Appendix A | Personnel involved in the investigation |
Figure B-1 | Boeing 747 - 121 Leading dimensions |
Figure B-2 | Forward fuselage station diagram |
Figure B-3 | Network of interlinked cavities |
Figure B-4 | Plot of wreckage trails |
Figure B-5, Figure B-6 Figure B-7 Figure B-8 | Photographs of model of aircraft |
Figure B-9 | Photograph of nose and flight deck |
Figure B-10, Figure B-11,Figure B12, Figure B-13 | Distribution of major wreckage items located in the southern trail |
Figure B-14 | Photograph of two-dimensional layout at Longtown |
Figure B-15 | Detail of shatter zone of fuselage |
Figure B-16 Figure B-17 | Photographs of three-dimensional reconstruction |
Figure B-18 | Plot of floor damage in area of explosion |
Figure B-19 | Explosive damage - left side |
Figure B-20 | Explosive damage - right side |
Figure B-21 | Skin fracture plot |
Figure B-22 | Photographs of spar cap embedded in fuselage |
Figure B-23 | Initial damage to tailplane |
Figure B-24 | Fuselage initial damage sequence |
Figure B-25 | Incident shock & region of Mach stem propagation |
Figure B-26 | Potential shock & explosive gas propagation paths |
Appendix C | Analysis of recorded data |
Figure C-1 Figure C-2 Figure C-3 Figure C-4 Figure C-5 Figure C-6 Figure C-7 Figure C-8 Figure C-9A Figure C-9B Figure C-9C Figure C-9D Figure C-10 Figure C-11 Figure C-12 Figure C-13 Figure C-14 Figure C-15 Figure C-16 Figure C-17 Figure C-18 Figure C-19 Figure C-20 Figure C-21 Figure C-22 Figure C-23 | |
Appendix D | Critical crack calculations |
Appendix E | Potential remedial measures |
Appendix E - Figure E-1 | |
Appendix F | Baggage container examination and reconstruction |
Figure F-1 Figure F-2 Figure F-3 Figure F-4 Figure F-5 Figure F-6 Figure F-7 Figure F-8 Figure F-9 Figure F-10 Figure F-11 Figure F-12 Figure F-13 | |
Appendix G | Mach stem shock wave effects |
Figure G-1 |
Operator: | Pan American World Airways | |
Aircraft Type: | Boeing 747-121 | |
Nationality: | United States of America | |
Registration: | N 739 PA | |
Place of Accident | Lockerbie, Dumfries, Scotland | |
Latitude | 55° 07' N | |
Longitude | 003° 21' W | |
Date and Time (UTC): | 21 December 1988 at 19.02:50 hrs | |
All times in this report are UTC |
SYNOPSIS
The accident was notified to the Air Accidents Investigation Branch
at 19.40 hrs on the 21 December 1988 and the investigation commenced
that day. The members of the AAIB team are listed at Appendix
A.
The aircraft, Flight PA103 from London Heathrow to New York, had
been in level cruising flight at flight level 310 (31,000 feet)
for approximately seven minutes when the last secondary radar
return was received just before 19.03 hrs. The radar then showed
multiple primary returns fanning out downwind. Major portions
of the wreckage of the aircraft fell on the town of Lockerbie
with other large parts landing in the countryside to the east
of the town. Lighter debris from the aircraft was strewn along
two trails, the longest of which extended some 130 kilometres
to the east coast of England. Within a few days items of wreckage
were retrieved upon which forensic scientists found conclusive
evidence of a detonating high explosive. The airport security
and criminal aspects of the accident are the subject of a separate
investigation and are not covered in this report which concentrates
on the technical aspects of the disintegration of the aircraft.
The report concludes that the detonation of an improvised explosive
device led directly to the destruction of the aircraft with the
loss of all 259 persons on board and 11 of the residents of the
town of Lockerbie. Five recommendations are made of which four
concern flight recorders, including the funding of a study to
devise methods of recording violent positive and negative pressure
pulses associated with explosions. The final recommendation is
that Airworthiness Authorities and aircraft manufacturers undertake
a systematic study with a view to identifying measures that might
mitigate the effects of explosive devices and improve the tolerance
of the aircraft's structure and systems to explosive damage.
1. FACTUAL INFORMATION
1.1 History of the Flight
Boeing 747, N739PA, arrived at London Heathrow Airport from San
Francisco and parked on stand Kilo 14, to the south-east of Terminal
3. Many of the passengers for this aircraft had arrived at Heathrow
from Frankfurt, West Germany on a Boeing 727, which was positioned
on stand Kilo 16, next to N739PA. These passengers were transferred
with their baggage to N739PA which was to operate the scheduled
Flight PA103 to New York Kennedy. Passengers from other flights
also joined Flight PA103 at Heathrow. After a 6 hour turnround,
Flight PA103 was pushed back from the stand at 18.04 hrs and was
cleared to taxy on the inner taxiway to runway 27R. The only relevant
Notam warned of work in progress on the outer taxiway. The departure
was unremarkable.
Flight PA103 took-off at 18.25 hrs. As it was approaching the
Burnham VOR it took up a radar heading of 350° and flew below
the Bovingdon holding point at 6000 feet. It was then cleared
to climb initially to flight level (FL) 120 and subsequently to
FL 310. The aircraft levelled off at FL 310 north west of Pole
Hill VOR at 18.56 hrs. Approximately 7 minutes later, Shanwick
Oceanic Control transmitted the aircraft's oceanic clearance but
this transmission was not acknowledged. The secondary radar return
from Flight PA103 disappeared from the radar screen during this
transmission. Multiple primary radar returns were then seen fanning
out downwind for a considerable distance. Debris from the aircraft
was strewn along two trails, one of which extended some 130 km
to the east coast of England. The upper winds were between 250°
and 260° and decreased in strength from 115 kt at FL 320
to 60 kt at FL 100 and 15 to 20 kt at the surface.
Two major portions of the wreckage of the aircraft fell on the
town of Lockerbie; other large parts, including the flight deck
and forward fuselage section, landed in the countryside to the
east of the town. Residents of Lockerbie reported that, shortly
after 19.00 hrs, there was a rumbling noise like thunder which
rapidly increased to deafening proportions like the roar of a
jet engine under power. The noise appeared to come from a meteor-like
object which was trailing flame and came down in the north-eastern
part of the town. A larger, dark, delta shaped object, resembling
an aircraft wing, landed at about the same time in the Sherwood
area of the town. The delta shaped object was not on fire while
in the air, however, a very large fireball ensued which was of
short duration and carried large amounts of debris into the air,
the lighter particles being deposited several miles downwind.
Other less well defined objects were seen to land in the area.
1.2 Injuries to persons
1.3 Damage to aircraft
The aircraft was destroyed
1.4 Other damage
The wings impacted at the southern edge of Lockerbie, producing
a crater whose volume, calculated from a photogrammetric survey,
was approximately 560 cubic metres. The weight of material displaced
by the wing impact was estimated to be well in excess of 1500
tonnes. The wing impact created a fireball, setting fire to neighbouring
houses and carrying aloft debris which was then blown downwind
for several miles. It was subsequently established that domestic
properties had been so seriously damaged as a result of fire and/or
impact that 21 had to be demolished and an even greater number
of homes required substantial repairs. Major portions of the aircraft,
including the engines, also landed on the town of Lockerbie and
other large parts, including the flight deck and forward fuselage
section, landed in the countryside to the east of the town. Lighter
debris from the aircraft was strewn as far as the east coast of
England over a distance of 130 kilometres.
1.5 Personnel information
1.5.1 | Commander: | Male, aged 55 years |
Licence: | USA Airline Transport Pilot's Licence | |
Aircraft ratings: | Boeing 747, Boeing 707, Boeing 720, Lockheed L1011 and Douglas DC3 | |
Medical Certificate: | Class 1,valid to April 1989, with the limitation that the holder shall wear lenses that correct for distant vision and possess glasses that correct for near vision |
Flying experience: | |
Total all types: | 10,910 hours |
Total on type: | 4,107 hours |
Total last 28 days | 82 hours |
Duty time: | Commensurate with company requirements |
Last base check: | 11 November 1988 |
Last route check: | 30 June 1988 |
Last emergencies check: | 8 November 1988 |
1.5.2 | Co-pilot: | Male, aged 52 years |
Licence: | USA Airline Transport Pilot's Licence | |
Aircraft ratings: | Boeing 747, Boeing 707, Boeing 727 | |
Medical Certificate: | Class 1, valid to April 1989, with the limitation that the holder shall possess correcting glasses for near vision | |
Flying experience: | ||
Total all types: | 11,855 hours | |
Total on type: | 5,517 hours | |
Total last 28 days: | 51 hours | |
Duty time: | Commensurate with company requirements | |
Last base check: | 30 November 1988 | |
Last route check: | Not required | |
Last emergencies check: | 27 November 1988 |
1.5.3 | Flight Engineer: | Male, aged 46 years |
Licence: | USA Flight Engineer's Licence | |
Aircraft ratings: | Turbojet | |
Medical certificate: | Class 2, valid to June 1989, with the limitation that the holder shall wear correcting glasses for near vision | |
Flying experience: | ||
Total all types: | 8,068 hours | |
Total on type: | 487 hours | |
Total last 28 days: | 53 hours | |
Duty time: | Commensurate with company requirements | |
Last base check: | 30 October 1988 | |
Last route check: | Not required | |
Last emergencies check: | 27 October 1988 |
1.5.4 Flight Attendants: There were 13 Flight Attendants on the aircraft, all of whom met company proficiency and medical requirements
1.6.1 | Leading particulars | |
Aircraft type: | Boeing 747-121 | |
Constructor's serial number: | 19646 | |
Engines: | 4 Pratt and Whitney JT9D-7A turbofan |
1.6.2 General description
The Boeing 747 aircraft, registration N739PA, was a conventionally
designed long range transport aeroplane. A diagram showing the
general arrangement is shown at Appendix B, Figure B-1 together
with the principal dimensions of the aircraft.
The fuselage of the aircraft type was of approximately circular
section over most of its length, with the forward fuselage having
a diameter of 21 feet where the cross-section was constant.
The pressurised section of the fuselage (which included the forward
and aft cargo holds) had an overall length of 190 feet, extending
from the nose to a point just forward of the tailplane. In normal
cruising flight the service pressure differential was at the maximum
value of 8.9 pounds per square inch. The fuselage was of conventional
skin, stringer and frame construction, riveted throughout, generally
using countersunk flush riveting for the skin panels. The fuselage
frames were spaced at 20 inch intervals and given the same numbers
as their stations, defined in terms of the distance in inches
from the datum point close to the nose of the aircraft [Appendix
B, Figure B-2]. The skin panels were joined using vertical butt
joints and horizontal lap joints. The horizontal lap joints used
three rows of rivets together with a cold bonded adhesive.
Accommodation within the aircraft was predominately on the main
deck, which extended throughout the whole length of the pressurised
compartment. A separate upper deck was incorporated in the forward
part of the aircraft. This upper deck was reached by means of
a spiral staircase from the main deck and incorporated the flight
crew compartment together with additional passenger accommodation.
The cross-section of the forward fuselage differed considerably
from the near circular section of the remainder of the aircraft,
incorporating an additional smaller radius arc above the upper
deck section joined to the main circular arc of the lower cabin
portion by elements of straight fuselage frames and flat skin.
In order to preserve the correct shape of the aircraft under pressurisation
loading, the straight portions of the fuselage frames in the region
of the upper deck floor and above it were required to be much
stiffer than the frame portions lower down in the aircraft. These
straight sections were therefore of very much more substantial
construction than most of the curved sections of frames lower
down and further back in the fuselage. There was considerable
variation in the gauge of the fuselage skin at various locations
in the forward fuselage of the aircraft.
The fuselage structure of N739PA differed from that of the majority
of Boeing 747 aircraft in that it had been modified to carry special
purpose freight containers on the main deck, in place of seats.
This was known as the Civil Reserve Air Fleet (CRAF) modification
and enabled the aircraft to be quickly converted for carriage
of military freight containers on the main deck during times of
national emergency. The effect of this modification on the structure
of the fuselage was mainly to replace the existing main deck floor
beams with beams of more substantial cross-section than those
generally found in passenger carrying Boeing 747 aircraft. A large
side loading door, generally known as the CRAF door, was also
incorporated on the left side of the main deck aft of the wing.
Below the main deck, in common with other Boeing 747 aircraft,
were a number of additional compartments, the largest of which
were the forward and aft freight holds used for the storage of
cargo and baggage in standard air-transportable containers. These
containers were placed within the aircraft hold by means of a
freight handling system and were carried on a system of rails
approximately 2 feet above the outer skin at the bottom of the
aircraft, there being no continuous floor, as such, below these
baggage containers. The forward freight compartment had a length
of approximately 40 feet and a depth of approximately 6 feet.
The containers were loaded into the forward hold through a large
cargo door on the right side of the aircraft.
