Date |
|
---|---|
Duration |
|
Cause |
|
Budget | |
Deaths | 346 total:
|
This article is part of a series about the Boeing 737 MAX |
---|
Accidents
|
The Boeing 737 MAX passenger airliner was grounded worldwide between March 2019 and December 2020 – longer in many jurisdictions – after 346 people died in two similar crashes: Lion Air Flight 610 on October 29, 2018, and Ethiopian Airlines Flight 302 on March 10, 2019. By March 13, 2019, 51 regulators had grounded the plane; [3] by March 18, all 387 of the aircraft in service worldwide were grounded; the U.S. Federal Aviation Administration (FAA) had resisted grounding the aircraft until March 13, when it received evidence showing how similar the accidents were.
In 2016, FAA approved Boeing's request to remove references to a new Maneuvering Characteristics Augmentation System (MCAS) from the flight manual. In November 2018, after the Lion Air accident, Boeing instructed pilots to take corrective action in case of a malfunction in which the airplane entered a series of automated nosedives. Boeing avoided revealing the existence of MCAS until pilots requested further explanation. In December 2018, the FAA privately predicted that MCAS could cause 15 crashes over 30 years. In April 2019, the Ethiopian preliminary report stated that the crew had attempted the recommended recovery procedure, and Boeing confirmed that MCAS had activated in both accidents. [4]
FAA certification of the MAX was subsequently investigated by the U.S. Congress and multiple U.S. government agencies, including the Transportation Department, FBI, NTSB, Inspector General and special panels. Engineering reviews uncovered other design problems, unrelated to MCAS, in the flight computers and cockpit displays. The Indonesian NTSC and the Ethiopian ECAA both attributed the crashes to faulty aircraft design and other factors, including maintenance and flight crew actions. Lawmakers investigated Boeing's incentives to minimize training for the new aircraft. [5] The FAA revoked Boeing's authority to issue airworthiness certificates for individual MAX airplanes and fined Boeing for exerting "undue pressure" on its designated aircraft inspectors.
In August 2020, the FAA published requirements for fixing each aircraft and improving pilot training. On November 18, 2020, the FAA ended the 20-month grounding, the longest ever of a U.S. airliner. The accidents and grounding cost Boeing an estimated $20 billion in fines, compensation, and legal fees, with indirect losses of more than $60 billion from 1,200 cancelled orders. [6] [2] [7] The MAX resumed commercial flights in the U.S. in December 2020, and was recertified in Europe and Canada by January 2021. [8]
In January 2024, the FAA grounded some 171 Boeing 737 MAX 9s with a configuration similar to that of Alaska Airlines Flight 1282, which suffered a mid-flight blowout of a plug filling an unused emergency exit on January 5, 2024, causing rapid decompression of the aircraft. [9]
After the Ethiopian Airlines crash, China and most other civil aviation authorities grounded the airliner over safety concerns. Other jurisdictions, including the U.S., followed suit as new evidence revealed similarities between both crashes. The groundings were ordered despite Boeing CEO Dennis Muilenburg's public assurances that the airplane was safe and a phone conversation with President Trump in which he "reiterated to the President our position that the MAX aircraft is safe", according to a Boeing statement. [10] In response to increasing domestic and international pressure to take action, [11] [12] [13] the U.S. Federal Aviation Administration (FAA) grounded the aircraft on March 13, 2019, reversing a Continued Airworthiness Notice issued two days prior. [14] About 30 MAX aircraft were flying in U.S. airspace at the time and were allowed to reach their destinations. [15] By March 18, every single Boeing 737 MAX plane (387 in total) had been grounded, which affected 8,600 weekly flights operated by 59 airlines across the globe. [16] Several ferry flights were operated with flaps extended to circumvent MCAS activation.
ICAO regulations Annex 13, "Aircraft Accident and Incident Investigation", defines which states may participate in investigations. For the two MAX accidents these are: [17]
The participating state or national transportation safety bureaus are the NTSB for the US and the NTSC for Indonesia. Australia and Singapore also offered technical assistance, shortly after the Lion Air accident, regarding data recovery from the new generation flight recorders (FDR).[ needs update] With the exception of Ethiopia, the officially recognized countries are members of the Joint Authorities Technical Review (JATR).
