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U.S.

Department
Route Slip '

of Transportation
Federal Aviation
Administration

To: SHIRLEY MILLER Date: October 8, 2003

Subject'
ENCLOSED DOCUMENTATION 9-11-01

Action: _X_ Per Your Request Discuss with Me Take Appropriate Action
For Your Information For Your Approval Please Answer
__ Per Our Conversation For your Signature Prepare Reply for:
Note and Return Comment

Remarks:

The following items are enclosed:


11 Position Logs, FAA Form 7230-10, 9-11-01
1 Sign In/Out Logs, ADW Form 7230-4, 9-11-01
6 Certification Statements, Employees
1 Certification Statement, CIC - ADW Form 7230-5
1 Training Time Form- ADW Form 7230.10.1
1 Daily Record of Facility Operations, FAA Form 7230-4
1 Andrews Individual Delay Report
1 Andrews Tower Traffic Count
1 Andrews TRACON Report
5 Memorandum of Call, Standard Form 63
5 ADW TRACON Flight Progress Strips
23 ADW Tower Flight Progress Strips

John M. Broderick
Air Traffic Manager, Andrews
ATCT
I hereby certify that I have asked the following questions to every employee
on duty during the period 9/11/01 Midnight through 9/11/01 11:59 pm,
regardless of whether retired or transferred except as noted below.

1 . " Do you have any copies of government records including e-mails, audio
tapes, and any other records pertaining to the events of 9/1 1/01 that you may
have received or generated from 9/1 1/01 at 12 midnight to 9/1 1/01 at 1 1 :59
pm?"

"If yes, you are required to provide any governmental records by close of
business today including emails."

2. "Do you have any personal notes or records including e-mails, audio
tapes, and any other records pertaining to the events of 9/1 1/01 that you may
have received or generated from 9/11/01 at 12 midnight to 9/1 1/01 at 1 1:59
pm?"

j/0
"If yes, you are strongly encouraged to provide your personal notes to your
Air Traffic Manager by close of business today."

Unable to Contact:

Name of employee Reason for unavailability

Manage
Date
I hereby certify that I have asked the following questions to every employee
on duty during the period 9/11/01 Midnight through 9/11/01 11:59 pm,
regardless of whether retired or transferred except as noted below.

1. " Do you have any copies of government records including e-mails, audio
tapes, and any other records pertaining to the events of 9/11/01 that you may
have received or generated from 9/11/01 at 12 midnight to 9/11/01 at 11:59
pm?"

"If yes, you are required to provide any governmental records by close of
business today including emails."

2. "Do you have any personal notes or records including e-mails, audio
tapes, and any other records pertaining to the events of 9/11/01 that you may
have received or generated from 9/11/01 at 12 midnight to 9/11/01 at 11:59
pm?"
fl/0
"If yes, you are strongly encouraged to provide your personal notes to your
Air Traffic Manager by close of business today."

Unable to Contact:

Name of employee Reason for unavailability

Signature
™ an
Date . - /• —
/o /o F/6 3
I hereby certify that I have asked the following questions to every employee
on duty during the period 9/11/01 Midnight through 9/11/01 11:59 pm,
regardless of whether retired or transferred except as noted below.

1. " Do you have any copies of government records including e-mails, audio
tapes, and any other records pertaining to the events of 9/11/01 that you may
have received or generated from 9/11/01 at 12 midnight to 9/11/01 at 11:59
pm?"

"If yes, you are required to provide any governmental records by close of
business today including emails."

2. "Do you have any personal notes or records including e-mails, audio
tapes, and any other records pertaining to the events of 9/11/01 that you may
have received or generated from 9/11/01 at 12 midnight to 9/11/01 at 11:59
pm?"

"If yes, you are strongly encouraged to provide your personal notes to your
Air Traffic Manager by close of business today."

Unable to Contact:

Name of employee Reason for unavailability

X&A/M

****** <*"">
Date
I hereby certify that I have asked the following questions to every employee
on duty during the period 9/11/01 Midnight through 9/11/01 11:59 pm,
regardless of whether retired or transferred except as noted below.

1. " Do you have any copies of government records including e-mails, audio
tapes, and any other records pertaining to the events of 9/11/01 that you may
have received or generated from 9/11/01 at 12 midnight to 9/11/01 at 11:59
pm?"

"If yes, you are required to provide any governmental records by close of
business today including emails."