1.6.3 Internal fuselage cavities
Because of the conventional skin, frame and stringer type of construction,
common to all large public transport aircraft, the fuselage was
effectively divided into a series of 'bays'. Each bay, comprising
two adjacent fuselage frames and the structure between them, provided,
in effect, a series of interlinking cavities bounded by the frames,
floor beams, fuselage skins and cabin floor panels etc. The principal
cavities thus formed were:
(i) | A semi-circular cavity formed in between the fuselage frames in the lower lobe of the hull, i.e. from the crease beam (at cabin floor level) on one side down to the belly beneath the containers and up to the opposite crease beam, bounded by the fuselage skin on the outside and the containers/cargo liner on the inside [Appendix B, Figure B-3, detail A]. |
(ii) | A horizontal cavity between the main cabin floor beams, the cabin floor panels and the cargo bay liner. This extended the full width of the fuselage and linked the upper ends of the lower lobe cavity [Appendix B, Figure B-3, detail B]. |
(iii) | A narrow vertical cavity between the two containers [Appendix B, Figure B-3, detail C]. |
(iv) | A further narrow cavity around the outside of the two containers, between the container skins and the cargo bay liner, communicating with the lower lobe cavity [Appendix B, Figure B-3, detail D]. |
(v) | A continuation of the semi-circular cavity into the space behind the cabin wall liner [Appendix B, Figure B-3, detail E]. This space was restricted somewhat by the presence of the window assembly, but nevertheless provided a continuous cavity extending upwards to the level of the upper deck floor. Forward of station 740, this cavity was effectively terminated at its upper end by the presence of diaphragms which formed extensions of the upper deck floor panels; aft of station 740, the cavity communicated with the ceiling space and the cavity in the fuselage crown aft of the upper deck. |
All of these cavities were repeated at each fuselage bay (formed
between pairs of fuselage frames), and all of the cavities in
a given bay were linked together, principally at the crease beam
area [Appendix B, Figure B-3, region F]. Furthermore, each of
the set of bay cavities was linked with the next by the longitudinal
cavities formed between the cargo hold liner and the outer hull,
just below the crease beam [Appendix B, Figure B-3, detail F];
i.e. this cavity formed a manifold linking together each of the
bays within the cargo hold.
The main passenger cabin formed a large chamber which communicated
directly with each of the sub floor bays, and also with the longitudinal
manifold cavity, via the air conditioning and cabin/cargo bay
de-pressurisation vent passages in the crease beam area. (It should
be noted that a similar communication did not exist between the
upper and lower cabins because there were no air conditioning/depressurisation
passages to bypass the upper deck floor.)
1.6.4 Aircraft weight and centre of gravity
The aircraft was loaded within its permitted centre of gravity
limits as follows:
Loading: | lb | kg |
Operating empty weight | 366,228 | 166,120 |
Additional crew | 130 | 59 |
243 passengers (1) | 40,324 | 18,291 |
Load in compartments: | ||
1 | 11,616 | 5,269 |
2 | 20,039 | 9,090 |
3 | 15,057 | 6,830 |
4 | 17,196 | 7,800 |
5 | 2,544 | 1,154 |
Total in compartments (2) | 66,452 | 30,143 |
Total traffic load | 106,776 | 48,434 |
Zero fuel weight | 472,156 | 214,554 |
Fuel (Take-off) | 239,997 | 108,862 |
Actual take-off weight(4) | 713,002 | 323,416 |
Maximum take-off weight | 733,992 | 332,937 |
Note 1:
Calculated at standard weights and including cabin baggage.
Note 2:
Despatch information stated that the cargo did not include dangerous
goods, perishable cargo, live animals or known security exceptions.
1.6.5 Maintenance details
N739PA first flew in 1970 and spent its whole service life in
the hands of Pan American World Airways Incorporated. Its Certificate
of Airworthiness was issued on 12 February 1970 and remained in
force until the time of the accident, at which time the aircraft
had completed a total of 72,464 hours flying and 16,497 flight
cycles. Details of the last 4 maintenance checks carried out during
the aircraft's life are shown below:
The CRAF modification programme was undertaken in September 1987.
At the same time a series of modifications to the forward fuselage
from the nose back to station 520 (Section 41) were carried out
to enable the aircraft to continue in service without a continuing
requirement for structural inspections in certain areas.
All Airworthiness Directives relating to the Boeing 747 fuselage
structure between stations 500 and 1000 have been reviewed and
their applicability to this aircraft checked. In addition, Service
Bulletins relating to the structure in this area were also reviewed.
The applicable Service Bulletins, some of which implement the
Airworthiness Directives are listed below together with their
subjects. The dates, total aircraft times and total aircraft cycles
at which each relevant inspection was last carried out have been
reviewed and their status on aircraft N739PA at the time of the
accident has been established.
N739PA Service Bulletin compliance:
SB 53-2064 | Front Spar Pressure Bulkhead Chord Reinforcement and Drag Splice Fitting Rework. |
Modification accomplished on 6 July 1974. | |
Post-modification repetitive inspection IAW (in accordance with) AD 84-18-06 last accomplished on 19 November 1985 at 62,030 TAT hours (Total Aircraft Time) and 14,768 TAC (Total Aircraft Cycles). | |
SB 53-2088 | Frame to Tension Tie Joint Modification - BS760 to 780. |
Repetitive inspection IAW AD 84-19-01 last accomplished on 19 June 1985 at 60,153 hours TAT and 14,436 TAC. | |
SB 53-2200 | Lower Cargo Doorway Lower Sill Truss and Latch Support Fitting Inspection Repair and Replacement. |
Repetitive inspection IAW AD 79-17-02 R2 last accomplished 2 November 1988 at 71,919 hours TAT and 16,406 TAC. | |
SB 53-2234 | Fuselage - Auxiliary Structure - Main Deck Floor - BS 480 Floor Beam Upper Chord Modification. |
Repetitive inspection per SB 53A2263 IAW AD 86-23-06 last accomplished on 26 September 1987 at 67,376 hours TAT and 15,680 TAC. | |
SB 53-2237 | Fuselage - Main Frame - BS 540 thru 760 and 1820 thru 1900 Frame Inspection and Reinforcement. |
Repetitive inspection IAW AD 86-18-01 last accomplished on 27 February 1987 at 67,088 hours TAT and 15,627 TAC. | |
SB 53-2267 | Fuselage - Skin - Lower Body Longitudinal Skin Lap Joint and Adjacent Body Frame Inspection and Repair. |
Terminating modification accomplished 100% under wing-to-body fairings and approximately 80% in forward and aft fuselage sections on 26 September 1987 at 67,376 hours TAT and 15,680 TAC. | |
Repetitive inspection of unmodified lap joints IAW AD 86-09-07 R1 last accomplished on 18 August 1988 at 71,043 hours TAT and 16,273 TAC. | |
SB 53A2303 | Fuselage - Nose Section - station 400 to 520 Stringer 6 Skin Lap Splice Inspection, Repair and Modification. |
Repetitive inspection IAW AD 89-05-03 last accomplished on 26 September 1987 at 67,376 hours TAT and 15,680 TAC. |
This documentation, when viewed together with the detailed content
of the above service bulletins, shows the aircraft to have been
in compliance with the requirements laid down in each of those
bulletins. Some maintenance items were outstanding at the time
the aircraft was despatched on the last flight, however, none
of these items relate to the structure of the aircraft and none
had any relevance to the accident.
1.7 Meteorological Information
1.7.1 General weather conditions
An aftercast of the general weather conditions in the area of
Lockerbie at about 19.00 hrs was obtained from the Meteorological
Office, Bracknell. The synoptic situation included a warm sector
covering northern England and most of Scotland with a cold front
some 200 nautical miles to the west of the area moving eastwards
at about 35 knots. The weather consisted of intermittent rain
or showers. The cloud consisted of 4 to 6 oktas of stratocumulus
based at 2,200 feet with 2 oktas of altocumulus between 15,000
and 18,000 feet. Visibility was over 15 kilometers and the freezing
level was at 8,500 feet with a sub-zero layer between 4,000 and
5,200 feet.
1.7.2 Winds
There was a weakening jet stream of around 115 knots above Flight
Level 310. From examination of the wind profile (see below), there
appeared to be insufficient shear both vertically and horizontally
to produce any clear air turbulence but there may have been some
light turbulence.
Flight Level | Wind |
320 | 260°/115 knots |
300 | 260°/ 90 knots |
240 | 250°/ 80 knots |
180 | 260°/ 60 knots |
100 | 250°/ 60 knots |
050 | 260°/ 40 knots |
Surface | 240°/ 15 to 20 gusting 25 to 30 knots |
1.8 Aids to navigation
Not relevant.
1.9 Communications
The aircraft communicated normally on London Heathrow aerodrome,
London control and Scottish control frequencies. Tape recordings
and transcripts of all radio telephone (RTF) communications on
these frequencies were available.
At 18.58 hrs the aircraft established two-way radio contact with
Shanwick Oceanic Area Control on frequency 123.95 MHz. At 19.02:44
hrs the clearance delivery officer at Shanwick transmitted to
the aircraft its oceanic route clearance. The aircraft did not
acknowledge this message and made no subsequent transmission.
1.9.1 ATC recording replay
Scottish Air Traffic Control provided copy tapes with time injection
for both Shanwick and Scottish ATC frequencies. The source of
the time injection on the tapes was derived from the British Telecom
"TIM" signal.
The tapes were replayed and the time signals corrected for errors
at the time of the tape mounting.
1.9.2 Analysis of ATC tape recordings
From the cockpit voice recorder (CVR) tape it was known that Shanwick
was transmitting Flight PA103's transatlantic clearance when the
CVR stopped. By synchronising the Shanwick tape and the CVR it
was possible to establish that a loud sound was heard on the CVR
cockpit area microphone (CAM) channel at 19.02:50 hrs ±1
second.
As the Shanwick controller continued to transmit Flight PA103's
clearance instructions through the initial destruction of the
aircraft it would not have been possible for a distress call to
be received from N739PA on the Shanwick frequency. The Scottish
frequency tape recording was listened to from 19.02 hrs until
19.05 hrs for any unexplained sounds indicating an attempt at
a distress call but none was heard.
A detailed examination and analysis of the ATC recording together
with the flight recorder, radar, and seismic recordings is contained
in Appendix C.
1.10 Aerodrome information
Not relevant
1.11 Flight recorders
The Digital Flight Data Recorder (DFDR) and the Cockpit Voice
Recorder (CVR) were found close together at UK Ordnance Survey
(OS) Grid Reference 146819, just to the east of Lockerbie, and
recovered approximately 15 hours after the accident. Both recorders
were taken directly to AAIB Farnborough for replay. Details of
the examination and analysis of the flight recorders together
with the radar, ATC and seismic recordings are contained in Appendix
C.
1.11.1 Digital flight data recorder
The flight data recorder installation conformed to ARINC 573B
standard with a Lockheed Model 209 DFDR receiving data from a
Teledyne Controls Flight Data Acquisition Unit (FDAU). The system
recorded 22 parameters and 27 discrete (event) parameters. The
flight recorder control panel was located in the flight deck overhead
panel. The FDAU was in the main equipment centre at the front
end of the forward hold and the flight recorder was mounted in
the aft equipment centre.
Decoding and reduction of the data from the accident flight showed
that no abnormal behaviour of the data sensors had been recorded
and that the recorder had simply stopped at 19.02:50 hrs ±1
second.
1.11.2 Cockpit voice recorder
The aircraft was equipped with a 30 minute duration 4 track Fairchild
Model A100 CVR, and a Fairchild model A152 cockpit area microphone
(CAM). The CVR control panel containing the CAM was located in
the overhead panel on the flight deck and the recorder itself
was mounted in the aft equipment centre.
The channel allocation was as follows:-
Channel 1 | Flight Engineer's RTF. |
Channel 2 | Co-Pilot's RTF. |
Channel 3 | Pilot's RTF. |
Channel 4 | Cockpit Area Microphone. |
The erase facility within the CVR was not functioning satisfactorily
and low level communications from earlier recordings were audible
on the RTF channels. The CAM channel was particularly noisy, probably
due to the combination of the inherently noisy flight deck of
the B747-100 in the climb and distortion from the incomplete erasure
of the previous recordings. On two occasions the crew had difficulty
understanding ATC, possibly indicating high flight deck noise
levels. There was a low frequency sound present at irregular intervals
on the CAM track but the source of this sound could not be identified
and could have been of either acoustic or electrical origin.
The CVR tape was listened to for its full duration and there was
no indication of anything abnormal with the aircraft, or unusual
crew behaviour. The tape record ended, at 19.02:50 hrs ±1
second, with a sudden loud sound on the CAM channel followed almost
immediately by the cessation of recording whilst the crew were
copying their transatlantic clearance from Shanwick ATC.
1.12 Wreckage and impact information
1.12.1 General distribution of wreckage in the field
The complete wing primary structure, incorporating the centre
section, impacted at the southern edge of Lockerbie. Major portions
of the aircraft, including the engines, also landed in the town.
Large portions of the aircraft fell in the countryside to the
east of the town and lighter debris was strewn to the east as
far as the North Sea. The wreckage was distributed in two trails
which became known as the northern and southern trails respectively
and these are shown in Appendix B, Figure B-4. A computer database
of approximately 1200 significant items of wreckage was compiled
and included a brief description of each item and the location
where it was found
Appendix B, Figures B-5 to B-8 shows photographs of a model of
the aircraft on which the fracture lines forming the boundaries
of the separate items of structure have been marked. The model
is colour coded to illustrate the way in which the wreckage was
distributed between the town of Lockerbie and the northern and
southern trails.
1.12.1.1 The crater
The aircraft wing impacted in the Sherwood Crescent area of the
town leaving a crater approximately 47 metres (155 feet) long
with a volume calculated to be 560 cubic metres.
The projected distance, measured parallel from one leading edge
to the other wing tip, of the Boeing 747-100 was approximately
143 feet, whereas the span is known to be 196 feet. This suggests
that impact took place with the wing structure yawed. Although
the depth of the crater varied from one end to the other, its
widest part was clearly towards the western end suggesting that
the wing structure impacted whilst orientated with its root and
centre section to the west.
The work carried out at the main crater was limited to assessing
the general nature of its contents. The total absence of debris
from the wing primary structure found remote from the crater confirmed
the initial impression that the complete wing box structure had
been present at the main impact.
The items of wreckage recovered from or near the crater are coloured
grey on the model at Appendix B, Figures B-5 to B-8.
