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Malaysia Airlines flight MH370*

What went wrong ?


By
Aerotunisie.com Vice-Manager

* Vanished in the indian ocean in March the 3rd 2014

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started in 2012.
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Over 200K page views and
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AeroDAY14 Mai the 03rd 2014

Malaysia Airlines flight MH370 What went wrong ?

Plan
Motivation
1. Good airline, Good airliner
2. Things you need to know
3. What happened ?
4. Possible Scenarios
5. Most possible Scenario
6. J. Reasons Swiss Cheese Model
Conclusion
AeroDAY14 Mai the 03rd 2014

Malaysia Airlines flight MH370 What went wrong ?

Motivation

AeroDAY14 Mai the 03rd 2014

Malaysia Airlines flight MH370 What went wrong ?

Motivation
The MH370 flight makes the headlines of worldwide press.
People start to ask questions about the sudden vanishing
of the aircraft : rumour, inaccurate news
Democratize some basics about aircraft functions and air
transport safety.

AeroDAY14 Mai the 03rd 2014

Malaysia Airlines flight MH370 What went wrong ?

1. Good airline, Good airliner

AeroDAY14 Mai the 03rd 2014

Malaysia Airlines flight MH370 What went wrong ?

1. Good airline, Good airliner


Good airline

The Malaysia Airlines is one of


the best compagnies in south east of Asia.
Fleet of 108 aircrafts, 14 of which are Boeing 777-200ER.

61 destinations are served.


Only two fatal crashs occured in 67 years of service : 134
are killed.
AeroDAY14 Mai the 03rd 2014

Malaysia Airlines flight MH370 What went wrong ?

1. Good airline, Good airliner


Good airliner
The biggest wide-body
twin-engine jet airliner
in the world.

1 147 units have been delivered, 1 473 units on order.

Fully computerized, huge engines, world records of longest


non-stop distance flown
Very strong safety record : until 2014, Not a single disaster
AeroDAY14 Mai the 03rd 2014

Malaysia Airlines flight MH370 What went wrong ?

2. Things you need to know

AeroDAY14 Mai the 03rd 2014

Malaysia Airlines flight MH370 What went wrong ?

2. Things you need to know


Radio Communication System

Each aircraft has several radio sets : the Boeing B777 has 5.

Use VHF or HF
frequencies.
Can be used in Data
mode or Voice mode.

AeroDAY14 Mai the 03rd 2014

Malaysia Airlines flight MH370 What went wrong ?

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0

2. Things you need to know


SATCOM System

Use VHF, HF frequencies and satellite channels.

Can be used for both voice and data transmission.


Provide many services : ATIS messages, ATC instructions,
operations messages, ACARS.
Operated with a MFD central panel.
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2. Things you need to know


Primary surveillance radar

Every Aircraft has a radar signature (even birds!! )

Radars can see objects in the sky and assign for each a
point in the radar scope without any identification.
Radar operator can monitor only the position and the
speed of aircrafts in regular time lapse.
Used today for emergencies and training.
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2. Things you need to know


Primary surveillance radar

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2. Things you need to know


Secondary surveillance radar

With the help of a Transponder, an aircraft transmits vital


navigation informations.
Allows to monitor an increasing number of planes at once.

Compare Aircraft navigation with planned flight plan.


Each aircraft is identified with a 4 digit Code (exp : 7700 )
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2. Things you need to know


Secondary surveillance radar

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3. What happened ?

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Malaysia Airlines flight MH370 What went wrong ?

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6

Last
Handshake
ping
08:11MYT

Lost Transponder.
01:21MYT
Lost Radar
02:15MYT

CRUISING
Last ACARS
Last ATC
01:19MYT

TAKE-OFF
00:41MYT
17

3. What happened ?
Why is it so mysterious ?

Only 2 minutes between the last Voice contact and the


start of contact systems shutdown !
No sign of an emergency or alert indication before the
crew radio silence.
No attempt to land in nearest airport or flying back to K.L.
ACARS pings were still responding after 6 hours.
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3. What happened ?

Search.. and we search again

3, 000, 000 square miles


is the surface of
search operations !!

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3. What happened ?
What we are looking for ?
Crash site (wreckage)

2 Black Boxes (CVR & DFDR ).


Engines
Wires
Fuselage remains
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3. What happened ?
Availables informations

Primary/Secondary Radar informations.

ATC conversations.
Aircraft maintenance history and other B777 in the fleet.
Pilots/Crew/Passengers backgrounds.
Possible flight path (ACARS)
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4. Possible Scenarios

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Malaysia Airlines flight MH370 What went wrong ?

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2

4. Possible Scenarios

Why Hijacking can be the cause ?


Two passengers have boarded with 2 stolen passports.

Systems shutdown, silent navigation.


No radio communication.
Aircraft still flying for extra 6 hours.
Its not the first time: B737 Flight 653 in 1977.
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4. Possible Scenarios

Exemples of Hijacking accidents


9/11 events : 4 aircrafts have been hijacked
and turned toward four targets.
Ethiopian Airlines Flight 961.

Federal Express
Flight 705.

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4. Possible Scenarios

Why Hijacking cant be the cause ?


Possible Hijackers dont belong to any terrorist group.

They should be trained to ask pilots to shutdown systems


or/and they did it by themselves. ( circuit breakers )
What were their intentions ?

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4. Possible Scenarios
Other scenarios..

Cyber Hijack ( electronic signal jam ).

Explosive decompression (Bomb, Fuselage Fatigue).


Missile strike.
Suicide

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5. Most possible Scenario

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Malaysia Airlines flight MH370 What went wrong ?

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7

5. Most possible Scenario


Electric system failure..

Electric system failure caused by wire sparks ( or fire ) can


explain the shutdown of transponder and the malfunction
of ACARS, radios..
Navigation systems and MFD screens could be disabled
too.
Dark night without a moon has conducted to fly the plan in
blind configuration and cause Vertigo to pilots.
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TAKO-OFF
00:41

Climbing
00:50

Wire Sparks
00:55

Cruising
01:01

Possible Fire
01:05

Last ACARS
01:07

Last ATC Good night MH370


01:19

Lost transponder and ADS-B


01:21

Other pilots try to establish contact


01:30

Lost ACARS
01:37

ALL MFD Screens go black


01:40

Lost of altitude
02:00

Lost Primary Radar signature


02:14

Satellites continue to receive pings


until 08:11

Crash in the south of indian ocean


+08:20

6. J. Reasons Swiss
Cheese Model

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Malaysia Airlines flight MH370 What went wrong ?

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4

A series of Human Factor problems forms an error chain.


If any one of the links in this chain had been broken the
incident may have been prevented. It might be done by
building in measures/defences, which may not permit an
error at one or more of the stages
- James T Reason -

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6. J. Reasons Swiss Cheese Model


Maintenance

Aircraft

CRASH
Airport

ATC

AeroDAY14 Mai the 03rd 2014

Pilots

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Conclusion

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7

Conclusion
Investigators could never solve the tragedy until they found
solid clues such CVR, DFDR or wreckage.
Fire on board is a strong possible cause of electronic
systems loss.
Flying Blind ( no light, dark night ) causes navigation
problems.
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Thank you !

Manager : Nidhal CHOGRANI


nidhal.chograni@aerotunisie.com
contact@aerotunisie.com
Tl : (+216) 20 738 378
Vice-Manager : Khaled TOUEL
khaled.touel@aerotunisie.com
Tl : (+216) 97 87 90 06

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