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III
3. CONCLUSIONS…………………………………………………………………….49
3.1. Findings ……………………………………………………………………...49
3.2. Cause ………………………………………………………………………...52
3.3. Contributing Factors ……………………………………………………….52
4. SAFETY RECOMMENDATIONS ………………………………………………..53
5. APPENDICES
Appendix 1 - Area Route Chart
Appendix 2 - Plot of Aircraft Track
Appendix 3 - Plot of DFDR Data
Appendix 4 - Track of Tropical Depression/Storm ‘Koni’
Appendix 5 - GOES-9 Infra-red Satellite Picture
Appendix 6 - WAFC Significant Weather Forecast Chart
Appendix 7 - Record of Traffic Operated in the Vicinity of NOBEN
Appendix 8 - Dragonair A330 Operational Notice 75/02 – Turbulent Air
Appendix 9 - Dragonair A330 Operational Notice 59/03 – Turbulent Air
Appendix 10 - Extract from FCOM 3.04.34 Page 3 – 5
Appendix 11 - Extract from FCOM 3.03.15 Page 2
Appendix 12 - Extract from A320/A321/A330 Operations Manual,
Volume 8 – Company Instruction on Weather Radar
Appendix 13 - Extract from A320/A321/A330 Operations Manual,
Volume 12 – Crew Instruction on DFDR/CVR/QAR
Recordings
i
GLOSSARY
α Angle of attack
αprot Angle of attack protection flight control law
° Degree(s)
°M Degree(s) Magnetic
AP Autopilot
ATC Air Traffic Control
ATPL Airline Transport Pilot Licence
CAD Civil Aviation Department
CB Cumulonimbus Cloud
cm Centimetres
CP Chief Purser
CPL Commercial Pilot Licence
CRM Crew Resource Management
CVR Cockpit Voice Recorder
DFDR Digital Flight Data Recorder
ECAM Electronic Centralized Aircraft Monitoring
FCOM Flight Crew Operating Manual
FIR Flight Information Region
FL Flight Level
FLT Flight
FMS Flight Management System
FSBS Fasten Seat Belt Signs
GOES-9 Geostationary Operational Environmental Satellite-9
HKIA Hong Kong International Airport
IMC Instrument Meteorological Conditions
JMA Japan Meteorological Agency
M Mach Number
MAC Mean Aerodynamic Chord
MB Megabyte
METAR Aviation Routine Weather Report
MHz Megahertz
Mmo Maximum Operating Mach Number
ii
MO Magneto-Optical
MOD Moderate
ND Navigation Display
NEDIS National Environmental Satellite Data and Information Service
NM Nautical Miles
PA Public Address
PF Pilot Flying
PIC Pilot-in-Command
PN Part Number
PNF Pilot Not Flying
QAR Quick Access Recorder
QRH Quick Reference Handbook
SEV Severe
SIGMET Significant Meteorological Warning
SOP Standard Operating Procedure
SP Senior Purser
TAF Aerodrome Forecast
Turb Turbulence
US NOAA United States National Oceanic and Atmospheric Administration
UTC Universal Time Co-ordinated
VHF Very High Frequency
Vls Lowest Selectable Speed
Vmo Maximum Operating Speed
Wx Weather
WAFC World Area Forecast Centre
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ACCIDENT INVESTIGATION DIVISION
CIVIL AVIATION DEPARTMENT
Aircraft Accident Report
Operator : Hong Kong Dragon Airlines Limited
Aircraft Type : Airbus A330-342
Registration : B-HYA
Flight Number : HDA060
Place of Accident : 14 NM north-northeast of Reporting Point
NOBEN within Manila FIR
Latitude: 13∘00’ N
Longitude: 116∘51.3’ E
Flight Level 410
Date and Time : 18 July 2003 at 0510 UTC (daylight)
All times in this report are in UTC.
SYNOPSIS
On 18 July 2003, a passenger flight, HDA060, was enroute from Kota Kinabalu to Hong
Kong along Route M754 within the Manila FIR cruising at Flight Level (FL) 410. Prompted
by weather returns displayed on the weather radar, the flight crew requested permission from
Air Traffic Control (ATC) in Manila to deviate right of track to avoid weather. Soon after
commencement of the track deviation, the aircraft encountered severe turbulence1. At the
time of the occurrence, the Fasten Seat Belt Signs (FSBS) were selected ON and all
　
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