Analysis

  

CASE ANALYSIS  
Boeing 737 Max Safety System Was Vetoed, Engineer Says
By Natalie Kitroeff, David Gelles and Jack Nicas
Published Oct. 2, 2019 and Updated Oct. 29, 2019
A senior Boeing engineer filed an internal ethics complaint this year saying that during the development of the 737 Max jet the company had rejected a safety system to minimize costs, equipment that he felt could have reduced risks that contributed to two fatal crashes.
Boeing has provided the complaint, which was reviewed by The New York Times, to the Department of Justice as part of a criminal investigation into the design of the Max, according to a person with knowledge of the inquiry, who requested anonymity given the active legal matter. Federal investigators have questioned at least one former Boeing employee about the allegations, said another person with knowledge of the discussions, who similarly requested anonymity.
It is unclear what, if any, assessment investigators have made of the complaint.
The complaint, filed after the two crashes, builds on concerns about Boeing’s corporate culture, as the company tries to repair its reputation and get the planes flying again.
Many current and former Boeing employees have privately discussed problems with the design and decision-making process on the 737 Max, outlining episodes when managers dismissed engineers’ recommendations or put a priority on profits. The engineer who filed the ethics concerns this year, Curtis Ewbank, went a step further, lodging a formal complaint and calling out the chief executive for publicly misrepresenting the safety of the plane.
During the development of the 737 Max, Mr. Ewbank worked on the cockpit systems that pilots use to monitor and control the airplane. In his complaint to Boeing, he said managers had been urged to study a backup system for calculating the plane’s airspeed. The system, known as synthetic airspeed, draws on several data sources to measure how fast a plane is moving.
Such equipment, Mr. Ewbank said, could detect when the angle-of-attack sensors, which measure the plane’s position in the sky, were malfunctioning and prevent other systems from relying on that faulty information. A version of the system is used on Boeing’s 787 Dreamliner, a new plane model.
Mr. Ewbank did not respond to requests for comment.
In both crashes of the Max, an angle-of-attack sensor is believed to have failed, sending bad data to automated software designed to help prevent stalls. That software, known as MCAS, then activated erroneously, sending the planes into irrecoverable nose dives.
Mr. Ewbank noted in the complaint, “It is not possible to say for certain that any actual implementation of synthetic airspeed on the 737 Max would have prevented the accidents” in Ethiopia and Indonesia. But he said Boeing’s actions on the issue pointed to a culture that emphasized profit, in some cases, at the expense of safety.
Throughout the development of the Max, Boeing tried to avoid adding components that could force airlines to train pilots in flight simulators, costing tens of millions of dollars over the life of an aircraft. Significant changes to the Max could also have required the more onerous approval process for a new plane, rather than the streamlined certification for a derivative model.
According to Mr. Ewbank’s complaint, Ray Craig, a chief test pilot of the 737, and other engineers wanted to study the possibility of adding the synthetic airspeed system to the Max. But a Boeing executive decided not to look into the matter because of its potential cost and effect on training requirements for pilots.

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