A faulty sensor reading and the activation of an anti-stall system on a Boeing 737 Max preceded the crash of an Ethiopian Airlines flight in 2019 that killed 157 people, an interim report by the government in Addis Ababa found.
The accident, following the 2018 crash of the same model of plane in Indonesia that killed 189 people, including 18 Canadians, led to the grounding of Boeing’s 737 Max worldwide, wiped billions off the company’s value and sparked hundreds of lawsuits from bereaved families.
The interim report bolstered the findings of Ethiopia’s initial assessment, which linked the crash to a Boeing automated system. The interim report’s recommendations did not include any proposed measures for Ethiopian authorities or the airline.
It said two sensors recording the plane’s angle — known as the “angle of attack” or AOA — differed in readings by 59 degrees.
“Shortly after liftoff, the left and right recorded AOA values deviated. The left AOA values were erroneous and reached 74.5,” the report said.
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That was followed by the activation of an anti-stall system known as MCAS, which repeatedly forced the plane’s nose downward because the sensor was saying it was climbing too steeply, it said.
The Ethiopian interim report contrasts with a final report into the Lion Air crash released last October by Indonesia that faulted Boeing’s design of cockpit software on the 737 Max but also cited errors by airline workers and crew.
The Ethiopian report did not mention any errors by the pilots, merely noting they were trained, fully certified and medically cleared to fly. It criticized Boeing for “inadequate” training for pilots flying the new model because simulations did not include scenarios where MCAS was erroneously activated.
“Training should also include simulator sessions to familiarize with normal and non-normal MCAS operation. The training simulators need to be capable of simulating AOA failure scenarios,” it recommended.
The report ratifies safety recommendations that are already underway, including modifications to the sensor architecture and anti-stall MCAS software. Boeing only recently endorsed the call for more costly simulator training after holding out for months in favour of computer-based training.
The U.S. House Transportation Committee on Friday faulted the country’s Federal Aviation Administration’s (FAA) approval of the plane and Boeing’s design failures, saying the 737 Max flights were “doomed.”
Boeing was not aware that the report was out, said a spokesperson for the company, adding she would comment once she had read the report.
There was no immediate comment from U.S. aviation authorities and no clear indication from Ethiopia when the final report might be released.