Aircraft Accident Analysis, by Robert L. Sumwalt II

Aircraft Accident Analysis

by Robert L. Sumwalt II & James M. Walters

Publisher:
ISBN-13:
9780071351492
Copyright Date:
2000
Pages:
384
Binding:
Paperback
Dimensions:
9.0" x 6.0"
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Fascinating and factual accounts of the world’s most recent and compelling crashes.

Industry insiders James Walters and Robert Sumwalt, trained aviation accident investigators and commercial airline pilots, offer expert analyses of notable and recent aircraft accidents in this eye-opening, lesson-filled case file. Culled from final reports issued by military and foreign government investigations, as well as additional research and resources, Aircraft Accident Analysis tells the final and full tales of doomed flights that stopped the world cold in their wake.

Technical accuracy and details, presented in layman’s language, help to clarify:
• Major accidents from commercial, military, and general aviation flights.
• Pilot backgrounds and flight histories.
• Chronology of events leading to each accident.
• Description of aviation investigation process.
• Insight into NTSB, military, and foreign government findings.
• Resulting recommendations, requirements, and policy changes.
• Preview summaries of accidents too recent for final reports are also highlighted. Readable, authoritative, and complete, Aircraft Accident Analysis: Final Reports is at once an important reference tool and a riveting, what-went-wrong look at air safety for everyone who flies.

Featured final and preview reports include:
U.S. Air Force, U.S Commerce Secretary Ron Brown, Dubrovnik, Croatia
Jessica Dubroff, Cheyenne, Wyoming
Valujet Airlines 592, Everglades, Florida
American Airlines 955, Cali, Columbia
John Denver, Pacific Grove, California
Atlantic Southeast Airlines, Carrollton, Georgia
US Air 427, Pittsburgh, Pennsylvania
TWA 800, Long Island, New York
Delta Air Lines, LaGuardia Airport, New York
John F. Kennedy, Jr., Martha’s Vineyard, Massachusetts


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TABLE OF CONTENTS:

Abbreviations
Preface
Introduction

Part 1 Major air carrier accidents
1. The longest investigation in U.S. history: USAir flight
Flight history and background
The investigation and findings
The roll event
Left rudder deflection
Boeing 737 rudder system
NTSB testing of the PCU and servo valve
Rudder reversals during secondary slide jam

Other significant roll/yaw events
Crossover airspeed
Human performance
Conclusions
Rudder jam/reversal scenario
Pilot input scenario

Unfinished business: United 585 and Eastwind 517
Lack of FDR information
Probable cause
Recommendations
Industry actions

2. Pressure falling rapidly: American 1572's brush with disaster
Flight history and background
The investigation
Adequacy of weather information
Altimeter settings
Descent below MDA
Terminal Instrument Approach Procedures (TERPS)
Airport issues
Flight after the tree strike
Evacuation issues
Conclusions and probable cause
Recommendations
Industry action
Actions taken by American Airlines
Epilogue

3. El Deluvio claims American 965
Flight history and background
The rescue
The investigation and findings
Research away from the crash site
The decision to accept Runway 19
Situational awareness
Awareness of terrain
Automation
Crew Resource Management (CRM)
Speedbrakes
Conclusions and probable causes
Recommendations
Industry action
Actions taken by American Airlines
Epilogue

4. A tale of two tragedies: Bergenair 301 and Aeroperu 603
Birgenair, flight history and background
The investigation and findings
Conclusions and probable cause
Recommendations
Industry action 86 Aeroperu, flight history and background
The investigation and findings
Conclusions and probable cause
Recommendations
Industry action
Epilogue

5. Carnage in the Everglades: The flight of Valujet 592
Flight history and background
The investigation
Forward cargo bin reconstructed
Flammable cargo
Outdated oxygen generators
Contracting for vital services
Time pressure on the shop floor
Documentation for removing/replacing oxygen generators
Removal of oxygen generators: The maintenance process
Packaging and shipping of oxygen generators
Oxygen generator fire tests
Conclusions
Fire initiation and propagation
Flight profile after eruption
Cargo compartment fire/smoke detection and extinguishing
The way ValuJet conducted business
FAA oversight
The probable causes
Recommendations
Industry action
Epilogue

6. A pilot's nightmare: The inflight fire of FedEx 1406
Flight history and background
Emergency response
The investigation and findings
Origin of fire
Ignition source of fire
Flightcrew action
Dissemination of hazardous materials information
Conclusions and probable cause
Recommendations
Industry action
Epilogue

