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The Nimrod Review - Official Documents

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<strong>The</strong> <strong>Nimrod</strong> <strong>Review</strong><br />

7.47<br />

Causation<br />

144<br />

valves). Amongst other recommendations in the report, BAE Systems recommended that the ducting adjacent<br />

to Rib 2 should be replaced as soon as practicable, as these ducts were considered most likely to fail; the Cross-<br />

Feed duct should also be replaced as soon as practicable and the SCP should remain permanently mechanically<br />

isolated. <strong>The</strong> report concluded: “<strong>The</strong> conclusion from this report confirms that defects continue to be found in<br />

ducts as previously reported, in particular from the ECU to Cross-Feed cocks. 59 <strong>The</strong> ducts are past their published<br />

safe lives and corrosion damage is prevalent. Consequently, it is recommended by the [Design Authority] that<br />

the above recommendations concerning duct replacement and provisioning, increased protection and increased<br />

inspections are adopted by the IPT at the earliest opportunity.”<br />

As a result of this report, in June 2008 the <strong>Nimrod</strong> IPT issued a Special Technical Instruction (STI 926) regarding<br />

a fleet-wide duct replacement programme. This programme required the replacement of the high pressure hot<br />

air ducts between the ECU and the Cross-Feed valves, and also those that formed the Cross-Feed system. <strong>The</strong><br />

<strong>Nimrod</strong> IPT determined that, for the risk to the aircraft to remain ALARP, the replacement programme should be<br />

completed by 31 March 2009 and that aircraft that had not had their hot air ducts replaced by this time would not<br />

be flown until the work had been completed. Although it had originally been planned that the programme would<br />

be completed by 31 March 2009, delays in the provision of replacement parts rendered this target unachievable;<br />

as a result a number of <strong>Nimrod</strong> aircraft were not flown after this date until the new ducts were fitted.<br />

Relevance of XV227 and the Earlier Duct Corrosion Problems to the loss of XV230<br />

7.48<br />

<strong>The</strong> UI into XV227 concluded that the expansion bellows had failed due to corrosion and caused a leak of very<br />

hot bleed-air, for up to 40 minutes. Significant damage had been caused to the adjacent airframe structure and<br />

systems. In particular, the fuel seals in adjacent pipework were shrivelled almost to the point of destruction (see<br />

below). <strong>The</strong> fuel from the No. 7 tank had been used at an early stage in the flight and there was no evidence of<br />

any leakage of the small amount of residual fuel remaining in that tank. However, when fuel was subsequently<br />

transferred from the No. 7 tank, damaged seals in surrounding FRS couplings were observed to leak. One of<br />

the damaged seals is shown in Figure 7.1. Figure 7.2 shows an undamaged/unused seal. Furthermore, the<br />

minimum static reserve factor of the aircraft’s rear spar had been reduced by approximately 25%, i.e. below<br />

the level which “is normally accepted for safe unrestricted operation of the aircraft”. 60 Indeed, as stated above,<br />

the damage to the aircraft was so serious that it was subsequently cleared for one flight only “in clear and calm<br />

conditions”, 61 with restrictions applied to its operating envelope, in order to re-locate to BAE Systems Woodford,<br />

to join the MRA4 programme.<br />

Figure 7.1: Shriveled fuel seal from XV227 Figure 7.2: Normal Fuel Seal<br />

showing effects of severe heating<br />

59 More properly referred to as ‘air valves’, not ‘cocks’.<br />

60 Air Incident Report KIN/97/04, page 5.<br />

61 DLO(Strike)(WYT)/512725/17, dated 7 June 2005.

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