ML19224A346
| ML19224A346 | |
| Person / Time | |
|---|---|
| Site: | Crane  |
| Issue date: | 12/08/1978 |
| From: | Chandler L NRC OFFICE OF THE EXECUTIVE LEGAL DIRECTOR (OELD) |
| To: | Johnson W, Rosenthal A, Sharfman J NRC ATOMIC SAFETY & LICENSING APPEAL PANEL (ASLAP) |
| References | |
| NUDOCS 7812280314 | |
| Download: ML19224A346 (20) | |
Text
.I
.a DISTRIBUTION LJChandler s,
RLBlack SATreby HShapar TEngelhardt HSilver December 8.1978 Rm - ll6C - Phillips SVarga Rm - 116 C - Phillips Alan S. Rosenthal, Esq., Chairman Dr. W. Reed Johnson, Member Atomic Safety and Licensing Appeal Atomic Safety and Licensing Appeal Panel Panel U.S. Nuclear Regulatory Commtasion U.S. Nuclear Regulatory Commissicn Washington, D. C.
20555 Washington, D. C. 20555 Jerome E. Shar%n, Esq., Member JNorris - EP Atomic Safety and Licensing Appeal WReg1n - EP Panel HStrith U.S. Nuclear Regulatory Commission Rm - 314 - Phillips Washington. D. C.
20555 DVassallo Rm 110 - Phillips NRC Central File In the Matter of Metropolitan Edison Company, et a_l.
LPDR (Three Mile raland Nuclear Station, Unit 2)
ELD FF'(2)
Docket No. 50-320 Chron JScinto Gentlemen:
Enclosed find Table 4 Revised E. This table sets forth information regarding weather conditions prevailing at the time of.the accidents shown on Table 4 Revised, whether the flight was operating under VFR or TER and ciuRye factors involved in each event. to the avtant such information could be obtained.
Sincerely, Lawrence J. Chandler Counsel for NRC Staff
Enclosure:
As stated cc w/ enclosure: To the Service List
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'e TABLE 4 REVISED E SUf111ARY DATA TABLE OF PERTIflEllT ACCIDEllT If1FORf1ATI0il lilCLUDIflG PROBABLE CAUSE OF Tile ACCIDEf1T I I
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Da te location Type of plane Probable Cause Remarks IFR Weather 1956 1
2/17 Owensboro, Ky.
fi-404 Circling approach. Little or no portion of the approach was straight in.
5talled, struck ground.
2 4/1 pi ttsburgh, pa.
M-404 First power reduction during taleoff.
Fire indication in engine. Co-pilot retarded throttle to the point which deactivated auto-feathering.
pilot was unaware and attempted to feather Drag of wind mill-ing propeller cau;ed sharp descending left turn.
3 4/2 Seattle, Wash.
B-377 Improper setting of engine cowl flaps coased severe bu f feting about 2 min. af ter takeof f.
Air-craf t ditched. 4 passengers,1 crew drowned (38 aboard).
1 11/15 Las Vegas, llev.
M-404 Roughness developing in engine on takeoff. Return to airport.
Approach was high and fast.
Go-around attempted but could not gain altitude. Wheels-up landing within airport.
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page 2 TABLE 4 REVISED E I
fla.
Date Location Type of plane probable Cause Remarks IFR We6.her t
1957 5
1/i Tul sa, Ok.
CV-240 lleather conditions deteriorating IFR rapidly.
Instrument approach continued below company minimums.
G 2 /1 Rikers Island DC-6 Instrument weather condi tions.
IFR Instrument weather pilot thought flight was normal conditions until instant before fmpact.
7 3/10 Louisville, Ky.
!1-404 Co-pilot made approach high.
pilot took over. Nosed air-cra f t sharply down continued steep rower-o f f approach.
Because power was not applied, fl a reou t ineffective due to low air speed.
liard landir.g wing torn off.
8 9/15 llew Bed ford, Iiass.
DC-3 Crew failed to adhere to pre-IFR fog, Los ceiling scribed ILS approach.
