1 NATIONAL I T~SpOR T ATION SAFETY BOARD PB NTSB/AAR-90/03 AIRCRAFT ACCIDENT REPORT USAIR, INC., BOEING LAGUARDIA AIRPORT FLUSHING, NEW YORK SEPTEMBER 20, 1989 Dok NTSB
2 c JACK R. HUNT MEMORIAL UBRARY DAYTONA BEACH, FLORIDA The National Transportation Safety Board is an independent Federal agency dedicated to promoting aviation, railroad, highway, marine, pipeline, and hazardous materials safety. Established in 1967, the agency is mandated b the Independent Safet Board Act of 1974 to investigate transportation accicrents, determine the proiiable cause of accidents, issue safety recommendations, study transportation safety issues, and evaluate the safety effectiveness of government agencies involved in transportation. The Safety Board makes public its actions and decisions through accident reports, safety studies, special investigation reports, safet recommendations, and statistical reviews. Copies of these documents may be purei ased from the National Technical Information Service, 5285 Port Royal Road, Springfield, Virginia Details on available publications may be obtained by contacting: National Transportation Safety Board Public Inquiries Section, RE Independence Avenue, 5.W. Washin ton, D.C (202)38!-6735
4 TECHNICAL REPORT DOCUMENTATION PAGE 1. Report No. 2. Government Accession No. 3. Recipient s Catalog No. I NTSBIAAR PB Title and Subtitle Aircraft Accident Report-- 5. Report Date USAir, Inc., Boeing , LaGuardia Airport, July 3, 1990 Flushing, New York, September 20, Performing Organization Code Author(s) 8. Performing Organization Report No. 9. Performing Organization Name and Address 10. Work Unit No. I 5204A National Transportation Safety Board Office of Aviation Safety 11. Contract or Grant No. Washington, D.C Type of Report and Period Covered Aircraft Accident Report 12. Sponsoring Agency Name and Address September 20, 1989 NATIONAL TRANSPORTATION SAFETY BOARD Washington, D.C Sponsoring Agency Code 15. Supplementary Notes 16. Abstract This report explains the crash of USAir flight 5050 on September 20, 1989 at New York City s LaGuardia Airport. The safety issues discussed in the report are the design and location of the rudder trim control on the Boeing , air crew coordination and communication during takeoffs, crew pairing, and crash survivability. Safety Recommendations addressing these issues were made to the Federal Aviation Administration and the Port Authority of New York and New Jersey 17. Key Words /i?-( cq 1-6; r2mz3i :;Lx J ~;,J-cf ;.,p),)-y ->>L j&f (y&jcl>; I?!JL -;y * /& -/f J,r,g L Lv?wJ~~J~Ch 19. Security~lafs!ifi$tion 20. Security Classification (of this report) (of this page) UNCLASSIFIED UNCLASSIFIED \ltsb Form (Rev. S/88) I 18. Distribution Statement This document is available to the public through the National Technical Information Service, Springfield, Virginia No. of Pages 22. Price 98
6 CONTENTS ::1 ::: :*z 1: ;*; 1: :-ii 1: EXECUTIVE SUMMARY... FACTUAL INFORMATION History of the Flight... Injuries to Persons... Damage to the Airplane... Other Damage... Personnel Information... General... The Captain... The First Officer... Airplane Information... Meteorological Information... Surface Observations... Rainfall... Aids to Navigation... Communications... Aerodrome Information... Flight Recorders... The Cockpit Voice Recorder... The Flight Data Recorder... Wreckage and Impact Information... Main Wreckage... Marks on the Runway... Medical and Pathological Information... Fire... Survival Aspects... Seat Damage... Emergency Exit Damage... Evacuation... Emergency Response... Tests and Research... Powerplant Examination... Rudder Trim Examination... Brake and Anti-skid Examination... Simulation Studies... Other Information... Aircraft Systems Descriptions... The Nosewheel Steering System... The Rudder Trim System... The Autothrottle System... The Autobrake System... USAir /400 Pilots Handbook Excerpts... FAA Oversight of USAir... Airplane Performance... Inadvertent Rudder Trim Anomalies... Corrective Actions FAA Drug and Alcohol Post-accident Testing Requirements f X Public Hearing Testimony on Accident-Related Subjects
