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10 October 2008 - Qantas Airbus Accident Media Conference
Media Release
2008/40b
Qantas Airbus Accident Media Conference
10 October 2008
The Australian Transport Safety Bureau investigation is
progressing.
The aircraft's Digital Flight Data Recorder (DFDR), Cockpit
Voice Recorder (CVR) and Quick Access Recorder arrived in Canberra
late on Wednesday evening. Downloading and preliminary analysis has
revealed good data from both recorders. Data from the FDR has been
provided to participants in the investigation which include Qantas,
the French accident investigation authority - the Bureau d'Enqu�tes
et d'Analyses (BEA), Airbus and the Australian Civil Aviation
Safety Authority. The aircraft's operating crew acted responsibly
and promptly after the aircraft was shut down by isolating the CVR
to preserve information for the purpose of the investigation.
While the full interpretation and analysis of the recorded data
will take some time, preliminary review of the data indicates that
the aircraft was cruising at 37,000 feet, when the aircraft
initiated a climb of about 200 feet, before returning back to
37,000 feet. About 1 minute later, the aircraft pitched nose-down,
to a maximum pitch angle of about 8.4 degrees, and descended about
650 feet in about 20 seconds, before returning to the cruising
level. About 70 seconds after returning to 37,000 feet there was a
further nose-down pitch, to a maximum pitch angle of about 3.5
degrees, and the aircraft descended about 400 feet in about 16
seconds, before returning once again to the cruising level.
I turn your attention to the screen where there is a very basic
animation, using data from the Digital Flight Data Recorder, of the
first pitch-down event.
Detailed review and analysis of DFDR data is ongoing to assist
in identifying the reasons for the events. At this point, the event
appears very complex. The aircraft contains very sophisticated and
highly reliable systems whose interaction is very complex. As far
as we can understand, there seems to be issues with some on-board
components. Further examination of the auto-pilot system, data
sources used by flight control computers and the flight control
computers themselves, along with the interaction of the flight crew
with the aircraft's systems is necessary to achieve a better
understanding of the event.
Meanwhile, the on-site team in Learmonth is working hard and has
assessed and documented significant damage to some overhead panels,
consistent with injuries that were sustained by the aircraft
occupants. Ceiling panels were removed and wiring looms were
visually inspected and no defects were found. In addition, visual
inspection of the aircraft has been conducted and no structural
defects have been found. Inspection of the cargo area found all
cargo was loaded in the correct position and no load shift was
evident. All of the cargo load was properly secured.
With all necessary precautions taken and completed to ensure no
loss of evidence, the aircraft was then powered up and data
pertaining to specific computers and systems was downloaded. This
was done in a careful and methodical manner to ensure no data was
lost. This data is essential to the investigation and includes
additional information not recorded on the Digital Flight Data
Recorder. This download occurred on the aircraft involving
representatives of the ATSB, Qantas and Airbus. This data is
currently being analysed. More data is to be downloaded today and
further assessment will be carried out on the aircraft's systems.
It is likely that a number of components will be removed for
further downloading/testing, some of which will need to be done at
the manufacturers facilities in France or relevant country of
manufacture.
Ongoing activities include a detailed review of the aircraft's
maintenance history, including checking on compliance with relevant
Airworthiness Directives, although initial indications are that the
aircraft met the relevant airworthiness requirements. Work is also
ongoing to progress interviews, which will include with injured
passengers to understand what occurred in the aircraft cabin. The
ATSB plans to distribute a survey to all passengers. There is no
evidence at this stage to indicate that the use of portable
electronic devices by passengers contributed to the event, however,
it would be expected that questions relating to such usage would be
included in the passenger survey.
The nature of the initiating event has not yet been determined.
The investigation will be examining the broad range of factors that
influence the operation of the aircraft. There was been close,
frequent, communications between the ATSB, Qantas, Airbus and CASA.
That close communication will continue as the investigation
progresses to ensure that any necessary safety action can be
instigated as soon as possible should critical safety factors be
identified.
The ATSB will release a Preliminary Factual report within about
30 days, however, should any critical safety issues emerge that
require urgent attention, the ATSB will immediately bring such
issues to the attention of the relevant authorities who are best
placed to take prompt action to address those issues and will
publish such information more broadly ahead of the Preliminary
report.
As I noted in the media conference earlier this week, we cannot
pre-empt the findings in relation to cabin safety issues and the
wearing of seatbelts, but this accident does serve as a salient
reminder to all people who travel by air of the importance of
keeping seatbelts fastened at all times when seated in an
aircraft.
Animated representation of relevant recorded
data
An animation of the incident was prepared using Insight
Animation software. A file containing the animation in Insight View
format (.isv) is available for download from the ATSB website. This
file requires the installation of an Insight Viewer that can be
downloaded from www.flightscape.com/products/view.php
at no charge (not Vista compatible).
Media Contact: George Nadal: 1200 020 616
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