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Friday, September 18, 2015

Bad Aircraft Fuel Level Indication Can Lead to Aircraft Fuel Starvation.

Really Where's your Proof 

Yes I know you have read every publication put out by AOPA and the FAA and they clearly say fuel level indication is clearly a pilot error issue.  In NTSB reports they have a rubber stamp that reads like the following :

"The pilots improper pre-flight and inflight planning, which resulted in fuel exhaustion."
What most in the general aviation community opinion on this issue is referred to as Fundamental Attribution Error.  (FAE) This is where we naturally blame people, even when circumstances or conditions are the primary issue.  

Last week I wrote a blog with the intentionally provocative title: "Let's Legislate Accurate AIrcraft Fuel Level"

For this I received the expected typical responses below: 
"How about we simply look at the number of people that have fuel related accidents and see if they did a proper preflight ...which...since you keep going by FAR's is required. If they didn't do a preflight correctly...they are poor pilots...and if they are poor pilots...gauges won't make a difference. You can't save people from being stupid"
"So, how much of this is lack of awareness, poor training or just laziness I do not know. But this is one of the most preventable accidents out there that keeps happening on a regular basis. I am not convinced an AOPA video will change that.  That is the real crime. They are still happening twice a week and none of them have to."

You would actually expect this pilot response to the provocative inquiry.   In looking at this as a pilot cultural issue or a FAE  the concept of  "Just World Phenomenon" features prominently.  This is the belief that people get what they deserve and deserve what they get.   


Unfortunately, the just-world hypothesis also results in a tendency for people to blame and disparage victims of an accident or a tragedy.  It is actually a protective strategy of the mind, providing mental separation from those kind of pilots that run out of fuel.   It won't happen to me, I am not like one of those pilots.

Sorry - These are random events and they happen to good pilots - I have a files and files from Transportation Boards across the world - you are not immune.  You have a doppleganger who was just as careful as you are and ran out of fuel in their aircraft.   I am sorry to burst the protective bubble.

What appears to happen in General Aviation is that, blame for fuel starvation, falls squarely on the those pilot shoulders .  This appears to be cultural phenomenon among pilots of all types.  The primary message we hear is that education will cure the miscreants, those bad pilots that will always get into trouble.


Very rarely do we delve into the situational factors of the fuel starvation issue at hand.  Our cultural bias doesn't allow that possibility.


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Fuel indication in aviation is loathsome at best - it is not a deep dark secret that most aircraft fuel indication systems are marginal from the start. 

 When you compound a marginal system with poor or no maintenance,  you can make a general statement that a functionally inoperative fuel gauge is common place in aviation.  

This is illustrated by responses from a General Aviation News inquiry as to what pilots felt about general aviation fuel level indication.
"Maybe they’re also more in the habit of keeping an eye on the clock in flight, even sneaking the occasional glance at those notoriously inaccurate fuel gauges." 
"Airplanes are legendary for having inaccurate fuel quantity gauges" 
"These devices are notoriously inaccurate, showing empty when there are gallons left in the tank and showing full for the first 1/2 hour."
"Aircraft fuel gauges can be notoriously inaccurate." 
"Without a means of measuring fuel flow, you must rely on the aircraft fuel gauges or total time of flight. Aircraft fuel gauges are notoriously inaccurate (they are only required by the FAA to read accurately when displaying empty)." 
"Aircraft fuel gauges have a well-deserved reputation for being unreliable and the FARs only require that fuel gauges read correctly when they are empty!" 
"Second, as others have said aircraft fuel gauges have historically been
poorly designed and grossly inaccurate.  Many will indicate something significantly different in a climb vs a descent and there are some airplanes with fuel gauges that are designed to read full until a substantial amount of fuel has been consumed." 
"Don’t bet your life on your fuel gauges, visually check the fuel level by “dipping” all tanks. Some aircraft models have notoriously unreliable fuel gauges." 
"All light aircraft gauges are notoriously, infamously and reliably, unreliable." 
"Sounds great in theory, but I have not yet seen an accurate Cessna fuel gauge, Ever. A fairly expensive AD would be the only thing that would ever change that."
I don't think a statement that  "Aviation fuel level indication could be improved" would fall very far from the mark. 