7 ;:1 i-3 2:4 2.5 I:; i*i 2: ;*1 3: Pilot Experience and Pairing Rejected Takeoff Special Investigation... :P Runway Safety Areas... Overwater Emergency Equipment ANALYSIS General...38 Activation of the Rudder Trim... Crew Failure to Detect the Mistrimmed Rudder... ii Rudder Trim Control Design... Directional Control Difficulty... t : The RTO Decision Braking Performance... Engine Performance... d"6 The "Bang" and Rumble on the CVR... Crew Coordination During the Takeoff Run... t: Cockpit Resource Management Training Pre-takeoff Emergency Procedures Briefings... Crew Coordination During the Takeoff Run... t; Pilot Experience and Pairing Making Runway Overruns Safer Survival Factors Postaccident Toxicological Testing... Postaccident Aircrew Availability... ;s CONCLUSIONS Findings Probable Cause RECOMMENDATIONS APPENDIXES Appendix A--Investigation and Hearing... Appendix B--Personnel Information... f: Appendix C--Airplane Information Appendix D--Cockpit Voice Recorder Transcript Appendix E--Synopsis of Fire and Rescue Critiques and Post- Accident Improvements iv
8 EXECUTIVE SUMMARY On September 20, 1989, USAir, Inc. flight 5050 was departing New York City's LaGuardia Airport, Flushing, New York, for Charlotte Douglas International Airport, Charlotte, North Carolina. As the first officer began the takeoff on runway 31, he felt the airplane drift left. The captain noticed the left drift also and used the nosewheel tiller to help steer. As the takeoff run progressed, the aircrew heard a "bang" and a continual rumbling noise. The captain then took over and rejected the takeoff but did not stop the airplane before running off the end of the runway into Bowery Bay. Instrument flight conditions prevailed at the time and the runway was wet. The National Transportation Safety Board determines that the probable cause of this accident was the captain's failure to exercise his command authority in a timely manner to reject the takeoff or take sufficient control to continue the takeoff, which was initiated with a mistrimmed rudder. Also causal was the captain's failure to detect the mistrimmed rudder before the takeoff was attempted. The safety issues discussed in this report were the design and location of the rudder trim control on the Boeing , air crew coordination and communication during takeoffs, crew pairing, and crash survivability. V
9 1.1 History of the Flight NATIONAL TRANSPORTATION SAFETY BOARD WASHINGTON, D.C AIRCRAFT ACCIDENT REPORT USAIR, INC. BOEING LAGUARDIA AIRPORT FLUSHING, NEW YORK SEPTEMBER 20, FACTUAL INFORMATION On September 20, 1989, USAir flight 5050 was an "extra section" passenger flight to replace the regularly scheduled but cancelled flight 1846 from New York City's LaGuardia Airport (LGA), Flushing, New York, to Charlotte Douglas International Airport (CLT), Charlotte, North Carolina. As the first officer began the takeoff on runway 31 the airplane drifted to the left, and the captain used the nosewheel steering tiller to correct the drift. Later in the takeoff run, the flightcrew heard a "bang" and a rumbling noise. The captain then took over control from the first officer and rejected the takeoff. The airplane did not stop before running off the end of the runway into Bowery Bay. Instrument conditions prevailed, and the runway was wet. The flight was operating under Title 14, Code of Federal Regulations Part 121. About 1400 hours eastern daylight time on September 20, the captain and first officer reported to USAir operations at Baltimore-Washington International Airport (BWI) to fly the Boeing (B-737) N416US to LGA as USAir flight Scheduled departure from BWI was 1510, but air traffic inbound to LGA delayed the takeoff until Holding on the taxiway at BWI for 1.5 hours required the flight to return to the terminal area for fuel. Flight 1846 left BWI uneventfully and arrived at LGA's Gate 15 at Weather and air traffic in the LGA terminal area had caused cancellations and delayed most flights for several hours. According to all airline personnel interviewed, delays that long are unusual and occur only a few times a year at LaGuardia. While on the ground at LGA, the captain went to USAir operations and then returned to the aircraft expecting to fly to Norfolk, Virginia. However, the USAir dispatcher decided to cancel the Norfolk leg, unload the passengers, and send the flight to CLT without passengers. Several minutes later, the dispatcher told the. captain that his airplane would not be flown empty but would carry passengers to Charlotte as USAir flight This seemed to upset the captain, according to the passenger service representative, who said that the captain expressed concern for the passengers because more delays would cause him and the first officer to exceed crew duty time limitations before the end of the trip. While passengers were boarding, the captain visited USAir's ground movement control tower to ask about how decisions were made about flights and passengers.
