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"Having studied this incident with
interest, I`m going to stick my neck out and think it went like this:
Quest: A question on qty of Fuel flow transducers. Is there one at the tank outlet and one near the engine fuel control? If so, a major discrepancy of fuel flow should ring some warning bells ( either physically or metaphorically). If it is only measuring fuel flow at the fuel control nothing would appear strange as the fuel is leaking upstream of it. Answer: As far as I can see from FCOM the fuel flow is only measured just prior to the injectors so there would be no warning. The FMC constantly displays the fuel on board at landing on the flight-plan page so this would be where you would first spot an anomaly. An ECAM advisory would come up once the imbalance reached 3000kgs in the inner (main) tanks.
Jet crew's handling of fuel leak questioned By PAUL KORING From Thursday's Globe and Mail Even with a serious leak in its right-side engine, Air Transat Flight 236 should not have lost all its fuel last week unless massive amounts of fuel were pumped from the undamaged left side to the engine with the leak, sources close to the investigation say. The Air Transat A330 Airbus was forced to make an emergency landing without power in the Azores last Friday. The emerging scenario that investigators are considering, as yet unconfirmed by detailed information from the flight data recorder, is that the pilots pumped fuel to the leaking side, turning a serious but not life-threatening situation into a near-disaster that was averted by their skilled emergency landing at a military air base with both engines out. In spite of a serious fuel leak on one side of the twin-engined jet, the flight crew should have been able to fly the plane safely on one engine with plenty of fuel reserves unless the cross-feed pumps were engaged, sending fuel from the undamaged left side to the right-hand engine, according to senior pilots familiar with the design and operation of the Airbus A330. The Air Transat pilots were exhaustively interviewed by investigators after the incident. Air Transat declined to comment Wednesday on whether its pilots cross-fed fuel from the left-wing tanks to the leaking right engine. "The pilots probably know, but I can't answer that right now," said Seychelle Harding, spokeswoman for the Montreal-based charter airline. She said the pilots "didn't know where the leak was until the plane was on the ground." Ms. Harding also said the crew "followed the proper checklist." Officials investigating the mishap will want to determine whether Airbus instrumentation could lead pilots to misdiagnose a serious fuel leak to one of the plane's Rolls Royce engines and whether the appropriate procedures were followed by the pilots. Meanwhile, Airbus Industrie issued an alert Wednesday ordering all airlines flying A330s with Rolls-Royce engines to conduct an urgent inspection within 72 hours to ensure that all fuel lines are properly installed. Without actually fingering Air Transat, which installed a new right-hand engine on the A330 only four days before the near-disaster, Airbus said the airline had only "partially applied" previously issued instructions. The result was the fuel pipe reconnected to the new engine chafed against a hydraulic pipe, leading to a crack and severe leak, Airbus said. Air Transat declined comment on the Airbus assessment or its directive that all airlines check A330s with Rolls Royce engines to insure adequate separation between the fuel and hydraulic lines. "That's what Airbus says. ... I can't comment until the investigation is complete," Ms. Harding said Wednesday. The pilots, hailed as heroes for managing to land their powerless airliner with 291 passengers and a crew of 13, held a news conference in Mirabel, Que., earlier this week. Veteran pilot Robert Pich้ said: "I don't consider myself a hero." At the news conference, neither he nor co-pilot Dirk DeJager, 28, said what they did to cope with the leak. Even with a severe and uncontained leak on one side of the aircraft, in this case a cracked, high-volume, low-pressure fuel-feed pipe to the right-hand engine, sufficient fuel would have remained in the left-wing tanks to fly the aircraft to its destination, the sources said. "There's no way to get fuel from one side to the other without opening the cross-feed," said one source, who has intimate knowledge of A330 design and flight procedures. The source said the only way the Air Transat plane could have lost all its fuel including the still substantial amounts in the left-wing tanks unaffected by the leak was that it was pumped to the right-side engine. The cross-feed allows pilots to correct imbalances in fuel loads. It is initiated by the cockpit crew, which starts the pumps to transfer fuel. The Airbus checklist for correcting a fuel imbalance as opposed to its procedures for isolating a fuel leak calls for a pilot to cross-feed fuel to the lighter wing and expressly warns against cross-feeding in the event of a leak. There are dozens of checklists for coping with different problems. Like all modern jetliners, the A330 has