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Robert E. Scovill JR
E-mail: res@sumpthis.com
Web Site: http://www.sumpthis.com/
July 31, 2001

Ms. Carol J. Carmody, Vice Chairman and Acting Chairman National Transportation Safety Board
490 L'Enfant Plaza East SW
Washington, DC 20594-0003

 

Subject:
__________________________________________________

This affidavit is submitted to the National Transportation Safety Board (NTSB) pursuant to Title 49 of the Code of Federal Regulations (CFR) part 845 section 51 (cite: 49CFR845.51): Investigation to remain open. Accident investigations are never officially closed but are kept open for the submission of new and pertinent evidence by any interested person. ...

And pursuant to Title 49 (CFR) part 845 section 41 (cite: 49CFR845.41) petition is hereby made for reconsideration or modification of NTSB's findings and determination of probable cause for aircraft accidents involving general aviation aircraft equipped with Cessna Integral Wing Tanks. Based on new evidence, this petition seeks reconsideration or modification of relevant aircraft accident reports where engine failure or a rough running engine occurred and a probable cause is given as weather (such as carburetor ice), inadequate aircraft preflight or undetermined.
__________________________________________________

 

References:

Letter R1 to NTSB Chairman Jim Hall dated June 5, 2000 from Robert E. Scovill Jr., Smyrna, Tennessee.

Letter R2 to Robert E. Scovill Jr.; Smyrna, Tennessee dated July 13, 2000 from NTSB Chairman Jim Hall

FAAR3 Safety Recommendations 99.283 and 99.284

Letter R4 L417-02-01-105 to the Federal Aviation Administration (FAA) dated April 11, 2001 from Cessna Aircraft Company

Dear Chairman Carmody:

Previously, I submitted the matter of this affidavit to the NTSB in the letter to former NTSB Chairman Jim Hall mentioned in the above references. That letter was submitted as a safety recommendation for NTSB's consideration. The current letter is a petition submitted to the NTSB for consideration of using new evidence to reconsider the aircraft accidents that are listed further below. To my knowledge, this affidavit is the first formal petition to address topics that have not been submitted for the relevant aircraft accidents as proposed findings in accordance with 49CFR845.27. Thus, in accordance with 49CFR845.41, the subject of this affidavit qualifies as a formal petition to be entertained by the NTSB.

This petition is submitted in the spirit of 49CFR831.4 Nature of investigation, which states that Accident and incident investigations are conducted by the Board to determine the facts, conditions, and circumstances relating to an accident or incident and the probable cause(s) thereof. These results are then used to ascertain measures that would best tend to prevent similar accidents or incidents in the future.

Identification of the new matter:

Attached1: Statement of George Erdel to Robert E. Scovill JR; Smyrna Tennessee dated August 28, 1998.

Attached2: Affidavit as potential witness, Bill Allen, Facilities Manager for MTSU, including his report dated June 2, 1999

Attached3: Affidavit as potential witness, Matt Taylor, Director of Maintenance for MTSU including his report dated October 10, 1999

Attached4: Report by Robert E. Scovill, Jr. dated February 1, 2000.

Attached5: Report number A-83-6, NTSB recommendations to FAA and FAA responses over the years 1983 to 1986.

The first four (1, 2, 3, and 4) attached reports contain results from tests performed on Cessna's integral wing tanks (also called wet wings). The results substantiate that Cessna's integral wing tank design has an indicated design flaw that does not permit positive detection of fuel contamination during a properly performed preflight check. Furthermore, published preflight procedures for some aircraft (later models) equipped with Cessna's integral wing tank include shaking these aircraft's wing and dipping these aircraft's tail to cause fuel contaminants to flow to a wing's sump area for draining. Test results contained in one of the above reports indicate that these procedures appear unlikely to achieve the desired results.

Cessna Aircraft Company's letter to the FAA, L417-02-01-105--obtained through FOIA and listed in the above references--addresses the above topics in the context of FAA Safety Recommendations 99.283 and 99.284. The letter indicates that Cessna Aircraft Company is working with the FAA to investigate Cessna's integral wing tank design. The FAA appears to be investigating the indicated design flaw from an aircraft certification perspective. The NTSB needs to investigate the indicated design flaw from an aircraft accident perspective.

