APPENDIXES - In-flight Breakup Over The Atlantic Ocean .

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313Aircraft Accident Report5. AppendixesAppendix AInvestigation and HearingInvestigationThe National Transportation Safety Board was initially notified of this accidentabout 2050 eastern daylight time on July 17, 1996. A full go-team was assembled inWashington, D.C., and arrived on scene early the next morning; investigators from theSafety Board’s regional office in Parsippany, New Jersey, went immediately to the sceneof the accident. The go-team was accompanied by the Safety Board Vice Chairman andrepresentatives from the Safety Board’s Office of Government and Public Affairs.The following investigative groups were formed during the course of thisinvestigation: Systems, Structures, Maintenance Records, Airplane InteriorDocumentation, Witness, Metallurgy Structures/Sequencing, Medical Forensic, Fire andExplosion, Powerplants, Air Traffic Control, Operations, Aircraft Performance, AirportSecurity, Reconstruction, Hazardous Materials—Security, and Flight Test. Specialistswere also assigned to stand by in the Safety Board laboratories for the cockpit voicerecorder and flight data recorder.Parties to the investigation were the Federal Aviation Administration (FAA); theBoeing Commercial Airplane Group; Trans World Airlines, Inc. (TWA); the InternationalAssociation of Mechanists, Aerospace Workers, and Flight Attendants (IAM); the AirLine Pilots Association (ALPA); the National Air Traffic Controllers Association; Pratt &Whitney; Honeywell; and the Crane Company, Hydro-Aire, Inc. (For information aboutagencies and companies that assisted during the search and recovery operation, seeappendix C.)Additionally, representatives from France’s Bureau Enquetes Accidents, theUnited Kingdom’s Air Accidents Investigation Branch, and Australia’s Bureau of AirSafety Investigations participated in the investigation as observers, in accordance with theprovisions of Annex 13 to the Convention on International Civil Aviation. In addition,representatives from Canada’s Transportation Safety Board and International CivilAviation Organization, Singapore’s Civil Aviation Authority, and Russia’s InterstateAviation Committee observed portions of the investigation.

Appendix A314Aircraft Accident ReportPublic HearingA public hearing was conducted for this accident from December 8 through 12,1997, in Baltimore, Maryland. Chairman Jim Hall presided over the hearing. Parties to thepublic hearing were the FAA; Boeing; TWA; IAM; ALPA; Honeywell; and the CraneCompany, Hydro-Aire.

315Aircraft Accident ReportAppendix BCockpit Voice Recorder TranscriptThe following is a transcript of the Fairchild A-100 cockpit voice recorder (CVR)installed on the accident airplane. Only radio transmissions to and from the accidentairplane were transcribed. The CVR transcript reflects the 31 minutes and 30 secondsbefore power was lost to the CVR. All times are eastern daylight time, based on a 24-hourclock.Transcript of a Fairchild Model A-100 Cockpit Voice Recorder S/N UNK whichwas removed from a Trans World Airlines, Inc., Boeing Commerical Aircraft Co.B747-100 N93119, which was involved in an inflight accident on July 17, 1996approximately 10 miles south of East Moriches, New York.LEGENDRDORadio transmission from accident aircraftCAMCockpit Area Microphone sound or sourceINTAircraft flight/ground intercom sound or source-1Voice identified as Captain (left seat)-2Voice identified as First Officer (right seat)-3Voice identified as Second Officer-4Voice identified as Instructor Flight Engineer-5Voice identified as gate agent personnel-6Voice identified as male aircraft ground personnel-?Voice unidentifiedTWRJFK Local Controller (tower)GNDJFK Ground ControllerDEPNew York Radar Departure ControllerFICTWA Flight Information ControllerGHKennedy Gate Hold ControllerCTRBoston ARTCC Controller (center)LOADTWA passenger/freight load ControllerATISKennedy automated terminal information serviceUNKUnknown source*Unintelligible word@Nonpertinent word#Expletive deleted

Appendix B316%Break in continuity()Questionable text(( ))Editorial insertion-PauseAircraft Accident ReportNote: All times are expressed in Eastern Daylight Savings time. Only radiotransmissions to and from the accident aircraft were transcribed.

