Factual inquiry into the airspace closure above and around eastern Ukraine in relation to the downing of Flight MH17 Flight Safety Foundation
JANUARY 2021 Table of Contents
About Flight Safety Foundation...... 1 Executive Summary...... 2 Purpose...... 2 Background...... 2 Scope...... 2 Inquiry Limitations...... 3 Hostile Events Analysis: 1985–2020...... 4 Conflict Zones Analysis: 1990–2014...... 5 Airspace Restrictions Over and Around Eastern Ukraine...... 7 Collecting Information About Ukraine and Russian Federation Threat Awareness...... 8 Ukraine Awareness of Threat to Civil Aircraft...... 10 Russian Federation Awareness of Threat to Civil Aircraft...... 12 1. Introduction...... 14 1.1. Purpose...... 14 1.2. Background...... 14 1.3. Scope...... 15 1.4. Inquiry Limitations...... 15 1.5. Definitions...... 16 2. Overall Framework...... 17 3. Hostile Events Analysis: 1985–2020...... 19 3.1. Purpose of the Hostile Events Analysis...... 19 3.2. Hostile Events Sample...... 20 3.3. Airspace Restrictions and Hostile Events...... 20 3.4. Targeted Aircraft...... 20 3.5. Capability to Attack...... 25 3.6. Risk and Capability Engagement Altitude...... 26 3.7. Intentional vs. Unintentional Attack...... 27 3.8. Hostile Events and Conflict Zone Flights...... 27 4. Conflict Zones Analysis: 1990–2014...... 28 4.1. Purpose of the Conflict Zones Analysis...... 28 4.2. Conflict Zones Sample...... 28 4.3. Conflict Zone Indicators...... 28 4.4. Overview of the Conflict Zone Analysis...... 30 4.5. Discussion of the Conflict Zone Analysis...... 32 5. Airspace Restrictions Over and Around Eastern Ukraine...... 34 5.1. Objectives of the Airspace Restrictions Analysis...... 34 5.2. Scope of the Airspace Restrictions Analysis...... 34 5.3. Technical Background...... 34 5.3.1. Background...... 34 5.3.2. Airspace Sovereignty, FIRs and ATS Routes...... 34
FLIGHT SAFETY FOUNDATION | FACTUAL INQUIRY INTO THE AIRSPACE CLOSURE ABOVE AND AROUND EASTERN UKRAINE IN RELATION TO THE DOWNING OF FLIGHT MH17 i | 5.3.3. Airspace Restrictions...... 34 5.3.4. NOTAM...... 35 5.4. Analysis of the NOTAMs...... 36 5.5. Adopted Format for NOTAM Description...... 36 5.6. Ukraine Airspace Restrictions Timeline...... 37 5.6.1. NOTAM A0820/14, Issued on 24 April 2014...... 37 5.6.2. NOTAM A0942/14, Issued on 05 May 2014...... 38 5.6.3. NOTAM A1219/14, Issued on 02 June 2014...... 39 5.6.4. NOTAM A1229/14, Issued on 03 June 2014...... 40 5.6.5. NOTAM A1231/14, Issued on 04 June 2014...... 41 5.6.6. NOTAM A1234/14, Issued on 04 June 2014...... 42 5.6.7. NOTAM A1236/14, Issued on 04 June 2014...... 43 5.6.8. NOTAM A1255/14, Issued on 05 June 2014...... 44 5.6.9. NOTAM A1256/14, Issued on 05 June 2014...... 45 5.6.10. NOTAM A1383/14, Issued on 26 June 2014...... 46 5.6.11. NOTAM A1384/14, Issued on 26 June 2014...... 47 5.6.12. NOTAM A1492/14, Issued on 14 July 2014...... 48 5.6.13. NOTAM A1493/14, Issued on 14 July 2014...... 49 5.6.14. NOTAM A1507/14, Issued on 17 July 2014 after the Downing of Flight MH17...... 50 5.6.15. NOTAM A1517/14, Issued on 17 July 2014 after the Downing of Flight MH17...... 51 5.7. Russian Federation Airspace Restrictions Timeline...... 52 5.7.1. NOTAM V6158/14, Issued on 17 July 2014...... 52 5.7.2. NOTAM A2681/14, Issued on 16 July 2014...... 54 5.8. Summary of the Airspace Restriction Timeline Prior to the Downing of Flight MH17...... 55 6. Collecting and Analysing Information About Ukraine and Russian Federation Threat Awareness...... 58 6.1. Information Collection Framework...... 58 6.2. Public Information Collection and Analysis...... 59 6.2.1. Objective, Process and Structure...... 59 6.2.2. Sources of Information...... 59 6.2.3. Findings and Analysis: Publicly Available Conflict Information...... 59 6.2.4. Statements from Ukraine and the Russian Federation...... 61 6.2.5. Presence of Air Defence Systems in Eastern Ukraine...... 63 6.2.6. Post Flight MH17 Assessments...... 65 6.3. Standard Procedures Questionnaire...... 67 6.4. Threat Knowledge Questionnaire...... 69 6.5. Inquiry Into Ukraine Standard Procedures and Threat Knowledge...... 70 6.6. Inquiry into Russian Federation Standard Procedures and Threat Knowledge...... 75 7. Discussion on Ukraine and Russian Federation Threat Awareness...... 80 7.1. Discussion Framework...... 80 7.2. Risk Analysis and Decision-Making Responsibilities...... 80 7.3. Risk Assessment...... 81 7.4. Ukraine Awareness of Threat to Civil Aircraft...... 84 7.5. Russian Federation Awareness of Threat to Civil Aircraft...... 85
