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2nd-Guessing Accidents (aka Seeking Personal Insight)
So far, the USA's 2012 northern spring appears to be shaping up to be a
"typical soaring season" in accident terms. In my view, that's not a good thing. Why? Summary-to-date follows... - - - - - - 1/28/12 - 2-33 seriously damaged in a non-rope-break approach accident; at least one occupant precautionarily taken to hospital for back pain. 2/5/12 - Duo-Discus (NOT an accident - but easily *might* have been) landed at Heavenly Valley Ski Resort on a Sunday during a BFR. 2/22/12 - Twin Grob seriously damaged in some TBD situation/manner in HI; no known injuries. 4/5/12 - HP-14 "substantially damaged" with no known injury to pilot in an attempted on-airport landing. 4/11/12 - SZD-48 "substantially damaged" and pilot suffered "minor injuries" in some sort of TBD landing accident. 4/29/12 - JS-1 bailed out of after some sort of TBD rudder control system failure; pilot apparently not seriously injured. 5/5 (or 5/6)/12 - PIK-20D seriously broken in a landing accident; pilot apparently not seriously injured. - - - - - - So far: - 0 fatalities; multiple precautionary hospitalizations - 1 glider almost certainly destroyed - 5 gliders substantially damaged - unknown amount of anguish & after-the-fact soul-searching by numerous people/pilots - - - - - - 5 out of 6 accidents (almost certainly) easily avoidable. - - - - - - JUSTIFICATION/THINKING Reason for this post is simply to openly discuss a topic that inevitably induces heartburn in some of our U.S. soaring community's too small population: individually-based accident assessments...often called "2nd-guessing" or "speculation." Not infrequently, doing it generates real ire in some, especially in an interactive forum as RAS. FWIW/IMHO, trying to learn from others' misfortunes ASAP (always a personal goal), better the serves the active pilot community as a whole than "waiting until the NTSB/official report" to begin "officially-supported speculation." Learning is a lifelong process, and those *always* actively seeking to learn from others' situations/events/misfortunes are more likely to do so in considerably more timely fashion than those "of inquiring mind who prefer to wait (for NTSB reports,)" or (worse), those of closed/uninquiring minds. To my mind, an active desire to learn is simple prudence, given routine engagement in activities containing sufficient kinetic energy to easily kill participants (e.g. driving, flying). I've acted on this thought ever since obtaining my auto license. Prior, the first person I applied my critical judgement to was an older sister whose general lack of behind-the-wheel "situational awareness" made a doofus 16-year-old (me) nervous to the point my mother and I agreed it was preferable for me to hitch-hike home from high school than wait to be chauffeured by my older sister. (Yeah, that was a different time in the U.S. back in the late '60's!) I expanded my critical assessment arena to include power flying during college, from beginning to read "Flying" magazines left around the undergraduate engineering lounge. By graduation time I'd a working hypothesis that most car/power-plane accidents were driver-/pilot-influenced, if not outright induced. I began taking soaring lessons in late '72, and sometime approaching initial solo was given a handout of "Soaring" magazine "Safety Corner" articles from the mid-1960s by my Club's chief instructor. Prior to then, we'd exchanged perhaps 2 or 3 sentences, and the older gent intimidated wet-eared me due to age, position and relative experience. He may not have walked on water as I suspected he did, but I knew darned well that *I* did not! So it was with genuine concern that the exchange of reading material from him to me included also the assignment: "Read these, and tell me the most important lesson in them." Talk about pressure! Absorbing the articles took a month or so...and about the ONLY lesson I could see in them was the bulk of the incidents and accidents were "stupid pilot tricks." Uncertain this was the insight the Chief Instructor was looking for from me, I read the articles a second time, more slowly. I then procrastinated returning the collection for fear of failing his test. Major Relief: I passed this particular test. Forty subsequent years of continuing to try and learn from others' misfortunes haven't substantively changed the assessments made in the 1960's (about drivers) and the early 1970s (about pilots). IMHO, only a single-digit-small percentage of accidents are NOT operator influenced (if not outright induced). Unsurprisingly, my own flying (and driving) careers reflect that assessment. Happily both have fairly rare and essentially exclusively minor personal contributions to the incident/accident records, though there was one soaring accident in 1975 that was major (in glider damage terms), dramatic (in pilot terms) and was arguably in the pilot-influenced category despite never being outside demonstrated/POH V-n limits. Had the same set of circumstances been encountered subsequent to gaining the 1st-hand experience of the '75 event subsequent to then, no one would've known of the subsequent incident unless I chose to share it with them. Sort of a QED event, one could say, in the "learning from others' misfortunes" sense of things! - - - - - - MINDSET It matters. How a pilot thinks matters, because thought patterns inevitably affect piloting actions. (Would anyone seriously try to self-teach solo flight in glass single-seaters in the absence of FAA requirements for dual instruction in SOMEthing prior to solo/license? My point here is it's pretty much self-evident to rational people that self-preservation-instinct alone is sufficient to influence one's thinking to conclude dual instruction in sailplanes is a good idea. How a person thinks, matters.) Mindset is as true post-licensing as it is pre-licensing, though arguably