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Abbreviations | |
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Preface | |
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Introduction | |
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Major air carrier accidents | |
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The longest investigation in U.S. history: USAir flight 427 | |
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Flight history and background | |
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The investigation and findings | |
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The roll event | |
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Left rudder deflection | |
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Boeing 737 rudder system | |
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NTSB testing of the PCU and servo valve | |
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Rudder reversals during secondary slide jam | |
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Other significant roll/yaw events | |
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Crossover airspeed | |
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Human performance | |
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Conclusions | |
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Rudder jam/reversal scenario | |
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Pilot input scenario | |
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Unfinished business: United 585 and Eastwind 517 | |
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Lack of FDR information | |
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Probable cause | |
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Recommendations | |
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Industry actions | |
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Epilogue | |
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References and additional reading | |
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Pressure falling rapidly: American 1572's brush with disaster | |
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Flight history and background | |
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The investigation | |
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Adequacy of weather information | |
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Altimeter settings | |
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Descent below MDA | |
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Terminal Instrument Approach Procedures (TERPS) | |
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Airport issues | |
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Flight after the tree strike | |
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Evacuation issues | |
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Conclusions and probable cause | |
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Recommendations | |
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Industry action | |
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Actions taken by American Airlines | |
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Epilogue | |
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References and additional reading | |
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El Deluvio claims American 965 | |
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Flight history and background | |
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The rescue | |
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The investigation and findings | |
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Research away from the crash site | |
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The decision to accept Runway 19 | |
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Situational awareness | |
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Awareness of terrain | |
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Automation | |
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Crew Resource Management (CRM) | |
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Speedbrakes | |
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Conclusions and probable causes | |
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Contributing factors | |
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Other submissions to the report | |
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Recommendations | |
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Industry action | |
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Actions taken by American Airlines | |
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Epilogue | |
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References and additional reading | |
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A tale of two tragedies: Bergenair 301 and Aeroperu 603 | |
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Birgenair, flight history and background | |
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The investigation and findings | |
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Conclusions and probable cause | |
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Recommendations | |
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Industry action | |
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Aeroperu, flight history and background | |
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The investigation and findings | |
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Conclusions and probable cause | |
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Recommendations | |
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Industry action | |
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Epilogue | |
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References and additional reading | |
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Carnage in the Everglades: The flight of Valujet 592 | |
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Flight history and background | |
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The investigation | |
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Forward cargo bin reconstructed | |
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Flammable cargo | |
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Outdated oxygen generators | |
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Contracting for vital services | |
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Time pressure on the shop floor | |
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Documentation for removing/replacing oxygen generators | |
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Removal of oxygen generators: The maintenance process | |
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Packaging and shipping of oxygen generators | |
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Oxygen generator fire tests | |
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Conclusions | |
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Fire initiation and propagation | |
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Flight profile after eruption | |
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Cargo compartment fire/smoke detection and extinguishing | |
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The way ValuJet conducted business | |
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FAA oversight | |
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The probable causes | |
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Recommendations | |
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Industry action | |
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Epilogue | |
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References and additional reading | |
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A pilot's nightmare: The inflight fire of FedEx 1406 | |
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Flight history and background | |
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Emergency response | |
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The investigation and findings | |
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Origin of fire | |
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Ignition source of fire | |
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Flightcrew action | |
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Dissemination of hazardous materials information | |
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Conclusions and probable cause | |
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Recommendations | |
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Industry action | |
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Epilogue | |
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References and additional reading | |
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Contact approach: A close call for Delta 554 | |
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Flight history and background | |
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The investigation and findings | |
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Weather | |
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Airport issues | |
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The aircraft | |
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Flight data recorder information | |
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Captain's use of monovision contact lenses | |
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Visual cues and illusions | |
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Conclusions | |
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Delta 554's final approach | |
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The probable cause | |
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Recommendations | |
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Industry action | |
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Epilogue | |
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References and additional reading | |
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A final evaluation flight for Airborne Express | |
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Flight history and background | |
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The investigation and findings | |
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Flightcrew factors | |
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ABX FEF procedures | |
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FAA oversight | |
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Conclusions and probable cause | |
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Recommendations | |
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Industry action | |
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Epilogue | |
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References and additional reading | |
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Waiting for rescue: an agonizing night for KAL 801 | |
