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Air Midwest #5481 Investigation Update

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Concierj

Active member
Joined
Jun 17, 2002
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From the ntsb.gov website...

NTSB Advisory
National Transportation Safety Board
Washington, DC 20594
January 28, 2003
INVESTIGATION UPDATE: CRASH OF AIR MIDWEST FLIGHT 5481, CHARLOTTE, NORTH CAROLINA



--------------------------------------------------------------------------------

The National Transportation Safety Board today released the following updated information on its investigation of the crash of Air Midwest flight 5481 (d.b.a. US Airways Express) a Beech 1900 (N233YV). The plane, carrying 2 crewmembers and 19 passengers, crashed shortly after takeoff on January 8, 2003, from Charlotte-Douglas International Airport, Charlotte, North Carolina. The following is a summary of factual information of investigative activities released thus far. Impact forces and fire destroyed the aircraft; there were no survivors.

Flight Data Recorder

The FDR is a solid state recorder that provides 22 parameters of data. The data indicate that after maintenance to the aircraft on January 6, 2003, nine flights occurred before the accident flight. Information from the load manifests for flights before and after the maintenance have been obtained. The FDR data show approximately a 10-degree down shift, as measured by the pitch control position sensor, on all flights after the maintenance including the accident flight. For the airplane to cruise at altitude, as it did on the nine flights after the maintenance, the elevator would have had to be near zero, but the pitch control position sensor indicated about 10 degrees down. Regarding the accident flight, pitch control position movement was recorded during the rotation for takeoff. A full-nose-down pitch control indication was recorded during the climb, and movement in the nose-up direction was recorded during the descent to the ground.

Investigators found that the sensor that indicates pitch control position was installed when the airplane was built. The sensor is mounted underneath the cockpit floor and is linked to the control column with a fixed control rod. In addition, a sensor to indicate elevator trim position was retrofitted on the airplane in February 2001. That sensor is located in the wing box and measures movement of the elevator trim tab cable. Both sensors and connecting linkages have been recovered and preliminary examination does not reveal evidence of a jam.

Cockpit Voice Recorder

The CVR provides 30 minutes of audio information. All conversations regarding the airplane’s ground operation, taxi, takeoff roll, and accident sequence were recorded. A discussion between the pilots regarding aircraft loading was captured. A transcript of the recording will be released at a later date.

Operations Group

The Operation Group determined that the accident crew flew this airplane on 6 of the 9 flights since the January 6, 2003 maintenance. Interviews of the other flight crews who had flown the accident aircraft following the maintenance were conducted. The pilots indicated no problems with the flight controls. Also, interviews were conducted with the gate and ramp agents who worked the accident airplane, and witnesses to the accident, and flight crews who had flown with the accident captain and accident first officer.

Systems Group

The Systems Group has retained from the wreckage the elevator control system cables, elevator control rods, bell cranks, and elevator counter balance weights. Examination of the elevator control cables revealed that the turnbuckle on the “down” elevator cable was offset to nearly full extension and the turnbuckle on the “up” elevator cable was near the fully retracted position, a difference of 1.8 inches. The turnbuckles are used to set cable tension and are typically adjusted to about the same length.

The Systems Group, along with the Maintenance Records Group and a representative from the FDR Group, completed several ground tests in Wichita, Kansas, last week. The ground tests included a series of control column sweeps to collect data on the movement of the elevator. Various cable tensions and turnbuckle lengths were used during tests. Investigators are reviewing the results.

Other Activities

The Structures Group retained the cargo hooks from the wreckage to look for identifiable witness marks that will help determine if the hooks were attached at the time of the crash. The Powerplants Group plans to begin the teardown of the engines this week. The inspection of the propellers is tentatively scheduled for next month. The aircraft Performance Group is gathering information for use in its engineering simulation of the accident flight and previous flights.
 