Appendix B317Aircraft Accident ReportCVR Quality Rating ScaleThe levels of recording quality are characterized by the following traits of thecockpit voice recorder information:Excellent QualityVirtually all of the crew conversations could be accuratelyand easily understood. The transcript that was developedmay indicate only one or two words that were notintelligible. Any loss in the transcript is usually attributed tosimultaneous cockpit/radio transmissions that obscureeach other.Good QualityMost of the crew conversations could be accurately andeasily understood. The transcript that was developed mayindicate several words or phrases that were notintelligible. Any loss in the transcript can be attributed tominor technical deficiencies or momentary dropouts in therecording system or to a large number of simultaneouscockpit/radio transmissions that obscure each other.Fair QualityThe majority of the crew conversations were intelligible.The transcript that was developed may indicate passageswhere conversations were unintelligible or fragmented.This type of recording is usually caused by cockpit noisethat obscures portions of the voice signals or by a minorelectrical or mechanical failure of the CVR system thatdistorts or obscures the audio information.Poor QualityExtraordinary means had to be used to make some of thecrew conversations intelligible. The transcript that wasdeveloped may indicate fragmented phrases andconversations and may indicate extensive passageswhere conversations were missing or unintelligible. Thistype of recording is usually caused by a combination of ahigh cockpit noise level with a low voice signal (poorsignal-to-noise ratio) or by a mechanical or electricalfailure of the CVR system that severely distorts orobscures the audio information.UnusableCrew conversations may be discerned, but neitherordinary nor extraordinary means made it possible todevelop a meaningful transcript of the conversations. Thistype of recording is usually caused by an almost totalmechanical or electrical failure of the CVR system.

TIME andSOURCECONTENT1959: 40AIR- GROUND COMMUNICATIONTIME andSOURCECONTENTAppendix BINTRA- COCKPIT COMMUNICATIONStart of recording.1959: 41CAM-?got it.1959: 42CAM-?an agent comin'.1959: 43CAM-?yeah right.passenger's bag pulled, the passenger was on board the wholetime.all right.1959: 50CAM-1is the bags back on?1959: 52CAM- 5huh?1959: 53CAM-?yes.Aircraft Accident Report1959: 49CAM- 53181959: 44CAM- 5

TIME andSOURCECONTENT1959: 54CAM- 1okay.1959: 56CAM- 4are we reconciled?1959: 56CAM-?let's go.1959: 58CAM-?push.1959: 59CAM(( sound similar to cockpit door closing)).2000: 01CAM- 1we won't bother telling them that.2000: 03CAM-?nope.2000: 04CAM- 1you don't mind, huh?2000: 11CAM- 3we'd have a mutiny back there.CONTENTAircraft Accident Reportyeah he was on the whole time.TIME andSOURCE3191959: 53CAM- 1AIR- GROUND COMMUNICATIONAppendix BINTRA- COCKPIT COMMUNICATION

TIME andSOURCECONTENT2000: 14CAM- 4now the lavatories are full.2000: 15CAM- 1okay, well she said she'd call me as soon as they ah --.2000: 16CAM- 3probably have to get the ATIS now, huh?2000: 18CAM- 22000: 36CAM- 3all door lights are out.2000: 37CAM- 1thank you.CONTENTAircraft Accident Report-- visibility greater than one zero ceiling better than five thousandtemperature two eight due point two one altimeter three zero zeroseven approach in use VOR DME runway two two left departurerunway runway two two right and southwest departures runwaythree one left from intersection of kilo kilo all pilot are require toread back all runway hold short instructions in interest of noiseabatement please use the assigned runway advise you have tangoKennedy airport information tango two three five one Zulu weatherwind two two zero eight visibility --.TIME andSOURCE3202000: 22ATISdon't don't ah let them do their job Ralph they'll tell you whenthey're seated.AIR- GROUND COMMUNICATIONAppendix BINTRA- COCKPIT COMMUNICATION

TIME andSOURCE2000: 53CAM- 2CONTENTAIR- GROUND COMMUNICATIONTIME andSOURCEtango.2001: 02INT- 6cockpit ground.2001: 05INT- 1hello ground2001: 06INT- 6all right every thing is shut down here you shouldhave all doo lights out and when you have clearanceyou can release the brakes.3212001: 13INT- 12001: 18CAMCONTENTAppendix BINTRA- COCKPIT COMMUNICATIONyeah we'll get the clearance we're waitin' on all thepeople to sit down I'll be back with ya in just a second.(( sound of cabin chime)).2001: 23CAM- 3hello darling.2001: 24CAM- 3everybody seated thanks.okay we're standing by.Aircraft Accident Report2000: 40INT- 6

TIME andSOURCECONTENTamazing.2001: 26CAM- 3everybody's seated.2001: 27CAM- 1do we have push back clearance to move?2001: 28CAM- 3we’re we’re we cleared to push from FIC or -.2001: 30CAM- 1no not yet.2001: 31CAM- 2you have to call them.TIME andSOURCECONTENT3222001: 25CAM- 1AIR- GROUND COMMUNICATIONAppendix BINTRA- COCKPIT COMMUNICATIONFIC TWA eight hundred gate twenty seven.2001: 37FICTWA eight hundred?2001: 38RDO- 3yeah we're ready to push.Aircraft Accident Report2001: 32RDO- 3