Preliminary investigations revealed serious flight control problems that traumatized passengers and crew on the aircraft's previous flight, as well as signs of angle-of-attack (AoA) sensor and other instrument failures on that and previous flights, tied to a design flaw involving the Maneuvering Characteristics Augmentation System (MCAS) of the 737 MAX series. The aircraft maintenance records indicated that the AoA sensor was just replaced before the accident flight. [18] The report tentatively attributed the accident to the erroneous angle-of-attack (AoA) data and automatic nose-down trim commanded by MCAS. [19] [20]
The NTSC final report, published on October 23, 2019, was prepared with assistance from the U.S. NTSB. NTSC's investigator Nurcahyo Utomo identified nine factors to the accident, saying:
"The nine factors are the root problem; they cannot be separated. Not one is contributing more than the other. Unlike NTSB reports that identify the primary cause of accidents and then list contributing issues determined to be less significant, Indonesia is following a convention used by many foreign regulators of listing causal factors without ranking them". [21] [22]
The final report has been shared with families of Lion Air Flight 610, then published on October 25, 2019. [23] [24] [25] [26]
On March 11, the FAA defended the MAX against groundings by issuing a Continued Airworthiness Notice to operators. The initial reports for Flight 302 found that the pilots struggled to control the airplane in a manner similar to the Lion Air flight 610 crash. [27] On March 13, 2019, the FAA announced that evidence from the crash site and satellite data on Flight 302 suggested that it might have suffered from the same problem as Lion Air Flight 610 in that the jackscrew controlling the pitch of the horizontal stabilizer of the crashed Flight 302, was found to be set in the full "nose down" position, similar to Lion Air Flight 610. [28] This further implicated MCAS as contributory to the crash. [29] [30] [31]
Ethiopian Airlines spokesman Biniyam Demssie said that the procedures for disabling MCAS had just been incorporated into pilot training. "All the pilots flying the MAX received the training after the Indonesia crash," he said. "There was a directive by Boeing, so they took that training." [32] Despite following the procedure, the pilots could not recover. [33]
The Ethiopian Civil Aviation Authority (ECAA) led investigations for Flight 302, and the United States Federal Aviation Administration assisted in the investigation. [34] Both flight recorders (voice and data) were recovered from the crash site on March 11, 2019. [35] The French aviation accident investigation agency BEA announced that it would analyze the flight recorders from the flight. [36] BEA received the flight recorders on March 14, 2019. [37]
On March 17, 2019, Dagmawit Moges, Ethiopia's transport minister, announced that the black box had been found and downloaded, and that the preliminary data retrieved from the flight data recorder show a "clear similarity" with those of Lion Air Flight 610 which crashed off Indonesia. [38] [39] Due to this finding, some experts in Indonesia suggested that the NTSC should cooperate with Flight 302's investigation team. [40] Later on the evening, the NTSC offered assistance to Flight 302's investigation team, stating that the committee and the Indonesian Transportation Ministry would send investigators and representatives from the government to assist with the investigation of the crash. [41]
The Ethiopian Civil Aviation Authority published an interim report on March 9, 2020, one day before the March 10 anniversary of the crash. [42] Investigators tentatively concluded that the crash was caused by the aircraft's design. [43] [44] [45] [46] On December 23, 2022, the Ethiopian Aircraft Accident Investigation Bureau published its final report on the crash, concluding the probable cause was "Repetitive and uncommanded airplane-nose-down inputs from the MCAS", due to false input from the angle of attack (AoA) sensor. [47]
This section may be in need of reorganization to comply with Wikipedia's
layout guidelines. (April 2021) |
The
Boeing 737 MAX was initially certified in 2017 by the U.S.
Federal Aviation Administration (FAA) and the
European Union Aviation Safety Agency (EASA). Global regulators
grounded the plane in 2019 following fatal crashes of
Lion Air Flight 610 and
Ethiopian Airlines Flight 302. Both crashes were linked to the
Maneuvering Characteristics Augmentation System (MCAS), a new automatic flight control feature.
Investigations into both crashes determined that Boeing and the FAA favored cost-saving solutions, which ultimately produced a flawed design of the MCAS instead.
[130] The FAA's
Organization Designation Authorization program, allowing manufacturers to act on its behalf, was also questioned for weakening its oversight of Boeing.
