Accident Case Study: Conflict in the Cockpit - REUPLOAD
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- Опубликовано: 20 май 2024
- Note: We’ve replaced the original video with an updated version using a color-corrected flight simulator animation. We appreciate your patience and understanding.
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It’s July 26, 2021, and the crew’s first time flying together on the Bombardier Challenger 605. The initial portion of the planned flight from Idaho’s Pappy Boyington Field in Coeur d’Alene to Truckee Tahoe Airport in California is uneventful and does not allude to the troubling tension eventually building between the first officer and his younger captain.
Join the AOPA Air Safety Institute as we examine the circumstances that led to the tragic outcome just seconds before landing at Truckee Tahoe Airport. We look at crew dynamics during the flight and improper energy management during the circling approach to the airport.
The Accident Case Study series uses FAA ATC radio communication transcripts, NTSB documentation, and video animation to recreate accidents and share critical lessons, so we can recognize and avoid similar mistakes.
Learn more:
An NTSB safety alert warns that circling-to-land approaches can be riskier than other approaches because they often require maneuvering at low altitude and low airspeed during the final segment of the approach, increasing the opportunity for loss of control or collisions with terrain.
This inherent risk is even more pronounced in larger, faster airplanes, when energy management is essential. The FAA’s Instrument Procedures Handbook urges caution when attempting a circle-to-land maneuver, especially for category C aircraft as the maneuvers are often conducted with precipitation affecting visibility, depth perception, and the ability to adequately assess the decent profile. It warns that circling approaches conducted at faster-than-normal, straight-in approach speeds require pilots to consider a larger circling approach area.
Interestingly, another example of the circling approach risk and the need for proper energy management is an accident that happened six months later involving a Learjet at San Diego’s Gillespie Field in California. Watch our Early Analysis video of that accident - www.aopa.org/training-and-saf...
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We’ve replaced the original video with an updated version using a color-corrected flight simulator animation. We appreciate your patience and understanding.
Well I'm just gonna have to watch it again then!
Thanks for doing these videos! I have to admit, I watched the first one, and don't recall anything wrong with the color in the animation.
thank you for the dedication to making accurate videos!
More case studies please! Actual production quality and by far the best of many aviation and plane crash channels. KEEP UP THE GOOD WORK.
Hey is that that a jab at mentor pilot
👍👍👍
Either that or less accidents to study. Both are fine.
@@darkprose ahh… an idealist
I would literally pay for these to be made, yearly subscription or whatever
Get-there-itis is unforgivable. Ego and pride are even more so.
I don’t really think that ‘get-there-itis’ has anything to do with anything that went on here. This is simply a guy with an ego he couldn’t control creating a whole lot of pain and sadness for his friends and family, AND those of his captain.
"We don't want to be on the news"
FO saw it coming from FL400 given his comments
Thank you for keeping this series alive. RIP Richard
😢
I'm glad air safety did this video. Listening to the radio traffic you would have never picked up on the conflict in the cockpit. This paints a much more complete picture of the incident.
Cockpit controls at 40,000 feet is no place for ego boxing. Neither will have to worry about who is a more accomplished pilot again.
Being a pilot myself I must say that there is nothing worse than a co-pilot that is not a teamplayer. Sometimes we have a bad day, and sometimes the other guy has a bad day. And every single pilot is absolutely in need of help of a good teamplayer at his/her side. But this first officer diminished flight safety every single time he opened his mouth.
Yes 1 questioned the pilots desire on what approach 2 did not provide info on smoke in area 3 made a sparky remark about whispering 4 dropped the flaps during left turn without informing pic imo his arrogance really contributed to the pilots confidence and perhaps comfort in accessing the plane and situation was getting ahead if him. A really terrible pairing of personalities and experience in that place.
It begs the question as to why the FO was still an FO at 14,000 hours..?
F O was a jerk.
the co plilot of this flight was a "teamplayer" for safety.. just the pilot ignored him and they died
I really, really like the accident case studies. This one just about turned my stomach. I've flown with guys like these, and I'm done with that. Nothing is worth that.
I am curious when you say "guys like these" to whom are you referring: Captain, First Officer or both of them?
@@apackwestbound5946 Both. One indecisive but in charge, and one decisive and snarky, not in charge but thinks he is
@@inspector4133 Thank you for the reply and clarification!
Wow, unbelievable. An accident was bound to happen with this type of cockpit dynamic. The FO was essentially trying to assert control the entire time, and successfully did so. The Captain’s lack of awareness during the hold & the approach clearly shows that his psychological bucket was full from stress. To me, it sounds like the FO’s attitude was a major contributor in this accident. I’m baffled by how uncooperative the Fo was, he was trying to dominate instead of support the new Capt. Would’ve been nice if this video dove more in to the perspectives of each pilot & used it to teach about personality, emotions & control.