11 -- During the captain's absence, the first officer stayed in the cockpit. He said later that, while he was in his cockpit seat, he placed new pages for an enroute chart/approach plate holder on the center pedestal then put the pages into the holder on his lap. Meanwhile, a captain from Pan American World Airways, who was flying as a non-revenue passenger, entered the cockpit and sat down facing crosswise on the auxillary jump seat behind the captain's seat. This captain said another person from USAir entered the cockpit and gave the creti a single-sheet weather chart that was eventually placed on the center peltista1. Several other persons were also in the cockpit at various times before departure. The captain returned to the cockpit as the last of the passengers were boarding, and the entry door was closed. After the jetway was retracted, the passenger service representative told the captain through the open cockpit window that he wanted to open the door again to board more passengers. The captain refused, and flight 5050 left Gate 15 at During the initial interview with the Safety Board, the flight crew described starting the engines and taxiing out to runway 31 as uneventful. They said six to eight airplanes were ahead of them on the taxiway awaiting takeoff clearance. Two minutes after push-back, the ground controller told the crew to hold short of taxiway GOLF GOLF. However, the captain failed to hold short of that taxiway and received modified taxi instructions from the ground controller at The captain then briefed takeoff speeds as V : 125 knots, VR: 128 knots, and V : 139 knots. The captain had flown t te BWI-LGA segment, and the first o aficer was to be the flying pilot on the LGA-CLT segment. No company or Federal regulations govern flying pilot choices. As the flying pilot, the first officer's departure briefing consisted of his reciting to the captain his turn and altitude clearance and the LaGuardia 3 departure clearance. About 2 minutes later, the first officer announced "stabilizer and trim" as part of the before-takeoff checklist. The captain responded with "set" and then corrected himself by saying: "Stabilizer trim, I forgot the answer. Set for takeoff." According to USAir's B /400 normal procedures checklist, "set for takeoff" was the correct response, although the captain's words "stabilizer trim" failed to restate the correct challenge. The captain said during the public hearing that he had no specific recollection of checking trim settings on the accident flight but that his normal procedure would be to do so. The first officer said during the hearing that he did not check the trim settings himself while he was running the checklist during taxi-out. USAir procedures did not require him to do so. The last item on the before-takeoff checklist was AUTO-BRAKE. When challenged on this item, the captain responded "is off," and the first officer called the checklist complete. Flight 5050 was cleared into position to hold at the end of the runway at 2318:26 and received takeoff clearance at 2320:05. The cockpit voice recorder (CVR) disclosed the sound of increasing engine noise, and shortly thereafter the first officer pressed the autothrottle disengage 2
12 button instead of the takeoff/go-around (TO/GA) button. He later said that he then pressed the TO/GA button, but noted no throttle movement. He then advanced the throttles manually to a "rough" takeoff-power setting. The captain then said: "Okay, that's the wrong button pushed" and 9 seconds later said: "All right, I'll set your power." The captain later said he thought he had rearmed and reengaged the autothrottles and had advanced the throttles to the Nl target setting of 95 percent while depressing the TO/GA button. The first officer later explained that "1'11 set your power" meant to him that the captain was "fine-tuning" the setting to takeoff power. Both crewmembers agreed that the airplane then began tracking to the left during the takeoff roll. About 18 seconds after beginning the roll, the CVR recorded a "bang" followed shortly by a loud rumble. The captain later said that during this time the airplane continued tracking to the left and that he was becoming concerned about the unidentified bang and rumble. The first officer later said he believed he had stopped the leftward tracking and the airplane "began to parallel the runway centerline." At 2320:53, the CVR recorded the captain saying "got the steering." The captain later testified that he had said, "You've got the steering." The first officer testified that he thought the captain had said: "I've got the steering." When the first officer heard the captain, he said "Watch it then" and began releasing force on the right rudder pedal but kept his hands on the yoke in anticipation of the VI and rotation callouts. At 2320:58.1, the captain said: "Let's take it back then" which he later testified meant that he was aborting the takeoff. According to the captain, he rejected the takeoff because of the continuing left drift and the rumbling noise; he said that he used differential braking and nose wheel steering to return toward the centerline and stop. The sound of throttle levers hitting their idle stops was recorded at 2320:58.4. According to data from the digital flight data recorder (DFDR), indicated airspeed at that time was 130 knots. The sound of engine noise decreasing was recorded at 2321:OO.g. The first officer then told the tower about the rejected takeoff. In later testimony, the first officer said that he was unaware of the reason for the captain's decision to abort. Increasing engine sound indicating employment of reverse thrust was heard on the CVR almost 9 seconds after the abort maneuver began. The airplane did not stop on the runway but crossed the end of the runway at 34 knots ground speed. It came to rest in the water supported by the pier that holds runway 13's approach.lights. The sound of impact was recorded at 2321:21.9. Both pilots agreed that the farthest the airplane tracked to the left during the rejected takeoff (RTO) was about halfway between the centerline and the left side of the runway; both said that during the RTO they thought the airplane could be stopped on the remaining runway. Neither pilot could recall noting the airspeed at initiation of the RTO, and the CVR recorded no standard airspeed callouts. 3
13 The accident occurred in darkness at 4OO56'36" north, 73O52'24" west. Both pilots and the four cabin crewmembers had minor injuries. Two of the 57 passengers were killed and 15 were injured. Passengers included a 5-year-old child and an 8-month-old baby held by its mother. Neither the infant nor the child was injured. 1.2 Injuries to Persons bnjuries Crew Passenoers Others Total Fatal Serious Minor None Unknown* Total d *Hospital records were not available for three passengers. 1.3 Damage to the Aircraft The airplane was destroyed. The insurance agent handling the claim said that the hull loss of a Boeing in this configuration was $35,000, Other Damage The cost of replacing the pier and approach lighting destroyed during the accident was $150,000, according to the Port Authority of New York and New Jersey. 1.5 Personnel Information General Piedmont Airlines originally hired both pilots, but USAir trained them using a mirror image" transition training concept in anticipation of a corporate merger, which occurred on August 5, This concept was to make Piedmont flight training and flight operations identical to that of USAir by the time of the merger The Captain The captain, 36, held Airline Transport Pilot certificate with endorsements for the dehavilland DH-4 and the B-737. He also had multiengine commercial and single engine land ratings, along with a turbojet flight engineer certificate. The Federal Aviation Administration (FAA) issued him a first class medical certificate with no limitations on May 17, 1989.
