WHY DOES THE
NATIONAL TRANSPORTATION SAFETY BOARD PREPARE REPORTS OF AIRCRAFT
ACCIDENTS?
The National Transportation Safety Board (hereinafter, NTSB) is required
by law to investigate all civil aircraft accidents in the United States
and to determine and to publicly report the facts, conditions, circumstances
and probable cause of such accidents. 49 U.S.C. App. §§
1902, 1903(a)(1) and (a)(2).
The NTSB has delegated the responsibility to investigate accidents
involving agricultural, homebuilt and experimental aircraft to the FAA.
This delegation applies to approximately ten percent of aircraft accident
investigations. Accidents of ultralight craft of less than 256 pounds
are not investigated.
The purpose of NTSB investigations and reports is to prevent,
or reduce the likelihood of, future accidents. 49 U.S.C. App. §
1903(a)(3). In carrying out its mandate, the NTSB is empowered "to
examine and test to the extent necessary any civil aircraft, aircraft engine,
propeller, appliance, or property aboard an aircraft involved in an accident
in air commerce." 49 U.S.C. App § 1441(c).
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WHO CAN PARTICIPATE IN AN
NTSB INVESTIGATION?
The only entity entitled by statute to participate in an NTSB
investigation is the FAA. 49 U.S.C. App. § 1441(g). The
right of other entities to participate in NTSB investigations and to have
access to accident aircraft wreckage is covered by regulations found at
49 C.F.R. §§ 831.11(a) and 831.12(a). These regulations
provide, essentially, that participation in the investigation and access
to the wreckage is controlled by the NTSB Investigator-In-Charge.
Neither owners nor insurers have a right to participate in an investigation.
The version of the NTSB Investigation Manual - Aviation Accidents
and Incidents - that was in effect before June 27, 1988, created a presumption
that accident aircraft owners would be permitted to participate in accident
investigations if the Investigator-In-Charge was convinced that the owner
could assist in the investigation. This is no longer in effect; now
the presumption is that the owner, and the insurer who stands in the shoes
of the owner, is not allowed to participate in the investigation.
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DOES THE NTSB
INVESTIGATOR DETERMINE LEGAL LIABILITY?
The NTSB investigator approaches an accident investigation
from the point of view of aviation safety. He or she is required
by regulation to investigate an accident and make recommendations that
will help to prevent this type of accident from occurring in the future.
He is not concerned with a determination of liability or even blame, although
his report will inevitably allocate blame.
Above all, an NTSB investigator cannot be expected to anticipate
legal issues relating to liability when he writes his report. The
investigator's point of view must be kept in mind when reading an NTSB
report. Just because an NTSB investigator did not attach any fault
or blame to the alleged basis for a claim in his report does not mean that
there is no legal liability as a result of that factor. To assert
legal liability, the law requires only that an alleged cause must have
been a "substantial factor" in causing an accident.
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HOW CAN YOU GET NTSB REPORTS?
It is the policy of the NTSB to make information available
to the public to the greatest extent possible. 49 C.F.R. § 801.2.
The NTSB is required by regulation to make all NTSB reports available for
inspection and copying in the public reference room at NTSB headquarters.
If you wish to personally inspect and copy an NTSB report, all NTSB reports
are available at the Public Inquiry Office of the NTSB, 490 L'Enfant Plaza,
Room 5111, Washington, D.C. A self-service copying machine is available
and copies may be made for eleven cents per page. Hours are from
8:45 a.m. to 4:45 p.m. You may contact the NTSB Public Inquiry Office
by telephone at (202) 382-6735, FAX (202) 382-6008.
However, if you do not wish to go to Washington, D.C. and copy
the report yourself, you may order copies of NTSB reports from a commercial
service. The most convenient and economical way of getting NTSB reports
is to order them from the National Technical Information Service.
The National Technical Information Service is a commercial reproduction
firm that has a contract to supply NTSB reports to the public for a reasonable
charge.
NTSB reports may be ordered from the National Technical Information
Service by writing to:
National Technical Information Service
5285 Port Royal Road
Springfield, VA 22161
Reports may be ordered by telephone by calling (703)487-4650 between
8:30 a.m. and 5:00 p.m. eastern time. They will accept Visa, Mastercard
or American Express. To order the report of an aircraft accident,
you should have at least the date and location of the accident. The
current charges for the various reports are as follows:
Type of report:
• Preliminary:
The Preliminary is normally available to the public within
approximately 10 days after an accident. Cost: $4.00 per report
• Docket:
Note: This is the document that is normally called the "FACTUAL
REPORT AVIATION ACCIDENT/ INCIDENT" or the NTSB Report. The
Docket is normally available to the public within approximately 6 months
after an accident. The price is determined by the final page count.