I agree it seems the Captain has ceded authority to the FO and is somewhat resigned. In my opinion the FO was doing a very bad job of been 2IC. I suspect he thought he should have been PIC given his higher hours on the aircraft.
If it was my aircraft I would have stopped the approach conducted the hold and had a discussion that I Was the PIC and I needed the other pilot to support me as the PIC and only take the lead if there was an hazardous situation I was not responding to. The rest could be resolved on the ground.
Interestingly the 2IC stepped on his toes the whole flight but the time he should have actually taken control near the end and announced it he didn’t.
To me the main culprit is the company giving the captain position to the guy with 20x less experience in the airplane and far less total time also. The FO wouldn’t feel the need to interject if the captain knew the basics of the plane like how to program the navs and follow basic atc instructions.
@@SMMiles this is not unusual, once qualified command isn’t normally determined by experience. It’s possible the Captain wasn’t strong in which case they will often put them with someone more experienced that can HELP. The 2IC could have done a lot to help the captain and unload him. It’s part of the role for a co Captain follow not lead.
Think of a sports team sometime you have to rotate your striker etc so other members can gain experience.
@@chrisbeauchamp5563 was the captain really qualified? He didn’t even know how to do the basic rnav programming-something he should have become familiar with long before becoming a captain in that aircraft. So who at the company was giving this guy the “fast track” and promoted him improperly?
It’s just as shocking watching it a second time!
Unbelievable that a captain would pilot an aircraft without understanding ALL the on-board equipment.....
Exactly
Narration top class
Captain is incompetent and FO is antagonistic, yikes
OMG..what a combo....
It was apparently the FO that killed them, though.
@@user-of9qq6op5u rewatch, they both share healthy servings of blame from the NTSB. Both had opportunities for this thing to go much better and both made decisions that actively contributed to the crash
@@websherp it was deploying the spoilers that caused the crash. The FO did that.
@@user-of9qq6op5uLunacy. The FO was actually a pilot.
I like the attention to detail in this video. You even showed the Burning Man site on their flight path!
Definitely spoiler deployment did them in. You can feel those things when they are out there's buffeting, with everything else going on however, low visibility that was a recipe for disaster. The decision to go around needs to be made and kept. You're not going to save an over center line approach at that DA density altitude with something like that. Lot of mistakes.
As I re listen to this, it’s clear from the audio that the FO had a huge attitude problem and it’s his snarky remarks that seem to initiate the conflict in the cockpit. Well, now he has all of eternity to think about his attitude problem.
Wildly disagree. The captain was defensive and ignoring advice that would have saved his life. Who cares if someone is snarky if your life is on the line s
@@Fuzzypotato2 The captain cared apparently. When your life literally is in the hands of somebody, it's best not to antagonize them too much. Humans do not do their best work when they're in a bad emotional state.
The FO was working against the Captain not with him. And why he was an FO is probably to be found in his work history.
FO sounds condescending. Not helpful, further rattling the captain.
Total lack of CRM. Very, very sad. And avoidable.
FO’s ego in the beginning set them up to fail. There was obviously something not right with the Captain, he was in over his head. Being a jerk only added to whatever was going on. FO is there to assist and should have recognized what was going on earlier. Scary to think what is going on in the cockpit when you are in the back along for the ride.
First Officers fly just as much as captains. They alternate legs. And the FO does not have to sit there and let the captain put the plane in peril.
Deadly dynamic that’s for sure.
How could he be made captain without knowing how you use the flight computer?
Absolutely.....
Budget constraints. Profit trumping everything.
Accident case studies are top notch, always get excited when I see a new one uploaded!!!
was due to “the first officer’s improper decision to attempt to salvage an unstabilized approach by executing a steep left turn to realign the airplane with the runway centerline, and the captain’s failure to intervene after recognizing the FO’s erroneous action,”
These are the best production quality accident case studies on RUclips.
Would you consider doing commercial flights too?
. . . . . . . And despite their best efforts, they still ended up on the news.
Your conclusion is SO important in any leadership situation or relationship!
We appreciate your patience and understanding. We appreciate your videos.
Thank you for the fix! Please give us more accident case studies though. My dad and I love these!
Consider donating to the Air Safety Institute so that we can keep making these videos! Link is in the description.
They forgot the old adage we preach at ASDC ( Aerospace Defense Command ) Take your time and do it right, I thank there is a song I listen to before I fly by the S.O.S. Band - Take your time (Do it right)
They let that plane fall out of the sky. FO should have checked his snark at the departure airport.
