National Transportation Safety Board
Carol CarmodyChairman
Carol CarmodyChairman
Speaking at the
Aging Aircraft ConferenceSeptember 12, 2001
National Transportation Safety Board
FAA PassengerGrowth ForecastFAA PassengerGrowth Forecast
1 Billion
664.5Million 2001 2011
Pass
enge
rs
National Transportation Safety Board
FAA FleetGrowth Forecast
FAA FleetGrowth Forecast
2001 2011
U.S
. Jet
Tra
nspo
rts
7,500
5000
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Fleet Average Age ForecastFleet Average Age Forecast
20.0
18.0
15.8 1998 2008
Ave
rage
Age
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Aloha Flight 243 (1988)Aloha Flight 243 (1988)
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Narita 747 Engine SeparationNarita 747 Engine Separation
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Wire failures in 1970sled to Navy findings
Wire failures in 1970sled to Navy findings
Wire insulation cracked in Navy F-4 Phantoms, such as this.
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Finding #24 from TWA 800 ReportFinding #24 from TWA 800 Report
Until recently, insufficient attention has beenpaid to the condition of aircraft electricalwiring, resulting in potential safety hazards.
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Air Canada DC-9, CVG, June 2, 1983
Electrical Events Preceding TWA 800Resulted in Numerous Safety
Recommendations
Electrical Events Preceding TWA 800Resulted in Numerous Safety
Recommendations
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L-1011 In-flight Fire,March 17, 1991, Near Goose Bay, Canada
FIRELOCATION
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Although the Board continued to recommendthat the FAA call for better care of electrical
systems, the fleet did not change:
1991 Debris found in L-1011
1998 Debris found in surveyed 747
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Fluid Testing of Wires DuringTWA800 Investigation
Fluid Testing of Wires DuringTWA800 Investigation
Arcing event photographed during short circuit created by fluid drip on wires.
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Identify and Protect Critical CircuitsIdentify and Protect Critical CircuitsFirst, identify/triage what is critical:
Passenger Entertainment?Potential fire hazards or problems leading to falsecockpit indications?Wires leading into fuel tanks, fire systems, or foremergency oxygen?
Then identify how to protect the criticalcircuits.
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Electrical fires continuewhile fleet changes waitElectrical fires continuewhile fleet changes wait
Nov 2000, turn-back at ATL. Lav fluid in wirebundle led to fire that burned through skin.
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B-767 Wire Fire, LHR, Jan 9, 1998
Example of direct & secondary damage, due toinadequate clearance between bundles
Example of direct & secondary damage, due toinadequate clearance between bundles
REMOTE SECONDARY DAMAGE TO THRUST
REVERSER INDICATIONCIRCUIT CARD
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FAA Developing Automated ServiceDifficulty Reporting (SDR) System
FAA Developing Automated ServiceDifficulty Reporting (SDR) System
Will facilitate trend analysis & prevention.
Scheduled Implementation:3rd Q 2003
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Investigation into TWA 800 led to findingaging problems in systems.
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Wire bundle separation for FQISWire bundle separation for FQIS
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Non-standard wire repairs
Insulation cracks
Conductive residues
Drill shavings
Com pression dam age to
Residue visible on surface - highconcentrations of silver, copper,and sulfur
Photos from TWA800 wreckagePhotos from TWA800 wreckageTeflon Wrap
Fiberglass LacingBraid
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Photos of Transport Airplane WiringPhotos of Transport Airplane Wiring
Degraded racewayclamps & chafes
Contaminants
Cracks
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FAA Aging Systems PlanFAA Aging Systems Plan
• Establish oversight within FAA• Review fleet & fix• Enhance maintenance• Add to aging research• Improve Reporting• Evaluate additional maintenance needs• Improve wire instructions
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Boeing (5 seats)Airbus (4 seats)Airborne ExpressAir CanadaAirTran AirwaysBombardier
FAA & JAA (2 seats)
ATSRAC Group Membership Example(Example: Standard Wire Practice Manual Revision Group)
British AirwaysCessnaDassaultDelta AirlinesNBAASR TechnicsUnited Airlines
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Safety Recommendation A-00-108(Initial Text)
Safety Recommendation A-00-108(Initial Text)
Regardless of the scope of theATSRAC’s eventual recommendations,address all of the issues identified in theAging Transport Non-Structural SystemsPlan.
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Thai International Airways TG114Thai International Airways TG114
Initial explosion and fire in Boeing 737 on March 3, 2001.
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SwissAir 111 MD-11 ReconstructionSwissAir 111 MD-11 ReconstructionInterior, as viewed forward to the cockpit door.
Accident of Sept 2, 1998, at Peggy’s Cove, Nova Scotia.Airplane built in 1991.
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NTSB, USAF, and FAA Lab WorkFound Problems in Aged Wiring
NTSB, USAF, and FAA Lab WorkFound Problems in Aged WiringExamples: Hardened and split insulation Work-hardened conductors (fatigued) in
crimps Average distance between breached wires measurable in hundreds of feet.
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Wire Performance RequirementsWire Performance RequirementsFAA EAPAS calls for R&D to: Investigate and develop performancerequirements, test criteria and procedures foraircraft wire. Estimated completion in 3rd Q 2002 To result in report for inclusion in TSOor FAR Part 25.
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8+ Years Between Accident and FAAPlanned Implementation (no slippage)
8+ Years Between Accident and FAAPlanned Implementation (no slippage)
Initial TWA800 Rescue & Recovery by New York City and Suffolk County Police
National Transportation Safety Board
Carol CarmodyChairman
Carol CarmodyChairman
Speaking at the
Aging Aircraft ConferenceSeptember 12, 2001