TIME andSOURCE2001: 39CAMCONTENTAIR- GROUND COMMUNICATIONTIME andSOURCECONTENTAppendix BINTRA- COCKPIT COMMUNICATION(( sound of electric seat adjustment)).2001: 42FICcleared to push.2001: 47CAM- 1cleared to push.2001: 48RDO- 32001: 50INT- 1did they say everybody was seated yeah they did.2001: 54CAM- 3yes.2001: 58INT- 1cleared to to push eight hundred.okay ground we are cleared to push yeah well wait a minutehang on a minute.okay, we're cleared to push sorry.Aircraft Accident Report2001: 53CAM- 13232001: 46CAM- 2TWA eight hundred you're cleared to push gate twentyseven.

TIME andSOURCECONTENTAIR- GROUND COMMUNICATIONTIME andSOURCECONTENT2001: 57INT- 6brakes released please.2001: 59INT- 1beacon on brakes released.2002: 00INT- 6thank you.Appendix BINTRA- COCKPIT COMMUNICATION2001: 58CAM(( sound similar to parking brake being released)).2002: 05CAM- 1number one ADP-.2002: 06CAM- 2there you go.2002: 07CAM- 1and the electric.2002: 08CAM- 2it's a command.2002: 09CAM- 1electric's on.Aircraft Accident Reportyou got something else to do Ralph.3242002: 02CAM- 2

TIME andSOURCECONTENTright.2002: 10CAM- 2that's a command.2002: 11CAM- 1command.2049: 27CAM- 1number one ADP on and the electric.2002: 16CAM- 2before you release the brakes.2002: 22CAM-?*.2002: 27CAM- 2block's at oh two I assume.2002: 29CAM- 3I'm showin’ oh two out. is that what you want?2002: 32CAM- 2that's fine.TIME andSOURCECONTENT3252002: 10CAM- 2AIR- GROUND COMMUNICATIONAppendix BINTRA- COCKPIT COMMUNICATIONAircraft Accident Report

TIME andSOURCE2002: 33CAM- 1yeah.2002: 34CAM- 2that's fine.2002: 35CAM- 1okay.2002: 38CAM- 2that's a minute over kill.yeah well that was because they weren’t seated theyprobably had people standing up and they were *.* down.2002: 48CAM- 2exactly.2002: 50CAM- 1you can bet on it.2002: 54CAM- 1I still think I'm sittin' too high in this thing.CONTENTAircraft Accident Report2002: 46CAM- 2TIME andSOURCE3262002: 40CAM- 1CONTENTAIR- GROUND COMMUNICATIONAppendix BINTRA- COCKPIT COMMUNICATION

TIME andSOURCE2003: 11CAM- 1CONTENTAIR- GROUND COMMUNICATIONTIME andSOURCE2003: 10FICeight hundred.2003: 12RDO- 3go ahead.somebody calling us .2003: 13FIC2003: 21INT- 1okay.and ah ground FIC wants you to push us back far enough sothey can bring somebody in our gate.2003: 27INT- 6okay we'll do that.2003: 30INT- 1thank you.Aircraft Accident Report* where's this thing.tell your mechanic to pull you back push you backfar enough so we can get an arrival into your gate.3272003: 18RDO- 32003: 32CAM-?CONTENTAppendix BINTRA- COCKPIT COMMUNICATION

TIME andSOURCECONTENT2004: 07CAM- 1ah there's that ah new airplane.2004: 10CAM- 2one twenty nine yes sir.TIME andSOURCECONTENT2004: 43INT- 6okay this looks far enough.2004: 45INT- 1okay if you say so.2004: 47INT- 6brakes parked please.2004: 50INT- 1brakes parked.2004: 51INT- 6thank you cleared to turn your engines.2004: 54INT- 1okay we'll turn one two and four today.2004: 56INT- 6(( sound of two mike clicks)).3282004: 48CAMAIR- GROUND COMMUNICATIONAppendix BINTRA- COCKPIT COMMUNICATION(( sound of parking brake being set)).Aircraft Accident Report