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Better fuel indication will lead to better decisions and appropriate warnings in aviation.  


While it seems obvious to a layperson

Strangely, Thats not the popular opinion in GA.  But here is the proof. 


EASA (European FAA) - In a Transport Aircraft study for revisions to required powerplant instruments.  EASA showed that better fuel indication would have improved the result of the 65 incidents and accidents in Transport AIrcraft - well over 70% of these accidents/incidents could have been avoided.  Transport aircraft are not GA, but it is the same mode.

CASA (Australian Civil Aviation Authority) Requires that aircraft fuel Indication in Australian aircraft meet a performance standard, every 4 years.   The reasons cited are improving the fuel starvation incident and accident rate. 

TSBC (Transportation Safety Board of Canada) Makes findings of faulty fuel indication a factor in fuel starvation events.  They point to the wide use of fuel sticks as an indication that fuel level reliability could be improved in aviation
 The fuel quantity indicators on this type of aircraft were not reliable. As a result, the pilot could not be sure of the quantity of available fuel in the left tank during flight.

Tests on the components of the fuel level indication system established that the only time the fuel level in the wing tank was shown correctly was when the tank was empty 

The Bell 214B and Bell 205 flight manuals be modified to provide information regarding the inaccuracy of fuel quantity indications, thereby allowing pilots to make informed decisions in the event of a loss of fuel boost pump pressure. 
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Cognitive Bias 

While these two points are associated with the same system and appear plain as day 

  1. General Aviation Aircraft have inaccurate fuel level indication.
  2. General Aviation Aircraft are prone to fuel starvation and fuel exhaustion.

A general aviation pilot won't recognize those statements as connected. 

Why: 

Anchoring Bias -  The tendency to rely too heavily, or "anchor", on one trait or piece of information when making decisions (usually the first piece of information that we acquire on that subject.

Pilot's are told to never trust the fuel gauge on the first training flight. 

Availability Cascade A self-reinforcing process in which a collective belief gains more and more plausibility through its increasing repetition in public discourse (or "repeat something long enough and it will become true.

Bandwagon Effect The tendency to do (or believe) things because many other people do (or believe) the same.

AOPA, FAA continually tell us that we need to use proper pre-flight procedure including sticks.
Confirmation Bias The tendency to search for, interpret, focus on and remember information in a way that confirms one's preconceptions
Aircraft fuel gauges only have to be accurate at zero 
You're only interested in selling senders  
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I have a passion for European Sports cars of the 50's and 60's  and I was talking with a group of MG-TC owners.  The subject of fuel indication came up and the MG owner brought out his calibrated stick.   MG T Series cars don't have a fuel gauge, they have a warning light, and Old British cars being what they are the warning light isn't a trusted component or indication of anything of merit.    

I mentioned that small aircraft use a stick as well to determine fuel quantity.  There were lots of raised eyebrows and a few quizzical looks.    The very first statement I heard was.

  "I bet they run out of gas"
  followed by 


"They can't just pull over and check with the stick can they"

I told them the various reasons why,  and they asked if something was being done to improve that.  

I told them sadly no.  A pilot will go out today after purchasing a new aircraft and obtain a stick to measure their fuel.  

It's  startling commentary, that in aviation, we use fuel measurement methods and techniques to prevent running out of fuel that were common on minimal equipment British sports cars of the 40's & 50's.  

I hope it makes us think.



Wednesday, September 9, 2015

What if We Legislated Accurate Aircraft Fuel Level


Yes Virginia, Bad Fuel Level Indication Can Lead to Aircraft Fuel Starvation.


If you look at the small aircraft fuel starvation/exhaustion statistics you might make an assumption that aircraft might have poor fuel quantity indication systems and you might be exactly right.  What is more astounding is that the FAA will agree with you and put it in writing.   Three to four aircraft a week find a way of running out of fuel in North America.



