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Air
Line Pilots Association
Petition
for Reconsideration of
Probable
Cause
Aircraft
Accident—Trans World Airlines, Inc.,
Boeing
727-31, N84OTW, Near Saginaw, Michigan
April
4, 1979 (NTSB-AAR—81-8).
RESPONSE
TO PETITION FOR RECONSIDERATION
Based
on its review of the Air Line Pilots Association Petition for Reconsideration
of January 11, 1983, as supplemented on June 24, 1983, and August 25, 1983, the
National Transportation Safety Board has denied the Petition in its entirety.
In
accordance with the Safety Board
ts
rules (49 CFR Part 845), the Safety Board has considered the Petition for
Reconsideration of its analysis, findings, and probable cause in the aviation
accident involving a Trans World Airline, Inc., (TWA) Boeing 727-31, N84OTW,
near Saginaw, Michigan, on April 4, 1979.
On
June 9, 1981, the Safety Board determined that the accident occurred after the
airplane entered an uncontrolled maneuver at 39,000 feet pressure altitude
while near Saginaw, Michigan. The airplane descended to about 5,000 feet in 63
seconds before the flightcrew regained control and made an emergency landing at
Metropolitan Airport, Detroit, Michigan. The Safety Board’s analysis of
the evidence indicated that the uncontrolled maneuver began after the leading
edge slats on the right wing were retracted and the airplane’s No. 7
leading edge slat remained in the extended or a partially extended position.
The isolated extension of the No. 7 leading edge slat resulted in a roll which
led to a reduction in the airplane’s lateral control margin to zero or
less. The loss of lateral control was the result of a combination of the
extended slat, mach number, angle of attack, and sideslip. The airplane entered
a descending right spiral, and control of the airplane was regained only after
the No. 7 slat was torn from the airplane.
The
Safety Board’s investigation revealed no evidence of irregularity,
malfunction, or failure of the airplane’s flight control, autopilot,
hydraulic, or flap systems that might have caused or contributed to a lateral
control problem. Further, there was no evidence of any combination of failures
or malfunctions in the airplane’s flight control system that would have
caused an unscheduled extension of the No. 7 leading edge slat by itself.
In
adopting its report, the Safety Board determined that the probable cause of the
accident was the isolation of the No. 7 leading edge slat in the full or a
partially extended position after an extension of the Nos. 2, 3, 6, and 7
leading edge slats and the subsequent retraction of the Nos. 2, 3, and 6 slats,
and the captain’s untimely flight control inputs to counter the roll
resulting from the slat asymmetry. Contributing to the cause was a preexisting
misalignment of the No. 7 slat which, when combined With the cruise condition
airloads, interfered with the retraction of that slat. After eliminating all
probable individual or combined mechanical failures or malfunctions which could
lead to slat extension, the Safety Board determined that the extension of the
slats was the result of the flightcrew’s manipulation of the flap/slat
controls. Contributing to the captain’s untimely use of the flight
controls was distraction due probably to his efforts to rectify the source of
the control problem. 1/
The
following discussion addresses allegedly new evidence the Air Line Pilots
Association (Petitioner) submitted to the Safety Board which Petitioner states
negates the portion of the probable cause related to the flightcrew’s
manipulation of the flap/slat controls as the reason for the extension of the
slats. Petitioner contends that it is likely there was a mechanical failure of
a Ronson slat actuator and that the Boeing Commercial Airplane Company had
knowledge of such mechanical failures yet did not inform the Safety Board.
Further, Petitioner contends that the problems highlighted in a Federal
Aviation Administration Airworthiness Directive regarding a slat actuator
manufactured by Decoto, which is interchangeable with the Ronson actuator, were
encountered with the Ronson actuator on the TWA flight.
In
support of the petition, Petitioner provided a coordination sheet, dated April
26, 1979, which was prepared by the Boeing Commercial Airplane Company, as
proof that there were six cases of cracking in the piston seal ring groove of
the Ronson actuator. The Safety Board investigated the development of the
coordination sheet and determined that it was prepared by a Boeing staff member
after the TWA accident.
