After the August 2016 FBO event, CFM developed an on-wing ultrasonic inspection technique that could be performed at the time of fan blade relubrication. << Generally, The aircraft entered service in October 1999. One fan cowl fragment impacted the left-side fuselage near a cabin window, and the window departed the airplane, which resulted in a rapid depressurization. [1][2] The aircraft, which was worth an estimated $15.5 million at the time, was written off and scrapped as a result of the accident. Photo after evacuation. /BaseFont /ArialMT A management issue? Learn more. [3], The aircraft landed on runway 4 with its nose landing gear touching down prior to the main landing gear. endstream endobj 78 0 obj <> endobj 79 0 obj <> endobj 80 0 obj <>stream /ColorSpace << More from CNN at http://www.cnn.com/video/ NTSB Media Relations [6] The plane came to a stop halfway down the runway[8] after skidding on its nose in a sea of sparks. Today, the Captain of Flight #3472 from New Orleans to Orlando made the decision to divert to Pensacola due to a mechanical issue with the number one engine. Reports provide details about the accident, >> [16][17] The accident represents the third hull loss of a Boeing 737-700. (function($) {window.fnames = new Array(); window.ftypes = new Array();fnames[0]='EMAIL';ftypes[0]='email';fnames[3]='MMERGE3';ftypes[3]='text';fnames[1]='SOURCE';ftypes[1]='text';}(jQuery));var $mcj = jQuery.noConflict(true); Your email address will not be published. Information constitutes acceptance of our Terms and Conditions. Human error is a symptom, not a disease. /CS0 2 0 R Indeed, Southwest Airlines suffered a strikingly similar fan blade failure in 2016 - Southwest Airlines Flight 3472. The late transfer of control resulted in neither pilot being able to effectively monitor the airplane's altitude and attitude. National Transportation Safety Board 490 L'Enfant Plaza, SW Washington, DC 20594. Agree wholeheartedly with Jim B. CRM requires a buy-in by all crewmembers. The aircraft, a Boeing 737-3T5, registration N668SW, [2] came to rest on a city street adjacent to a gas station. >> After reaching the airplane structure (the inlet attach ring, which was secured to the engine fan case A1 flange), the deformation generated large loads that resulted in local damage to the inlet. Flight 345 on the runway NTSB photo The Southwest Airlines captain who flew a Boeing 737 into the runway nose first at LaGuardia Airport last summer had been on the receiving end of multiple complaints by first officers at the airline who did not want to fly with her, according to an employee at the airline who asked not to be identified. On July 22, 2013, A Boeing 737, Operated As Southwest Airlines Flight 345, Landed Hard, Nose-First, On Runway 4 At LGA The NTSB found the captain's attempt to recover from an unstabilized. Why no one acted before? The left side of the fuselage near the location of the missing cabin window (row 14) had impact damage and witness marks that were consistent with the size and shape of the inboard fan cowl aft latch keeper and surrounding structure. Pino's North American F-51D, N551JP, sustained. Southwest is working with both the NTSB and Boeing in a preliminary . Otherwise, register and sign in. NTSB . Factual information is added when available, and when the investigation is Every airline has the kind of pilot, best described in Skygods, Robert Gandts book on the collapse of aviation giant, Pan Am. completed, the preliminary report is replaced with a final description of %PDF-1.5 How about a union issue? Delta Air Lines, United and others also give their pilots a way to opt out of sharing the cockpit with captains they find difficult to work with. /Type /Pages This damage then propagated forward and aft, severing the three latch assemblies that joined the inboard and outboard halves of the fan cowl, which caused large portions of both fan cowl halves to separate and depart the airplane. The NTSB has released its preliminary report from that accident, which occurred on February 5, 2016, at about 1157 mountain standard time. >> It is not hard to imagine this