04-U3D2 - ValueJet - Examine the Case Study Questions

CASE STUDY: VALUJET The Lessons of ValuJet 592 Click here to read the full case study.

Diagram Figure 2a - Diagram of passenger oxygen generator/mask installation. • Passenger oxygen mask. • Chemical oxygen generator. • Percussion cap and firing mechanism. • Retaining pin. • Heat shield. • Lanyard.

Emergency Oxygen Photos Photo 1 The MD-80 passenger emergency oxygen system is composed of oxygen generator that upon activation provide emergency oxygen to the occupants of the passenger cabin if cabin pressure is lost. • Retaining pin. • Yellow safety cap over percussion cap. Photo 2 These tanks, which were removed from the MD-80 planes, were boxed and ultimately loaded onto ValuJet 592 to be transported to Atlanta.

Map of Accident Site • Miami International Airport. • Radar Altitude/100 ft. • Near Opa Locka Airport. • Unidentified sound on CVR; anomaly in FDR altitude and airspeed data. • Cam-1 '...we need to go back to Miami'. • CAM 'fire, fire, fire, fire'. • Asymmetric EPR reduction. • RDO-2 '592 needs immediate return to Miami'. • RDO-2 'Smoke in the cockp.., smoke in the cabin'. • CAM-3 'completely on fire'. Print Credits

• Increase in vertical acceleration: notable change in control column position (nose down). • RDO-2 'we need the closest airport available'. • Break in CVR recording. • Second anomaly in FDR altitude and airspeed data. • FDR loses data. • CVR restarts; Beginning of steep descent. • Break in CVR recording. • Descent rate decreases near 1000' altitude. • Final transponder return. • Crash Site.

Shipping Ticket This is a shipping ticket from SabreTech, a contracted FAA-certified maintenance company, for 5 boxes of "empty" oxygen generators to be loaded onto ValuJet flight 592. These canisters ignited mid-flight causing a fire. This ultimately caused the plane to crash.

National Transportation Safety Board - ValuJet 592 Accident Report Aircraft Accident Report Table of Contents - Click to read that section of the report. • Maintenance manual Removal of Oxygen tanks. • Signed off Work cards.

• Mechanic/Inspector sign off. • NASI Inspection Report Findings. • Full Report.

Engine Parts Photo Engine parts and tires recovered from ValuJet flight 592 sit in a hanger on May 17, 1996.

Arial Crash Site Photo A rescue helicopter and airboats look through the debris of ValuJet Flight 592 after the DC-9 crash May 11, 1996 some 20 miles NW of Miami International Airport after the pilot reported smoke in the cockpit. The flight carried 109 passengers and crew.

NTSB News - Press Release Click here to read the full release.

Factual Report Aviation Click here to read the full report.

CREDITS Subject Matter Expert: Lonnie Wederski

Interactive Design: Instructional Designer: Project Manager: Image Credits: Christina Adams Kathleen Fjelstul Paul Schwoboda © RhonaWise/Stringer/Getty Images L i c e n s e d u n d e r a C r e a t i v e C o m m o n s A t t r i b u t i o n 3 . 0 L i c e n s e .