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THE NAVAL ENGINEER

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47<br />

low vacuum overrides<br />

(consistent with the Full Ahead<br />

order). Furthermore, vacuum<br />

fell sufficiently to trip both<br />

TGs on low vacuum (-0.2 bar<br />

falling), resulting in a loss of<br />

both non-essential busbars. In<br />

this incident, all main propulsion<br />

and both TGs were lost well<br />

within this timeframe and before<br />

the submarine was safe on the<br />

surface.<br />

• Hydraulics – NE7. Following<br />

the loss of both non-essential<br />

busbars, the SCOOW identified<br />

that both the rudder and Stbd<br />

After planes had lost hydraulic<br />

supplies. The SCOOW forced<br />

all control surfaces onto the<br />

external hydraulic system<br />

to restore instant control<br />

before instructing the SCCO<br />

to put the HS&D DC pump<br />

to Line control. This enabled<br />

the control surfaces to be<br />

returned to the NSGLU and<br />

restore full submarine control.<br />

Although adequate control<br />

of the afterplanes, supported<br />

by the accumulator back-up,<br />

was maintained, the failure of<br />

the DC pump to adequately<br />

manage the hydraulic<br />

demand in this circumstance<br />

is of concern. An intended<br />

modification to the HS&D plant<br />

to put a changeover switch<br />

of the AC pump supplies<br />

(from NE7 (normal) and NE8<br />

(alternative)) would not have<br />

benefited in this case since both<br />

non-essential busbars were<br />

lost.<br />

• Internal Communication<br />

System (ICS). During this<br />

incident, Aft Broadcast from<br />

manoeuvring was lost on<br />

two separate occasions.<br />

This resulted in difficulty in<br />

communicating with the space<br />

watchkeepers and directly<br />

slowed the accurate report of<br />

the leak site to the starboard<br />

circ system. In both cases,<br />

Main Broadcast was checked<br />

clear from both ship control<br />

and DCHQ (Main automatically<br />

‘locks out’ Aft Broadcast once<br />

the key is made and has to be<br />

manually cancelled before Aft<br />

Broadcast can be cleared and<br />

re-selected). Overall the ICS<br />

did not support the actions of<br />

the watchkeepers well. A S2022<br />

has been raised to detail the<br />

specific shortcomings.<br />

• Bulkheads. The Flooding<br />

Accident Dived EOP calls for<br />

bulkhead doors to be shut on<br />

immediate receipt of the alarm,<br />

coupled with considerations for<br />

operating compartment blows.<br />

Excluding the RC bulkheads,<br />

the two remaining bulkheads<br />

in ASTUTE Class submarines<br />

are Damage Control Bulkheads<br />

(ie not designed as pressure/<br />

watertight). The shutting of 26<br />

and 88 DCB doors prevents<br />

the movement of personnel<br />

and slows the response to<br />

the emergency down. The<br />

benefit in shutting the doors to<br />

allow the use of compartment<br />

(self salvage) blows may be<br />

questionable, since the blows<br />

are only designed to be “…<br />

applied when the vessel is<br />

approaching the surface or is on<br />

the surface.” 26 and 88 DCBs<br />

are designed to withstand 2 bar<br />

differential pressure only. On<br />

balance, therefore, the risk<br />

associated with leaving the<br />

bulkhead doors open during<br />

the initial stages of a flooding<br />

incident may be outweighed by<br />

the benefit of getting personnel<br />

to investigate support the initial<br />

actions at the scene.<br />

Recommendations raised in the<br />

SSFR submission are under<br />

consideration by the relevant<br />

Authorities. The following are<br />

offered as generic key lessons:<br />

• Operating in a confused,<br />

dynamic situation. Accurate<br />

reporting of system failures is<br />

essential to ensure subsequent,<br />

correct actions. It is inevitable<br />

that communications will be<br />

complicated in noisy and<br />

stressful situations, but this<br />

is when the consequences of<br />

failing to correctly identify and<br />

report failures are likely to be<br />

more severe. Acting promptly<br />

and correctly ‘first time’ is aided<br />

by calmness and clarity.<br />

• System and equipment<br />

dynamics and limitations.<br />

Watchkeepers must remain<br />

aware of dynamic effects when<br />

the system status is changed,<br />

particularly when submarine<br />

safety relies on the capability<br />

provided by that system. When<br />

system/equipment trip overrides<br />

are selected, operator vigilance<br />

and corrective actions are<br />

essential to ensure design limits<br />

are not breached. The ability to<br />

recover from a flood is dependent<br />

on propulsion availability, which<br />

is clearly impacted when Main<br />

Circulating Water System hull<br />

valves are shut and vacuum<br />

starts to collapse; retaining<br />

vacuum to maintain main engine<br />

propulsion is key.<br />

• The number of occasions<br />

that submarines surface in<br />

emergency (for flood EOP 13)<br />

is being reviewed and the<br />

conclusions of this study will be<br />

reported in due course.<br />

• The importance of timely<br />

reporting of unusual plant<br />

dynamic behaviour to the<br />

Platform Duty Holder. TA advice<br />

should be sought if necessary<br />

to fully investigate and establish<br />

the root cause of all events.<br />

• The importance of recognising<br />

the distinction between nuclear<br />

event reports and ISIs, together<br />

with the need for investigating<br />

and reporting wider issues. It<br />

is important to learn all lessons<br />

from all events, take an overall<br />

view and not just focus on<br />

mandatory reporting aspects.<br />

An SSN alongside at<br />

HMNB Devonport<br />

The submarine had just completed<br />

Day 3 of a FOST Fast Cruise where<br />

problems had been experienced<br />

in raising the periscopes. In order<br />

to de-conflict with the FOST<br />

programme, the defect investigation<br />

was delayed until the end of the<br />

training day and conducted by two<br />

experienced CPOETs. Collectively,<br />

they decided to initiate defect<br />

prosecution by proving the operation<br />

of all masts and periscopes first.

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