The
coordination sheet by its own terms was an information brief prepared in
response to an April 19, 1979, memorandum which requested the status of certain
items. The coordination sheet was not a technical paper, nor was it coordinated
with the technical staff of Boeing or product Integrity personnel responsible
for monitoring Service Difficulty Reports and service reports for the Ronson
actuator. The coordination sheet was completed and returned to the Boeing
technical staff as a historical document for its use in the subject accident
investigation. The basis for the paragraph describing six cracked actuators was
established to have been a telex, dated October 6, 1975, from a Boeing field
representative assigned to Lufthansa German Airlines. This telex reported that
Lufthansa had “scrapped six Ronson P/N 101095-5 actuator rods due to
cracks in the piston seal groove.” (See attachment 1.)
On
October 7, 1975, the Boeing field service representative who had sent the
October 6, 1975, telex sent a telex correcting the original telex. (See
attachment 2.) The second telex stated that an incorrect part number had been
quoted in the first telex. The second telex specifically reported that,
“All six cracked pistons discussed in refs /A/ and /B/ were part of LE
edge flap actuators, P/N 65-17818-14 and —20, and not leading edge slat
actuators. Thus comments in reference /B/ on SB-27—29 do not
apply.” The October 7, 1975, telex apparently was overlooked when the
April 26, 1979, coordination sheet was prepared, with the result that incorrect
information was included in the coordination sheet.
A
Boeing spokesman stated that the Boeing technical staff and the Boeing accident
investigation staff were aware of the error in the coordination sheet, and that
an incorrect part number had been reported. They were aware of the October 7,
1975 telex, which corrected the earlier report that there had been failures in
the Ronson slat actuator. The coordination sheet was not corrected immediately
since it was an information document. The coordination sheet was revised on
June, 2, 1982, after it was produced in litigation and again on November 12,
1982. In any event, however, the best evidence regarding Boeing’s records
as to whether such failures had occurred is the two telexes.
During
the accident investigation, the Safety Board requested from the Boeing
Commercial Airplane Company all records concerning fractures in the Ronson
actuator. It responded that there had been no transverse fractures of the main
piston in the operating history of the Boeing 727, and this was the basis for
the statement in the analysis section of the accident report that
“.
. .
in
16 years of service history and over 36 million flight hours, such fractures of
a slat actuator piston have never occurred.” The evidence is,
notwithstanding the statement to the contrary in the coordination sheet, that
the report was correct and that it continues to be correct. The Board concludes
also that the Boeing Commercial Airplane Company did not withhold any pertinent
information concerning mechanical deficiencies in the Ronson actuator piston.
Petitioner
submitted a letter to the Safety Board on June 24, 1983, wherein the basis for
the original petition was restated. Additionally, three other issues were
raised in the letter. The first was a report of. an uncommanded extension of a
No. 7 slat on a Boeing 727-100 on August 28, 1982; the second involved problems
with the Decoto slat actuator piston and the controllability of the Boeing 727
with the No. 7 slat extended; and the third issue was the validity of using
flight data recorder (FDR) data to calculate drag.
The
Safety Board investigated the August 28, 1982, incident of the uncommanded
extension of a No. 7 slat on a Boeing 727-100. The Safety Board obtained the
maintenance records on the airplane, and interviewed the captain of the flight.
The maintenance records indicate that a problem with the No. 7 slat was first
entered in the airplane logbook on August 25, 1982. The entry stated:
“No. 7 slat sticks on retraction and will not come up unless aircraft
slowed to low speed.” The slat actuator was replaced and was
operationally checked.
On
August 26, 1982, an entry was made in the airplane log book by a different
captain. This entry stated: “No. 7 slat very slow in retraction.”
Thereafter, the slat tracks were lubricated, and the system was found to
function normally during an operational check.
On
August 28, 1982, the incident referenced in petitioner’s supplemental
letter occurred. The log book entry stated: “No. 7 slat came out in
flight going through 4,000 ft. with trailing flaps up.” The No. 7 slat
actuator was again replaced and the operational check indicated the system was
functional. A teardown of two of the three actuators removed from the airplane,
including the actuator which was removed on August 28, 1982, indicated that
there were no discrepancies of the actuator. The actuator teardowns were
performed by Northwest Airlines.