In light of the new evidence contained in the attached test reports, the NTSB aircraft accident reports contained in this petition should be examined, and if appropriate, reconsidered for modification to reflect in NTSB's aircraft accident database that the indicated design flaw and published preflight procedures are probable causes.

Affidavits of Prospective Witnesses

Two prospective witnesses of the new evidence have provided affidavits for this petition. Their affidavits and reports by them that substantiate the new evidence are attached.

Prospective witness: Bill Allen, Facilities Manager for MTSU
Prospective witness: Matt Taylor, Director of Maintenance for MTSU

Other Attachments

Attached6: A Recommended Method for Examining Aircraft Accidents Listed in this Petition: Examination of NTSB's CHI92FA020 Report

     

Why the new matter was not available prior to the Board's adoption of its findings.

 

1.

It appears that some NTSB investigations of aircraft accidents involving aircraft equipped with Cessna's integral wing tank may not have explored the possibility that the wing tank design and published preflight procedures for it could have been contributing factors or probable causes. The reason for not investigating the wing tank design and preflight procedures may be due to inadequate NTSB investigation procedures or NTSB investigator's lack of experience with these types of aircraft accidents. This petition includes a table of aircraft accident reports by NTSB number involving aircraft that are not integral wing tank equipped. These reports raise questions about NTSB investigating procedures that appear to be subject to overlooking substantial and obvious clues that if properly examined could lead investigators to the discovery of other factors and other probable causes. The additional aircraft accident reports are included for the purpose of comparing investigating procedures found in aircraft accident reports involving aircraft equipped with Cessna's integral wing tank, which also raise questions about inadequate investigation or inadequate investigation procedures.

 

2.

Historically, the NTSB has issued safety recommendations to the FAA regarding a lack of positive detection of fuel contamination that involved other fuel tank designs such as Cessna's rubberized bladder-type fuel cells. These safety recommendations are documented in the attached Report number A-83-6 in NTSB recommendations to FAA and FAA responses, which were written over the period May 24, 1983 to March 26, 1986. These safety recommendations are significant because they address the same indicated problem, lack of positive detection of fuel contamination, found in Cessna's integral wing tank and published preflight procedures. It isn't clear why the NTSB has not made use of its experience with these safety recommendations to relate similar subject matter.

 

3.

Compounding the problem for NTSB's ability to recognize the indicated design flaw in its investigations is that throughout the general aviation industry emphasis is placed upon prevention of fuel contamination while detection of it is seemingly downplayed. Regardless of the measures taken to prevent fuel contamination, one must ultimately have a means to detect if prevention has occurred. Without a means for positive detection, no one can know if fuel contamination has been prevented or not. Preventive measures are important, but for the matter at hand, prevention is not the only issue. The issues are positive detection of fuel contamination and positive detection of prevention. It appears that the NTSB's attention has been focused too much on prevention. Turning attention to the topic of positive detection, the NTSB may find clues that justify reconsidering the aircraft accidents contained in this petition.

Grounds Relied Upon

This petition requests that the NTSB reconsider and modify, as appropriate, aircraft accident reports involving integral wing tank equipped aircraft that have probable causes from weather (such as carburetor ice), inadequate aircraft preflight or undetermined. Grounds for doing so are based upon the evidence presented that positive detection of fuel contamination is not assured. A pilot who performs a sufficient preflight check using published preflight procedures on the relevant aircraft system design can be potentially mislead to believe that fuel contamination does not exist when in fact it does. A need to emphasize positive detection is grounds for the NTSB to promote aviation safety by communicating in aircraft accident reports that positive detection of fuel contamination or positive detection of successful prevention of fuel contamination is necessary.

Additionally, it is mandated under law that the NTSB use the results of its reports to ascertain measures that would best tend to prevent similar accidents or incidents in the future. The reports listed in this petition indicate that whatever it is that the NTSB is doing to ascertain measures ... to prevent similar accidents or incidents is not working because similar accidents continue to occur.