1.12.1.2 The Rosebank Crescent site
A 60 feet long section of fuselage between frame 1241 (the rear
spar attachment) and frame 1960 (level with the rear edge of the
CRAF cargo door) fell into a housing estate at Rosebank Crescent,
just over 600 metres from the crater. This section of the fuselage
was that situated immediately aft of the wing, and adjoined the
wing and fuselage remains which produced the crater. It is colour
coded yellow on the model at Appendix B, Figures B-5 to B-8. All
fuselage skin structure above floor level was missing except for
the following items:
Section containing 3 windows between door 4L and CRAF door;
The CRAF door itself (latched) apart from the top area containing
the hinge;
Window belt containing 8 windows aft of 4R door aperture
Window belt containing 3 windows forward of 4R door aperture;
Door 4R.
Other items found in the wreckage included both body landing gears,
the right wing landing gear, the left and right landing gear support
beams and the cargo door (frames 1800-1920) which was latched.
A number of pallets, luggage containers and their contents were
also recovered from this site.
1.12.1.3 Forward fuselage and flight deck section.
The complete fuselage forward of approximately station 480 (left
side) to station 380 (right side) and incorporating the flight
deck and nose landing gear was found as a single piece [Appendix
B, Figure B-9] in a field approximately 4 km miles east of Lockerbie
at OS Grid Reference 174808. It was evident from the nature of
the impact damage and the ground marks that it had fallen almost
flat on its left side but with a slight nose-down attitude and
with no discernible horizontal velocity. The impact had caused
almost complete crushing of the structure on the left side. The
radome and right nose landing gear door had detached in the air
and were recovered in the southern trail.
Examination of the torn edges of the fuselage skin did not indicate
the presence of any pre-existing structural or material defects
which could have accounted for the separation of this section
of the fuselage. Equally so, there were no signs of explosive
blast damage or sooting evident on any part of the structure or
the interior fittings. It was noted however that a heavy, semi-eliptical
scuff mark was present on the lower right side of the fuselage
at approximately station 360. This was later matched to the intake
profile of the No 3 engine.
The status of the controls and switches on the flight deck was
consistent with normal operation in cruising flight. There were
no indications that the crew had attempted to react to rapid decompression
or loss of control or that any emergency preparations had been
actioned prior to the catastrophic disintegration.
1.12.1.4 Northern trail
The northern trail was seen to be narrow and clearly defined,
to emanate from a point very close to the main impact crater and
to be orientated in a direction which agreed closely with the
mean wind aftercast for the height band from sea level to 20,000
ft. Also at the western end of the northern trail were the lower
rear fuselage at Rosebank Crescent, and the group of Nos. 1, 2
and 4 engines which fell in Lockerbie.
The trail contained items of structure distributed throughout
its length, from the area slightly east of the crater, to a point
approximately 16 km east, beyond which only items of low weight
/ high drag such as insulation, interior trim, paper etc, were
found. For all practical purposes this trail ended at a range
of 25 km.
The northern trail contained mainly wreckage from the rear fuselage,
fin and the inner regions of both tailplanes together with structure
and skin from the upper half of the fuselage forward to approximately
the wing mid-chord position. A number of items from the wing were
also found in the northern trail, including all 3 starboard Kreuger
flaps, most of the remains of the port Kreuger flaps together
with sections of their leading edge attachment structures, one
portion of outboard aileron approximately 10 feet long, the aft
ends of the flap-track fairings (one with a slide raft wrapped
around it), and fragments of glass reinforced plastic honeycombe
structure believed to be from the flap system, i.e. fore-flaps,
aft-flaps, mid-flaps or adjacent fairings. In addition, a number
of pieces of the engine cowlings and both HF antennae (situated
projecting aft from the wing-tips) were found in this trail.
All items recovered from the northern trail, with the exception
of the wing, engines, and lower rear fuselage in Rosebank Crescent,
are coloured red on the model of the aircraft in Appendix B, Figures
B-5 to B-8.
1.12.1.5 Southern trail
The southern trail was easily defined, except within 12 km of
Lockerbie where it tended to merge with the northern trail. Further
east, it extended across southern Scotland and northern England,
essentially in a straight band as far as the North Sea. Most of
the significant items of wreckage were found in this trail within
a range of 30 km from the main impact crater. Items recovered
from the southern trail are coloured green on the model of the
aircraft at Appendix B, Figures B-5 to B-8.
The trail contained numerous large items from the forward fuselage.
The flight deck and nose of the aircraft fell in the curved part
of this trail close to Lockerbie. Fragments of the whole of the
left tailplane and the outboard portion of the right tailplane
were distributed almost entirely throughout the southern trail.
Between 21 and 27 km east of the main impact point (either side
of Langholm) substantial sections of tailplane skin were found,
some bearing distinctive signs of contact with debris moving outwards
and backwards relative to the fuselage. Also found in this area
were numerous isolated sections of fuselage frame, clearly originating
from the crown region above the forward upper deck.
1.12.1.6 Datum line
All grid references relating to items bearing actual explosive
evidence, together with those attached to heavily distorted items
found to originate immediately adjacent to them on the structure,
were plotted on an Ordnance Survey (OS) chart. These references,
11 in total, were all found to be distributed evenly about a mean
line orientated 079°(Grid) within the southern trail and
were spread over a distance of 12 km. The distance of each reference
from the line was measured in a direction parallel to the aircraft's
track and all were found to be within 500 metres of the line,
with 50% of them being within 250 metres of the line. This line
is referred to as the datum line and is shown in Appendix B, Figure
B-4.
1.12.1.7 Distribution of wreckage within the southern trail
North of the datum line and parallel to it were drawn a series
of lines at distances of 250, 300, 600 and 900 metres respectively
from the line, again measured in a direction parallel to the aircraft's
track. The positions on the aircraft structure of specific items
of wreckage, for which grid references were known with a high
degree of confidence, within the bands formed between these lines,
are shown in Appendix B, Figures B-10 to 13. In addition, a separate
assessment of the grid references of tailplane and elevator wreckage
established that these items were distributed evenly about the
600 metre line.
1.12.1.8 Area between trails
Immediately east of the crater, the southern trail converged with
the northern trail such that, to an easterly distance of approximately
5 km, considerable wreckage existed which could have formed part
of either trail. Further east, between 6 and 11 km from the crater,
a small number of sections and fragments of the fin had fallen
outside the southern boundary of the northern trail. Beyond this
a large area existed between the trails in which there was no
wreckage.
1.12.2 Examination of wreckage at CAD Longtown
The debris from all areas was recovered by the Royal Air Force
to the Army Central Ammunition Depot Longtown, about 20 miles
from Lockerbie. Approximately 90% of the hull wreckage was successfully
recovered, identified, and laid out on the floor in a two-dimensional
reconstruction [Appendix B, Figure B-14]. Baggage container material
was incorporated into a full three-dimensional reconstruction.
Items of wreckage added to the reconstructions was given a reference
number and recorded on a computer database together with a brief
description of the item and the location where it was found.
1.12.2.1 Fuselage
The reconstruction revealed the presence of damage consistent
with an explosion on the lower fuselage left side in the forward
cargo bay area. A small region of structure bounded approximately
by frames 700 & 720 and stringers 38L & 40L, had clearly
been shattered and blasted through by material exhausting directly
from an explosion centred immediately inboard of this location.
The material from this area, hereafter referred to as the 'shatter
zone', was mostly reduced to very small fragments, only a few
of which were recovered, including a strip of two skins [Appendix
B, Figure B-15] forming part of the lap joint at the stringer
39L position.
Surrounding the shatter zone were a series of much larger panels
of torn fuselage skin which formed a 'star-burst' fracture pattern
around the shatter zone. Where these panels formed the boundary
of the shatter zone, the metal in the immediate locality was ragged,
heavily distorted, and the inner surfaces were pitted and sooted
- rather as if a very large shotgun had been fired at the inner
surface of the fuselage at close range. In contrast, the star-burst
fractures, outside the boundary of the shatter zone, displayed
evidence of more typical overload tearing, though some tears appeared
to be rapid and, in the area below the missing panels, were multi-branched.
These surrounding skin panels were moderately sooted in the regions
adjacent to the shatter zone, but otherwise were lightly sooted
or free of soot altogether. (Forensic analysis of the soot deposits
on frame and skin material from this area confirmed the presence
of explosive residues.) All of these skin panels had pulled away
from the supporting structure and had been bent and torn in a
manner which indicated that, as well as fracturing in the star
burst pattern, they had also petalled outwards producing characteristic,
tight curling of the sheet material.
Sections of frames 700 and 720 from the area of the explosion
were also recovered and identified. Attached to frame 720 were
the remnants of a section of the aluminium baggage container (side)
guide rail, which was heavily distorted and displayed deep pitting
together with very heavy sooting, indicating that it had been
very close to the explosive charge. The pattern of distortion
and damage on the frames and guide rail segment matched the overall
pattern of damage observed on the skins.
The remainder of the structure forming the cargo deck and lower
hull was, generally, more randomly distorted and did not display
the clear indications of explosive processes which were evident
on the skin panels and frames nearer the focus of the explosion.
Nevertheless, the overall pattern of damage was consistent with
the propagation of explosive pressure fronts away from the focal
area inboard of the shatter zone. This was particularly evident
in the fracture and bending characteristics of several of the
fuselage frames ahead of, and behind station 700.
The whole of the two-dimensional fuselage reconstruction was examined
for general evidence of the mode of disintegration and for signs
of localised damage, including overpressure damage and pre-existing
damage such as corrosion or fatigue. There was some evidence of
corrosion and dis-bonding at the cold-bond lap joints in the fuselage.
However, the corrosion was relatively light and would not have
compromised significantly the static strength of the airframe.
Certainly, there was no evidence to suggest that corrosion had
affected the mode of disintegration, either in the area of the
explosion or at areas more remote. Similarly, there were no indications
of fatigue damage except for one very small region of fatigue,
involving a single crack less than 3 inches long, which was remote
from the bomb location. This crack was not in a critical area
and had not coincided with a fracture path.
No evidence of overpressure fracture or distortion was found at
the rear pressure bulkhead. Some suggestion of 'quilting' or 'pillowing'
of skin panels between stringers and frames, indicative of localised
overpressure, was evident on the skin panels attached to the larger
segments of lower fuselage wreckage aft of the blast area. In
addition, the mode of failure of the butt joint at station 520
suggested that there had been a rapid overpressure load in this
area, causing the fastener heads to 'pop' in the region of stringers
13L to 16L, rather than producing shear in the fasteners. Further
evidence of localised overpressure damage remote from the source
of the explosion was found during the full three-dimensional reconstruction,
detailed later in paragraph 1.12.3.2.
An attempt was made to analyse the fractures, to determine the
direction and sequence of failure as the fractures propagated
away from the region of the explosion. It was found that the directions
of most of the fractures close to the explosion could be determined
from an analysis of the fracture surfaces and other features,
such as rivet and rivet hole distortions. However, it was apparent
that beyond the boundary of the petalled region, the disintegration
process had involved multiple fractures taking place simultaneously
- extremely complex parallel processes which made the sequencing
of events not amenable to conventional analysis.
1.12.2.2 Wing structure and adjacent fuselage area
On completion of the initial layout at Longtown it became evident
that, in the area from station 1000 to approximately station 1240
the only identifiable fuselage structure consisted of elements
of fuselage skin, stringers and frames from above the cabin window
belts. The wreckage from in and around the crater was therefore
sifted to establish more accurately what sections of the aircraft
had produced the crater. All of the material was highly fragmented,
but it was confirmed that the material comprised mostly wing structure,
with a few fragments of fuselage sidewall and passenger seats.
The badly burnt state of these fragments made it clear that they
were recovered from the area of the main impact crater, the only
scene of significant ground fire. Amongst these items a number
of cabin window forgings were recovered with sections of thick
horizontal panelling attached having a length equivalent to the
normal window spacing/frame pitch. This arrangement, with skins
of this thickness, is unique to the area from station 1100 to
1260. It is therefore reasonable to assume that these fragments
formed parts of the missing cabin sides from station 1000 to station
1260, which must have remained attached to the wing centre section
at the time of its impact. Because of the high degree of fragmentation
and the relative insignificance of the wing in terms of the overall
explosive damage pattern, a reconstruction of the wing material
was not undertaken. The sections of the aircraft which went into
the crater are colour coded grey in Appendix B, Figures B-5 to
B-8.
1.12.2.3 Fin and aft section of fuselage
Examination of the structure of the fin revealed evidence of in-flight
damage to the leading edge caused by the impact of structure or
cabin contents. This damage was not severe or extensive and the
general break-up of the fin did not suggest either a single readily
defined loading direction, or break-up due to the effects of leading
edge impact. A few items of fin debris were found between the
northern and southern trails.
A number of sections of fuselage frame found in the northern trail
exhibited evidence of plastic deformation of skin attachment cleats
and tensile overload failure of the attachment rivets. This damage
was consistent with that which would occur if the skin had been
locally subjected to a high loading in a direction normal to its
plane. Although this was suggestive of an internal overpressure
condition, the rear fuselage revealed no other evidence to support
this possibility. Examination of areas of the forward fuselage
known to have been subjected to high blast overpressures revealed
no comparable evidence of plastic deformation in the skin attachment
cleats or rivets, most skin attachment failures appearing to have
been rapid.
Calculations made on the effects of internal pressure generated
by an open ended fuselage descending at the highest speed likely
to have been experienced revealed that this could not generate
an internal pressure approaching that necessary to cause failure
in an intact cabin structure.
1.12.2.4 Baggage containers
During the wreckage recovery operation it became apparent that
some items, identified as parts of baggage containers, exhibited
damage consistent with being close to a detonating high explosive.
It was therefore decided to segregate identifiable container parts
and reconstruct any that showed evidence of explosive damage.
It was evident, from the main wreckage layout, that the explosion
had occurred in the forward cargo hold and, although all baggage
container wreckage was examined, only items from this area which
showed the relevant characteristics were considered for the reconstruction.
