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Release: NTSB Urges Changes

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    Safety: U.S. Aviation Industry, FAA Share Safety Information with NTSB

    Nov. 8, 2012
    WASHINGTON – The Department of Transportation’s Federal Aviation Administration (FAA), airlines and aviation labor unions today announced a partnership with the National Transportation Safety Board (NTSB) to share summarized safety information that could help prevent accidents.

    The information, shared through an initiative called the Aviation Safety Information Analysis and Sharing (ASIAS) Executive Board, will help the NTSB determine if an accident is a unique event or an indication of systemic risks. Under ASIAS, airlines and unions already voluntarily share safety information with FAA to identify trends.

    “The nation’s impressive safety record is in part due to an unwavering commitment by government and industry to work together to monitor data and identify trends to prevent accidents,” said FAA Acting Administrator Michael Huerta. “More than 90 percent of air carriers use voluntary reporting programs and this has led to significant training, operational and maintenance program improvements.”

    “I am grateful to the FAA, industry and labor for their leadership,’’ said Deborah A.P. Hersman, NTSB chairman. “Better information leads to better investigations.”

    “The U.S. aviation industry’s commitment to sharing safety information has already successfully helped us lower the fatality risk on commercial flights,” said Captain Paul Morell, Vice President, Safety, Security and Environmental Programs, US Airways and ASIAS Executive Board co-chair. “Through ASIAS, we know that industry and government are investing in the right safety solutions.”

    ASIAS uses aggregate, protected data from industry and government voluntary reporting programs, without identifying the source of the data, to proactively find safety issues, identify safety enhancements, and measure the effectiveness of solutions. ASIAS began in 2007 and now has 44 members and receives voluntary data representing 95 percent of all commercial air carrier operations. It onnects 131 data and information sources across the industry and is integrated into the Commercial Aviation Safety Team (CAST) process. CAST is a joint government and industry effort that uses a data-driven strategy to reduce the commercial aviation fatality risk in the United States and promote safety initiatives throughout the world. Their work, along with new aircraft, regulations and other activities, reduced the fatality risk for commercial aviation in the United States by 83 percent from 1998 to 2008.

    Seven of CAST’s 76 safety enhancements have been derived from forward-looking data analysis in ASIAS. Additionally, ASIAS stays connected to CAST’s safety enhancements to track the effectiveness of those interventions. The databases used to identify trends include Flight Operations Quality Assurance (FOQA) programs, the Aviation Safety Action Partnership (ASAP), the Air Traffic Safety Action Program (ATSAP), FAA surveillance data, and many others.

    The agreement outlines the procedures, guidelines, and roles and responsibilities for the ASIAS Executive Board to address specific written NTSB requests for ASIAS information. The agreement does not allow any of the parties to use aggregate FOQA, ASAP, ATSAP or other non-publicly available data to measure an individual data contributor’s performance or safety.

    The NTSB will initiate written requests for ASIAS information related to aircraft accidents involving U.S. air carriers that occur in the United States and address safety issues that both the NTSB and the ASIAS board determine are significant and non-routine or reoccurring. The NTSB will not publicly disclose ASIAS information it receives via the process unless the ASIAS Executive Board agrees.

    The NTSB will share with ASIAS its archived air carrier accident and incident flight data recorder information related to a request.

    Peggy Gilligan, Associate Administrator for Aviation Safety, FAA and Captain Paul Morell, Vice President, Safety, Security and Environmental Programs, US Airways signed the agreement for the ASIAS Executive Board. David Mayer, Managing Director, signed for the NTSB.

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  • NTSB INVESTIGATING CRASH OF WORLD WAR II-VINTAGE B-17

    The National Transportation Safety Board is investigating Today’s crash of a B-17 (N390TH) vintage airplane. The crash occurred approximately 3-4 miles southeast of the Aurora
    Municipal Airport near Oswego, Illinois. It has been reported that there was an in-flight fire prior to impact. There were 7 persons on board. No injuries have beenreported at this time.

    NTSB investigator Tim Sorenson will be the Investigator-in-Charge and is en route to the accident scene. Moreinformation regarding the investigation will be releasedwhen it becomes available.

    NTSB Media Contact:
    Keith Holloway (202) 314-6100
    hollowk@ntsb.gov

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    NTSB: Prevent Aerodynamic Stalls at Low Altitude

    Avoid this often deadly scenario through timely recognition and appropriate responses.