accident being tagged with the dreaded pilot error, but the way this particular captain presumably made other subordinate pilots feel on the flight deck, should not be discounted as unique. investigative responsibility. >> /Widths [750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 278 278 355 556 556 889 667 191 333 333 389 584 278 333 278 278 556 556 556 556 556 556 556 556 556 556 278 278 584 584 584 556 1015 667 667 722 722 667 611 778 722 278 500 667 556 833 722 778 667 778 722 667 611 722 667 944 667 667 611 278 278 278 469 556 333 556 556 500 556 556 278 556 556 222 222 500 222 833 556 556 556 556 333 500 278 556 500 722 500 500 500 334 260 334 584 350 556 350 222 556 333 1000 556 556 333 1000 667 333 1000 350 611 350 350 222 222 333 333 350 556 1000 333 1000 500 333 944 350 500 667 278 333 556 556 556 556 260 556 333 737 370 556 584 333 737 552 400 549 333 333 333 576 537 333 333 333 365 556 834 834 834 611 667 667 667 667 667 667 1000 722 667 667 667 667 278 278 278 278 722 722 778 778 778 778 778 584 778 722 722 722 722 667 667 611 556 556 556 556 556 556 889 500 556 556 556 556 278 278 278 278 556 556 556 556 556 556 556 549 611 556 556 556 556 500 556 500] Most reports focus on a single accident, though the NTSB also produces reports addressing issues common to a set Southwest Airlines flight 345, a Boeing 737-700, suffered a nose gear collapse during a hard landing on runway 4 at New York-LaGuardia Airport (LGA), USA. /MediaBox [0.0 0.0 612.0 792.0] As the airplane was on final approach, the captain, who was the pilot monitoring, realized that the flaps were not configured as had been briefed, with a setting of 40 degrees for the landing. I would think space would be a problem. The captain of Southwest Flight 345, whose nose gear was broken while landing at LaGuardia Airport in New York last month, took control of the aircraft from his co-pilot when the plane was. [9], The aircraft (built in October 1999) was a 13-year-old Boeing 737-700, registration number N753SW, owned and operated by Southwest Airlines. /Filter /FlateDecode (202) 314-6100, NTSB Issues 7 Safety Recommendations Based on Findings from Southwest Airlines Flight 1380 Investigation, WASHINGTON (Nov. 19, 2019) The National Transportation Safety Board determined during a public board meeting held Tuesday that a fractured fan blade, Left Engine Failure and Subsequent Depressurization, Southwest Airlines Flight 1380, Boeing 737-7H4, N772SW, National Transportation Safety Board 490 L'Enfant Plaza, SW Washington, DC 20594. The forward-traveling fan blade fragments and the deformation compromised the structural integrity of the inlet, causing portions of the inlet to depart the airplane. SWAPA is the southwest pilots own union. Even more reason then that when an airline has information about difficult captains it should use it to provide said captains with more training, counseling or if necessary, to show them the door, before a difficult situation becomes a catastrophe. [5], This article incorporates public domain material from websites or documents of the National Transportation Safety Board..mw-parser-output .reflist{font-size:90%;margin-bottom:0.5em;list-style-type:decimal}.mw-parser-output .reflist .references{font-size:100%;margin-bottom:0;list-style-type:inherit}.mw-parser-output .reflist-columns-2{column-width:30em}.mw-parser-output .reflist-columns-3{column-width:25em}.mw-parser-output .reflist-columns{margin-top:0.3em}.mw-parser-output .reflist-columns ol{margin-top:0}.mw-parser-output .reflist-columns li{page-break-inside:avoid;break-inside:avoid-column}.mw-parser-output .reflist-upper-alpha{list-style-type:upper-alpha}.mw-parser-output .reflist-upper-roman{list-style-type:upper-roman}.mw-parser-output .reflist-lower-alpha{list-style-type:lower-alpha}.mw-parser-output .reflist-lower-greek{list-style-type:lower-greek}.mw-parser-output .reflist-lower-roman{list-style-type:lower-roman}. >> NTSB recommends changes following fatal Southwest accident. You can follow updates from the NTSB on twitter at @NTSB_Newsroom. 