Boeing wanted the FAA to certify the airplane as another version of the long-established 737; this would limit the need for additional training of pilots, a major cost saving for airline customers. During flight tests, however, Boeing discovered that the position and larger size of the engines tended to push up the airplane nose during certain maneuvers. To counter that tendency and ensure fleet commonality with the 737 family, Boeing added MCAS so the MAX would handle similar to earlier 737 versions. Boeing convinced the FAA that MCAS could not fail hazardously or catastrophically, and that existing procedures were effective in dealing with malfunctions.[ citation needed] The MAX was exempted from certain newer safety requirements, saving Boeing billions of dollars in development costs. [131] In February 2020, the US Justice Department (DOJ) investigated Boeing's hiding of information from the FAA, based on the content of internal emails. [132] In January 2021, Boeing settled to pay over $2.5 billion after being charged with fraud in connections to the crashes. The settlement included $243.6 million criminal fine for defrauding the FAA when it won the approval for the 737 MAX, $1.77 billion as compensation for airline customers, and $500 million as compensation for family members of crash victims. [133]
In June 2020, the U.S. Inspector General's report revealed that MCAS problems dated several years before the accidents. [134] The FAA found several defects that Boeing deferred to fix, in violation of regulations. [135] In September 2020, the House of Representatives concluded its investigation and cited numerous instances where Boeing dismissed employee concerns with MCAS, prioritized deadline and budget constraints over safety, and where it lacked transparency in disclosing essential information to the FAA. It further found that the assumption that simulator training would not be necessary had "diminished safety, minimized the value of pilot training, and inhibited technical design improvements". [136]
In November 2020, the FAA announced that it had cleared the 737 MAX to return to service. [137] Various system, maintenance and training requirements are stipulated, as well as design changes that must be implemented on each aircraft before the FAA issues an airworthiness certificate, without delegation to Boeing. Other major regulators worldwide are gradually following suit: In 2021, after two years of grounding, Transport Canada and EASA both cleared the MAX subject to additional requirements. [138] [139]
MCAS on the 737 MAX was designed to mimic the pitching behavior of the previous generation of the series, the Boeing 737 NG, by pushing down the aircraft nose from an elevated angle of attack (AoA) by automatically adjusting the horizontal stabilizer and trim tab. The system was intended to protect pilots from inadvertently flying at too steep an angle, which could result in a stall. Boeing, however, asserted that MCAS was not an anti-stall system, as the media widely reported it to be. Pilot movement of the control column on the MAX did not disable MCAS, unlike an earlier implementation of MCAS on the U.S. Air Force Boeing 767 Tanker. During certification of the MAX, Boeing requested and received permission from the FAA to remove a description of MCAS from the aircraft manual, leaving pilots unaware of the system when the airplane entered service in 2017. [140] [141] Boeing had also knowingly withheld knowledge, for at least a year before the Lion Air crash, that a system to warn of a possible AoA malfunction did not work as advertised. [142]
On November 6, 2018, Boeing published a supplementary service bulletin prompted by the first crash. The bulletin says warnings triggered by erroneous AoA data could cause the pitch trim system to repeatedly push down the nose of the airplane and referred pilots to a "non-normal runaway trim" procedure as resolution, specifying a narrow window of a few seconds before the system would reactivate and pitch the nose down again. [143] The FAA issued an emergency airworthiness directive, 2018-23-51, on November 7, 2018, requiring the bulletin's inclusion in the flight manuals, and that pilots immediately review the new information provided. [144] [145] Pilots wanted to know more about the issue, and Boeing responded by publicly naming MCAS for the first time in another message to airlines, noting that MCAS operates "without pilot input." [146] [147]
In December 2018, the FAA had privately predicted that 15 MCAS-related accidents could result if the system was not redesigned. Boeing said it would revise MCAS software by April 2019 to correct any problems. The study was only revealed a year later at the December 2019 House of Representatives hearing. Stephen Dickson, who became FAA administrator during the accident investigations, testified at the hearing about his agency's response after the Lion Air accident, saying "the result was not satisfactory". [148]
After the March 2019 crash of Ethiopian Airlines Flight 302, Ethiopian investigators determined that pilots had attempted the recommended recovery procedure. [149] [150] Boeing admitted that MCAS played a role in both accidents by activating when it received faulty data from an exterior AoA sensor.
In 2020, an FAA Airworthiness Directive approved design changes for each MAX aircraft, requiring input from two AoA sensors for MCAS activation, elimination of the system's ability to repeatedly activate, and allowing pilots to override the system if necessary. [151] Boeing also overhauled the computer architecture of the flight controls to provide greater redundancy. For each aircraft, the FAA would issue the airworthiness certificate, without delegation to Boeing, upon completion of an AoA sensor system test and a validation test flight. [152] The FAA also required that all MAX pilots receive MCAS-related training in flight simulators by 2021. Before the accidents, simulator training on the MAX was not required, because the FAA accepted Boeing's position that the MAX was sufficiently similar to the previous 737 series, the NG.