Color copier photos are available upon request for an additional fee. Cost:
$0.11 per page plus $6.00 handling fee.
• Probable Cause:
The Probable Cause is normally available to the public within
approximately 1 year after an accident. Cost $4.00 per report.
• Video Tapes:
Video tapes of board meetings and/or accident scenes are furnished
when available. Cost: $20.00 per video plus $6.00 handling
fee.
• Color Copier Photos:
Color copier photos are available upon request. Cost:
$3.00 per photo.
• 8 X 10 Glosses:
Glossy photos are available upon request. Cost:
$4.00 per photo
• Certified Copy:
To obtain certified copies of the NTSB Accident Cases the cost
will be as stated above plus a $15.00 handling fee for each document.
• Research Fee:
A $15.00-an-hour fee for any research beyond the normal with
a one (1) hour minimum charge.
• Rush Service:
A $15.00 fee is charged for Rush orders processed within 48
hours and shipped by overnight courier in the U.S. or by Air Mail outside
the U.S.
• Fax Service:
Preliminary and Probable Cause reports, if available, can be
faxed upon request. Cost: $10.00 per report.
• Standing Order:
To obtain all information released pertaining to a particular
accident, request standing order service. An NTIS Deposit Account
is required, with a minimum deposit of $100.00 or authorization to charge
your credit card as documents are released by NTSB.
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WHAT IS IN AN NTSB REPORT?
The heart of the NTSB report of an aviation case is NTSB Form
6120.4 entitled "Factual Report Aviation." It consists of a form
which calls for 213 separate items of information. Normally, the
most informative item in the form is item number 15, the "Narrative Statement
of Facts, Conditions and Circumstances Pertinent to the Accident/Incident."
The Narrative Statement should include all of the important information
that is relevant to the accident. Typically, the Narrative Statement
will include the history of the flight, injuries to persons, damage
to property, crew information, aircraft information, weather information,
the status of aids to navigation, communications between the crew of the
accident aircraft and ground stations, the status of airport and ground
facilities, wreckage and impact information, medical and pathological information,
fire information, survival aspects and tests and research conducted in
the course of the investigation.
The Investigator's Manual that governs the preparation of NTSB
reports requires that the report of field investigations be written in
ICAO outline, i.e., according to the ICAO Manual of Aircraft Accident Investigation.
The narrative portion of the report must be completely factual and in no
way analytical or judgmental in content.
The information compiled by the NTSB investigator in NTSB Form
6120.4 provides the majority of the factual information that is needed
to understand the sequence of events that led to the accident. It
will not necessarily tell an adjuster or an attorney what he needs to know
to answer the questions raised by a claim or a complaint. The investigator
will look into the matters that appear to him to be pertinent; he will
not necessarily look into all of the issues that may be raised by an insurance
claim or by a complaint filed in court. For this reason, the NTSB
report should be considered as a good place to start an investigation but
it should never be considered to be the final word on an accident.
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HOW RELIABLE
IS THE INFORMATION IN AN NTSB REPORT?
When the NTSB investigation report states matters that the
investigator gained from direct observation, such as location and condition
of wreckage as observed at the scene and other conditions at the scene
of the accident which have changed and cannot now be independently verified,
the NTSB report may be the best, and in some cases the only, information
available on the subject. In other respects, such as witness statements
and conclusions drawn by the investigator from facts which he observed,
the NTSB report should never be accepted as the last word on the subject.
Witness statements in an NTSB report, especially, should not be
accepted as a complete statement of everything that a witness knows about
an accident. The NTSB investigator typically will give or mail a
witness an NTSB Form 6120.11, Statement of Witness, and ask him to
tell what he knows about the accident or the conditions as they existed
at the time of the accident. The form asks the witness to "Tell in
your words what you saw or heard before and at the time the accident occurred."
In most cases, the NTSB investigator will not (and cannot) have identified
the questions that are important to a determination of cause, much less
liability, at the time he asks the witnesses for a statement. Needless
to say, the investigator will not be able to ask the witness about specific
issues if he has not yet identified the issues himself. The
witness seldom knows what is pertinent and what is not. In the absence
of any guidance as to what information is pertinent, the witness typically
will focus on what made the strongest impression on him. For these
reasons, the witness statements are frequently of little or no use to a
determination of cause and even less use in finding of liability.
