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21st July 2022 - Aircraft Safety
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Recently, I have been watching videos about aircraft accidents. This 
can be seen by people as strange but I got interested after listening 
to the yearly product safety training. There is a great person who 
puts out great videos which are clear, concise and conscientious. 
Their channel is called Green Dot Aviation [1]. Each video basically 
covers an accident and goes through the steps which lead to the 
accident. Most of the videos I had seen seemed to be due to pilot 
errors or human factor issues. However, one video concerning flight 
Cathay 780 [2] struck home. It concerned a Airbus A330 of which the 
majority of engines are Rolls-Royce Trent 700s. One of my first jobs 
as a graduate engineer was investigating pressure transducers on Trent 
700 EECs (Electrical Engine Controllers). The EEC for an engine is 
essentially a computer which controls a tap for fuel. It essentially 
reads the throttle demand from the pilots and then determines how much 
fuel can be pumped to the engine without causing the engine to stall 
or flame out. Now, I got intimate with this EEC having worked on some 
legacy component issues as well as fault finding units which failed 
production test and then working on an attempted upgrade. Flight 
Cathay 780 was from Indonesia to Hong Kong and issues started with 
messages from the EEC about a fluctuating EPR (Engine Pressure Ratio). 
On the early Trent engines such as the 500, 700 and 800, the thrust is 
calculated using the EPR value. This is calculated by dividing the air 
pressure at the inlet to the engine by the air pressure leaving the 
exhaust. More modern Trent engines such as the 1000 and XWB do not use 
this but calculate thrust using the N2 shaft speed. When I first heard 
the EPR value was fluctuating, I worried it was related to one of my 
first jobs which was looking into replacing vibrating pressure sensors 
with an alternative technology. One of the issues with measuring the 
exhaust pressures was that you end up with rather nasty chemicals 
inside the sensor. It was found that one of these was becoming 
sulphuric acid which corroded parts of the vibrating cylinder pressure 
sensor. This caused the sensor to be inaccurate and so the EPR would 
be incorrect. The video progressed and it turned out the fault was 
actually due to a fault in the fuel system at the airport. A fuel 
filter stage had disintegrated and got through into the aircraft fuel 
tanks. This filter stage was one which removed excess water from the 
fuel and seemed to essentially be silica balls. These balls got stuck 
in the fuel metering valve and lead to the EEC on both engines 
struggling to manage the fuel flow. One engine flamed out while the 
other was stuck on a high thrust rating as a result of stuck FMVs. 
Somehow, the pilots managed to land safely with just 300m of run way 
left before they would of landed in the sea. No one died although 
there were accidents from a rather hard landing. I am amazed at how 
well these pilots coped and their successful landing.

Every year I have to do product safety training and yet that video had 
hit me harder than any of that training. Mostly as it is the same old 
gumph which is repeated each year. Partly as it often does not relate 
to things I have worked on. Instead they show a child at a departure 
gate looking out of a window at a shiny aircraft. Instead, give me 
Green Dot Aviation videos and I will ensure I do not get goose bumps 
again as something I have worked on is described prior to an 
accident!! Engineers are strange people and we tend to want the 
details before seeing the bigger picture. The other issue with the 
product safety training is that they try to scare us with legal issues 
resulting from our work and having to justify our decisions in a court 
case. I had a manager who used to regularly ask if I would stand up in 
a court of law and justify this work. I mean of course I would. Mostly 
as he was the one who would of had to do the justifying as the only 
signatory on the report. I think it would be much more scary and 
worrying to see the news that an accident happened due to my design. 
This is what keeps me questioning the work of my team and myself to 
ensure that what we have produced is safe and follows the ALARP (as 
low as reasonably possible) principles. I still fly on aircraft 
regardless of the engine manufacturer so that says something!

[1] https://www.youtube.com/c/GreenDotAviation
[2] https://www.youtube.com/watch?v=tCrfrQ9CnUg