Oil Fumes, Flight Safety, and the NTSB

During its investigations into a series of ten aircraft crashes from 1979 to 1981, US National Transportation Safety Board (NTSB) officials were presented with a hypothesis that “several” of the crashes could have been caused by pilot impairment from breathing oil fumes inflight. The NTSB and their...

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Main Authors: Judith Anderson, Dieter Scholz
Format: Article
Language:English
Published: MDPI AG 2021-12-01
Series:Aerospace
Subjects:
Online Access:https://www.mdpi.com/2226-4310/8/12/389
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author Judith Anderson
Dieter Scholz
author_facet Judith Anderson
Dieter Scholz
author_sort Judith Anderson
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description During its investigations into a series of ten aircraft crashes from 1979 to 1981, US National Transportation Safety Board (NTSB) officials were presented with a hypothesis that “several” of the crashes could have been caused by pilot impairment from breathing oil fumes inflight. The NTSB and their industry partners ultimately dismissed the hypothesis. The authors reviewed the crash reports, the mechanics of the relevant engine oil seals, and some engine bleed air data to consider whether the dismissal was justified. Four of the nine aircraft crash reports include details which are consistent with pilot impairment caused by breathing oil fumes. None of the tests of ground-based bleed air measurements of a subset of oil-based contaminants generated in the engine type on the crashed aircraft reproduced the inflight conditions that the accident investigators had flagged as potentially unsafe. The NTSB’s conclusion that the hypothesis of pilot incapacitation was “completely without validity” was inconsistent with the evidence. Parties with a commercial conflict of interest should not have played a role in the investigation of their products. There is enough evidence that pilots can be impaired by inhaling oil fumes to motivate more stringent design, operation, and reporting regulations to protect safety of flight.
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spelling doaj.art-5afe93833e5346cdada615dceef25f462023-11-23T03:18:17ZengMDPI AGAerospace2226-43102021-12-0181238910.3390/aerospace8120389Oil Fumes, Flight Safety, and the NTSBJudith Anderson0Dieter Scholz1Department of Air Safety, Health & Security, Association of Flight Attendants-CWA AFL-CIO, 501 3rd St. N.W., Washington, DC 20001, USAAircraft Design and Systems Group (AERO), Hamburg University of Applied Sciences, Berliner Tor 9, 20099 Hamburg, GermanyDuring its investigations into a series of ten aircraft crashes from 1979 to 1981, US National Transportation Safety Board (NTSB) officials were presented with a hypothesis that “several” of the crashes could have been caused by pilot impairment from breathing oil fumes inflight. The NTSB and their industry partners ultimately dismissed the hypothesis. The authors reviewed the crash reports, the mechanics of the relevant engine oil seals, and some engine bleed air data to consider whether the dismissal was justified. Four of the nine aircraft crash reports include details which are consistent with pilot impairment caused by breathing oil fumes. None of the tests of ground-based bleed air measurements of a subset of oil-based contaminants generated in the engine type on the crashed aircraft reproduced the inflight conditions that the accident investigators had flagged as potentially unsafe. The NTSB’s conclusion that the hypothesis of pilot incapacitation was “completely without validity” was inconsistent with the evidence. Parties with a commercial conflict of interest should not have played a role in the investigation of their products. There is enough evidence that pilots can be impaired by inhaling oil fumes to motivate more stringent design, operation, and reporting regulations to protect safety of flight.https://www.mdpi.com/2226-4310/8/12/389aircraftaccidentflight safetyfumesengine oilhydraulic fluid
spellingShingle Judith Anderson
Dieter Scholz
Oil Fumes, Flight Safety, and the NTSB
Aerospace
aircraft
accident
flight safety
fumes
engine oil
hydraulic fluid
title Oil Fumes, Flight Safety, and the NTSB
title_full Oil Fumes, Flight Safety, and the NTSB
title_fullStr Oil Fumes, Flight Safety, and the NTSB
title_full_unstemmed Oil Fumes, Flight Safety, and the NTSB
title_short Oil Fumes, Flight Safety, and the NTSB
title_sort oil fumes flight safety and the ntsb
topic aircraft
accident
flight safety
fumes
engine oil
hydraulic fluid
url https://www.mdpi.com/2226-4310/8/12/389
work_keys_str_mv AT judithanderson oilfumesflightsafetyandthentsb
AT dieterscholz oilfumesflightsafetyandthentsb