The
airline stated that the No. 7 slat problem on the airplane was written up in
the . logbook a total of six times in 9 days. Three different slat actuators
were installed in the airplane during that period. The company concluded that
the problem was not with the actuator, and subsequently replaced the entire No.
7 slat system. A spokesman for the company stated that the replacement of the
system resolved the problem, since no further incidents developed with the slat.
The
interviews with the captain and the first officer revealed that the incident
occurred after takeoff. While climbing through 2,500 feet, the flaps were
placed in the up position and the airplane was accelerated to 250 knots. As the
airplane accelerated and climbed through 4,000 feet, a right roll and airframe
buffet began. According to the flightcrew, at that time the flap/slat indicator
light on the instrument panel indicated an in-transit condition. The flight
engineer’s leading edge flap/slat test panel indicated that the No. 7
slat was down and locked. The No. 7 slat remained extended, and the flight was
continued from Tulsa, Oklahoma, to Dayton, Ohio, where the airplane was landed
Without incident
. The
Safety Board’s investigation of this incident indicates that the incident
on August 28, 1982, involving the No. 7 slat was not an isolated event, but one
of several similar incidents involving the airplane. Additionally, the problem
always manifested itself with the No. 7 slat not retracting after takeoff, or
retracting in an abnormally slow manner. There were no instances of an
independent extension of the No. 7 slat. The Safety Board believes, therefore,
that the August 28, 1982, incident cited by Petitioner involved the failure of
the No. 7 slat to retract after takeoff, and not from an uncommanded slat
extension after all the slats had been retracted. This conclusion is supported.
by the slat-problem history of the particular airplane, the phase of flight in
which the incident occurred, and the absence of cracks, fractures, or any other
defects in the actuators removed from the airplane.
With
regard to Petitioner’s concerns about the information provided in
attachment 5 to their letter of June 24, 1983, the Safety Board believes that
the corrective action required by Airworthiness Directive 82-22-01 to modify
the Decoto—manufactured Boeing 727 leading edge slat actuators was the
appropriate remedy to preclude any possibility of an unscheduled extension of a
single leading edge slat that might cause a serious lateral control problem in
the B-727 airplane. The “cracks” in the Decoto actuators originated
in the extend lock key grooves in the actuator piston. Cracks were found in the
fillet radii of these grooves in several actuator pistons removed from service
for overhaul. Tests of three production pistons showed that cracks in the
fillet radii were detectable by magnaflux inspection at 100,000 cycles and that
performance degradation was apparent at 127,000, 171,000, and 191,000 cycles,
respectively. The piston with 127,000 cycles fractured transversely through the
extend lock key grooves at 142,000 cycles, which is the equivalent of 71,000
flight hours at an average of 1 hour per flight. Since the recommended actuator
overhaul limit is 18,000 hours, it appears that a complete fracture of the
piston in the extend lock key grooves of an unmodified Decoto piston is not
likely before detection either at overhaul or through performance degradation.
Further, there is no evidence at all that a similar problem has arisen with the
Ronson actuator.
Moreover,
a fracture of the actuator piston, caused by the problem identified with the
Decoto actuators, did not occur on the accident airplane (N84OTW), because such
a fracture would have left more than two—thirds of the piston locked in
the actuator cylinder. In fact none of the piston was found in the aft portion
of the cylinder that remained on the airplane. Therefore, the Safety Board does
not believe that the problem associated with the Decoto actuators is germane to
the accident involving N84OTW.
On
August 25, 1983, Petitioner again supplemented the original petition with
another letter setting forth additional issues involving the accuracy of tests
and computations upon which the Safety Board based a portion of the analysis,
findings, and probable cause set out in the accident report.
The
issue raised in Petitioner’s June 24, 1983, submission concerning the
validity of using FDR data to calculate drag also was addressed in the August
25, 1983, supplement to the original petition. We have chosen to address the
questions concerning FDR data and drag calculations as they were framed in the
latter letter.