FLIGHT SAFETY FOUNDATION | FACTUAL INQUIRY INTO THE AIRSPACE CLOSURE ABOVE AND AROUND EASTERN UKRAINE IN RELATION TO THE DOWNING OF FLIGHT MH17 ii | Appendix A Conflict zones case studies...... 87 Bosnian war 1992–1997...... 87 Croatian war 1991–1995...... 90 Democratic Republic of the Congo (DRC)...... 93 Egypt (Sinai)...... 95 Georgia-Russia 2008...... 98 Iraq war 1991...... 101 Iraq war 2003–2011...... 104 Kosovo–Allied Force 1999...... 107 Libya 2011...... 110 Slovenia 1991...... 113 Afghanistan 2001–present...... 116 Armenia Azerbaijan...... 119 Ivory Coast 2002–2004...... 122 Indonesia (Aceh) 1990–1998...... 125 Mali 2012–2015...... 128 Georgian Civil Wars 1991–1993...... 132 Appendix B Questionnaire Responses: Russian Federation standard procedures and threat knowledge...... 134 Appendix C Clarifying Questions Responses from Russian Federation...... 150 Appendix D Questionnaire Responses: Ukraine standard procedures and threat knowledge...... 153 Appendix E Clarifying Questions Responses from Ukraine...... 169 References...... 171
FLIGHT SAFETY FOUNDATION | FACTUAL INQUIRY INTO THE AIRSPACE CLOSURE ABOVE AND AROUND EASTERN UKRAINE IN RELATION TO THE DOWNING OF FLIGHT MH17 iii | About Flight Safety Foundation
light Safety Foundation is an independent, nonprofit, concern. In 2020, there were two such occurrences. On 8 international organization exclusively chartered to January 2020, Ukraine International Airlines Flight 752 Fprovide impartial research, education, advocacy, and was shot down shortly after takeoff from Tehran Imam communications in the field of aviation safety. Founded in Khomeini International Airport, resulting in 176 fatalities. 1947, the Foundation brings together aviation profession- On 4 May 2020, an East African Express Airways aircraft als from all sectors to help solve safety problems facing was shot down on approach to Berdale airport in Somalia, the industry. With membership throughout the world, the resulting in six fatalities. Foundation brings an international perspective to aviation The Foundation has long been involved in working issues for its members, the media and the traveling public. to mitigate civil aviation conflict zone risk. In August The Foundation is in a unique position to identify 2014, just weeks after the downing of Malaysia Airlines global safety issues, set priorities and serve as a catalyst to Flight MH17 over eastern Ukraine, the Foundation’s chair- address these concerns through data collection and infor- man was chosen to lead the International Civil Aviation mation sharing, training, safety standards, best practices Organization’s (ICAO) Task Force on Risks to Civil Aviation and toolkits. The Foundation strives to bridge proprietary, Arising from Conflict Zones. The ICAO Task Force pro- cultural and political differences in the common cause of duced important recommendations to mitigate the risks advancing global aviation. to civil aviation which were incorporated into ICAO’s Risk Many of the safety issues the Foundation has addressed Assessment Manual for Civil Aircraft Operations Over and over the decades have evolved as air travel has grown and Near Conflict Zones. technology and training have improved. The stellar safety The Foundation continues its global campaign on record of the aviation industry speaks to the progress that heightened awareness of, and action on, conflict zone risk has been made. to civil aviation. Within the context of a still-prominent One of the issues that the Foundation has focused on risk, this report attempts to advance the understanding of involves the risk to airliners that fly over conflict zones. risk assessment of attacks from the ground on civil aircraft Threats to commercial aviation due to hostile activity and on the state processes for integrated airspace security in conflict regions around the world are a continuing risk assessment.