2. "Do you have any personal notes or records including e-mails, audio
tapes, and any other records pertaining to the events of 9/11/01 that you may
have received or generated from 9/11/01 at 12 midnight to 9/11/01 at 11:59
pm?"
filO

"If yes, you are strongly encouraged to provide your personal notes to your
Air Traffic Manager by close of business today."

Unable to Contact:

Name of employee Reason for unavailability

PE1

Signature
Manager,
Date 3
I hereby certify that I have asked the following questions to every employee
on duty during the period 9/11/01 Midnight through 9/11/01 11:59 pm,
regardless of whether retired or transferred except as noted below.

1. " Do you have any copies of government records including e-mails, audio
tapes, and any other records pertaining to the events of 9/11/01 that you may
have received or generated from 9/11/01 at 12 midnight to 9/11/01 at 11:59
pm?"

flo
"If yes, you are required to provide any governmental records by close of
business today including emails."

2. "Do you have any personal notes or records including e-mails, audio
tapes, and any other records pertaining to the events of 9/1 1/01 that you may
have received or generated from 9/1 1/01 at 12 midnight to 9/1 1/01 at 1 1:59
pm?"

"If yes, you are strongly encouraged to provide your personal notes to your
Air Traffic Manager by close of business today."

Unable to Contact:

Name of employee Reason for unavailability

. 8******
8/0 3
I hereby certify that I have asked the following questions to every employee
on duty during the period 9/11/01 Midnight through 9/11/01 11:59 pm,
regardless of whether retired or transferred except as noted below.

1. " Do you have any copies of government records including e-mails, audio
tapes, and any other records pertaining to the events of 9/11/01 that you may
have received or generated from 9/11/01 at 12 midnight to 9/11/01 at 11:59
pm?"

fi/o
"If yes, you are required to provide any governmental records by close of
business today including emails."

2. "Do you have any personal notes or records including e-mails, audio
tapes, and any other records pertaining to the events of 9/11/01 that you may
have received or generated from 9/11/01 at 12 midnight to 9/11/01 at 11:59
pm?"

"If yes, you are strongly encouraged to provide your personal notes to your
Air Traffic Manager by close of business today."

Unable to Contact:

Name of employee Reason for unavailability

*• *
Signature
Manager,
Date \J °'7
3
SIGN IN-OUT LOG 2
PERSONNEL LOG REGION FACILITY AREA DATE DAY
ID IDENTIFICATION
AEA ADW ADW ATCT 09/11/01 TUE
09-08

INT SIGNATURE ON OFF INT HRS HRS ON HRS NON CODE POS SHIFT
ON LEAVE DUTY
DUTY POS REMARKS
MH X
CX M
RT r
vv //*«> DTL 8.0 7
TM FL 7
CH DTL 7
AK
EB X
GM 3.5
VB FL 7
GS
MM T
TC
GL 2
MD T
RX OT0W 8.0 1
BB X
RM ADM
HI SAL 7
FR
MX
JQ
EH 8AL 7

Pfa* s
Oti

PAY PERIOD 20 DAY OF PAY PERIOD

COMP TIME USED CTU. CREDIT TIME USED -— CHU WHEN TAKEING FAMILY LEAVE INDICATE
COMP TIME EARNED - CTE. CREDIT TIME EARNED - CHE TYPE OF LEAVE USED, i.e.: AL, SL, CHU OR CTU.

«n/i4/nn
CERTIFICATION STATEMENT
PERSONNEL REGION FACILITY ID AREA IDENTIFICATION DATE
LOG
AEA ADW AOW ATCT
I cenify all entries on this log are accurate for the time I had waich responsibilities as area supervisor or controller-in-charge.
INITIALS I SUP/CIC S I G N A T U R E I ON I OFF

^3^!^V\4V^^^^)

Fb

ADW Form 7230-5 (10-97)

• a \1.
TRAINING TIME FORM
Date:
OJT I Name UTC Time Local Time
Start/Stop Start/Stop

Note: Supervisors and Staff Specialists do not get paid for training time. Flight Data/Clearance Delivery
training time does not count for OJT premium pay.