Discrimination between forward and rear cargo hold containers
was relatively straightforward as the rear cargo hold wreckage
was almost entirely confined to Lockerbie, whilst that from the
forward hold was scattered along the southern wreckage trail.
All immediately identifiable parts of the forward cargo containers
were segregated into areas designated by their serial numbers
and items not identified at that stage were collected into piles
of similar parts for later assessment. As a result of this, two
adjacent containers, one of metal construction the other fibreglass,
were identified as exhibiting damage likely to have been caused
by the explosion. Those parts which could be positively identified
as being from these two containers were assembled onto one of
three simple wooden frameworks, one each for the floor and superstructure
of the metal container and one for the superstructure of the fibreglass
container. From this it was positively determined that the explosion
had occurred within the metal container (serial number AVE 4041
PA), the direct effects of this being evident also on the forward
face of the adjacent fibreglass container (serial number AVN 7511
PA) and on the local airframe on the left side of the aircraft
in the region of station 700. It was therefore confirmed that
this metal container had been loaded in position 14L in agreement
with the aircraft loading records. While this work was in progress
a buckled section of the metal container skin was found by an
AAIB Inspector to contain, trapped within its folds, an item which
was subsequently identified by forensic scientists at the Royal
Armaments Research and Development Establishment (RARDE) as belonging
to a specific type of radio-cassette player and that this had
been fitted with an improvised explosive device (IED).
The reconstruction of these containers and their relationship
to the aircraft structure is described in detail in Appendix F.
Examination of all other components of the remaining containers
revealed only damage consistent with ejection into the high speed
slipstream and/or ground impact, and that only one device had
detonated within the containers on board the aircraft.
1.12.3 Fuselage three-dimensional reconstruction
1.12.3.1 The reconstruction
The two-dimensional reconstruction successfully established that
there had been an explosion in the forward hold; its location
was established and the general damage characteristics in the
vicinity of the explosion were determined. However, the mechanisms
by which the failure process developed from local damage in the
immediate vicinity of the explosion to the complete structural
break-up and separation of the whole forward section of the fuselage,
could not be adequately investigated without recourse to a more
elaborate reconstruction.
To facilitate this additional work, wreckage forming a 65 foot
section of the fuselage (approximately 30 feet each side of the
explosion) was transported to AAIB Farnborough, where it was attached
to a specially designed framework to form a fully three-dimensional
reconstruction [Appendix B, Figures B-16 and B-17] of the complete
fuselage between stations 360 & 1000 (from the separated nose
section back to the wing cut out). The support framework was designed
to provide full and free access to all parts of the structure,
both internally and externally. Because of height constraints,
the reconstruction was carried out in two parts, with the structure
divided along a horizontal line at approximately the upper cabin
floor level. The previously reconstructed containers were also
transported to AAIB Farnborough to allow correlation of evidence
with, and partial incorporation into, the fuselage reconstruction.
Structure and skin panels were attached to the supporting framework
by their last point of attachment, to provide a better appreciation
of the modes and direction of curling, distortion, and ultimate
separation. Thus, the panels of skin which had petalled back from
the shatter zone were attached at their outer edges, so as to
identify the bending modes of the panels, the extent of the petalled
region, and also the size of the resulting aperture in the hull.
In areas more remote from the explosion, the fracture and tear
directions were used together with distortion and curling directions
to determine the mode of separation, and thus the most appropriate
point of attachment to the reconstruction. Cabin floor beam segments
were supported on a steel mesh grid and a plot of the beam fractures
is shown at Appendix B, Figure B-18.
The cargo container base elements were separated from the rest
of the container reconstruction and transferred to the main wreckage
reconstruction, where the re-assembled container base was positioned
precisely onto the cargo deck. To assist in the correlation of
the initial shatter zone and petalled-out regions with the position
of the explosive device, the boundaries of the skin panel fractures
were marked on a transparent plastic panel which was then attached
to the reconstruction to provide a transparent pseudo-skin showing
the positions of the skin tear lines. This provided a clear visual
indication of the relationship between the skin panel fractures
and the explosive damage to the container base, thus providing
a more accurate indication of the location of the explosive device.
1.12.3.2 Summary of explosive features evident
The three-dimensional reconstruction provided additional information
about the region of tearing and petalling around the shatter zone.
It also identified a number of other regions of structural damage,
remote from the explosion, which were clearly associated with
severe and rapidly applied pressure loads acting normal to the
skin's internal surface. These were sufficiently sharp-edged to
pre-empt the resolution of pressure induced loads into membrane
tension stresses in the skin: instead, the effect was as though
these areas of skin had been struck a severe 'pressure blow' from
within the hull.
The two types of damage, i.e. the direct blast/tearing/petalling
damage and the quite separate areas of 'pressure blow' damage
at remote sites were evidently caused by separate mechanisms,
though it was equally clear that each was caused by explosive
processes, rather than more general disintegration.
The region of petalling was bounded (approximately) by frames
680 and 740, and extended from just below the window belt down
nearly to the keel of the aircraft [Appendix B, Figure B-19, region
A]. The resulting aperture measured approximately 17 feet by 5
feet. Three major fractures had propagated beyond the boundary
of the petalled zone, clearly driven by a combination of hull
pressurisation loading and the relatively long term (secondary)
pressure pulse from the explosion. These fractures ran as follows:
(i) | rearwards and downward in a stepped fashion, joining the stringer 38L lap joint at around station 840, running aft along stringer 38L to around station 920, then stepping down to stringer 39L and running aft to terminate at the wing box cut-out [Appendix B, Figure B-19, fracture 1]. |
(ii) | downwards and forward to join the stringer 44L lap joint, then running forward along stringer 44L as far as station 480 [Appendix B, Figure B-19, fracture 2]. |
(iii) | downwards and rearward, joining the butt line at station 740 to run under the fuselage and up the right side to a position approximately 18 inches above the cabin floor level [Appendix B, Figures B-19 and B-20, fracture 3]. |
The propagation of tears upwards from the shatter zone appeared
to have taken the form of a series of parallel fractures running
upwards together before turning towards each other and closing,
forming large flaps of skin which appear to have separated relatively
cleanly.
Regions of skin separation remote from the site of the explosion
were evident in a number of areas. These principally were:
(i) | A large section of upper fuselage skin extending from station 500 back to station 760, and from around stringers 15/19L up as far as stringer 5L [Appendix B, Figures B-19 and B-20, region B], and probably extending further up over the crown. This panel had separated initially at its lower forward edge as a result of a pressure blow type of impulse loading, which had popped the heads from the rivets at the butt joint on frame 500 and lifted the skin flap out into the airflow. The remainder of the panel had then torn away rearwards in the airflow. |
A region of 'quilting' or 'pillowing', i.e. spherical bulging of skin panels between frames and stringers, was evident on these panels in the region between station 560 and 680, just below the level of the upper deck floor, indicative of high internal pressurisation loading [Appendix B, Figure B-19, region C]. | |
(ii) | A smaller section of skin between stations 500 and 580, bounded by stringers 27L and 34L [Appendix B, Figure B-19, region D], had also been 'blown' outwards at its forward edge and torn off the structure rearwards. A characteristic curling of the panel was evident, consistent with rapid, energetic separation from the structure. |
(iii) | A section of thick belly skin extending from station 560, stringers 40R to 44R, and tapering back to a point at stringer 45R/station720 [Appendix B, Figure B-19 and B-20, region E], had separated from the structure as a result of a very heavy 'pressure blow' load at its forward end which had popped the heads off a large number of substantial skin fasteners. The panel had then torn away rearwards from the structure, curling up tightly onto itself as it did so - indicating that considerable excess energy was involved in the separation process (over and above that needed simply to separate the skin material from its supporting structure). |
(iv) | A panel of skin on the right side of the aircraft, roughly opposite the explosion, had been torn off the frames, beginning at the top edge of the panel situated just below the window belt and tearing downwards towards the belly [Appendix B, Figure B-20, region F]. This panel was curled downwards in a manner which suggested significant excess energy. |
Appendix B, Figure B-21 shows a plot of the fractures noted in
the fuselage skins between stations 360 and 1000.
The cabin floor structure was badly disrupted, particularly in
the general area above the explosion, where the floor beams had
suffered localised upward loading sufficient to fracture them,
and the floor panels were missing. Elsewhere, floor beam damage
was mainly limited to fractures at the outer ends of the beams
and at the centreline, leaving sections of separated floor structure
comprising a number of half beams joined together by the Nomex
honeycomb floor panels.
1.12.3.3 General damage features not directly associated with
explosive forces.
A number of features appeared to be a part of the general structural
break-up which followed on from the explosive damage, rather than
being a part of the explosive damage process itself. This general
break-up was complex and, to a certain extent, random. However,
analysis of the fractures, surface scores, paint smears and other
features enabled a number of discreet elements of the break-up
process to be identified. These elements are summarised below.
(i) | Buckling of the window belts on both sides of the aircraft was evident between stations 660 and 800. That on the left side appeared to be the result of in-plane bending in a nose up sense, followed by fracture. The belt on the right side had a large radius curve suggesting lateral deflection of the fuselage possibly accompanied by some longitudinal compression. This terminated in a peeling failure of the riveted joint at station 800. |
(ii) | On the left side three fractures, apparently resulting from in-plane bending/buckling distortion, had traversed the window belt [Appendix B, Figure B-21, detail G]. Of these, the forward two had broken through the window apertures and the aft fracture had exploited a rivet line at the region of reinforcement just forward of the L2 door aperture. On the right side, the window belt had peeled rearwards, after buckling had occurred, separating from the rest of the fuselage, following rivet failure, at the forward edge of the R2 door aperture. |
(iii) | All crown skins forward of frame 840 were badly distorted and a number of pieces were missing. It was clearly evident that the skin sections from this region had struck the empennage and/or other structure following separation. |
(iv) | The fuselage left side lower lobe from station 740 back to the wing box cut-out, and from the window level down to the cargo deck floor (the fracture line along stringer 38L), had peeled outwards, upwards and rearwards - separating from the rest of the fuselage at the window belt. The whole of this separated section had then continued to slide upwards and rearwards, over the fuselage, before being carried back in the slipstream and colliding with the outer leading edge of the right horizontal stabiliser, completely disrupting the outer half. A fragment of horizontal stabiliser spar cap was found embedded in the fuselage structure adjacent to the two vent valves, just below, and forward of, the L2 door [Appendix B, Figure B-22]. |
(v) | A large, clear, imprint of semi-eliptical form was apparent on the lower right side at station 360 which had evidently been caused by the separating forward fuselage section striking the No 3 engine as it swung rearwards and to the right (confirmed by No 3 engine fan cowl damage). |
1.12.3.4 Tailplane three-dimensional reconstruction
The tailplane structural design took the form of a forward and
an aft torque box. The forward box was constructed from light
gauge aluminium alloy sheet skins, supported by closely pitched,
light gauge nose ribs but without lateral stringers. The aft torque
box incorporated heavy gauge skin/stringer panels with more widely
spaced ribs. The front spar web was of light gauge material. Leading
edge impacts inflicted by debris would therefore have had the
capacity to reduce the tailplane's structural integrity by passing
through the light gauge skins and spar web into the interior of
the aft torque box, damaging the shear connection between top
and bottom skins in the process and thereby both removing the
bending strength of the box and opening up the weakened structure
to the direct effects of the airflow.
Examination of the rebuilt tailplane structure at AAIB Farnborough
left little doubt that it had been destroyed by debris striking
its leading edges. In addition, the presence on the skins of smear
marks indicated that some unidentified soft debris had contacted
those surfaces whilst moving with both longitudinal and lateral
velocity components relative to the aircraft.
The reconstructed left tailplane [Appendix B, Figure B-23] showed
evidence that disruption of the inboard leading edge, followed
respectively by the forward torque box, front spar web and main
torque box, occurred as a result of frontal impact by the base
of a baggage container. Further outboard, a compact object appeared
to have struck the underside of the leading edge and penetrated
to the aft torque box. In both cases, the loss of the shear web
of the front spar appeared to have permitted local bending failure
of the remaining main torque box structure in a tip downwards
sense, consistent with the normal load direction. For both events
to have occurred it would be reasonable to assume that the outboard
damage preceded that occurring inboard.
The right tailplane exhibited massive leading edge impact damage
on the outboard portion which also appeared to have progressed
to disruption of the aft torsion box. A fragment of right tailplane
spar cap was found embedded in the fuselage structure adjacent
to the two vent valves, just below, and forward of, the L2 door
and it is clear that this area of forward left fuselage had travelled
over the top of the aircraft and contributed to the destruction
of the outboard right tailplane.
1.12.4 Examination of engines
All four engines had struck the ground in Lockerbie with considerable
velocity and therefore sustained major damage, in particular to
most of the fan blades. The No 3 engine had fallen 1,100 metres
north of the other three engines, striking the ground on its rear
face, penetrating a road surface and coming to rest without any
further change of orientation i.e. with the front face remaining
uppermost. The intake area contained a number of loose items originating
from within the cabin or baggage hold. It was not possible initially
to determine whether any of the general damage to any of the engine
fans or the ingestion noted in No 3 engine intake occurred whilst
the relevant engines were delivering power or at a later stage.
