UPS航空6号班机事故分析报告.pdf

AAIS Case Reference: 13/2010 AIR ACCIDENT INVESTIGATION SECTOR FINAL AIR ACCIDENT INVESTIGATION REPORT Uncontained Cargo Fire Leading to Loss of Control Inflight and Uncontrolled Descent Into Terrain Boeing 747-44AF N571UP Dubai United Arab Emirates 03 September 2010 General Civil Aviation Authority of the United Arab Emirates Accident Investigation Sector General Civil Aviation Authority United Arab Emirates AIR ACCIDENT INVESTIGATION SECTOR STATEMENT THIS INVESTIGATION HAS BEEN CARRIED OUT IN ACCORDANCE WITH THE UNITED ARAB EMIRATES CIVIL AVIATION REGULATION CAR PART VI CHAPTER 3 AND ICAO ANNEX 13 TO THE CONVENTION ON INTERNATIONAL CIVIL AVIATION. THE SOLE OBJECTIVE O F THE INVESTIGATION OF INTO THIS ACCIDENT IS THE PREVENTION OF FUTURE AIRCRAFT ACCIDENTS AND INCIDENTS. IT IS NOT BE THE PURPOSE OF THIS INVESTIGATION TO APPORTION BLAME OR LIABILITY. 2 TABLE OF CONTENTS INTRODUCTION 8 REPORT ORGANISATION 8 ACCIDENT SYNOPSIS 10 INDEX OF TABLES/PHOTOS/DIAGRAMS 15 FLIGHT TRACK AND ELASPED TIME FOR KEY EVENTS 19 1. FACTUAL INFORMATION 20 Accident/Incident Data Reporting [ADREP] Classifications: 21 1.1 History of the Flight 22 15:14[01]:Inflight Turn Back/Emergency Descent 24 15:15[02]:Arming and Activation of the Fire Suppression System 24 15:15[02]:Crew Don Oxygen Masks/Intra-cockpit Communication 24 15:15 to 15:16[02]:Pitch Control Anomalies 25 15:17[04]:Smoke in the Cockpit-Reduced Visibility Due to Smoke 26 15:18[05]:Flight Management Computer [FMC] Input