Ilit trees ILS to right and below glide path.
1953 9
2/13 palm Springs, Ca.
CV-240 Shortly af ter takeoff, section of leading edge separated from pl a n e.
Severe control difficulty and buffeting. Ilade wheel s-down landing on boulder strewn area.
Broke op on boulders.
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Page 3 TABLE 4 REVISED E lb.
Da te Location Tyye o f Pl ane Probable Cause Ranarks IFR Weather 1958 (cont'd) 10 3/25 tilaml, fl1.
DC-7 flo. 3 rngine failed shortly af ter takeoff during turn.
Loss of altitute rapidly. Cra shed.
11 4/6 Freeland, flich.
Viscount Restric ted visibility.
Steep Restricted visibility turn made to align with runway.
Stall.
Insuf ficient altitude to permit recovery.
12 6/4 Tta rti nsburg, W.Va.
DC-3 Training. Single engine climb-
.out.
Ilnder inves tiga tion.
13 3/15 flantucket, flass.
CV-240 VOR in ;trtroent approach, lli th ILS plane in low alti tude, ran into heavy fog bank, Lost all visual reference. Although visibili ty below minimum, descent was con-tinued.
Struck ground at time pullup was s tarted.
14 8/28 flinneapolis, flinn.
DC-6 Under i 1vestigation.
15 11/10 flew York, fl.Y.
L-1049 Unwanted propeller reversal during takeoff. Under investi-gation.
1959 16 2/3 flew York, fl. Y.
L-188 ILS with auto-pilot. Crew not ILS experienced with plane. Auto-pilot used throughout approach.
Error in altimeter setting.
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Page 5 TABLE 4 REVISED E ilo.
Date Loca tion Tyye of Plane Probable Cause Remarks IFR tlea ther 1959 (cont'd) 22 10/26 Santa flaria, Ca.
DC-3 Shortly af ter the first power reduction af ter takeoff, explo-sion and fire in lef t engine.
Fire appeared to be extinguished, but severe buffeting continued.
Attempted forced' landing. Just before land sv:erved to avoid an obstruction.
Lef t wing struck ground.
23 11/24 Chicago, Ill.
L-1049 One min. af ter takeof f flo. 2 Low celing engine Indicated ire warning and shut down. Cleared to return during VfR below on overcast.
Plane struck top of house.
24 12/1 tlilliamsport, Pa.
f1-202 liissed first approach.
Circling IFR Snow for second approach.
Plane rolled out of correct right turn into left turn into snow showers.
Ili t mountain.
1960 5/23 Atlanta, Ga.
CV-880 Training flight.
Immediately af ter li f tof f became extremely nose high and banked steeply.
Aircraf t stalled at an altitude too low to effect recovery.
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Page 6 TABLE 4 REVISED E flo.
Da te Loca tloa Type of Plane Probable Cause Remarks IFR Weather 1960 (cont'd) 26 9/14 flew Yo rk, fl. Y.
L-188 In landing plane struck dike at start of runway.
Runway had been shortened during construction.
Dike was unmarked.
10/4 Boston,itass.
L-188 A few sec. af ter being airborne, plane struck flock of starlings.
Engines experienced momentary loss of power.
Plane stalled, dropped into water.
23 10/29 Toledo, Ohio C-46 Fog. Overweight takeoff.
Par tial Fog loss of power in one engine.
1961 29 7/11 Denver, Col.
DC-8 Asymmetric trust which during a hydraulic emergency resul ted from failure of the thrust reversers on Engine flos.1 and 2 when reverse thrust was selected.
3r 9/17 Chicago, Ill.
L-188 Takeoff normal but subsequent turn continued into increasing bank to 90".
Gradual descent began and plane struck ground (power lines ).
Probable cause, mechanical failure in alleron control due to improper replace-ment of a part.
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Page 7 TABLE 4 REVISED E flo.
[h te Loca tion Type of Loca tion Probable Cause Remarks IFR Weather 1961 (cont'd) 31 11/8 Richmond, Va.
L-1049 till i ta ry.
flo t. 3 and 4 engines ran out of fuel.
