability system designed to improve aircraft handling. However, many experts say issues with MCAS point to more fundamental flaws with the 737 MAX.
Pilots have voiced concerns about the 737 MAX's handling qualities compared to earlier 737 models. Notably, the aircraft's larger engines changed its aerodynamic characteristics. To compensate, Boeing introduced MCAS. But pilots were not initially made aware of the system.
Captain Chesley "Sully" Sullenberger, renowned for safely landing an Airbus A320 on the Hudson River in 2009, called the 737 MAX "fatally flawed." He criticized Boeing for not outfitting the plane with redundancies to address MCAS failures. Sullenberger also chastised the company for providing inadequate training on MCAS.

Others argue MCAS was a bandage solution that failed to address underlying airframe issues. An aerospace engineer who worked on the 737 MAX stated it had "inherent design flaws." Because of engine placement, the plane tends to pitch upward in certain conditions. MCAS was intended to automatically push the nose down. But if the system failed, pilots were left without sufficient manual control.
The Ethiopian crash investigation found the pilots correctly identified an MCAS malfunction. But they were unable to regain control as the plane entered a fatal dive. This further spotlights the system's single-point failure mode.
Investigators also discovered Boeing removed some safeguards during 737 MAX development. For example, the company eliminated an alert system that would have warned pilots of sensor disagreements linked to MCAS activations.

In late 2020, the U.S. House Committee on Transportation released a scathing report on the 737 MAX crashes. It cited "repeated and serious failures" by Boeing and air safety regulators. The report accused Boeing of intentionally concealing information from regulators that contradicted its safety analysis.

Boeing insists the 737 MAX is now safe after software fixes, new pilot training requirements, and other modifications. But regaining public trust remains an uphill battle. Some family members of crash victims believe the planes should never fly again.

What else is in this post?

  1. Turbulence Ahead? Assessing Boeing 737 Safety Concerns After Recent Incidents - Scrutinizing the 737 MAX
  2. Turbulence Ahead? Assessing Boeing 737 Safety Concerns After Recent Incidents - Pilots Voice Alarm Over Handling Issues
  3. Turbulence Ahead? Assessing Boeing 737 Safety Concerns After Recent Incidents - Examining Possible Software Glitches
  4. Turbulence Ahead? Assessing Boeing 737 Safety Concerns After Recent Incidents - Calls for Improved Training Protocols
  5. Turbulence Ahead? Assessing Boeing 737 Safety Concerns After Recent Incidents - Analyzing Recent Crash Investigations
  6. Turbulence Ahead? Assessing Boeing 737 Safety Concerns After Recent Incidents - Assessing Potential Design Flaws
  7. Turbulence Ahead? Assessing Boeing 737 Safety Concerns After Recent Incidents - Implementing New Safety Measures

Turbulence Ahead? Assessing Boeing 737 Safety Concerns After Recent Incidents - Pilots Voice Alarm Over Handling Issues


Captain John Cox, a retired US Airways pilot, flew the 737 MAX in a simulator after the Lion Air crash. He immediately noticed something was off. "The airplane didn't want to trim up with the yoke anywhere near neutral," Cox recalled. "It was much more difficult than other 737s I've flown."

Trim refers to adjustments made to keep an aircraft flying straight and level. But with the MAX, the nose naturally wanted to pitch upward due to the placement of larger engines. This is called inherent pitch up and was exacerbated at high angles of attack.

To counteract this tendency, Boeing introduced MCAS. But pilots were not originally told about the system. When it activated in response to faulty sensor data, MCAS could aggressively push the nose down repeatedly. This overrode pilots' inputs.
Even when MCAS wasn't a factor, pilots found the MAX harder to control precisely, especially at low speeds. Captain Mike Michaelis said the plane didn't handle like a 737. Compared to the NG, he felt the MAX "lacked the gut feel and soul of every other 737 built over the last 52 years."

In simulator tests after the grounding, experienced 737 pilots had trouble performing certain emergency procedures on the MAX. For example, they struggled to quickly respond to runaway stabilizer trim – a scenario similar to uncommanded MCAS activation.
One major airline's pilots took a full 11 seconds longer to recover in a MAX simulator than a 737 NG simulator. Eleven seconds flies by fast at low altitude. The test highlighted concerns that pilots lacked sufficient manual control authority.
Pilots criticized Boeing for underestimating the differences in handling qualities. They felt the company downplayed the need for more expansive differences training. This could have better prepared them for situations like uncommanded MCAS activation.
But the data shows pilots consistently have more trouble maintaining precise control in certain MAX failure scenarios. Their lived experiences provide valuable insights that should inform discussions on improving training protocols and restoring confidence.

Turbulence Ahead? Assessing Boeing 737 Safety Concerns After Recent Incidents - Examining Possible Software Glitches


The 737 MAX saga underscores how complex software can introduce unexpected risks, even in mature designs. Modern aircraft increasingly rely on code to augment stability and control. But this growing interdependency highlights the need to scrutinize software rigorously.

