What blancolirio isn’t telling you | Deadly Simi Valley Crash [RV-10 N626PB]
FULL TRANSCRIPT
November 626 Papa Bravo make your
approach radio check. Yeah, I need some
back. The plane keeps turning on.
On Saturday the 3rd of May, we had a
Vans aircraft RV10 experimental
homebuilt aircraft go down while
attempting an instrument approach into
Camaro. The aircraft was flying from
Lancaster to Camaro where he apparently
lost control in the weather while
attempting to intercept the IIAF Jurrex
for the Arnav Zulu runway 26 at Camaro.
Oh, okay. Hey everyone, meet me Kevin
here. I've got a lot to talk about
regarding this Bronco area review video
of a crash that actually happened 10
minutes from my hometown airport. We're
going to talk about exactly what I
believe Bronco did not tell you in this
video. Now, I want to give you a fair
disclaimer before I get started because
you might think that this is designed to
hate on our Brona or the videos that
I've done on pilot debrief. And the
answer is no. It's simply to add
perspective with what I think is unique
insight. These are great channels. I
love watching them. I credit them for
helping get me into aviation, wanting to
be a safe pilot. And the only reason I'm
making this video is to add perspective
to what I think happened here, but was
not talked about. And that's what I'm
going to do today. I fly the Phenom
300E. It's a 2021 model with a Garmin
3000. Yes, that means I'm PPL rated. I'm
PIC typed in the Phenom 300. I'm
obviously instrument rated. I don't have
as many hours as many other people in
the space. I want to be respectful of
that. So, I'll give you my opinion, but
I want to qualify it by saying I'm about
50 hours in jet in type and maybe about
350 on top of that for other, you know,
uh, prop planes, mostly the Cirrus, by
the way. Great plane. That said, what
I'm observing here is obviously somebody
who essentially flew stick the entire
flight. This isn't a big deal. It's
pretty obvious that this is not an
autopilot uh, flight path. Uh so when we
understand that I think what we can find
as we get closer to the accident site is
that a form of autopilot may have
mistakenly been enabled that led to the
girrations of the individual's controls.
See, Brachio Bravo tells us, "Hey,
anytime you're having problems with
control of the aircraft, get to the
lowest level of automation you can.
Disengage everything and just fly the
damn plane." And I couldn't agree more
with him. In fact, approaching this very
same approach while I was doing my
multi-engine training. I was on the
Arnav Zulu 26 and the trainer I was with
told me, "Oh, by the way, this plane
does not have Wasps." And I'm like,
"Wait, what? You told me earlier it
did." And he's like, "Oh, yeah. Oops.
Sorry." And I'm like, "Great. So, we can
actually do the our Nav Zulu." My
initial reaction because this is my home
airport is fine. Let's go mist now and
climb. Okay. we'll just go missed early
and we'll just resequence. No problem.
That was in a multi-engine piper. The
point of this is I totally agree with
the advice of if you're task saturated,
you're overwhelmed, disconnect AP, go to
the lowest level of automation, fly the
damn plane and stay flying. But what I
actually think how happened here and
Bronco Liio suggested that this
individual was s starting to sound task
saturated by shortening his responses
before the crash to ATC. What I think
happened here and this is my speculation
is the individual attempted to turn on
autopilot because they were overwhelmed.
One of the reasons I think that they
were overwhelmed was because when you
look at the plan, we know that the
initial approach fix for Jurx is 4,000
ft. We know that we have terrain at 243
ft. We know that uh we had the Kobe uh
Kobe Bryant crash just slightly below uh
the approach path here. Uh, and we know
not only through listening to ATC, but
we know through our um, uh, you know,
flight plan that 4,000 feet is what we
need to be above. But that's actually
not what the individual had as he was
approaching the initial approach fix.
What we had was 4,000 ft, 3850, 3,800,
3775,
3725. Then we get a climb again. Then we
get a climbing right turn. Then we get a
descending right turn and this is where
the individual complains and suggests,
"Hey, I don't know what's going on. The
plane keeps turning." November 626, Papa
Bravo, make your approach, radio check.