104 0 obj <>stream I read somewhere that technically what we experienced isn't considered a crash landing, but in my mind when a plane hits the runway nose first, crushes the front landing gear, and skids 2,175 feet in a shower of . During the accident sequence, the fan blade fragments traveling forward of the fan case had a trajectory angle that was greater than that observed during the CFM56-7B engine FBO containment certification tests. of similar accidents. The NTSB has released the following details: "Flaps on SWA 737-700 were set from 30 to 40 degrees about 56 seconds prior to touchdown at LGA. It is not intended to make up for known deficiencies. [3] The aircraft was ultimately removed from LaGuardia Airport via barge to the Port of Albany (New York) in November 2013, where the airframe was broken up by a salvage dealer at the Port of Albany in March 2014, with some parts trucked to Owego for final destruction. 08:01AM EDT Baltimore/Washington Intl - BWI. /StructParents 1 The impact of the separated fan blade with the fan case also imparted significant loads into the fan cowl (also part of the nacelle) through the radial restraint fitting, which was located at the bottom of the inboard fan cowl. /Annots 7 0 R 2013 aviation incident in New York City, US, "National Transportation Safety Board Aviation Accident Final Report", "Remember that Southwest Airlines jet that slid down the runway? ** - Do not use these fields as selection parameters if your date range includes pre-1982 dates, as they did not exist prior to 1982 and their use may falsely limit the data returned. Contributing to the accident was the captain's failure to comply with standard operating procedures. According to FDR data, after the captain took control, the control column was relaxed to a neutral position and the throttles were not advanced until about 1 second before touchdown. The NTSB found the captain's attempt to recover from an unstabilized approach by transferring airplane control at low altitude instead of performing a go-around was the primary cause of this accident. endobj Full narrative descriptions may not be available to query help for limitations of location information. Southwest Airlines Flight 345 . .'JNKfc_/*wFnM@1w6A,:yGqSr 5rx&P23G!&t8`4 Sb EUx_`HC7[A. The report said that flight crew's performance was indicative of poor crew resource management. Ive harangued before on the fallacy of using pilot error as a probable cause in accidents but that doesnt mean sometimes the pilots arent a contributing factor. The airplane was equipped with two CFM International CFM56-7B24 turbofan engines. The Aviation Safety Network is an exclusive service provided by: Southwest Airlines flight 345, a Boeing 737-700, suffered a nose gear collapse during a hard landing on runway 4 at New York-LaGuardia Airport (LGA), USA. with up to three captains without the necessity of providing any reason for The regularly scheduled domestic passenger flight was operating under the provisions of Title 14 Code of Federal Regulations (CFR) Part 121 with a destination of Dallas Love Field, Dallas, Texas. A spokeswoman for Southwest told the Associated Press the landing was not "in accordance" with operating procedures for the airline. If you've already registered, sign in. This impact led to the in-flight separation of fan cowl components, including the inboard fan cowl aft latch keeper, which struck the fuselage near a cabin window and caused the window to depart from the airplane, the cabin to rapidly depressurize, and the passenger fatality.. 16 7 WUj "Kgh_@7HB@YA6qNDwFGrel*,w`*@[18RUy.h+`3_5r9A.