Boeing expressed its sympathy to the relatives of the Lion Air Flight 610 and Ethiopian Airlines Flight 302 crash victims, while simultaneously defending the aircraft against any faults and suggesting the pilots had insufficient training, until rebutted by evidence. After the 737 MAX fleet was globally grounded, starting in China with the Civil Aviation Administration of China the day after the second crash, [153] Boeing provided several outdated return-to-service timelines, the earliest of which was "in the coming weeks" after the second crash. On October 11, 2019, David L. Calhoun replaced Dennis Muilenburg as chairman of Boeing, then succeeded Muilenburg's role as chief executive officer in January 2020.
One year after the crashes, lawmakers demanded answers from then-CEO Dennis Muilenburg in a hearing on Capitol Hill. They questioned him about the discovered mistakes leading to the crashes and also about Boeing's subsequent cover-up efforts. One important line of enquiry was how Boeing "tricked" regulators into approving sub-standard pilot training materials, especially the deletion of mentioning the critical flight stabilization system MCAS. [154] A Texas court ruled in October 2022 that the passengers killed in two 737 MAX crashes are legally considered "crime victims", which has consequences concerning possible remedies.
Airbus articulated that the crashes had been a tragedy and that it would never be good for any competitor to see a particular aircraft type having problems. Airbus reiterated that the 737 MAX grounding and backlog would not change the production volume of the competing Airbus A320neo family as these aircraft had already been sold out through 2025 and logistical and supplier capacities could not be easily enhanced short to medium term in this industry.
Pilots' and flight attendants' opinions were mixed, with some expressing confidence in the certification renewal, while others were increasingly disappointed that Boeing had knowingly concealed the existence and the risks of the newly introduced flight stabilization system MCAS to the 737 series as more and more internal information about the development and certification process came to light. Retired pilot Chesley Sullenberger criticized the aircraft design and certification processes and reasoned that relationship between the industry and its regulators had been too "cozy".
The Boeing 737 MAX groundings have had a deep financial effect on the aviation industry and a significant effect on the national economy of the United States. No airline took delivery of the MAX during the groundings. Boeing slowed MAX production to 42 aircraft per month and halted MAX production from January to May 2020. Boeing suffered directly through increased costs, loss of revenue, reputational damage, victim litigation, client compensation, reduced credit rating, and decreased stock value. In January 2020, the company estimated a loss of $18.4 billion for 2019, and it reported 183 canceled MAX orders for the year.
In February 2020, the COVID-19 pandemic and resulting travel bans created further uncertainty for Boeing. In March 2020, news that Boeing was seeking a $60 billion bailout caused a steep drop in its stock price, though Boeing eventually received $17 billion in funds from the coronavirus stimulus. [155] Its extensive supply chain providing aircraft components and flight simulators suffered similar losses, as did the aircraft services industry, including crew training, the aftermarket, and the aviation insurance industry.[ citation needed] Major flight simulator supplier CAE increased production of simulators for the Boeing 737 MAX in anticipation of a jump in demand for pilot training in November 2019. [156] At the time of the recertification by the FAA in November 2020, Boeing's net orders for the 737 MAX were down by more than 1,000 aircraft, [6] 448 orders canceled and 782 orders removed from the backlog because they are no longer certain enough to rely on; the total estimated direct costs of the MAX groundings were US$20 billion and indirect costs over US$60 billion. [157] On January 7, 2021, Boeing settled to pay over $2.5 billion after being charged with fraud. [85] [86]
In September 2021, PBS released Boeing's Fatal Flaw, a Frontline documentary about how Boeing ignored critical safety issues with the 737 MAX resulting in the crash of two airliners. [158]
In February 2022, Netflix released Downfall: The Case Against Boeing, a documentary about the two plane crashes [159] directed by Rory Kennedy. [160]
the Maneuver Characteristics Augmentation System (MCAS) flight control law was not originally included In the 737 NG to 737 MAX differences tables nor was a specific reference included in the FCOM/QRH
Flight Standardisation Board (FSB) : The purpose of this revision is to add the B-737-7, B-737-8200, and ...(MCAS). ... the Design Differences Table from the Boeing 737-800 to the Boeing 737-8 is revised to include ATA 27 Flight Controls addition of MCAS.
