Exhibit No. 11A - Group Chairman Factual Report - TWA Flight 800 ...

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$Atago Co., Ltd. Salinity Refractometer, Model S-10 Instruction Manual$

27●July 7, 1996- The number 3 engine failed to go into reverse. The reverse lever interlock failed torelease. The maintenance records indicate that the lockout bolts on the number 3 thrust reverserwere installed, and the flex drive cables from the drive motor were removed. The thrust reverserwas placarded as inoperative.●July 15, 1996- All of the fan blades on the number three engine were rough. The maintenancerecords indicate that all of the edges were sanded smooth. The number 22, 28, and 32 fan bladeshad nicks on the leading edge. The nicks were blended.At the time of the accident, the engine had accumulated a total time since overhaul of 80,336 hours,and 14,632 cycles since overhaul.Engine position number 4, serial number 662463, was removed from N93104 on December 21, 1995, dueto high oil consumption. The engine was repaired and installed on N93119, in the number 4 position, onMay 11, 1996.Maintenance write-ups and work performed on the engine since July 1, 1996, were●●July 14, 1996- The number 4 engine EGT exceeded 960 degrees C for five seconds. Thetemperature was located in area “B on the over-temperature chart. The over-temperature wascaused by an unexpected rapid spool-up of the engine for takeoff. The maintenance recordsindicate that the inlet and exhaust were checked and the 9th and 15th stages were borescoped andthen were checked “okay.”July 15, 1996- The EGT indicator was replaced after the EGT was exceeded out of Athens onFlight 881.At the time of the accident, the engine had accumulated a total time since overhaul of 77,061 hours,and 14,016 cycles since overhaul.CABIN ELECTRICAL AIRCRAFT LOGBOOK ENTRIESThe cabin electrical write-ups and sign-offs were reviewed from the aircraft logbook entries datedApril 1, 1996, through July 17, 1996. The write-ups consisted of several entries of malfunctioninglighting for the passenger seating overhead reading lights, lights in the lavatories, galleys and overheadceiling lights. Additional write-ups were noted to the passenger audio system.A one-time entry of burned out overhead reading lights was noted for 71 seats located throughout thezones, The work performed for each seat was a "relamp" (replacement of the light bulb) of theinoperative light, followed by an operational check.Multiple write-ups of two to four times for the passenger overhead reading lights were notedthroughout the zones. Two seats with multiple entries were located in the Upper Deck; eight entries werenoted in Zone B; six entries were noted in Zone C; seven entries were noted in Zone D; and two entrieswere noted in Zone E. In each case, the work performed was a "relamp" of the inoperative light followedby an operational check.Multiple write-ups of two to five times were noted for lavatories J, L, U1, R, K and M. In each case,the work performed was a “relamp” followed by an operation check. Lavatories S, E, and H only had onewrite-up.
Multiple write-ups of two to eight times were noted for galleys B, C, D and E. In each case, the workperformed was a “relamp” of the fluorescent lights followed by an operational check. Galley A had onlyone write-up.The overhead ceiling lights that were written as inoperative were located in Zone C, left side islebetween rows 21 through 27; the isle between the center lavatories, Zone D, left side isle at row 33, andZone D, right side between rows 41 through 43. In each case, the fluorescent light was "relamped"followed by an operational check.Audio system faults were noted at rows of seats located throughout the zones. Audio entries werenoted in Zone B, row 8 through 16, seats 8, 9, and O. Both sides of Zone C, rows 17 through 28, seats 1,2, 3, 8, 9, and O. The center seating section of Zone D, rows 33 through 37, seats 5, 6, and 7. The rightside of Zone E, rows 40 through 54, seats 8, 9, and O. In each case, the write-up was described as “static”in the audio system. The work performed consisted of resetting the passenger service system, securingloose connectors, replacing or reseating seat control units or reseating the seat electronic box.Non-routine entries dated 4/25/96, 4/29/96, 5/31/96, 6/2/96, 6/30/96, 7/2/96, and 7/7/96, directedmaintenance to check all passenger reading lights in all zones for proper operation, check all passengercall lights in all zones for proper operation, and to check all interior lights for proper operation. The workperformed in each case described that the lights were checked and relamped as needed.(Exhibit O- Cabin Electrical Write-ups).MAINTENANCE PERFORMED AT NEW YORK (JFK) ON JULY 17.1996. PRIOR TO FLIGHT800 DEPARTURESeveral write-ups were entered into the Aircraft Maintenance Log from the inbound Athens, Greece,Flight 881. The write-ups included1. Both the # 1 and #2 engines exceeded the Exhaust Gas Temperature (EGT) limits of 925 degrees fortwo seconds. The over-temperature was caused by an unanticipated rapid spool-up of the engines duringtakeoff out of Athens. Maintenance checked the inlet and exhaust on both engines and no abnormalitieswere found.2. The number three engine oil tank was checked and serviced with oil. There were no malfunctions.This was a deferred item from July 7, 1996, that stated it was required to physically check the oil quantitydue to a discrepancy with the oil quantity gauge.3. Two cabin write-ups reported that the splash guard in the aft upper deck lavatory was missing.Maintenance reset the splashpan and reported a normal operation. The second write-up reported that thedrain in Galley “C” had a very bad leak and soaked the floor. Maintenance cleared the obstruction fromthe drain and reported a normal operation.4. The number one Engine Pressure Ratio (EPR) indicator was sticking. Maintenance personnel replacedthe EPR module and it was operationally checked.5. A “Periodic Service” inspection was completed, along with a landing gear tire pressure check. (Seeattachment E for Periodic Service Inspection Report).28
Page 1: DOCKET NO. SA-516EXHIBIT NO. 11ANAT
Page 6: TWA’s baseline structural inspect
Page 9 and 10: ENGINE #4Serial Number 662463Date I
Page 11 and 12: TWA records indicate that when the
Page 13 and 14: Work Cards D450 andD451 direct the
Page 15 and 16: According to the Minimum Equipment
Page 17 and 18: 16. Jettison Pump - Serial number 7
Page 19: Aircraft Maintenance Log dated July
Page 24 and 25: Aircraft Maintenance Log dated Febr
Page 26 and 27: 25FUEL QUANTITY TANK UNITSThere are
Page 30 and 31: DEFERRED MAINTENANCE WRITE-UPS ON T
Page 33 and 34: TWA utilizes a computer process tha
Page 35 and 36: All of the center wing fuel tank ro
Page 39: 38At the end of the NASIP inspectio

Exhibit No. 11A - Group Chairman Factual Report - TWA Flight 800 ...

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