established procedures to follow in the event of fuel leaks. The tanks have valves to isolate sections of them and reduce loss. If the leak is in or near the engine, as was the case with Flight 236, the fuel pumps feeding the engine should be shut down. As well, a shut-off valve in the engine can be closed, although the fuel leakage would not stop if the crack were upstream of the valve. Shutting off that valve also shuts down the engine. Pilots are often reluctant to shut down a malfunctioning engine, preferring to let it idle so it can be used without the restart procedure. In the case of Flight 236, both engines were kept running until they failed within 13 minutes of each other. Investigators have determined that both failed because of "fuel starvation." Experienced pilots say that a serious fuel leak in or near an engine should be dealt with by shutting down the engine and the pumps that feed fuel to it. That standard operating procedure applies not just to A330s but to all modern, multi-engine jetliners. Flight 236's pilots said the aircraft had used a normal amount of fuel until about two-thirds of the way through its overnight Toronto-Lisbon flight. Then, at about 5 a.m. local time, with Lisbon still more than 1,600 kilometres away, they noticed serious fuel loss. Twenty-five minutes later they requested a diversion to the Azores. An hour later, the aircraft had no fuel left, the second engine quit and the crew, still about 180 kilometres from Lajes air base, had to glide to a heavy but successful landing. An Airbus 330 burns about five tonnes of fuel an hour in high-altitude cruise. According to one source, Flight 236 lost nearly 12 tonnes of fuel, much of it from the undamaged left side, in 30 minutes; total fuel loss was greater than 20 tonnes. Although the fuel system on modern jetliners is complex, with two main tanks in each wing and often a centre fuselage tank and a tank in the tail for trimming the aircraft, the principle underlying the design is simple: to separate the left and right sides of the system so a single leak anywhere cannot result in the loss of more than half the remaining fuel. Only by transferring fuel can the reserves in the undamaged side leak out.
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[begin quote]
> > the digital flight data recorder (DFDR) is powered by AC BUS 1 in > the A330-200. Hence without engine driven generators [or the APU] it is inoperative > >[end quote] on later A330 aircraft electrical power supply for the flight recorders is as follows (this may or may not apply to the aircraft in question): DFDR AC Bus 2 FDIU AC Bus 2 QAR AC Bus 1 LA DC Bus 1 (3 axis linear accelerometer) In the event of a dual engine flameout plus APU due no fuel, none of these busses would be supplied. Incidentally, the aircraft is one heck of a good glider, and the crew did a superb job getting it down safely. If we've had spare time in the simulator recently, for a "fun" finishing item we have been looking at 2 engine out approaches, starting at 25nm finals at 7,500 feet (on the glide-slope) and minimum clean speed - and landing is no big problem. This sort of event is clearly outside any normal or abnormal certification parameters, and just "for fun". Why both engines should fail from fuel starvation remains to be seen. |
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AvWeek: A330 Overwater Flameout Raises ETOPS Issues
By Frances Fiorino/Aviation Week & Space Technology 31-Aug-2001 9:48 AM U.S. EDT NEW YORK - The Aug. 24 shutdown of both 71,000-lb.-thrust Rolls-Royce
Trent 700 engines on an Air Transat Airbus A330-200 transiting the Atlantic
Ocean stunned industry--and promptly stirred regulators, airlines and
manufacturers to action, initiating engine and fuel system inspections and
probes of training and maintenance practices. In the wake of the near-catastrophic event, flight safety experts can be
expected to revisit all aspects of extended twin-engine overwater
operations. Just last week, Canadian Transport Minister David Collenette revealed Air
Transat agreed to a request by Transport Canada to implement special ETOPS
training sessions for all flight crew as well as to review proper
procedures, which include fuel management and the need to divert to the
nearest alternate airport at first sign of engine-related emergency. In
addition, Air Transat initiated a comprehensive review of the safety of its
maintenance and operations and has provided Transport Canada with a
corrective action plan. The Portuguese safety board, the Gabiente de Pevencao e Investigacao de
Acidentes com Aeronaves (GPIAA), is leading the investigation, with
assistance from the Transport Safety Board of Canada and DCGA, the French
civil aviation authority. GPIAA's preliminary report determined that both
engines failed as a result of fuel starvation, and that a low-pressure fuel
line on the No. 2 engine, Rolls-Royce Trent 700 serial no. 41055, had failed
"probably as a result of its coming into contact with an adjacent
hydraulic line" (see p. 36). Montreal-based Air Transat Flight TS236, an A330-200, C-GITS, departed
Toronto Lester B. Pearson Airport as scheduled, at 8:10 p.m. (EST) on Aug.
