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Below is a collection of Air Safety Week articles that pertain to a study and a resulting bulletin that boeing sent to all MD-11 operators, following the tragedy of sr111. Inflight Fire Procedures Bulletin Sparks Sharp Reactions Pilots faced with the uncertainty of a raging inflight electrical fire may have to improvise procedures, according to a recent Boeing bulletin to all MD-11 operators. It's advice has generated sharply differing views. They range from support for the company's willingness to address inflight electrical fires to critisism that the bulletin leaves the pilots facing horrible choices. The one question pilots asked was along these lines: If Boeing spent months studying the MD-11's defenses against inflight electrical fires, concluding that existing procedures are adequate, how can pilots facing the extreme peril of an electrical fire, perhaps with smoke filling the cockpit and the anxiety level rising even faster, arive at better procedures to modify or tailor the existing ones? A Boeing official countered that the June 1 Flight Operations Bulletin specifically declared, "The list of variables is too great for the manufacturer to develop one single procedure that would be best for all possible scenarios." This official said the reaction of the technical and chief pilots to whom the bulletin was sent has been most positive. The bulletin, according to the Boeing official, was issued to answer questions that have been raised in the industry since the September 1998 crash of Swissair Flight 111. To critics, the bulletin's suggestions may err on the side of expecting the crew to perform an emergency analysis with incomplete knowledge of the aircraft's systems, and incomplete- if not conflicting - information regarding the location of an electrical fire. As an example, the electronics on the MD-11 instrument panel are cooled by air flowing from below. The smoke seeping out around the instrument panel might not be from a fire immediately behind, but from one below in the electronics and equipment bay. The greatest misgivings were expressed about Boeing's discussion of procedures to isolate and kill power to an electrical fire, notably the multiple position smoke/electrical switch, which basically swaps around configurations looking for the benign one. Working through this procedure, in which each of three main electrical system busses is isolated in turn, can take 30 minutes or more. From the Swissair Flight 111 crew's first call of a problem ("pan,pan,pan") to impact at Halifax was some 16 minutes. Yet if crews go through the switch positions too quickly, the source of the problem may go undetected. Conversely, the longer the time spent in any one switch position, the longer it may take for other potential sources to be isolated. The Boeing bulletin offers no solution to this conundrum. "We need a simple approach," declared an MD-11 captain. "The big picture is to land as soon as possible,"he said. The situation, sources say, may be glaringly straightforward: 1.Faced with 10,000 degrees F eletrical arcing, the location of which is uncertain, all non-essential circuits need to be cut immediately. 2.Then the crew must look for a 2000 degree F chemical fire, which is far easier to control with standard fire fighting techniques and extinguishers. 3.Head for the ground and land as soon as possible (the necessity of which is mentioned at least six times in the Boeing bulletin. The one overarching problem with the Boeing bulletin, critics say, is that it presents an alternative along these lines, buried deep in paragraph IV, but with the noncommittal phrase that the company is only "considering" publishing it. One source summed up the bulletin thusly: "We're not sure what to tell you, but you need a plan." That may be a bit hard, the the line of reasoning in the Boeing bulletin, however tentative or muddled, is significant. One pilot said the bulletin provides mute evidence of the need for "redeveloping the philosophical approach" to deal with inflight electrical fires. In this respect, Boeing's bulletin could open the door to a far-reaching discussion. From Air Safety Week. Applicable to: All MD-11 Aircraft Subject: Supplemental Information to MD-11 Flight Crews on Inflight Smoke/Fire Procedures Bulletin No. MD-11-99-04 1 June 1999 Following the tragic crash of an MD-11 last September, the Boeing Company has been conducting exhaustive reviews of various aspects of the design and operation of the airplane, including our recommended smoke procedures. While the cause of the accident is still unknown, and the Boeing Company is not sure which procedures the flight crew used, several operators have requested that Boeing review the existing procedures, as well as possible alternatives. 