14 The captain received his initial flight training in the United States Air Force (USAF) in His first military line flying assignment was in USAF Reserve Lockheed C-130 transport airplanes. In 1987, he upgraded to aircraft commander in the C-130 and held the rank of Major at the time of the USAir accident. He failed his first C-130 aircraft commander check ride in part because of poor checklist usage. Piedmont Airlines hired the captain on July 9, 1984, and he satisfactorily completed B-727 flight engineer ground school on July 13, 1984, and served as a B-727 flight engineer until August He completed B ground school on August 9, 1985, and B flight training on August 27, 1985, with 34 simulator hours and 1.7 hours in the aircraft. He completed B differences flight training as a first officer on September 19, 1986, and B differences ground training on May 19, He said that he believed he had "between 5 and 10 RTO's in the B-737 simulator, all after simulated engine anomalies. He had experienced one low-speed RTO in the B-737 after a takeoff warning sytem alarm had sounded. The captain began his B /400 training as a captain candidate in June 1989 and completed initial qualification ground school on June 28, He completed flight training in the B with 22 flight hours plus 4 hours of line oriented flight training (LOFT) in a simulator on July 9, 1989, His initial operating experience in the B /400 consisted of 14 hours with 11 takeoffs and landings followed by a 9.2-hour FAA-observed line check with 6 takeoffs and landings completed on July 20, His captain's training was interrupted twice, once by a USAF Reserve deployment and once by minor illness. Supervisory USAir pilots generally described the captain's performance during upgrade training as "average." The pilot who supervised the captain's initial operating experience said the captain had no problems making decisions. The captain had no formal training in cockpit resource management. The captain had total estimated flying time of 5525 hours, 1500 hours of which were in the USAF and USAF Reserve. Ninety-seven of the military hours were in command of the C-130. He accumulated about 2625 hours in all models of the Boeing 737. His 30, 60 and 90 day flying hour totals at USAir were 23, 72 and hours, respectively, all in B /400 aircraft as captain. His total flying time as a B captain was about 140 hours. His last B-737 flight prior to September 20th was on September 3rd, the last leg of a three-day trip. He flew the C-130 on September 8th for 0.3 hours and again on September 18th for 2.0 hours. During the 24 hours preceding the accident, he flew 0.9 hours on the BWI-LGA leg The First Officer The first officer, 29, held Airline Transport Pilot certificate with commercial multiengine land and single engine land and sea ratings. Piedmont Airlines hired him in May of He completed B-737 ground school on July 14, 1989, and B-737 first officer flight training on 5
15 August 8, 1989, with 24 hours in the simulator and 1.1 flight hours. His initial operating experience consisted of 14.2 flight hours and the observation of 12 landings from the jump seat. He also performed 2 takeoffs and two landings. His line check on August 12, 1989, consisted of 3.1 flight hours and three takeoffs and landings, which was the last time he flew prior to the BWI-LGA flight of September 20, He had 3,287 flying hours, 8.2 of which were in the B /400. He had flown 8.3 hours in the previous 90 days and 0.9 hours in the previous 24 hours. The first officer had no formal instruction in cockpit resource management. His prior experience had been attained in small and commuter turboprop-type airplanes. 