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What Causes Commercial Jets To Crash
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Accidents rarely result from a single failure or action. They result
from a combination of things - for example, an error in maintenance
that causes a failure in flight that a member of the flight crew then
responds to incorrectly. In other words, accidents result from a chain
of events that make them difficult to analyze but also provide multiple
opportunities to prevent them. Remove any link in the chain and the
accident is avoided.
Industry and government safety experts study accidents to identify
these chains of events as well as "intervention strategies"
for preventing the same kinds of accidents in the future. The strategies
include new training aides for flight crews and mechanics, new operating
procedures, infrastructure improvements, aircraft design modifications,
and incorporation of new technologies into the aviation system. Working
together, industry and government safety officials have been able to
virtually eliminate some of the most common accident causes of the past
and are confident they'll be able to do the same with the most common
accidents still occurring.
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What happens
when an airplane goes down
- The airport operator will handle fire fighting and rescue operations
if the accident is at or near the airport.
- If not near an airport, local police and fire fighters quickly take
control of the site to facilitate search and rescue and to protect
important evidence.
- News media coverage is instantaneous and the demand for information
far exceeds the supply.
- The National Transportation Safety Board (U.S.), or the government
with jurisdiction over the area, is immediately notified.
- The affected airline is the responsible source of information about
the passengers and crew on board. It will not identify victims prior
to notifying next of kin. The airline typically will conduct media
briefings from both the accident site and its headquarters.
- The airplane manufacturer and engine manufacturer will be involved
in the accident investigation, if called upon by the airline or regulatory
agency leading the investigation.
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Accident
investigations
By mutual agreement, accidents are investigated by the government with
jurisdiction over the area where a plane goes down. However, in many instances,
the government with legal jurisdiction asks the U.S. National Transportation
Safety Board to help or even lead the investigation on its behalf. Governments
do so because of the NTSB's experience and expertise, which is recognized
the world over. In addition, most of the commercial jets currently in
service were designed and manufactured in the United States.
When an accident occurs, the NTSB (or its foreign equivalent) dispatches
a "go team" to the site. The NTSB team usually consists of
one of the five members of the board plus staff specialists in air traffic
control, aircraft maintenance, aircraft operations, aircraft systems
and other disciplines useful to determining an accident's cause. Representatives
of the various parties to the investigation - usually the aircraft and
engine manufacturers, the pilot and controller unions, and the government
regulatory agency with jurisdiction over the accident site - also participate
in the investigation. All outside parties, however, participate at the
invitation of the government authorities leading the investigation,
who retain full control over the investigation, oversee all testing
and analysis of wreckage, and are solely responsible for determining
probable cause.
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Investigative
process
While the initial field phase of an accident investigation can
be concluded within weeks or even days, the investigators' final report
and recommendations often take years to complete. Sometimes the investigative
agency holds a public hearing, with witnesses, to gather additional
information and opinions about what the evidence shows. NTSB investigations
conclude with a "sunshine meeting" in Washington, D.C., at
which the board votes on the official findings of fact and probable
cause. Its final report also includes recommendations to the parties,
the vast majority of which are implemented, often before the investigation
is complete.
Always important to an investigation are the "black boxes"
- the cockpit voice recorder and flight data recorder, which are encased
in steel boxes located in the tail of every plane and capable of withstanding
great pressure and temperature extremes. Radar tapes also can be valuable
sources of information to accident investigators.
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Black boxes
Following a jetliner accident, the media is quick to report on the search
for the "black boxes," or the airplane's flight data recorder
and cockpit voice recorder. Together, these two units tell the story
of the flight. Actually painted bright orange, these recorders are equipped
with "pingers" or radio and acoustic beacons that aid in their
retrieval. These two recorders are critical for providing clues as to
why an airplane went down. They enhance overall flight safety by helping
airlines, manufacturers and regulators prevent similar losses in the
future.
- Flight data recorder: A flight data recorder captures a flight's
history. It records "air data" such as the airplane's speed,
heading, altitude, rate of climb or descent, accelerations, and decelerations.
The plane's systems and functions are also recorded, along with information
about engine thrust and the position of control surfaces (flaps and
rudder). Flight crew and autopilot control actions are also recorded.
Older flight data recorders stored information on metallic foil and
recorded relatively few things. Newer units record hundreds of "parameters"
and store this information on microchips.
- Cockpit voice recorder: A cockpit voice recorder picks up all cockpit
noises, radio communications, flight crew announcements, and flight
crew conversations.
In their quest for answers, investigators study both the flight data
recorder and the cockpit voice recorder to piece together the details
of the accident. The cockpit video camera may soon be used to add a
visual component to these diagnostic recordings.
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