For example, in a recent trial in federal court in San Diego involving
an accident in which a Beech Baron had flown into power lines approximately
2 miles short of the landing runway, one of the issues in the case was
whether or not the approach lights to the landing runway were working.
A pilot witness, who had flown the same approach immediately in front of
the accident aircraft, had given a statement to the NTSB investigator in
which he did not mention whether or not the approach lights were working.
The witness did not mention the approach lights because he did not know
that their operation was an issue. The NTSB investigator did not
tell the witness that the approach lights were in issue because he did
not think that they were in issue; he thought that they were operating
normally. The investigator had no way of knowing what the plaintiff's
attorneys and investigators would focus on when they got the case.
However, when asked, the witness said that he had seen the approach lights
on two approaches, both times immediately in front of the accident aircraft.
The lesson is that witnesses should be located and interviewed
and asked specific questions about everything that may become an issue,
even though the NTSB investigator may have done a competent job of dealing
with all of the issues as he saw them at the time. The NTSB investigator
simply cannot anticipate what may become issues at a later time after the
plaintiffs' attorneys, investigators and experts have become involved.
The NTSB investigator's statements of opinion regarding technical
matters should never be accepted as having the same degree of reliability
as the statements of fact which the investigator gained by direct observation.
Opinions of an investigator should be looked upon with the same degree
of skepticism as any other opinions. An NTSB investigator may be
called upon to gather evidence and to give opinions about technical matters
which he may or may not be qualified to give. This is not a criticism
of NTSB investigators, it simply is not possible to be competent to give
opinions on every field of expertise that may be involved in an aircraft
accident. In most cases, when an NTSB investigator is not competent
to give an opinion in a given technical field, he will ask for technical
advice from manufacturer's representatives or from the NTSB technical staff.
It is important to separate the opinions of outside experts, including
those of NTSB technical staff, from the opinions of the investigator.
Normally, if specifically asked, the NTSB investigator will readily
state that he is not competent to give an opinion about a technical question
outside his field of expertise and he or she will make it clear that the
opinions expressed on technical questions are those of the experts with
which he or she has consulted. However, the report may not make it
clear that the opinion expressed is that of someone else and not that of
the NTSB investigator and may not even make it clear that the statement
is opinion and not directly-observed fact.
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CAN THE NTSB REPORT
BE ADMITTED IN A TRIAL?
By statute, NTSB reports may not be admitted into evidence
at trial. However, judges, as they are wont to do, have held that
Congress could not have meant what they said and, until very recently,
generally held that NTSB reports, except for the findings and conclusions,
could be admitted at trial. At least one recent decision involving
the NTSB investigation of the United Airlines DC-10 accident at Sioux City,
Iowa, went back to square one and said that the law means what it says
and the NTSB report would not be admitted. This is much too sensible
and cannot last.
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CAN THE
NTSB INVESTIGATOR BE CALLED TO TESTIFY AT TRIAL?
Answer: NO! The NTSB investigator may not be called
to testify at a trial but he or she may deposed. Ordinarily, the
NTSB investigator may only be deposed one time. For this reason,
the party wishing to depose the NTSB investigator should make sure that
all parties, including all potential parties, have been identified
and notified of the deposition before the deposition is taken. Otherwise,
a party who was not notified of the deposition and did not attend could
attack the admission of the deposition testimony at trial.
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CONCLUSION
NTSB reports of aircraft accidents are prepared for the purpose
of finding and fixing blame for the subject accident with the objective
of preventing future accidents. They are not prepared for the purpose
of establishing legal liability for insurance claims or for litigation.
Information in the NTSB report which reports the direct observation
of the investigator is highly accurate and can be and should be relied
upon. Statements of witnesses should never be taken as complete statements
of everything the witness knows about the accident. Any witness who
was in a position to see anything pertinent should be interviewed as soon
as possible after the accident to find out what the witness knows about
it. Ask specific questions about potential issues, do not assume
that because a witness has been asked to "tell everything you know about
(an incident)" that he or she understands what you or the investigator
is looking for.
Statements of opinion in the report which state the opinion of
the investigator or others should never be taken at face value but should
be identified as statements of opinion when the investigator is deposed.
NTSB investigators may not be called at trial and the report cannot
be admitted into evidence. If you want to use the results of the
NTSB investigation, you must depose the NTSB investigator. He can
only be deposed one time.
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