1.6 Aircraft Information On December 23, 1988, The Boeing Company delivered to Piedmont Aviation the B , U.S. registration N416US. At the time of the accident, USAir owned and operated the aircraft, which was powered by two CFM International CFM-56-32B engines. Registration and airworthiness certificates were valid. By the accident date, the airplane had 2,235 hours and 1,730 cycles. Its "C" maintenance check was in four phases conducted in intervals of 1,050 operating hours. The last major check was a "C2" on August 3, 1989, at Greensboro, North Carolina, that showed no noteworthy maintenance discrepencies. Maintenance logbooks showed replacement of main landing gear tires at regular intervals because of normal tread wear, which also prompted replacement of the two nose wheels and tires on August 28, No nose wheel, main landing gear, or main landing gear brake malfunctions were reported within 3 months prior to the accident. Also, the logbooks contained no open write-ups on the date of the accident. The takeoff weight of the airplane was 107,900 pounds, and maximum allowable gross weight was 129,600 pounds. The center of gravity was 18 percent mean aerodynam'c chord and within limits. According to the cockp't voice recorder, the crew based takeoff speeds on a gross weight of 105, 30 pounds. Correct VI, VR, and V2 speeds for this weight were 125 knots, 128 knots, and 139 knots respectively. 1.7 Meteorological Information Surface Observations The Weather Service Contract Meteorological Observatory at LaGuardia issued the following observation: 6 Time--2334; type--local; ceiling--estimated 500 feet overcast; visibility--5 miles; weather--light rain and fog; temperature--73o F.; dew point--73o F.; wind--210 degrees at 4 knots; altimeter inches; remarks--aircraft mishap.
16 The Low-Level Windshear Alert System (LLWAS) located near the departure end of runway 31, showed average wind at the time of the accident from 207O at 5.4 knots Rainfall On September 20th, 1.72 inches of rain fell, 0.01 inches between 2100 and 2200, 0.01 inches between 2200 and 2300, and 0.08 between 2300 and Interpretation of the recording from a weighing rain gage at LaGuardia showed accumulation of 0.03 inches from 2300 to 2315 and 0.01 inches between 2315 and Around 2330, 0.02 inches accumulated rapidly, and from 2330 to 2345 a trace of less than 0.01 inch fell. The cockpit crewmembers said that they did not use the windshield wipers during the rejected takeoff. 1.8 Aids to Navigation Navigational aids were not a factor. 1.9 Communications No communications problems were reported between the crew and any air traffic control facility before or during the accident sequence Aerodrome Information The Port Authority of New York and New Jersey operates LaGuardia Airport under lease from the City of New York. Runway 31 is 7,000 feet long by 150 feet wide with a loo-foot overrun at the departure end (figure 1). The surface is asphalt with saw-cut transverse grooves 1 l/2 inches apart and l/4 inch wide and deep. About the last 900 feet is concrete with similar, but not uniform, transverse grooves averaging l/8 inch deep. The concrete portion, including a loo-foot ungrooved and heavily painted overrun before the threshold, is on an elevated deck above Bowery Bay. Runway 31's slope increases from 7 feet msl at the threshold to 13 feet msl at the runway 13 threshold. The surface between taxiways X and L received a rubber-removal treatment on September 3, Runway 4/22 also is 150 feet wide and crosses runway 31 about 1,300 feet from the departure end. Runway 31 has a three-bar visual approach slope indicator (VASI), centerline and edge lighting, and runway end identifier lights. The National Aeronautics and Space Administration (NASA) tested runway 31's drainage and friction using a self-wetting Saab Friction Tester owned by the Port Authority of New York and New Jersey. Figure 2 is an evaluation of the rejected takeoff in terms of speed, lateral displacement from runway centerline, and the friction coefficient. The report NASA furnished the Safety Board said: 7
18 9 Rejected Takeoff Braking Levels Approved AFM braking coefficient for a dry runway Braking coefficients available at the time of the accident l/2 of the dry runway braking coefficient Braking coefficients attained by flight 5050 I-..-:----:----:-.--:.---!--~.:--.-:----: Distance From Start of Runway 31 (feet) Figure 2. --NASA Evaluation of B aircraft rejected takeoff on runway 31 at LaGuardia Airport on September 20, 1989.