Co-pi ht, with -
out warning pilot, attempted land-ing on a runwiy di f ferent from pilot's intent.
Co-pilot put down landing gear, gear did not extend.
During attempted go-around over-boost on Engine 1 caused failure.
Crashed short of the other runway.
1962 32 3/1 Jamaica Bay,fl.Y.
B-707 flonnal takeo f f.
While climbing and turning, banking continued Plane rolled ind became inverted nose down. Rudder system mal-function, recovery inef fec tive.
33 7/8 Amarillo, Tex.
V-812 During takecfT, pilot distracted Rain by rain leak on his arm as land-ing gear was being retracted.
Prop; struck runway.
Broken prop pieces from flo. 3 engine damaged flo. 4 engine.
Severe vi bra tions developed.
Energency wheels-up landing of f a irport.
34 8/22 H!lmington,it.C.11-404 Training.
Sinulated right engine out lantling, uneventful until final power r x!uction.
Lef t wing i
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Corrective con-CD tols applied with negligible ef fect.
i Probable caus e, malfunction in servo O
valve control'; for prop reversal.
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Pige 10 TACLE 4 REVISED E f!o.
Date Location
]yfe of Plane Probable Cause Remarks IFR Heather 1953 (cont'd) 42
//2 Rochester, fl.Y.
M-404 Plane took off into severe Thunderstorm, hail, thunderstorm.
Crashed. lio rain, winds evidence of systems or struc-ture failure. lleather fore-casts accura te.
11/29 florgantown, W.Va.
DC-3 Inaccurate ins t rumen ta tion
!LS Light rain, tog caused ap,; roach to be of f IFR tarqet.
1964 44 3/10 Boston,flass.
DC-4 Apparently normal ILS approach.
ILS Icing Plane suddenly pitched down and IFR crashed. lleather conducive to
- icing, lleavy rime ice encoun-tered at ass igned 3,000 f t.
IFR altitude. Damaged such that investigation could not determine whether there was a malfunction of the delcer. The probable cause is excessive ice formation.
3/12 fliles City, Mt.
DC-3 Plane hit hill at an elevation ILS Icing. flear min.
a feu feet below the elevation visibility of the airport at some distance aw y during an instrument al n oach in adverse weather.
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page 12 TABLE 4 REVISED E fla.
Date Location Type o f Pl ane Probable Cause Remarks IFR treather 1965_ (cont 'd )
50 5/18 Knob flos ter, flo.
DC-6 Plane descended below ILS IFR Low ceiling glide slope during approach ILS in adverse weather and hit trees.
g 7/23 flontorsville, Pa.
CV-440 After initial climb during W
takeof f, connecting rod fail-ure in engine.
Improper emergency procedures.
52 9/13 Kansas Ci ty, flo.
CV-880 Training.
Probable Cause:
student improperly operated flight controls causing stall during takeoff.
Inadequate supervision.
53 11/8 Constance, Ky.
B-727 Co-pilot was a captain receiving Rain.
Low ceiling route check.
Probable cause:
pilots did not monitor altimeter during the landing on the low-ciling conditions.
11/11 Salt Lake City, Utah B-72/
Pilot failed to take timely 9
action to arrest excessive rate of descent during landing.
1966 55 3/21 florfolk, Va.
CL-444 Landing roll.
Improper level-off.
Inadequate supervision.
6 4
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page 13 TABLE 4 REVISED E fo.
Dite Loca tion Type of Plane probable Cause Remarks IFR Wea ttier 1966 (cont'd) 56 o/22 Ardmore, Ok.
1-183 Struck hill on visual circling IFR Rain, fog, low approach under instrument ceiling flight conditions.
pilot suffered heart attack.
g 7/28 flewark, fl.J.
C-46 Craf t overloaded.
Improper center of gravi ty.
flaterial failure in power plant. Con-trolled forced landing at airport 58 11/20 flew Bern, fl.C.11-404 Collided with trees.
pilot descended below obstructing terrain.
1967 59 1/31 San Antonio, Tex.
