SAFETY INVESTIGATION REPORT
Malaysia Airlines Boeing B777-200ER (9M-MRO) 08 March 2014
By The Malaysian ICAO Annex 13 Safety Investigation Team for MH370
Issued on 02 July 2018 MH370/01/2018
The Malaysian ICAO Annex 13 Safety Investigation Team for MH370 Email: MH370SafetyInvestigation@mot.gov.my
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SAFETY INVESTIGATION REPORT MH370 (9M-MRO) _________________________________________________________________________________
I. CONTENTS i - TABLE OF CONTENTS NO. I. II. III. IV. V. VI. VII. VIII IX TITLE i. Table of Contents ii. List of Appendices Synopsis Dedication Acknowledgement Objective Disclaimer Glossary of Terms Abbreviations and Codes The Malaysian ICAO Annex 13 Safety Investigation Team for MH370 TITLE FACTUAL INFORMATION PAGE/S i-xi xii-xiii xiv-xvii xviii xix xx xxi xxii-xxvii xxviii-xliii xliv-xlv
SECTION1.1 1.1.1 1.1.2 1.1.3
PAGE/S 1-273 1-21 1 3 3 3 6 15 17 18 18 19 19 20 20 22 23 24
HISTORY OF THE FLIGHT Introduction Actions by HCM ACC and KL ACC Diversion from Filed Flight Plan Route 1) Malaysian Military Radar 2) DCA Civilian Radar Data from Kota Bharu Sultan Ismail Petra Airport Runway 3) Ho Chi Minh Air Traffic Services 4) Kuala Lumpur ACC Radar 5) Medan Air Traffic Control Radar 6) Bangkok Air Traffic Control Radar 7) Singapore Air Traffic Services 1.1.4 Role of the Malaysian Military 1.1.5 Detection of Hand Phone Signal 1.1.6 Search for Aircraft 1.2 INJURIES TO PERSONS 1.3 DAMAGE TO AIRCRAFT 1.4 OTHER DAMAGES
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SAFETY INVESTIGATION REPORT MH370 (9M-MRO) _________________________________________________________________________________
SECTION 1.5 1.5.1 1.5.2 1.5.3
1.5.4 1.5.5 1.5.6 .
1.5.7 1.5.8 1.5.9 1.5.10 1.5.11 1.5.12 1.6 1.6.1 1.6.2 1.6.3 1.6.4
TITLE PERSONNEL INFORMATION Introduction Malaysia Airlines Training and Check Records Pilot-in-Command 1) Personal Profile of Pilot-in-Command 2) Royal Malaysia Police's Report on Flight Simulator of PIC First Officer 1) Personal Profile of First Officer Summary of Work Schedule for Flight Crew of MH370 Cabin Crew and Personal Profiles 1) In-flight Supervisor (IFS) 2) Chief Steward (CS) 3) Chief Stewardess (CSS) 4) Leading Steward (LS) 5) Leading Stewardess (LSS) 6) Flight Stewardess (FSS) 1 7) Flight Stewardess (FSS) 2 8) Flight Steward (FS) 1 9) Flight Steward (FS) 2 10) Flight Steward (FS) 3 Disciplinary/Administrative Actions Financial Background and Insurance Cover Significant Past Medical and Medication History Psychological and Social Events Behavioural Events Voice Recognition of the Radio Transmissions between MH370 and Air Traffic Control AIRCRAFT INFORMATION Airframe Engine Auxiliary Power Unit Airworthiness and Maintenance 1) Aircraft Maintenance Schedule 2) Major Repair 3) Cabin Configuration Change 4) Mandatory Occurrence Reports 5) Airworthiness Directives 6) Technical Log 7) Deferred Defects (Maintenance Report 2)
PAGE/S 25-38 25 25 26 26 27 29 30 30 30 31 31 32 32 33 33 34 34 35 35 36 36 36 37 37 38 39-95 39 39 39 40 40 44 45 45 46 47 48
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SAFETY INVESTIGATION REPORT MH370 (9M-MRO) _________________________________________________________________________________
SECTION TITLE 1.6.4 8) Engine Health Monitoring cont. 9) Central Maintenance Computing System 1.6.5 Weight and Balance 1.6.6 Fuel 1.6.7 Emergency Locator Transmitter 1) Review of Effectiveness of Emergency Locator Transmitters 1.6.8 Aircraft Systems Description 1) Air Conditioning and Pressurisation . 2) Autopilot Flight Director System a) Take-off Mode b) Roll Modes c) Pitch Modes d) Landing Modes e) Autothrottle (Thrust Management Computing Function) f) Autothrottle Modes 3) Electrical Power a) Electrical Load Management System b) Alternating Current Electrical System Power Sources c) Integrated Drive Generators d) Auxiliary Power Unit Generator e) Alternating Current Electrical Power Distribution f) Autoland g) Backup Alternating Current Electrical System h) Backup Generators i) Direct Current Electrical System j) Batteries k) Flight Control Direct Current Electrical System l) Standby Electrical System 4) Cabin and Cargo Compartments 5) Flight Controls 6) Fuel System 7) Hydraulics 8) Instrumentation 9) Airplane Information Management System 10) Navigation Systems 11) Oxygen Systems 12) Central Maintenance Computing System
PAGE/S 49 49 50 51 52 54 56 57 58 59 59 61 63 64 65 67 69 69 69 70 70 71 71 71 72 73 73 73 75 76 78 80 81 85 86 88 90
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