INVESTIGATION CATALYST
Quality Assurance Tutorial

© 2004 by Starline Software Ltd.

Preparatory Step 3: Identify words in report which INFER actions. Either highlight these words with a highlighter pen on your printed copy or put a letter in parentheses behind the word or phrase, or change the text color to RED or put a number in parentheses behind the word or phrase in the report on a word processor.

  • Go to Step 4 - Convert events.

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    Your marked up page should look something list this. If you have any questions about why a mark was added or not added, go to the Report Commentary for explanations.

    Again pilot (X) made an approach(1) at 90 mph and 25deg. flaps. He stated(2) that he touched down(2a) approximately 50 feet past the runway threshold numbers. He raised(3) the flaps, then proceeded to apply the toe brakes(4). At this point, he claims(5) the aircraft pulled(6) to the right sharply, and he straightened its path(7) by use of rudder. Mr. (X) now attempted stopping(8) the aircraft by applying the hand brake and foot brakes(9). This time the aircraft started (10) off toward the left of runway centerline. N4668J went off (11) the departure end of the runway, left of centerline. His estimated speed(A) at this time was approximately 30 mph. He traveled(12) through 10 feet of grass, then his main landing gear struck(13) a small trench, the aircraft then struck(14) a dirt pile where it came to rest(15). Pilot and passengers exited(16) N4668J without injury. Examination of the accident scene of 11-29-79 by EA-GADO-11 maintenance and operations personnel disclosed the following: Runway 18 showed one tire skid mark(B) which measured approximately 300 feet long. It started(C) on runway centerline and traveled to the end, gradually traveling toward the left edge. From the end of the runway hardtop, the skid mark went through(D) the grass, across a 14 inch wide trench(E), and terminated(F) at the dirt pile. Examination of N4668J was conducted(G) on 11-29-79 in a hangar at (X) Airport where the aircraft had been moved(H) to protect it from vandalism.

    'The left wing was deformed(I), buckled(J) and wrinkled(K) at the rear spar, starting at the wing root and traveling outboard for approximately 7 feet. Rivets were popped(L) and skin wrinkled(M) on the left wing lower side at the area behind the left main gear well. The right main landing gear disc brake assembly had failed(N) at the area were it is welded to the brake disc housing. This area was badly corroded(O) to the point where the metal in this area is paper thin. Both propeller tips were bent(P) 90deg. and one bend had a crack(Q) 1-1/2 inches long. Nose wheel gear was torn (R) and bent (S). N4668J had sustained major structural damage to the left wing.(T)