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NTSB ANNOUNCES Lithium Ion Batteries in Transportation FORUM

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    NTSB Releases Safety Recommendations

    Partial summary of what is included

    • incorporate in Aircraft Flight Manuals a committed-to-stop point in the landing sequence
    • subpart K operators and Part 142 training schools to incorporate the information
    • establish, and ensure that pilots adhere to, standard operating procedures.
    • principal operations inspectors ensure that pilots use the same checklists in operations that they used during training for normal, abnormal, and emergency conditions.
    • require manufacturers to revise existing, checklists to require pilots to clearly call out and respond with the actual flap position
    • revise/describe terms severe thunderstorms, such as “bow echo,” “derecho,” and “mesoscale convective system.”
    • revise regulations and policies to permit appropriate prescription use
    • require fatigue education (training and policy for doctors and pilots)
    • runway excursion prevention development
    • wet runway landing data information provided to pilots
    • pilot in command line checks demonstrating expertise

    Safety Recommendation .pdf

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    NTSB Safety Recommendation A-12-7


    The National Transportation Safety Board makes the following recommendation to the Federal Aviation Administration:

    Require repetitive inspection of Engine Components, Inc. cylinder assemblies produced between May 2003 and October 2009 (serial numbers 7709 through 52884) installed on Teledyne Continental Motors model 520 and 550 engines and removal of these cylinder assemblies once they reach the engine manufacturer’s recommended normal time (hours) in service between overhauls. (A-12-7)

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  • NTSB SAFETY RECOMMENDATION: 14 Code of Federal Regulations Part 91


    The National Transportation Safety Board makes the following recommendation to the Aircraft Owners and Pilots Association:

    Educate pilots of 14 Code of Federal Regulations Part 91 flight operations about the benefits of notifying passengers about the location and operation of survival and emergency communication equipment on board their airplanes.

    The PDF may be viewed here:

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    IMPROPER MAINTENANCE LED TO Vegas AIR TOUR HELICOPTER CRASH

    What is it that I’ve always said? Maintenance, Maintenance, Maintenance.

    Looks like the NTSB Findings agree with me! See their report below about a helicopter crash in December 7, 2011, that occurred in my home away from home, Las Vegas Nevada.

    PRELIMINARY REPORT
    On December 7 at 4:30 Pacific Standard Time, a Eurocopter AS350-B2, operated by Sundance Helicopters as flight Landmark 57, crashed in mountainous terrain approximately 14 miles east of Las Vegas. The flight, a sightseeing tour, departed Las Vegas McCarran International Airport (LAS) en-route to the Hoover Dam area was operating under visual flight rules. The helicopter impacted in a narrow ravine in mountainous terrain between the cities of Henderson and Lake Mead. The pilot and four passengers were fatally injured.

    The National Transportation Safety Board determined today (Jan. 29, 2013) that the probable cause of the Dec. 7, 2011, air tour helicopter crash near Las Vegas, Nev., was inadequate maintenance, including degraded material, improper installation, and inadequate inspections.

    “This investigation is a potent reminder that what happens in the maintenance hangar is just as important for safety as what happens in the air,” said NTSB Chairman Deborah A. P. Hersman.

    At about 4:30 p.m. Pacific standard time, a Sundance Helicopters Eurocopter AS350, operating as a “Twilight City Tour” sightseeing trip, crashed in mountainous terrain about 14 miles east of Las Vegas, Nev. The helicopter originated from Las Vegas McCarran International Airport at about 4:21 p.m. with a planned route to the Hoover Dam area and then return to the airport. The accident occurred after a critical flight control unit separated from another, rendering the helicopter uncontrollable. After the part separated, the helicopter climbed about 600 feet, turned about 90 degrees to the left, descended about 800 feet, began a left turn, and then descended at a rate of at least 2,500 feet per minute to impact. The pilot and four passengers were killed and the helicopter was destroyed.

    The NTSB found that the crash was the result of Sundance Helicopters’ improper reuse of a degraded self-locking nut in the servo control input rod and the improper or non-use of a split pin to secure the degraded nut, in addition to an inadequate post-maintenance inspection.

    Contributing to the improper (or lack of) split pin installation was the mechanic’s fatigue and lack of clearly delineated steps to follow on a “work card” or “checklist” The inspector’s fatigue and lack of a work card or checklist clearly laying out the inspection steps to follow contributed to an inadequate post-maintenance inspection. As a result of this investigation the NTSB made, reiterated and reclassified recommendations to the Federal Aviation Administration.
    “One of the critical lines of defense to help prevent tragedies like this crash is improved maintenance documentation through clear work cards, or checklists,” Hersman said. “Checklists are not rocket science, but they can have astronomical benefits.”

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    Ask NTSB Why United Boeing Battery overheat was a non-reportable incident?

    What is significant here is that no report was filed on the United Boeing 787-800 (Washington Dulles,DC-Paris Charles de Gaulle) that received a main battery overheat indication while landing in Paris on
    Nov 12th 2017. The battery was venting fluid via from the forward vent relief system. The NTSB reported to Aviation Herald that the occurrence was rated a non-reportable incident. No investigation was opened. 14 other SDR reports were filed).

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    DATES FOR Boeing Battery INVESTIGATIVE HEARING

    The National Transportation Safety Board announced today that its two-day investigative hearing into the Jan. 7 battery fire aboard a Boeing 787 at Boston’s Logan Airport will be held on April 23-24 at the NTSB Board Room and Conference Center in Washington, D.C.

    The hearing will focus on issues relating to the design, testing and certification of the battery system.

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