But if you ask a pilot - they will probably equivocate and  shift the responsibility for these fuel starvation events elsewhere. 


So let's look at some of the basics:

Every transportation system, save small piston and turboprop aircraft in North America,  when you evaluate fuel starvation from a functional hazard assessment, indicate that a failure or inaccuracy of the fuel indication is a causal factor in fuel starvation.  


Lets look at the closest brethren to small aircraft - our commercial aircraft cousins.

 

In large commercial aIrcraft fuel quantity indication has been determined to be a leading factor in fuel starvation - The example of the Gimli Glider a Air Canada Boeing 767 that suffered fuel exhaustion and glided to a landing was due to erroneous fuel loading calculations and fuel-gauge malfunctions.

The aircraft's fuel gauges were inoperative because of an electronic fault which was indicated on the instrument panel and airplane logs (the pilots believed the flight was legal with this malfunction)

In an Aviation Week Article in Nov 2011 

EASA Proposal Targets Fuel Starvation Risks

Lessons learned from 65 transport aircraft fuel starvation incidents and accidents in the past four decades have prompted the European Aviation Safety Agency (EASA) to propose certification rule modifications designed to mitigate the occurrence of similar incidents. 
The notice of proposed rulemaking (NPA-2011-13) issued this summer would modify EASA's certification specifications for large aeroplanes (CS-25) by requiring the installation of fuel identification systems, replacing the currently required fuel quantity indicators for each fuel tank. The new systems would have to permanently display to the flight crew the total quantity of usable fuel on board as well as in each fuel tank. provide low-level fuel warnings for each tank, and warn the crew of an airplane configuration that, if left uncorrected, would starve one or more engines of fuel.

In this case EASA would like to improve aviation safety by putting in a better fuel quantity indication system in Commercial aircraft to address the Fuel Starvation hazard.

Not so in General Aviation, Let's look at how AOPA handles this same concept.


  • Know how much fuel you have onboard. 
    • Think of Fuel not in Gallons but in Hours and Minutes.
    • Use a calibrated Dipstick and your Fuel Computer (Trip Computer)
    • Depart with Full Tanks
  • Know your fuel system 
  • Know what kind of fuel is in your tank
  • Update your status during flight
  • Land with adequate reserve

    In this helpful Fuel Awareness White Paper somewhere at the end

    • Finally "some sort of Fuel indication is provided for the pilot" 

    So nowhere in this paper does the AOPA tie the fuel you have onboard your small aircraft to your fuel quantity instrumentation in the aircraft.  Instrumentation that is designed to let you know your remaining fuel quantity, nowhere. 


    It is a fact that a working fuel indication system should help you determine how much fuel you have all the way through your flight. 


    Why do we tolerate this in General Aviation Aircraft.  



    By FAA regulation you are supposed to have Fuel gauge for each and every aircraft tank. When you take delivery of a new aircraft you should expect the following from your fuel indication:  Part 23

    • This gauge is to read from Full to Empty 
    • Where Empty is the least fuel you can safely use.
    • This gauge is to be marked with Numbers and what these Numbers represent i.e. Gallons.

    There is no other performance standard for this gauge and even for large commercial aircraft the fuel indication regulation reads exactly the same.


    In commercial aircraft the fuel indication system typically meets a TSO Standard which is a numerical quality standard for indication.  Maintenance is required to show that this system is maintaining that standard. 




    Here is where it get's lost in the General Aviation world.  There is no quantitative  (numerical)  performance standard in the regulation.   The fuel quantity system does not typically meet a numerical performance TSO standard.  In fact it has been stated, that it only needs to be accurate when you are Empty.   This statement is not folklore its printed FAA policy and guidance. 


    The  FAA Position - We don't really have a usable standard, it's up to you. 




