Episode 42 – Is the NTSB Obsolete?

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The NTSB is considered a non-essential service and on-site accident investigations have been suspended during COVID-19. With no one on site to gather facts and evidence, John and Greg ask if the NTSB is needed anymore.

Even before the pandemic, the agency had an increasing case backlog. Reports that have been issued recently are incomplete and offer scant safety insight.

John and Greg find the recent NTSB reports inadequate to identify risks and determine effective mitigation. The reports lack the evidence to support the stated probable causes and offer little safety insight.

As John and Greg celebrate the one-year anniversary of Flight Safety Detectives, they use their straight-talking platform to call out the agency they have both proudly served for failing to do its job.

Episode 41 – End of a Long Day and Weather Add Up to Disaster

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Greg and John examine the transcript of the cockpit voice recorder from American Flight 1420, a MD-80 that crashed at Little Rock Airport in 1999. Greg served as the NTSB investigator in charge (IIC) and John was part of the headquarters support team.

American Flight 1420The 30-min recording reveals the pilots were racing the weather as well as fatigue from a long workday. John and Greg walk through the conversation reflected in the recording, highlighting how different decisions could have changed the deadly outcome.

They offer insights beyond the words of the transcript. What isn’t said and done is as compelling as what is documented in the CVR.

Greg and John discuss the process of looking at the aftermath to determine the cause and what could be learned. Findings led to checklist and operational procedures changes as well as configuration updates at the Little Rock airport.

Episode 40 – Assumptions and Expectations Can Kill

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Assumptions and expectations in all roles in aviation often lead to the most serious accidents. John and Greg share anecdotes that illustrate the point.

This is a trying time for air travel and air safety. Greg and John are frustrated by the growing number of accidents that are not being investigated by either the NTSB or FAA. They wonder out loud why investigators, who have ample biohazard training, are not able to visit accident scenes to do their job?

Special focus is on American Flight 1420, a MD-80 that crashed at Little Rock Airport in 1999. Greg served as the NTSB investigator in charge (IIC) and John was part of the headquarters support team.

Listen to this wind up to Episode 41, which will dissect the cockpit voice recorder recovered from the Flight 1420 crash site.

Episode 39 – Accident Shows Importance of Pilot and Mechanic Communication

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John and Greg often make the point that flight safety involves both hangar and cockpit. This episode illustrates the point.

They walk through an accident involving a Cessna 177 Cardinal. The plane was in for annual maintenance. Although the mechanic had signed off in the logbook, the final run up was not completed before the pilot retrieved the plane.

The plane crashed shortly after takeoff. The investigation found no oil left in the engine. A loose oil cooler line suspected.

John and Greg highlight the need for mechanic and pilot to share information. Each individually has due diligence responsibilities as well as a shared responsibility to communicate.

This episode includes a big announcement. Avemco Insurance Company has joined the Flight Safety Detectives team as a primary sponsor!

Episode 38 – Merion Air Disaster Revisited

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When a Piper Aerostar collided in mid-air with a Bell 412 helicopter over an elementary school in Lower Merion Township, Pennsylvania, in 1991 Greg Feith was among the first investigators on the scene. Greg and John revisit the investigation to highlight NTSB findings that are relevant for pilots today.

The accident started the NTSB discussion and definition of aeronautical decision making. ADM is an important component of safe flying, in the cockpit and the hangar.

In the 1991 accident, five people in both aircraft were killed, including United States Senator John Heinz. Two school children on the ground were also killed by falling debris. More people on the ground were injured.

Greg describes the heartbreaking scene as well as the challenges of recovering evidence from a large debris field. Calling this a tragic event resulting from a “series of simple errors,” Greg talks about the role of crew experience, pilot communication and other notable factors.

Image from the NTSB accident report.

Image from the NTSB accident report.

Episode Photo: Tomás Del Coro from Las Vegas, Nevada, USA – N104RM 1980 Piper AEROSTAR 601P C/N 61P07568063375, CC BY-SA 2.0, https://commons.wikimedia.org/w/index.php?curid=58210408

Episode 37 – Minute-by-Minute Examination of ValuJet Flight 592’s Electronic Witness

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The cockpit voice recorder is called the “electronic witness” by crash investigators. In this episode, John and Greg walk through the CVR recovered during the investigation of ValuJet Flight 592 that crashed in the Everglades.