Hello McFly- SEE ABOVE. "Transcripts will be released at a later date". RTFQ
 
Hello McFly- SEE ABOVE. "Transcripts will be released at a later date". RTFQ

Perhaps you should RTFPost.... the original one was on Jan 31. By my math that makes it 3 1/2 months. Has it been released? I don't know. Has it been long enough to be released? I don't know that either. What I DO KNOW is that it is A LATER DATE!! :rolleyes:

2
 
Thanks turning2. You took the words right out of my mouth. I just read that they were released Monday but I can't find them on the web.
 
Last week the FAA announced via e-mail to the media that the transcripts would be released this past Monday (10:30 AM, I think) on www.faa.gov to coincide with the tapes being played live for them in Washington. That PR is here: http://www1.faa.gov/index.cfm/apa/1062?id=1741

The actual transcript is located here:

http://www1.faa.gov/ULDocs/apa/3CC77C58-4CE9-4F75-8DD99F56A221B4B4/charlotte.pdf

If that URL is dynamic, you can access the transcript by going to www.faa.gov, then click on the 'News Room' heading (not 'Press Releases' underneath, that threw me off) and it's right there.
 
Actually, those are not the CVR transcripts, but the transcripts of the ATC communications of the local (tower) controller. There is a difference. The clue should have been that they were released by the FAA. The CVR transcripts will be released by the NTSB.
 
Of course. I didn't say that the CVR transcripts had been released. I know the difference between CVR and ATC transcripts. Because 00Dog said "I just read that they were released Monday but I can't find them on the web," I assumed that he also wanted the ATC transcripts since they were the ones that were just released on Monday. The original context, however, was a search for those from the CVR.
 
greg,

I didn't mean to come off as condescending or anything. (I know it's hard to read tone into these posts.) I was just trying to clear up what might be a misunderstanding for some. Thanks for the info.
 
No problem. I did initally take it as condescending, even though that's not what you meant. I agree, it's hard to determine tone from the written word. Thanks for clarifying for others; my first post on this thread should have been more specific.
 
USAir 684: "...is that the fire department practicing?"

Tower: "Umm we will talk about it later."

I don't know why, but I find that sequence very chilling...
 
The CVR transcripts are on the public docket for this investigaton. The transcript is Attachment II, and begins on page 12 of the report.

Click here to view.

If the link doesn't work, go to www.ntsb.gov then click on the link to "Public Hearing, Crash of Air Midwest Flight 5481" next to photo of B 1900. When that page opens, click on the "Details" link for the hearings of May 20-21. (Under "more information", top right of the page). This will open a "News and Events" page. In the middle of this page you will see "Investigation Information". Click on the link below to "Public Docket". Scroll down, 3rd from the bottom, and click on document #182458 -- Cockpit Voice Recorder 12 - Factual Report of Group Chairman.
 
The thing that struck me more than any CVR I've read before was how much "sound of laughter" I saw. It looked like they were having fun...enjoying what they were doing...It's just very very sad.

God bless them, their families and co-workers.
 
I'm curious. In the 1900, can the passengers hear all the conversation going on an the warning horns? They don't have a door do they?
 
Without anything turning you can hear every conversation in the aircraft, row 9 to the cockpit. Witht the engines turning the passengers cannot hear conversation, but horns, chimes, and GPWS the pax certainly can hear, since that comes over speakers that are always too loud and have no volume control, save the circuit breaker. The "door" is really more of a "flap," and inhibits sight but not sound. Our FOM suggests leaving it open whenever possible. I'm glad that I'm not the only FO who's ever got gummed up in a W&B.

It is certainly disqueiting to read as pilots doing the same tasks you've done, in an airplane that rolled off the line next to ones you've flown...our lives ae tenuous at best.
 
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Yes, reading these is at best difficult. As one of the CRM instructors here, they do provide valuable info and lessons and we use some during CRM.

What stuck me, and I'm as guilty of this as anyone, is the lack of observing the sterile rule. I know I like to joke and chat during ground ops but after reading this, I'm going to rethink that some.

I'll bet the NTSB notes this and although in this case it was not a contributing factor, it certainly is excessive at points.

No flames please, just an observation from a line pilot.
 

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