Numbers 1, 2 and 3 engines were taken to British Airways Engine
Overhaul Limited for detailed examination under AAIB supervision
in conjunction with a specialist from the Pratt and Whitney Engine
Company. During this examination the following points were noted:
(i) | No 2 engine (situated closest to the site of the explosion) had evidence of blade "shingling" in the area of the shrouds consistent with the results of major airflow disturbance whilst delivering power. (This effect is produced when random bending and torsional deflection occurs, permitting the mid-span shrouds to disengage and repeatedly strike the adjacent aerofoil surfaces of the blades). The interior of the air intake contained paint smears and other evidence suggesting the passage of items of debris. One such item of significance was a clear indentation produced by a length of cable of diameter and strand size similar to that typically attached to the closure curtains on the baggage containers. |
(ii) | No 3 engine, identified on site as containing ingested debris from within the aircraft, nonetheless had no evidence of the type of shingling seen on the blades of No 2 engine. Such evidence is usually unmistakable and its absence is a clear indication that No 3 engine did not suffer a major intake airflow disturbance whilst delivering significant power. The intake structure was found to have been crushed longitudinally by an impact on the front face although, as stated earlier, it had struck the ground on its rear face whilst falling vertically. |
(iii) | All 3 engines had evidence of blade tip rubs on the fan cases having a combination of circumference and depth greater than hitherto seen on any investigation witnessed on Boeing 747 aircraft by the Pratt and Whitney specialists. Subsequent examination of No 4 engine confirmed that it had a similar deep, large circumference tip rub. These tip-rubs on the four engines were centred at slightly different clock positions around their respective fan cases. |
The Pratt and Whitney specialists supplied information which was
used to interpret the evidence found on the blades and fan cases
including details of engine dynamic behaviour necessary to produce
the tip rub evidence. This indicated that the depth and circumference
of tip rubs noted would have required a marked nose down change
of aircraft pitch attitude combined with a roll rate to the left.
Pratt and Whitney also advised that:
(i) | Airflow disruption such as that presumed to have caused the shingling observed on No 2 engine fan blades was almost invariably the result of damage to the fan blade aerofoils, resulting from ingestion or blade failure. |
(ii) | Tip rubs of a depth and circumference noted on all four engines could be expected to reduce the fan rotational energy on each to a negligible value within approximately 5 seconds. |
(iii) | Airflow disruption sufficient to cause the extent of shingling noted on the fan blades of No 2 engine would also reduce the rotational fan energy to a negligible value within approximately 5 seconds. |
1.13 Medical and pathological information
The results of the post mortem examination of the victims indicated
that the majority had experienced severe multiple injuries at
different stages, consistent with the in-flight disintegration
of the aircraft and ground impact. There was no pathological indication
of an in-flight fire and no evidence that any of the victims had
been injured by shrapnel from the explosion. There was also no
evidence which unequivocally indicated that passengers or cabin
crew had been killed or injured by the effects of a blast. Although
it is probable that those passengers seated in the immediate vicinity
of the explosion would have suffered some injury as a result of
blast, this would have been of a secondary or tertiary nature.
Of the casualties from the aircraft, the majority were found in
areas which indicated that they had been thrown from the fuselage
during the disintegration. Although the pattern of distribution
of bodies on the ground was not clear cut there was some correlation
with seat allocation which suggested that the forward part of
the aircraft had broken away from the rear early in the disintegration
process. The bodies of 10 passengers were not recovered and of
these, 8 had been allocated seats in rows 23 to 28 positioned
over the wing at the front of the economy section. The fragmented
remains of 13 passengers who had been allocated seats around the
eight missing persons were found in or near the crater formed
by the wing. Whilst there is no unequivocal proof that the missing
people suffered the same fate, it would seem from the pattern
that the missing passengers remained attached to the wing structure
until impact.
1.14 Fire
Of the several large pieces of aircraft wreckage which fell in
the town of Lockerbie, one was seen to have the appearance of
a ball of fire with a trail of flame. Its final path indicated
that this was the No 3 engine, which embedded itself in a road
in the north-east part of the town. A small post impact fire posed
no hazard to adjacent property and was later extinguished with
water from a hosereel. The three remaining engines landed in the
Netherplace area of the town. One severed a water main and the
other two, although initially on fire, were no risk to persons
or property and the fires were soon extinguished.
A large, dark, delta shaped object was seen to fall at about the
same time in the Sherwood area of the town. It was not on fire
while in the air, however, a fireball several hundred feet across
followed the impact. It was of relatively short duration and large
amounts of debris were thrown into the air, the lighter particles
being carried several miles downwind, while larger pieces of burning
debris caused further fires, including a major one at the Townfoot
Garage, up to 350 metres from the source. It was determined that
the major part of both wings, which included the aircraft fuel
tanks, had formed the crater. A gas main had also been ruptured
during the impact.
At 19.04 hrs the Dumfries Fire Brigade Control received a call
from a member of the public which indicated that there had been
a "huge boiler explosion" at Westacres, Lockerbie, however,
subsequent calls soon made it clear that it was an aircraft which
had crashed. At 19.07 hrs the first appliances were mobile and
at 1910 hrs one was in attendance in the Rosebank area. Multiple
fires were identified and it soon became apparent that a major
disaster had occurred in the town and the Fire Brigade Major Incident
Plan was implemented. During the initial phase 15 pumping appliances
from various brigades were deployed but this number was ultimately
increased to 20.
At 22.09 hrs the Firemaster made an assessment of the situation.
He reported that there was a series of fires over an area of the
town centre extending 1 by ¤ mile. The main concentration
of the fire was in the southwest of the town around Sherwood Park
and Sherwood Crescent. Appliances were in attendance at other
fires in the town, particularly in Park Place and Rosebank Crescent.
Water and electricity supplies were interrupted and water had
to be brought into the town.
By 02.22 hrs on 22 December, all main seats of fire had been extinguished
and the firemen were involved in turning over and damping down.
At 04.42 hrs small fires were still occurring but had been confined
to the Sherwood Crescent area.
1.15 Survival aspects
1.15.1 Survivability
The accident was not survivable.
1.15.2 Emergency services
A chronology of initial responses by the emergency services is
listed below:-
19.03 hrs | Radio message from Police patrol in Lockerbie to Dumfries and Galloway Constabulary reporting an aircraft crash at Lockerbie. |
19.04 hrs | Emergency call to Dumfries and Galloway Fire Brigade. |
19.37 hrs | First ambulances leave for Dumfries and Galloway Royal Infirmary with injured town residents. (2- serious; 3- minor) |
19.40 hrs | Sherwood Park and Sherwood Crescent residents evacuated to Lockerbie Town Hall. |
20.25 hrs | Nose section of N739PA discovered at Tundergarth (approximately 4 km east of Lockerbie). |
During the next few days a major emergency operation was mounted
using the guidelines of the Dumfries and Galloway Regional Peacetime
Emergency Plan. The Dumfries and Galloway Constabulary was reinforced
by contingents from Strathclyde and Lothian & Borders Constabularies.
Resources from HM Forces were made available and this support
was subsequently authorised by the Ministry of Defence as Military
Aid to the Civil Power. It included the provision of military
personnel and a number of helicopters used mainly in the search
for and recovery of aircraft wreckage. It was apparent at an early
stage that there were no survivors from the aircraft and the search
and recovery of bodies was mainly a Police task with military
assistance.
Many other agencies were involved in the provision of welfare
and support services for the residents of Lockerbie, relatives
of the aircraft's occupants and personnel involved in the emergency
operation.
1.16 Tests and research
An explosive detonation within a fuselage, in reasonably close
proximity to the skin, will produce a high intensity spherically
propagating shock wave which will expand outwards from the centre
of detonation. On reaching the inner surface of the fuselage skin,
energy will partially be absorbed in shattering, deforming and
accelerating the skin and stringer material in its path. Much
of the remaining energy will be transmitted, as a shock wave,
through the skin and into the atmosphere but a significant amount
of energy will be returned as a reflected shock wave, which will
travel back into the fuselage interior where it will interact
with the incident shock to produce Mach stem shocks - re-combination
shock waves which can have pressures and velocities of propagation
greater than the incident shock.
The Mach stem phenomenon is significant because it gives rise
(for relatively small charge sizes) to a geometric limitation
on the area of skin material which the incident shock wave can
shatter, irrespective of charge size, thus providing a means of
calculating the standoff distance of the explosive charge from
the fuselage skin. Calculations suggest that a charge standoff
distance of aproximately 25 inches would result in a shattered
region approximately 18 to 20 inches in diameter, comparable to
the size of the shattered region evident in the wreckage. This
aspect is covered in greater detail in [Appendix G].
1.17 Additional information
1.17.1 Recorded radar information
Recorded radar information on the aircraft was available from
4 radar sites. Initial analysis consisted of viewing the recorded
information as it was shown to the controller on the radar screen
from which it was clear that the flight had progressed in a normal
manner until secondary surveillance radar (SSR) was lost.
The detailed analysis of the radar information concentrated on
the break-up of the aircraft. The Royal Signals and Radar Establishment
(RSRE) corrected the radar returns for fixed errors and converted
the SSR returns to latitude and longitude so that an accurate
time and position for the aircraft could be determined. The last
secondary return from the aircraft was recorded at 19.02:46.9
hrs, identifying N739PA at Flight Level 310, and at the next radar
return there is no SSR data, only 4 primary returns. It was concluded
that the aircraft was, by this time, no longer a single return
and, considering the approximately 1 nautical mile spread of returns
across track, that items had been ejected at high speed probably
to both right and left of the aircraft.
Each rotation of the radar head thereafter showed the number of
returns increasing, with those first identified across track having
slowed down very quickly and followed a track along the prevailing
wind line. The radar evidence then indicated that a further break-up
of the aircraft had occurred and formed a parallel wreckage trail
to the north of the first. From the absence of any returns travelling
along track it was concluded that the main wreckage was travelling
almost vertically downwards for much of the time.
A detailed analysis of the recorded radar information, together
with the radar, ATC and seismic recordings is contained in Appendix
C.
1.17.2 Seismic data
The British Geological Survey has a number of seismic monitoring
stations in Southern Scotland. Stations close to Lockerbie recorded
a seismic event measuring 1.6 on the Richter scale and, with appropriate
corrections for the times of the waves to reach the sensors, it
was established that this occurred at 19.03:36.5 hrs ±1 second.
A further check was made by triangulation techniques from the
information recorded by the various sensors.
An analysis of the seismic recording, together with the radar,
ATC and radar information is contained in Appendix C.
1.17.3 Trajectory analysis
A detailed trajectory analysis was carried out by Cranfield Institute
of Technology in an effort to provide a sequence for the aircraft
disintegration. This analysis comprised several separate processes,
including individual trajectory calculations for a limited number
of key items of wreckage and mathematical modelling of trajectory
paths adopted by a series of hypothetical items of wreckage encompassing
the drag/weight spectrum of the actual wreckage.
The work carried out at Cranfield enabled the reasons for the
two separate trails to be established. The narrow northern trail
was shown to be created by debris released from the aircraft in
a vertical dive between 19,000 and 9,000 feet overhead Lockerbie.
The southern trail, longer and straight for most of its length,
appeared to have been created by wreckage released during the
initial disintegration at altitude whilst the aircraft was in
level flight. Those items falling closest to Lockerbie would have
been those with higher density which would travel a significant
distance along track before losing all along-track velocity, whilst
only drifting a small distance downwind, owing to the high speed
of their descent. The most westerly items thus showed the greatest
such effect. The southern trail therefore had curved boundaries
at its western end with the curvature becoming progressively less
to the east until the wreckage essentially fell in a straight
band. Thus wreckage in the southern trail positioned well to the
east could be assumed to have retained negligible velocity along
aircraft track after separation and the along-track distribution
could be used to establish an approximate sequence of initial
disintegration.
The analysis calculated impact speeds of 120 kts for the nose
section weighing approximately 17,500 lb and 260 kts for the engines
and pylons which each weighed about 13,500 lb. Based on the best
available data at the time, the analysis showed that the wing
(approximately 100,000 lb of structure containing an estimated
200,000 lb of fuel) could have impacted at a speed, in theory,
as high as 650 kts if it had 'flown' in a streamlined attitude
such that the drag coefficient was minimal. However, because small
variations of wing incidence (and various amounts of attached
fuselage) could have resulted in significant increases in drag
coefficient, the analysis also recognized that the final impact
speed of the wing could have been lower.
1.17.4 Space debris re-entry
Four items of space debris were known to have re-entered the Earth's
atmosphere on 21 December 1988. Three of these items were fragments
of debris which would not have survived re-entry, although their
burn up in the upper atmosphere might have been visible from the
Earth's surface. The fourth item landed in the USSR at 09.50 hrs
UTC.
2 ANALYSIS
2.1 Introduction
The airport security and criminal aspects of the destruction of
Boeing 747 registration N739PA near Lockerbie on 21 December 1988
are the subjects of a separate investigation and are not covered
in this report. This analysis discusses the technical aspects
of the disintegration of the aircraft and considers possible ways
of mitigating the effects of an explosion in the future.
2.2 Explosive destruction of the
aircraft
The geographical position of the final secondary return at 19.02:46.9
hrs was calculated by RSRE to be OS Grid Reference 15257772, annotated
Point A in Appendix B, Figure B-4, with an accuracy considered
to be better than ±300 metres This return was received 3.1±1
seconds before the loud sound was recorded on the CVR at 19.02:50
hrs. By projecting from this position along the track of 321°(Grid)
for 3.1±1 seconds at the groundspeed of 434 kts, the position
of the aircraft was calculated to be OS Grid Reference 14827826,
annotated Point B in Appendix B, Figure B-4, within an accuracy
of ±525 metres. Based on the evidence of recorded data only,
Point B therefore represents the geographical position of the
aircraft at the moment the loud sound was recorded on the CVR.
The datum line, discussed at paragraph 1.12.1.6, was derived from
a detailed analysis of the distribution of specific items of wreckage,
including those exhibiting positive evidence of a detonating high
performance plastic explosive. The scatter of these items about
the datum line may have been due partly to velocities imparted
by the force of the detonating explosive and partly by the difficulty
experienced in pinpointing the location of the wreckage accurately
in relatively featureless terrain and poor visibility. However,
the random nature of the scatter created by these two effects
would have tended to counteract one another, and a major error
in any one of the eleven grid references would have had little
overall effect on the whole line. There is, therefore, good reason
to have confidence in the validity of the datum line.
