| Safety issue description |
The design of the ATR 72 pitch control system resulted in limited tactile feedback between the left and right control columns, reducing the ability of one pilot to detect that the other pilot is making control inputs. In addition, there were no visual or auditory systems to indicate dual control inputs. |
|---|---|
| Issue number | AO-2014-032-SI-03 |
| Issue owner | ATR |
| Transport function | Aviation: Air transport |
| Issue status | Closed – Not addressed |
| Date issue released | 24/05/2019 |
| Issue status justification |
In their response of 26 June 2019, ATR did not provide any new and compelling evidence to indicate that the risk of this safety issue had changed. Again, they were focussing the attention on crew resource management, which may reduce the probability, but has not been shown to prevent dual control inputs. ATR has not provided any further updates or responses to indicate that any further work to mitigate the identified risk has been taken. As such, the ATSB has decided to close this safety issue as not addressed. |
| Issue finalisation date | 25/11/2024 |
| Action type | Recommendation |
|---|---|
| Action number | AO-2014-032 SR-057 |
| Organisation | ATR |
| Action date | 24/05/2019 |
| Action description |
The ATSB recommends that ATR assess the operational risk associated with limited tactile feedback between left and right control columns in the context of no visual or auditory systems to indicate dual control inputs. |
| Action status | Closed |
| Date received | 26/06/2019 |
|---|---|
| Organisation | ATR |
| Response text |
Regarding the ATSB statement on limited tactile feedback, ATR would like to recall that the movement of the control column of the pilot monitoring mirrors the control column movement of the pilot flying. It thus provides visual information to the pilot monitoring. Then, if the pilot monitoring applies an uncoordinated input, he/she will experience an unusual effort, either heavier or lighter but not as expected due to the combination of the effort associated with the usual aerodynamic loads and of the effort applied by the other pilot. As per ATR AOM42/72/2016/03, a prolonged and inappropriate application of dual opposite control column inputs at high speed leading to pitch disconnection may cause significant structural damage and should be avoided as per CRM (Crew Resources Management). The purpose of the pitch disconnect warning system is to alert the crew that the two elevators are disconnected and that operational procedures have to be applied as per the AFM/FCOM. With regards to the risk associated to dual inputs, the following actions have been taken at various industry levels in order to prevent occurrence:
With all the taken actions, ATR considers that the Safety Recommendation AO-2014-032-SR-057 is addressed. |
| ATSB response |
The ATSB acknowledges the progress made in response to the recommendation. |
| ATSB response date | 04/01/2023 |
| Date received | 25/11/2024 |
|---|---|
| Organisation | ATR |
| Response text |
On 26 June 2019, ATR stated that 'ATR considers that the Safety Recommendation AO-2014-032-SR-057 is addressed.' There have been no updates or responses from ATR regarding this Safety Recommendation since June 2019. |
| ATSB response |
The ATSB has considered the response from ATR on 26 June 2019 and make the following comment: |
| ATSB response date | 25/11/2024 |