Investigations revealed that Boeing engineers likely did not fully grasp MCAS's ramifications. The system could activate based on input from a single angle of attack sensor. This created an inherent single point failure vulnerability that violated airworthiness directives.
Problematically, MCAS was designed to operate in the background without pilot input. Boeing did not even inform pilots it existed when the MAX entered service. Yet it could apply repeated nose down trim in excess of what pilots could manually counteract.

When MCAS activated due to faulty data, it essentially hijacked control from pilots. Boeing compounded matters by eliminating some existing safeguards during development. For example, the MAX lacked a disagree alert that would have warned pilots of sensor discrepancies.

The Ethiopian crash report rebuked Boeing's "design philosophy" that assumed pilots would immediately recognize and resolve software faults. In reality, startle factors and cognitive tunneling can impede optimal responses in emergencies.

Equally important is instilling a healthy skepticism when developing flight control systems. MCAS highlights the risks of automation bias and overconfidence in code. Software should support pilots, not supplant them.
The returning MAX includes more robust system redundancies and better annunciations of failures. Boeing also updated its development processes. But quality control and safety culture issues clearly need continued attention.
Some aviation experts contend MCAS never should have been necessary in the first place. They argue the MAX's lacking flight dynamics stem from more basic design choices. This amplifies the need for a blank slate approach to software on future programs.

Turbulence Ahead? Assessing Boeing 737 Safety Concerns After Recent Incidents - Calls for Improved Training Protocols


The 737 MAX crashes exposed gaps in pilot training that demand attention. While Boeing erred in many respects, airlines and regulators also have a duty to equip crews for handling emergencies.

Pilot unions contend the MAX's flight control system flaws caught aviators off guard. Boeing did not originally require specific MCAS training. The company assumed pilots could deduce how to respond to uncommanded activations based on existing procedures for runaway trim.

But the situation proved far more complex. When MCAS activated in the two MAX accidents, it created chaotic cockpits. Startle factors and cognitive tunneling diminished the crews' ability to analyze failures. Without direct knowledge of MCAS, they struggled to grasp why the planes were not responding to their inputs.
The accidents underscore the risks of introducing new automated systems without sufficient training. Pilot expertise filled gaps in earlier generations of aircraft. But the MAX MCAS violated pilot expectations through its authority and lack of redundancies. Boeing and regulators mistakenly banked on generic skills compensating for design deficiencies.

Critically, MCAS altered the fundamental relationship between pilot and aircraft. Aviation writer Christine Negroni compared it to driving on ice for the first time. Extra vigilance and training would help drivers handle the different dynamics. Similarly, pilots needed explicit preparation for MCAS.
Negroni also highlighted the importance of disclosing hidden automation like MCAS. Pilots make calculated guesses when troubleshooting issues in the cockpit. They must form accurate mental models to respond effectively. Gaps and misconceptions can breed confusion.
Modern aircraft demand even greater sophistication managing automated systems. But protocols and training have not kept pace. Pilots want improved instruction on overcoming automation complacency and traps like automation bias. More rigorous simulator scenarios focused on automation failures would hone their skills.
Standardized protocols across airlines would further help pilots react decisively when automation acts unpredictably. Consistent training and procedures enable instinctive responses. Currently, individual airlines have significant leeway designing curricula beyond baseline regulatory requirements. But global threats call for more coordinated efforts.
Some nations mandating extra MAX training have seen positive results. For example, Canadian pilot performance convinced regulators to lift the country’s MAX ban independent of the FAA. The data demonstrates the safety dividends of enhancements.

Turbulence Ahead? Assessing Boeing 737 Safety Concerns After Recent Incidents - Analyzing Recent Crash Investigations


Thorough crash investigations are crucial for identifying deficiencies and restoring public trust after aviation tragedies. The inquiries into both 737 MAX accidents revealed troubling oversights while showcasing international cooperation and transparency.

Indonesia's National Transportation Safety Committee (NTSC) concluded design flaws, inadequate training, and maintenance issues contributed to Lion Air Flight 610’s demise. The report criticized Boeing's design assumptions and FAA oversight. It also highlighted cockpit chaos as pilots struggled to decipher a barrage of alerts.
In response, the FAA convened a Joint Authorities Technical Review (JATR). The multi-agency panel recommended design changes and new crew procedures for the MAX. It also pushed for more holistic, integrated assessments of modifications rather than a piecemeal approach.

Meanwhile, Ethiopia's Aircraft Accident Investigation Bureau (AIB) investigation found MCAS activated based on faulty data in the Ethiopian Airlines crash. The report slammed Boeing for faulty assumptions "that airplane design changes did not require additional pilot training or change." It also faulted airlines and regulators.
The inquiries proved critical for grounding the MAX and driving safety enhancements. They combined impressive technical analysis with searing criticism of Boeing and oversight lapses. Aviation analyst Bjorn Fehrm described the reports as "pulling no punches” in their scrutiny.
Another key takeaway was international coordination. FAA Acting Administrator Dan Elwell committed to working closely with global regulators on clearing the MAX for flight. The successful collaboration helped incorporate insights from multiple perspectives.

