The Globe and Mail - 02.11.2019

(John Hannent) #1

O2 OTHEGLOBEANDMAIL | SATURDAY,NOVEMBER2,2019


T


he whole is more complex than the sum of
the parts.
That’s the lesson that we can take from
the crashes of Lion Air Flight 610 in 2018
and Ethiopian Airlines Flight 302 in 2019, two 737
Max airplanes that are the subject of hearings in
U.S. Congress this week. The hearings focused on
three issues: a feature of the 737 Max called the Ma-
neuvering Characteristics Augmentation System
(MCAS); the question of why Boeing built an air-
craft that turned out to have deadly flaws; and the
role of regulators in allowing a fundamentally un-
safe plane to fly.
Boeing designed MCAS to make the Max fly more
like earlier generations of the 737, by masking dif-
ferences caused by the Max’s larger and more fuel-
efficient engines. But when MCAS became confused
by erroneous input from a malfunctioning sensor,
as happened on both Lion Air 610 and Ethiopian
Airlines 302, MCAS repeatedly countermanded pi-
lots and pitched the nose of the airplane down.
In his testimony, Boeing chief executive Dennis
Muilenburg laid out the technical solutions that
would fix MCAS. Going forward, the system will
compare data from the two sensors, it won’t repeat-
edly activate if pilots resist it and it won’t create
more force than a pilot can override by pulling on
the airplane’s control yoke.
It seems like Engineering 101: Don’t make an ag-
gressive flight-control system – one that can over-
power pilots – reliant on one sensor. How did Boe-
ing, with its tens of thousands of experienced engi-
neers and strong incentives to build safe airplanes,
get this wrong? Or, as one senator asked, when did
Boeing know that there was a problem, and did the
company hide it from
regulators to meet an
aggressive certification
time frame?
These are important
questions, but they
don’t tell the whole sto-
ry. That’s because the
MCAS problems stem
from the underlying
challenge of complexity.
Boeing followed the cer-
tification practices and
the rules that the Federal Aviation Administration
(FAA) required. The problem, as aviation-safety ex-
pert Chris Hart testified, is that following the rules
doesn’t guarantee safety. The failures of complex
systems, such as modern, automation-reliant air-
planes, are driven by interactions between parts,
rather than the failures of individual components –
and that’s not what the FAA’s piecewise certifica-
tion process is designed to uncover.
MCAS was among nearly a hundred changes that
Boeing needed to prove were safe. Early in the
Max’s design, engineers added MCAS as a niche sys-
tem that would almost never turn on. But as Boeing
expanded its role, engineers crafted an increasingly
powerful system without accounting for the knock-
on effects. The design had changed massively, but
they didn’t think about it any differently, reasoning
that capable pilots could manage any issues.
Indeed, Boeing engineers ran tests that showed
that pilots could overcome an MCAS malfunction:
Once pilots recognized the issue, they merely had
to flip two easy-to-reach switches to disable the sys-
tem – something that crews were already trained to
do in several other situations.
But those tests were unrealistic; they happened
in the simulator under idealized conditions. When
the problem occurred in the real world – that is,
when a failed sensor provided erroneous input and
caused MCAS to incorrectly engage – the cockpit
became awash with conflicting warnings: altitude
disagreement, airspeed disagreement and a shak-
ing control stick that indicated that an aerodynam-
ic stall was imminent. Amidst all this, it was pos-
sible for a crew to identify and disable the malfunc-
tioning system, but that would have required pilots
to overcome their surprise and recognize a com-
mon factor in a cacophony of seemingly unrelated
warnings. The illusion of effective testing made
Boeing engineers overconfident in their under-
standing of how crews would handle MCAS failure.
That overconfidence prevented them from seeing
the new, more powerful system as more dangerous.
Boeing’s approach to testing points to another
lesson in managing complexity: the need to consult
with outsiders. As complexity increases in any busi-
ness, so does the cost of missing things. And out-
siders – especially when they point out uncomfort-
able flaws in our thinking – become more and more
valuable. Boeing’s MCAS tests were done by test pi-
lots who knew the airplane and its systems inside
out rather than by crews flying in the real world. By
relying on insiders, Boeing made an unintentional
bet that every 737 Max crew, even on their worst
day, would be roughly as good as their test pilots.
While it might seem like these kinds of challeng-
es are unique to aviation, that couldn’t be further
from the truth. The same kind of complexity that
Boeing struggled with affects all sorts of companies.
Target’s expansion into Canada, for example, was
challenged by a complex supply chain, a bet on
software that managers didn’t understand and a
lack of outsiders giving critical input. Nor are pub-
lic-sector programs immune, as the fraught rollout
of the Phoenix pay system demonstrates.
Amidst these challenges lies a solution. We need
to realize that the success of a complex undertaking
is about more than getting isolated parts correct.
We need to test our systems realistically so that we
uncover problems rather than confirm our opti-
mism. And we need to incorporate outsiders who
can cause us to rethink our simplifying assump-
tions. That’s the only way we can learn how to man-
age the whole system, rather than being stuck in its
parts.

Boeing’sfailures


reflectaninability


tomanage


complexity


CHRISCLEARFIELD

OPINION

Chief eïecutive of SystemLogic and the co-author of
Meltdown:WhatPlaneCrashes,OilSpills,andDumb
BusinessDecisionsCanTeachUsAboutHowto
SucceedatWorkandatHome

:e need to realize
that the success
of a compleï
undertaking is about
more than getting
isolated parts
correct.

