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Transcript of China Airlines Flight CI611 Aviation ... - Boeing · PDF file China Airlines Flight CI611...

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    China Airlines Flight CI611 Aviation Occurrence Report Release Press

    Conference

    China Airlines Flight CI611 Aviation China Airlines Flight CI611 Aviation Occurrence Report ReleaseOccurrence Report Release Press Press

    ConferenceConference

    2005/02/252005/02/25

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    Background Information of the Background Information of the OccurrenceOccurrence

    On May 25 2002, China Airlines Flight CI611, a Boeing 747On May 25 2002, China Airlines Flight CI611, a Boeing 747--200 , 200 , bearing ROC registration number Bbearing ROC registration number B--18255, crashed into the 18255, crashed into the Taiwan Strait approximately 23 nautical miles northeast of Taiwan Strait approximately 23 nautical miles northeast of MakungMakung, , PenghuPenghu Islands at 1529 Taipei local time (Coordinated Islands at 1529 Taipei local time (Coordinated Universal Time, UTC 0729). Universal Time, UTC 0729).

    The aircraft was a scheduled passenger flight from CKS The aircraft was a scheduled passenger flight from CKS International Airport, Taipei, ROC to International Airport, Taipei, ROC to ChekChek Lap Lap KokKok International International Airport, Hong Kong, China. Airport, Hong Kong, China.

    Radar data indicated that the aircraft experienced an inRadar data indicated that the aircraft experienced an in--flight flight breakup at an altitude of 34,900 feet.breakup at an altitude of 34,900 feet.

    225 occupants on board the CI611 flight, which included 206 225 occupants on board the CI611 flight, which included 206 passengers and 19 crewmembers, sustained fatal injuries.passengers and 19 crewmembers, sustained fatal injuries.

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    Animation - Ballistic Trajectory Analysis

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    CI611 Occurrence InvestigationCI611 Occurrence Investigation

    According to Aviation Occurrence Investigation Act, Article 3, According to Aviation Occurrence Investigation Act, Article 3, Aviation Safety Council (ASC), an independent government Aviation Safety Council (ASC), an independent government agency, is responsible for investigating civil aircraft occurrenagency, is responsible for investigating civil aircraft occurrence ce within the territory of ROC.within the territory of ROC. Parties invited to the investigation team include:Parties invited to the investigation team include:

    National Transportation Safety Board (NTSB), USA National Transportation Safety Board (NTSB), USA –– Accredited Representative (AR)Accredited Representative (AR)

    Federal Aviation Administration (FAA), USAFederal Aviation Administration (FAA), USA Boeing Airplane CompanyBoeing Airplane Company Pratt & Whitney CompanyPratt & Whitney Company

    Civil Aeronautics Administration (CAA), ROCCivil Aeronautics Administration (CAA), ROC China AirlinesChina Airlines

    Totally Totally 68 68 people involved in this investigationpeople involved in this investigation

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    Objective of Aviation Occurrence Objective of Aviation Occurrence InvestigationInvestigation

    Aviation Occurrence Investigation Law - Article 5

    The objective of investigation of aviation occurrence is to prevent recurrence of similar occurrences. It is not the purpose of such investigation to apportion blame or liability.

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    Organization ChartOrganization Chart

    IIC Kay Yong / Thomas Wang

    Deputy IIC / KF Chou Deputy IIC / Phil Tai

    Survival Factors Group Chairman / James Fang

    Recorders Group Chairman / Steven Su

    Maintenance Log Group Chairman / James Fang

    Org. & Management Group Chairman /

    Thomas Wang

    System Group Chairman / Wen-Huan

    Chang

    Performance Group Chairman / Michael

    Guan

    Structure Group Chairman / David Lee

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    CI611 Wreckage RecoveryCI611 Wreckage Recovery

    Wreckage RecoveryWreckage Recovery Phase IPhase I((20022002 05/25 05/25 -- 06/1006/10))

    Floating debris and body recovery, the search for the recordersFloating debris and body recovery, the search for the recorders’’ ULB ULB signal, and mapping of the wreckage spread.signal, and mapping of the wreckage spread.

    Phase IIPhase II ((20022002 06/02 06/02 -- 07/0307/03))

    Wreckage recovery by AsiaWreckage recovery by Asia--Pacific Inc..Pacific Inc..

