Airlines
NTSB Publishes Additional Comments on Ethiopia’s Final Report on 737 MAX 8 Accident
The final report of the Ethiopian Aircraft Accident Investigation Bureau (EAIB) about the March 10, 2019, accident of Ethiopian Airlines Flight 302, a Boeing 737 MAX 8 aircraft, received additional comments from the National Transportation Safety Board.
The new comments, provided to the EAIB’s investigator-in-charge, detail the NTSB’s concerns about several of the findings in the final accident report. This is in addition to the comments the NTSB made public on Dec. 27 on the EAIB’s final accident report, which detailed the investigation’s insufficient attention to the human performance aspects of the accident.
The EAIB issued its final report without giving the NTSB the opportunity to review new information incorporated since the NTSB’s last review and provide comments ahead of the report’s issuance, as stipulated by the International Civil Aviation Organization’s Annex 13.
Although the NTSB agrees with the overall finding in the EAIB report related to the role the Maneuvering Characteristics Augmentation System (MCAS) and related systems played in the accident, the EAIB’s report contains findings the NTSB said are unsupported by evidence — for example, that aircraft electrical problems caused erroneous angle-of-attack (AOA) output.
In its final report, the EAIB wrote electrical anomalies that existed since the time of the accident airplane’s production caused the AOA sensor heater to fail, which resulted in the AOA sensor providing erroneous values that caused MCAS to repeatedly pitch the nose of the airplane downward until it struck the ground.
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But the NTSB found the erroneous AOA sensor output was caused by separation of the AOA sensor vane due to impact with a foreign object, which was most likely a bird. During the accident investigation, the NTSB provided the EAIB with evidence supporting this finding, but that evidence was not included in the final report.
The EAIB’s conclusion that flight crews lacked the necessary MCAS paperwork was misrepresented, according to the NTSB, as Boeing had already given all 737 MAX operators the necessary information four months prior to the crash involving Ethiopian Airlines.
The complete text of the NTSB’s comments is available online.