Of course, more work remains sustaining productive global partnerships. The FAA faced criticism for lagging other authorities in grounding the MAX initially. But the integrated review and training review processes helped rebuild bridges.
In the end, the rigorous inquiries validated public concerns while identifying concrete remedies. They also laid bare how regulatory and corporate cultures contributed to missteps. By embracing hard truths, the foundation was laid for targeted improvements.

Turbulence Ahead? Assessing Boeing 737 Safety Concerns After Recent Incidents - Assessing Potential Design Flaws


The 737 MAX crashes spotlight concerns that run deeper than flawed software. Rather, some experts contend the accidents stem from more fundamental design choices in developing the latest iteration of Boeing's workhorse narrowbody.

This amplifies the debate around whether MCAS should be viewed as an isolated factor or symptomatic of larger airframe deficiencies. It also raises questions about the soundness of modifying a legacy platform like the 737 rather than designing a new airplane.
Renowned aerospace engineer Dr. Stephen Phebus testified before Congress that rushed development produced an "inherently unstable design." He highlighted that larger engines changed the MAX's center of gravity and aerodynamic handling qualities.
To compensate, Boeing pushed the engines higher and farther forward on the wings. But this reduced ground clearance, necessitating the now infamous nose up tendency. Simply put, inherent airframe flaws drove instability MCAS then aimed to mask.

However, MCAS was an imperfect, Band-Aid solution according to Dr. Phebus. He explained that placing heavy engines ahead of the center of lift decreases damping. This reduces a pilot's ability to recover from a stall or instability.

Other experts echo this analysis. Aeronautical engineer Peter Lemme asserted MCAS did not actually solve anything. It just provided temporary corrections. But without directly addressing the MAX's aerodynamic issues, the aircraft remained vulnerable.
These perspectives suggest overlap between the original platform's dynamics and the subsequent software modification. They indicate maximizing commonality and expediency came at the expense of optimizing the 737 MAX design itself.
This narrative aligns with internal documents indicating Boeing prioritized containing costs for airlines over more extensive modifications. The company sold the MAX as an easy upgrade requiring minimal pilot retraining.
But such an approach inhibited aggressively tackling inherent stable flight challenges. It also helps explain why Boeing introduced MCAS relatively late in the development process as a reaction to flight tests rather than holistic design evolution.
In the future, blank sheet designs may hold advantages over prolonging legacy platforms like the 737. Airbus took this approach with the A320neo family. Boeing seems to be doing the same with its NMA "Middle of the Market" concept targeting the 757/767 replacement market.

Turbulence Ahead? Assessing Boeing 737 Safety Concerns After Recent Incidents - Implementing New Safety Measures


Restoring trust after a crisis demands implementing tangible safeguards. For the 737 MAX, bolstering redundancy, refining software, and enhancing pilot training aims to prevent any replay of the deadly accidents that led to its prolonged grounding. Critically, aviation culture must also evolve to encourage more transparent design philosophy and data sharing.
Following the crashes, Boeing worked to introduce more fail-safes and reduce reliance on any single system. For example, the MAX now compares data from both angle of attack sensors rather than just one. If the readings differ by a significant threshold, MCAS won't activate. The aircraft also includes a new alert to warn pilots of sensor disagreements which was missing before.

Additionally, MCAS can only activate once based on high AOA data rather than firing repeatedly. Boeing also reduced its degree of nose down authority. Finally, pilots can now countermand uncommanded MCAS activation simply by pulling back on the control column. In the previous design, MCAS could overpower pilot inputs.
Besides hardware modifications, revisions better annunciate MCAS activation and failures. Boeing improved crew alerts and provided more details about the system in flight manuals. Unfortunately, the company's transparency came only after tragedy.
Critically, all pilots must now complete enhanced MAX training to return it to service. Simulator scenarios will better prepare them for unusual emergencies related to MCAS. Lessons learned from the crashes directly informed training requirements.
Focusing narrowly on MCAS risks overlooking wider issues though. Fundamentally, Boeing needs to rethink relying on software bandages rather than addressing root hardware deficiencies. Future clean sheet designs should optimize aerodynamics holistically from the start rather than via late stage addons.

Equally important is creating an environment were engineers can freely voice concerns over schedule and cost induced compromises. Internal messages indicate some wanted more substantial MAX modifications. But a culture of expediency won out.
Trust dictates acknowledging uncomfortable truths even when business incentives press otherwise. Boeing requires genuine soul searching on why profit trumped safety in key decisions. Only through transparency and accountability can lessons become ingrained.
The MAX story also highlights the need to share data more proactively across the industry. Airlines want insights to refine training and procedures when risks materialize. Boeing's secrecy denied pilots information to prepare for emerging issues like MCAS.

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