19 10 Based on runway surface characteristics, crown, and texture depth values, the drainage analysis indicates that runway 31 had excellent water drainage capability (excluding the painted nongrooved blast pad [overrun] area) particularly for the rainfall rate occurring at the time of the accident (.008 in./hr.). With the transverse grooving, and the good tread condition of the main gear tires, hydroplanning was not a signficant factor. Except for approximately 1,200 feet near runway 4/22 intersection, the accident aircraft RTO track was established by the white tire erasure marks found on both the asphalt and concretc deck surfaces of the runway. In terms of tire friction performance, the Saab friction tester results indicate that the lateral displacment of the aircraft left of centerline actually provided better friction performance compared to that measured closer to runway centerline Flight Recorders The Cockpit Voice Recorder The Fairchild Model A-100 Cockpit Voice Recorder (CVR) survived intact with a recording of excellent quality. The CVR recording started at 2249:30 just as the airplane was pushed back from the terminal at LaGuardia and continued for 31 minutes and 41 seconds until 2321: The Flight Data Recorder The digital flight data recorder (DFDR), a Fairchild Model F800, was also undamaged, and the quality of the data was generally good. Printouts of selected DFDR parameters are in Figure 3. As the engines were shut down at the gate after the flight from BWI to LGA, an oil pressure sensor in the left engine tripped power to the DFDR; the rudder position was recorded at O" deflection. After engine start at the gate, the DFDR began recording the accident flight. The airplane's heading was 357.2O, and the rudder was 15.9O left, essentially the position equating to full left rudder trim. Subsequent excursions in rudder position, elevator position, and aileron position were those normally associated with a flight control check. Rudder position returned to 15.9O left following the excursions. The first indication of the takeoff start was the increasing Nl values for both engines. During the early part of the takeoff, the airplane's heading deviated nearly 2o left of the runway heading, rudder position varied from 0.44O right to 6.9O left, ground speed increased to 91 knots, and Nl values for the left and right engines increased to 91.5 and 94.5 percent, respectively. The airplane's heading was nearly 5O to the left of the runway
20 USAir Flight # Accider ANL ANR ANL Time ANR -m e 232 Distance Airspeed (feet), (knots) Tire Erasure Marks 5000 f 125- DFDR- It :Ola= 232 l:oo- :58= > 1 : CAM - (( 136- CAM - (1 llq- CAM20 wa Q :51- I 2000 'lo- CAM2- ok 106- CAMI- gc 91 - CAM - (1 b :46- I! I 1ooo 62 - CAM - (( :42-1 ; CAMI- ol :37- J 3 1 DFDR- (( -2320:28- A naa A 1 7. * a I. u* n.w Magnetic Heading Rudder Detle (degrees) (degrees),,e CAMI- It I I. I I Runway 31 Diagrak ** &ion (Distorted Horizontal Scale). CAM - (( b : ANL,R - Aircraft Nose Left or Right Figure 3.--DF
22 :ident at LaGuardia Airport, Flushing NY Event 9NR Deceleration Acceleration - ((sound of crash11, I- weir0 going off I- we ra,golng off - ah we re gotng off - ((sound of Incroaslng en Ine nolse)) 2- usalr fifty flfty s abor Plng i- ( I thrurt reversors deployed 11 - ((sor;nd of engine nolse decreasing)) - (Irunble sound Increases In amp1 ltudell - (IsoLnd slmllar to throttles hlttlng Idle let s take It back!- watch It then!- okay - got the steering - I( sound of loud rumble starts 1) - I( sound of bang)) - all right I ll sot your powrr - ((TOGA button purhod I) - It s that one underneath therm - oh yc#ah I knew that or - okay that s the wrong button pushed - okay - I got. the steering tl I I you an - ((sound of Incroaslng engine nolsol) Lateral Longitudinal Acceleration Acceleration (G s) (G s).--dfdr/cvr information.