perhaps more subtly so. If you think ridge soaring is no more risky than thermal soaring, you're more likely to attempt to do both similarly...adding additional risks to your ridge soaring attempts that a different mindset could mitigate. Ditto cloud flying vs. VFR flight. Or downwind landings vs. upwind landings. Etc., etc., etc... - - - - - - SPECULATION I've been doing it for decades, and have never thought myself poorer for it in knowledge-/insight-gained, or more ill-informed for having indulged. "But what if you're wrong in your speculative accident conclusions?" some may ask. Excellent question. Let's consider a speculative, unintentional stall-spin/departure from controlled flight scenario. I've been at the gliderport when a friendly acquaintance died from one. (The preceding statement is my conclusion; the NTSB added no substantive causative insight to this particular crash, which you can find under HP-16s). Why it happened was a mystery to me then, and remains one today, but one more destroyed glider and one more dead pilot. Another friendly acquaintance - and high-time power and glider pilot/instructor - died from such in the pattern on a benign day from the same cause (SZD-59). Happily I've never had to actually WITNESS a departure from controlled flight in the pattern, though I HAVE seen a 2-33 (on a dual instruction flight!) hit a tree on a low approach, and have seen WAY too many inadvertent low approaches for good health (theirs and mine!). Know what? Most of the resultant low patterns were NOT suitably modified by the self-inflicting pilots to mitigate the inherent hazards in them. All could have been of course. WHY were they not modified? Mindset? My point here is it doesn't terribly MATTER if Joe Pilot's speculation is spot-on or not, simply because the speculation has value in and of itself if it influences Joe Pilot's future thinking (and hence actions) in different (arguably safer) ways than would likely be the case in the absence of such speculation. That's a good thing, IMHO. Who wants to argue - after a pattern crunch, say - that inadvertent, un-pre-planned, low and slow patterns are safer than "normal patterns"? Or that the crunch was or was not departure-from-controlled-flight-induced directly, or indirectly (e.g. by hitting a tree or wires or a fence or something else)? Of course, the latter distinction is surely critical to an accurate understanding of any particular accident...but it is NOT critical to the fact of said crunch, if said crunch arguably would NOT have happened had a "normal pattern" been flown. There are lessons to be gleaned about the risks inherent to ALL low patterns from speculative assessment of low pattern crunches. Would you rather hit a tree, or inadvertently depart from controlled flight, if fate decrees those are to be the only two options you get from some future low pattern you (inadvertently, most likely) enter? Personally, I'd rather hit the tree...but much more to the thinking point is that I never want to INADVERTENTLY enter a low pattern, and if I DO, then I want to do certain things beginning the instant I realize I've made such a stupid error. (Anyone want to chime in w. guesses what those things might be?) Incidentally, for any readers who think I'm being too harsh in claiming anyone who enters a low pattern inadvertently is being stupid, this is from someone who's encountered 3 pattern microbursts in the inter-mountain Rocky Mountain west...sort of this area's equivalent of falling off an Allegheny or UK ridge, in available-pattern-time-terms. One of those patterns was entered at 2,500' agl and eventually included a go-around from the downwind to base turn, and another was entered at 3k' agl and included ONLY time for 2-360's (in the clean configuration) that took less than a minute to ground contact. No damage in any of them (though the first of the three was a crap shoot in survivability terms). My point here is that "landing patterns" don't begin at some arbitrary location or altitude agl, they begin when they need to begin, and Joe Pilot had better begin - ASAP! - doing what that particular pattern demands. Mindset matters. And my pattern mindset began to be influenced by reading about others' misfortunes - then speculating about what I'd read - well before I obtained my license. So far, the only stupid pilot tricks I've managed to do in over 1100 patterns have been convenience related. Happily, only one included (bulkhead-repair-required) glider damage. My speculative conclusion? Pattern risks taken for convenience reasons are entirely, 100%, avoidable. IOW, convenience risks - if they don't work out - WILL be a stupid pilot trick. - - - - - - It sure would be wonderful if the rest of the 2012 U.S. soaring season doesn't include any more stupid pilot tricks. Bob - Captain Harsh - W. |
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2nd-Guessing Accidents (aka Seeking Personal Insight)
Chris, thanks for expressing what I was trying to get across much more succinctly!
JJ, it isn't that our instructors are necessarily bad, it's the system they are themselves trained in that is flawed. Walt, yes, there is a lot we could learn from the French - just as there is a lot they could learn from us (economics being one of them, right now!) Think wine, bread, small cars, diet, raising kids (look it up), to name a few. They also build the sexiest looking fighters, IMO! But it's not only the French who have what appears to be a more structured system of teaching gliding - reading Sailplane & Gliding make me think the British system has a lot to offer, also. That being said - accident statistics are not that good in those countries, either. So maybe this is just a damn dangerous sport, and we just have to accept the risk and enjoy it to the max! Cheers, got to get ready to race today (CD for a local contest in Phoenix). Fly safe, don't crash. Kirk 66 |
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