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What To Do if Your Airport is Involved in an Accident. Courtney H. Liedler Survival Factors Investigator & Airport Specialist. Who is NTSB?. 5 Board Members Independent Determine probable cause and make recommendations to improve safety About 420 Employees All modes. NTSB Offices.
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What To Do if Your Airport is Involved in an Accident Courtney H. Liedler Survival Factors Investigator & Airport Specialist
Who is NTSB? • 5 Board Members • Independent • Determine probable cause and make recommendations to improve safety • About 420 Employees • All modes
NTSB Offices • Headquarters - Washington, DC • Regional Offices – • Eastern Region • Ashburn, VA; Atlanta, GA; Miami, FL • Central Region • Chicago, IL; Denver, CO; Arlington, TX • Western Region • Seattle, WA; Gardena, CA • Alaska Region
Safety Board Responsibilities • Conducts investigations • Determines “probable” cause • Publishes accident/incident reports • Conducts special studies • Issues recommendations
What is an Accident? • NTSB Definition: “An occurrence associated with the operation of an aircraft that takes place between the time any person boards the aircraft with the intention of flight and all such persons have disembarked, and in which any person suffers death or serious injury, or in which the aircraft receives substantial damage.”
On-Scene Responsibilities, Before the NTSB Arrives • Restrict Access only to Authorized Personnel (FAA, Emergency Crews, Medical Examiner, etc.) • Record who enters accident scene • Protect wreckage and ground scars from disturbance • Obtain Witness Statements • Document the wreckage… Pictures, Pictures, Pictures…Did I mention Pictures???
On-Scene Responsibilities, After the NTSB Arrives • NTSB assumes control of accident site and wreckage. • Limit access to scene only to those with NTSB Permission • Coordinate removal of fatalities with NTSB • All media questions should be referred to the NTSB Public Affairs representative
What is a Group? • Each group is formed with subject matter experts in a particular concentration, such as Airport/Emergency Response • These experts are called upon to assist in the investigation • Each group is formed after the NTSB arrives on-scene, during a formal meeting held by the Investigator-in-Charge
Survival Factors is One of Many Groups Formed During an Investigation • Operations • Air traffic control • Weather • Vehicle performance • Human performance • Structures • Systems • Cockpit voice recorder • Flight data recorder • Powerplants • Survival factors, airport and emergency response
Survival Factors Group Responsibilities • Document damage to cabin, floor, seats and restraints, exits, escape slides, overhead compartments, galleys, flotation equipment • Interview passengers, flight survivors, and witnesses • Obtain medical records and autopsy reports to document injuries • Review flight attendant training and procedures • Document Airport and Emergency Response
Who Participates with Survival Factors: • FAA • Airframe Manufacturers • Airlines • Equipment Manufacturers • Crewmember Associations • Airports • ARFF
Airport/Emergency Response Group - To be or not to be… • May not be part of Group, only asked to provide information and/or be interviewed on response • May be a Group Member • On smaller accidents, you may be part of the Survival Factors Group • On larger accidents, a separate Airport/Emergency Response Group could be formed to support the investigation
Criteria for Acceptance on Airport/Emergency Response Group • Members MUST have expertise or knowledge in Airports/ARFF or Search and Rescue. • Members MUST plan to stay on scene for the entire time that the group is assembled. • Members MUST participate in writing the field notes and signing off on them. • Members MUST confine all of their investigative activities to the survival factors group. • Members MUST devote their time to the needs of the group – not their employer.
Group ActivitiesAirport/Emergency Response Investigation • General airport information • CFR Part 139 Certification Info • Emergency response
Group Activities (continued) Airport/Emergency Response Investigation • Document General Airport Info • Field elevation, number of runways, runway composition, airport configuration • Airfield lighting – runway taxiway, centerline, approach systems, etc. • Guidance signs • Airfield Marking • Navigational aids
Group Activities (continued)Airport/Emergency Response Investigation • Document General Airport (continued) • NOTAM’s • Runway surface friction • Obstructions, construction hazards, frangibility • Fueling
Group Activities (continued)Airport/Emergency Response Investigation • Document CRF Part 139 Certification • FAA Part 139 compliance • Inspection history • Airport certification manual • Daily self-inspection reports • Airport Specific Plans: Snow and Ice Removal, Construction Management, Wildlife Management
Document Emergency Response Airport emergency plan Aircraft rescue and firefighting (ARFF) Staffing Equipment Training Notification Communication Dispatch logs Mutual aid Other fire departments Police Ambulance Post-accident Critique Group Activities (continued)Airport/Emergency Response Investigation
Why be part of the investigation? • Find out about operational or safety deficiencies • Opportunity to make safety-related changes in most timely fashion • Allows corrections to be included in the final NTSB report
Let NTSB’s Work Help • By keeping your finger on the pulse of accident findings and recommendations • Continually reassessing your airport’s plans, procedures, training and manuals • Continually ask ‘what can be done to make my airport safer?’
Enhance Your New Safety Management System • Learn from other accidents • Use information gained from other accidents on airports to consider hazards and risks in your safety system • Cargo Aircraft • High Reach Extendable Turret proficiency • NTSB will look at SMS document
Pinnacle Airlines 2823 Milwaukee - General Mitchell Int’l Airport On March 11, 2005, at 2302 central standard time, a Bombardier CL-600-2B19, operated by Pinnacle Airlines as "Flagship 2823," received substantial damage when it veered off the left side of runway 1L (9,690 feet by 200 feet, asphalt-concrete, grooved) during landing at the Milwaukee/General Mitchell International Airport (MKE), Milwaukee, Wisconsin. The captain, first officer (FO), flight attendant, and nine passengers received no injuries.
Pinnacle Airlines 2823 Milwaukee - General Mitchell Int’l Airport • Airport Issues: • Compliance with Snow and Ice Control Plan • Procedures for runway closures • Procedures for field inspections and friction measuring during snow events • Coordination between Airport Operations and Air Traffic during snow removal
Summary • Your participation in investigations is often desired and always beneficial. • New safety challenges presented by each accident. • Airport safety can always be improved. • Sitting idle is letting safety pass you by, let NTSBs work help you to improve safety.
Where to Find More Information • www.ntsb.gov • Accident Reports • Recommendations • Safety Studies • courtney.liedler@ntsb.gov