AVIATION Reports - 2002 - A02O0123

Table of Contents

1. 1.0 Factual Information
   1. 1.1 History of the Flight
   2. 1.2 Injuries to Persons
   3. 1.3 Damage to Aircraft
   4. 1.4 Personnel Information
   5. 1.5 Aircraft Information
   6. 1.5.1 General
   7. 1.5.2 Aircraft History
   8. 1.5.3 Aft Cargo Compartment
   9. 1.5.4 Fire Extinguishing System
   10. 1.5.5 Water Line Heating System
   11. 1.5.5.1 Description
   12. 1.5.5.2 Water Line Repair
   13. 1.5.6 Thermal Acoustic Insulation
   14. 1.6 Notification and Flight Recorders
   15. 1.6.1 Notification of the Occurrence
   16. 1.6.2 Data Retention
   17. 1.7 Medical Information
   18. 1.8 Fire
   19. 1.9 Survival Aspects
   20. 1.10 Additional Information
   21. 1.10.1 Heater Ribbon Failures
   22. 1.10.1.1 History
   23. 1.10.1.2 Additional Heater Ribbon Failures on C-GHML
   24. 1.10.1.3 Heater Ribbon Failures on Other Air Canada Aircraft
   25. 1.10.2 Insulation Blanket Contamination
   26. 1.10.2.1 History
   27. 1.10.2.2 Insulation Blanket Condition on C-GHML
   28. 1.10.2.3 Insulation Blanket Contamination on Other Air Canada Aircraft
   29. 1.10.3 Circuit Protection Devices
   30. 1.10.4 Material Flammability Standards
   31. 1.10.4.1 Development
   32. 1.10.4.2 Testing Procedures
   33. 1.10.5 Certification of Imported Aircraft
2. 2.0 Analysis
   1. 2.1 General
   2. 2.2 Ignition
   3. 2.3 Contamination
   4. 2.4 Drain Line Repair
   5. 2.5 Certification
   6. 2.6 Notification and Data Preservation
3. 3.0 Conclusions
   1. 3.1 Findings as to Causes and Contributing Factors
   2. 3.2 Findings as to Risk
   3. 3.3 Other Findings
4. 4.0 Safety Action
   1. 4.1 Action Taken
   2. 4.1.1 Air Canada
   3. 4.1.2 Boeing
   4. 4.1.3 Transportation Safety Board of Canada
   5. 4.1.4 Federal Aviation Administration
   6. 4.1.5 Transport Canada
   7. 4.2 Safety Concerns
5. 5.0 Appendices
   1. Appendix A - List of Supporting Reports
   2. Appendix B - Glossary
6. Figures
   1. Figure 1 - Fire Location
7. Photos
   1. Photo 1 - Fire-damaged Area
   2. Photo 2 - Aft Cargo Compartment
   3. Photo 3 - Fire-damaged Area
   4. Photo 4 - Contaminated Insulation Blankets and Debris
   5. Photo 5 - Burned Heater Ribbon Behind Aft Wall
   6. Photo 6 - Dust and Lint Accumulation on Wiring Bundles Behind Wall Panel
   7. Photo 7 - Dust and Lint Accumulation on Thermal Acoustic Insulation Behind Wall Panel

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