Rapport intermédiaire sur la disparition du MH 370

Mohan

Informations

• Publié par: Le_Parisien
• Publié le: 08 mars 2015
• Nombre de lectures: 2 805
• Langue: Français
• Poids de l'ouvrage: 8 Mo

Extrait

FACTUAL INFORMATION
SAFETY INVESTIGATION FOR MH370

-

Malaysia Airlines MH370 Boeing B777-200ER (9M-MRO)
08 March 2014







By
The Malaysian ICAO Annex 13 Safety Investigation Team for MH370



















The Malaysian ICAO Annex 13
th Safety Investigation Team for MH370 Issued on 8 March 2015
Email : [e-mail]
MH370/01/15
Malaysian ICAO Annex 13
Safety Investigation Team for MH370
Ministry of Transport, Malaysia

FACTUAL INFORMATION SAFETY INVESTIGATION FOR MH370 (9M-MRO)
…………………………………………………………………………………………………..

CONTENTS

No. Title Page/s
- CONTENTS ii-iv
- OBJECTIVE OF INVESTIGATION v
DISCLAIMER vi -
- GLOSSARY OF TERMS vii-x
- ABBREVIATIONS AND CODES xi-xviii
SECTION 1.1 HISTORY OF THE FLIGHT 1-11
1.1.1 Flight between 1642 to 1729:30 UTC [0042-0119:30] 1-2
1.1.2 Activities by Ground Air Traffic Controllers Thereafter 2
1.1.3 Diversion from Filed Flight Plan Route – 1721:13 to 1822:12 UTC 2-5
[0121:13 to 0222:12]
1.1.4 Search for Aircraft 5
SECTION 1.2 INJURIES TO PERSONS 12
SECTION 1.3 DAMAGE TO AIRCRAFT 12
SECTION 1.4 OTHER DAMAGES 12
SECTION 1.5 PERSONNEL INFORMATION 12-21
1.5.1 MAS Training and Check Records 12
1.5.2 Pilot-in-Command and Personal Profile 13
1.5.3 First Officer and Personal Profile 14

1.5.4 Cabin Crew and Personal Profiles (a-j) 15-19
1.5.5 Disciplinary/Administrative Actions 19
1.5.6 Financial Background and Insurance Cover 20
1.5.7 Significant Past Medical and Medication History 20
1.5.8 Psychological and Social Events 20
1.5.9 Behavioural Events 21
1.5.10 Air-Ground Communications 21
SECTION 1.6 AIRCRAFT INFORMATION 22-33
1.6.1 Airframe 22
1.6.2 Engine 22
1.6.2.1 Auxiliary Power Unit 22
1.6.3 Airworthiness and Maintenance 23-33
1.6.3.1 Aircraft Maintenance Schedule 23-25
1.6.3.2 Major Repair 26
1.6.3.3 Cabin Configuration Change 26
1.6.3.4 Mandatory Occurrence Reports 26
1.6.3.5 Airworthiness Directives 27
1.6.3.6 Technical Log 27
1.6.3.6.1 Oxygen System Replenishment 27-28
1.6.3.7 Deferred Defects (MR2) 28
1.6.3.8 Engine Health Monitoring 28-29
1.6.3.9 Central Maintenance Computing System (CMCS) 29
1.6.4 Weight and Balance 29-30
1.6.5 Fuel 30
1.6.6 Emergency Locator Transmitter (ELT) 31-32
1.6.6.1 Review of Effectiveness of ELTs 32-33
1.6.7 Aircraft System Description 33
ii MH370/01/15
Malaysian ICAO Annex 13
Safety Investigation Team for MH370
Ministry of Transport, Malaysia

FACTUAL INFORMATION SAFETY INVESTIGATION FOR MH370 (9M-MRO)
…………………………………………………………………………………………………..

