The UAEs General Civil Aviation Authority has issued its final air
accident investigation report on the crash of the UPS cargo plane that
crashed on September 3, 2010, in the desert outside Dubai.On that tragic
day, at about 7:51pm local time, United Parcel Service Flight 6, a
Boeing 747-400F, crashed while attempting to land at Dubai International
Airport.The flight had departed from Dubai approximately 45-minutes
earlier as a scheduled cargo flight to Cologne, Germany, but the flight
crew declared an emergency and requested an immediate return to Dubai.
The airplane impacted inside an Emirati army base near a busy highway
intersection, approximately nine miles from Dubais international
airport. The two flight crew members were fatally injured.
The
report published yesterday, says that the investigation concludes with
reasonable certainty that the location of the fire was in an element of
the cargo that contained, among other items, lithium batteries.The UAE
GCAAs report states that the fire began in the section of the cargo that
included a significant number of lithium type batteries and other
combustible materials and added that the fire escalated rapidly into a
catastrophic uncontained fire.
The 322-page report into the
crash, which killed both pilots, points to the presence of lithium
batteries in the cargo as a possible reason for the ignition that then
engulfed to other combustible material around. It is possible that a
lithium type battery or batteries, for reasons which cannot be
established, went into an energetic failure characterised by thermal
runaway and auto ignited starting a chain reaction which spread to the
available combustible material, the report concludes.Malfunctioning
lithium batteries have been more recently linked with the temporary
grounding of the entire fleet of Boeing 787 Dreamliner aircraft after a
fire in the battery of a parked Japan Airlines 787 aircraft was
reported, followed by an emergency landing of an All Nippon Airways 787
due to smoke emerging from its lithium battery.
Lithium
batteries have a history of thermal runaway and fire, are unstable when
damaged and can short circuit if exposed to overcharging, the
application of reverse polarity or exposure to high temperature are all
potential failure scenarios which can lead to thermal runaway, the GCAAs
report maintains.Once a battery is in thermal runaway, it cannot be
extinguished with the types of extinguishing agent used on board
aircraft and the potential for auto ignition of adjacent combustible
material exists.
The report states that investigators found no
items other than the lithium batteries capable of causing the fire among
the debris. The cargo identified on scene included clothing, machined
parts and subassemblies, flashlights, gun parts, costume jewellery,
cases for electronic equipment, USB flash drives, un-populated circuit
boards, espresso makers, automotive entertainment and navigation
systems,Winbo silicone bracelets bike
frames, pellets for injection moulding, wrist watch components, rubber
bracelets, cell phones, MP3 and MP4 players, mannequin heads, wigs,
shoes, the report states.
No items posing a flammable fuel load
or capable of acting as an ignition source were visually identified
except for batteries and battery containing devices, it adds.The report
also maintains that shippers of some of the lithium battery cargo loaded
in Hong Kong did not properly declare these shipments in addition to
not providing test reports as mandated by the UN Recommendations to
verify that such these battery designs were in conformance with UN Modal
Regulations.
At some point prior to the fire warning, contents
of a cargo pallet, which included lithium batteries, auto-ignited,
causing a large and sustained cargo fire which was not detected by the
smoke detectors when in the early stages of Pyrolysis, the investigation
concludes.The uncontained cargo fire directly affected the independent
critical systems necessary for crew survivability. Heat from the fire
exposed the supplementary oxygen system to extreme thermal loading,
sufficient to generate a failure. This resulted in the oxygen supply
disruption leading to the abrupt failure of the Captains oxygen supply
and the incapacitation of the captain, the report states.
The
progressive failure of the cargo compartment liner increased the area
available for the smoke and fire penetration into the fuselage crown
area, it says. The rate and volume of the continuous toxic smoke,
contiguous with the cockpit and supernumerary habitable area, resulted
in inadequate visibility in the cockpit, obscuring the view of the
primary flight displays, audio control panels and the view outside the
cockpit which prevented all normal cockpit functioning,Our top picks for
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GCAAs investigation report lists the sequence of events that led to the
tragic crash of the Boeing 747-44AF aircraft.
On September 3rd
2010, a Boeing 747-44AF departed Dubai International Airport on a
scheduled international cargo flight to Cologne, Germany.Twenty two
minutes into the flight, at approximately 32,000 feet, the crew advised
Bahrain Area East Air Traffic Control that there was an indication of an
on-board fire on the Forward Main Deck and declared an emergency.
Bahrain
Air Traffic Control advised that Doha International Airport was at your
ten oclock and one hundred miles, is that close enough?, the Captain
elected to return to DXB, configured the aircraft for the return to
Dubai and obtained clearance for the turn back and descent.A cargo on
the main cargo deck had ignited at some point after departure. Less than
three minutes after the first warning to the crew, the fire resulted in
severe damage to flight control systems and caused the upper deck and
cockpit to fill with continuous smoke.
The crew then advised
Bahrain East Area Control [BAE-C] that the cockpit was full of smoke and
that they could not see the radios, at around the same time the crew
experienced pitch control anomalies during the turn back and descent to
ten thousand feet.The smoke did not abate during the emergency impairing
the ability of the crew to safely operate the aircraft for the duration
of the flight back to DXB.
On the descent to ten thousand feet,
the captains supplemental oxygen supply abruptly ceased to function
without any audible or visual warning to the crew five minutes and
thirty seconds after the first audible warning. This resulted in the
Captain leaving his position. The Captain left his seat and did not
return to his position for the duration of the flight due to
incapacitation from toxic gases.
The First Officer[F.O], now the
Pilot Flying [PF] could not view outside of the cockpit, the primary
flight displays, or the audio control panel to retune to the UAE
frequencies.Due to the consistent and contiguous smoke in the cockpit
all communication between the destination and the crew was routed
through relay aircraft in VHF range of the emergency aircraft and
BAE-C.
BAE-C then relayed the information to the Emirates Area
Control Centerin the UAE via landline, who then contacted Dubai ATC via
landline.As the aircraft approached the aerodrome in Dubai, it stepped
down in altitude, the aircraft approached DXB runway 12 left, then
overflew the northern perimeter of the airport at 4500 ft at around 340
kts . The PF could not view the Primary Flight Displays or the view
outside the cockpit.
The Pilot Flying was advised Sharjah
International Airport was available at 10 nm. This required a left hand
turn, the aircraft overflew DXB heading East, reduced speed, entering a
shallow descending right-hand turn to the south of the airport before
loss of control in flight and an uncontrolled descent into terrain, nine
nautical miles south west of Dubai International Airport.
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