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NTSB Safety Recommendations

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    NTSB launches team to assist government of Guyana in aviation accident

    Washington – The National Transportation Safety Board launched a team of investigators today to assist the government of Guyana with its investigation into yesterday’s accident at Cheddi Jagan International Airport, Georgetown, Guyana, involving a scheduled passenger flight.

    On July 30, 2011, at approximately 1:25 am (EDT), Caribbean Airlines flight 523, (Trinidad & Tobago registration 9Y-PBM), en route from Trinidad to Guyana, overran the runway during landing at Cheddi Jagan International Airport in Guyana. Preliminary information from the Guyana Civil Aviation Authority (CAA) indicated that one serious and multiple minor injuries were reported aboard the Boeing 737-800, carrying 156 passengers and six crewmembers.

    The NTSB designated Bob Benzon as the U.S. Accredited Representative. He will lead the U.S. team, which includes seven NTSB staff with expertise in operations, meteorology, airworthiness, survival factors, and aircraft performance as well as representatives from the Federal Aviation Administration and Boeing. The team is scheduled to arrive in Guyana this evening.

    The Guyana CAA is leading the accident investigation. The accident aircraft recorders have been recovered and, at the request of the CAA, will be transported to NTSB headquarters in Washington, DC to be downloaded.

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    UPS Flight 1354 Agenda and Media Logistics for Investigative Hearing


    The National Transportation Safety Board today released the agenda for the investigative hearing on the ongoing investigation into the Aug. 14, 2013 crash of UPS Airlines flight 1354, an Airbus A300-600, on approach to Birmingham-Shuttlesworth International Airport in Birmingham, Ala.

    The hearing will be held February 20 at the NTSB’s Board Room and Conference Center at 429 L’Enfant Plaza SW in Washington and begins at 8:30 a.m.

    Hearing witnesses, including representatives of the Federal Aviation Administration, Airbus, UPS Airlines, Independent Pilots Association and the Transport Workers Union will testify and answer questions from NTSB Board members, technical staff, and parties about non-precision approaches, human factors and flight dispatch issues. The agenda, list of panel witnesses, biographies and other related information is available at the hearing event page at http://www.ntsb.gov/news/events/2014/ups1354_hearing/index.html

    Investigative exhibits for the hearing will be placed in the electronic docket at the start of the hearing and will also be available on the hearing event page once the hearing begins.

    NTSB Chairman Deborah A.P. Hersman will be available to answer questions from the media at the conclusion of the hearing. Additional details about the availability will be included in an advisory on Wednesday.

    Television coverage of the proceedings will be by network pool provided by CNN. Escorted cutaway for video media will be permitted for brief periods throughout the hearing. Still photographers will be permitted in the seating area of the Board Room and by escort to areas in front of the witness panels.

    Because of construction at and around L’Enfant Plaza, satellite and other media trucks will have to check in for parking and running cable through the construction zone. Please RSVP to eric.weiss@ntsb.gov by Feb. 19. Media access to the Board Room is available beginning at 7:30 a.m.

    A media room is also available with tables, chairs and an audio mult box. Generally-accepted media credentials will be required for access to the media room. In addition, a fully equipped overflow room has been established and will serve as a storage area for video equipment during the hearing.

    Seating for the general public in the Board Room is on a first-come, first-served basis. The hearing will be webcast live. Access to the webcast can be found at www.ntsb.gov.

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    The National Transportation Safety Board has scheduled an investigative hearing on February 20 into the crash of a UPS Airbus A300-600 on approach to Birmingham-Shuttlesworth International Airport in Birmingham, Ala., on Aug. 14, 2013.

    The two flight crew members were killed and the airplane was destroyed when it impacted the ground less than a mile short of Runway 18. The cargo flight had originated from Louisville, Ky. Runway 18 was being used because the main runway at the airport was closed for repairs at the time of the airplane’s arrival.

    The one-day hearing will examine:

    Execution of non-precision approaches, including initial and recurrent training, adherence to standard operating procedures, and proficiency
    Human factors issues associated with effective crew coordination and resource management applicable to this accident, including decision-making, communication, fatigue and fitness for duty, as well as monitoring and cross-checking, policies, standard operating procedures, guidance, and training provided to UPS crewmembers.
    Dispatch procedures, including the training, evaluation, roles and responsibilities of UPS dispatchers and the limitations of dispatch-related software.
    The investigation is ongoing and this hearing will develop additional facts to support the investigation. The hearing will be held in the NTSB Board Room and Conference Center in Washington, D.C. A detailed agenda and a list of attendees will be forthcoming.

    Parties to the hearing will include the Federal Aviation Administration, UPS, Airbus, the Independent Pilots Association and the Transport Workers Union. The accredited representative from the French Bureau d’Enquêtes et d’Analyses pour la sécurité de l’aviation civile (BEA) will participate on the technical panels.

    The determination of the probable cause of the crash will be released when the investigation is complete. Just prior to the start of the hearing, the public docket will be opened. Included in the docket are photographs, interview transcripts and other documents.

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    NTSB public events are also streamed live via webcast. Webcasts are archived for a period of three months from the time of the meeting. Webcast archives are generally available by the end of the event day for public Meetings, and by the end of the next day for Technical conferences.

    If you wish to obtain a copy of NTSB meetings, please contact the NTSB Records Management Division at (202) 314-6551 or 800-877-6799. You may also request this information from the NTSB web site or write the following: National Transportation Safety Board, Records Management Division (CIO-40), 490 L’Enfant Plaza, SW,Washington, DC 20594.