ADW FORM 7230-10.1 (10/26/00) PP# ^9 Day# ^


Position Log
HI FACILITY ID (2) POSITION IQENTIFER III Pot TYM (41 DATE

0,7 lo,
Whir. Combined
(51
TIME ON ITIAL (») POSITION IDENTIFIER l<0|Ff{{ff

1 1 1
1 1 1

1 1
5 1 1
fi) i i i
0,3,5"^ i i i i

i i i i
i i
CODE:
C - ATCS/ATA M - Trainee/Developmental Monitoring
S - Supervisor/Staff Spec. R - Trainee/Developmental Certification/
T - Trainee/Developmental Evaluation

FAA Form 7230-10 [8 M| NSN: 0052-00-024-8)02 Pagel


FAA Form 7230-10 (6-94) NSN: 0052-00-024-6102
Position Log

(*) POSITION IDENTIFIER 0*1 'yjjfr

i i i i i i
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FAA Form 7230-1016-94) NSN: 0052-00 024-6102 Pig* 2
•&U.S. Gl>0:1996-669-590
Position Log
Ml FACILITY ID J (1) POSITION IDENTIFER (1) Poi TVM 4) DATE

/U>,M , , , , /hu 0,^| / / |o,/


(51
TIME ON
<•> INITIALS
m
TIME OFF Cod«
Whor* Combined
(9) POSITION IDENTIFIER 10} Poilllon

£>,^,c>p 1 if ,05 1 1 1 1 1
LfL.
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i t i ,
i i i 1 1 1 1 i
CODE:
C - ATCS/ATA M - Trainee/Developmental Monitoring
S - Supervisor/Staff Spec. R - Trainee/ Developmental Certification/
T - Trainee/Developmental Evaluation
FAA Form 7230-10 (8-94) NSN-. 0052-00-024-6102 Pagel
Position Log
(1) ACILITYID (il POSITION IDENTIFER 131 Poi T»i l<) DATE

\o f
Wha>« Combined
at (•) POSITION IDENTIFIER l"|P»jHto"
TIME ON INITIAL

C 1 1 1 1

cnfl
I 1

1,2,5,7
/, 5,2-7 1 1 1 1

1 1

1 1

7,7 5 1 1 1 1

2.7,v. 03 1 1

1 1 1 1

1 1 1 1

CODE:
C - ATCS/ATA M - Trainee/Developmental Monitoring
S - Supervisor/ Staff Spec. R - Trainee/Developmental Certification/
T - Trainee/Developmental Evaluation
FA A Form 7230-10 |6-M) NSN: 0052-00-024-6102 Pagel
Position Log
(11 FACILITY ID (It POSITION IDENTIFEH 131 Pol Tyo. 4) DATE

/H>V , , , , 4* o,9i /,/ |0,/ Wh«r« Combine)


(») m
TIME ON INITIALS TIME OFF SL <9) POSITION IDENTIFIER 10) Poilllon

vtfpv l.CM.S 1 1 1 1
d,c
1,0,50 /,2,*,7 ft
/W 1 1 1 1 1
t^3>0 /,3,rv 1 1 1 1 1 «r,c
/ J , J ,r sTi/J /, U22. a 1 1 1 1 i
/.tf.?j? i o^Vft 1 1 1 1 <S(C
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i i i i 1 1 1 1 1 1 1 i
i i i i 1 1 1 1 1 1 1 i
i i i i 1 1 1 1 1 1 1 i
j i i i 1 1 1 1 1 1 1 i
CODE:
C - ATCS/ATA M - Trainee/Developmental Monitoring
S - Supervisor/ Staff Spec. R - Trainee/Developmental Certification/
T - Trainee/Developmental Evaluation
FAA Form 7230-1018-94| NSN: 0052-00-024-6102 Pig«1
Position Log
111 FACILITY ID (1) POSITION IDENTIFEn (3) Pol f VM • \E

fab ,W , , , , PfA
d TIME ON INITIALS TIME OFF Cod.
Whar* Combined
(9) POSITION IDENTIFIER 10) Pnlllon

&tf£>9 1 Q3iSl*> 1 1 1 1
C^
i i i I i i i 1 1 1 1 1

i i i I i i i 1 1 1 1 1

i i i I i i i I I 1 1 1

i i i 1 i i i 1 1 1 1 1
i i i 1 i i i 1 1 1 1 1
i i i I i i i 1 1 1 1 1

i i i I i i i 1 1 1 1 1
i i i ,
i i i 1 1 1 1 1
i i i 1 i i i 1 1 1 1 1
i i i I i i i 1 1 1 1 1
i i i 1 i i i 1 1 1 1 1
- i i i 1 i i i 1 1 1 1 1