The items used to define the datum line, included those exhibiting
positive evidence of a detonating high performance plastic explosive,
would have been the first pieces to have been released from the
aircraft. The datum line was projected westwards until it intersected
the known radar track of the aircraft in order to derive the position
of the aircraft along track at which the explosive items were
released and therefore the position at which the IED had detonated.
This position was OS grid reference 146786 and is annotated Point
C in Appendix B, Figure B-4. Point C was well within the circle
of accuracy (±525 metres) of the position at which the loud
noise was heard on the CVR (Point B). There can, therefore, be
no doubt that the loud noise on the CVR was directly associated
with the detonation of the IED and that this explosion initiated
the disintegration process and directly caused the loss of the
aircraft.
2.3 Flight recorders
2.3.1 Digital flight data recordings
A working group of the European Organisation for Civil Aviation
Electronics (EUROCAE) was, during the period of the investigation,
formulating new standards (Minimum Operational Performance Requirement
for Flight Data Recorder Systems, Ref:- ED55) for future generation
flight recorders which would have permitted delays between parameter
input and recording (buffering) of up to ¤ second. These
standards are intended to form the basis of new CAA specifications
for flight recorders and may be adopted worldwide.
The analysis of the recording from the DFDR fitted to N739PA,
which is detailed in Appendix C, showed that the recorded data
simply stopped. Following careful examination and correlation
of the various sources of recorded information, it was concluded
that this occurred because the electrical power supply to the
recorder had been interrupted at 19.02:50 hrs ±1 second.
Only 17 bits of data were not recoverable (less that 23 milliseconds)
and it was not possible to establish with any certainty if this
data was from the accident flight or was old data from a previous
recording.
The analysis of the final data recorded on the DFDR was possible
because the system did not buffer the incoming data. Some existing
recorders use a process whereby data is stored temporarily in
a memory device (buffer) before recording. The data within this
buffer is lost when power is removed from the recorder and in
currently designed recorders this may mean that up to 1.2 seconds
of final data contained within the buffer is lost. Due to the
necessary processing of the signals prior to input to the recorder,
additional delays of up to 300 milliseconds may be introduced.
If the accident had occurred when the aircraft was over the sea,
it is very probable that the relatively few small items of structure,
luggage and clothing showing positive evidence of the detonation
of an explosive device would not have been recovered. However,
as flight recorders are fitted with underwater location beacons,
there is a high probability that they would have been located
and recovered. In such an event the final milliseconds of data
contained on the DFDR could be vital to the successful determination
of the cause of an accident whether due to an explosive device
or other catastrophic failure. Whilst it may not be possible to
reduce some of the delays external to the recorder, it is possible
to reduce any data loss due to buffering of data within the data
acquisition unit.
It is, therefore, recommended that manufacturers of existing recorders
which use buffering techniques give consideration to making the
buffers non-volatile, and hence recoverable after power loss.
Although the recommendation on this aspect, made to the EUROCAE
working group during the investigation, was incorporated into
ED55, it is also recommended that Airworthiness Authorities re-consider
the concept of allowing buffered data to be stored in a volatile
memory.
2.3.2 Cockpit voice recorders
The analysis of the cockpit voice recording, which is detailed
in Appendix C, concluded that there were valid signals available
to the CVR when it stopped at 19.02:50 hrs ±1 second because
the power supply to the recorder was interrupted. It is not clear
if the sound at the end of the recording is the result of the
explosion or is from the break-up of the aircraft structure. The
short period between the beginning of the event and the loss of
electrical power suggests that the latter is more likely to be
the case. In order to respond to events that result in the almost
immediate loss of the aircraft's electrical power supply it was
therefore recommended during the investigation that the regulatory
authorities consider requiring CVR systems to contain a short
duration (i.e. no greater than 1 minute) back-up power supply.
2.3.3 Detection of explosive occurrences
In the aftermath of the Air India Boeing 747 accident (AI 182)
in the North Atlantic on 23 June 1985, RARDE were asked informally
by AAIB to examine means of differentiating, by recording violent
cabin pressure pulses, between the detonation of an explosive
device within the cabin (positive pulse) and a catastrophic structural
failure (negative pulse). Following the Lockerbie disaster it
was considered that this work should be raised to a formal research
project. Therefore, in February 1989, it was recommended that
the Department of Transport fund a study to devise methods of
recording violent positive and negative pressure pulses, preferably
utilising the aircraft's flight recorder systems. This recommendation
was accepted.
Preliminary results from the trials indicate that, if a suitable
sensor can be developed, its output will need to be recorded in
real time and therefore it may require wiring to the CVR installation.
This will further strengthen the requirement for battery back
up of the CVR electrical power supply.
2.4 IED position within the aircraft
From the detailed examination of the reconstructed luggage containers,
discussed at paragraph 1.12.2.4 and in Appendix F, it was evident
that the IED had been located within a metal container (serial
number AVE 4041 PA), near its aft outboard quarter as shown in
Appendix F, Figure F-13. It was also clear that the container
was loaded in position 14L of the forward hold which placed the
explosive charge approximately 25 inches inboard from the fuselage
skin at frame 700. There was no evidence to indicate that there
was more than one explosive charge.
2.5 Engine evidence
To produce the fan blade tip rub damage noted on all engines by
means of airflow inclined to the axes of the nacelles would have
required a marked nose down change of aircraft pitch attitude
combined with a roll rate to the left while all of the engines
were attached to the wing.
The shingling damage noted on the fan blades of No 2 engine can
only be attributed to airflow disturbance caused by ingestion
related fan blade damage occurring when substantial power was
being delivered. This is readily explained by the fact that No
2 engine intake is positioned some 27 feet aft and 30 feet outboard
of the site of the explosion and that the interior of the intake
exhibited a number of prominent paint smears and general foreign
object damage. This damage included evidence of a strike by a
cable similar to that forming part of the closure curtain of a
typical baggage container. It is inconceivable that an independent
blade failure could have occurred in the short time frame of this
event. By similar reasoning, the absence of such shingling damage
on blades of No 3 engine was a reliable indication that it suffered
no ingestion until well into the accident sequence.
The combination of the position of the explosive device and the
forward speed of the aircraft was such that significant sized
debris resulting from the explosion would have been available
to be ingested by No 2 engine within milliseconds of the explosion.
In view of the fact that the tip rub damage observed on the fan
case of No 2 engine is of similar magnitude to that observed on
the other three engines it is reasonable to deduce that a manoeuvre
of the aircraft occurred before most of the energy of the No 2
engine fan was lost due to the effect of ingestion (seen only
in this engine). Since this shingling effect could only readily
be produced as a by-product of ingestion whilst delivering considerable
power, it is reasonable to assume that this was also occurring
before loss of major fan energy due to tip rubbing took place.
Hence both phenomena must have been occurring simultaneously,
or nearly so, to produce the effects observed and must have occupied
a time frame of substantially less than 5 seconds. The onset of
this time period would have been the time at which debris from
the explosion first inflicted damage to fan blades in No 3 engine
and, since the fan is only approximately 40 feet from the location
of the explosive device, this would have been an insignificant
time interval after the explosion.
It was therefore concluded from this evidence that the wing with
all of the engines attached had achieved a marked nose down and
left roll attitude change well within 5 seconds of the explosion.
2.6 Detachment of forward fuselage
Examination of the three major structural elements either side
of the region of station 800 on the right side of the fuselage
makes it clear that to produce the curvature of the window belt
and peeling of the riveted joint at the R2 door aperture requires
the door pillar to be securely in position and able to react longitudinal
and lateral loads. This in turn requires the large section of
fuselage on the right side between stations 760 and 1000 (incorporating
the right half of the floor) to be in position in order to locate
the lower end of the door pillar. Thus both these sections must
have been in position until the section from station 560 to 800
(right side) had completed its deflection to the right and peeled
from the door pillar. Separation of the forward fuselage must
thus have been complete by the time all three items mentioned
above had fallen free.
2.7 Speed of initial disintegration
The distribution of wreckage in the bands between the datum line
and the 250, 300, 600 and 900 metre lines was examined in detail.
The positions of these items of structure on the aircraft are
shown in Appendix B, Figures B-10 to B-13. It should be noted
that the position on the ground of these items, although separated
by small distances when measured in a direction along aircraft
track, were distributed over large distances when measured along
the wreckage trail. All were recovered from positions far enough
to the east to be in that part of the southern trail which was
sufficiently close, theoretically, to a straight line for any
curvature effect to be neglected.
The wreckage found in each of the bands enabled an approximate
sequence of break-up to be established. It was clear that as the
distance travelled from the datum line increased, items of wreckage
further from the station of the IED were encountered. The items
shown on the diagram as falling on the 250 metre band also include
those fragments of lower forward fuselage skin having evidence
of explosive damage and presumed to have separated as a direct
result of the blast. However, a few portions of the upper forward
fuselage were also found within the 250 metre band, suggesting
that these items had also separated as a result of the blast.
By the time the 300 metre line was reached much of the structure
from the right side in the region of the explosive device had
been shed. This included the area of window belt, referred to
in paragraph 2.6 above, which gave clear indications that the
forward structure had detached to the right and finally peeled
away at station 800. It also included the areas of adjacent structure
immediately to the rear of station 800 about which the forward
structure would have had to pivot. By the time the 600 metre line
was reached, there was clearly insufficient structure left to
connect the forward fuselage with the remainder of the aircraft.
Wreckage between the 600 and 900 metre lines consisted of structure
still further from the site of the IED.
There is evidence that a manoeuvre occurred at the time of the
explosion which would have produced a significant change of the
aircraft's flight path, however, it is considered that the change
in the horizontal velocity component in the first few seconds
would not have been great. The original groundspeed of the aircraft
was therefore used in conjunction with the distribution of wreckage
in the successive bands to establish an approximate time sequence
of break-up of the forward fuselage. Assuming the original ground
speed of 434 Kts, the elapsed flight times from the datum to each
of the parellel lines were calculated to be:
Distance (metres) | 250 | 300 | 600 | 900 |
Time (seconds) | 1.1 | 1.3 | 2.7 | 4.0 |
Thus, there is little doubt that separation of the forward fuselage
was complete within 2 to 3 seconds of the explosion.
The separate assessment of the known grid references of tailplane
and elevator wreckage in the southern trail revealed that those
items were evenly distributed about the 600 metre line and therefore
that most of the tailplane damage occurred after separation of
the forward fuselage was complete.
2.8 The manoeuvre following the explosion
The engine evidence, timing and mode of disintegration of the
fuselage and tailplane suggests that the latter did not sustain
significant damage until the forward fuselage disintegration was
well advanced and the pitch/roll manoeuvre was also well under
way.
Examination of the three dimensional reconstruction makes it clear
that both main and upper deck floors were disrupted by the explosion.
Since pitch control cables are routed through the upper deck floor
beams and the roll control cables through the main deck beams,
there is a strong possibility that movement of the beams under
explosive forces would have applied inputs to the control cables,
thus operating control surfaces in both axes.
2.9 Secondary disintegration
The distribution of fin debris between the trails suggests that
disintegration of the fin began shortly before the vertical descent
was established. No single mode of failure was identified and
the debris which had struck the leading edge had not caused major
disruption. The considerable fragmentation of the thick panels
of the aft torque box was also very different from that noted
on the corresponding structure of the tailplanes. It was therefore
concluded that the mode of failure was probably flutter.
The finding, in the northern trail, of a slide raft wrapped around
a flap track fairing suggests that at a later stage of the disintegration
the rear of the aircraft must have experienced a large angle of
sideslip. The loss of the fin would have made this possible and
also subjected the structure to large side loads. It is possible
that such side loading would have assisted the disintegration
of the rear fuselage and also have caused bending failure of the
pylon attachments of the remaining three engines.
2.10 Impact speed of components
The trajectory analysis carried out by Cranfield Institute of
Technology calculated impact speeds of 120 kts for the nose section,
and 260 kts for the engines and pylons. These values were considered
to be reliable because the drag coefficients could be estimated
with a reasonable degree of confidence. Based on the best available
data at the time, the analysis also showed that the wing could
have impacted at a speed, in theory, as high as 650 kts if it
had flown in a streamlined attitude such that the drag coefficient
was minimal. However, it was also recognized that relatively small
changes in the angle of incidence of the wing would have produced
a significant increase in drag with a consequent reduction in
impact speed. Refinement of timing information and radar data
subsequent to the Cranfield analysis has enabled a revised estimate
to be made of the mean speed of the wing during the descent.
The engine evidence indicated that there had been a large nose
down attitude change of the aircraft early in the event. The Cranfield
analysis also showed that the rear fuselage had disintegrated
while essentially in a vertical descent between 19,000 and 9,000
feet over Lockerbie. Assuming that, following the explosion, the
wing followed a straight line descending flight profile from 31,000
feet to 19,000 feet directly overhead Lockerbie and then descended
vertically until impact, the wing would have travelled the minimum
distance practicable. The ground distance between the geographical
position at which the disintegration started (Figure B-4, Point
B) and the crater made by the wing impact was 2997 ±525 metres
(9833 ±1722 feet). The time interval between the explosion
and the wing impact was established in Appendix C as 46.5 ±2
seconds. Based on the above times and distances the mean linear
speed achieved by the wing would have been about 440 kts.
The impact location of Nos 1, 2, and 4 engines closely grouped
in Lockerbie was consistent with their nearly vertical fall from
a point above the town. If they had separated at about 19,000
feet and the wing had then flown as much as one mile away from
the overhead position before tracking back to impact, the total
flight path length of the wing would not have required it to have
achieved a mean linear speed in excess of 500 kts.
Any speculation that the flight path of the wing could have been
longer would have required it to have undergone manoeuvres at
high speed in order to arrive at the 19,000 feet point. The manoeuvres
involved would almost certainly have resulted in failure of the
primary wing structure which, from distribution of wing debris,
clearly did not occur. Alternatively the wing could have travelled
more than one mile from Lockerbie after reaching the 19,000 feet
point, but this was considered unlikely. It is therefore concluded
that the mean speed of the wing during the descent was in the
region of 440 to 500 kts.