    Many stall accidents that occur in VMC result when a pilot is momentarily distracted from the primary task of flying, such as while maneuvering in the airport traffic pattern, during an emergency, or when fixating on ground objects.

    See Full Alert

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  • NTSN Lists Top 10 Leading Causes of Fatal General Aviation Accidents 2001-2011

    The Top 10 Leading Causes of Fatal General Aviation Accidents 2001-2011
    1. Loss of Control Inflight
    2. Controlled Flight Into Terrain
    3. System Component Failure – Powerplant
    4. Low Altitude Operations
    5. Unknown or Undetermined
    6. Other
    7. Fuel Related
    8. System Component Failure – Non-Powerplant
    9. Midair Collisions
    10. Windshear or Thunderstorm

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    SAFO: Maintenance of Night Vision Imaging Systems (NVIS)

    Purpose: This SAFO alerts operators of aircraft equipped with a Night Vision Imaging System (NVIS) of
    potential deficiencies in the configuration and condition of installed NVIS equipment.

    Background: Recent Federal Aviation Administration (FAA) assessments of NVIS-equipped aircraft have shown that the likelihood of configuration and maintenance problems increases as aircraft continue in service after NVIS modifications. This means that operators of NVIS-equipped aircraft may not be adequately meeting the inspection and maintenance requirements of NVISs.

    The assessment also concluded that operators are installing light-emitting or light-reflecting equipment, which affects the NVIS compatibility of the aircraft, without ensuring that the equipment is properly evaluated.

    Discussion: The FAA’s Aviation Safety (AVS) organization recently directed a nation-wide sampling of NVIS- equipped aircraft. FAA teams, made up of Flight Standards Service (AFS) inspectors and Aircraft Certification Service (AIR) inspectors/engineers, conducted the sampling and discovered that NVIS-equipped aircraft were frequently out of compliance with NVIS requirements for three primary reasons:
    ? Operators installed light-emitting or light-reflecting equipment that caused the aircraft to no longer be properly configured for use with Night Vision Goggles (NVG);
    ? Operators failed to properly maintain the installed NVIS equipment; and
    ? Flightcrews were aware of conditions that reduced the ability to see necessary instruments/equipment during day, night, NVG-aided, or NVG-unaided flights. Another common problem was improperly filtered light-emitting equipment. Flightcrews did not communicate these discrepancies to the maintenance department or maintenance personnel.

    After assessing and analyzing the data collected, the FAA has determined it is likely that other NVIS-equipped aircraft may not be properly configured or maintained for NVG operations. The term night vision device was intended to include all necessary equipment that is installed or modified as part of the entire NVIS, which includes NVGs. Failure to properly maintain an aircraft’s NVIS configuration and equipment can degrade NVG acuity (i.e., blind spots for flight crewmembers using NVG) and prevent the flightcrew from clearly seeing aircraft instrumentation.
    Distributed by: AFS-200 OPR: AFS-300

    Recommended Action: Directors of Maintenance, Directors of Safety, Directors of Operations, Chief Pilots, mechanics, and pilots operating or maintaining NVIS-equipped aircraft should take appropriate action to confirm the following:
    1. Instructions for Continued Airworthiness (ICA) are current, correct, applicable by serial number, and are being properly applied by maintenance departments and personnel. If the ICA has been incorporated into an inspection program, confirm that all the additional ICA requirements are being met;
    2. Installed NVIS equipment are properly maintained;
    3. Maintenance personnel are appropriately trained on the maintenance and inspection of NVIS installations;
    4. Flightcrews fully understand the importance of reporting NVIS-related problems to maintenance personnel;
    5. Aircraft configuration/conformity is periodically checked to ensure that installed NVIS equipment complies with the Supplemental Type Certificate (STC); and
    6. Current and complete data is available to maintenance personnel to support the NVIS equipment.
    NOTE: An aircraft that does not comply with the STC and/or ICA requirements, or that has inoperative or improperly maintained equipment, should not be operated until corrective action has been taken. Operators may use or apply for Minimum Equipment List (MEL) relief as applicable. MEL information is contained in FAA Order 8900.1, Flight Standards Information Management System (FSIMS), Volume 4, Chapter 4, Minimum Equipment Lists (MEL) and Configuration Deviation Lists (CDL), as well as MMEL Policy Letter 127.

    Please visit http://www.faa.gov/aircraft/air_cert/design_approvals/rotorcraft/nvis/ for additional information on NVIS-equipped aircraft.
    Contact: Questions or comments concerning this SAFO can be directed to your Certificate Holding District Office (CHDO).

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