DC-6 Undetermined.
Instrument landing attempt li had weather.
111 t c1i ff 1000 f t.
below glide path.
3/30 Eenner, La.
DC-8 Simulated 2-engine outla6 ding.
g Improper operation of power plant and flight controls.
61 11/6 Erl an<jer, Ky.
B-707 Co-pilot suspected collision.
Aborted takeof f.
Runway too short. Other plane not clear of runway as pilot had reported to power.
62 11/20 Constance, Ky.
CV-880 Under review.
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Page 14 TABLE 4 REVISED E fio.
Date Location Dpe of Plane Probable Cause Remarks IFR Wea ther lo67 (cont'd) 63 12/21 Denver, Col.
DC-3 Inadequa te preflight prepara-tion and/or planning - gust locks engated - pitch control pro bl em.
1968 1/1 0x ford, Miss.
M-404 Landing undershoot. Gear col-lapsed.
Pilot misjudged dis-tance and alti tude. flo runway approach lights.
65 3/21 Chicago, Ill.
B-727 Co-pilot did not properly set fla ps.
Takeof f warning on sounded.
pilot delayed action to abort takeoff.
66 4/28 Atlantic City. fl.J.
DC-8 Simulated 2-engine landing.
Improper operation of power pl a n t.
67 8/10 Charles ton, W.Va.
F-227 Unrecognized loss of altitude IFR fog orien ta tion.
Pilot delayed in initiatinq go-around. Misjudged distance and altitude.
68 9/27 Cherry Point, fl.C.
DC-7 Improper IFR operation.
IFR fog, low ceiling 69 10/25 lla nover, 11.11.
F-227 Pilot delayed action in aborting takeoff.
70 12/24 Brad ford, Pa.
CV-580 Struck trees on instrument approach in a snow shower.
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page 15 TABLE 4 REVISED E Ilo.
Date.
Lo_c a t_i,o n_
Type of plane probable Cause Remarks IFR Weather 1963 (cont'd) 71 12/27 Chicago, Ill.
CV-580 flissed approach to land while on instruraents - inability to recover - struck aircra f t hanger.
72 12/27 Sioux City, Iowa DC-9 Takeof f made with known IFR Icing, low cieling airframe icing.
fog, freezing drizzl 1969 73 7/15 Jama ica, fl. Y.
DC-6 Vortex turbulence.
pilot misjurfged distance.
tiarned of wake turbulence from recently departed jet.
74 7/26 pomo na, fl. J.
B-707 flissed approach.
pilot failed to follow approved procedures, loss of direc-tional control.
75 10/11 Stockton, Ca.
DC-8 false ground spoiler position indication. Takeof f warning on malfunction.
1970 76 8/24 11111 AFB, Utah L-188 One hydraulic pump used.
Company required use of all 3 hydraulic pumps for takeoff.
77 9/8 Jamaica, N.Y.
DC-8 Loss of pitch control due to entrapnent of foreign object (pointed asphault cover) between R-eleva tor and R-horizontal stabilizer.
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page 16 TABLE 4 REVISED E flo.
Da te Location Type of plane probable Cause Rnnarks II R Weather 1970 (cont'd) 78 10/10 Wrightstown, fl.J.
GA-382 Crew disoriented by light IFR Fog, low ceiling glare during transition from instrument to visual flight.
Improper IFR operation.
Instruments misread or not read.
79 11/14 Iluntington, W. Va.
DC-9 Descent below minimum al titude.
Undetermined as to whether descent uas due to improper instrument data use or al timeter systems error.
1971 30 3/31 Ontario, Ca.
B-720 Simulated 3-engine landing.
IFR Fog filssed approach. Rudder and hydraulic actuator support fitting stressed corrosion cracks.
31 6/7 flew ilaven, Conn.
CV-580 Unwarranted low flying.
Pilot IFR Fog, low ceiling continued descent below mini-mum al ti tude wi thout forward vision despite advisories from First Officer.
1972 82 373-Albany,fl.Y.
F-227 Cruise pi tch lock malfunction.