The
first issue raised by Petitioner in the August 25, 1983, supplement involved a
restatement of the previous submissions that an individual slat on the accident
airplane could extend as a “result of a single failure. This issue is
addressed in the preceding discussion of the alleged six cracked Ronson
actuators referenced in the Boeing coordination sheet, and the August 28, 1982,
uncommanded No. 7 slat extension on a Boeing 727-100. A second part of this
issue was that the physical evidence resulting from the extension of a single
slat would be consistent with the physical evidence of the accident
investigation. This subject is discussed. as part of the two final issues
raised in the August 25, 1983, supplement which are alleged errors in the
Safety Board’s analysis of (1) airspeed trace comparison and drag
calculations, and (2) vertical acceleration frequency analysis. Finally,
Petitioner made several statements in the “Summary” section of the
August 25, 1983, supplement which warrant a response from the Safety Board.
Airspeed
Trace Comparison and Drag Calculations
Petitioner
challenges the methods used by the Safety Board for, airspeed comparison and
drag calculations. Petitioner suggests that any similarity between airspeed
traces for the accident and flight test airplanes is coincidental, and that
other configurations and conditions would produce similar airspeed traces.
Petitioner rejects the validity of the Safety Board’s drag calculations
and the resultant conclusion because the point selected for drag measurement
occurred during a “dynamically unstable c.ondition.”
The
method chosen by the Safety Board to calculate the increase in drag for N84OTW
and the flight tests flown on October 2, 1980, was derived for
quasi-steady-state maneuvers (climbs, descents, accelerations, and
decelerations) flown at or near ig with a fixed engine throttle position. Drag
is determined from the following equation derived from a force balance diagram:
![]() Where Fn = propulsion
system net thrust (lbs)
D = airplane drag (lbs) W = airplane gross weight (lbs) V = true velocity (ft/sec) H = tapeline altitude Cf t) t = time (sec) g = acceleration due to gravity . The
equation is derived by assuming that the total energy of the airplane consists
of potential energy in the form of altitude and kinetic energy in the form of
speed, or some combination thereof. This method was used for the drag
calculations because of the maneuvers flown, the parameters available on the
FDR, and the timeframes available to make the calculations.
With
the test airplane stabilized to simulate the accident airplane in stabilized
flight before the onset of buffet, net thrust (Fn) equaled drag (D). The
equation then becomes:
![]() As
drag increases due to a configuration change with the net thrust unchanged, the
equation becomes:
If
altitude is held constant
by
an
auto
1gilot
altitude hold mode, the change in drag (AD) is reflected by the change in
airspeed (ΔV/Δt). Therefore, a direct relationship exists between an
increase in drag and an associated decrease in airspeed if the net thrust and
altitude remain constant, as was the case with the accident airplane.
The
drag calculation for the accident flight was made at FDR time 23:32, which was
11 seconds after initiation of the leading edge slat extension (9 seconds after
the onset of buffet). The decrease in airspeed was 0.5 KIAS/second and the rate
of descent was7.5 feet/second. The drag increase indicated by the deceleration
was calculated as7,030 lbs, and the drag increase resulting from. the rate of
descent was 1,230 lbs, for atotal drag increase of 8,260 lbs. The total
increase in airplane drag coefficient
(ΔCD)
wascalculated
to be 0.0283, indicating that the airplane drag had essentially doubled from
itsvalue before the onset of buffet.
Of
the 21 flight conditions/configurations tested during the Boeing flight test on
October 2, 1980, Boeing test conditions 011 and 012 proved most representative
of the performance changes accompanying the configuration change that occurred
on the accident airplane — these were, extension of 2º of trailing
edge flaps followed by extension of the Nos. 2, 3, 6, and 7 leading edge slats.