Yes, I need to come back to them. The
plane keeps turning on and November 626
Papa Bravo. Roger. Say altitude.
And six Papa Bravo, you're coming in
broken and unreadable. Say again.
626 Papa Bravo approach.
So six prop papa Bravo says rather
casually, "I need some vectors. This
airplane keeps turning." Well, who's in
charge of the airplane at this point? Is
he allowing the airplane to fly him? Is
he allowing the automation to take over
at this point?
When you get in these sort of situations
with your automation, it's time to
downgrade the automation to meet the
task at hand. If the automation is not
doing what you want it to do, assuming
he's even on autopilot or he's not
getting the instrument approach to
sequence correctly to the next way
points, he needs to manually fly the
aircraft, maintain aircraft
control, and then regain control of the
situation, regain control of the
automation secondary to flying the
aircraft. I believe what happened and
this is again my speculation but I think
it's a lesson. I think the individual
became task saturated was not prepared
maybe didn't even brief this approach
and while trying to brief or review the
approach at the same time as flying the
plane. They reached over and turned on
autopilot which they had not been using.
So unlikely had it set up appropriately
for the rest of the flight just based on
what we could see on track here. And
when they turned on the autopilot, they
did something and made a mistake that a
lot of new pilots do. And there's
actually very little training in this. I
think the individual mistakenly turned
on roll mode on autopilot. That is, they
weren't on heading mode. They weren't on
uh any kind of glide path. They weren't
on an autopilot, nothing. They were
simply on autopilot roll mode. So, what
does that look like? Well, on the
scoreboard, roll mode shows RO for roll.
And when I was in training, I remember
that I was never even told or taught
what a scoreboard was until my
instrument check ride. Now, you you
might think that's pretty sad and a
failure, and I agree. I actually think
there's a massive lack of training, and
this is why I like making these videos
to point out where I think there are
failures. I think people don't get
taught about the scoreboard nearly as
much as we should, especially with, you
know, autonomous systems, assuming this
person was using a
G1000. Maybe they weren't even using a
G1000. Maybe they were using something
even older than this. The problem with
roll mode, though, is if you turn it on
while you're in a bank, it's going to
keep that bank. I believe it's designed
so that if you're in a hold, let's say
you're told from ATC, hey, hold at
present position. I believe it's
designed so that you could align
yourself with the hold at present
position. Set your bank the way it's
comfortable
15 somewhere in that range there. Set
autopilot on roll mode and you just sit
there and you wait in your hold until
you've got your further clearance.
But most of the time, I don't actually
see a practical purpose for roll mode
because most people who want to program
a hold just use like the Garmin 3000 to
program in a hold and then you let the
auto pilot just fly it. So, generally,
you're either going to be on uh some
form of program path or you're going to
be on a heading mode. And it's going to
be pretty rare that you're actually on
roll mode for most people. But if the
plane is fighting you on roll mode,
there's something to know, and pilots
know this, but people who drive Teslas
don't.
If the plane is flying and you're on
roll mode, uh, as you activated it in a
turn, it's going to keep that bank and
you're fighting that yoke or the stick,
whatever your plane is using, you're
fighting it trying to get back. In a
Tesla, when you fight the autopilot, it
just boom, boom, disconnects. In a
plane, it doesn't. You fight. And it's
harder the bigger the plane is obviously
to actually manually try to fight the
autopilot servos because they're so much
stronger on a larger aircraft. Uh I
found in a Cirrus I could overwhelm the
autopilot relatively easily with my
wrist on the stick. Uh in the Phenom,
which is, you know, the largest single
pilot jet, but it's still a small jet.