    The follow on regulations for the pilot and mechanic are equally vague and fuzzy and they are as follows: 



    Pilots need to have a working fuel gauge indicating the quantity of fuel in each tank.  Part 91


    Mechanics need to insure the following under the aircraft's mandatory yearly maintenance: Part 43

    • Check for poor condition
    • Check that the gauge is properly secured to the aircraft
    • Check to insure the markings are clear 
    • Check (where practical) for improper operation 


    So we have a  touchy / feely standard for what constitutes a working fuel gauge in general aviation.  


    If we peer into the maintenance manuals - this aviation requirement is equally spongy and strangely consistent for every small aircraft manufactured.   

    Most aircraft manufacturers have issued Service Bulletins outlining a calibration procedure that could be accomplished to insure the system is somewhat accurate, but is not required.


    There is no quantitative standard for for small aircraft fuel gauge accuracy and no quantitative standard in the field to determine if the fuel gauge is providing useful information to the pilot.


     Actually accuracy is left up to the personal discretion of the pilot and their mechanic to a personal definition of "working" and "improper operation".   This is obviously a purely qualitative evaluation.  


    Remember:
     If you can't measure it 
    you can't manage it.


    Let's look at an example of  how small aircraft fuel indication should be handled:


    The Australian Civil Aviation Authority came upon this lack of a consistent standard and decided to do something about it.   The Australian fuel quantity performance standard has to be met 4 year intervals.   This testing is mandated by law and very similar in result to an FAA or EASA AD.  You must comply, but it deals with forcing proper maintenance and not addressing a manufactured design defect.

    This mandatory repetitive compliance testing has a clear qualitative standard that is traceable back to the FAA requirement and the underlying Society of Automotive Engineering requirements for fuel indication in aircraft.  

    The standard is flexible enough to account for aircraft that have rudimentary sight gauge indication systems.   

    Even more impressive is that this standard is combined with an element of best practice to insure an aircraft has accurate fuel level indication for the pilot to use.

    Basically these standards are :

    • That the Fuel Gauge progress smoothly and continuously to empty as fuel is drained.
    • The Fuel Gauge reads Empty with the zero usable fuel level in the tank.
    • If the Fuel Gauge is marked at major graduations for fuel quantity (Part 23 Aircraft) that the gauge indicate within a few percentage points of that marked value.
    • If the Fuel Gauge is marked in 1/4 tank increments (E,1/4.1/2,3/4, F) that a placard be placed along side the instrument to list the numerical volume associated with that mark. 

    Simple and straight forward, Why don't we give it a try. 





    Perspective Touch Fuel Quantity

    Cirrus SF50 Jet

    Instilling confidence with just a glance. Dedicated synoptics such as: Engine & Fuel.  

    The new SF50 Cirrus Jet provides a comprehensive view of the aircraft fuel system.

    The high reliability fuel sensors behind this system are manufactured by CiES.

    They instill enough confidence to the manufacturer to do away with pilot entry of fuel level.  

    And secure enough to allow automatic tank switching of fuel based on weight and fuel imbalance.

    Pretty astounding actually. 


    CiES Accuracy that allows Numerics of Individual Tank and Total Fuel Capacity 
    and Fuel Temperature 

















    Safety that allows at allows automatic input of actual fuel level weight based on fuel level sensor input. 




    Tuesday, September 8, 2015

    Beech Baron Digital Fuel Level Sender Retrofit - Part 4

    Beech Baron 55 Fuel Level Senders



    We have now digitized the Baron 55 Senders.  For the Baron 55 we have gone ahead with part production for top mount senders and have established the arm lengths to complete this design.   

    As we produce the arms in house -                                                                                                                                                    This gave us the shortest time to achieving a TSO Baron Fuel Sender for our customer.



    All dimensions for these new senders  were captured from a legacy set of Beech Baron Fuel Level senders.  As our design constraints are different from the legacy senders - there is a little bit to getting the right geometry in the tank 

    We are looking forward to this system in the aircraft as it represents a chance for us to utilize our capability of giving a multiple tank system accurate fuel level.

    Stay tuned for further updates and pictures.