7. Contact approach: A close call for Delta 554
Flight history and background
The investigation and findings
Weather
Airport issues
The aircraft
Flight data recorder information
Captain's use of monovision contact lenses
Visual cues and illusions
Conclusions

Delta 554's final approach
The probable cause
Recommendations
Industry action
Epilogue

8. A final evaluation flight for Airborne Express
Flight history and background
The investigation and findings
Flightcrew factors
ABX FEF procedures
FAA oversight
Conclusions and probable cause
Recommendations
Industry action
Epilogue

9. Waiting for rescue: an agonizing night for KAL 801
Flight history and background
The rescue
The investigation and findings
The weather
Flightcrew actions
Flightcrew training
Air traffic control
KCAB oversight of KAL
FAA oversight of KAL
Emergency response
Conclusions and probable cause
Recommendations
Epilogue

Part 2 Regional airline accidents
Along for the ride: The final descent of ASA 529
Flight history and background
The rescue
The investigation and findings
The 14RF-9 propeller design
The propeller installed on N256AS
History of the 14RF-9 propeller
Weather
Communications
Conclusions and probable cause
Recommendations
Industry action
Epilogue

11. Quandary at Quincy: The runway collision of United Express 5925 and Beechcraft King Air N1127D
Flight history and background
Rescue attempt
The investigation and findings
King Air's mission and occupants
King Air's takeoff distance and accelerate stop time and distance
Visibility and conspicuity tests
Conclusions
Performance of the United Express flightcrew
Performance of the King Air pilot and pilot/passenger
Performance of the Cherokee pilot
Survivability issues
The probable cause
Recommendations
Industry action
Epilogue

12. Dangerous misconceptions: The legacy of Comair 3272
Flight history and background
The investigation and findings
Wake turbulence
Icing
EMB-120 development and certification
Weather
NTSB performance studies
History of related icing incidents
Pilot actions
FAA oversight
Conclusion and probable causes
Industry action prior to publication of the final report
Recommendations
Further industry action
Epilogue

Part 3 Military accidents
13. A missed approach: The fatal flight of Commerce Secretary Ron Brown
Flight history and background
Accident response
The investigation and findings
The aircraft
The pilots
Weather
Navigational aids and facilities
Design of the NDB Runway 12 approach
Air Force supervisory responsibilities
Operational pressure
Other issues
Conclusions and probable causes
Epilogue

14. A lack of teamwork: HAVOC 58 impacts Sleeping Indian Mountain
Flight history and background
Emergency response
The investigation and findings
The aircraft
The Jackson Hole Airport
ASR/GDSS
The squadron
The probable cause
Epilogue

15. Have Blue: An airshow to remember
The aircraft
Flight history and background
The investigation and findings
On scene
Aircraft structure
Conclusions
The probable cause
Air Force action
Epilogue

Part 4 General aviation accidents
16. Shattered dreams: A record-setting flight gone awry

Flight history and background
The investigation and findings
Aircraft weight and balance
Weather
Human factors issues
Conclusions
Reduced engine performance
Operational factors
The probable cause
Recommendations
Industry action
Epilogue

17. Falling star: John Denver's final flight
Flight history and background
The investigation and findings
The aircraft
Pilot information
Fuel consumption tests
Other tests and research
Conclusions
Enhancing safety
The probable causes
Recommendations
Industry action
Epilogue

18. The investigation continues
TWA 800
Swissair 111
American 1420
Glider accident, N807BB
John F. Kennedy, Jr.
Conclusions

About The Authors
James Walters is a Captain with a major U.S. airline and is Chairman of the Accident Investigation Board for the Airline Pilots Association, International. He is completing studies toward a master's degree in aeronautical science/safety from Embry Riddle Aeronautical University and is a graduate of the Transportation Safety Institute. He frequently participates in National Transportation Safety Board accident investigations and disaster preparedness training exercises conducted by airports worldwide.

Robert Sumwalt is a Captain for a major international airline. Having received training as an aircraft accident investigator from the NTSB, he participates in air carrier accident investigations and also in aviation safety research. A consultant to the NASA Aviation Safety Reporting System, he is the author of numerous aviation articles, training texts, and manuals on aircraft operations, human factors, aircraft accident investigation, and airline policies and procedures.

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