    Phase IIIPhase III ((20022002 06/14 06/14 -- 09/1609/16))

    Jan Steen Salvage Ship Operation and the recovery of the two Jan Steen Salvage Ship Operation and the recovery of the two recorders by Chinese Navy and Jan Steen. recorders by Chinese Navy and Jan Steen.

    Phase IVPhase IV((20022002 09/09/16 16 -- 10/1710/17))

    Wreckage recovery via trawling.Wreckage recovery via trawling.

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    Phase IPhase IPhase I

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    Phase IIPhase IIPhase II

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    Phase IIIPhase IIIPhase III

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    Phase IVPhase IVPhase IV

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    Summary of Wreckage RecoverySummary of Wreckage Recovery

    175 bodies and approximately 1,500 pieces of 175 bodies and approximately 1,500 pieces of wreckage (about 75% of the whole structure) were wreckage (about 75% of the whole structure) were recovered as a result. recovered as a result.

    Wind Direction Wind direction @35000 ft.

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    Temporary stored place of the wreckage Temporary stored place of the wreckage at Chinese Navyat Chinese Navy’’s port in s port in MakungMakung

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    The storage of the wreckage at The storage of the wreckage at TaoyuanTaoyuan Air Force Base Hanger #1Air Force Base Hanger #1

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    The storage of the wreckage at The storage of the wreckage at TaoyuanTaoyuan Air Force Base Hanger #2Air Force Base Hanger #2

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    Process of the CI611 InvestigationProcess of the CI611 Investigation

    The factual data collection report was released on 06/02 2003. The factual data collection report was released on 06/02 2003.

    Tests at labs in Chung Shan Institute of Science and Tests at labs in Chung Shan Institute of Science and Technology (CSIST), Boeing Material Technology (BMT) and Technology (CSIST), Boeing Material Technology (BMT) and Equipment Quality Analysis (EQA)Equipment Quality Analysis (EQA)

    Two test flight for data collection. Two test flight for data collection.

    2D and 3D wreckage reconstruction2D and 3D wreckage reconstruction

    Four Technical Review Meetings (TRM)Four Technical Review Meetings (TRM)

    Three times of comment feedback from the stakeholders of Three times of comment feedback from the stakeholders of the draft report.the draft report.

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    Scanning Electron Microscopic (SEM) Scanning Electron Microscopic (SEM) ExaminationExamination

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    33--D Wreckage ReconstructionD Wreckage Reconstruction

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    Final ReportFinal Report

    1. The Occurrence Report Volume I contents factual information, analysis, findings, recommendation and all parties’ feedbacks on the report

    Chinese version: 246 pages

    English version: 318 pages

    2. The Occurrence Report Volume II includes all the appendices Chinese version: 348 pages

    English version: 346 pages

    3. This report is published in English and Chinese. Chinese version is the official version.

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    FindingsFindings

    The Safety Council presents the findings derived The Safety Council presents the findings derived from the factual information gathered during the from the factual information gathered during the investigation and the analysis of the CI611 accident. investigation and the analysis of the CI611 accident. The findings are presented in three categories: The findings are presented in three categories:

    Findings related to probable causes: 6 itemsFindings related to probable causes: 6 items

    Findings related to risk : 7 itemsFindings related to risk : 7 items

    Other findings: 16 itemsOther findings: 16 items

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    Interim Safety BulletinInterim Safety Bulletin

    1. Issued on 21 March 2003 to CAA and ICAO

    2. ASC-ISB-003-001

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    Aviation Safety Recommendations Aviation Safety Recommendations (21 items(21 items))

    To:To: China Airlines China Airlines CAACAA Boeing Commercial Airplane Boeing Commercial Airplane Company Company FAA, USA FAA, USA ASC, Ministry of National Defense, ASC, Ministry of National Defense, and Ministry of Justiceand Ministry of Justice

    6 items6 items 8 items8 items 22 items items

    3 items 3 items 2 items2 items

    In addition to the safety recommendations, the Safety Council also includes the safety actions already taken or planned by the stakeholders.

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    Findings & Aviation Safety Recommendations

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    Findings Related to Probable Causes (6 items)Findings Related to Probable Causes (6 items)

    The findings related to the probable causes identify elements that have been shown to hav