On Nov 10th 2018 Boeing sent out multi-operator messages informing operators about the MCAS
Date |
|
---|---|
Duration |
|
Cause |
|
Budget | |
Deaths | 346 total:
|
This article is part of a series about the Boeing 737 MAX |
---|
Accidents
|
The Boeing 737 MAX passenger airliner was grounded worldwide between March 2019 and December 2020 – longer in many jurisdictions – after 346 people died in two similar crashes: Lion Air Flight 610 on October 29, 2018, and Ethiopian Airlines Flight 302 on March 10, 2019. By March 13, 2019, 51 regulators had grounded the plane; [3] by March 18, all 387 of the aircraft in service worldwide were grounded; the U.S. Federal Aviation Administration (FAA) had resisted grounding the aircraft until March 13, when it received evidence showing how similar the accidents were.
In 2016, FAA approved Boeing's request to remove references to a new Maneuvering Characteristics Augmentation System (MCAS) from the flight manual. In November 2018, after the Lion Air accident, Boeing instructed pilots to take corrective action in case of a malfunction in which the airplane entered a series of automated nosedives. Boeing avoided revealing the existence of MCAS until pilots requested further explanation. In December 2018, the FAA privately predicted that MCAS could cause 15 crashes over 30 years. In April 2019, the Ethiopian preliminary report stated that the crew had attempted the recommended recovery procedure, and Boeing confirmed that MCAS had activated in both accidents. [4]
FAA certification of the MAX was subsequently investigated by the U.S. Congress and multiple U.S. government agencies, including the Transportation Department, FBI, NTSB, Inspector General and special panels. Engineering reviews uncovered other design problems, unrelated to MCAS, in the flight computers and cockpit displays. The Indonesian NTSC and the Ethiopian ECAA both attributed the crashes to faulty aircraft design and other factors, including maintenance and flight crew actions. Lawmakers investigated Boeing's incentives to minimize training for the new aircraft. [5] The FAA revoked Boeing's authority to issue airworthiness certificates for individual MAX airplanes and fined Boeing for exerting "undue pressure" on its designated aircraft inspectors.
In August 2020, the FAA published requirements for fixing each aircraft and improving pilot training. On November 18, 2020, the FAA ended the 20-month grounding, the longest ever of a U.S. airliner. The accidents and grounding cost Boeing an estimated $20 billion in fines, compensation, and legal fees, with indirect losses of more than $60 billion from 1,200 cancelled orders. [6] [2] [7] The MAX resumed commercial flights in the U.S. in December 2020, and was recertified in Europe and Canada by January 2021. [8]
In January 2024, the FAA grounded some 171 Boeing 737 MAX 9s with a configuration similar to that of Alaska Airlines Flight 1282, which suffered a mid-flight blowout of a plug filling an unused emergency exit on January 5, 2024, causing rapid decompression of the aircraft. [9]
After the Ethiopian Airlines crash, China and most other civil aviation authorities grounded the airliner over safety concerns. Other jurisdictions, including the U.S., followed suit as new evidence revealed similarities between both crashes. The groundings were ordered despite Boeing CEO Dennis Muilenburg's public assurances that the airplane was safe and a phone conversation with President Trump in which he "reiterated to the President our position that the MAX aircraft is safe", according to a Boeing statement. [10] In response to increasing domestic and international pressure to take action, [11] [12] [13] the U.S. Federal Aviation Administration (FAA) grounded the aircraft on March 13, 2019, reversing a Continued Airworthiness Notice issued two days prior. [14] About 30 MAX aircraft were flying in U.S. airspace at the time and were allowed to reach their destinations. [15] By March 18, every single Boeing 737 MAX plane (387 in total) had been grounded, which affected 8,600 weekly flights operated by 59 airlines across the globe. [16] Several ferry flights were operated with flaps extended to circumvent MCAS activation.
ICAO regulations Annex 13, "Aircraft Accident and Incident Investigation", defines which states may participate in investigations. For the two MAX accidents these are: [17]
The participating state or national transportation safety bureaus are the NTSB for the US and the NTSC for Indonesia. Australia and Singapore also offered technical assistance, shortly after the Lion Air accident, regarding data recovery from the new generation flight recorders (FDR).[ needs update] With the exception of Ethiopia, the officially recognized countries are members of the Joint Authorities Technical Review (JATR).
