1 / 11

Aviation Safety Investigation Report: Detailed Findings and Recommendations

The investigation led by Lorenda Ward uncovered critical issues in the airplane's safety. The report offers recommendations for significant safety improvements based on detailed findings. This comprehensive analysis involved a team of 47 experts, including key stakeholders. A detailed reconstruction animation sheds light on crucial moments during the flight. The investigation identified misrigging of the elevator and center of gravity issues, leading to key safety improvements and changes in procedures. Find out how the findings influenced regulatory authorities and industry practices for enhanced aviation safety standards.

constanceh
Download Presentation

Aviation Safety Investigation Report: Detailed Findings and Recommendations

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Lorenda Ward Investigator-in-Charge

  2. Investigation • A total of 47 Safety Board investigators and staff members were involved • Core team consisted of five investigators and one writer • An estimated 8 man years was spent on this investigation • Public Hearing was held May 20 – 21, 2003 • Technical Review was held on June 20, 2003 • Report presented to the Board within 13 months

  3. Parties to the Investigation • Air Midwest, Inc. • Raytheon Aircraft Company • Raytheon Aerospace, LLC • Federal Aviation Administration • Air Line Pilots Association • Hartzell Propeller • International Association of Machinists • National Air Traffic Controllers Association • Structural Modification and Repair Technicians, Inc.

  4. Board Member John Goglia Lorenda Ward Greg Phillips Tom Haueter Christine Carey Brenda Yager Sharon Bryson Erik Grosof Don Chupp Frank Ciaccio Peter Knudson Bill English Ken Egge Paul Misencik Dr. Evan Byrne Dr. Bill Bramble Dr. Dan Bower Dr. Kevin Renze Bob Swaim Mike Hauf Pierre Scarfo Deepak Joshi Clinton Crookshanks NTSB Staff

  5. Cindy Keegan Courtney Liedler Nora Marshall Stephen Carbone Butch Wilson (ATL) Eric Alleyne (ATL) Keith Holloway Paul Schlamm Sherri Filbin Paul Schuda Chris Julius Brian Fiffick Marci LaShells Kevin Peterson Kevin Petty Erin Gormley Doug Brazy John Clark John DeLisi Karen Stein Karen Bury Kristen Sears Christy Spangler Alice Park Abdullah Kakar NTSB Staff (continued)

  6. Details of Animation • Airplane taxies to runway • Accelerates down runway • Rotates for takeoff • Landing gear is raised • Flight crew recognizes that there is a problem • Airplane nose continues to rise up • Flight crew pushes the control column forward

  7. Significant Findings • Elevator was misrigged • 7 degrees down rather than 14 degrees • Aft center of gravity • 45.5% MAC rather than 40% MAC

  8. Safety Improvements • FAA – issued Airworthiness Directives and Notices, established an Aviation Rulemaking Committee • Raytheon Aircraft – revised its manuals • Air Midwest – changed its average weights, revised its work cards, changed its maintenance work schedule • Raytheon Aerospace – increased its training

  9. Issues Related to the Findings • Restricted downward elevator travel • Weight and balance • Maintenance • Human factors

More Related