The probable causes of primary interest for reconsideration are weather related causes (such as carburetor ice), inadequate aircraft preflight and undetermined.

For the weather-related probable causes, carburetor ice or conditions conducive to carburetor ice are sometimes stated as the probable cause for a loss of engine power, engine failure, rough-running engine or a hesitating engine. These weather probable causes are at best likely but uncertain. How likely or how uncertain is usually implied by the conduciveness of icing as shown on an icing chart and mentioned in a report's narrative. Given knowledge of the new evidence, it appears that for some of the relevant aircraft accidents that icing due to weather is no more likely than fuel contaminated with water. In reconsidering aircraft accidents with probable causes attributed to weather, the NTSB must consider if an investigator made an attempt to determine if fuel contamination was a factor. It is possible, like ice, that a hazardous quantity of water from contaminated fuel was not visible in an investigation. Additionally, it is possible that an investigator used published procedures to take a fuel sample, which according to the new evidence is an unreliable means for detecting fuel contamination. Consequently, in the interest of aviation safety, relevant aircraft accident reports with weather related probable causes should be reconsidered and modified in light of the new evidence.

For the pilot related probable causes, a NTSB investigator evidently, like most pilots, relies on the proper functioning of aircraft systems and published preflight procedures to measure the sufficiency of a preflight check. In light of the evidence presented, the NTSB needs to review its investigating procedures, methods and techniques for determining the sufficiency of a preflight check performed on relevant aircraft. If an investigation does not include investigating aircraft systems and published procedures that are factors in a pilot's preflight check, then the investigation is insufficient due either to inadequate investigating procedures or an investigators lack of total experience investigating the type of aircraft accident involved. Relevant aircraft accident reports with pilot related probable causes should be reconsidered with a focus of attention upon aircraft systems and the corresponding preflight procedures.

For undetermined probable causes, the Board should review relevant reports to determine if the new evidence is applicable.

NTSB's reconsideration should examine all factors related to fuel contamination including aircraft systems and preflight procedures used to detect it.

Aircraft Accident Reports for Reconsideration

The table on the following page contains fifty-seven NTSB Numbers that are believed to be accidents involving aircraft equipped with Cessna's integral wing tank, but this determination is difficult to make. Therefore, the NTSB should use whatever resources it has to determine which of the following reports involve aircraft that are integral wing tank equipped, and examine them for reconsideration under this petition.

     

Aircraft Accidents by NTSB Number for Reconsideration

ANC88LA149

DEN00LA091

LAX91LA381

ATL85MA286

DEN84FA012

LAX92LA062

ATL86LA252

DEN86FA092

LAX92LA387

ATL88LA071

DEN87LA141

LAX97LA038

ATL95LA048

DEN87LA210

LAX99LA314

ATL97LA099

DEN99LA174

MIA90LA048

ATL99LA042

FTW86FRG17

MIA92LA133

ATL99LA062

FTW90LA082

MIA94LA014

BFO94LA024

FTW92LA097

MIA97LA083

BFO95FA028

FTW94LA107

MIA97LA118

CHI84LA103

FTW95TA187

MKC85FPG02

CHI84LA147

FTW98LA349

MKC85LA188

CHI85LA066

FTW99LA141

MKC90FA044

CHI86FEV01

IAD96LA123

NYC00LA024

CHI92FA020

LAX83FA122

NYC85FA120

CHI92LA056

LAX88LA063

SEA91LA001

CHI92LA073

LAX88LA289

SEA91LA009

CHI92LA111

LAX89LA323

SEA92LA068

CHI94LA075

LAX91FA081

SEA95LA182

 

 

 The tables that follow on this page and the next contain 194 NTSB numbers for aircraft accident reports that contain information that raises questions about NTSB's investigating procedures. A review of these reports that focuses on possibly overlooked clues for factors and probable causes during an investigation reveals a substantially strong need for NTSB to evaluate its investigation procedures for general aviation aircraft. The NTSB can use the results of such a review to ascertain measures such as examining the above aircraft accident reports involving integral wing tank equipped aircraft searching for possibly overlooked clues that point to other factors and probable causes for reconsideration. Modifying relevant reports to correctly indicate where dangers exist in aircraft systems, preflight procedures and aircraft accident investigating procedures will be a step that best tends to prevent similar accidents. For the sake of safety, the following 194 NTSB aircraft accident reports are in urgent need of answers to some alarming questions.