1.The Smoke/Fumes of Electrical, Air Conditioning, or Unknown Origin checklist procedure developed for the MD-11 is derived from several DC-10 checklist procedures...The smoke switch used in this procedure conditioning system in each position other than NORM... II.If an electrical malfunction results in a fire, isolation and de-powering of the source will not necessarily extinguish the fire in an MD-11 or DC-10 or any aircraft... III.The decision to perform the Smoke/Fumes of...unknown origin procedure must be made...based on the circumstances...Depending on the nature and severity of the smoke or fumes, the proper execution of this procedure could be lenghy (up to 30 minutes or more). The flight crew must be careful not to move through the different switch positions too quickly, or a source of smoke and/or fumes might go undetected. On the other hand, the more time spent in one position, the longer it will be before other potential soures are isolated... IV.If an event occurs while an aircraft is in a reasonable position to land (to land was underlined in the article), the flight crew may elect to use alternative procedures - such as unpowering all non-essential electrical or air conditioning systems. For example, this could be done by placing the electrical system in MANUAL, tripping the engine generator bus relays. This would put the aircraft on Emergency power and isolate all but the battery bus and the left AC and DC emergency busses...Boeing is considering publishing this as an alternative procedure... V.As a supplement to the existing FCOM (Flight Crew Operating Manual) procedures, here is some advice that the Boeing Company can give: A.Consider using the Cabin Bus Off switch immediately if there is a reason to suspect a specific cabin component, such as a galley, lavatory, lighting, or the passenger service units... B.Consider Navigation, communication, and fuel dumping requirements before eliminating major sources of electrical power through alternative methods. C.Consider using..the cabin crew, in attempting to determine if a fire exists, or to determine if the smoke or fumes are dissipating. D.Analyze the situation and determine if an emergency landing (underlined in the article), is necessary. If so, don't delay to dump fuel if a runway of sufficient length is available...Boeing has demonstrated landings at maximum takeof gross weight...Stopping distance is the only real concern. But even then, consider whether you would rather be on the ground - or in the air. E.If it has been confirmed that there is/was a fire, it must be dealt with immediately...Prepare for a landing as soon as possible (underlined), with a possible emergency evacuation. Determine who will fly the airplane, talk on the radio and make landing decisions, and decide who will direct the fire fighting duties. One person cannot do it all... F...Boeing advises that anytime smoke has been detected and the source cannot be POSITIVELY identified and eliminated, THE AIRCRAFT SHOULD BE LANDED AS SOON AS POSSIBLE. CONSIDER AN EMERGENCY DESCENT after a landing decision has been made. G...Boeing recommends that the aircraft should be LANDED AS SOON AS POSSIBLE following an event in which a fire has occurred..and cannot be completely analyzed by the crew to include its impact on other systems. CONSIDER AN EMERGENCY DESCENT after a landing decision has been made. VI. The Boeing Company has spent many months considering whether the existing procedures for smoke and fumes identification and isolation are adequate...A review of all previous in-service some incidents has confirmed that the vast majority could have been isolated and controlled using the existing Cabin Bus Off/Smoke witch procedure... VII..In the aftermath of the Sr-111 accident...Here are some topics Boeing feels are appropriate for further consideration on an industry-wide basis: A.Are there established training programs for fighting in-flight fires...? B....Should the cabin altitude be raised during a fire to reduce the amount of oxygen in the cabin - or is that insignificant? C.Are procedures in place which would involve using the cabin crew in the cockpit? D.Do crews have a fire fighting plan...? If you have an in-flight fire, it's too late to develop a plan. This quote appeared in Air Safety Week in response to Boeing's Bulletin: "They are slowly conceding that all is not well, not only with the smoke checklist but with the systems wherewithal for combating electrical fires, particularly those associated with wiring insulation...The solution to that quandry is less than satisfactory...The MD-11 crews for which it was intended will be no wiser and probably considerably more apprehensive." John Sampson, retired Austalian pilot (and safety expert) The bulletin: http://www.aviationtoday.com/reports/smoke.htm Competent To Comment A new checklist is needed for coping with in-flight smoke and fires along the lines hinted at, but not endorsed, in Boeing's MD-11 supplemental bulletin of last June. Readers will recall that this bulletin, intended to clarify matters regarding in-flight fire emergencies on MD-11 aircraft, was criticized for possibly adding to the confusion (see ASW, June 28). Now comes the Air Line Pilots Association (ALPA), urging Boeing [BA] in a Sept. 10 letter to "develop a new checklist which contains as a first step the suggested 'alternative' action of unpowering non-essential electrical and air conditioning systems." "We feel that we are competent to advance a technical opinion on your position," the ALPA letter, signed by Executive Air Safety Chairman Paul McCarthy, declared. The current checklist, which can take 30 minutes to execute, with no guarantee of isolating the source of an electrical fire, "provides no assistance in a time-critical fire situation," the ALPA letter declared. Crews need better guidance than a Hobson's Choice, ALPA argued. "If smoke is not normal, then the first step of any procedure should be LAND AS SOON AS POSSIBLE (emphasis in original). This is the last statement on the current Boeing checklist," the letter said. ALPA, tel. 703/688-2270 | |||
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