National Transportation Safety Board

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Presentation transcript:

National Transportation Safety Board American Airlines Flight 587 Belle Harbor, New York November 12, 2001 NTSB Board Meeting October 26, 2004

NTSB Board Meeting AA Flight 587 Opening Remarks Robert Benzon

NTSB Board Meeting AA Flight 587 Accident Summary American Airlines Flight 587 Airbus A300-605R, N14053 November 12, 2001, 0916 EST Belle Harbor, New York JFK to Santo Domingo, Dominican Republic NTSB Board Meeting AA Flight 587

NTSB Board Meeting AA Flight 587 Vertical Stabilizer and Rudder JFK Engine Engine Main Wreckage NTSB Board Meeting AA Flight 587

NTSB Board Meeting AA Flight 587 Investigative Teams Operations Human Performance Aircraft Performance Aircraft Structures Aircraft Systems Witnesses Air Traffic Control Powerplants NTSB Board Meeting AA Flight 587

NTSB Board Meeting AA Flight 587 Investigative Teams Video Analysis Cockpit Voice Recorder Maintenance Records Flight Data Recorder Sound Spectrum Analysis Fault Tree Analysis Materials Analysis Weather NTSB Board Meeting AA Flight 587

On-Scene Investigation NTSB Board Meeting AA Flight 587

Engine Teardown Examination

Removal of Vertical Stabilizer from Jamaica Bay

Test and Research Activity Airbus facilities in Bremen, Hamburg, and Stade, Germany, and in Toulouse, France NASA Langley and Ames Research Centers Sandia National Laboratory Ford Motor Company U.S. Army Research Center American Airlines Training Academy Goodrich Actuation Systems Iowa State University Wayne State University NTSB Board Meeting AA Flight 587

Investigation Activity Public Hearing October 29 through November 1, 2002 Technical Review Meeting January 21, 2003 Nine Recommendations February 2002, September 2003, November 2003, May 2004 NTSB Board Meeting AA Flight 587

Flight 587 Wake Encounters

NTSB Board Meeting AA Flight 587

NTSB Board Meeting AA Flight 587 Significant Findings First officer’s control wheel and rudder inputs during the second wake encounter were unnecessary and too aggressive. The American Airlines Advanced Aircraft Maneuvering Program (AAMP) ground school encouraged pilots to use rudder during upset recovery. NTSB Board Meeting AA Flight 587

NTSB Board Meeting AA Flight 587 Significant Findings AA AAMP excessive bank angle simulator exercise could have provided negative training. The A300-600 rudder control system is susceptible to potentially hazardous rudder pedal inputs at higher airspeed. NTSB Board Meeting AA Flight 587

NTSB Investigative Effort 100,000 man hours 1,079 days 8,000+ pages of documentation 200+ concurrent investigations About $3,725,000 in direct cost to NTSB NTSB Board Meeting AA Flight 587

NTSB Board Meeting AA Flight 587 AA 587 NTSB Staff Operations: D. Ivey Human Performance: M. Brenner Human Performance: K. Poland Aircraft Performance: J. O’Callaghan Structures: B. Murphy Materials: M. Fox NTSB Board Meeting AA Flight 587

NTSB Board Meeting AA Flight 587 AA 587 NTSB Staff Systems: S. Magladry Witnesses: L. Schiada Air Traffic Control: S. Dunham Powerplants: J. Hookey Weather: G. Salottolo Ground Test Coordinator: S. Warren NTSB Board Meeting AA Flight 587

NTSB Board Meeting AA Flight 587 AA 587 NTSB Staff Video: D. Brazy CVR: A. Reitan Maintenance Records: F. McGill FDR: C. Johnson FDR: D. Grossi NTSB Board Meeting AA Flight 587

NTSB Board Meeting AA Flight 587 AA 587 NTSB Staff Writer: J. DeLisi Writer: K. Lanier Writer: K. Stein Editor: N. Coleman Administration: E. Bellinger Administration: V. Corbett NTSB Board Meeting AA Flight 587

NTSB Board Meeting AA Flight 587 AA 587 NTSB Staff Hearing Officer: L. Ward Sound Spectrum: J. Cash Fault Tree: D. Schulze Materials: C. Schultheisz Animations: A. Park Animations: C. Spangler Graphics: G. John Graphics: W. Skolochenko NTSB Board Meeting AA Flight 587

NTSB Board Meeting AA Flight 587 AA 587 NTSB Staff Trans. Disaster Assistance: S. Bryson Trans. Disaster Assistance: E. Grosof Trans. Disaster Assistance: B. Fiffick Trans. Disaster Assistance: D. Chupp NTSB Board Meeting AA Flight 587

NTSB Board Meeting AA Flight 587 AA 587 NTSB Staff Public Affairs: T. Lopatkiewicz Public Affairs: P. Schlamm Public Affairs: K. Holloway Public Affairs: T. Williams Recommendations: J. Marcus NTSB Board Meeting AA Flight 587

Participants to the Investigation Federal Aviation Administration Coordinator: T.R. Proven The Bureau d’Enquetes et d’Analyses pour la Securite de l’Aviation Civile Accredited Representative: P. Jouniaux Accredited Representative: B. Bourdon NTSB Board Meeting AA Flight 587

Participants to the Investigation Airbus Advisor: T. Thoreau American Airlines Coordinator: C. Lewis Allied Pilots Association Coordinator: J. David National Air Traffic Controllers Association Coordinator: J. Haley NTSB Board Meeting AA Flight 587

Participants to the Investigation Association of Professional Flight Attendants Coordinator: J. Matley GE Aircraft Engines Coordinator: K. Wolski Honeywell Engines and Systems Coordinator: P. Baker NTSB Board Meeting AA Flight 587

Organization of This Meeting NTSB Board Meeting AA Flight 587

Organization of This Meeting Technical Issues Airplane Performance NTSB Board Meeting AA Flight 587

Organization of This Meeting Technical Issues Airplane Performance Airplane Structures NTSB Board Meeting AA Flight 587

Organization of This Meeting Technical Issues Airplane Performance Airplane Structures Composite Material and Wreckage Examination NTSB Board Meeting AA Flight 587

Organization of This Meeting Factors Design characteristics of the A300-600 rudder system Pilot inputs to the rudder control system Experience Training factors Accident Sequence NTSB Board Meeting AA Flight 587

National Transportation Safety Board American Airlines Flight 587 Belle Harbor, New York November 12, 2001 NTSB Board Meeting October 26, 2004