Aircraft Accidents by NTSB Number for Review

ANC85LA058

CHI92LA112

LAX93LA072

ANC86FA035

CHI94LA085

LAX94LA277

ANC86LA004

CHI95LA110

LAX96LA071

ANC87LA160

CHI97LA068

LAX97LA080

ANC88LA034

CHI98LA147

LAX99LA159

ANC90FA040

CHI98LA255

MIA87FA217

ANC90LA175

CHI98LA335

MIA88FA187

ANC91IA039

CHI98LA348

MIA89LA084

ANC92LA019

CHI99LA336

MIA95LA165

ANC94LA121

DEN00LA059

MIA96LA137

ANC96LA029

DEN84LA147

MIA97LA230

ANC97LA153

DEN84LA229

MIA98LA093

ANC98LA064

DEN85LA249

MIA98TA011

ANC98LA075

DEN87LA150

MIA99LA171

ANC99LA052

DEN89LA054

MKC84LA013

ANC99LA096

FTW00LA115

NYC00LA203

ANC99LA126

FTW86FRA01

NYC88LA030

ATL88LA100

FTW88LA059

NYC90LA037

ATL88LA216

FTW90LA057

NYC93LA048

ATL89LA050

FTW92LA071

NYC95LA067

ATL93LA095

FTW93LA031

NYC95LA135

ATL94LA175

FTW94LA051

NYC98LA042

ATL99LA099

FTW94LA083

NYC99LA156

BFO85LA069

FTW94LA173

SEA93LA103

BFO95LA069

FTW95LA295

SEA94LA023

CHI84LA008

FTW96LA166

SEA95LA040

CHI84LA168

FTW98LA061

SEA95LA208

CHI86FER07

FTW99LA070

SEA97LA151

CHI87LA078

IAD97LA093

SEA99LA078

CHI90LA163

LAX88LA201

 

CHI91LA148

LAX92LA125

 

 

 

ANC96LA031

CHI99FA052

LAX99LA267

ANC96LA047

CHI99LA069

MIA00FA201

ANC99LA034

CHI99LA082

MIA00LA076

ATL00FA061

DEN01LA011

MIA00LA099

ATL01FA059

DEN88LA082

MIA00LA100

ATL01LA009

FTW00LA036

MIA00LA127

ATL01LA017

FTW00LA071

MIA00LA162

ATL01LA028

FTW00LA182

MIA00LA238

ATL01LA052

FTW00LA248

MIA95LA161

ATL88LA156

FTW01FA014

MIA96LA188

ATL95LA121

FTW01LA078

MIA96LA194

ATL97LA037

FTW01LA146

MIA97LA033

ATL97LA120

FTW88LA061

MIA97LA064

ATL99LA034

FTW90LA050

MIA97LA224

ATL99LA056

FTW96FA108

MIA98LA030

BFO88FA022

FTW98FA024

MIA98LA249

CHI00LA046

FTW98LA091

MIA99LA135

CHI00LA241

FTW98LA204

MKC88LA081

CHI00LA245

FTW98LA210

MKC90LA046

CHI00LA261

FTW98LA357

NYC00LA070

CHI00LA311

FTW99LA008

NYC00LA223

CHI01FA085

FTW99LA058

NYC00LA262

CHI01LA068

FTW99LA064

NYC01LA149

CHI01LA074

FTW99LA066

NYC88LA077

CHI01LA170

FTW99LA185

NYC88LA118

CHI01LA196

FTW99LA205

NYC90LA044

CHI83LA087

IAD01LA037

NYC90LA055

CHI93LA049

IAD96LA060

NYC96LA088

CHI96LA128

IAD96LA065

NYC96LA096

CHI97LA037

LAX01FA198

NYC97LA049

CHI97LA172

LAX84LA179

NYC98LA037

CHI97LA179

LAX96LA151

NYC98LA078

CHI97LA276

LAX97LA033

SEA98LA022

CHI98LA131

LAX97LA129

 

CHI98LA226

LAX99LA034

 

 

 

This petition encourages the Safety Board to evaluate the evidence presented and reconsider the issue of positive detection with the same urgency expressed in its safety recommendations to the FAA over the years 1983 to 1986. In the current year, 2001, a response from the NTSB to the public about the possibility that fuel contamination may be a contributing factor where probable cause has been routinely reported as weather or undetermined suggests that the NTSB is not treating matters with the urgency needed.