Preliminary investigations revealed serious flight control problems that traumatized passengers and crew on the aircraft's previous flight, as well as signs of angle-of-attack (AoA) sensor and other instrument failures on that and previous flights, tied to a design flaw involving the Maneuvering Characteristics Augmentation System (MCAS) of the 737 MAX series. The aircraft maintenance records indicated that the AoA sensor was just replaced before the accident flight. [18] The report tentatively attributed the accident to the erroneous angle-of-attack (AoA) data and automatic nose-down trim commanded by MCAS. [19] [20]
The NTSC final report, published on October 23, 2019, was prepared with assistance from the U.S. NTSB. NTSC's investigator Nurcahyo Utomo identified nine factors to the accident, saying:
"The nine factors are the root problem; they cannot be separated. Not one is contributing more than the other. Unlike NTSB reports that identify the primary cause of accidents and then list contributing issues determined to be less significant, Indonesia is following a convention used by many foreign regulators of listing causal factors without ranking them". [21] [22]
The final report has been shared with families of Lion Air Flight 610, then published on October 25, 2019. [23] [24] [25] [26]
On March 11, the FAA defended the MAX against groundings by issuing a Continued Airworthiness Notice to operators. The initial reports for Flight 302 found that the pilots struggled to control the airplane in a manner similar to the Lion Air flight 610 crash. [27] On March 13, 2019, the FAA announced that evidence from the crash site and satellite data on Flight 302 suggested that it might have suffered from the same problem as Lion Air Flight 610 in that the jackscrew controlling the pitch of the horizontal stabilizer of the crashed Flight 302, was found to be set in the full "nose down" position, similar to Lion Air Flight 610. [28] This further implicated MCAS as contributory to the crash. [29] [30] [31]
Ethiopian Airlines spokesman Biniyam Demssie said that the procedures for disabling MCAS had just been incorporated into pilot training. "All the pilots flying the MAX received the training after the Indonesia crash," he said. "There was a directive by Boeing, so they took that training." [32] Despite following the procedure, the pilots could not recover. [33]
The Ethiopian Civil Aviation Authority (ECAA) led investigations for Flight 302, and the United States Federal Aviation Administration assisted in the investigation. [34] Both flight recorders (voice and data) were recovered from the crash site on March 11, 2019. [35] The French aviation accident investigation agency BEA announced that it would analyze the flight recorders from the flight. [36] BEA received the flight recorders on March 14, 2019. [37]
On March 17, 2019, Dagmawit Moges, Ethiopia's transport minister, announced that the black box had been found and downloaded, and that the preliminary data retrieved from the flight data recorder show a "clear similarity" with those of Lion Air Flight 610 which crashed off Indonesia. [38] [39] Due to this finding, some experts in Indonesia suggested that the NTSC should cooperate with Flight 302's investigation team. [40] Later on the evening, the NTSC offered assistance to Flight 302's investigation team, stating that the committee and the Indonesian Transportation Ministry would send investigators and representatives from the government to assist with the investigation of the crash. [41]
The Ethiopian Civil Aviation Authority published an interim report on March 9, 2020, one day before the March 10 anniversary of the crash. [42] Investigators tentatively concluded that the crash was caused by the aircraft's design. [43] [44] [45] [46] On December 23, 2022, the Ethiopian Aircraft Accident Investigation Bureau published its final report on the crash, concluding the probable cause was "Repetitive and uncommanded airplane-nose-down inputs from the MCAS", due to false input from the angle of attack (AoA) sensor. [47]
This section may be in need of reorganization to comply with Wikipedia's
layout guidelines. (April 2021) |
The
Boeing 737 MAX was initially certified in 2017 by the U.S.
Federal Aviation Administration (FAA) and the
European Union Aviation Safety Agency (EASA). Global regulators
grounded the plane in 2019 following fatal crashes of
Lion Air Flight 610 and
Ethiopian Airlines Flight 302. Both crashes were linked to the
Maneuvering Characteristics Augmentation System (MCAS), a new automatic flight control feature.
Investigations into both crashes determined that Boeing and the FAA favored cost-saving solutions, which ultimately produced a flawed design of the MCAS instead.
[130] The FAA's
Organization Designation Authorization program, allowing manufacturers to act on its behalf, was also questioned for weakening its oversight of Boeing.
