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British Aerospace - All Operator Message Ref 00/030V ©
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10th April 2008
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by Susan Michaelis
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FODCOM 17/2000 was followed in early 2001 by a British
Aerospace, All Operator Message (AOM) Ref 00/030V. AOMs contain safety
related information and the one issued by British Aerospace on 5 January
2001 was entitled: Smoke and Fumes (Smells). The relevant extracts of
the AOM are shown below:
All Operator Message Ref 00/030V
SUBJECT:
Smoke and Fumes (Smells)
Aircraft Type: BAe 146 and Avro 146-RJ
Distribution: Flight Operations, All Flight Crew and All
Cabin / Operations Staff
Date: 5 January 2001
Introduction
During the last year there have been several reports
of the appearance of smoke or fumes originating from the
air-conditioning system. Investigation has identified most of the root
causes of these incidents:
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Technical (the majority), rectification of which
prevented further occurrences.
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Self-inflicted, such as ingestion of de-icing fluid
through the APU intake and into the cabin air supply.
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Perceived, due to condensation in the air supply.
This may occur if an inappropriate cabin temperature is selected,
causing the air conditioning system to overcool the cabin air.
Incident reports from other aircraft manufacturers
continue to identify flight crews' sensitivity to the issue of smoke
and fumes. This is understandable, given the recent aviation
industry's history of tragic accidents that resulted from fire within
the aircraft structure. The following information is given for
guidance and in particular to avoid any possibility of crew
incapacitation from any air related cause, however rare an event that
may be.
General
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If smoke or fumes (smells) do appear from the air
conditioning system, follow the appropriate abnormal crew procedure
- Smoke from Air Conditioning System - and don the oxygen masks.
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If at any time the crew is unsure as to the air
quality they should don oxygen masks.
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If at any time a crew member appears to be unwell
and uses oxygen all crew members should use oxygen as a precaution
against any unidentified contaminant. Cabin crew should be
encouraged to remind the flight crew of this requirement - follow
crew resource management (CRM) principles.
There are many technical reasons why aircraft have
smells or minor appearances of smoke from air conditioning systems
including, for example, inappropriate temperature settings relative to
ambient conditions or inadvertent ingestion of hydraulic fluid or
de-icing fluids. Recently, the main focus of attention has been on the
possibility of oil from either the main power plant or APU
contaminating the cabin air via these systems. The air supply is
protected from contamination by seals, which achieve maximum
efficiency during steady state operation. However, they may be less
efficient during transients (engine acceleration or deceleration) or
whilst the engine is still achieving an optimum operating temperature.
Improvements in seal design continue to increase efficiency, and when
available, modifications are provided for the engines and APU.
Summary
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If smoke or fumes appear from the air conditioning
system, follow the abnormal crew procedure - smoke from Air
Conditioning System - don the oxygen masks.
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If at any time the crew is unsure as to the air
quality they should - don oxygen masks.
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If at any time one crew member appears to be unwell
and uses oxygen, it is recommended that all crew members use
oxygen as a precaution against any unidentified contaminant.
Cabin crew should be encouraged to remind the flight crew of this
requirement - follow crew resource management (CRM) principles.
Flight crew should always report occurrences of smoke
or smells as a technical defect; give the maintenance engineers a
clear description of the incident such as the air supply in use,
system selections and recent switching.
Any occurrences of crew incapacitation should be
immediately reported to BAE SYSTEMS on Tel. +33 (0)5 3460 7444
(24-hour). All other reports of smoke or fumes should be sent to BAE
SYSTEMS for the attention of the Continued Airworthiness office.
British Aerospace - All Operator Message Ref
01/004V
After All Operator Message (AOM) Ref 00/030V British
Aerospace issued another AOM, AOM Ref 01/004V 30 days later on 14
February 2001. AOM Ref 01/004V was entitled: Revision of BAe 146 and
Avro RJ MOM Vol. 3 – Abnormal and Emergency Checklist – Smoke and Fumes.
The relevant extracts are given below. By referring to the earlier
checklist [29] it can be seen that the guidance previously had referred
to only smoke and fire, whereas the amended checklists now added the
term ‘FUMES.’
All Operator Message Ref 01/004V
SUBJECT:
Revision of BAe 146 and Avro RJ MOM Vol. 3 - Abnormal and Emergency
Checklist - Smoke and Fumes
Aircraft Type: BAe 146 and Avro 146-RJ
Distribution: Flight
Operations and All Flight Crew
Date: 14 February 2001
Reason
To alert operators to the revision of all BAe 146 and
Avro RJ aircraft Abnormal and Emergency Checklists MOM Vo1.3 part 2.
Background
A serious incident occurred on a BAe 146 aircraft
where multiple crew incapacitation was suspected. A National Authority
is investigating, as yet no conclusive reason for the incapacitation
has been determined. However, operators are reminded that the use of
oxygen in these types of incident is an essential safeguard against
either a deterioration of the crew members performance or a multiple
crew effect if there is a common source to the incapacitation. Whilst
the cause of the suspected incapacitation in the incident referred to
above is unknown, the presence of smoke or unusual smells indicating
the presence of fumes should trigger the immediate use of an abnormal
or emergency drill.
Description
All BAe 146 and Avro RJ aircraft Abnormal and
Emergency Checklists MOM Vol. 3 part 2 will be amended to require the
crew to use oxygen at any time that unusual smells indicating the
presence of fumes are detected, as there is a possibility that these
may be associated with incidents of suspected crew incapacitation. The
amendment will be issued by temporary revision to all BAe 146
checklists and by change of card for Avro RJ aircraft. The amendment
will consist of the addition of the word FUMES to all titles for the
relevant smoke drills as shown by the examples below. Operators should
amend their drills immediately on receipt of the BAE SYSTEMS
documents…
MOM Vol. 3 Abnormal and Emergency Checklist - Replacement
Titles
New Titles:
SMOKE, FUMES OR FIRE ON FLIGHT DECK OR IN CABIN ANY SOURCE
SMOKE OR FUMES FROM AIR CONDITIONING SYSTEM
Flight Safety Aspects of Contaminated Air
References
29. BAe (1990) BAe 146 Manufacturer’s Operations
Manual: Emergency and Abnormal Procedures Check List/Smoke or Fire
Protection. British Aerospace Systems, Hatfield.