23, en route to Lisbon, with 293 passengers and 13 crewmembers. The
twin-engine aircraft is certified to operate under the ETOPS 120-min. rule,
that is, permitted to divert with one operable engine to an airport that is
up to 2 hr. away. Flight TS236 was cruising at Flight Level 390 (39,000 ft.). At 0536Z, the
flight crew became aware of a fuel imbalance between the left and right wing
main fuel tanks. At about 0541Z, the crew, concerned about the
lower-than-expected fuel quantity indication, elected to divert from the
intended flight route to Lajes Field (LPLA), which is located on the
northeast tip of Terceira Island in the Azores--850 mi. west of Lisbon. At 0548Z, the crew ascertained a leak might be the cause of the fuel loss
and declared an emergency to Santa Maria Oceanic Control. At 0613Z, with
Flight 236 135 mi. distant from Lajes, the flight crew alerted air traffic
control of the failure of the right Rolls-Royce Trent 772-211B engine. About 13 min. later, about 85 naut. mi. from Lajes at an altitude of
about FL345, the left engine failed. The flight crew advised ATC that
ditching at sea was a possibility. The aircraft, which has a range of 5,600 naut. mi., and can accommodate
up to 406 passengers in high-density configuration, became a glider. Its
fuel supply--tanks have a maximum capacity of 36,750 U.S. gal.--was
apparently depleted. The cabin crew prepared the passengers for ditching at sea and issued
brace command. ATC provided radar vectors to the flight crew, who proceeded
on an engines-out night visual approach in what the GPIAA described as good
weather conditions--wind 330 deg. at 8 kt., visibility unlimited, few clouds
at 2,500 ft. and 5,000 ft. and temperature at 19C. When the A330 touched down on Lajes' 10,865 X 300-ft. Runway 33 at 0646Z,
eight of 10 tires ruptured. The GPIAA report said small fires that started
in the main gear wheels were extinguished by crash response vehicles in
position at the field. "There was no evidence of fire on the engine or
fuel system," an Air Transat official said. The GPIAA said nine passengers and two cabin crewmembers received minor
injuries in the emergency evacuation, which, according to Flight Director
Meleni Tesic, was completed in 90 sec. Reportedly, there was no fire or
smoke in the cabin. Passengers described the landing as "brutal" and
"hysterical" and some accused the cabin crew of panicking. Tesic
said there "was absolutely no panic in the cabin." With no PA
system, she explained, attendants must shout as loudly as possible so
passengers can hear safety instructions. Some passengers may have
misconstrued the shouting for panic behavior. Capt. Robert Piche said at a press conference he was "fully
confident" the aircraft was loaded with fuel when the flight departed
Toronto Pearson. He said he had minimum power with which to control the
aircraft on descent to Lajes. Passengers and the public hailed the flight crew as heroes, but Piche
dismissed this, saying, "I was only doing my job . . . . we train for
the worst." First Officer Dirk DeJager agreed. Piche, 49, and with 30
years of airline experience has been employed by Air Transat for nearly five
years. DeJager, 28, has been flying with Air Transat for about five years. No one had to be reminded of possible endings for the TS236 story. Lajes,
a U.S. air base from which air crews and support troops are deployed, has
high terrain to 1,925 ft. 2.75 naut. mi. west, and 503 ft. 0.25 naut. mi.
