RFT 203: It's Not WHO'S Right

United Airlines Flight 173 was the watershed event that launched the establishment of Crew Resource Management (CRM) throughout the airline industry. That accident occurred forty years ago. With the widespread acceptance of CRM in airline operations, one would surmise that crew communication issues would be a thing of the past.

Unfortunately, that’s not the way it has worked out. We have no way to determine how many times a Captain has disregarded a First Officer’s suggestions or comments and there is no adverse effect, but we do   numerous accidents where this has been a causal factor.

Take, for example, the case of Air Florida Flight 90, three years after Flight 173. During the takeoff roll, the First Officer expressed concern about the airplane’s performance. Three times the former F-15 pilot First Officer expressed concern. “That don't seem right, does it? Ah, that's not right.” The Captain answered, “Yes it is, there's eighty.”. Then, twelve seconds later, the First Officer said “Naw, I don't think that's right. Ah, maybe it is.”. Twelve more seconds and the First Officer said: “I don't know.”.

So was this simply a case of the pre-CRM philosophy that “the Captain is God”, early in the use of CRM? After all, in the old days, the Captain WAS God! Consider Ernest Gann’s book Fate Is The Hunter, in which he recounts his Captain holding lit matches in front of his face as he flew a challenging instrument approach to minimums - with passengers aboard! But that was then, this is now, right?

I wish that were true, but I believe there are still far too many of “Captain-God’s” out there. When I was flying for a major airline in Asia, on  several occasions I made errors (thankfully, all minor) and never heard a word from my First Officers. During our post-flight debriefing, I inquired why they had not advised me of a potential problem, especially since I had specifically briefed them to do so. (“I’d rather be embarrassed in the cockpit than on the evening news”). In EVERY case the response was, roughly, “Captain, I did not want to disagree with you”! I suspect there is a cultural aspect to this, wherein First Officers are used to being disregarded.

In 2007 Garuda Indonesia Airways Flight 200 crashed following an unstable approach in which the First Officer repeatedly advised the Captain that the approach was unstabilized and to go around. The Captain ignored him, attempting to salvage a landing by descending at 4000 feet per minute, and crashed. In 2010 India Air Express Flight 812 also crashed on landing. The Captain was the pilot flying, and the first Officer had said “Go around” three times, the first being on two-mile final. Of the 160 passengers and crew, only 8 passengers survived.

And, it apears to be a problem world-wide. First Air Flight 6560 crashed in 2011 attempting an ILS in Canada. The First Officer specifically advised the Captain that the GPS showed them off course to the right, and that the localizer was showing full-scale deflection. He also said “Go around”. Altogether, the First Offficer expressed clear concern THIRTEEN TIMES. Yet the Captain continued the approach. Everyone onboard died.

Psychologists will tell us there are valid reasons for the pilot flying not wanting to go around when another crew member who has less professional image at stake has no problem abandoning the approach. Let me posit a concept that should appeal to EVERY pilot - money. When you go around, the flight lasts longer, and you get more flight pay! Depending on your operation, you may be required to submit some sort of report. So be it. Here’s a suggestion for First Officers: if you EVER experience a Captain ignoring your suggestion to go around, visit your chief pilot or Professional Standards Committee immediately!

Let’s not lose sight of the requirement that common carriers, such as scheduled airlines, are REQUIRED to exercise the HIGHEST degree of safety in performing their duties. Unless you are operating in an emergency fuel situation, continuing an unstabilized approach does not satisfy that requirement.

Bottom line: it’s not WHO is right, it’s WHAT is right!

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