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Flight history and background | |
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The rescue | |
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The investigation and findings | |
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The weather | |
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Flightcrew actions | |
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Flightcrew training | |
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Air traffic control | |
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KCAB oversight of KAL | |
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FAA oversight of KAL | |
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Emergency response | |
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Other issues | |
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Conclusions and probable cause | |
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Recommendations | |
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Epilogue | |
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References and additional reading | |
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Regional airline accidents | |
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Along for the ride: The final descent of ASA 529 | |
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Flight history and background | |
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The rescue | |
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The investigation and findings | |
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The 14RF-9 propeller design | |
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The propeller installed on N256AS | |
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History of the 14RF-9 propeller | |
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Service history of the accident propeller | |
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Weather | |
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Communications | |
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Conclusions and probable cause | |
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Party submissions | |
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Recommendations | |
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Industry action | |
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Epilogue | |
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References and additional reading | |
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Quandary at Quincy: The runway collision of United Express 5925 and Beechcraft King Air N1127D | |
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Flight history and background | |
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Rescue attempt | |
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The investigation and findings | |
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King Air's mission and occupants | |
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King Air's takeoff distance and accelerate stop time and distance | |
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Visibility and conspicuity tests | |
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Conclusions | |
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Performance of the United Express flightcrew | |
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Performance of the King Air pilot and pilot/passenger | |
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Performance of the Cherokee pilot | |
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Survivability issues | |
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The probable cause | |
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Recommendations | |
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Industry action | |
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Epilogue | |
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References and additional reading | |
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Dangerous misconceptions: The legacy of Comair 3272 | |
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Flight history and background | |
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The investigation and findings | |
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Wake turbulence | |
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Icing | |
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EMB-120 development and certification | |
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Weather | |
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NTSB performance studies | |
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History of related icing incidents | |
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Pilot actions | |
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FAA oversight | |
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Conclusion and probable causes | |
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Industry action prior to publication of the final report | |
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Recommendations | |
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Further industry action | |
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Epilogue | |
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References and additional reading | |
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Military accidents | |
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A missed approach: The fatal flight of Commerce Secretary Ron Brown | |
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Flight history and background | |
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Accident response | |
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The investigation and findings | |
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The aircraft | |
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The pilots | |
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Weather | |
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Navigational aids and facilities | |
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Design of the NDB Runway 12 approach | |
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Air Force supervisory responsibilities | |
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Operational pressure | |
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Other issues | |
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Conclusions and probable causes | |
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Epilogue | |
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References and additional reading | |
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A lack of teamwork: HAVOC 58 impacts Sleeping Indian Mountain | |
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Flight history and background | |
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Emergency response | |
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The investigation and findings | |
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The aircraft | |
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The Jackson Hole Airport | |
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ASR/GDSS | |
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The squadron | |
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The probable cause | |
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Epilogue | |
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References and additional reading | |
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Have Blue: An airshow to remember | |
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The aircraft | |
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Flight history and background | |
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The investigation and findings | |
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On scene | |
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Aircraft structure | |
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Conclusions | |
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The probable cause | |
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Air Force action | |
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Epilogue | |
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References and additional reading | |
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General aviation accidents | |
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Shattered dreams: A record-setting flight gone awry | |
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Flight history and background | |
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The investigation and findings | |
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Aircraft weight and balance | |
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Weather | |
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Human factors issues | |
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Conclusions | |
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Reduced engine performance | |
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Operational factors | |
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The probable cause | |
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Recommendations | |
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Industry action | |
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Epilogue | |
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References and additional reading | |
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Falling star: John Denver's final flight | |
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Flight history and background | |
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The investigation and findings | |
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The aircraft | |
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Pilot information | |
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Fuel consumption tests | |
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Other tests and research | |
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Conclusions | |
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Enhancing safety | |
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The probable causes | |
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Recommendations | |
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Industry action | |
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Epilogue | |
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References and additional reading | |
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The investigation continues | |
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TWA 800 | |
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Swissair 111 | |
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American 1420 | |
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Glider accident, N807BB | |
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John F. Kennedy, Jr. | |
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Conclusions | |
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Index | |