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The phenomenology of one class of strong thunderstorm downdrafts, microbursts, is described. Several aircraft accidents are analyzed in which a microburst was involved and a concept for an early warning wind shear sensor is presented.
Two midair collisions occurring in 1978 are described, and the air traffic control system and procedures in use at the time, human factors implications and political consequences of the accidents are examined. The first collision occurred in Memphis and involved a Falcon jet and a Cessna 150 in a situation in which the controllers handling each aircraft were not aware of the presence of the other aircraft until it was too late. The second occurred in San Diego four months later, when a Boeing 727 on a visual approach struck a Cessna 172 from the rear. Following the San Diego collision there arose a great deal of investigative activity, resulting in suggestions for tighter control on visual flight rules aircraft and the expansion of positive control airspace. These issues then led to a political battle involving general aviation, the FAA and the Congress. It is argued, however, that the collisions were in fact system-induced errors resulting from an air traffic control system which emphasizes airspace allocation and politics rather than the various human factors problems facing pilots and controllers.
A study was carried out of 112 impact survivable jet transport aircraft accidents (world wide) of 27,700 kg (60,000 lb.) aircraft and up extending over the last 20 years. This study centered on the effect of impact and the follow-on events on aircraft structures and was confined to the approach, landing and takeoff segments of the flight. The significant characteristics, frequency of occurrence and the effect on the occupants of the above data base were studied and categorized with a view to establishing typical impact scenarios for use as a basis of verifying the effectiveness of potential safety concepts. Studies were also carried out of related subjects such as: (1) assessment of advanced materials; (2) human tolerance to impact; (3) merit functions for safety concepts; and (4) impact analysis and test methods.
The organization and plan for an investigation, procedures used at the scene of the accident, engineering aspects covered in the main investigation, use of special analytical techniques and simulation tools, and use of flight recorder data are discussed. Examples of investigations are used to illustrate the processes used.
A linguistic method for the analysis of small group discourse, was developed and the use of this method on transcripts of commercial air transpot accidents is demonstrated. The method identifies the discourse types that occur and determine their linguistic structure; it identifies significant linguistic variables based upon these structures or other linguistic concepts such as speech act and topic; it tests hypotheses that support significance and reliability of these variables; and it indicates the implications of the validated hypotheses. These implications fall into three categories: (1) to train crews to use more nearly optimal communication patterns; (2) to use linguistic variables as indices for aspects of crew performance such as attention; and (3) to provide guidelines for the design of aviation procedures and equipment, especially those that involve speech.
This paper reviews the handling qualities which influence the high angle of attack (AOA) behavior of supersonic fighter aircraft in order to obtain a clearer understanding of the causes of stall/spin accidents. The results show that, because modern fighters suffer more serious consequences when control is lost, good handling qualities are essential for safe operation at high AOA. Relaxed static stability used on some fighter aircraft can result in control problems at high AOA owing to inertia coupling and the difficulty of a recovery from a deep stall. Indications are that the use of departure/spin resistance and an automatic spin prevention system will greatly improve the safety record for modern supersonic fighters.
The incidence of air transport accidents caused by problems in crew communication and coordination was investigated. Communication patterns which are most effective in specific situations were determined. Methods to assess the effectiveness of crew communication patterns were developed. The results lead to the development of new methods training crews in effective communication and provide guidelines for the design of aviation procedures and equipment.
The status of the implementation of the recommendations of the Presidential Commission on the Space Shuttle Challenger Accident is reported. The implementation of recommendations in the following areas is detailed: (1) solid rocket motor design; (2) shuttle management structure, including the shuttle safety panel and astronauts in management; (3) critical item review and hazard analysis; (4) safety organization; (5) improved communication; (6) landing safety; (7) launch abort and crew escape; (8) flight rate; and (9) maintenance safeguards. Supporting memoranda and communications from NASA are appended.
This volume contains all the hearings of the Presidential Commission on the Space Shuttle Challenger accident from 6 February to 25 February 1986. Among others, the testimony of NASA's acting administrator William R. Graham is included.
