Vliegtuigongeval op 07 JAN 1996 met McDonnell Douglas DC-9-32 N922VV - Nashville International Airport, TN (BNA)

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Accident

Last updated: 24 May 2013

Status:	Definitief
Datum:	07 JAN 1996
Tijd:	16:20 CST
Type:	McDonnell Douglas DC-9-32
Luchtvaartmaatschappij:	Valujet Airlines
Registratie:	N922VV
Constructienummer:	47489/528
Bouwjaar:	1968
Aantal vlieguren:	1776
Motoren:	2 Pratt & Whitney JT8D-9A (HK)
Bemanning:	slachtoffers: 0 / inzittenden: 5
Passagiers:	slachtoffers: 0 / inzittenden: 88
Totaal:	slachtoffers: 0 / inzittenden: 93
Schade:	Groot
Gevolgen:	Repaired
Plaats:	Nashville International Airport, TN (BNA) (Verenigde Staten)
Fase:	Landing (LDG)
Soort vlucht:	Binnenlandse lijnvlucht
Vliegveld van vertrek:	Atlanta-William B. Hartsfield International Airport, GA (ATL/KATL), Verenigde Staten
Vliegveld van aankomst:	Nashville International Airport, TN (BNA/KBNA), Verenigde Staten
Vluchtnummer:	558

Beschrijving:
The crew had to pull Ground Control Relay circuit breakers H20 and J20 after take-off due to cabin pressurization problems. When on final approach to RWY 02R at 100 feet the cabin had depressurized completely, so the captain reset both circuit breakers. Suddenly the spoilers deployed, which gave the aircraft a high sink rate. The DC-9 struck the runway with full power on both engines and a nose-high attitude. The aircraft bounced back and the crew managed to climb away. After landing back on RWY31 major damage was discovered to the fuselage.

PROBABLE CAUSE: "The flightcrew's improper procedures and actions (failing to contact system operations/dispatch, failing to use all available aircraft and company manuals, and prematurely resetting the ground control relay circuit breakers) in response to an in-flight abnormality, which resulted in the inadvertent in-flight activation of the ground spoilers during the final approach to landing and the airplane's subsequent increased descent rate and excessively hard ground impact in the runway approach light area.
Contributing factors in the accident were ValuJet's failure to incorporate cold weather nosegear servicing procedures in its operations and maintenance manuals, the incomplete procedural guidance contained in the ValuJet quick reference handbook, and the flightcrew's inadequate knowledge and understanding of the
aircraft systems."

Bronnen:
» Air Safety Week 12.02.1996 (p. 6)
» Aviation Week & Space Technology 1.7.96(31-32)
» NTSB/AAR-96/07
» Scramble 201(50)
» Scramble 204(48)

Veiligheidsmaatregelen

NTSB issued 8 Safety Recommendations

Issued: 20-DEC-1996	To: FAA	A-96-166
REQUIRE ALL AIRLINES TO REVIEW THEIR OPERATIONS & MAINTENANCE MANUALS &, IF NECESSARY, ADJUST OR EXPAND THESE MANUALS TO REFLECT THE MANUFACTURER\'S RECOMMENDED COLD WEATHER NOSEGEAR SERVICING PROCEDURES. (Closed - Acceptable Action)
Issued: 20-DEC-1996	To: FAA	A-96-167
STRESS THE IMPORTANCE OF ADHERENCE TO THE RULES, STRUCTURE, & GUIDELINES WITHIN THE REVISED VALUJET COMPANY OPERATING MANUAL TO VALUJET MANAGEMENT & ITS EMPLOYEES, TO FLIGHT SAFETY INTERNATIONAL (OR OTHER CONTRACTED TRAINING ORGANIZATIONS USED BY VALUJET), & TO THE INDIVIDUALS RESPONSIBLE FOR THE OVERSIGHT OF VALUJET. (Closed - Acceptable Action)
Issued: 20-DEC-1996	To: FAA	A-96-168
REEVALUATE VALUJET\'S FLIGHT OPERATIONS TRAINING MANUAL & THE VALUJET TRAINING SYLLABUS USED BY FLIGHT SAFETY INTERNATIONAL, & REQUIRE VALUJET TO REVISE OR EXPAND THESE DOCUMENTS TO INCLUDE MORE DETAILED DESCRIPTIONS & EXPLANATION OF THE DOUGLAS DC-9 SYSTEMS & PROCEDURES. (Closed - Acceptable Action)
Issued: 20-DEC-1996	To: FAA	A-96-169
REQUIRE VALUJET TO REVISE ITS CREW RESOURCE MANAGEMENT (CRM) TRAINING CURRICULUM TO MORE CLEARLY REFLECT MODERN INTEGRATED (FLIGHTCREW, CABIN CREW, COMPANY, ETC.) CRM PRACTICES (INCLUDING LINE OPERATIONAL SIMULATION TRAINING) & TO COMBINE ACADEMIC/CLASSROOM TRAINING WITH INTEGRATED PRACTICAL CREW SIMULATIONS. (Closed - Acceptable Action)
Issued: 20-DEC-1996	To: FAA	A-96-170
REQUIRE ALL AIRLINES TO REVISE THEIR PROCEDURES TO STIPULATE THAT FLIGHTCREWS TURN OFF POWER TO THE COCKPIT VOICE RECORDER AS PART OF THE ENGINE SHUTDOWN PROCEDURE IN THE EVENT OF A REPORTABLE INCIDENT/ACCIDENT. (Closed - Unacceptable Action)
Issued: 20-DEC-1996	To: FAA	A-96-171
REQUIRE THAT ALL NEWLY MANUFACTURED COCKPIT VOICE RECORDERS INTENDED FOR USE ON AIRPLANES HAVE A MINIMUM RECORDING DURATION OF 2 HOURS. (Closed - Acceptable Action)
Issued: 20-DEC-1996	To: VALUJET AIRLINES	A-96-172
DEVELOP, IMMEDIATELY, A MORE EXTENSIVE & ACCURATE WINTER OPERATIONS MANUAL, WITH CORRESPONDING ADJUSTMENTS TO MAINTENANCE PROCEDURES, TO REFLECT THE MANUFACTURER\'S COLD WEATHER NOSEGEAR SERVICING PROCEDURES. (Closed - Acceptable Action)
Issued: 20-DEC-1996	To: VALUJET AIRLINES	A-96-173
CLARIFY FOR ALL FLIGHTCREWS THE IMPORTANCE OF REFERENCING ALL AVAILABLE CREW REFERENCE DOCUMENTS & CONSULTING WITH COMPANY MAINTENANCE PERSONNEL (TIME PERMITTING) TO RESOLVE IN-FLIGHT ABNORMALITIES BEFORE COMMITTING A FLIGHT TO LANDING. (Closed - Acceptable Action)

Show all AD's and Safety Recommendations

Foto's

Kaart

Deze kaart geeft het vliegveld van vetrek weer en de geplande bestemming van de vlucht. De lijn tussen de vliegvelden geeft niet de exacte vliegroute weer.
De afstand tussen Atlanta-William B. Hartsfield International Airport, GA en Nashville International Airport, TN bedraagt 342 km (214 miles).

This information is not presented as the Flight Safety Foundation or the Aviation Safety Network’s opinion as to the cause of the accident. It is preliminary and is based on the facts as they are known at this time.

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