Feathered prop for undetermined reason. Descended below mini-mum altitude.
Improper altitude awareness procedures.
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page 17 TABLE 4 REVISED E fio.
Date Location Type of plane probable Cause ptmarks_
IFR llea ther 1972_ (cont'd) 83 S/18 Ft. Lauderdale, Fla.
DC-9 Ifea ther below minimum.
Flight IFR Rain, thunderstorm, did not report the outer marker low ceiling inbound as rerluested by tower controller and did not receive a landing clearance.
61 5/30 f t. llorth, Tex.
DC-9 Vortex turbulence from proceeding plane.
85 12/3 Chicago, Ill.
B-737 About 700 f t. high at landing marker during landing approach.
Spoilers displayed.
Failure to obtain or maintain flying speed.
86 12/20 Chicago, Ill.
DC-9 Collision during takeoff with IFR Fog, low ceiling taxiing planes. Air traffic control system did not pro-vide separation. Controller instructions ambiguous.
1973 7/23 St. Louis, Mo.
F-227 lleather conditions considerably IFR Thunders torm, down-worse than forecast.
pilot con-draf ts and updraf ts,
tinued instrument landing into lighting t hunders tonn.
Lack of timely issuance of severe weather warning.
83 7/31 Bos ton, Mas s.
DC-9 Improper IFR operation -
IFR Fog, low ceiling unstable ILS approach.
89 11/3 Boston, Mass.
B-707 Inflight fire.
90 11/27 Akron, Ohio DC-9 Ran of f runway into ravine due fog, light rain to reduced ability to brake on showers,lowcelling wet runway.
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page 18 TABLE 4 REVISED E flo.
DTte Location Type of plane probable Cause Remarks IFR Weather 1974 91 1/16 Los Angeles, Ca.
B-707 pilot continued visual Weather Fog approach af ter losing VFR visual reference. pene-Flight trated fog over runway.
plan Co-pilot improper IFR IFR o pe ra t ion.
liard landing gear collapse.
Landing
- roll, 92 9/11 Charlot te, fl.C.
DC-9 Lack of altitude awareness IFR*
during approach. Al ti tude callouts not made. Co-pilot improper IFR opera tion.
1975 93 6/M Jamaica,fl Y.
B-727 lindershoot landing.
Collided IFR Thunderstorm,
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with runway approach lights.
wind shear Tra f fic control claared air-cra f t for wrong runway under existing conditions.
Con-tinued use of runway should have become evident to air traf fic control and crew.
h Severe weather hazard existed along approach path.
FR*
Report does not specifically state plane was on IFR but remarks indicate it was IFR.
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TABLE 4 REVISED E fio.
Date loca tion Type of Plane Probable Cause Remarks IFR Weather 1275 (cont'd) 94 11/12 Jamaica,fl.Y.
DC-10 Bird ingested.
Takeof f aborted.
Under investigation.
1976 2/8 Van fluys, Ca.
DC-6 Propeller failure. Fatigue.
VFR Rain Propeller severed fuselage.
Forced landing of f airport.
Inadequa te maintenance inspec-tion of aircraf t.
96 6/23 Philadel ph ia, Pa.
DC-9 Under investigation.
1977 97 7/6 S t. Lou i s,110.
L-188 Propeller failure. On first takeof f lio. 2 engine auto-faathered, oil exhaustion (leaks?).
Improperly replaced.
flo. 2 propeller was reversed on second takeoff.
This table was generated by identifying accidents involving commercial carriers which resulted in fatalities to occupants of the aircraf t or which resulted in the destruction of the IFR - Ins trument Flight Rules - define a set of ueather minimum weather conditions.
These are at least a 3 mile visibility and a 1000 f t. ceiling.
ILS Instrument Landing System - is used to identify the physical hardware systems used to land a plane on instruments. Consists of the airport equipment on the ground as well as the equipment in the aircraf t essential to land the aircraf t.
ig VFR - Visual Flight Rules - is the opposite of IFR and reflects a set of weather conditions better than those defined as IFR.
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