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The Nimrod Review - Official Documents

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7.49<br />

Chapter 7 – Damage from Cross-Feed/SCP Duct Failure<br />

<strong>The</strong> XV227 incident amply demonstrates the risk of potentially catastrophic damage to the aircraft structure and<br />

adjacent fuel system seals from an engine bleed-air hot pipe fracture. If the incident had occurred earlier in the<br />

sortie, when fuel was present within the No. 7 tank and its adjoining pipes, there could have been a serious fire<br />

similar to that which befell XV230 and XV227 could have been lost. <strong>The</strong> XV227 incident accordingly caused the<br />

BOI to give careful consideration to the possibility that a similar hot air duct failure caused the loss of XV230,<br />

notwithstanding that it had not been provided with a copy of BAE Systems’ February and March 2007 reports<br />

(see above).<br />

Did a hot air leak cause the XV230 fire?<br />

7.50 <strong>The</strong> incident on XV227 is indicative of a potential causal chain of the fire on XV230, i.e. a failure of the SCP duct<br />

leading to the escape of hot bleed-air causing damage to adjacent fuel seals leading to the escape of fuel and<br />

ignition. <strong>The</strong> BOI concluded, however, that, whilst the SCP was in use at the time and a Cross-Feed/SCP duct<br />

failure could not be ruled out, as a causal mechanism for the fuel source, it was much less likely than the other<br />

two potential causes (fuel seal failure or over-flow during AAR igniting on the SCP duct). I agree. Nonetheless,<br />

I turn below to consider the two ways in which the BOI suggested that a fractured bleed-air duct could have<br />

been causative of the XV230 fire, either: (a) a large hot air leak as a result of a major failure of the duct (as with<br />

XV227); or (b) a small hot air leak as a result of a smaller fracture.<br />

(a) Large hot air leak<br />

7.51<br />

7.52<br />

A major failure of a hot air duct within, or proximate to, the starboard No. 7 Tank Dry Bay could have led to a<br />

large hot air leak damaging adjacent fuel seals, resulting in fuel leaks which might have been ignited by hot<br />

and exposed elements of the broken duct. <strong>The</strong> principal reason given by the BOI for discounting such a leak<br />

was that it was unlikely “to have gone unnoticed by the experienced Flight Sergeant Davies”, or the crew who<br />

“would all have noticed the pressure change concomitant on the loss of conditioning air”. 62 It is important to<br />

note that XV230 was operating with a pressurised cabin, 63 whereas XV227 was unpressurised; this would have<br />

masked the change in cabin pressure caused by the loss of XV227’s SCP. Although the crew intercom recording<br />

shows that XV230’s SCP tripped-off at 11:09:23 hours, Flight Sergeant Davies clearly did not think it significant<br />

and probably linked the event to AAR. Flight Sergeant Davies was one of the most experienced and able <strong>Nimrod</strong><br />

Air Engineers in the RAF, with 7,817 flying hours on type; 64 an engineer of his experience would have had no<br />

difficulty in recognising the symptoms of a duct failure. Further possible explanations of the event are discussed<br />

below. Moreover, if this event had been the SCP duct failing, Flight Sergeant Davies could not have received the<br />

subsequent warning (reported concomitant with the bomb bay and elevator bay warnings) of an overheated<br />

SCP since an SCP failure would have removed most of the hot air from the SCP system.<br />

<strong>The</strong>re are two entries on the Mission Tape which indicate events associated with the SCP at the time:<br />

7.56.1 <strong>The</strong> Mission tape at 11:09:23 records a remark from Flight Sergeant Davies (Air Engineer) as the SCP<br />

trips-off, causing a pressure change within the cabin: “: …we’ve just lost the tailpack sorry about your<br />

ears.” 65 This remark is made to inform the crew that he is aware of the event and is dealing with it, i.e.<br />

normal crew courtesy and co-operation on an MR2.<br />

7.56.2 <strong>The</strong> Mission tape records at 11:12:01 Flight Sergeant Davies commenting, 28 seconds after the fire<br />

warning at 11:11:33 and reports of smoke coming from the rear bay: “Yeah I have an under er an<br />

overheated SCP which could be the cause. Attempting to reset the warning”. 66<br />

62 BOI Report, paragraph 38 [2-27].<br />

63 When the <strong>Nimrod</strong> MR2 is operating at low level the crew will depressurise the cabin.<br />

64 BOI Report, Annex B, B-2.<br />

65 BOI Report, Exhibit 1.<br />

66 Ibid.<br />

145

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