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    NTSB Denies Petition on 1996 Crash of TWA Flight 800


    The National Transportation Safety Board today denied a petition for reconsideration of its findings in the investigation of the 1996 crash of TWA flight 800.

    The petition was filed in June 2013 by a group called The TWA 800 Project. Petitioners claimed a “detonation or high-velocity explosion” caused the crash.

    “Our investigations are never ‘closed’,” said Acting Chairman Christopher A. Hart. “We always remain open to the presentation of new evidence.”

    Before responding to the petition, NTSB staff met with the petitioners’ representatives and listened to an eyewitness who described what he saw on the night of the accident. After a thorough review of all the information provided by the petitioners, the NTSB denied the petition in its entirety because the evidence and analysis presented did not show the original findings were incorrect.

    Black Box

    Part 1

    Black Box

    Part 2

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    Southwest In the News

    Click to see video
    Southwest just reported that El Paso-Phoenix jet that landed at 9:30 p.m. in Phoenix with one engine did so because of an engine exhaust problem. Good for them for catching it.

    This was certainly less of an issue that the April 1 2011 surprise, the fuselage rupture in the roof of the Southwest Phoenex-Sacramento flight. That fifteen year old plane lost pressure (kind of a given, one would think, with a huge hole in the roof) and had to make an emergency landing in Yuma, 150 miles southwest of Phoenix. There were no injuries except to Southwest’s reputation.

    On April 4, the FAA sent out a letter mandating operators of specific early Boeing 737 models to conduct initial and repetitive electromagnetic inspections for fatigue damage.

    The NTSB is investigating. And all of the onus is not on Southwest–it’s also on Boeing, as they examine that

    Southwest is a busy airline operator. The stats of take offs and landing every 24 hours must be staggering. Their 737s are renowned workhorses that don’t tire, but they have to be taking a beating.

    Let’s not wait for something terrible to happen. Let’s double on maintenance. Let’s do the footwork to prevent another metal fatigue occurrence to happen again, busting a hole in the fuselage at 36,000 feet.

    Audio, Documents Detailing Southwest Emergency Released: MyFoxPHOENIX.com

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    Third NTSB Investigative Update on Boeing 787 Battery Fire in Boston


    January 20, 2013
    WASHINGTON – The National Transportation Safety Board today released a third update on its investigation into the Jan. 7 fire aboard a Japan Airlines Boeing 787 at Logan International Airport in Boston.

    The lithium-ion battery that powered the auxiliary power unit has been examined in the NTSB Materials Laboratory in Washington. The battery was x-rayed and CT scans were generated of the assembled battery. The investigative team has disassembled the APU battery into its eight individual cells for detailed examination and documentation. Three of the cells were selected for more detailed radiographic examination to view the interior of the cells prior to their disassembly. These cells are in the process now of being disassembled and the cell’s internal components are being examined and documented.

    Investigators have also examined several other components removed from the airplane, including wire bundles and battery management circuit boards. The team has developed test plans for the various components removed from the aircraft, including the battery management unit (for the APU battery), the APU controller, the battery charger and the start power unit. On Tuesday, the group will convene in Arizona to test and examine the battery charger and download nonvolatile memory from the APU controller. Several other components have been sent for download or examination to Boeing’s facility in Seattle and manufacturer’s facilities in Japan.

    Finally, examination of the flight recorder data from the JAL B-787 airplane indicate that the APU battery did not exceed its designed voltage of 32 volts.

    In accordance with international investigative treaties, the Japan Transport Safety Board and French Bureau d’Enquêtes et d’Analyses pour la sécurité de l’aviation civile have appointed accredited representatives to this investigation. Similarly, the NTSB has assigned an accredited representative to assist with the JTSB’s investigation of the Jan. 15 battery incident involving an All Nippon Airways B-787. Both investigations remain ongoing.

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  • NTSB TO OPEN DOCKET ON INVESTIGATION INTO THE CRASH OF A PILATUS AIRCRAFT IN MONTANA

    As part of its continuing investigation into a plane crash in Montana, the National Transportation Safety Board will open the public accident docket on Friday, December 3, 2010.

    On March 22, 2009, at 1430 mountain daylight time, a Pilatus PC-12/45, N128CM, crashed near the approach end of runway 33 at Bert Mooney Airport (BTM), Butte, Montana. The airplane was owned and operated by Eagle Cap Leasing of Enterprise, Oregon, as a personal flight under the provisions of 14 Code of Federal Regulations Part 91. All 14 people on board the airplane were killed in the accident. There were no ground injuries. The flight departed Oroville Municipal Airport, Oroville, California, at 1110 Pacific Daylight Time (1210 mountain daylight time) on an instrument flight rules flight plan and was destined for Gallatin Field, Bozeman, Montana. The airplane was diverting to Butte at the time of the accident. Visual meteorological conditions prevailed at the time of the accident.

    The information being released is factual in nature and does not provide analysis. The docket includes: investigative group factual reports, interview summaries, crew statements, air traffic control transcripts, controller statements, the meteorology report, and other documents.

    Additional material will continue to be added to the docket as it becomes available. Analysis of the accident, along with conclusions and a determination of probable cause, will come at a later date when the final report on the investigation is completed.

    The docket material will be made available at 10:00 am ET on December 3 on the NTSB website at http://www.ntsb.gov/dockets/foia_fri-dockets.htm#Aviation2010 in the FOIA electronic reading room. Details are listed by date.

    This will be a document release only. No interviews will be conducted.

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