No. Title Page/s
SECTION 1.7 METEOROLOGICAL INFORMATION 33-38
1.7.1 Meteorological Situation 33-36
1.7.2 Comments on the Information Available 36
1.7.2.1 Forecast Charts 36-37
1.7.2.2 Significant Meteorological Information (SIGMET) 37
1.7.2.3 Volcanic Ash Advisory 37-38
SECTION 1.8 AIDS TO NAVIGATION 38
– Not applicable at this stage of the investigation
SECTION 1.9 COMMUNICATIONS 38-56
1.9.1 High Frequency (HF) System 38
1.9.2 Very High Frequency (VHF) 39
1.9.3 Air Traffic Control (ATC)/Mode S Transponder System 39-41
1.9.4 Aircraft Communications Addressing & Reporting System 41-43
(ACARS)
1.9.4.1 ACARS Traffic Log 43-48
1.9.5 Satellite Communications (SATCOM) 48-56
1.9.5.1 SATCOM System Communication 48-50
1.9.5.2 SATCOM Ground Station Logs of the Event - Introduction 50-52
1.9.5.3 SATCOM Ground Station Logs of the Event - Summary 52-53
1.9.5.4 SATCOM Ground Station Logs – Key Observations in 54-56
Chronological Order
SECTION 1.10 AERODROME INFORMATION 56
– Not applicable at this stage of the investigation
SECTION 1.11 FLIGHT RECORDERS 57-60
1.11.1 Solid State Flight Data Recorder (SSFDR) 57-58
1.11.2 Solid State Cockpit Voice Recorder (SSCVR) 58-59
1.11.3 Underwater Locator Beacon 59-60
1.11.3.1 SSFDR ULB Battery Expiry 60
SECTION 1.12 WRECKAGE AND IMPACT INFORMATION 61
SECTION 1.13 MEDICAL AND PATHOLOGICAL INFORMATION 61
SECTION 1.14 FIRE 61
SECTION 1.15 SURVIVABILITY 61
– Not applicable at this stage of the investigation
SECTION 1.16 TESTS AND RESEARCH 61
– Not applicable at this stage of the investigation
SECTION 1.17 ORGANISATIONAL & MANAGEMENT INFORMATION 61-87
1.17.1 Department of Civil Aviation (DCA) Malaysia 61-75
1.17.1.1 Air Traffic Services (ATS) 64-72
1.17.1.1.1 Air Traffic Management ATM (Services) 64-65
1.17.1.1.2 Air Traffic Inspectorate (ATI) Division 65-66
1.17.1.1.3 Search and Rescue (SAR) 66-72
1.17.1.2 Airworthiness Sector 72-74
1.17.1.3 Flight Operations Sector 74-75
1.17.2 Malaysia Airlines (MAS) 76-87
1.17.2.1 The Organisation 76-77
1.17.2.2 Engineering and Maintenance 77-79
1.17.2.3 Operations 79-87
iii MH370/01/15
Malaysian ICAO Annex 13
Safety Investigation Team for MH370
Ministry of Transport, Malaysia

FACTUAL INFORMATION SAFETY INVESTIGATION FOR MH370 (9M-MRO)
…………………………………………………………………………………………………..

No. Title Page/s
SECTION 1.17 1.17.2.3.1 Flight Operations 79-83
contd.... 1.17.2.3.2 In-flight Services 83-87
SECTION 1.18 ADDITIONAL INFORMATION 87-109
1.18.1 Provision of ATS & Areas of Responsibilities (AOR) 87-102
1.18.1.1 Sector 3 AOR 88-89
1.18.1.2 Sector 5 AOR 89-91
1.18.1.3 Air Traffic Control Operations from 1719 – 2232 92-93
UTC, 07 March 2014 [0119 – 0632 MYT, 08 March
2014]
1.18.1.4 KL ATCC Duty Shift System for Air Traffic Controllers 93-97
1.18.1.5 Operations & Events – Initiation of SAR & 97-100
Deployment of Resources
1.18.1.6 Search and Rescue 100-101
1.18.1.7 Recorded Telephone Conversations 102
1.18.1.8 SAR Mission Coordinator 102
1.18.1.9 Watch Supervisor ATS and Sector (3 & 5) Logbook 102
1.18.2 Cargo 102-109
1.18.2.1 Lithium Ion Batteries 103-107
1.18.2.2 Mangosteen Fruits 107-109
Section 1.19 New Investigation Techniques 109
– Not applicable at this stage of the investigation

APPENDICES
Appendix Title Page/s
1.6A Recent Technical Log Entries 1-4
1.6B Engine Health Monitoring - Decoded Health Monitoring - Decoded 1-4
Data for Take-off and Climb Reports
1.6C 9M-MRO Radio Licence 1
1.6D B1 - ELT Activation Summary (Source ICAO) 1-2
1.6E Aircraft Systems Description 1-28
1.9A ACARS Traffic Log 1-13
1.18A-G MH370 Radiotelephony Transcripts -
1.18A Air-Ground Communication - Airways Clearance Delivery 1-9
1.18B Air-Ground Communication - Lumpur Ground 1-23
1.18C Air-Ground Communication - Lumpur Tower 1-14
1.18D Air-Ground Communication - Approach Radar 1-14
1.18E Air-Ground Communication - Lumpur Radar 1-29
1.18F Air-Ground Communication - Lumpur Radar and Radar Direct Line 1-125
1.18G Direct Line Coordination Communication – KL ATCC Sectors 3 + 5 1-164
Planner
1.18H Cargo Manifest and Associated Documents 1-18
1.18I Lithium Battery Guidance Document 1-3
1.18J Airways Bill (from January to May 2014) 1-7


iv MH370/01/15
Malaysian ICAO Annex 13
Safety Investigation Team for MH370
Ministry of Transport, Malaysia

FACTUAL INFORMATION SAFETY INVESTIGATION FOR MH370 (9M-MRO)
………………………