It's pretty hard. You're fighting with
both hands if you want to fight that
autopilot on the yoke. Anyway, you're in
roll mode because you activated it
unintentionally in roll mode on top of
trying to communicate with ATC. Maintain
your altitude and you've got an overcast
layer at 1,800 ft. So, you're in between
the mountains. Mountain obscuration is
exactly what you've got here. You're
going to see uh some mountains that go
as high as 2400 ft. you're going to see
uh nothing when you're in the clouds uh
at that, you know, in the marine layer
around 17-,900 feet was approximately
where that marine layer was. And when
you get below it, you see, oh my gosh,
I've got nothing but mountains around me
trying to get back up. It's pretty
confusing. And I think Proio did did a
great explanation of everything that
happened in the accident. And I really
I'm I'm cutting around here just to
append my opinion that I think there's a
potential what happened in this accident
was truly an autopilot usage failure
because I believe that the pilot was
likely capable of flying the plane
themselves. But that moment where they
say I don't know what's going on. the
plane keeps trying to turn to me is a
sign that they're potentially activating
autopilot, deactivating autopilot at the
same time as pulling up to get their
altitude at the same time as a losing
visual reference to what's going on uh
because they're in IMC and I think that
could have been a contributor to this
crash. Now, let's be clear, we won't
know this until the NTSB does their
investigation, releases at least their
preliminary findings, maybe latter
findings. But the reason I want to
speculate about this is not because I
think speculation is healthy in the
sense of uh you know declaring what
happened to this individual. Instead I
think it's actually really important to
use it as a basis for conversation
around hey you got to know the
scoreboard. So are we on autopilot? Are
we on the GL glide slope? Are we on our
heading mode? Are we on roll mode? roll
mode, in my opinion, I I think first of
all, it's the stupidest mode ever, but
it's oftent times the default mode when
you first enable autopilot. Every
plane's going to be different, but my
take is that if the default mode is roll
mode and your task saturated and
overwhelmed and you enable that
autopilot, but you hadn't previously
programmed it into heading or an AP or
whatever, you're going to have a hard
time realizing, oh crap, I'm in roll
mode. And this has personally happened
to me in training. So, here we go. So,
Carl'sbad airport, uh, we depart runway
24. Uh, and as we're coming out of here,
uh, I activate, uh, the autopilot,
thinking, "Okay, we're going to be on
heading mode." But I was still in my
turn when I activated it and we start
sneaking over closer to the airport. And
at that moment, I'm like, "Okay, I'm
just going to disconnect autopilot and
get back onto the heading because I just
wanted to fly uh essentially the
downwind out of there, a downwind
departure." Uh, this is all VFR. But
that roll mode when it first started
turning and rolling to that side, I
remember my reaction as as a newer pilot
was, "Oh my gosh, what's happening? This
is weird. Autopilot set. I I'm supposed
to be going straight on a downwind.
What's going on?" So, of course, after
disconnecting and then looking at my
scoreboard, I realized, didn't know it
was called a scoreboard back then when I
was still in training, but I realized,
oh, we're not in heading mode. Simple
mistake. But nothing else was really
happening then other than departing. We
weren't in IMC. We weren't uh uh, you
know, we were caught up on our ATC
communications. We were ahead of the
plane. I think if you get behind and all
of a sudden that plane is turning on you
and you're banking around mountainous
terrain is very easy to lose that
situational awareness and that
scoreboard. This saying role I think
could have been a massive contributor to
what happened here. Again, no guarantees
and I want to be really clear that's
just speculation. So, it's just my take,
but I wanted to append that to uh the
video Bronco made because I think he did
he had a great video, but I think we
could have gone a little bit deeper onto
autopilot because that could have been a
lifesaver here if that's what happened.
Anyway, thanks so much for watching.
I'll keep adding my perspective. If you
like it, subscribe. If you don't like
it, let me know. You know, you could
leave me a comment like, "Don't
speculate. Stop it. Go away." Uh, but
love the aviation community. love uh I
love everything about flying and uh hope
I could share more insights with
everyone when I have an opinion to share
it and I'll always make it clear when
something's my opinion. Thanks so much
for watching and we'll see you in the
next one. Remind your
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