Event Details


Title:Engine failure, Serious Incident to ATR 42 EI-CBK near Dublin 8 August 2003
Micro summary:Engine failure in cruise on this ATR-42 results in a diversion.
Event Time:2003-08-08 at 2307 UTC
File Name:2003-08-08-IE.pdf
Publishing Agency:Air Accident Investigation Unit (AAIU)
Publishing Country:Ireland
Report number:2005/014
Pages:26
Diversion Airport:Shannon International Airport, Shannon, Ireland
Site of event:Near Dublin
Departure:London Luton Airport, London, England
Destination:Galway Airport, Carnmore, Republic of Ireland
Airplane Type(s):ATR 42-300
Flight Phase:Cruise
Registration(s):EI-CBK
Operator(s):Aer Arann
Type of flight:Revenue
Occupants:51
Fatalities:0
Serious Injuries:0
Minor/Non-Injured:51
Other Injuries:0
Diverted to:Shannon International Airport, Shannon, Ireland
Executive Summary:The aircraft was in the cruise, routing from Luton Airport (EGGW) in the UK, to Galway (EICM), when the RH engine spooled down and stopped. The crew made a PAN call to Shannon ATC. They initially considered diverting to Dublin (EIDW) or Belfast (EGAA) but these were closed due to fog. They then decided to divert to Shannon (EINN) and landed there safely on one engine. The Investigation subsequently found that the RH engine stopped because the fuel tank feeding this engine was empty. The Investigation makes six Safety Recommendations.

(b) Causes
1. The direct cause of this serious incident was the absence of fuel in the RH fuel tank.

2. The crew did not ensure that fuel management was correctly maintained throughout the day’s operation. This should have been a high priority because of the known gauging problems.

3. The Operator’s procedures did not include instructions or precautions relating to fuel management in the event of fuel tank gauge failure.

4. Operational pressures, and lack of support infrastructure were significant factors in the crew’s failure to ensure adequate fuel management.

5. A practice of not recording deferrable defects, which developed at outstations, had evolved among the Operator’s flight crews. This practice was a by-product of the system for dealing with such defects.
Learning Keywords:Operations - Fuel Exhaustion
Operations - Loading
Systems - Engine - Contained Engine Failure
Close match:All Engines-out Landing Due to Fuel Exhaustion, Air Transat, Airbus A330-243 marks C-GITS, Lajes, Azores, Portugal, 24 August 2001
Multiple system failures, Airbus A340-642, G-VATL
Crash During Approach to Landing, Air Tahoma, Inc., Flight 185, Convair 580, N586P, Covington, Kentucky, August 13, 2004
Fuel exhaustion, Executive Airlines, British Aerospace J-3101, N16EJ, Bear Creek Township, Pennsylvania, May 21, 2000
Fuel exhaustion, Overseas National Airways, Inc., Douglas DC-9, N935F, Operating As Antilliaanse Luchtvaart Maatschappij Flight 980, Near St. Croix, Virgin Islands, May 2, 1970
Fuel exhaustion, Avianca, The Airline Of Columbia, Boeing 707-321 B, HK 2016, Fuel Exhaustion, Cove Neck, New York, January 25, 1990
Fuel starvation, United Airlines, Inc., McDonnell-Douglas DC-8-61, N8082U, Portland, Oregon, December 28, 1978
Ethiopian Airlines B767 (ET-AIZ) Aircraft Accident In the Federal Islamic Republic of the Comoros, in the Indian Ocean on November 23, 1996

 




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