I totally disagree. They were in the wrong seats. FO knew he had a Capt that was lost.
@@69ChevyGarage it was his job to assist the captain, not give him attitude. They both had roles to play and neither one did.
@@69ChevyGarageso what? Doesn’t mean you have to be an asshole. Stow that attitude and get the plane safely on the ground. THEN you can “debrief” the new captain any which way you want.
@@intheshell35ify I would never fly with you. Your "the right way is my way" attitude is fatal. The FO was trying to assist the captain. The captain killed them. Yet you blame the one trying to help, not the one that killed them both.
That is proof of your irrationality and immense ego.
@@marc21256 you sure know a lot about me from just 2 sentences.
WE WANT MORE VIDEOS! thanks....
One word describes this tragedy. *EGO*
200 hours in an aircraft seems like not a lot of time to be the one in charge and at the same time 200 plus hours this guy should have been able to operate the aircraft in a professional manner. The FO was unprofessional and aggressive. Neither should have been flying that airplane that day.
Thanks for reuploading this.
Upon looking at the figures, it makes sense how the first officer commands in authority thinking like " I have more experience than you",
“We don’t want to be in the news. Or one of those AOPA accident case studies. They’d make us look like incompetent jerks. Ha-ha-ha. Ha-ha... Ah.”
The only thing worse than no pilot flying the airplane is two pilots flying the airplane.
Or trying to.
Thank you for this
Hello & respect from São Paulo, Brazil 🇧🇷.
I think the first officer attitude contributed a huge amount on the accident. Even though he knows he’s the more experienced pilot, he should’ve tried to help the captain and don’t put free stress on him. It’s seems to me he was always trying to humiliate him.
FO sounded frustrated with the Captain's performance & ADM, that likely increased as they went through the day as a Team. Might be that the FO was junior in seniority & therefore not assigned as PIC, which he may have been better suited for than the Captain. I hear that in his communications & he was professional about it. The Captain was behind & partly disoriented
The Captain was an idiot and the FO was unprofessional. The FO should have *taken* control of the AC, leveled the wings and gone around in any safe direction. Deal with the BS on the ground, not in flight.
Most pilots are professional and fly safely
These pilots were exception and not the rule
Thankfully.
It’s a shame that poor copilot had to put up with that captain
Can someone explain to me how it is possible that someone who seems to be relatively unfamiliar with the aircraft they are flying to be the captain on that flight? This just doesn't make any sense to me
surely it’s to acquire hours, since they’re in the presence of an experienced pilot. although with passengers and in real weather is questionable (coming from an idiot who’s never been off the ground)
"It's not what you know, but who you know "
Most of the industry is seniority based, that is time with said company determines what seat you occupy, what equipment you fly, what days you work. I sit left seat in a 737 with 18,000 hours and I have had one or 2 grumpy FO's with well over 20,000 hours in the right seat. When you switch airlines or move to another airline, you move to the bottom of the seniority list, your flight time does determine when you will occupy the Captains seat, your Date Of Hire determines that.
@@imdabeast100it’s way to expensive to run these aircraft without passengers or cargo. Airlines/commercial operators trying to make money don’t just have spare aircraft to train pilots on. Most airline pilots get their type ratings(the ratings needed to fly a specific aircraft) in a simulator and the first time they fly the actual aircraft is with passengers and cargo. There’s usually 2 more pilots on board, a check examiner making sure the new pilot can safely fly the aircraft, and another experienced pilot, ready to take over. Although there might only be just the examiner with the new pilot, again, ready to take over should the new pilot make too many mistakes.
He was hispanic if that helps you.
great safety video
I've been in several very stressful situations in my life and I've felt my mind being hindered significantly by stress. I feel like I can relate to the captain's mental state. Also I'll be honest... There's nothing quite like another human being pissing you off. Especially in a high stakes environment where you can't just call a time out and resolve your beef. What I don't understand is the FOs's final decision to extend the spoilers... That was a death blow.
I only have a few hundred hours of Jet team flying, But it seems to me that the older more experienced pilot in the right seat lost track of the mission of getting your passengers on the ground safely his ego of not being in the left prevented him from saying " you're flying great Capt how about I program the box and you keep us on course I'll navigate you fly" in the immortal words of Iceman " you may not like the guy you're flying with he may not like you but in the end who's side are you on".
That was a pissing contest... 😎
...with no winners.
Why not do a straight in approach! Good learning here
Se extraña a Richard 😢.