*@bDzP_'$4/(\`JW 2*\zs=k 1I~8ZU|D^j,']Z`39T2Z{ym#0xb^ Author of The New York Times bestseller, The Crash Detectives, I am also a journalist, public speaker and broadcaster specializing in aviation and travel. The airplane was substantially damaged. On April 17, 2018, about 1103 eastern daylight time, Southwest Airlines (SWA) flight 1380, a Boeing 737-7H4, N772SW, experienced a left engine failure while climbing through flight level 320 en route to the flights assigned cruise altitude. The NTSB says the nose gear hit the ground first when a Southwest jet crash-landed at LaGuardia Airport. These loads caused cracks to form in the fan cowl skin and frames near the radial restraint fitting. There were 150 people on board including Customers and Crew. 2023 Christine Negroni. This is exactly what I also tried to explain in my book "WaitingTo Happen!". Concerned that the airplane was too high, the captain exclaimed repeatedly "get down" to the first officer about 9 seconds from touchdown. Three Customers and five Crew Members were transported to local hospitalsall have been treated and released. And will happen. /Font Additionally, line operations safety audit data presented at the International Air Safety Summit in 2011 suggested that 97% of unstabilized approaches were continued to landing even though doing so was in violation of airlines' standard operating procedures. 6 0 obj Three passengers and five crew members were injured during Southwest Airlines Flight 345's landing when the plane's front landing gear appeared to collapse, sending its nose into the runway. If this crash was indeed caused or exacerbated by a Captain who was known by the company to have deficiencies in command skills, that is NOT a CRM issue, it's a MANAGEMENT issue. /Kids [12 0 R 1 0 R 13 0 R 14 0 R 15 0 R] +,3R$mwgok5wZ Q WbII|yDtha%Izun7IxC`pr;Ht{-1+. @ In addition, FBO-generated loads were transmitted to the fan cowl through the radial restraint fitting, which was not accounted for in the fan cowls design, and the stresses in the fan cowl were greater than those calculated in the certification analyses. Reports provide details about the accident, analysis of the factual data, conclusions and the probable cause of the accident, and the related safety recommendations. endobj Southwest Airlines Flight 345 was a scheduled flight from Nashville International Airport, Tennessee, to New York City 's LaGuardia Airport. Some of the fan blade fragments traveled forward of the engine and into the inlet.2 In addition, the fan blades impact with the fan case caused the fan case to deform locally over a short period of time. Last week the plane my family and I were traveling on crash landed. Contributing to the accident was the captain's failure to comply with standard operating procedures. We are having a problem the Investigation Reports Page. 3 0 obj [8][9] Nine occupants were treated for minor injuries,[5] all sustained during evacuation,[6] six of whom were taken to local hospitals. 2 0 obj [/ICCBased 8 0 R] Safety is the business of the Accountable Manager and the Accountable manager needed to speak, think and act BEFORE the accident, not now, when it has already occured. Corporate Citizenship . Published on July 28, 2013. The NTSB determined the probable cause of this accident was the flight crewmembers' . /FontDescriptor 10 0 R Of the 144 passengers and 5 crewmembers on board, 8 sustained minor injuries, and the airplane was substantially damaged. On Oct. 2, 2001, minor cases which do not fall under the definition of "accident" or "incident" were removed from the database; these entries were previously identified with "SA" in the accident number. /TT1 3 0 R [12], The first officer, who was 44 years old, had 20 years of prior experience in the United States Air Force and had been hired by Southwest Airlines a year and a half before the accident.[12]. a Boeing 737-700, was last inspected July 18, 2013. Southwest Airlines says giving first officers the ability to decline to fly with captains does not require them to declare the reason, which is a shame since Southwest and every other airline doing this could be sitting on a One fan cowl part that was recovered after the accident was the inboard fan cowl aft latch keeper. /FirstChar 0 One who filed two bids to avoid other captains over the years described something close to a dysfunctional atmosphere when flying with them. NTSB investigating accident involving nose-gear collapse of SWA 737 at LGA. Overnight, the aircraft was removed from the runway. recalcitrant pilots are not remediated by management. Le vol Eastern Air Lines 66 est un vol rgulier de la Nouvelle-Orlans New York qui s'est cras le 24 juin 1975 alors qu'il approchait de l'aroport international John F. Kennedy de New York, tuant 113 des 124 personnes bord.Il a t dtermin que l'accident a t caus par le cisaillement du vent caus par une microrafale.L'incapacit des contrleurs ariens et de l . This information is not presented as the Flight Safety Foundation or the Aviation Safety Networks opinion as to the cause of the accident. ($1&r/helkpfxi}HV5~aatiWl|6K;T;yn` *d@p~Y i[EWU7X](vwvO/Tl'Bde>(?