Welcome to SFTY 330

Aircraft Accident Investigation

Ed Shea

B.A. Russian – University of Pittsburgh USMC Pilot (UH-1N, AH-1W, C-12)
Quantico, VA (The Basic School)  Pensacola, FL (T-34, TH-57, Commercial Pilot)  Camp Pendleton, CA (HMLA-267)  Okinawa, Japan (HMM-365)  29 Palms, CA (3rd Battalion, 7th Marine Regiment)

Finished MAS

Norfolk, VA (Naval Safety Center)

Ed Shea

  

Real Estate Sales Dominion Enterprises (Director of Outside Sales for East Coast) Finished MBA Futron Corporation (NASA, DoD, FAA) Certified Safety Professional (CSP) Project Management Professional (PMP) 4th ANGLICO USMC Reserves

Your Background Name / Hometown What is your current position? What do you want to do with degree? What are you expectations? .

Class Rules .

What to expect of me      Be on time and prepared for class All PPT charts will be posted online by Friday following class All graded documents will be scanned into PDF format emailed to you You will know grading criteria for every assignment I will be available for questions and answer on email within one day .

it is your work or lack there of that will determine your grade . you will call me ahead and make up the work NOTE: New GI Bill Rules – miss 2 classes – I must notify ERAU Assignments will be your original work – copying text on the internet is unacceptable You will make all deadlines for assignments – 10 points per week will be deducted if not (must still notify me). If no notification. 10 points per day. unless otherwise noted Everyone will start the class with an A.What I expect of you     Be on time and prepared for class – if you need to miss a class.

Syllabus .

Grading .

Standard ERAU Criteria      90 – 100 PTS 80 – 89 PTS 70 – 79 PTS 60 – 69 PTS Below 60 PTS A (Superior) 90-100 % B (Above Average) 80-89 % C (Average) 70-79 % D (Below Average) 60-69 % F (Failure) 59 and below% .

since each class constitutes a significant percentage of the total course. If an absence is anticipated. All absences. preferably in advance. mutually arranged between the instructor and the student. regardless of reason.” . the student should notify the instructor.” “The student’s grade will be based on quality of input to class discussion. require a make-up assignment.Class Participation – 10%   “Your participation is particularly important in this course.

one important accident related topic (technology. .  If you sign up for the week. etc. physiology. you need to present on that week in class.Case Analysis – 10%      Sign up next week – one per student Look at accidents in text Provide summary of the accident and findings and Additionally.) Presented Weeks 4-7 as assigned.

notes.Midterm – 15%   Week 5 Open book. PPTs .

Paper Presentation – 20%     Week 8 (8) Week 9 (Remainder) Content over style Presentation Criteria .

Compiling articles with no analysis and your thoughts. Content over style This is a technical paper – be careful to avoid plagiarism.Final Paper – 25%       Due Week 8 Late is 0…. whether cited or not is unacceptable! If you have any questions. please ask! Refer to rubric .

T/F . multiple choice.Final Exam – 20%     Week 9 In class Covers everything after Midterm Mix of fill-in.

or products of another. Plagiarism includes use of any source to complete academic assignments without proper acknowledgement of the source. words. Cite everything? .Plagiarism   Plagiarism: Presenting as one’s own the ideas.

Important Dates        Week 2 – Select accident for Case Analysis Weeks 4-7 Case Analysis Presentations Week 5 – Midterm Week 8 – Paper Due Week 8 .Presentation of papers (12) Week 9 – Presentation of papers (remainder) Week 9 – Final (in class) .

Questions? .

Chapter 1 Intro to Aircraft Accident Investigation .

…From 1903 To 2012… .

…From Here To Here…In 50 Years .

direct contact with any part of the aircraft.Definitions  Aircraft accident  Some degree of damage or injury associated with the operation of an aircraft (different for military and government aircraft)  ICAO (International Civil Aviation Organization)  Intention of flight AND  A person is fatally or seriously injured as a result of  Being in the aircraft. or direct exposure to jet blast .

when limited to the engine or engine areas (accessories.)  . cowlings.Definitions  ICAO Accident . etc.continued  Except: Injures are from natural causes  Self inflicted or inflicted by others on aircraft  Stowaways  Engine failure or damage.

