Post On-Scene Investigationand ReportPreparation

Post On-Scene Investigationand ReportPreparation

Group ActivitiesGroup Activities

Additional investigative work continues after the on-scene phase. This work is carried out at the NTSB laboratory, airline or manufacturer, and independent testing facilities. Examples include:

Additional investigative work continues after the on-scene phase. This work is carried out at the NTSB laboratory, airline or manufacturer, and independent testing facilities. Examples include:

Component testing Component testing Simulator studies Simulator studies

Engine tear-downs Engine tear-downs

Off-scene group work is carried out under the same rules and procedures

as on-scene

Off-scene group work is carried out under the same rules and procedures

as on-scene

Group ActivitiesGroup Activities

Sworn testimony may be taken in depositions on-scene or at a later date to obtain additional factual information.

These sessions are: Conducted by the IIC and

group chairman Attended by group

party members Recorded and become part

of the public record

Sworn testimony may be taken in depositions on-scene or at a later date to obtain additional factual information.

These sessions are: Conducted by the IIC and

group chairman Attended by group

party members Recorded and become part

of the public record

Witnesses testifying are entitled to a representative

Witnesses testifying are entitled to a representative

Upon completion of all investigative work, the

group chairman’s factual report is distributed to all

group members for review and comments

Upon completion of all investigative work, the

group chairman’s factual report is distributed to all

group members for review and comments

Public HearingPublic Hearing

Public hearings are normally convened for major catastrophic, high public interest accidents involving complex national safety issues. The full Board votes on staff recommendations to convene or not to convene a public hearing

Public hearings are normally convened for major catastrophic, high public interest accidents involving complex national safety issues. The full Board votes on staff recommendations to convene or not to convene a public hearing

Public HearingPublic Hearing

The Board holds an investigative hearing to: Gather testimony to expand on issues identified in

the investigation, and Publicly present the findings to date to demonstrate

that a complete, open, and objective investigation is being conducted

The Board holds an investigative hearing to: Gather testimony to expand on issues identified in

the investigation, and Publicly present the findings to date to demonstrate

that a complete, open, and objective investigation is being conducted

Public Hearing ParticipantsPublic Hearing Participants

Public hearings include:

An NTSB Board Member who serves as the presiding officer

A Board of Inquiry composed of senior NTSB managers

A technical panel composed of IIC and group chairmen

Public hearings include:

An NTSB Board Member who serves as the presiding officer

A Board of Inquiry composed of senior NTSB managers

A technical panel composed of IIC and group chairmen

Public Hearing ParticipantsPublic Hearing Participants

Public hearings include:

Parties designated by the Chairman of the Board of Inquiry (not necessarily the same parties that were on-scene)

Accredited representative(s)

Witnesses

Public hearings include:

Parties designated by the Chairman of the Board of Inquiry (not necessarily the same parties that were on-scene)

Accredited representative(s)

Witnesses

Conduct of a Public HearingConduct of a Public Hearing

Witnesses are questioned in this order by a: Technical panel Party spokesmen Board of Inquiry

A second round of clarification questions may be permitted in the same order

Witnesses are questioned in this order by a: Technical panel Party spokesmen Board of Inquiry

A second round of clarification questions may be permitted in the same order

Technical ReviewTechnical Review

All parties are encouraged to attend a technical review of the

factual record of the accident. The purpose of the meeting is to:

Ensure the accuracy of the factual record

Review the need for additional investigative work

Discuss further avenues of investigative activities

regarding the scope and depth of the investigation

All parties are encouraged to attend a technical review of the

factual record of the accident. The purpose of the meeting is to:

Ensure the accuracy of the factual record

Review the need for additional investigative work

Discuss further avenues of investigative activities

regarding the scope and depth of the investigation

Party SubmissionsParty Submissions

Parties are encouraged to submit their own analysis and probable cause of the accident as well as proposed recommendations

Parties are encouraged to submit their own analysis and probable cause of the accident as well as proposed recommendations

Preparation of the Final ReportPreparation of the Final Report

Party submissions are reviewed by staff before preparation of the final report

For investigations conducted under Annex 13 to ICAO, the foreign accredited representative receives a copy of the draft final report for comment

Party submissions are reviewed by staff before preparation of the final report

For investigations conducted under Annex 13 to ICAO, the foreign accredited representative receives a copy of the draft final report for comment

Parties do not participate in the preparation of the final report; however,

Parties do not participate in the preparation of the final report; however,

Draft Final ReportDraft Final Report

A draft final report and party submissions are reviewed and

approved by the five Board Members

A draft final report and party submissions are reviewed and

approved by the five Board Members

Board MeetingBoard Meeting

The Board reviews and discusses the draft final report with staff in a public meeting

Major issues are explored at length

The final report, conclusions, probable cause and recommendations are adopted

The Board reviews and discusses the draft final report with staff in a public meeting

Major issues are explored at length

The final report, conclusions, probable cause and recommendations are adopted

Petition for ReconsiderationPetition for Reconsideration

If a party chooses to request a reconsideration of the report, conclusions, and probable cause as adopted by the Board, they may file a petition for reconsideration if they can: Provide new evidence Demonstrate an analysis not previously considered

If a party chooses to request a reconsideration of the report, conclusions, and probable cause as adopted by the Board, they may file a petition for reconsideration if they can: Provide new evidence Demonstrate an analysis not previously considered