1 -L J 1 i i i 1 1 1 1 1
CODE:
C - ATCS/ATA M - Trainee/Developmental Monitoring
S - Supervisor/Staff Spec. R - Trainee/Developmental Certification/
T - Trainee/Developmental Evaluation

FAA Form 7230-10 (6-94) NSN: 0052-00-024-6102 Pagel


Position Log

CODE:
C • ATCS/ATA M - Trainee/Developmental Monitoring
S - Supervisor/ Staff Spec. R - Trainee/Developmental Certification/
T - Trainee/Developmental Evaluation
FAA Form 7230-10 (6-94| NSN: OOS2-00-024-6102 Pagel
Position Log

CODE:
C - ATCS/ATA M - Trainee/Developmenlal Monitoring
S - Supervisor/Staff Spec. R - Trainee/Developmenlal Certification/
T - Trainee/Developmental Evaluation
FAA Form 7230-101«-94| NSN: 0052-00-024-6102 Pagel
Position Log
1 I 1 FACILITY ID (1) POSITION IOENTIFCR 11) Pol THX4) DATE

/,D,U> , , , , /f> Dfi Wh«r«


\l Combined
, / l#, /
(5) C) (•) (0) POSITION IDENTIFIER 10) Petition
TIME ON INITIALS TIME OFF Cod.
IYM

/>//,^, L '' 1 0^.5^ /)-,/?, / , , 4,'?


1 1 1 1 1 1 1 i i I i i
1 1 1 1 1 1 1 i i I i i
1 1 1 1 1 1 1 i i i i i
1 1 1
,
1 1 1 i i i i i
1 1 1 1 1 1 1 i i i i i
1 1 1
,
1 1 1 t i l l ,
1 1 1 1 1 1 1 i i i i i
1 1 1 1 1 1 1 i i i i i
1 1 1 1 1 1 1 i i i i i
1 1 1 1 1 1 1 i i i i i
1 1 1 1 1 i 1 i i i i i
1 1 1 1 1 1 1 i i i i i
1 1 J 1 1 1 1 i i i i i
CODE:
C - ATCS/ATA M - Trainee/Developmental Monitoring
S - Supervisor/Staff Spec. R - Trainee/Developmental Certification/
T - Trainee/Developmental Evaluation
FAA Form 7230-10 (6-94) NSN: 0052-00-024-6102 Pagel
Position Log
(U FACILITY ID 11 POSITION IOENTIFEH 13) Pol I.p. 4) DATE

,S,^, , &tT fl^l/.Mtf,/



/f,P,^/
Wh«r« Combined
m (9) POSITION IDENTIFIER I0| PMlllon
TIME ON INITIALS TIME OFF Cod* I«l»

r>, V>,^ 1 tfjfr,? Atf.i. , >!,£


1 1 1 1 i i i t i i i i
1 1 1 1 i i i i i i i i
1 1 1 1 i i i i i i i ,
1 1 1 1 i i i i t i i i
1 1 1 1 i i * i i i i i
1 1 1 1 i i i i i i i i
1 1 1 1 i i i i i i i i
1 1 1 1 i i i i i i i i
1 1 1 1 i i i i i i i i
1 1 1 1 i i i i i i i i
1 1 1 1 i i i i i i r
1 1 1 1 i i i i * i i i
1 1 1 1 i i i i i i i i
CODE:
C - ATCS/ATA M - Trainee/Developmental Monitoring
S - Supervisor /SlaK Spec. R - Trainee/Developmental Certification/
T - Trainee/Developmental Evaluation
FAA Form 7230-10 |6-M| NSN: 0052-00-024-6102 Psgel
PAGE NO.
lofl
DAILY RECORD OF FACILITY OPERATIC?j^ DATE
09-11-01
LOCATION IDENTIFICATION TYPE FACILITY OI'ERATIN G POSITION CHECKED BY