For purposes of a comparison with drag calculations for the accident airplane,
a calculation of the drag increase for Boeing flight test condition 011 was
made at FDR time 3:46, about 12 seconds after initiation of leading edge slat
extension, where the rate of decrease in airspeed was 0.5 KlAS/second and the
rate of descent was 1.5 ft/sec. The drag increase indicated by the deceleration
was calculated as 7,100 lbs, and the drag increase indicated by the rate of
descent as 270 lbs, for a total drag increase of 7,370 lbs. The total -
increase in
(ΔCD)
was
calculated to be 0.0274, within 3 percent of the value calculated for the
accident airplane
. Flight
tests could not be conducted for the condition where the No. 7 slat was
extended individually. However, a
ΔCD
was
calculated for this condition. The calculation was made by assuming that the
drag associated with extension of the No. 7 slat alone would be about 1/4 of
the drag associated with extension of slats Nos. 2, 3, 6, and 7. Therefore, the
ΔCD
assumed
for the extension of the No. 7 slat alone was 0.0274/4 or 0.0069. The drag
associated with full autopilot lateral control authority plus the associated
rudder deflection and sideslip was 0.0038. This value was supplied by the
Boeing Qommercial Airplane Company based on flight test data. Consequently, the
total
ΔCD
for a condition with only the No. 7 slat extended was 0.0107. The deceleration
which the airplane would experience for this configuration change, plus the
control deflection and sideslip at the accident airplane conditions (including
450 ft/min rate of descent) was calculated to be 0.14 KIAS/second, or 28
percent of the deceleration which was indicated on the accident airplane FDR
trace. As a result, the Safety Board concluded that extension of the No. 7 slat
alone would not have produced the changes in airspeed and altitude indicated on
the accident airplane’s FDR, since 72 percent of the known deceleration
would not be accounted for.
Flight
tests conducted during the accident investigation indicated that the increase
in drag coefficient for the accident airplane was within 3 percent of the
increase in the drag coefficient for the flight test airplane when the latter
was configured with its Nos. 2, 3, 6, and 7 slats extended. Additionally, the
computed increase in drag coefficient for extension of the No. 7 slat alone
(plus increases related to lateral control deflection rudder deflection, and
sideslip—at the maximum authority of the autopilot to produce) was less
than half of the increased drag coefficient of either the accident airplane or
the flight test airplane. Consequently, the Safety Board’s accident
report concluded that the accident airplane’s increase in drag
coefficienf was the result of a configuration identical to that of the flight
test airplane, i.e., the Nos. 2, 3, 6, and 7 slats were extended. This
conclusion was stated on page 27 of the accident report:
Moreover,
since the airspeed decrease which followed extension of the
Nos.
2, 3, 6, and 7 slats during flight tests compares almost exactly with the
airspeed decrease experienced by Flight 841 following initial oscillation of
its g-trace, which under constant thrust and 1.O-g flight conditions can only
be attributed to similar drag producing configurations, the Safety Board
concludes that the Nos. 2, 3, 6, and 7 slats were extended as a consequence of
flightcrew action.
The
foregoing calculations and analyses show that in its analysis of the accident
the Safety Board did not make incorrect assumptions about the relationship
between the production of drag and airspeed changes. The Safety Board’s
conclusion that the configuration of the two airplanes was identical is based
on a recognized and valid analytical method of calculating drag changes, and on
data of sufficient accuracy to make the necessary calculations with a high
degree of confidence.
Further,
although similarities between airspeed traces can result from different .
configurations, there is absolutely no evidence to indicate that other
drag—producing devices, such as landing gear, speed brakes, a substantial
amount of trailing edge wing flap, or any combination thereof, were extended on
the accident airplane during initial entry into its spiral dive. Finally, when
other drag-producing devices/conditions related to an extension of the No. 7
slat alone are accounted for, the increase in drag coefficient is less than
half (about 38 percent) of the increase experienced by the accident airplane
during the timeframe of interest.
In
addition to disputing the Safety Board’s calculations concerning the
relationship between drag production and airspeed changes of similarly
configured airplanes, Petitioner challenged the conclusions reached by the
Safety Board that were based on the comparison of two flight tests (011 and
012). Petitioner provided graphic data from which they concluded that the
comparison of flight test data between the two flight tests does not support
the Safety Board’s assumption that similar speed decreases imply
identical airplane configuration. Petitioner states that the Safety
Board’s assumption was not valid because the data used related to a time
when the airplane was not in a stabilized flight condition
. The
Safety Board’s analysis of Petitioner’s graphic data indicates that
Petitioner failed to account for the difference in airplane response to the
extension of the Nos. 2, 3, 6, and 7 slats with the autopilot engaged (test
condition 011) and without the autopilot engaged (test condition 012). As a
result, Petitioner’s graphic data are an inaccurate comparison of the
changes in the two airspeed traces. Condition 011 was conducted with the
autopilot altitude-hold mode engaged, and the autopilot was to be used to
maintain a constant altitude using the pitch axis control. However, the
autopilot had not been properly set — the test switch had been
inadvertently left in the HOLD position — and it did not perform as
intended in the test protocol. The airplane pitched up slightly, but then
returned to the trim attitude. The pitch attitude and angle of attack
osciflated slightly above and below the trim values. Altitude oscillated
slightly, about 40 feet above and below the selected altitude.
