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PEB on Dec. 6, 2004: clinical diagnosis: cardiac type of neurocirculatory
dystonia.
As per Art. 19.2, para. II of the 1992 FCAMCR, the co-pilot was
considered fit to fly as a pilot.
PEB on Dec. 9, 2005: clinical diagnosis: arteriosclerosis of the aorta.
Second degree hepatic steatosis without obstructions in liver functions. First
degree hypothyroidism without obstructions in functions of the thyroid gland.
Excess body weight.
As per Art. 21.2, 24.2 para. II of the FCAMCR, he was considered fit to
work as a pilot, provided functional integrity of his cardiovascular system was
maintained.
While undergoing conversion training on the A-310 airplane, the co-pilot
was examined by the Sibir company psychologist on Jan. 21, 2005. A high level
of the principal psychophysiological functions (capacity to switch gears, span
and focus of attention, assimilation of new information, short-term and longterm
memory), and a normal level of logical thinking was established. He was
characterized by a developed sense of self-control, independence, ability to
mobilize to perform tasks, accuracy and rapidity of orientation and decisionmaking
in extreme situations.
The A-310 Captain and the co-pilot underwent the non-stationary
examination by the airline physician in due course during the period between
physicals. No traumas, acute diseases, work disabilities or deviations from
established health requirements were discovered.
Based on their registered place of residence, the Captain and the co-pilot
were assigned to the hospital of the MU FSUE at Irkutsk airport (with Maski
insurance policies). They did not seek medical assistance in any other medical
institutions of the city of Irkutsk over the last two years.
Note: In the Captain’s medical record, because of the presence of a series of
entries requiring commentary, including the removal of the Captain from flight
duties, as well as the need for additional analysis of the relevance of the
recommendations of the airline psychologist on the basis of the Captain’s test
Final Report
INTERGOVERNMENTAL AVIATION COMMITTEE
49
results (in connection with his assignment to undergo conversion training on the
A-310), the Commission decided to carry out additional analysis of available
information. The results of the additional analysis and expert opinion are
presented in sections 1.18.4 and 1.18.5 of the Report.
1.13.2. Results of pathological and anatomical examinations
Based on the conclusion of forensic medical examination no. 86/75 of
Aug. 20, 2006, the Captain died from the onset of acute carbon monoxide
poisoning. The concentration of carboxyhemoglobin in his blood was 75%. No
alcohol or narcotic substances were found in the deceased’s body.
Based on forensic medical examination no. 105 of July 25, 2006, the
death of the co-pilot was due to acute carbon monoxide poisoning resulting from
the inhalation of combustion gases and acute oxygen insufficiency in the inhaled
air. The concentration of carboxyhemoglobin in his blood was 30%. No alcohol
or narcotic substances were found in the deceased’s body.
1.14. Survival Aspects
Both members of the flight crew died as a result of the accident. The
causes of death are indicated in the preceding section.
Of the 6 members of the cabin crew, 3 flights attendants died, and 3
received various types of physical injuries as a result of the accident.
Of the 3 flight attendants who died, only one was identified at the time of
completion of the investigation. Forensic medical experts concluded that one
died from acute carbon monoxide poisoning. The concentration of
carboxyhemoglobin in her blood was 85%. The three unidentified flight
attendants, died as a result of acute carbon monoxide poisoning.
Based on the results of the forensic medical examinations presented to the
commission, of the 120 passengers who died, 119 died as a result of acute
carbon monoxide poisoning in conjunction with oxygen insufficiency in the
inhaled air (in one case, the poisoning was accompanied by trauma to the skull
and brain) and one female passenger died from severe trauma combined with
burns to the body.
Of the 75 passengers who survived, 60 were hospitalized; 38 of the 60
received serious physical injuries and 22 minor injuries. Fourteen passengers
refused medical assistance.
The 60 who were injured were brought to medical institutions in Irkutsk,
and 8 of these were consequently transferred to Moscow hospitals. Of this
number, 23 individuals who had suffered mechanical traumas were subjected to
the effect of high temperatures and carbon monoxide poisoning. Thirteen
individuals suffered carbon monoxide poisoning and eight received heat burns.
　
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