>dDt -{A\ R!Ude~.O9WcGr b=Jd! :iU=dfb$aN((Z3d([^9uBf75]F~;L}G$@. airplanes, an airline pilot told me. ECIs at the time of overhaul or ultrasonic inspections at the time of fan blade relubrication identified 15 blade cracks on separate engines (as of August 2019)., Congressional and Regulatory Correspondence. /Parent 5 0 R :Q*P+Z.CiiC~BP%3YlD7q'9"D}og76{grJ4WJlg0NvXTL`|1sb#-`i%]g5&b"e'`n4h{7. You must be a registered user to add a comment. B738. << 16 Innominate11 10 yr. ago The Air Canada crew was cleared to land on 28R, to the right of 28L. /Subtype /TrueType [1][5][8][10], Flight 345's captain, who was 49 years old, had flown for Southwest Airlines for nearly 13 years, six years in the rank as captain. [14][15] Neither pilot was publicly identified by the airline. The airplane came to a stop on the right side of the runway centerline about 2,500 ft from its initial touchdown. There is lots of stuff here that no one wants to talk about, an airline captain recently told me. ", The basic issue is, why is this being talked about AFTER an accident? The airport cleared and inspected the affected runway, and removed the aircraft in time for the earliest next day departures. << the accident and its probable cause. >@Ujq7'0#MH-z]Ce~a Southwest has resumed full operations at LaGuardia. % hb```f``2b`a`` BL@QAAo;l7ud^; zj*fF a\((88@`,MBZ,xu ]@l1=` 2 1 0 obj Southwest Airlines Flight 345 Captain Interview. The NTSB determined that the captain's failure to take control until the plane had descended to only 27ft (8.2m) "did not allow her adequate time to correct the airplane's deteriorating energy state and prevent the nose landing gear from striking the runway. As a result of the engine failure, the flight crew conducted an emergency descent and diverted to Philadelphia International Airport (PHL), Philadelphia, Pennsylvania. (NTSB) revealed that the captain had changed the flap setting from 30 degrees to 40 degrees 56 seconds before landing. /Type /Font On July 22, 2013, the Boeing 737 operating the route suffered a front landing gear collapse while landing at LaGuardia Airport, injuring 9 people on board. but there was no leadership to support the change. stream The aircraft came to rest 19 seconds after touchdown. Sign up for the mailing list! In a case such as this at LaGuardia with a hull loss, does the plane get stripped at the site and carted off on trucks? Call them arrogant, call them as-s as my friend did, whatever you call them, they are pilots for whom communication and collaboration better known as crew resource management, did not take root and flourish. We express our utmost gratitude to emergency responders and Southwest Employees who assisted us last night. On Jan. 8, 2001, dynamic access to the accident data repository was implemented. According to a preliminary NTSB report, the pilots thought the lighted runway was 28L not theirs and they aimed their. Keith Holloway The Crash Landing of Southwest 345. [11] At the time of the accident, she had a total of 12,000 hours of flight time, including 2,600 flight hours as captain of a Boeing 737. Southwest Airlines Flight 345 was a scheduled flight from Nashville International Airport, Tennessee, to New York City's LaGuardia Airport. [4] The aircraft's nose gear collapsed upward into the body of the aircraft, causing substantial damage to the avionics electronics bay in the fuselage. treasure trove of information about whether crew resource /Length 2579 90 0 obj <>/Filter/FlateDecode/ID[<43CB3E40847BE8341A94951CCEEEE12C><416ED205FCF4324CA9AE5415A5136669>]/Index[77 28]/Info 76 0 R/Length 76/Prev 533817/Root 78 0 R/Size 105/Type/XRef/W[1 2 1]>>stream The NTSB has published the final report on Southwest Flight 