Condition
012 was conducted with the altitude hold disengaged so that the
airplane’s pitch attitude, angle—of-attack, and altitude were not
controlled. As a result, after all the leading edge slats were extended, the
airplane pitched up abruptly 6.5
º
and
climbed. The large pitchup and climb resulted in a greater deceleration than
occurred during condition 011. However, following the pitch-up, when both the
deceleration and rate of climb were used in the equation, the total increase in
airplane drag coefficient (ΔC
D)was
calculated to be 0.0301, which was within 6 percent of the value calculated for
the accident airplane.
Consequently,
the comparison between the flight test condition 011 FDR and the accident
airplane FDR was valid because the autopilot was engaged in altitude hold for
both cases. Also, the equation was correct since it was derived for
quasi-steady-state conditions where the airspeed and altitude were changing.
Petitioner
is correct in asserting that the Boeing Commercial Airplane Company did not
reaccomplish the flight tests to verify the data produced in test condition 011
after the SP 150 autopilot test switch was found mispositioned. However,
simulations were accomplished to resolve satisfactorily the different response
characteristics of the SP 50 and SP 150 autopilots, and Petitioner was provided
with the results of the simulations.
Petitioner
posed an additional question concerning drag calculations having concluded that
the accident airplane was in a 10º bank at 23:29 FDR time and that
thereafter the bank angle increased rapidly. Petitioner’s question was:
What caused the 100 bank initially if not an asymmetric slat condition?
The
answer to Petitioner’s question is related to the fact that each slat
extends independently . and at a slightly different rate. Consequently, a small
amount of asymmetry usually occurs while the slats are being extended. When the
slats are extended within the normal flight envelope, the asymmetry causes no
problems. However, when the slats ar.e extended outside the normal envelope at
high Mach numbers, as during the flight tests and the accident sequence, a
slight rolloff can occur. Flight test conditions 011 and 012 where the Nos. 2,
3, 6, and 7 slats were extended confirm this. The flight test airplane rolled
about
5º
right
wing down even though the autopilot heading hold mode for condition 011 and the
test pilot in test condition 012 were attempting to maintain wings level. .
Therefore, contrary to Petitioner’s assertion that the 100 bank at 28:29
FDR time supports a conclusion that a single slat extended, the Board believes
that this evidence strengthens the conclusion that a single slat did not
extend, because based on the Boeing simulations for extension of the No. 7 slat
alone,, with the autopilot engaged, the bank angle at FDR time 23:29 would have
been at least 50º right wing down. Furthermore, the
FDR data indicate that the roll rate did not start to increase rapidly until
after 23:30, which is compatible with the increasing slat asymmetry that
developed after the Nos. 2, 3, and 6 slats began to retract.
Petitioner
further challenged the validity of the Safety Board’s drag calculations
and airspeed trace comparisons by stating that “the FDR is a crude
instrument at best and was never intended for the purpose of precise drag
measurements, especially under dynamically unstable conditions.” The
petition also states that, due to lag in FDR pitotstatic systems, accurate
readings are not possible under dynamic flight conditions, so no comparison
could be made between the accident airplane and the test airplane.
The
purpose of the FDR data comparisons—airspeed and rate of descent
comparisons and the associated drag calculations—was to explore the
magnitude of the changes caused by the extension of four leading edge slats and
the changes caused by the extension of one slat by itself. These were
established to be substantially different, the former being very large and the
latter relatively smaller. The Safety Board believes that its objective was
accomplished and that the FDR data can be used for this Purpose with a high
degree of confidence
. The
effect of lag in the FDR pitot-static systems was minimized by using similar
B-727-100 airplanes which incorporated the same pitot—static systems and
the same make/model FDR’s. The Safety Board’s drag calculations
considered the possibility of lag by making the calculations at the point in
time where the rate of change in airspeed and altitude reached constant values.