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List of Effective Pages * Asterisk indicates pages changed, added, or deleted by current revision. Retain this record in front of handbook. Upon receipt of a Record of Revisions revision, insert changes
This is the third of a series of Atlantic Sun Airways CAT B pilot procedures and checklists for our fleet. Use them with good judgment. Dimensions: Span 107 ft 10 in Length 147 ft 10 in Height 29ft 7 in
This is the fourth of a series of Atlantic Sun Airways CAT B pilot procedures and checklists for our fleet. Use them with good judgment. Dimensions: Wing Span: 112 ft 7 in Length: 129 ft 6 in Height: 41
Class 5 to 7 Truck and Bus Hydraulic Brake System Diagnostic Guide 1st Edition * 5+0 Important Service tes The information in this publication was current at the time of printing. The information presented
Smartcockpit.com BOEING 737 SYSTEMS REVIEW Page 1 FLIGHT CONTROLS 1. GENERAL The primary flight controls, ailerons, elevators and rudders, are hydraulically powered. Hydraulic power is provided from hydraulic
Rev. 05/01 JOB TITLE: EMPLOYER: JOB ANALYSIS FLIGHT ATTENDANT United Airlines P.O. Box 66100 Chicago, IL 60666-0100 GENERAL DESCRIPTION: The primary responsibility of the flight attendant is to maintain
Excavations INTRODUCTION The Occupational Safety and Health Administration (OSHA) issued its first Excavation and Trenching Standard in 1971 to protect workers from excavation hazards. Since then, OSHA
Walking and Working Surfaces Purpose: This information is presented to improve the level of safety in our operations, and to inform you that we will comply with the OSHA Standard 29 CFR 1910.23. Responsibility:
Motor Vehicle Fatalities Accepted by the Workers Compensation Board Year to date, numbers as of January 1, 2008 to December 31, 2008 The fatalities listed represent motor vehicle fatalities that have been
Cessna 172SP & NAV III Maneuvers Checklist Introduction Power Settings This document is intended to introduce to you the standard method of performing maneuvers in Sunair Aviation s Cessna 172SP and NAV
U.S. Department o~ Homeland Security United States Coast Guard Commander United States Coast Guard 21002"" Street. SW. STOP 7355 Washington, DC 20593-7355 Staff Symbol: CG-DCO Phone: (202) 372-2000 Fax:
GUIDE TO FORKLIFT SAFETY BASICS & OPERATOR S DAILY CHECKLIST PROVIDED BY 1 Emilcott Over 25 Years Of Environmental, Health and Safety Professional Consulting Experience Find out how Emilcott can help your
ELECTRIC PALLET TRUCK E30 SERIES OPERATOR S MANUAL WARNING DO NOT INSTALL, OPERATE OR SERVICE THIS PRODUCT UNLESS YOU HAVE READ AND FULLY UNDERSTAND THE ENTIRE CONTENTS OF THIS MANUAL. FAILURE TO DO SO
The Pilot s Manual 1: Flight School Aviation Supplies & Academics, Inc. 7005 132nd Place SE Newcastle, Washington 98059-3153 www.asa2fly.com Originally published by Aviation Theory Centre 1990 1993. Fourth
INFANT AND CHILD CAR SAFETY Infants and children should always ride in child safety seats that meet standards established by the National Highway Traffic Safety Administration (NHTSA) of the U.S. Department
Oral Preparation Questions The oral section of the practical test is the time when you need to demonstrate your understanding of the various tasks listed in the practical test standards and the factors
Document Name: Driving Skills Date Created: 8 October 2013 Date Reviewed: 4 February 2014 Date Approved: 29 July 2015 Purpose: To outline necessary driving skills required to maximize driving safety. Overview:
Idea Search The FAA seeks comments on proposals to enhance training and certification requirements for airline pilots. BY LINDA WERFELMAN In the aftermath of the fatal February 2009 crash of a Colgan Air
The pilots of the Learjet air ambulance likely were affected by fatigue during the VFR departure; a controller failed to relay radar altitude warnings. BY MARK LACAGNINA on a dark night departure Photo
AIRCRAFT NOISE ABATEMENT OPERATING PROCEDURES AND RESTRICTIONS This section sets forth the Los Angeles World Airports (LAWA s) informal noise abatement traffic; flight and runway use procedures and includes
TM Model Fleet Safety Program Short CORPORATE HEADQUARTERS 518 EAST BROAD STREET COLUMBUS, OHIO 43215 614.464.5000 STATEAUTO.COM TM Disclaimer: The information contained in this publication was obtained
TM Safety Rules Car Washes CORPORATE HEADQUARTERS 518 EAST BROAD STREET COLUMBUS, OHIO 43215 614.464.5000 STATEAUTO.COM TM Disclaimer: The information contained in this publication was obtained from sources
This file contains the full script of the corresponding video, published on YouTube. November 2014: http://youtu.be/wbu6x0hsnby Background papers and links to formal FAA and EASA Aviation Regulations and
GENERAL KNOWLEDGE KEY FACTS CDL 1. When the roads are slippery, you should make turns as gentle as possible. 2. The heavier a vehicle or the faster it is moving, the more heat the brakes have to absorb
Accident Analysis: Single-pilot versus Two-pilot - Is There a Safety Advantage? AIN analysis comparing accidents involving one-pilot versus two-pilot business jet operations from 1977 through 2014 reveals,
harbor cub Electric Remote Control Airplane Model 92906 assembly & Operating Instructions IMPORTANT: If damage is caused due to a crash, your warranty is void. Visit our website at: http://www.harborfreight.com
SAMPLE VEHICLE FLEET SAFETY & USAGE POLICY Policy The purpose of this policy is to ensure the safety of those individuals who drive company vehicles and to provide guidance on the proper use of company
National Transportation Safety Board Washington, D.C. 20594 Safety Recommendation Honorable Donald D. Engen Administrator Federal Aviation Administration Washington, D.C. 20594 Date: March 4, 198G In reply
Page 1 of 7 Lesson 7: Your First Solo Fly This Lesson Now by Rod Machado One of the greatest pleasures a flight instructor can have is to solo a student. Since you are my student, I have the great pleasure
PILOT TRAINING PROGRAM PAGE H-1 CURRICULUM: AIRLINE TRANSPORT PILOT 28 October 2010 REVISED This TCO meets all of the curriculum requirements for the ATP Course contained in Appendix E of FAR Part 141.
