Rapport sur le crash du MH 17
279 pages
English

Rapport sur le crash du MH 17

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279 pages
English
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Description

MH17 MH17 Crash 1 of 279 Crash of Malaysia Airlines fight MH17 Hrabove, Ukraine, 17 July 2014 The Hague, October 2015 The reports issued by the Dutch Safety Board are open to the public. All reports are available on the Safety Board’s website www.safetyboard.nl. Source photo cover: DCA Malaysia 2 of 279 Dutch Safety Board The aim in the Netherlands is to limit the risk of accidents and incidents as much as possible. If accidents or near accidents nevertheless occur, a thorough investigation into the causes, irrespective of who are to blame, may help to prevent similar problems from occurring in the future. It is important to ensure that the investigation is carried out independently from the parties involved. This is why the Dutch Safety Board itself selects the issues it wishes to investigate, mindful of citizens’ position of dependence with respect to authorities and businesses. In some cases the Dutch Safety Board is required by law to conduct an investigation. Dutch Safety Board Chairman: T.H.J. Joustra E.R. Muller M.B.A. van Asselt Associate members of the Board: B.J.A.M. Welten A.P.J.M. Rutten General Secretary: M. Visser Visiting address: Anna van Saksenlaan 50 Postal address: PO Box 95404 2593 HT The Hague 2509 CK The Hague The Netherlands The Netherlands Telephone: +31 (0)70 333 7000 Fax: +31 (0)70 333 7077 Website: www.safetyboard.nl NB: This report is published in the English and Dutch languages.

Informations

Publié par
Publié le 13 octobre 2015
Nombre de lectures 5 974
Langue English
Poids de l'ouvrage 29 Mo

Extrait

MH17
MH17 Crash
1 of 279Crash of
Malaysia Airlines
fight MH17
Hrabove, Ukraine, 17 July 2014
The Hague, October 2015
The reports issued by the Dutch Safety Board are open to the public.
All reports are available on the Safety Board’s website www.safetyboard.nl.
Source photo cover: DCA Malaysia
2 of 279Dutch Safety Board
The aim in the Netherlands is to limit the risk of accidents and incidents as much as
possible. If accidents or near accidents nevertheless occur, a thorough investigation into
the causes, irrespective of who are to blame, may help to prevent similar problems from
occurring in the future. It is important to ensure that the investigation is carried out
independently from the parties involved. This is why the Dutch Safety Board itself selects
the issues it wishes to investigate, mindful of citizens’ position of dependence with
respect to authorities and businesses. In some cases the Dutch Safety Board is required
by law to conduct an investigation.
Dutch Safety Board
Chairman: T.H.J. Joustra
E.R. Muller
M.B.A. van Asselt
Associate members
of the Board: B.J.A.M. Welten
A.P.J.M. Rutten
General Secretary: M. Visser
Visiting address: Anna van Saksenlaan 50 Postal address: PO Box 95404
2593 HT The Hague 2509 CK The Hague
The Netherlands The Netherlands
Telephone: +31 (0)70 333 7000 Fax: +31 (0)70 333 7077
Website: www.safetyboard.nl
NB: This report is published in the English and Dutch languages. If there is a difference in
interpretation between the English and Dutch versions, the English text will prevail.
3 of 279CONTENTS
Foreword �������������������������������������������������������������������������������������������������������������������� 7
Summary �������������������������������������������������������������������������������������������������������������������� 9
1 Introduction ���������������������������������������������������������������������������������������������������������14
1.1 The investigation .................................................................................................. 14
1.2 Purpose and scope of the investigation ............................................................... 14
1.3 Investigation methodology and parties concerned ............................................. 15
1.4 Wreckage recovery ............................................................................................... 16
1.5 Preliminary report ................................................................................................. 17
1.6 Other investigations ............................................................................................. 18
1.7 Reading guide ...................................................................................................... 19
PART A: CAUSES OF THE CRASH ���������������������������������������������������������������������������� 22
2 Factual information ��������������������������������������������������������������������������������������������� 23
2.1 History of the fight ............................................................................................... 23
2.2 Injuries to persons ................................................................................................ 27
2.3 Damage to the aircraft ......................................................................................... 28
2.4 Other damage ...................................................................................................... 28
2.5 Personnel information .......................................................................................... 28
2.6 Aircraft information .............................................................................................. 30
2.7 Meteorological information .................................................................................. 32
2.8 Aids to navigation 35
2.9 Air Navigation Service Provider information and other data ............................... 35
2.10 Aerodrome information ........................................................................................ 44
2.11 Flight recorders, satellite and other data ............................................................. 44
2.12 Wreckage and impact information ...................................................................... 52
2.13 Medical and pathological information ................................................................. 83
2.14 Fire........................................................................................................................ 86
2.15 Survival aspects .................................................................................................... 87
2.16 Tests and research ............................................................................................... 88
2.17 Organisational and management information ..................................................... 95
2.18 Additional information ......................................................................................... 96
2.19 Useful or effective investigation techniques ...................................................... 101
3 Analysis ��������������������������������������������������������������������������������������������������������������104
3.1 Introduction ........................................................................................................ 104
3.2 General ............................................................................................................... 104
3.3 The fight before the in-fight break-up .............................................................. 106
3.4 The moment of the in-fight break-up ................................................................. 110
4 of 2793.5 Possible sources of damage ................................................................................116
3.6 Weapon systems .................................................................................................126
3.7 Source of the damage ........................................................................................ 136
3.8 Simulations to assess the origin of the damage ..................................................137
3.9 Blast damage .......................................................................................................147
3.10 Summary of the results of the simulations into the causes of the crash .............149
3.11 The in-fight break-up and its aftermath ............................................................ 150
3.12 Passenger oxygen system .................................................................................. 163
3.13 Recovery and identifcation of victims fight MH17 ............................................ 164
3.14 Survival aspects .................................................................................................. 165
3.15 Recording of radar data ..................................................................................... 166
INTRODUCTION TO PART B �����������������������������������������������������������������������������������170
4 Decision-making related to fight routes - the system �������������������������������������� 171
4.1 Introduction .........................................................................................................171
4.2 States’ and operators’ responsibilities ................................................................171
4.3 Frame of reference .............................................................................................175
5 The situation in the eastern part of Ukraine and signals for civil aviation �������177
5.1 Introduction177
5.2 Aeronautical information .....................................................................................177
5.3 Shootings involving military aircraft ...................................................................181
5.4 Public interpretations of the confict by politicians and diplomats .................... 186
5.5 Reports in the media related to possible available weapons capability ............187
5.6 Non-public sources ............................................................................................ 188
5.7 Sub-conclusions ................................................................................................. 190
6 Flight MH17 on 17 july 2014 - Ukraine’s management of the airspace �������������191
6.1 The organisation of Ukraine’s airspace management .........................................191
6.2 Restricting the use of the airspace below FL260 ................................................193
6.3 Restricting the use of the airspace below FL320195
6.4 Consequences of the airspace restrictions .........................................................197
6.5 Airspace management in other confict zones ................................................... 199
6.6 Analysis: Ukrainian airspace management 205
6.7 Sub-conclusions ................................................................................................. 209
7 Flying over Ukraine: what did Malaysia Airlines and others do? ����������������������211
7.1 Introduction .........................................................................................................211
7.2 Flight MH17211
7.3 Code sharing with KLM .......................................................................................213
7.4 Flight preparation at Malaysi

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