Flight Safety Foundation Flight Safety Foundation Flight Safety Foundation Headquarters European Regional Office Basic Aviation Risk Standard (BARS) 701 N. Fairfax Street, Suite 250 Rue de la Fuseé, 96 Program Office Alexandria, VA 22314 USA B-1130 Brussels, Belgium Level 16 Tel. +1 703.739.6700 356 Collins Street flightsafety.org Melbourne VIC 3000 Australia
FLIGHT SAFETY FOUNDATION | FACTUAL INQUIRY INTO THE AIRSPACE CLOSURE ABOVE AND AROUND EASTERN UKRAINE IN RELATION TO THE DOWNING OF FLIGHT MH17 1 | EXECUTIVE SUMMARY
Executive Summary
Purpose the international community to implement protocols to Flight Safety Foundation (the Foundation) conducted an prevent similar events from happening. These recom- inquiry into the circumstances that led to a partial closure mendations included threat assessment, sharing of threat of the airspace above and adjacent to eastern Ukraine in information, and timely and effective management of the three-month period prior to the 17 July 2014 shoot- aircraft operations and airspace. down of Malaysia Airlines Flight MH17. The 36-state ICAO Council reviewed the report of the The intent of the inquiry was to analyse airspace closure Task Force and in October 2014, approved the conflict decisions made by authorities in both Ukraine and the zone work program. The Council also unanimously Russian Federation, and to understand the processes adopted a resolution condemning the downing of Malay- used in making those decisions as well as the information sia Airlines Flight MH17 over eastern Ukraine. on which the decisions were based. The elements of the The technical investigation into the causes of the inquiry are defined further in the Scope. Flight MH17 crash was conducted by the Dutch Safety Board (DSB) after Ukraine delegated this authority to the Background Netherlands. The report of the DSB aimed at answering On 17 July 2014, Flight MH17, flying from Amsterdam to four key questions: Kuala Lumpur, was downed over eastern Ukraine, where, • What caused the crash of Flight MH17? at the time, an armed conflict was taking place. Tragically, all 298 passengers and crew lost their lives. While there • How and why were decisions made to use were other losses of airliners as a result of military conflict Flight MH17’s flight route? over the previous decades, the loss of Flight MH17 con- • How is the decision-making process related to flying stituted a watershed moment that galvanized the interna- over conflict zones generally organized? tional community to proactively address the continuing • What lessons can be learned from the investigation threat to civil aviation arising from conflict zones. to improve flight safety and security? In July 2014, the United Nations Security Coun- cil adopted a resolution related to the downing of The final report by the DSB was published on 13 October Flight MH17. This was followed by an International Civil 2015. Aviation Organization (ICAO) State letter, issued to draw Foundation research builds upon the information the attention of ICAO Member States to the international contained in the DSB’s report and attempts to enlarge the provisions specifying state responsibilities with respect scope and deepen understanding of the factual circum- to the safety and security of civil aircraft operating in stances underlying the airspace restrictions both above the airspace affected by conflict. territory of Ukraine and above the territory of the Russian ICAO established a senior-level Task Force to address Federation. issues related to the safety and security of civil aircraft Scope operating in airspace affected by conflict. The chairman This inquiry is focused on the factual circumstances of the Foundation’s Board of Governors was elected as the surrounding the decision-making regarding the closure of chairman of the Task Force. The Task Force developed airspace above and around eastern Ukraine from 1 March a report, which included recommendations to address 2014 up to and including the moment of complete closure the threat of military conflict to civil aviation. It urged
FLIGHT SAFETY FOUNDATION | FACTUAL INQUIRY INTO THE AIRSPACE CLOSURE ABOVE AND AROUND EASTERN UKRAINE IN RELATION TO THE DOWNING OF FLIGHT MH17 2 | EXECUTIVE SUMMARY