‘I


think I may be in jail for my 82nd birthday,”
Jane Fonda said recently, and it sounded al-
most like a wish.
Her birthday is on Dec. 21, so we’ll find out
soon enough.
As I write this, she’s been arrested three times in
the past three weeks for unlawfully protesting in-
action on climate change on Capitol Hill in Wash-
ington. She’ll probably have been arrested again by
the time you read this.
It’s been almost 50 years since she was arrested
for the first time, at a protest by Native Americans
hoping to turn an old fort into a cul-
tural centre in Washington State. Now
that’s she started her own climate
protest, called Fire Drill Fridays, she
will probably continue to reap scorn
for her activism. I’m pretty sure it will
roll right off her magnificent blond
head. I mean, if anyone is used to crit-
icism, it’s someone with a closetful of
ex-husbands.
Her own father, Henry Fonda,
threatened to turn her in to the au-
thorities if he thought she were turn-
ing into a Communist. One of her ter-
rible ex-husbands, the film director
Roger Vadim, called her “Jane of Arc,”
and not in a complimentary way.
She’s been accused of treason, in-
vestigated by the FBI and pilloried for
posing with an anti-aircraft gun in Ha-
noi in 1972 (a misguided decision she has repeated-
ly apologized for). A Vietnam vet once told her that
he would go into video stores and turn her famous
exercise tape backward so it faced the wall. That
must have hurt.
And yet, here she still is, lifting her plastic-cuffed
wrists in triumph as the police lead her away, stick-
ing out her tongue in defiance. These are grandma
goals. You can have your grandma goals, and I will
happily defend your right to celebrate your well-
earned retirement in any way you choose. Take a
cruise. Learn to samba. Spoil your grandchildren as
vengeance upon your own children.
But the elders who are out there right now, pro-
testing and advocating and being arrested, are earn-
ing a special kind of reward. They’re trying to re-
build a bridge between generations, one that’s in
terrible disrepair.
The kids who are marching right now are resent-
ful, as they have every right to be. They’re angry at a
generation that has wiped its feet on the Earth and
then shrugged at the mess. They’ve responded by
taking to the street, and with the casual savagery of
the phrase “OK boomer,” which The New York
Times describes as “Generation Z’s endlessly re-
peated retort to the problem of older people who
just don’t get it, a rallying cry for millions of fed up
kids.”
What possible comeback is there for such de-
served criticism? Apologies for the flights we took,

and the idiots we voted for and the months-long
retirement in sunny condos that we’re currently en-
joying at their expense? Sorry, kids. Better luck next
planet!
Then there’s Ms. Fonda’s path, which is one of
humility and partnership. She says she’s been in-
spired by teenage climate activist Greta Thunberg,
and by Naomi Klein’s new bookOn Fire: The (Burn-
ing) Case for a Green New Deal. Ms. Fonda talks about
seeing the climate crisis as an interrelated series of
problems to be addressed, including racism and mi-
sogyny, colonialism and corporate greed. She’s
brought her famous older friends to be arrested
alongside her: Ted Danson, 71, was there last week,
zip-tied in solidarity. We can only hope for Lily Tom-
lin to show up with a martini glass, and complete a
Grace and Frankiebingo.
Of course, older citizens have long been a central
part of any social-justice movement.
They single-handedly keep the nucle-
ar-disarmament movement afloat. In-
digenous elders are at the centre of en-
vironmental-protection movements
in Canada and the U.S. and around the
world. The Raging Grannies, born in
Canada, rampage for justice wherever
there is injustice. One of them was re-
cently arrested at a protest in Virginia,
after chaining herself to piece of con-
struction equipment next to a banner
that said, “Pipelines blow.”
What’s changed lately is that there
seems to be a new urgency, and a
sense of a debt owed, an obligation
unfulfilled, a deadline pending. The
Extinction Rebellion movement – the
people British Prime Minister Boris
Johnson likes to call “crusties” – teems
with retirees with time on their hands and no boss
to call if they have to spend a night in a jail cell. They
carry signs that say, “I am a rebel so I can look my
grandchildren in the eye.”
One of the Extinction Rebellion protesters, 91-
year-old John Lymes, sat down (on a folding chair)
in the middle of a road in Dover as an act of civil
disobedience.
“It’s great that the younger ones are protesting,”
he told a reporter from the British broadcaster ITN,
“but it’s my generation that’s caused all this trouble,
so here I am.” He was interrupted in mid-interview
by a polite police officer who’d come to arrest him.
Ms. Fonda actually accepted a lifetime achieve-
ment honour from BAFTA on behalf of the British
film industry while being arrested. “I’m sorry I’m
not there!” she called, as she was led away. “I’m very
honoured!” Maybe you have to be arrested a certain
number of times before you learn to multitask on
your way to the hoosegow.
In her 2005 memoir,My Life So Far, Ms. Fonda
talks about the need to think of a life as a series of
acts, as in a play, and to plan meaningful achieve-
ments for each one. The last act can be as vital as the
first. She writes about wanting “to practice con-
scious living, be there as fully as I can for my chil-
dren and my grandchildren, contribute in whatever
ways I can to healing the planet.”
Maybe, without knowing, she’s also helping
build a bridge.

ILLUSTRATIONB<HANNABARC?<K

JaneFondais


theraginggranny


theworldneeds


Asyoungpeopleprotestclimatechange,thegeneration
that’senragedthemofferssolidaritybyprotestingalongside

The elders who are
out there right now,
protesting and
advocating and
being arrested, are
earning a special
kind of reward.
TheyÌre trying to
rebuild a bridge
between
generations, one
thatÌs in terrible
disrepair.

ELIZABETH
RENZETTI

OPINION

| OPINION
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