1380, whose left-side CMF56 engine suffered a failure that led to one fatality in April 2018. The accident airplane, a Boeing 737-3H4, N632SW (serial number 27707 and line number 2799), was manufactured on May 22, 1996, and delivered new to Southwest Airlines on June 13, 1996. States, its territories and possessions, and in international waters. ntsb The nose landing gear of Southwest Flight 345, which had a very rough landing at NYC's LaGuardia Airport Monday afternoon, hit the ground before the plane's main gear did, the National . [9], As a result of the crash, the two-runway airport was closed until its rescue assets were available again. The NTSB's initial findings confirmed earlier reports that it was the FedEx pilot, not air traffic controllers, who detected the problem and told the Southwest plane to abort its takeoff. "When we got ready to land, we nosedived," said a . The flight landed safely without incident at Pensacola International Airport at 9:40 a.m. central time . It won't be flying again", "NTSB Issues Investigative Update into Southwest Flight 345 Accident at LaGuardia Airport in New York", "Accident description (Type: Boeing 737-7H4 (WL), Operator: Southwest Airlines, Registration: N753SW)", "Accident: Southwest B737 at New York on Jul 22nd 2013, nose gear collapse on landing", "Landing gear punched into Southwest 737 jet on landing, NTSB says", "Flight's nose gear collapses as it lands at New York's LaGuardia", "Southwest jet's landing gear collapses on landing, injuring 10", "N753SW Southwest Airlines Boeing 737-700", "Pilots Didn't Want to Fly With Capt. Trajectory of the inboard aft latch keeper during the accident sequence., We determinedthat the probable cause of this accident was a low-cycle fatigue crack in the dovetail of fan blade No. Accident data suggest that pilots often fail to perform a go-around or missed approach when stabilized approach criteria are not met. [5][6][7] The aircraft slid 2,175 feet (663m) on its nose along the runway, arresting off to the right of the runway pavement. Thank you (again) for drawing a distinction between blame and contributing factor. /Count 5 endstream endobj startxref << who these people are!, These avoidance bid things, they are a clear indication of Airborne 04.28.23: Taylor Award!, Sonex Dual-Stick, NetJets Sued, Airborne-Flight Training 04.27.23: DSU Expands, School Planes Destroyed, Allegiant, Airborne 04.26.23: Aldrin Promoted, PS Engineering, Gustnado v Flt School, 2007 - 2023 Web Development & Design by Pauli Systems, LC, NTSB Releases Probable Cause Finding On Southwest Airlines Flight 345, ANN's Daily Aero-Term (04.28.23): Circle-To-Land Maneuver, ANN's Daily Aero-Term (04.29.23): Lost Communications. National Transportation Safety Board 490 L'Enfant Plaza, SW Washington, DC 20594, Congressional and Regulatory Correspondence. Of the 144 passengers and 5 crewmembers aboard the airplane, 1 passenger received fatal injuries, and 8 passengers received minor injuries. 77 0 obj <> endobj Southwest Airlines flight 345 landed at New Yorks LaGuardia at 5:40 PM Eastern Monday evening from Nashville. Because poor organizational management will sooner than later defeat the human and precipitate an error. NTSB has stated that he was 2 degrees nose up 4 seconds to impact, but 3 degrees nose down on first touch, so he actually came in on the nose gear first, which resulted in collapse. The aircraft, a Boeing 737-700, was last inspected July 18, 2013. Will Jeff Epsteins Popular Global Girl Face Sex Crime Charges Too? for dates before 1993, cases under revision, or where NTSB did not have primary Since the time that the CFM56-7B engine and the Boeing 737-700 airplane were certificated (in December 1996 and December 1997, respectively), new technologies and analytical methods have been developed that will better predict the interaction of the engine and airframe during an FBO event and the response of the inlet, fan cowl, and associated airplane structures. The aircraft entered service in October 1999. [12] Analyzing flight recorder data, the NTSB determined that the captain had changed the airplane's flaps