of that airspace after the downing of Flight MH17 on 17 information from intelligence services, were not July 2014. In addition, this inquiry will provide contextual available for the inquiry. background, through a representative inventory of state • The findings from the hostile events analysis and practices 20 to 30 years prior to 2014, regarding the use by from the historical conflict zones analysis are based civil aviation of airspace above conflict zones. on the information discovered by the Foundation This inquiry was conducted from April 2020 to Janu- from public sources. ary 2021. • The inquiry into airspace closure decisions in The scope of the inquiry did not include drawing Ukraine and the Russian Federation is focused on (normative) conclusions on the question of whether, prior information about: (a) the threat awareness of the to the moment of the downing of Flight MH17, respon- authorities responsible for airspace security risk sible authorities did or did not take adequate measures to analysis and decision-making and not about the prevent the downing of the aircraft. potential threat awareness of other entities within The following elements were covered within the scope each government, and (b) facts reported publicly by of the inquiry: organisations and authorities and does not include • A study of previous hostile events and state practice conclusions and inferences from these facts made by in regard to the use by civil aviation of airspace above organisations and authorities. conflict zones. • The inquiry was carried out remotely due to COV- • An inquiry into the facts concerning the closure ID-19 travel restrictions. The Foundation requested of airspace above eastern Ukraine as of 1 March access to engage directly with identified relevant au- 2014 up to and including the moment of complete thorities and specialists in Ukraine and the Russian closure of that airspace subsequent to the downing of Federation, which would have been possible through Flight MH17 on 17 July 2014. teleconferencing or video conferencing. Ultimately, • An inquiry into the facts concerning the closure of Ukraine and the Russian Federation preferred pro- airspace above the territory of the Russian Fed- viding information through written questionnaires eration bordering eastern Ukraine as of 1 March developed by the Foundation. Information was 2014 up to and including the moment of complete transmitted via the respective diplomatic channels. closure of that airspace subsequent to the downing of The Foundation does not have visibility on how the Flight MH17 on 17 July 2014. information was collected and processed within the In this report, in accordance with ICAO and the other relevant authorities in the two countries. referenced sources, the terms “airspace restriction”1 and • The process of sending questionnaires, waiting for “airspace closure”2 are used interchangeably. Wherever the written responses and then processing those re- applicable, these terms are used with the addition of their sponses took considerable time and limited the num- vertical limits. ber of iterations to two — the first set of questions to each state and then a set of clarifying questions to Inquiry Limitations each. These circumstances limited the depth of the inquiry. There are a number of limitations associated with carrying out this inquiry that should be considered. The limitations • While the findings about airspace closure decisions are related to the characteristics of the scope, purpose, and in Ukraine and the Russian Federation and the find- approach to the inquiry and to the sources and quality of ings from the historical conflict zones analysis are information available for use in the inquiry. Readers of the for the defined time periods ending on 17 July 2014, report should keep in mind the following: numerous changes have been implemented since then, including changes initiated by ICAO, sovereign • The findings about airspace closure decisions in states, aviation authorities, airlines, and air naviga- Ukraine and the Russian Federation are based on tion service providers. The findings are not directly two specific sources of information: (a) public source transferable to the current practices. information available during 2020 discovered by the Foundation and (b) information received by the • Because six years have passed since the downing Foundation from Ukraine and the Russian Federa- of Flight MH17, it is more challenging to obtain tion through responses to questionnaires. Other information on procedures, decisions and practic- sources of information, such as private sources and es in place at the time in 2014. Key personnel and decision makers who were in place in 2014 may not