This volume contains all the hearings of the Presidential Commission on the Space Shuttle Challenger accident from 26 February to 2 May 1986. Among others is the testimony of L. Mulloy, Manager, Space Shuttle Solid Rocket Booster Program, Marshall Space Flight Center and G. Hardy, Deputy Director, Science and Engineering, Marshall Space Flight Center.
Advanced analytical methods applied to airline digital flight records and ATC radar tracking data are providing new insights into atmospheric disturbances that cause serious operating problems for aircraft. Performance-based methods for estimating unmeasured flow angles and the possible influence of rain on lift and drag, and a state-estimation procedure for determining winds along the flightpath are reviewed. The methods are applied to data records from the Delta Flight 191 wind-shear accident at the Dallas/Ft. Worth Airport (August 2, 1985) which involved an L-1011 airliner on final approach. The results indicate that the aircraft encountered a strong downlow followed by a strong outflow accompanied by large and rapid changes in the vertical wind. This pattern of low-level winds is consistent with the model that treats a downburst as a vortex ring. Although rain was present in the downburst, the analysis showed no evidence of performance loss. The results obtained from analyses of airline turbulence encounters provide a means for simulating turbulence phenomena and for training pilots for future encounters.
The present analysis of the abortive takeoff-type accident of a DC-10 at Malaga airport gives attention to the velocity profiles of the aircraft from takeoff to ground impact. A fire followed ground impact. Takeoff was initiated by the crew with only 1295 m of runway left beneath the aircraft. On the basis of the data obtained by this analysis, it is recommended that both pilots and other flight crew members be trained to respond to takeoff failures due to causes other than loss of engine power, such as landing gear collapse.
The status of the implementation of the recommendations of the Presidential Commission on the Space Shuttle Challenger Accident is reported. The implementation of recommendations in the following areas is detailed: (1) solid rocket motor design; (2) shuttle management structure, including the shuttle safety panel and astronauts in management; (3) critical item review and hazard analysis; (4) safety organization; (5) improved communication; (6) landing safety; (7) launch abort and crew escape; (8) flight rate; and (9) maintenance safeguards. Supporting memoranda and communications from NASA are appended.
The natural circulation of a single-phase fluid in a scale-model pressurized water reactor system was studied during a postulated degraded core accident. A half section of a one-seventh scale model with a plexiglass adiabatic window was employed. Water and SF6 were used as the fluid. LDA was used to perform velocity measurements along the center plane of the model at five elevations. It was found that the recirculation flow patterns are nearly symmetric except near the hot legs and in the upper head and that the fluid in the upper plenum is well mixed.
The various analyses described here were aimed at obtaining a more comprehensive understanding and definition of the environments in the vicinity of the Radioisotope Thermal Generator (RTG) during certain Space Transportation System (STS) and Titan IV launch abort accidents. Addressed here are a number of issues covering explosion environments and General Purpose Heat Source Radioisotope Thermoelectric Generator (GPHS-RTG) responses to those environments.
A report is presented to describe some of the errors that pilots make during flight under IFR. The data indicate that there is less risk during the approach and landing phase of IFR flights, as compared to VFR operations. Single-pilot IFR accident rates continue to be higher than two-pilot IFR incident rates, reflecting the high work load of IFR operations.
Two recent airline accidents that underscored the value of cockpit resource management (CRM) to line operations, especially under stressful, high workload conditions are reviewed. An analysis of the verbal behavior of each crew was conducted to explore how catastrophic events impact upon the dynamics of crew interaction. In both cases the Captain stated that training in CRM contributed significantly to the overall effectiveness of the crews.
This final status report describes the actions taken by NASA in response to the recommendations of the Presidential Commission on the Space Shuttle Challenger Accident (Mission 51-L). The Commission recommendations and NASA's responses to them are summarized in the Executive Summary, which is accompanied by a schedule showing significant program milestones. A detailed discussion of the activities undertaken by NASA to implement each of the nine Commission recommendations is included and other related NASA actions required for safe return to flight are discussed. A copy of the interim plan submitted to the President one year ago and other significant reference documents are included as appendixes.