Banking sharply, at high altitude, in a circling approach is bad enough. Seems like deploying spoilers at that moment was a grossly bad idea.
Nice video...and a very interesting accident! I would **guess** that the personality problem that these pilots had began...maybe before takeoff. Clearly, the SIC had a bad attitude. Was it an age thing? Was it the steep experience gradient in that make/model? Or the fact that the SIC quickly perceived that the PIC was not up to speed on the avionics of the jet he was supposed to be commanding? Something. But you can tell that the SIC did not think very highly of the PIC's abilities. If the other pilot in **my** cockpit ever refers to me as, "my friend" even once, we're going to have words. I'm not your friend; you're not mine. It's sad that these two guys could not get along well enough to conduct a relatively "easy" flight. When passengers book a plane with two pilots, they assume that the level of safety is increased. That is not always the case, as this tragedy proved.
When landing a jet, one must fly a stable approach because this ensures the highest probability of not dying in a crash.
So far no one is mentioning division of labor. A lot was made of the PF ( pilot flying ) not being able to manage the FMS. The PM ( pilot monitoring ) was contemptuous of the FP for his lack of ability. In my fractional company the PM ALWAYS manages the FMS unless the FP instructs otherwise. The NFP also works the radios. The FP FLYS THE F'N PLANE!!!! Responsibilities were completely screwed up. THAT led to this outcome.
May be a silly question, but I’ll ask it. Why use the actual audio for a portion of it, and reenactment audio for the majority of it?
reenactment
Thanks for your question! The NTSB does not make CVR (cockpit voice recorder) audio available to the public. Usually the only audio recordings available are calls that are transmitted over the radio. The NTSB does, however, provide a written transcript of CVR dialogue, which we used for this video.
1st rule
Fly the plane.
2nd rule
Oh
Well you know.
3rd rule
Oh geez whiz😂
re-upload?
Damn
Lack of professionalism in the cockpit for sure.
I ain’t no pilot but flew lot recreational in small planes with my dad. Even I know they should have stabilazed and go around.
No notice on this one for some reason.
Makes my day when a new accident case study pops up
"We don't want to be in the news, do we?"
Uh.... about that.. .
Burning Man Festival spotted at 3:21
Worst f/o ever. Reckon he beat his wife and dog? CRM is EVERYTHING
It sure seems like the captain would have been the one who made the steep bank angle. Yet the findings state it was the co-pilot.
Since the younger person with much less hours, (total and aircraft tupe), was the captain, I have to wonder if it is one of those "it's not what you know, but who you know" things.
Most of the Airline business is based upon seniority, your date of hire determines when you move to the left seat, not your total hours.
The pilot was hispanic
@@mickeygraeme2201irrelevant
I can't help wondering about the FO's career arc, and what that says about his competence. He had 14,401 total hours, including 4,410 on type, he is older than the PIC, yet he's still an FO, not a captain? I'd like to hear from experienced ATPs: does that seem reasonable to you, or strange?
Seniority doesn't care about age or flight hours. Unions make sure of this.
It isn't about flight experience. Just how long you've been with the company. If your airline goes bankrupt and you're a Captain with 15,000 hours then you will start over as the most junior First Officer at your new airline.
Wow, the smart ass co-pilot got everyone killed?
But the Captain was a poorly trained pilot for that aircraft.
So being an asshole is the correct response?
please use the older dudes voice for the narrator of the case studies if possible 😂
Why is a 200 hr Capt while the 4000 hr is an FO?
Precisely my thought. The operator of the aircraft should share some liability for pairing these two off.
The FO was likely a permanent FO and for a reason .... He never should have been a pilot at all.
He was hispanic that's why
Because most of these companies operate based on seniority. Meaning hours don’t determine who sits in the captains seat, date of hire does.
Based on the FO s lack of professional behavior it is very likely that he was never going to be a Captain, and management knew that or that was their choice... With his total flight hours the reasons he was still in that end of the industry in that capacity is very suspect. The seniority suggestion is highly naive at best since with that many hours that guy had been around the block, for just one point. Odds are he had been around many blocks, and that is why he was still an FO for somebody and blaming the world and everyone he was around for his lack of success...His working against the Captain got him the result he was working towards, whether he knew it or not.
Before eight minutes I'm reading microstroke or other CNS crisis compounded by Cap trying to look cool-and-collected while flailing a bit which I get
Whatever happened I think mild panic appears to half self-compounded in a full panic. First Officer was obviously trying to keep a steady level. Seems to have spotted that Captain was having whatever and tried to talk carefully and measuredly and with some very-intentional, carefully-chosen words
Pilots like this FO is why bizjet pilots are not viewed favorably in the airlines. This guy probably would not pass probation with attitudes like those exhibited on this flight.