2.11 Sequence of disintegration
Analysis of wreckage in each of the bands, taken in conjunction
with the engine evidence and the three-dimensional reconstruction,
suggests the following sequence of disintegration:
(i) | The initial explosion triggered a sequence of events which effectively destroyed the structural integrity of the forward fuselage. Little more then remained between stations 560 and 760 (approximately) than the window belts and the cabin sidewall structure immediately above and below the windows, although much of the cargo-hold floor structure appears to have remained briefly attached to the aircraft. [Appendix B, Figure B-24] |
(ii) | The main portion of the aircraft simultaneously entered a manoeuvre involving a marked nose down and left roll attitude change, probably as a result of inputs applied to the flying control cables by movement of structure. |
(iii) | Failure of the left window belt then occurred, probably in the region of station 710, as a result of torsional and bending loads on the fuselage imparted by the manoeuvre (i.e. the movement of the forward fuselage relative to the remainder of the aircraft was an initial twisting motion to the right, accompanied by a nose up pitching deflection). |
(iv) | The forward fuselage deflected to the right, pivoting about the starboard window belt, and then peeled away from the structure at station 800. During this process the lower nose section struck the No 3 engine intake causing the engine to detach from its pylon. This fuselage separation was apparently complete within 3 seconds of the explosion. |
(v) | Structure and contents of the forward fuselage struck the tail surfaces contributing to the destruction of the outboard starboard tailplane and causing substantial damage to the port unit. This damage occurred approximately 600 metres track distance after the explosion and therefore appears to have happened after the fuselage separation was complete. |
(vi) | Fuselage structure continued to break away from the aircraft and the separated forward fuselage section as they descended. |
(vii) | The aircraft maintained a steepening descent path until it reached the vertical in the region of 19,000 feet approximately over the final impact point. Shortly before it did so the tail fin began to disintegrate. |
(viii) | The mode of failure of the fin is not clear, however, flutter of its structure is suspected. |
(ix) | Once established in the vertical dive, the fin torque box continued to disintegrate, possibly permitting the remainder of the aircraft to yaw sufficiently to cause side load separation of Nos 1, 2 and 4 engines, complete with their pylons. |
(x) | Break-up of the rear fuselage occurred during the vertical descent, possibly as a result of loads induced by the yaw, leaving a section of cabin floor and baggage hold from approximately stations 1241 to 1920, together with 3 landing gear units, to fall into housing at Rosebank Terrace. |
(xi) | The main wing structure struck the ground with a high yaw angle at Sherwood Crescent. |
2.12 Explosive mechanisms and the structural
disintegration
The fracture and damage pattern analysis was mainly of an interpretive
nature involving interlocking pieces of subtle evidence such as
paint smears, fracture and rivet failure characteristics, and
other complex features. In the interests of brevity, this analysis
will not discuss the detailed interpretation of individual fractures
or damage features. Instead, the broader 'damage picture' which
emerged from the detailed work will be discussed in the context
of the explosive mechanisms which might have produced the damage,
with a view to identifying those features of greatest significance.
It is important to keep in mind that whilst the processes involved
are considered and discussed separately, the timescales associated
with shock wave propagation and the high velocity gas flows are
very short compared with the structural response timescales. Consequently,
material which was shattered or broken by the explosive forces
would have remained in place for a sufficiently long time that
the structure can be considered to have been intact throughout
much of the period that these explosive propagation phenomena
were taking place.
2.12.1 Direct blast effect
2.12.1.1 Shock wave propagation
The direct effect of the explosive detonation within the container
was to produce a high intensity spherically propagating shock
wave which expanded from the centre of detonation close to the
side of the container, shattering part of the side and base of
the container as it passed through into the gap between the container
and the fuselage skin. In breaking out of the container, some
internal reflection and Mach stem interaction would have occurred,
but this would have been limited by the absorptive effect of the
baggage inboard, above, and forward of the charge. The force of
the explosion breaking out of the container would therefore have
been directed downwards and rearwards.
The heavy container base was distorted and torn downwards, causing
buckling of the adjoining section of frame 700, and the container
sides were blasted through and torn, particularly in the aft lower
corner. Some of the material in the direct path of the explosive
pressure front was reduced to shrapnel sized pieces which were
rapidly accelerated outwards behind the primary shock front. Because
of the overhang of the container's sloping side, fragments from
both the device itself and the container wall impacted the projecting
external flange of the container base edge member, producing micro
cratering and sooting. Metallurgical examination of the internal
surfaces of these craters identified areas of melting and other
features which were consistent only with the impact of very high
energy particles produced by an explosion at close quarters. Analysis
of material on the crater surfaces confirmed the presence of several
elements and compounds foreign to the composition of the edge
member, including material consistent with the composition of
the sheet aluminium forming the sloping face of the container.
On reaching the inner surface of the fuselage skin, the incident
shock wave energy would partially have been absorbed in shattering,
deforming and accelerating the skin and stringer material in its
path. Much of its energy would have been transmitted, as a shock
wave, through the skin and into the atmosphere [Appendix B, Figure
B-25], but a significant amount of energy would have been returned
as a reflected shock wave, back into the cavity between the container
and the fuselage skin where Mach stem shock waves would have been
formed. Evidence of rapid shattering was found in a region approximately
bounded by frames 700 & 720 and stringers 38L & 40L, together
with the lap joint at 39L.
The shattered fuselage skin would have taken a significant time
to move, relative to the timescales associated with the primary
shock wave propagation. Clear evidence of soot and small impact
craters were apparent on the internal surfaces of all fragments
of container and structure from the shatter zone, confirming that
the this material had not had time to move before it was hit by
the cloud of shrapnel, unburnt explosive residues and sooty combustion
products generated at the seat of the explosion.
Following immediately behind the primary shock wave, a secondary
high pressure wave - partly caused by reflections off the baggage
behind the explosive material but mainly by the general pressure
rise caused by the chemical conversion of solid explosive material
to high temperature gas - emerged from the container. The effect
of this second pressure front, which would have been more sustained
and spread over a much larger area, was to cause the fuselage
skin to stretch and blister outwards before bursting and petalling
back in a star-burst pattern, with rapidly running tear fractures
propagating away from a focus at the shatter zone. The release
of stored energy as the skin ruptured, combined with the outflow
of high pressure gas through the aperture, produced a characteristic
curling of the skin 'petals' - even against the slipstream. For
the most part, the skins which petalled back in this manner were
torn from the frames and stringers, but the frames and stringers
themselves were also fractured and became separated from the rest
of the structure, producing a very large jagged hole some 5 feet
longitudinally by 17 feet circumferentially (upwards to a region
just below the window belt and downwards virtually to the centre
line).
From this large jagged hole, three of the fractures continued
to propagate away from the hole instead of terminating at the
boundary. One fracture propagated longitudinally rearwards as
far as the wing cut-out and another forwards to station 480, creating
a continuous longitudinal fracture some 43 feet in length. A third
fracture propagated circumferentially downwards along frame 740,
under the belly, and up the right side of the fuselage almost
as far as the window belt - a distance of approximately 23 feet.
These extended fractures all involved tearing or related failure
modes, sometimes exploiting rivet lines and tearing from rivet
hole to rivet hole, in other areas tearing along the full skin
section adjacent to rivet lines, but separate from them. Although
the fractures had, in part, followed lap joints, the actual failure
modes indicated that the joints themselves were not inherently
weak, either as design features or in respect of corrosion or
the conditions of the joints on this particular aircraft.
Note: The cold bond process carried out at manufacture on the
lap joints had areas of disbonding prior to the accident. This
disbonding is a known feature of early Boeing 747 aircraft which,
by itself, does not detract from the structural integrity of the
hull. The cold bond adhesive was used to improve the distribution
of shear load across the joint, thus reducing shear transfer via
the fasteners and improving the resistance of the joint to fatigue
damage; the fasteners were designed to carry the full static loading
requirements of the joint without any contribution from the adhesive.
Thus, the loss of the cold bond integrity would only have been
significant if it had resulted in the growth of fatigue cracks,
or corrosion induced weaknesses, which had then been exploited
by the explosive forces. No evidence of fatigue cracking was found
in the bonded joints. Inter-surface corrosion was present on most
lap joints but only one very small region of corrosion had resulted
in significant material thinning; this was remote from the critical
region and had not played any part in the break-up.
The cracks propagating upwards as part of the petalling process
did not extend beyond the window line. The wreckage evidence suggests
that the vertical fractures merged, effectively closing off the
fracture path to produce a relatively clean bounding edge to the
upper section of the otherwise jagged hole produced by the petalling
process. There are at least two probable reasons for this. Firstly
the petalling fractures above the shattered zone did not diverge,
as they had tended to do elsewhere. Instead, it appears that a
large skin panel separated and peeled upwards very rapidly producing
tears at each side which ran upwards following almost parallel
paths. However, there are indications that by the time the fractures
had run several feet, the velocity of fracture had slowed sufficiently
to allow the free (forward) edge of the skin panel to overtake
the fracture fronts, as it flexed upwards, and forcibly strike
the fuselage skin above, producing clear witness marks on both
items. Such a tearing process, in which an approximately rectangular
flap of skin is pulled upwards away from the main skin panel,
is likely to result in the fractures merging. Secondly, this merging
tendency would have been reinforced in this particular instance
by the stiff window belt ahead of the fractures, which would have
tended to turn the fractures towards the horizontal.
It appears that the presence of this initial ('clean') hole, together
with the stiff window belt above, encouraged other more slowly
running tears to break into it, rather than propagating outwards
away from the main hole.
2.12.1.2 Critical crack considerations
The three very large tears extending beyond the boundary of the
petalled region resulted in a critical reduction of fuselage structural
integrity.
Calculations were carried out at the Royal Aerospace Establishment
to determine whether these fractures, growing outwards from the
boundary of the petalled hole, could have occurred purely as a
result of normal differential pressure loading of the fuselage,
or whether explosive forces were required in addition to the pressurisation
loads.
Preliminary calculations of critical crack dimensions for a fuselage
skin punctured by a 20 by 20 inches jagged hole indicated that
unstable crack growth would not have occurred unless the skin
stress had been substantially greater than the stress level due
to normal pressurisation loads alone. It was therefore clear that
explosive overpressure must have produced the gross enlargement
of the initially small shattered hole in the hull. Furthermore,
it was apparent from the degree of curling and petalling of the
skin panels within the star-burst region that this overpressure
had been relatively long term, compared with the shock wave overpressure
which had produced the shatter zone. A more refined analysis of
critical crack growth parameters was therefore carried out in
which it was assumed that the long term explosive overpressure
was produced by the chemical conversion of solid explosive material
into high temperature gas.
An outline of the fracture propagation analysis is given at Appendix
D. This analysis, using theoretical fracture mechanics, showed
that, after the incident shock wave had produced the shatter zone,
significant explosive overpressure loads were needed to drive
the star-burst fractures out to the boundary of the petalled skin
zone. Thereafter, residual gas overpressure combined with fuselage
pressurisation loads were sufficient to produce the two major
longitudinal cracks and a single major circumferential crack,
extending from the window belt down to beyond the keel centreline.
2.12.1.3 Damage to the cabin floor structure
The floor beams in the region immediately above the baggage container
in which the explosive had detonated were extensively broken,
displaying clear indications of overload failure due to buckling
caused by localised upward loading of the floor structure.
No direct evidence of bruising was found on the top panel of the
container. It therefore appears that the container did not itself
impact the floor beams, but instead the floor immediately above
the container was broken through as a result of explosive overpressure
as gases emerged from the ruptured container and loaded the floor
panels. Data on floor strengths, provided by Boeing, indicated
that the cabin floor (with the CRAF modification) would fail at
a uniform static differential pressure of between 3.5 and 3.9
psi (high pressure below the cabin floor), and that the floor
panel to floor beam attachments would not fail before the floor
beams. Whilst there is no direct evidence of the pressure loading
on the floor structure immediately following detonation, there
can be no doubt that in the region of station 700 it would have
exceeded the ultimate failure load by a large margin.
2.12.2 Indirect explosive damage (damage at remote sites)
All of the damage considered in the foregoing analysis, and the
mechanisms giving rise to that damage, resulted from the direct
impact of explosive shock waves and/or the short-term explosive
overpressure on structure close to the source of the explosion.
However, there were several regions of skin separation at sites
remote from the explosion (see para 1.12.3.2) which were much
more difficult to understand. These remote sites formed islands
of indirect explosive damage separated from the direct damage
by a sea of more generalised structural failure characterised
by the progressive aerodynamic break-up of the weakened forward
fuselage. All of these remote damage sites were consistent with
the impact of very localised pressure impulses on the internal
surfaces of the hull -effectively high energy 'pressure blows'
against the inner surfaces produced by explosive shock waves and/or
high pressure gas flows travelling through the interior spaces
of the hull.
The propagation of explosive shock waves and supersonic gas flows
within multiple, interlinking, cavities having indeterminate energy
absorption and reflection properties, and ill-defined structural
response, is extremely complex. Work has been initiated in an
attempt to produce a three-dimensional computer analysis of the
shock wave and supersonic flow propagation inside the fuselage,
but full theoretical analysis is beyond present resources.
Because of the complexity of the problem, the following analysis
will be restricted to a qualitative consideration of the processes
which were likely to have taken place. Whilst such an approach
is necessarily limited, it has identified a number of propagation
mechanisms which appear to have been of fundamental importance
to the break-up of Flight PA103, and which are likely to be critical
in any future incident involving the detonation of high explosive
inside an aircraft hull.