Boeing wanted the FAA to certify the airplane as another version of the long-established 737; this would limit the need for additional training of pilots, a major cost saving for airline customers. During flight tests, however, Boeing discovered that the position and larger size of the engines tended to push up the airplane nose during certain maneuvers. To counter that tendency and ensure fleet commonality with the 737 family, Boeing added MCAS so the MAX would handle similar to earlier 737 versions. Boeing convinced the FAA that MCAS could not fail hazardously or catastrophically, and that existing procedures were effective in dealing with malfunctions.[ citation needed] The MAX was exempted from certain newer safety requirements, saving Boeing billions of dollars in development costs. [131] In February 2020, the US Justice Department (DOJ) investigated Boeing's hiding of information from the FAA, based on the content of internal emails. [132] In January 2021, Boeing settled to pay over $2.5 billion after being charged with fraud in connections to the crashes. The settlement included $243.6 million criminal fine for defrauding the FAA when it won the approval for the 737 MAX, $1.77 billion as compensation for airline customers, and $500 million as compensation for family members of crash victims. [133]
In June 2020, the U.S. Inspector General's report revealed that MCAS problems dated several years before the accidents. [134] The FAA found several defects that Boeing deferred to fix, in violation of regulations. [135] In September 2020, the House of Representatives concluded its investigation and cited numerous instances where Boeing dismissed employee concerns with MCAS, prioritized deadline and budget constraints over safety, and where it lacked transparency in disclosing essential information to the FAA. It further found that the assumption that simulator training would not be necessary had "diminished safety, minimized the value of pilot training, and inhibited technical design improvements". [136]
In November 2020, the FAA announced that it had cleared the 737 MAX to return to service. [137] Various system, maintenance and training requirements are stipulated, as well as design changes that must be implemented on each aircraft before the FAA issues an airworthiness certificate, without delegation to Boeing. Other major regulators worldwide are gradually following suit: In 2021, after two years of grounding, Transport Canada and EASA both cleared the MAX subject to additional requirements. [138] [139]
MCAS on the 737 MAX was designed to mimic the pitching behavior of the previous generation of the series, the Boeing 737 NG, by pushing down the aircraft nose from an elevated angle of attack (AoA) by automatically adjusting the horizontal stabilizer and trim tab. The system was intended to protect pilots from inadvertently flying at too steep an angle, which could result in a stall. Boeing, however, asserted that MCAS was not an anti-stall system, as the media widely reported it to be. Pilot movement of the control column on the MAX did not disable MCAS, unlike an earlier implementation of MCAS on the U.S. Air Force Boeing 767 Tanker. During certification of the MAX, Boeing requested and received permission from the FAA to remove a description of MCAS from the aircraft manual, leaving pilots unaware of the system when the airplane entered service in 2017. [140] [141] Boeing had also knowingly withheld knowledge, for at least a year before the Lion Air crash, that a system to warn of a possible AoA malfunction did not work as advertised. [142]
On November 6, 2018, Boeing published a supplementary service bulletin prompted by the first crash. The bulletin says warnings triggered by erroneous AoA data could cause the pitch trim system to repeatedly push down the nose of the airplane and referred pilots to a "non-normal runaway trim" procedure as resolution, specifying a narrow window of a few seconds before the system would reactivate and pitch the nose down again. [143] The FAA issued an emergency airworthiness directive, 2018-23-51, on November 7, 2018, requiring the bulletin's inclusion in the flight manuals, and that pilots immediately review the new information provided. [144] [145] Pilots wanted to know more about the issue, and Boeing responded by publicly naming MCAS for the first time in another message to airlines, noting that MCAS operates "without pilot input." [146] [147]
In December 2018, the FAA had privately predicted that 15 MCAS-related accidents could result if the system was not redesigned. Boeing said it would revise MCAS software by April 2019 to correct any problems. The study was only revealed a year later at the December 2019 House of Representatives hearing. Stephen Dickson, who became FAA administrator during the accident investigations, testified at the hearing about his agency's response after the Lion Air accident, saying "the result was not satisfactory". [148]
After the March 2019 crash of Ethiopian Airlines Flight 302, Ethiopian investigators determined that pilots had attempted the recommended recovery procedure. [149] [150] Boeing admitted that MCAS played a role in both accidents by activating when it received faulty data from an exterior AoA sensor.
In 2020, an FAA Airworthiness Directive approved design changes for each MAX aircraft, requiring input from two AoA sensors for MCAS activation, elimination of the system's ability to repeatedly activate, and allowing pilots to override the system if necessary. [151] Boeing also overhauled the computer architecture of the flight controls to provide greater redundancy. For each aircraft, the FAA would issue the airworthiness certificate, without delegation to Boeing, upon completion of an AoA sensor system test and a validation test flight. [152] The FAA also required that all MAX pilots receive MCAS-related training in flight simulators by 2021. Before the accidents, simulator training on the MAX was not required, because the FAA accepted Boeing's position that the MAX was sufficiently similar to the previous 737 series, the NG.