TIME andSOURCEturn one please.2005: 12CAM- 2(( sound of cough)).2005: 19CAM- 1contact.2005: 22CAM- 2you got N- 1?2005: 26CAM- 1I do now.2005: 27CAM- 2you do now.2005: 29CAM- 3four fifty.2005: 30CAM- 1it bobbled but not much.2005: 42CAM- 1and turn two please.TIME andSOURCECONTENT3292004: 59CAM- 1CONTENTAIR- GROUND COMMUNICATIONAppendix BINTRA- COCKPIT COMMUNICATIONAircraft Accident Report

TIME andSOURCE2006: 00CAM- 1N- one.2006: 01CAM- 3turning.2006: 04CAM- 1two.2006: 07CAM- 3four hundred.2006: 24CAM- 1turn four.2006: 25INT- 1turning four.2006: 27INT- 6* four.2006: 45CAM- 1contact.2006: 51CAM- 3four hundred.CONTENTAircraft Accident Report***.TIME andSOURCE3302005: 44CAM- 4CONTENTAIR- GROUND COMMUNICATIONAppendix BINTRA- COCKPIT COMMUNICATION

TIME andSOURCECONTENTAIR- GROUND COMMUNICATIONTIME andSOURCE2006: 56INT- 12006: 58INT- 62007: 14CAM(( sound of momentary power interruption to the CVR)).2007: 15CAM(( sound of altitude alert tone)).2007: 20CAM- 3stand by.2007: 29CAM- 1after start.2007: 30CAM- 3after start checklist. flight recorder?2007: 33CAM- 1on.okay.Aircraft Accident Reportokay and after start checklist when you have a moment.disconnect ground equipment stand by for hand signalsthank you.3312007: 13CAM- 1CONTENTAppendix BINTRA- COCKPIT COMMUNICATION

TIME andSOURCE2007: 35CAM- 1off.2007: 36CAM- 3beacon lights?2007: 37CAM- 1are on.2007: 38CAM- 3brake pressure?2007: 41CAM- 1checked.2007: 42CAM- 3start levers?2007: 44CAM- 1idle detent.2007: 45CAM- 3engine anti- ice?2007: 46CAM- 1off.CONTENTAircraft Accident Reportstart switches?TIME andSOURCE3322007: 34CAM- 3CONTENTAIR- GROUND COMMUNICATIONAppendix BINTRA- COCKPIT COMMUNICATION

TIME andSOURCE2007: 50CAM- 1CONTENTAIR- GROUND COMMUNICATIONTIME andSOURCEyou need to get taxi clearance.2007: 52RDO- 22008: 01GHKennedy gate hold TWA's eight hundred heavy we're lifeguard ah we're ready to taxi out delta alpha with tango.TWA eight hundred all right contact ground one two one pointniner for the taxi inform them that you are lifeguard.3332008: 04CAM- 3CONTENTAppendix BINTRA- COCKPIT COMMUNICATIONafter start checklist complete.2008: 07RDO- 2Kennedy ground TWA's eight hundred heavy lifeguard comin'out delta alpha with tango.2008: 19GNDah TWA eight hundred heavy ah you're a life guard today?2008: 24RDO- 2yes sir.Aircraft Accident Report2008: 13RDO- 2roger.

TIME andSOURCECONTENTAIR- GROUND COMMUNICATIONTIME andSOURCE2008: 25GND2008: 38RDO- 2right on alpha and hold short of echo.2008: 53CAM- 1clear right?2008: 54CAM- 2clear right.TWA's eight hundred understand I don't think they knew iteither until the last minute.all right TWA eight hundred taxi right on alpha and hold shortof echo.2008: 47RDO- 2TWA's eight hundred right alpha hold short of echo.2008: 49RDO- 3and a load TWA eight hundred.Aircraft Accident Report2008: 52CAM- 1you know every day you come out and we don't know thatyou're a lifeguard and then you tell us you are and ah ifyou could tell company to ah you know ah put that in theirflight plan ah it would help us out alot.3342008: 41GNDCONTENTAppendix BINTRA- COCKPIT COMMUNICATION

TIME andSOURCECONTENT2008: 55CAM(( sound of parking break being released)).2008: 57CAM- 2clear left.2009: 26CAM- 1forty five percent.2009: 28CAM- 1you got a guy over there.2009: 30CAM- 2yup.2009: 34CAM- 1right on alpha huh?CONTENT2009: 05RDO- 3and load TWA eight hundred.2009: 07LOADeight hundred stand by.2009: 36LOADeight hundred ready to copy?Aircraft Accident Reportwatch number one it's too high.TIME andSOURCE3352009: 19CAM- 2AIR- GROUND COMMUNICATIONAppendix BINTRA- COCKPIT COMMUNICATION