2.12.2.1 Shock wave propagation through internal cavities
When Mach stem shocks are produced not only are the shock pressures
very high but they propagate at very high velocity parallel to
the reflecting surface. In the context of the lower fuselage structure
in the region of Mach stem formation, it can readily be seen that
the Mach stem will be perfectly orientated to enter the narrow
cavity formed between the outer skin and the cargo liner/containers,
bounded by the fuselage frames [Appendix B, Figure B-25]. This
cavity enables the Mach stem shock wave to propagate, without
causing damage to the walls (due to the relatively low pressure
where the Mach stem sweeps their surface), and reach regions of
the fuselage remote from the source of the explosion. Furthermore,
energy losses in the cavity are likely to be less than would occur
in the 'free' propagation case, resulting in the efficient transmission
of explosive energy. The cavity would tend to act like a 'shock
tube', used for high speed aerodynamic research, confining the
shock wave and keeping it running along the cavity axis, with
losses being limited to kinetic heating due to friction at the
walls.
Paragraph 1.6.3 contains a general description of the structural
arrangements in the area of the cargo hold. Before proceeding
further and considering how the shock waves might have propagated
through this network of cavities, it should be pointed out that
the timescale associated with the propagation of the shock waves
is very short compared with the timescale associated with physical
movement and separation of skin and structure fractured or damaged
by the shock. Therefore, for the purpose of assessing the shock
propagation through the cavities, the explosive damage to the
hull can be ignored and the structure regarded as being intact.
A further simplification can usefully be made by considering the
structure to be rigid. This assumption would, if the analysis
were quantitative, result in over-estimations of the shock strengths.
However, for the purposes of a purely qualitative assessment,
the assumption should be valid, in that the general trends of
behaviour should not be materially altered.
It has already been argued that the shock wave emerging from the
container was, in part, reflected back off the inner surface of
the fuselage skin, forming a Mach stem shock wave which would
then have tended to travel into the semi-circular lower lobe cavity.
The Mach stem waves would have propagated away through this cavity
in two directions:
(i) | under the belly, between the frames [Appendix B, Figure B-3, detail A], and |
(ii) | up the left side, expanding into the cavity formed by the longitudinal manifold chamber where it joins the lower lobe cavity. |
As the shock waves travelled along the cavity, little attenuation
or other change of characteristic was likely to have occurred
until the shocks passed the entrances to other cavities, or impinged
upon projections and other local changes in the cavity. A review
of the literature dealing with propagation of blast waves within
such cavities provides useful insights into some of the physical
mechanisms involved.
As part of a research program carried out into the design of ventilation
systems for blast hardened installations intended to survive the
long duration blast waves following the detonation of nuclear
weapons, the propagation of blast waves along the primary passages
and into the side branches of ventilation ducts was studied. The
research showed that 90° bends in the ducts produced very
little attenuation of shock wave pressure; a series of six right
angle bends produced only a 30% pressure attenuation, together
with an extension of the shock duration. It is therefore evident
that the attenuation of shock waves propagating through the fuselage
cavities, all of which were short with hardly any right angle
turns, would have been minimal.
It was also demonstrated that secondary shock waves develop within
the entrance to any side branch from the main duct, produced by
the interaction of the primary shock wave with the geometric changes
in the duct walls at the side-branch location. These secondary
shock waves interact as they propagate into the side branch, combining
together within a relatively short distance (typically 7 diameters)
to produce a single, plane shock wave travelling along the duct
axis. In a rigid, smooth walled structure, this mechanism produces
secondary shock overpressures in the side branch of between 30%
and 50% of the value of the primary shock, together with a corresponding
attenuation of the primary shock wave pressure by approximately
20% to 25%.
This potential for the splitting up and re-transmission of shock
wave energy within the lower hull cavities is of extreme importance
in the context of this accident. Though the precise form of the
interactions is too complex to predict quantitatively, it is evident
that the lower hull cavities will serve to convey the overpressure
efficiently to other parts of the aircraft. Furthermore, the cavities
are not of serial form, i.e. they do not simply branch (and branch
again) in a divergent manner, but instead form a parallel network
of short cavities which reconnect with each other at many different
points, principally along the crease beams. Thus, considerable
scope exists for: the additive recombination of blast waves at
cavity junctions; for the sustaining of the shock overpressure
over a greater time period; and, for the generation of multiple
shocks produced by the delay in shock propagation inherent in
the different shock path (i.e. cavity) lengths.
Whilst it has not been possible to find a specific mechanism to
explain the regions of localised skin separation and peel-back
(i.e. the 'pressure blow' regions referred to in para 2.12.2),
they were almost certainly the result of high intensity shock
overpressures produced locally in those regions as a result of
the additive recombination of shock waves transmitted through
the lower hull cavities. It is considered that the relatively
close proximity of the left side region of damage just below floor
level at station 500, [Appendix B, Figure B-19, region D] to the
forward end of the cargo hold may be significant insofar as the
reflections back from the forward end of the hold would have produced
a local enhancement of the shock overpressure. Similarly, 'end
blockage effects' produced by the cargo door frame might have
been responsible for local enhancements in the area of the belly
skin separation and curl-back at station 560 [Appendix B, Figure
B-19 and B-20, region E].
The separation of the large section of upper fuselage skin [Appendix
B, Figure B-19 and B-20, detail B] was almost certainly associated
with a local overpressure in the side cavities between the main
deck window line and the upper deck floor, where the cavity is
effectively closed off. It is considered that the most probable
mechanism producing this region of impulse overpressure was a
reflection from the closed end of the cavity, possibly combined
with further secondary reflections from the window assembly, the
whole being driven by reflective overpressures at the forward
end of the longitudinal manifold cavity caused by the forward
end of the cargo hold. The local overpressure inside the sidewall
cavity would have been backed up by a general cabin overpressure
resulting from the floor breakthrough, giving rise to an increased
pressure acting on the inner face of the cabin side liner panels.
This would have provided pseudo mass to the panels, effectively
preventing them from moving inwards and allowing them to react
the impulse pressure within the cavity, producing the region of
local high pressure evidenced by the region of quilting on the
skin panels [Appendix B, Figure B-19, region C].
2.12.2.2 Propagation of shock waves into the cabin
The design of the air-conditioning/depressurisation-venting systems
on the Boeing 747 (and on most other commercial aircraft) is seen
as a significant factor in the transmission of explosive energy,
as it provides a direct connection between the main passenger
cabin and the lower hull at the confluence of the lower hull cavities
below the crease beam. The floor level air conditioning vents
along the length of the cabin provided a series of apertures through
which explosive shock waves, propagating through the sub floor
cavities, would have radiated into the main cabin.
Once the shock waves entered the cabin space, the form of propagation
would have been significantly different from that which occurred
in the cavities in the lower hull. Again, the precise form of
such radiation cannot be predicted, but it is clear that the energy
would potentially have been high and there would also (potentially)
have been a large number of shock waves radiating into the cabin,
both from individual vents and in total, with further potential
to recombine additively or to 'follow one another up' producing,
in effect, sustained shock overpressures.
Within the cabin, the presence of hard, reflective, surfaces are
likely to have been significant. Again, the precise way in which
the shock waves interacted is vastly beyond the scope of current
analytical methods and computing power, but there clearly was
considerable potential for additive recombination of the many
different shock waves entering at different points along the cabin
and the reflected shock waves off hard surfaces in the cabin space,
such as the toilet and galley compartments and overhead lockers.
These recombination effects, though not understood, are known
phenomena. Appendix B, Figure B-26 shows how shock waves radiating
from floor level might have been reflected in such a way as produce
shock loading on a localised area of the pressure hull.
2.12.2.3 Supersonic gas flows
The gas produced by the explosive would have resulted in a supersonic
flow of very high pressure gas through the structural cavities,
which would have followed up closely behind the shock waves. Whilst
the physical mechanisms of propagation would have been different
from those of the shock wave, the end result would have been similar,
i.e. there would have been propagation via multiple, linked paths,
with potential for additive recombination and successive pressure
pulses resulting from differing path lengths. Essentially, the
shock waves are likely to have delivered initial 'pressure blows'
which would then have been followed up immediately by more sustained
pressures resulting from the high pressure supersonic gas flows.
2.13 Potential limitation of explosive damage
Quite clearly the detonation of high explosive material anywhere
on board an aircraft is potentially catastrophic and the most
effective means of protecting lives is to stop such material entering
the aircraft in the first place. However, it is recognised that
such risks cannot be eliminated entirely and it is therefore essential
that means are sought to reduce the vulnerability of commercial
aircraft structures to explosive damage.
The processes which take place when an explosive detonates inside
an aircraft fuselage are complex and, to a large extent, fickle
in terms of the precise manner in which the processes occur. Furthermore,
the potential variation in charge size, position within the hull,
and the nature of the materials in the immediate vicinity of the
charge (baggage etc) are such that it would be unrealistic to
expect to neutralise successfully the effect of every potential
explosive device likely to be placed on board an aircraft. However,
whilst the problem is intractable so far as a total solution is
concerned, it should be possible to limit the damage caused by
an explosive device inside a baggage container on a Boeing 747
or similar aircraft to a degree which would allow the aircraft
to land successfully, albeit with severe local damage and perhaps
resulting in some loss of life or injuries.
In Appendix E the problem of reducing the vulnerability of commercial
aircraft to explosive damage is discussed, both in general terms
and in the context of aircraft of similar size and form to the
Boeing 747. In that discussion, those damage mechanisms which
appear to have contributed to the catastrophic structural failure
of Flight PA103 are identified and possible ways of reducing their
damaging effects are suggested. These suggestions are intended
to stimulate thought and discussion by manufacturers, airworthiness
authorities, and others having an interest in finding solutions
to the problem; they are intended to serve as a catalyst rather
than to lay claim to a definitive solution.
2.14 Summary
It was established that the detonation of an IED, loaded in a
luggage container positioned on the left side of the forward cargo
hold, directly caused the loss of the aircraft. The direct explosive
forces produced a large hole in the fuselage structure and disrupted
the main cabin floor. Major cracks continued to propagate from
the large hole under the influence of the service pressure differential.
The indirect explosive effects produced significant structural
damage in areas remote from the site of the explosion. The combined
effect of the direct and indirect explosive forces was to destroy
the structural integrity of the forward fuselage, allow the nose
and flight deck area to detach within a period of 2 to 3 seconds,
and subsequently allow most of the remaining aircraft to disintegrate
while it was descending nearly vertically from 19,000 to 9,000
feet.
The investigation has enabled a better understanding to be gained
of the explosive processes involved in such an event and to suggest
ways in which the effects of such an explosion might be mitigated,
both by changes to future design and also by retrospective modification
of aircraft. It is therefore recommended that Regulatory Authorities
and aircraft manufacturers undertake a systematic study with a
view to identifying measures that might mitigate the effects of
explosive devices and improve the tolerance of the aircraft structure
and systems to explosive damage.
3. CONCLUSIONS
(a) Findings
(i) | The crew were properly licenced and medically fit to conduct the flight. |
(ii) | The aircraft had a valid Certificate of Airworthiness and had been maintained in compliance with the regulations. |
(iii) | There was no evidence of any defect or malfunction in the aircraft that could have caused or contributed to the accident. |
(iv) | The structure was in good condition and the minimal areas of corrosion did not contribute to the in-flight disintegration. |
(v) | One minor fatigue crack approximately 3 inches long was found in the fuselage skin but this had not been exploited during the disintegration. |
(vi) | An improvised explosive device detonated in luggage container serial number AVE 4041 PA which had been loaded at position 14L in the forward hold. This placed the device approximately 25 inches inboard from the skin on the lower left side of the fuselage at station 700. |
(vii) | The analysis of the flight recorders, using currently accepted techniques, did not reveal positive evidence of an explosive event. |
(viii) | The direct explosive forces produced a large hole in the fuselage structure and disrupted the main cabin floor. Major cracks continued to propagate from the large hole under the influence of the service pressure differential. |
(ix) | The indirect explosive effects produced significant structural damage in areas remote from the site of the explosion. |
(x) | The combined effect of the direct and indirect explosive forces was to destroy the structural integrity of the forward fuselage. |
(xi) | Containers and items of cargo ejected from the fuselage aperture in the forward hold, together with pieces of detached structure, collided with the empennage severing most of the left tailplane, disrupting the outer half of the right tailplane, and damaging the fin leading edge structure. |
(xii) | The forward fuselage and flight deck area separated from the remaining structure within a period of 2 to 3 seconds. |
(xiii) | The No 3 engine detached when it was hit by the separating forward fuselage. |
(xiv) | Most of the remaining aircraft disintegrated while it was descending nearly vertically from 19,000 to 9,000 feet. |
(xv) | The wing impacted in the town of Lockerbie producing a large crater and creating a fireball. |
(b) Cause
The in-flight disintegration of the aircraft was caused by the
detonation of an improvised explosive device located in a baggage
container positioned on the left side of the forward cargo hold
at aircraft station 700.
4. SAFETY RECOMMENDATIONS
The following Safety Recommendations were made during the course
of the investigation :
4.1 | That manufacturers of existing recorders which use buffering techniques give consideration to making the buffers non-volatile, and the data recoverable after power loss. |
4.2 | That Airworthiness Authorities re-consider the concept of allowing buffered data to be stored in a volatile memory. |
4.3 | That Airworthiness Authorities consider requiring the CVR system to contain a short duration, i.e. no greater than 1 minute, back-up power supply to enable the CVR to respond to events that result in the almost immediate loss of the aircraft's electrical power supply. |
4.4 | That the Department of Transport fund a study to devise methods of recording violent positive and negative pressure pulses, preferably utilising the aircraft's flight recorder systems. |
4.5 | That Airworthiness Authorities and aircraft manufacturers undertake a systematic study with a view to identifying measures that might mitigate the effects of explosive devices and improve the tolerance of aircraft structure and systems to explosive damage. |
M M Charles
Inspector of Accidents
Department of Transport
July 1990