Boeing expressed its sympathy to the relatives of the Lion Air Flight 610 and Ethiopian Airlines Flight 302 crash victims, while simultaneously defending the aircraft against any faults and suggesting the pilots had insufficient training, until rebutted by evidence. After the 737 MAX fleet was globally grounded, starting in China with the Civil Aviation Administration of China the day after the second crash, [153] Boeing provided several outdated return-to-service timelines, the earliest of which was "in the coming weeks" after the second crash. On October 11, 2019, David L. Calhoun replaced Dennis Muilenburg as chairman of Boeing, then succeeded Muilenburg's role as chief executive officer in January 2020.
One year after the crashes, lawmakers demanded answers from then-CEO Dennis Muilenburg in a hearing on Capitol Hill. They questioned him about the discovered mistakes leading to the crashes and also about Boeing's subsequent cover-up efforts. One important line of enquiry was how Boeing "tricked" regulators into approving sub-standard pilot training materials, especially the deletion of mentioning the critical flight stabilization system MCAS. [154] A Texas court ruled in October 2022 that the passengers killed in two 737 MAX crashes are legally considered "crime victims", which has consequences concerning possible remedies.
Airbus articulated that the crashes had been a tragedy and that it would never be good for any competitor to see a particular aircraft type having problems. Airbus reiterated that the 737 MAX grounding and backlog would not change the production volume of the competing Airbus A320neo family as these aircraft had already been sold out through 2025 and logistical and supplier capacities could not be easily enhanced short to medium term in this industry.
Pilots' and flight attendants' opinions were mixed, with some expressing confidence in the certification renewal, while others were increasingly disappointed that Boeing had knowingly concealed the existence and the risks of the newly introduced flight stabilization system MCAS to the 737 series as more and more internal information about the development and certification process came to light. Retired pilot Chesley Sullenberger criticized the aircraft design and certification processes and reasoned that relationship between the industry and its regulators had been too "cozy".
The Boeing 737 MAX groundings have had a deep financial effect on the aviation industry and a significant effect on the national economy of the United States. No airline took delivery of the MAX during the groundings. Boeing slowed MAX production to 42 aircraft per month and halted MAX production from January to May 2020. Boeing suffered directly through increased costs, loss of revenue, reputational damage, victim litigation, client compensation, reduced credit rating, and decreased stock value. In January 2020, the company estimated a loss of $18.4 billion for 2019, and it reported 183 canceled MAX orders for the year.
In February 2020, the COVID-19 pandemic and resulting travel bans created further uncertainty for Boeing. In March 2020, news that Boeing was seeking a $60 billion bailout caused a steep drop in its stock price, though Boeing eventually received $17 billion in funds from the coronavirus stimulus. [155] Its extensive supply chain providing aircraft components and flight simulators suffered similar losses, as did the aircraft services industry, including crew training, the aftermarket, and the aviation insurance industry.[ citation needed] Major flight simulator supplier CAE increased production of simulators for the Boeing 737 MAX in anticipation of a jump in demand for pilot training in November 2019. [156] At the time of the recertification by the FAA in November 2020, Boeing's net orders for the 737 MAX were down by more than 1,000 aircraft, [6] 448 orders canceled and 782 orders removed from the backlog because they are no longer certain enough to rely on; the total estimated direct costs of the MAX groundings were US$20 billion and indirect costs over US$60 billion. [157] On January 7, 2021, Boeing settled to pay over $2.5 billion after being charged with fraud. [85] [86]
In September 2021, PBS released Boeing's Fatal Flaw, a Frontline documentary about how Boeing ignored critical safety issues with the 737 MAX resulting in the crash of two airliners. [158]
In February 2022, Netflix released Downfall: The Case Against Boeing, a documentary about the two plane crashes [159] directed by Rory Kennedy. [160]
the Maneuver Characteristics Augmentation System (MCAS) flight control law was not originally included In the 737 NG to 737 MAX differences tables nor was a specific reference included in the FCOM/QRH
Flight Standardisation Board (FSB) : The purpose of this revision is to add the B-737-7, B-737-8200, and ...(MCAS). ... the Design Differences Table from the Boeing 737-800 to the Boeing 737-8 is revised to include ATA 27 Flight Controls addition of MCAS.
On Nov 10th 2018 Boeing sent out multi-operator messages informing operators about the MCAS