The CVR captures conversations. It also documents ambient noises that offer clues, especially when aligned with information from the flight data recorder.

Greg and John offer insight into what was learned from the CVR. Routine discussions quickly changed with the call of “fire” at 14:10. The recording shows rapid-fire issues unfolding. It chillingly shows that all on board seem to have succumbed to smoke asphyxiation before the plane crashed.

This second-by-second analysis expands on Episode 30 addressing listener questions and interest in detailed CVR analysis.

Episode 36 – The Right Stuff: What It Takes to Be a Great Pilot

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A panel discussion from the campus of Vaughn College explores many aspects of a successful career in aviation. From formal education to soft skills, Greg, John and their guests explore the factors that lead to success.

Students discuss their plans and the options they are exploring to start their careers. Also featured are professor Capt. Emerson Allen, experienced pilot Capt. Chinar Shaw, and management department chair Dr. Maxine Lubner.

Highlights:

  • Training options and career paths
  • The role of women in all aspects of aviation
  • Importance of communication and management skills
  • Passion as a key trait

Listen as panel members share their first-hand experiences and field questions from students.

Vaughn College of Aeronautics and Technology is a private college in East Elmhurst, New York, specialized in aviation and engineering education. John serves as an instructor in the management program. This episode was recorded prior to the COVID-19 outbreak in the US.

Episode 35 – Flying Safely Is an Obligation Not to Take Casually

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The Cessna P210N crash near Detroit, Michigan gets a close look in this episode. The National Transportation Safety Board recently released the accident final report and Greg and John layer on their analysis of the facts.

On June 24, 2018 the accident led to the death of the pilot and his wife and serious injury to a 17-year-old son. While the NTSB report largely attributes the crash to lack of fuel, John and Greg raise serious questions about that conclusion, the pilot’s qualifications and the airworthiness of the plane.

They explore:

  • The obligation of pilots to make sure they have the necessary training and that their aircraft are safe to fly
  • The grey areas of what mechanics can do when an issue is found and an owner does not authorize repair
  • Post-accident clues that are not pursued

Listen as John and Greg dissect the tragic event from takeoff through the investigation process. Questions remain that unfortunately will not be answered now that the final report has been issued.

Episode 34 – Time to Apply PRIA Standards Inside the Hangar

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Air safety does not begin and end with pilots. It is impacted by everyone who has a role with a plane, including maintenance personnel. Flight Safety Detectives Greg Feith and John Goglia call for higher standards to be applied to all personnel whose jobs impact aviation safety.

The Pilot Records Improvement Act of 1996 (PRIA) requires that air carriers evaluate information about each pilot’s training, experience, qualification, and safety background. It is long past due that the same standard be applied to the people working in other roles on aircraft.

John and Greg look at the story behind the recent FAA announcement to check the engines of 737 jets idled by the pandemic. Far from an airframe issue, this illustrates the complex maintenance issues that are created when aircraft are stored. As discussed in previous episodes, all planes – from general aviation to airliners – should get an extensive check before they are returned to service.

They also revisit the crash of Air Midwest Flight 5481 in North Carolina. That crash was traced to an inexperienced mechanic as well as improper bag loading. Two issues outside of the cockpit made the job inside the cockpit impossible to perform.

Listen to this lively discussion that draws on years of experience to come to the call to tighten PRIA standards and apply them more broadly.

Episode 33 – The Discipline Needed for Aviation Safety

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Flight Safety Detectives listeners ask for insider details and John and Greg deliver! A theme in this wide-ranging discussion of questions received is the importance of discipline.

A listener asked for the backstory in the NTSB investigation of Eastern Airlines Flight 980. Greg shares the details of the Jan. 1, 1985 crash and the 10 months of effort that led to him climbing a mountain in search of the cockpit and flight data recorders. That crash, in part, was caused by the air check pilot not following procedures.

Another question related to 2011 crash of a Cessna 421. That accident illustrated the insidiously damaging effects of lightning strikes. John and Greg discuss errors in the NTSB accident report. A lack of a disciplined look into the engine damage missed the true cause.

The discussion discipline in all areas of aviation then turns to a series of accidents involving Mooney aircraft. Greg has again and again found fuel tank drain holes mistakenly plugged by sealant during repairs of other issues. This lack of care in maintenance leads to water in the fuel and disastrous results.

John and Greg conclude that it is the little things that matter, and a high level of discipline is needed to catch them.

 

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