For example, the following excerpt is taken from the article Drainage Flaws Suspected in Cessna Fuel Tanks (2/21/2001. © Flyer Media, Inc.) by James Wynbrandt.

 

Scovill [the petitioner] said he also suspects that water contamination plays a larger role in fuel-starvation accidents than investigators realize. He suggests that fuel contamination may actually cause accidents where the NTSB has attributed engine failure to an "unknown cause" and where carburetor ice has been suspected as a contributing factor.

 

When asked about that possibility, NTSB spokesman Keith Halloway said, "We don't discuss hypotheticals. Unless we're conducting an investigation on a particular issue, we don't like to speculate or give any false leads to anything."

In the letter from former Chairman Jim Hall dated July 13, 2000 written to the petitioner and cited further above under references to this petition, Hall states the following.

 

The Safety Board appreciates your safety concerns and has contacted the Federal Aviation Administration (FAA) to discuss this issue. The board has verified that the FAA has developed and is implementing a plan to determine if the integral wing fuel tanks of Cessna high-wing, single-engine airplanes comply with applicable certification standards. Board staff will carefully monitor the FAA's progress to ensure that appropriate actions are taken. In addition, all Board personnel tasked with investigating general aviation accidents will be made aware of the possibility that water contamination in the integral wing fuel tanks of Cessna high-wing, single -engine airplanes may not be detectable during preflight inspections.

I hope that the Safety Board's disposition on the safety matters discussed in this petition is not reflected in Halloway's statement that the issues are hypothetical. The attached test results are real. The aircraft accident reports in NTSB's database are real. FAA Safety Recommendations 99.283 and 99.284 are real. Title 49 CFR831.4 and Title 49 49CFR845.41 are real. Furthermore, Halloway's use of the words Unless we're conducting an investigation on a particular issue implies that the issues do not have NTSB's attention, which seems contrary to former Chairman Hall's response to me.

Finally, it is appropriate to expect that spokespersons for the NTSB will possess a higher command of the English language than the general public to whom they speak. In their professional capacity as spokespersons, these people are paid to convey useful information to the public. The Safety Board should consider if Halloway's attempt to inform the public is representative of the professionalism that is normally associated with the NTSB.

Halloway said, "Unless we're conducting an investigation on a particular issue, we don't like to speculate or give any false leads to anything."

I suggest that the NTSB scrutinize the above statement. If NTSB aircraft accident reports relevant to this petition are examined with the same scrutiny, the Safety Board will find that the safety issues presented are real, not hypothetical.

I conclude this petition with a request that the NTSB informs me of how best to correspond with the Board regarding the details of the topics presented. I am prepared to discuss relevant aircraft accident reports one at a time, or as a group, either verbally or in writing. I eagerly await the Board's response.

Sincerely yours,

 

Robert E. Scovill JR

Petitioner

 

   

 

Attachments

1

Statement of George Erdel to Robert E. Scovill JR; Smyrna Tennessee dated August 28, 1998.

2

Affidavit as potential witness, Bill Allen, Facilities Manager for MTSU, including his report dated June 2, 1999.

3

Affidavit as potential witness, Matt Taylor, Director of Maintenance for MTSU including his report dated October 10, 1999.

4

Report by Robert E. Scovill, Jr. dated February 1, 2000.

5

Report number A-83-6, NTSB recommendations to FAA and FAA responses over the years 1983 to 1986.

6

A Recommended Method for Examining Aircraft Accidents Listed in this Petition: Examination of NTSB's CHI92FA020 Report

 

 Table of Contents for aircraft accident reports included in the petition.

 

 

 

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