May 24, 1999
Mr. John Marshall
Vice President Safety and Compliance
Delta Air Lines
Dear John:
Per our conversation at the recent Safety Forum, I
have prepared the following for your review. I have tried to list
the items in order of importance and urgency as well as what can
be accomplished in the near term and those of a longer term.
Short
Term Goals:
Re-routing
and the incumbent rewiring of the MD-11’s Left
Emergency AC & DC Bus wires as well as the Right Emergency AC
& DC Bus wires, the Bat and Bat Direct bus wires. As
it is presently wired, the MD-11 is not in compliance with FAR part
25.1353 in spirit or intent. This can be remedied only by
re-routing these wires. This will require our engineers working
in close consort with Boeing to design the necessary wire drawings.
The condition as it exists exposes the MD-11 to a single point failure
that would deprive the aircraft of all its flight instruments and
its ability to control all other aircraft systems.
The present wiring of the non-essential
systems on our B-767-ER (i.e., seats, IFE, etc.) does not allow
proper functioning of the Utilities Bus switch. The pilots expect
and the system should be so wired that when the Utilities Bus switch
is activated, electrical power is removed from all non-essential
equipment. This can be accomplished by reviewing the various power
sources for all non-essential equipment and then rewiring these
so that they can be electrically controlled with the Utilities Bus
switch.
We need a philosophical approach to develop
our checklist procedures for smoke in the cabin and cockpit.
A simple set of rules will enable our crews to deal with this complex
problem. I would like to suggest the following:
a.
LAND AS SOON AS POSSIBLE. We presently list this
in our checklist but need to continue to emphasize to our crews
that they head for the nearest airport. This helps relieve them
of the responsibility of diverting. They can cancel if they identify
the source of smoke.
b.
Identify
whether the smoke in the cabin or the cockpit?
c.
If
it is in the cabin, use the Utilities or Cabin Bus switches to isolate.
If it is in the cockpit, remove electrical power down to the minimum
necessary electrical power to land the aircraft. (i.e., if at 30
West then more electrical power might be necessary than in the domestic
system)
d.
Can
the origin of the smoke be identified as coming from a specific
component? If so, leave this unit de-powered for the remainder of
the flight.
e.
If
the origin cannot be determined, do not re-power any electrical
circuit.
There have been several papers published
as to the necessity of proper font type, font size and color of
a Smoke/Fire Checklist design. At present there is no standard at
Delta regarding Smoke/Fire checklists. ALPA has several Human Factor
experts who would be willing to help the Delta Safety and Flight
Operations departments in designing a standard checklist that would
give our crews the best chance of reading the checklist in a dark,
smoke filled cockpit.
Flight Operations is planning to replace our present
system of separate smoke masks and goggle to a full face mask system.
This change is planned at present to take several years. This replacement
must have the highest priority and be accomplished as quickly as
the new masks are available. In addition, the hose for this mask
should be of a length so that either crewmember can get out of his/her
seat and reach all areas of the cockpit without having to remove
the mask.
Long
Term Goals:
·
Examine all electronic aircraft
in our fleet to ensure that non-essential equipment can be isolated
by a use of a cabin bus switch or utilities bus switch.
·
Examine
all electronic aircraft to determine the effectiveness of the checklist
in reducing the electrical power down to the essential bus needed
to fly the aircraft. Presently, the Smoke of Unknown Origin Checklist
on the MD-11 does not effectively reduce power to essential levels
and in addition has the capability of restoring power to a damaged
bus. Industry tests have shown that re-powering a damaged circuit
could possibly start a fire.
·
At present there is no system to detect smoke or
fire in an avionics compartment and no way to extinguish a fire.
These conditions exist for the cockpit as well. In two-person cockpit
aircraft this is safety hazard that can be rectified using state
of the art technology. The U.S. Navy has developed several different
fire-fighting systems that could be retrofitted to the avionics
compartment or the cockpit. Other manufactures have developed sensing
devices that also can be easily fitted to these compartments. Considering
that we can detect and extinguish a fire in a cargo compartment
or an engine, it seems only reasonable to include the cockpit and
avionics compartments.
John, this covers most of the concerns
at present. As always, we stand ready to help you and the Delta
Safety Department in implementing these and other ideas that will
make flying safer.
Sincerely,
Captain Ken “Mule” Adams
DAL MEC Accident Chairman
cc: Capt. Charles S. Giambusso