Serious Injury Hospitalization of 48 hours or more (starting within 7 days of incident)  Results in any fracture of a bone  Lacerations which cause severe hemorrhage  Injury to any internal organs  Second or third degree burns  Verified exposure to infectious substances or injurious radiation  .Definitions  ICAO .

or flight characteristics of the aircraft and which would normally require major repair or replacement of the affected component Developed by Department of Labor under Occupational Safety and Health Administration (OSHA) Act  US – Military  . performance.Definitions  US – Substantial Damage  Damage or failure which adversely affects the structural strength.

search and rescue. etc.Definitions  US – Civil Aircraft Aircraft other than public aircraft  Commercial Airlines and General aviation (GA)   US – Public Aircraft  Whether aircraft was involved in governmental functions – national defense.  According to its charter. National Transportation Safety Board (NTSB) only investigates Civil Aircraft Accidents . law enforcement. intelligence.

”  Turn to Figure 1-1 . found in the investigation. and Recommendations  Findings Not defined by ICAO  International Society of Air Safety Investigators   “All significant conditions and events. Causes. causal and noncausal.Findings.

and Recommendations  Causes Investigation bodies are charged with determining cause(s) of the accident  ICAO definition   “Actions. omissions.Findings. events. Causes. or a combinations thereof.” . which led to the accident or incident. conditions.

listed in chronological order   Explanatory Why the accident happened  Predisposing events and conditions which explain why the descriptive causes existed or occurred.Findings. led to the accident.  Form the basis for recommendations  . singly or in combination. and Recommendations  Types of Causes  Descriptive What happened  The sequence of conditions and events which. Causes.

Causes.  .Findings. and Recommendations  General conclusions about causes No such thing as a single cause aircraft accident  All causes should be identified and listed chronologically (no priority)  Arguments about whether a particular finding is or is not a cause are generally a waste of time.

Findings. regardless if not correct or exact  . and Recommendations  Recommendations Most important aspect of the investigation  Do something to prevent the accident from happening again and correct deficiencies identified in the process   Some issues Investigators may not be best group to decide what is to be done (economic tradeoffs)  Recommendations become permanent part of accident. Causes.

continued  Keys to good ones Remember they are suggestions on how to correct the issue – if there is a better way to get there – go!  Non specific to method and specific to objective (eliminate the possibility for rudder jam situations vs reengineer the shear bolt so rudder jam situations are eliminated). Causes.Findings.  Have a technical review prior to report being released  . and Recommendations  Recommendations .

will assist NTSB Local Law Enforcement – usually have jurisdiction and will be present .Key Personnel / Organizations in the Investigation      ICAO – ground rules Investigator-In-Charge (IIC) – person / group responsible for investigation NTSB – Investigates all civil aircraft accidents in US Federal Aviation Administration (FAA) – agency responsible for safety.

determining cause of death. issuing death certificates) Military – complete jurisdiction over accidents involving military aircraft or on military property .Key Personnel / Organizations in the Investigation    Local Fire Department – in charge while people are still being rescued or fire is still burning Coroners and Medical Examiners – authority over any human remains (identification.

they own the wreckage OSHA – if injury is workplace-related (aircraft collides with vehicle) may fall under their jurisdiction .Key Personnel / Organizations in the Investigation     Insurance Carriers – owner of the wreckage (after NTSB is complete with it) Property Owner – retains all rights to damages Aircraft Owner / Operator – Until transferred to insurance company.

or criminal acts involving commercial aircraft US Customs Service – will get involved if smuggling is suspected or if flight originated outside US News Media – ALWAYS! . bomb threats. hijacking.Key Personnel / Organizations in the Investigation     Environmental Protection Agency (EPA) – will get involved if damage to environment Federal Bureau of Investigation (FBI) – will get involved if sabotage to aircraft.

End of Chapter 1 .

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