east. From October to May, strong winds create hazardous crosswinds. Immediately following the incident, the Transportation Safety Board of
Canada suspended that country's largest charter airline from operating
120-min. ETOPS for its three A330s in a fleet of 24 aircraft, and launched a
special audit of the carrier's maintenance practices. It also increased
surveillance of Air Transat's aviation program to ensure compliance with
Canadian Aviation Regulations. "The issue is that a leak in a pipe
should not result in two engine shutdowns. That is a serious concern,"
said TSB Chairman Benoit Bouchard. Air Transat called the rule "normal" and "a usual
procedure in this type of circumstance" and did not expect it to have
more than a minor impact on day-to-day operations. The carrier is to
continue to fly ETOPS under the 60-min. rule, that is, an engine-out
aircraft must be no more than 1 hr. from an airport. This means Air Transat
will fly routes closer to land masses. As a precautionary measure, Air Transat completed inspections of its
engines on its A330s. Air Canada, which operates eight A330s, all of which
have Rolls-Royce Trent 700 engines, undertook and completed inspection of
the powerplants to ensure no mechanical conditions existed of the type that
may have contributed to the Air Transat emergency. On Aug. 29, Airbus issued an AOT (All Operators Telex) to operators of
Airbus aircraft equipped with Rolls-Royce Trent 700s, saying the source of
Air Transat's fuel leak is "a damaged fuel feed pipe." Further, it
says the damage is "due to interference with the hydraulic pipe from
the aft hydraulic pump in the vicinity of the HP fuel pump inlet" and
that the interference can result in "a significant fuel leak." It
says the pipes are modified as part of Rolls-Royce service bulletin
RB211-29-C625. Complete application of the SB would ensure adequate
clearance, according to the AOT, adding that the SB appears to "be
partially applied on the affected engine." The aim of the AOT is to launch a one-time inspection of the A330/Trent
700 fleet and spare engines, to ensure there is no interference between the
parts in question and to complete that inspection within 72 hr. of receipt
of the AOT. Air Transat late last week was trying to regain its equilibrium. The
carrier, a subsidiary of a leading Canadian travel services company, Transat
A.T., began operations in 1987. Air Transat operates charters from Canada
and Europe to southern destinations. It has a total fleet of 24 aircraft,
including three A330s (two -200s and one -300), four A310-300s, six Lockheed
L-1011-500s, seven L-1011-10s and four Boeing 757-200s. The airline says it
transported 3.5 million passengers last year. The company has not had any accidents causing injury, nor has the
aircraft involved in the Lajes occurrence been implicated in another
incident. According to Air Transat President and CEO Denis Jacob, the
carrier has had 54 minor events out of 2,800 listed for Canada's total air
industry. The Lajes incident, however, is the second emergency evacuation for the
carrier within seven days. On Aug. 18, smoke issued from the cabin ceiling
lights of an L-1011 as it taxied to the departure runway at Orlando, Fla.,
with 324 passengers and 14 crew on board, The pilot ordered an evacuation
that resulted in a few minor injuries. The crippled A330 sat on Lajes sole runway, forcing the airport to cease
flight operations, stranding about 600 passengers, until Aug. 28, when
repair crews arrived with equipment to move the aircraft. Pierre Sparaco contributed to this report from Paris. Aviation Week & Space Technology is the world's leading weekly
source of in-depth news and authoritative analysis of aviation and aerospace
technology, business and operations. Take
a look at the current issue.
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Unconfirmed Source.