MANAGER
Andrews AFB, MD ADW ATCT OS
John Broderick

UTC REMARKS

0400 C. MAGENN1S ON, ADW/DCA NORTH, WCLC. CFPL; PAD 92 CLSD TO RUN-UPS, KEYPAD FOR
AWDS AT T-5 OTS, TRACON CLSD.
1000 R. THOMPSON ON, ABV NOTED.
1016 LOG REVIEWED BY AF/EA.
1033 TRACON OPEN.
1105 D. MADDOX ON, ABV NOTED, WCLC.
1145 R. THOMPSON ON, ABOVE NOTED.
1246 D. MADDOX ON, ABOVE NOTED.
1346 R. THOMPSON ON, ABV NOTED.
1350 ADW IS IN THREATCON CHARLIE.
1430 ADW IS IN THREATCON DELTA.
1435 J. AMPEY ON ABOVE NOTED.
1439 TRACON COMBINED IN TWR.
1721 DCA HAS ADW.S AIRSPACE.
1845 TWY E SOUTH OF TWY C NON-MOVEMENT AREA
2100 WCLC.
2229 ATRF INITIATED FOR Al ARRIVAL
2249 ATRF FOR Al TERMINATED.
2250 C. FORD ON, ABOVE NOTED.
0213 J. HYLAND ON ABV. NOTED
0359 COB.

1 CERTIFY that all entries above are correct; that scheduled operations have been
accomplished, except as noted, and all abnormal occurrences and conditions have been recorded.
»^
3> .
r*
^ v \\\ «^vj^>\—rrV^
FAA Form 7230-4 ADW ATCT Computer Generated Form
ADW Tower Traffic Date Range Selected 9/11 /2001 to 9/11 /2001

Site Reporting ADW Itinerant Local Instrument Ops


Reporting Date 9/11/2001 AC 0 0
Creation Date 9/12/2001 2:00:20 AM AT 0 0
Initials RT G4 4 0 0
Report ID 238 M/ 168 6 0
Totals 172 6 0

Printed 9/12X001 2:06:09 AM Page I of I


Information contained herein is based on preliminary information and is subject to revision.
AD W TRA CON Traffic Date Range Selected 9/11 /2001 to 9/11 /2001

Instrument Operations TRSA Operations


Primary Secondary Overflights Primary Secondary! Overflights
Site Reporting ADW AC 0 0 0 AC 0 0 0
Reporting Date 9/11/2001 AT 0 0 2 /47 0 0 0
Creation Date 9/1272001 2:01:42 AM GA 1 0 0 GA 3 0 32
Initials RT MI 75 0 0 M/ 87 0 3
Report ID 238
Sub Totals 76 0 2 90 0 35
Totals 78 125
Grand Total 203

9/12/2001 2:06:09 AM Page I of I

Information contained herein is based on preliminary information and is subject to revision.


ADW Individual Delays Reporting Date Range Selected 9/11 /2001 to 9/11 /2001

Reporting Date Air craft ID Delay Type Charge Delay To


Site Reporting Departure Destination Initials
Category Start End Duration:
Creation Date Report ID
Impacting Condition
Impacting Condition Remarks
Individual Delay Remarks

Printed 9/12/200! 2:06:09 AM Page I of I


Information contained herein is based on preliminary information and is subject to revision.
9/11 Personal Privacy
9/11 Personal Privacy
MEMORANDUM {
OF CALL Pravloui edition* uubli
TO:

[~]
YOU WERE CALLED BY— YOU WERE VISITED BY—

OF (Organization)

D PLEASE PHONE '*„''',£'„'%)'• D

WILL CALL AGAIN IS WAITING TO SEE YOU

RETURNED YOUR CALL WISHES AN APPOINTMENT


MESSAGE

9/11 Personal Privacy

X v—«^-\^-f — — •*-" / /
RECEIVED BY DATE TIME

MSN 7S40-00-I34-401 « OPTIONAL FORM 383 (R»v. 7-94)


603S3-111 Qtiwril StnlCK A
UNICOR FPI-SST
9/11 Personal Privacy
MEMORANDUM
OF CALL
TOT

YOU WERE CALLED BY— YOU WERE VISITED BY—

OF (Organization)

PHONE NO.
Q PLEASE CALL - CODE/EXT. _^_
WILL CALL AGAIN Q IS WAITING TO SEE YOU

RETURNED YOUR CALL Q WISHES AN APPOINTMENT

9/11 Personal Privacy

RECEIVED BY "DAtE TIME -

STANDARD FORM 63 <ru. a, CI>0: 1 9 7 2 - 4 7 2 - 7 4 9


63-108
REVISED AUGUST 1967
GSA FPMR (41 CFfi) 101-11.8

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