TIME andSOURCECONTENTAIR- GROUND COMMUNICATIONTIME andSOURCE2009: 37RDO- 32009: 38LOADclear.2009: 42CAM- 2yeah.2009: 43CAM- 2keep it comin'.2009: 51CAM- 1does he look clear?2009: 52CAM- 2yup it's no problem.ready to copy.on board twenty nine up front one eight three in the reartakeoff fuel is one seven six decimal six your gross takeoffweight is five nine zero seven seven one trim six decimalone and no reported GSI's. copy?3362009: 41CAM- 1CONTENTAppendix BINTRA- COCKPIT COMMUNICATIONokay twenty nine in the front one eighty three in the back oneseven six decimal six on the fuel five nine zero decimal sevenseven one on the takeoff weight six point one on the trim andno GSIs TWA eight hundred out.Aircraft Accident Report2009: 56RDO- 3

TIME andSOURCECONTENT2010: 01CAM- 1one two three --.2010: 09CAM- 1ya think he's gunna try and get us out being a lifeguard?AIR- GROUND COMMUNICATIONTIME andSOURCE2010: 10LOAD2010: 12RDO- 3I think he just *.2010: 19CAM- 2that's your undershoot problem huh.2010: 21CAM- 1?okay read back. * both times?yeah we're out at ah zero zero zero two and ah expecting offhere probably about ah thirty five.3372010: 15CAM- 2CONTENTAppendix BINTRA- COCKPIT COMMUNICATION* it is2010: 25RDO- 3copy zero two and three five have a good flight eighthundred.see ya.Aircraft Accident Report2010: 24LOAD

TIME andSOURCECONTENThow's that look?2010: 27CAM- 2better.2010: 50CAM- 3six point one on the trim.2010: 53CAM- 2okay set up here.2011: 58CAM- 1well we lost a little bit of weight huh? payload.TIME andSOURCE2012: 04GND2012: 17RDO- 2left on echo behind carnival hold short of three one right.2012: 35CAM- 2(( sound of cough)).TWA eight hundred make a left turn on um taxi way echobehind Carnival and hold short of runway three one right andyou can monitor tower now on one two three point niner.TWA's eight hundred heavy left echo hold short of three oneright over to the tower, bye.Aircraft Accident Report2012: 24CAM- 1CONTENT3382010: 26CAM- 1AIR- GROUND COMMUNICATIONAppendix BINTRA- COCKPIT COMMUNICATION

TIME andSOURCECONTENT(( sound of parking brake release)).2012: 41CAM- 2can I have the weight slip if you are done with it, Ollie?2013: 22CAM- 2notice that's going to be an undershoot too.2013: 24CAM- 1what's that?2013: 25CAM- 2good.2013: 27CAM- 1TIME andSOURCECONTENT3392012: 38CAMAIR- GROUND COMMUNICATIONAppendix BINTRA- COCKPIT COMMUNICATIONwell then someone's given me the wrong poop cause I was tryin’ toturn like on the L ten eleven they said I was over- turning.ah.2013: 38CAM- 1how much past center then?2013: 40CAM- 2nose wheel is back by the emergency exit door. right?Aircraft Accident Report2013: 33CAM- 2

TIME andSOURCEAIR- GROUND COMMUNICATIONTIME andSOURCECONTENT2013: 41TWR2013: 42CAM- 1right, right.2013: 45CAM-?(sound of cough).2013: 46CAM- 22013: 56CAM- 2and lifeguard TWA eight hundred heavy Kennedy tower goodevening you with me?so you really can't start the turn until the nose wheel is past therethe center taxi line and whatever it takes as far as -.3402013: 54CAM- 1CONTENTAppendix BINTRA- COCKPIT COMMUNICATIONthe angle but *.as far as comin' out with the main gear you just want to play with ita little bit a few times to find out.okay.2014: 07CAM- 2but that first turn would have been a very dirty *.2014: 10CAM- 1*.Aircraft Accident Report2014: 04CAM- 1

TIME andSOURCE2014: 11CAM- 2CONTENTAIR- GROUND COMMUNICATIONTIME andSOURCECONTENTAppendix BINTRA- COCKPIT COMMUNICATIONthere's no way you could - .2014: 12TWRTWA eight hundred heavy lifeguard Kennedy tower.2014: 13RDO- 2TWA's eight hundred heavy lifeguard go ahead.2014: 16TWRstart the number three motor.2014: 31CAM- 2let's.2014: 33CAM- 2start taxi.TWA eight hundred heavy okay right on ah thirty one ahcorrection thirteen left and follow British.Aircraft Accident Report2014: 29CAM- 13412014: 23RDO- 2I'm gunna put you behind British Airways so the companyheavy seven six knows to follow you so make a right o

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