Mechanic warned Air Transat over jet A senior airline mechanic told his boss an Air Transat plane was not ready to fly just days before it lost power over the Atlantic, forcing a dramatic emergency landing on an island airstrip, a union official says. The mechanic was so worried about the plane that he tape-recorded a telephone conversation with his non-union supervisor, who overruled his advice to leave the Airbus A330-200 on the ground after an engine replacement in which not all work recommended by the manufacturer was completed, the official said. "He didn't want to release the plane," said Jean Jallet, president of Lodge 1751 of the International Association of Machinists and Aerospace Workers, which represents mechanics at Transat's Mirabel hangar north of Montreal. Five days later, after several uneventful round trips, the plane's engines died en route from Toronto to Lisbon after losing fuel. Its pilot was forced to make a dangerous no-power landing on an island runway to save the lives of the 304 people on board. Air Transat spokeswoman Seychelle Harding said she couldn't comment on the union's allegations, but she said the mechanic's supervisor was suspended with pay last week. "Whether something went wrong or not, he was in charge of the engine change," Ms. Harding said. "It's standard procedure to suspend him." Neither the airline nor the union would release the names of the mechanic or his superior. The cause of the near-disaster is under investigation. The Globe and Mail quoted sources last week as saying improper installation caused a fuel line to chafe against other pipes, resulting in a leak that eventually starved the engines of fuel. The engines' manufacturer, Rolls-Royce, also issued a statement last week saying the fuel leak appears to be the result of Air Transat following only part of a service bulletin issued earlier. Mr. Jallet said the certified aircraft technician and his team of between six and eight mechanics tried to follow that bulletin, which called for replacement of the engine's fuel line and a nearby hydraulic pipe. But the hydraulic line couldn't be corrected because certain parts weren't stocked at the maintenance facility north of Montreal. "That's why you'd get what what we call fretting, or chafing of the lines," Mr. Jallet said. "The mechanic was well aware that the service bulletin was half-done. I don't know why they didn't have all the parts." Mr. Jallet said an Air Transat supervisor disregarded the mechanic's concern and signed off on the plane's release into regular service. "My guy [the mechanic] did the right thing," Mr. Jallet said. "When they tell you something you don't agree with, you have to call them back and get it on tape. That way you're covered." The union has offered lawyers to the mechanic to help him through the investigation, Mr. Jallet said. He would not reveal the tape's exact contents. Mr. Jallet also said management officials overrule unionized mechanics far too frequently at small airlines such as Air Transat. "In these smaller outfits, you get more pressure to release the aircraft," Mr. Jallet said. "You wouldn't have that at Air Canada." Another union official said staff at smaller carriers can feel pushed to avoid delaying planes over safety concerns. "Probably there is more pressure because they have to meet a schedule," said Jack Quinn, chief steward of IAMAW Lodge 764 in Richmond, B.C. "It's not like Air Canada where you just bring another aircraft in. It's very competitive, of course. For somebody like Air Transat, if that aircraft doesn't fly you're looking at a whole flight being lost and people being put up in hotels and such. I don't think they have as many backups." Mr. Quinn, who started as a mechanic for the former Canadian Pacific Airlines in 1977, represents West Coast mechanics of the former Canadian Airlines, now part of Air Canada. He has no direct knowledge of Air Transat, but said it's not a good sign if mechanics have started taping their conversations with management. "That's a new one on me," he said. "If you got to the point where you were having to record things, then you would be a bit concerned, wouldn't you? It would tell me that it wasn't the first time. I think you'd be covering your butt." Mr. Jallet said the mechanics union was merely doing what is necessary to keep front-line workers from taking the fall for the airline's problems. "It's easy to blame the lower guy on the totem pole." The airline has said it replaced the engine because tiny metal filings had been detected in the motor's oil. While any fuel leak is serious, this one affected only the right-wing fuel tanks. Investigators are trying to determine whether the pilots pumped fuel from the undamaged left-wing tanks to the leaking right engine, causing both engines to quit. Although the Portuguese-led investigation isn't complete, Transport Canada has ordered Air Transat pilots to take remedial training in fuel management and emergency procedures for long flights over water. The regulator also directed the Montreal-based airline to overhaul its maintenance procedures. The pilots' first remedial sessions on fuel management will begin Tuesday. Whatever the cause of the near disaster, pilots around the world marvelled at the skill of Captain Robert Pich้ in handling the plane after the second of its two engines went silent at 34,500 feet, 137 kilometres from the nearest airstrip. Without power, a pilot has just one chance to land. Eight of the plane's 10 tires blew under extreme emergency braking, without reverse engine thrust, but everyone aboard survived. Air Transat issued a news release on the weekend detailing arrangement made for passengers. Their airfare was refunded and they will get "complimentary upgrades wherever possible" on the return trip, the airline said.
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