Boeing 747-2B5F, HL-7451: Main document

abnormal and emergency procedures). 747 1.18.1.3 guide school grounds. Korean Air B-747 schoolyards Guide that was distributed to the crew ….

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Boeing 747-2B5F, HL-7451: Main document
Contents

  • Air Accidents Investigation Branch…4
  • Aircraft Accident Report No:3/2003 (EW/C99/12/04)…4
  • Synopsis…5
  • 1 Factual Information …7
  • 1.1 History of the flight …7
  • 1.2 Injuries to persons…12
  • 1.3 Damage to aircraft …12
  • 1.4 Other damage …12
  • 1.5 Personnel information…12
  • 1.6 Aircraft information …14
  • 1.7 Meteorological information …23
  • 1.8 Aids to navigation…24
  • 1.9 Communications…25
  • 1.10 Aerodrome information…27
  • 1.11 Flight recorders …27
  • 1.12 Wreckage and impact information…31
  • 1.13 Medical and pathological information …35
  • 1.14 Fire…35
  • 1.15 Survival aspects …35
  • 1.16 Tests and research…36
  • 1.17 Organisational and Management Information…38
  • 1.18 Additional information …48
  • 2 Analysis …50
  • 2.1 Introduction …50
  • 2.2 The flight instrument system…51
  • 2.3 Fault reporting…53
  • 2.4 Fault diagnosis …53
  • 2.5 Rectification action and recording…54
  • 2.6 Engineer licensing issues…56
  • 2.7 Crew anticipation of a recurrence of the fault …57
  • 2.8 Pre-departure crew distractions …58
  • 2.9 Crew actions after takeoff from Stansted …59
  • 2.10 Dangerous Air Cargo (DAC)…63
  • 2.11 Hazardous materials …64
  • 3 Conclusions …64
  • 4 Safety Recommendations…67
  • Appendix A – B747 Transit Checklist…68
  • Appendix B – Figures 1 and 2 – Flight Director Indicator Display…69
  • Appendix C – Functional diagram of FDI…70
  • Appendix D – Figure 1 – Central Instrument Warning System Schematic…71
  • Appendix D – Figure 2 – Section of Indicator Circuit Diagram …72
  • Appendix E – Figure 1 – Drawing of INU …73
  • Appendix E – Figure 2 – Attitude interface and Attitude Repeater circuit boards 74
  • Appendix E – Figure 3 – Schematic of INU attitude signal flow…75
  • Appendix F – Figure 1 – UK AIP entry for Dover 6R SID…76
  • Appendix F – Figure 2 – Jeppesen plate 30-3D for Dover 6R SID …77
  • Appendix F – Figure 3 – UK AIP entry for Stansted ILS/DME Runway 23…78
  • Appendix F – Figure 4 UK AIP entry for Stansted Aerodrome Chart…79
  • Appendix G – Figures 1 – 2 and 3 – FDR Unit …80
  • Appendix G – Figure 4 – CVR unit as found in wreckage …81
  • Appendix H – Page 1 – CVR transcript extracts…82
  • Appendix H – Page 2 – CVR transcript extracts…83
  • Appendix H – Page 3 – CVR transcript extracts…84
  • Appendix I – M-cab – Summary of runs – page 1…85
  • Appendix I – M-cab – Summary of runs – page 2…86
  • Appendix I – Figure 1 – M-cab Full backdrive profile …87
  • Appendix I – Figure 2 – M-cab Pilot interaction profile…88
  • Appendix I – Figure 3 – M-cab Pilot interaction profile…89
  • Appendix I – Figure 4 – M-cab pilot interaction profile…90
  • Appendix I – Figure 5 – M-cab Pilot interaction profile…91
  • Appendix I – Figure 6 – M-cab Pilot interaction profile…92
  • Appendix J – FDR plot …93
  • Appendix K – OS map and radar track data …94
  • Appendix L – Figure 1 – Impact parameters…95
  • Appendix L – Figure 2 – Wreckage distribution …96
  • Appendix M – Figure 1 and 2 – Front view of ADI as found …97
  • Appendix M – Figures 3 to 6 – Assessment of GYRO Flag Positions…98
  • Appendix N – Figure 1 – Standard Ground Handling Agreement Section 9 …99
  • Appendix N – Figure 2 – Standard Ground handling Agreement Para 6…100
  • Appendix O – Figure 1 – Diagram of Captain\’s FDI presentations …101
  • Appendix P – Diagram of estimated Captain and First Officer\’s FDI presentations102
  • Appendix Q – Attitude reference at moment of impact …103

 

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