WP 05-WH1401 Revision 4 6-Ton Electric Forklifts 74-H-010B Technical Procedure EFFECTIVE DATE: 01/04/06 John Guy APPROVED FOR USE WP 05-WH1401 Rev. 4 Page 2 of 10 TABLE OF CONTENTS INTRODUCTION... 3 REFERENCES...
DEPARTMENT OF DEFENSE COMMERCIAL AIR TRANSPORTATION QUALITY AND SAFETY REQUIREMENTS INTRODUCTION The Department of Defense (DOD), as a customer of airlift services, expects an air carrier or operator soliciting
Student Pilot Training Basic Flight Training Phase I Task #1 Ground support equipment, engine starting, & taxi training Perform aircraft preparation and inspection. Perform engine start and radio checks.
INITIAL TEST RESULTS OF PATHPROX A RUNWAY INCURSION ALERTING SYSTEM Rick Cassell, Carl Evers, Ben Sleep and Jeff Esche Rannoch Corporation, 1800 Diagonal Rd. Suite 430, Alexandria, VA 22314 Abstract This
European Aviation Safety Agency 30 Jan 2009 NOTICE OF PROPOSED AMENDMENT (NPA) NO 2009 02F DRAFT OPINIONS OF THE EUROPEAN AVIATION SAFETY AGENCY, FOR A COMMISSION REGULATION establishing the implementing
Flight Operations Briefing Note I Introduction Operations in crosswind conditions require strict adherence to applicable crosswind limitations or maximum recommended crosswind values, operational recommendations
Maryland State Firemen s Association Executive Committee Meeting December 5, 2009 Maryland State Police Aviation Command Update Presented by: Major Andrew J. (A. J.) McAndrew Hello, my name is Major A.
Chapter 3 Emergency power generation 1. Power distribution 1.1 The power source for many civil aircraft: a.main aircraft generator : through a Generator Control Breaker (GCB). Controlled by Generator Control
Automotive Collision Injury Form Billing Information Patient name: Date of Injury: Time of injury: AM PM City and street where crash occurred: What is the estimated damage to your vehicle? $ Do you have
SAMPLE POWERED INDUSTRIAL TRUCK (PIT) OPERATOR OUTLINE and TRAINING PROGRAM November 14, 2006 Re: Accident Prevention Program The following is important tool that can be used to assist you in the training
Gold Seal Online Ground School www.onlinegroundschool.com VFR Regulations Summary Pilot in Command The pilot in command is directly responsible for and the final authority as to the operation of the aircraft.
December, 2013 Forklifts are extremely useful workplace vehicles, as long as they are used safely and appropriately by operators who are appropriately trained and competent to use them. Forklifts can be
Worker falls through roof insulation to concrete floor Four workers were working on the relatively flat roof of a structural steel building. They were laying down metal roof panels over a layer of blanket
Slip, Trip & Fall Program Table of Contents I. Introduction... 2 II. Scope... 2 III. Definitions... 2 IV. Responsibilities... 4 V. Practices... 5 VI. Slip-Fall Facility Checklist... 7 VII. References...
Chapter 2 Basic Airplane Anatomy Objectives Identify components of basic aircraft anatomy Understand aircraft size and weight categories List different types and examples of General aviation aircraft Military
AMC Civil Aviation Authority The Netherlands Assessment Specifications for Remotely Piloted Aircraft Systems, Class 1 AS-RPAS1 Version 1.1 1 December 2014-1 - CONTENTS (general layout) AS RPAS1 REMOTELY
Automotive Accident Form Billing Information Patient name: Date of injury: Time of injury: AM PM City and street where accident occurred: What is the estimated damage to your vehicle? $ Do you have automobile
Sport Ice Elektro 124 Operation Manual 2007/4 V2.1 Introduction The Sport Ice Elektro 124 is an ice resurfacing machine designed to be used on small ice surfaces. The machine has been designed to produce
AAIU Synoptic Report No: 2006-012 AAIU File No: 2005/0030 Published: 24/7/06 In accordance with the provisions of SI 205 of 1997, the Chief Inspector of Accidents, on 8 June 2005, appointed Mr John Hughes