from 30 degrees to 40 degrees at an altitude of only 500ft (150m). /BaseFont /Arial-BoldMT While the NTSB has already called for action following the engine on this 737 Next Generation, its final report closes the investigation and emphasizes how it was a piece of the cowling, and . Access Now, Inc. v. Southwest Airlines Co. https://en.wikipedia.org/w/index.php?title=Southwest_Airlines_Flight_345&oldid=1142966688, Accidents and incidents involving the Boeing 737 Next Generation, Airliner accidents and incidents in New York City, Southwest Airlines accidents and incidents, Airliner accidents and incidents caused by pilot error, Short description is different from Wikidata, Wikipedia articles incorporating text from the National Transportation Safety Board, Creative Commons Attribution-ShareAlike License 3.0, Landing gear collapse on landing due to pilot error. About 150 people were aboard the Boeing 737, and 16 passengers . Portions of the left engine inlet and fan cowl separated from the airplane, and fragments from the inlet and fan cowl struck the left wing, the left-side fuselage, and the left horizontal stabilizer. And indeed, the Air Line Pilots Association declined to speak to me when I put questions about this policy to the union on Tuesday. This accident along with so many other approach and landing accidents is much more a function of leadership, command and judgement than it is airmanship. "[12], On October 2, 2013, Southwest Airlines announced that it had fired Flight 345's captain. >> hbbd``b`:$ H @'Hp{ $@J20Kg The following are excerpts from the report. /TT0 4 0 R Static files are no longer available. Use of the Southwest websites and our Company Accident Reports are one of the main products of an NTSB investigation. After an August 2016 FBO event involving another SWA 737-700 airplane equipped with CFM56-7B engines, which landed safely at Pensacola International Airport, Pensacola, Florida, CFM developed an eddy current inspection (ECI) procedure to be performed at overhaul (in addition to the FPI that was already required). /LastChar 255 endobj Both the obtained flight data and the available video record have the nose gear making contact with the ground before the main landing gear did, which is the opposite order from the normal landing sequence. 1h 55m. /Encoding /WinAnsiEncoding On July 26, 2013, the National Transportation Safety Board (NTSB) issued a press release disclosing its initial findings, which included: No mechanical malfunctions were found, but the nose landing gear collapsed due to stress overload. The question we need to ask is, "Does the society and the traveling public need protection from the erring human, or does it need protection from a system that allowed the human to be in the position she was in despite having many indications that she was an under-performer and lacked CRM/team skills? << document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Investigating the Worlds Most Mysterious Air Disasters, Why the Experts Failed to Prevent the TWA Flight 800 Disaster and How It Could Happen Again, I am a journalist, a published author, speaker and broadcaster specializing in aviation and travel. Were the airline managers sleeping before the accident? The flight had departed from LaGuardia Airport, Queens, New York, about 30 minutes earlier. She did not think the line pilots were against having the culture changed. Southwest One Report ; Responsibility. Southwest is working with both the NTSB and Boeing in a preliminary investigation of this event. f)zL9q/+E.'6'p*zbA# R205R={"VBWAEt~si[\=D M?Xfz%0Af[Yaw,KH)QLjL@+ %`ZUjNY ^;W6 2PFCf% 7UM,C2p mhOr)d)j-&pa5xDWxPoTEJkkB`;%I jaC`FlBEJ /eQDvB9jl]g:Nb^ynNOU@jmSc2x: zyse+ Aviation Hazardous Materials Highway Marine %PDF-1.5 % This is a classic example of "If the Pilots are alive, hang hhem. 16-Apr-2023. %%EOF Its not clear to me that all pilots understand that distinction. The engine cowl was broken in the failure and cowl fragments damaged the fuselage, causing explosive depressurization of the aircraft after damaging a cabin window.

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