1 As described in ICAO “Air Traffic Services Planning Manual” 2 As used in ICAO “Aeronautical Information Services Manual”
FLIGHT SAFETY FOUNDATION | FACTUAL INQUIRY INTO THE AIRSPACE CLOSURE ABOVE AND AROUND EASTERN UKRAINE IN RELATION TO THE DOWNING OF FLIGHT MH17 3 | EXECUTIVE SUMMARY
Finding 1: Foundation analysis shows that most of the be in place now. We do not have independent verifi- hostile events involving surface-to-air attacks against cation about whether our questions were answered civil aviation flights that took place during the period by people knowledgeable about the decision-making of 1985‒2020 could have been prevented by restricting processes and practices in place prior to the downing the airspace above or around the conflict zone and by of Flight MH17. adherence to the restrictions. Hostile Events Analysis: 1985–2020 The Foundation’s research showed that man-portable air At the outset of the project, the Foundation gathered and defence systems, or MANPADS, usually relatively small, analysed data on 57 hostile events involving civil avia- shoulder-launched weapons capable of reaching 15,000 ft, tion in and around conflict zones over a 35-year period are the most common weapon used against civil aviation. beginning in 1985. The period was selected based on the (See, in Figure 2 (p. 5), the number of events in the sample information for the hostile events that the Foundation was associated with a given capability to attack.) MANPADS able to collect. Included in the sample were intentional generally are easier to obtain and use than larger, and unintentional attacks from the ground on commer- non-man-portable surface-to-air missile (SAM) systems, cial air transport and general aviation operations. Hostile which are technically more complex, more difficult to op- events, as illustrated in Figure 1, are the intentional or erate and can reach targets at much higher altitudes. 3 unintentional engagement of a capability to attack against However, the size of most MANPADS warheads (less civil aviation. than 2 kg [4 lb] for some common MANPADS) means that Hostile events are “the tip of the iceberg,” and for each a catastrophic outcome — i.e., the aircraft being shot down hostile event that occurred, there were many more precur- — is not certain. By comparison, the SAM events identified sor situations that sometimes were and sometimes were show that a catastrophic outcome from a successful attack not associated with a conflict zone (for example, a terrorist is highly probable, at least in part because of the larger war- act not in a conflict zone). head (as much as 70 kg [154 lb] in some missiles). In order to study the conflict zones, it is necessary to study their potential worst outcome — hostile events. Finding 2: Based on an analysis of reported surface-to- Additionally, considering that most hostile events are as- air attacks against civil aviation flights for the period of sociated with flights in nonrestricted airspace, this part of 1985‒2020, MANPADS are the most common weapon the inquiry was an important source of information about used against civil aviation. MANPADS are generally the failure of state practices to restrict the airspace. easier to obtain and use than larger, non-portable SAM The results of the hostile events analysis show that most systems. However, the size of most MANPADS war- hostile events took place over conflict zones when the heads means that a catastrophic outcome is not certain. airspace was not restricted. By comparison, the SAM events identified show that a
Figure 1 Hostile Events Pyramid
Hostile events
Capability and Capability and factors for an intent to attack unintentional attack
Situations or zones with capability to attack aircraft in ight
3 E.g., MANPADS or surface-to-air missiles
FLIGHT SAFETY FOUNDATION | FACTUAL INQUIRY INTO THE AIRSPACE CLOSURE ABOVE AND AROUND EASTERN UKRAINE IN RELATION TO THE DOWNING OF FLIGHT MH17 4 | EXECUTIVE SUMMARY
Figure 2 Number of Events in the Sample Associated With a Given Capacity to Attack