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  AO-2008-070: In-flight upset, 154 km west of Learmonth, WA, 7 October 2008, VH-QPA, Airbus A330-303

Aviation Safety Investigation Report - Preliminary

AO-2008-070: In-flight upset, 154 km west of Learmonth, WA, 7 October 2008, VH-QPA, Airbus A330-303

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Occurrence Details
Occurrence Number: 200806143 Location: 154 km west of Learmonth
Occurrence Date: 07 October 2008 State: WA
Occurrence Time: 1242 WST Highest Injury Level: Serious
Occurrence Category: Accident Investigation Type: Occurrence Investigation
Occurrence Class: Operational Investigation Status: Active
Occurrence Type: Aircraft Control Release Date: 14 November 2008
Injuries:CrewPassengerGroundTotal
Serious113014
Minor852060
None32380241
Total123030315

Aircraft Details
Aircraft Manufacturer:Airbus IndustrieAircraft Model:A330-303
Aircraft Registration:VH-QPASerial Number:0553
Type of Operation:High Capacity Air Transport
Damage to Aircraft:Minor
Departure Point:SingaporeDeparture Time:0932 WST
Destination:Perth WA
Crew Details:RoleClass of LicenceHours on TypeHours Total
 Pilot-in-CommandATPL2,45313,592
 Co-Pilot/1st OfficerATPL1,87011,650
 Second OfficerCommercial4802,070

At 0932 local time (0132 UTC) on 7 October 2008, an Airbus A330-303 aircraft, registered VH-QPA, departed Singapore on a scheduled passenger transport service to Perth, Australia. On board the aircraft (operating as flight number QF72) were 303 passengers, nine cabin crew and three flight crew. At 1240:28, while the aircraft was cruising at 37,000 ft, the autopilot disconnected. That was accompanied by various aircraft system failure indications. At 1242:27, while the crew was evaluating the situation, the aircraft abruptly pitched nose-down. The aircraft reached a maximum pitch angle of about 8.4 degrees nose-down, and descended 650 ft during the event. After returning the aircraft to 37,000 ft, the crew commenced actions to deal with multiple failure messages. At 1245:08, the aircraft commenced a second uncommanded pitch-down event. The aircraft reached a maximum pitch angle of about 3.5 degrees nose-down, and descended about 400 ft during this second event.

At 1249, the crew made a PAN emergency broadcast to air traffic control, and requested a clearance to divert to and track direct to Learmonth. At 1254, after receiving advice from the cabin crew of several serious injuries, the crew declared a MAYDAY. The aircraft subsequently landed at Learmonth at 1350.

Currently available information indicates that one flight attendant and at least 13 passengers were seriously injured and many others experienced less serious injuries. Most of the injuries involved passengers who were seated without their seatbelts fastened. This constituted an accident under the ICAO definition outlined in Annex 13 to the Chicago Convention and as defined in the Transport Safety Investigation Act 2003.

Examination of flight data recorder information indicates that, at the time the autopilot disconnected, there was a fault with the inertial reference (IR) part of the air data inertial reference unit (ADIRU) number 1. From that time, there were many spikes in the recorded parameters from the air data reference (ADR) and IR parts of ADIRU 1. Two of the angle-of-attack spikes appear to have been associated with the uncommanded pitch-down movements of the aircraft.

The investigation is continuing.

Download complete report [PDF 1.2 MB]


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Last Updated: 14 November, 2008