This point occurred at essentially the same elapsed time for both the accident
and flight test airplanes. Since the calculations for both the accident and
flight test airplanes showed that the drag had doubled within a short time
after buffet onset and that the value was far in excess of what would have
resulted by the individual extension of the No. 7 slat, the effects of lag, as
well as any other source of small inaccuracies within the FDR, would not have
been significant.
In
response to Petitioner’s challenges of the accuracy of the FDR, the
Safety Board points out .that, throughout the investigation, the .Air Line
Pilots Association (ALPA) repeatedly requested that flight tests be conducted
to acquire FDR data for comparison with the FDR data from the accident airplane
(see the letter dated November 9, 1979, from ALPA’s President and the
letter dated March 31, 1980, from ALPA’s accident coordinator). The
Safety Board also sought flight tests, and it prevailed upon the Boeing
Commercial Airplane Company to conduct flight tests. The Safety Board believes
that at this point Petitioner is not in a .position to assert that the data
cannot be compared, and that in essence, the flight tests were not necessary.
Vertical
Acceleration Frequency Analysis
Petitioner
contends that the analysis of vertical acceleration frequency is
unsubstantiated and is not a valid basis for the conclusion of the accident
report “that the high frequency g-trace oscillations associated with
airframe buffet on the flight test aircraft’s FDR and the accident .
aircraft’s FDR were identical at a frequency of . 6 cycles/second and an
amplitude of
+0.05g.”
Petitioner states that the conclusion is invalid because the frequency response
capability of the FDR was exceeded and because a frequency of 6 cycles/second
could be induced using other configurations.
The
Safety Board’s analysis of buffet characteristics using the vertical
acceleration trace of the FDR involved a comparison of the buffet amplitude as
well as the buffet frequency. At the beginning of the analysis, the Safety
Board acknowledged there were limitations to the use of the FDR frequency
readings. Nevertheless, when the flight test vertical acceleration FDR traces
were compared with similar traces from the sensitive flight test instruments,
the buffet amplitude recorded by the test flight airplane FDR was found to
correlate closely with the test flight instrument—produced data. The FDR
traces correlated even when the frequency limit of 6 cycles/second was
exceeded. This correlation was confirmed by FDR frequency response tests
conducted by TWA.
The
configuration changes made during the flight ‘tests (trailing edge
flaps,, leading edge flaps, slats, and spoiler extensions) indicated that each
change produced a significantly different buffet as determined by the amplitude
of the vertical acceleration oscillations. The only airframe buffet identical
in both amplitude and frequency to that recorded on the accident
airplane’s FDR resiulted from the extension of the Nos. 2, 3, 6, and 7
slats.
The
vertical acceleration was essentially equal to the load factor (lift/weight) at
the cruise angle—of—attack before the extension of the Nos. 2, 3,
6, and 7 leading edge slats. However, in the first 2 seconds following the
extension of the leading edge slats, the load factor decreased to about 0.97
for flight test condition 011. The load factor for the same timeframe for the
accident airplane was 0.96. These data translate to a loss of lift of about
4,000 to 5,000 lbs in a short time, since extension of the leading edge slats
results in a loss of lift under the specific flight conditions. The Safety
Board concluded that, since the extension of the No. 7 slat alone could not
produce the same rapid loss of lift as that produced by the extension of four
slats, the accident airplane had four slats extended.
In
the aggregate, when the flight test airplane’s FDR traces for extension
of four
slats
are compared with the accident airplane’s traces, they indicate virtually
identical buffet characteristics, increases in drag, and loss of lift. AU of
these conditions could not have occurred simultaneously as the result of
extending any other aerodynamic device(s). Moreover, the bank angles calculated
from the accident airplane’s FDR traces correspond with the extension of
four slats followed by retraction of three slats; the FDR traces do not
correspond with bank angles associated with the extension of the No. 7 slat
alone.
Accordingly,
the Safety Board finds Petitioner’s challenges to its airplane drag
calculations and FDR trace correlations without merit. Contrary to Petitioner?s
assertion, FDR information has been used extensively to calculate aerodynamic
performance under dynamic conditions, such as wind shear. Consequently, there
is nothing unique about calculating changes in drag over a given period of time
when thrust is a known constant.
