Failure - Interactions
This review of a B727 mishap, and
evaluation of the USA's investigation of that mishap,
follows the history as presented by writer C.V. Glines.
Along side of excerpts from Glines' story are shown other excerpts from the various documents, and from analysis by various outside sources, and excerpts from press stories at the time. This B-727 INVESTIGATION was covered by newspapers and TV, the rumors retold, new press stories and books reported on the investigation,
-- NTSB refused to published any errata sheets,
-- the NTSB refused to retract AAR-81-8,
even after the Board had voted to retract AAR-92/06 regarding UA585 at COS.
Several mishaps involved an inflight loss of control best characterized as Yaw x Roll = DIVE:
a subtle "slice-to-vertical" inflight upset, with almost no pitching-moment, yet resulting in a very nose-low attitude
(a subtle 1-G initial upset), induced by a "coupled" yaw and roll motion.
Glines' original story, "The Nightmare Continues", was published in the Fall of 1981. Excerpts from that magazine story appear mostly in chronological sequence, and the excerpts are divided into investigation phases, with excerpts pasted into the following web-pages (pages numbered #2 through #8 ). The web-pages numbered #9 and #10 show excerpts from later reports, describing the efforts to test the NTSB's compliance with §845.41 Petitions for reconsideration , and later legal efforts to force the USA's Safety Board to comply with their own rules (and Major Investigations Manual), and to comply with the US laws.
Web-page #10 also includes excerpts describing the "investigation safeguards" in use by the investigating authority of other countries. The NTSB's investigation of TWA841 ran from early 1979 until mid' 1981, before terms like Scientific Misconduct had been defined. Even now, in 2014, the definitions of "scientific integrity" and "scientific misconduct" are not recognized in the training programs for "accident investigators", and the training materials provided by outside organizations are not directly aimed at the craft of "accident investigation". The USA- NTSB hasn't yet complied with the USA's OSTP rules for acknowledging reports of Scientific Misconduct. Nor has NTSB nor OSTP set any guidelines against "Scientific Misconduct" by a manufacturer acting as a "party" to an investigation.
Excerpts from Glines' story appear mostly pasted on the left side of the following web-pages, as shown just below; excerpts from related press stories are pasted on the right side. Pdf- copy of Glines' history are linked below, and also available are a page-by-page display from the original magazine issue (click on excerpt).
magazine excerpts, Oct'1981 pgs 9-11,
Nov'81 pgs 6-10, 31, 33
. . .