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Revision as of 09:04, 9 November 2020
Template:Menu/SIR2018/Section2
Safety Investigation Report MH370/01/2018
This page is a Table of Contents for a Section from the Safety Investigation Report MH370/01/2018 and Appendices released by The Malaysian ICAO Annex 13 Safety Investigation Team for MH370, and dated 2 July 2018.
Only the hyperlinked items have been included on this website. To read other sections please refer to a full version of the Safety Investigation Report. A link to the site from which the Report and Appendices can be downloaded is shown in the Footer section on this page.
SAFETY INVESTIGATION REPORT
MH370 (9M-MRO)
<section begin=Extract />
SECTION
TITLE
2
ANALYSIS
Introduction
2.1 Diversion from Filed Flight Plan
2.1.1
Seven Simulator Sessions
2.1.2
Ho Chi Minh Air Traffic Services Operation
2.2
2.2.1
2.2.2
2.2.3
2.2.4
2.2.5
2.2.6
2.2.7
2.2.8
ATS Operational Issues after Last Radio Communication with MH370 and subsequent ATS Activities/Actions
- 1) Analysis of ATS Operational Issues after Last Radio Communication with MH370 and subsequent Activities/Actions
- a) Transfer of Control Point at Waypoint IGARI
- b) Responsibilities of Accepting Air Traffic Control Service Unit on Establishment of Communications
- c) Marking on MH370 Flight Progress Strip
- d) Responsibilities of Air Traffic Controllers
- e) Recognising Emergency Situations and Air Traffic Control Actions
- f) Information to be passed to other Radar Units – Civil and Military
- g) Provision of Alerting Service for Flight operating through more than one FIRs and ATC actions
- h) Actions taken by Air Traffic Service Centre Duty Watch Supervisor
- i) Flight-Following System of Malaysia Airlines
- j) Communication Exchanges between KL ACC and HCM ACC and KL ACC and MAS Operations Despatch Centre on MH370
- k) Delegation of Airspace by Singapore Area Control Centre to KL ACC
- l) ATC Actions on Strayed/Unidentified Aircraft (Primary Radar Target) within the Area of Responsibility
- m) KL ATSC Duty Shift System for Air Traffic Controllers
- n) Roles played by the Duty ATSC Watch Supervisor
- o) Activation of Aeronautical Rescue Coordination Centre
- p) Play-back of Radar and Radiotelephony Recordings by ATSC Duty Watch Supervisor
- q) Entries in ATS Logbooks of ATSC Watch Supervisor and Sector 3 Controller Working Position
- r) Distress Message
- s) Issues with Manual of Air Traffic Services (MATS)
2.3
MEDICAL/HUMAN FACTORS ISSUES
2.3.1
Introduction
2.3.2
General Human Performance Issues
2.3.3
Specific Human Factors Issues
2.3.4
Human Factor Aspects of Air Traffic Control Recordings
2.4
AIRWORTHINESS & MAINTENANCE AND AIRCRAFT SYSTEMS
2.4.1
Airworthiness & Maintenance
2.4.2
Emergency Locator Transmitters
2.4.3
Aircraft Health Monitoring
2.4.4
Aircraft Systems Analysis
- 1) Air-conditioning, Pressurisation and Oxygen
- 2) Autoflight
- 3) Electrical Power
- 4) Flight Control and Hydraulics
- 5) Instrumentation
- 6) Navigation
- 7) Engines
- 8) Fuel Systems
- 9) Auxiliary Power Unit
- 10) Communications
- 11) Airplane Information Management System
2.4.5
Summary
2.5
2.5.1
2.5.2
Possible Reasons for the 1825 and 0019 Log-On Events and Preceding Link Losses
2.5.3
Summary Assessment of Doppler for 1825 and 0019 Log-On Events
2.6
WRECKAGE AND IMPACT INFORMATION
2.6.1
Debris Considered for Detailed Examination
2.6.2
Location of Debris with respect to Aircraft
2.6.3
Damage Analysis of Significant Debris
2.6.4
Marine Life Examination
2.7
ORGANISATION AND MANAGEMENT OF DEPARTMENT OF CIVIL AVIATION AND MALAYSIA AIRLINES
2.7.1
Department of Civil Aviation Malaysia
- 1) Introduction
- 2) Department of Civil Aviation Organisation Structure
- 3) Air Traffic Management Sector
- 4) Air Traffic Inspectorate Division
- 5) Search and Rescue
- 6) Kuala Lumpur Air Traffic Service Centre
- 7) Airworthiness Sector
- 8) Flight Operations Sector
2.7.2
Malaysia Airlines
- 1) Engineering & Maintenance
- 2) Flight Operations Management
- 3) In-flight Services
2.8
AIRCRAFT CARGO CONSIGNMENT
2.8.1
Cargo on Board MH370
2.8.2
Li-ion Batteries on Board MH370
2.8.3
Mangosteen Fruits on Board MH370
2.8.4
Dangerous Goods
2.8.5
Laboratory Tests Conducted
- 1) Li-ion Batteries
- 2) Mangosteen Fruits
2.8.6
Effects of Close Proximity of Li-ion Batteries and Mangosteens in Cargo Consignment
- 1) Location of Cargo
- 2) Results of Tests
<section end=Extract />