“Summary” Petitioner
states in the summary section of the August 25, 1983, supplement that all of
the Safety Board’s investigative efforts were designed to show that a
configuration (Nos. 2, 3, 6, and 7 slats extended) existed at the initiation of
the accident sequence. To the contrary, the greatest portion of the Safety
Bos.rd’s investigative efforts were expended in an attempt to identify
any condition which might have permitted or caused the independent extension of
a single slat. All factors singularly and in combination that possibly could
have caused the independent extension of the No. 7 slat were considered and
systematically eliminated based on systems tests, system fault analyses,
aerodynamic data, and the physical evidence. The one possible failure
mode—transverse fracture of the slat actuator piston in the
retract
lock key grooves--was eliminated as extremely improbable because of the high
safety margin associated with the piston design, service history, and flight
test data. In fact, it was not until late 1980—18 months after the
accident—that flight test data established conclusively that there had
been an initial extension of four slats rather than a single slat.
Petitioner
also asserted in the summary section of the August 25, 1983, letter that it had
submitted to the Safety Board a hypothetical piston failure mode which
subsequently became the exact failure mode that caused the FAA to issue an
Airworthiness Directive against the Decoto—manufactured slat actuators. .
Petitioner’s assertion is not correct. The piston failure mode
hypothesized by Petitioner involved a transverse fracture of the piston in the
retract
lock key grooves, whereas the failure mode that prompted the Airworthiness
Directive involved potential fracture in the fillet radii of the
extend
lock key grooves. The two grooves a.re on opposite ends of the piston and are
subject to different forces and stresses. Identical stress conditions do not
occur at each end of the piston. Consequently, the area through the retract
lock key grooves is not subjected to similar tensile stresses that might
produce cracking or fracture.
Finally,
Petitioner asserted in the summary section that the Board labored under a
preconception that the flightcrew was attempting to obtain an airplane
configuration with 2˚ of trailing edge flaps extended without extension of
the Nos. 2, 3, 6, and 7 slats even though there was no reason for It to do so,
because the flight tests (conducted 18 months after the accident) demonstrated
that such a configuration did not produce an increase in performance. Such an
assertion presumes that the flightcrew either was aware of the results of the
flight tests conducted 18 months after the accident or that it had preaccident
experience with such a configuration. Be that as it may, the Safety Board did
not adopt any scenario that might explain why the flightcrew might desire such
a configuration, although the Board was aware of the widespread belief in the
pilot community at that time that such a configuration would enhance
performance, and ofother reasons that might motivate a flightcrew to configure
the airplane in such a manner. Such reasons include a reduction in trim angle
of attack and pitch attitude as demonstrated in flight tests. Consequently, the
lack of an increase in performance . demonstrated during the flight tests is
irrelevant even if it is accepted as providing compelling support for an
assertion that there was no motivation for the flightcrew to configure the
airplane with
2º
of
trailing edge flap extended. .
As
set forth in 49 CFR 845.41, changes in reports in response to requests for
reconsideration of probable cause will be made only if they are based on new
evidence or on a showing that the Board’s findings as to the facts,
conditions, and circumstances of the accident are erroneous. Petitioner has
provided no new evidence in either its petition or the supplements thereto to
establish a valid possibility of a mechanical failure of the Ronson actuator
piston on the accident airplane. Finally, Petitioner has provided no
information to show that the Board’s findings as to the facts,
conditions, or circumstances of the accident are erroneous, or that the
Board’s conclusions regarding the probable cause of the accident are
incorrect.
ACCORDINGLY, The
Air Line Pilots Association’s petition for reconsideration of probable
cause of the aircraft accident report on Trans World Airlines, Inc., Boeing
727—31, N84OTW, near Saginaw, Michigan, on April 4, 1979, and its request
to reopen the investigation are hereby denied.
BURNETT,
Chairman, GOLDMAN, Vice Chairman, and BURSLEY, ENGEN, and GROSE, Members,
concurred in the disposition of this petition.
1/
Three members voted to adopt the report; two members did not participate.
Member McAdams, while voting to adopt the report, filed a concurring and
dissenting statement.
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