Very nice analysis. The pilots' interactions appeared strangely dysfunctional. In particular the FO comes off as an individual who is difficult to work alongside.
Go arounds are free.
Unfortunately, they are not free. The airline dispatcher will calculate the additional fuel and the schedule disruption for the go-around and hold the flight crew accountable.
Incompetent captain with a jerk as a first officer who can't get over his own ego. None of these guys should have ever been in a cockpit. Unfit.
Why is the Captain inputting the data. That’s the pilot not flying job.
Some of the worst crm I’ve seen, egos don’t belong in the cockpit
Captain got them killed, too incompetent to enter a f----- fix, tragic
Wow. Why would the company put the much less experienced pilot in the captain seat? WTH?
Because he was hired long before the FO.
Seniority and unions is a simple concept. Doesn't matter if you're chuck yeager
Extremely wealthy flyers
As a lay person, I must say that the actions of the first officer were unconscionable. He literally let his ego, and his need to talk down to a person who is already under stress, kill himself and others!!!!!!! People and their crap
I really like the other narrator better I’m sorry to say. I don’t mean to hurt anyone’s feelings. But the person that does.” Delayed Reaction ” and others is much more interesting and compelling.
Travis retired from our video work. He was an iconic voice for us for many years. We're grateful for his work with us and wish him well!
Oh, I didn't know that two 5-year-olds can fly an aeroplane......
My airplane is a simple instruction. I can’t believe how that captain reacted.
Do a couple of Ahooes have the right to cause the death of many others?
Can we assume they had no synthetic vision? if so you forgot to mention the significance of that.
Incompetent Captain had no business being in the cockpit
Pride kills every time. Unfortunately, the passengers were along for the ride. The FO, in my humble opinion, is completely at fault. But, the Captain should have exerted CRM.
I said it in the previous video that got deleted and I’ll say it again. The AH attitude of the first officer is a distraction. The real cause of the accident is both pilots’ complete incompetence at using the TAA avionics. There was absolutely no reason to accept the IAP to the short runway and follow it by a dangerous circle-to-land maneuver when there was another IAP available to the desired runway. The pilot’s preference of visual flight procedures and unfamiliarity with instrument flying is evident throughout the flight.
For fucks sake please stop flying modern 21st century aircraft as if it’s 1970s. If you can’t reprogram your navigator in flight you don’t belong in the cockpit.
Incompetent captain and arrogant first officer. Sad for the passengers to trust these two clowns with their lives.
That's sad
Pilot in command’s fault and it’s clear the first officer was the pilot in command. He took command of the airplane. He might have been the better pilot but the conflict caused the accident,
I C
The Captain sounded like he shouldn't have even been in the cockpit.
The First Officer should have been PIC and just got the aircraft on the deck safely.
The lack of ability on the part of the Captain and the clash of personalities was a clusterf@©k waiting to happen.
Sad and avoidable loss of life.
The FO has a big ego. Too bad he did not get the necessary attitude adjustments earlier in his career. The captain was not competent in the aircraft and leadership presence
It’s absolutely crazy the Captain has only 200 hours and the FO has 4000 in this type. And 3 times the overall hours. Why is the Captain in command???
Yead, I'd like to know that, too...
Training?
The captains ego got the better of him here, I feel. He could have, instead, let the First Officer have control of the airplane and taken a back seat to the matter. Who knows-- he may have earned the respect of FO in the process.... The FO came across as a domineering know it all. The only way to deal with these fellas is to let them have control & suck it up...
So, can it be assumed the FO was jealous for not hetting the captain role, and the captain was simply being a captain and not allow being dictated to, hence starting to shut - out the FO. Interesting that the FO wanted to 'help', but ended up not helping at all. In the end I concluded that neither one of them was in control of flying this craft, which is nr 1 rule in aviation - fly the aitplane. I wish there was a way to see how it would have gone if the pilots switched seats. Would a personality clash again produce a toxic cockpit environment and if so, would it crash the plane. With so much many points of error that can be determined to be the final nail, i think the moment the FO started to physically 'help' flying the plane, without proper handover protocols was the final nail in the coffin. He literally hi-jacked the flight instead of offering professional assistance. The pilot actually warned the FO that actions were starting to become a news event. I just think he did not know how to tell the FO to assist rather than take over. Fascinaty pshycology to uncover here.
FO was a real tool
In my opinion The FO wanted to act as a captain and had way too much ego. Although the captain doesn’t have as much experience as the FO on that aircraft the FO should actively help as the pilot monitoring.