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The 156-tonne
GIMLI GLIDER
O of Manitoba’s idyllic
Lake Winnipeg lies an
old Royal Canadian Air
Force station. As a town
of just 2,000 people, Gimli is a tiny dot
on the map, eclipsed by its larger neigh-
bour, Winnipeg. But thanks to a 20-year-
loaded, with 61 passengers and five crew.
Flight 143 climbed to its cruising alti-
tude of 41,000 feet and the first hour of
flight was straightforward for the experi-
enced flight crew. However, just after
2000 local time, Pearson and Quintal
were shocked to see cockpit instruments
diversion to Winnipeg Airport, 120 miles
away. It became clear they were running
out of fuel.
The left engine was the first to flame
out. At 2021, when their altitude was
28,500 feet and they were 65 miles from
Winnipeg, the right engine stopped.
old accident, Gimli is probably the most warning of low fuel pressure in the left Flight 143 was gliding. Most of the
famous landing ground in Canada. fuel pump. At first they thought it was a instrument panels went blank as they
On July 23, 1983, Captain Bob Pearson fuel pump failure. had been relying on power generated by
and First Officer Maurice Quintal were Seconds later, warning lights indicated the engines, and suddenly Pearson was
MONTREAL
OTTAWA
Cut short Travelling from Montreal to Edmonton via Ottowa, Flight 143 was forced to divert to Winnipeg because of a fuel shortage that led to
the loss of both engines. When it became apparent the aircraft would not reach Winnipeg, the pilots changed course and headed to Gimli.
The flight and cabin crews were Although he couldn’t diagnose the
praised for averting a major disaster “The failure of one exact problem, Yaremko found that if he
through their “professionalism and skill” disabled the faulty circuit breaker, the
which helped them overcome the prob- inductor coil should not backup circuit breaker got the gauges
lems caused by “corporate and equip- working again and provided the required
ment deficiencies”. have disabled the fuel fuel readings. The mechanic labelled the
The trouble started almost three weeks pulled circuit breaker with yellow main-
before the accident when the fuel quanti- gauges.” tenance tape to prevent it being turned
ty indicating system on aircraft No. 604 back on. But he did not clearly record in
(later Flight 143) was examined follow- the logbook his reasons for doing this.
ing a directive from Boeing. As each fuel self-testing mechanism enabling it to The 767 flew from Edmonton to
gauge was checked, it mysteriously went recognise faults within the system. Montreal via Ottawa without incident
blank. However, a later check found the These built-in redundancies did not after the pilot in command satisfied him-
gauges apparently working normally, so prevent the processor from failing, how- self that it was legal to operate the air-
the aircraft was given clearance to fly. ever. Tests performed after the accident craft under provisions of the Minimum
On the night of 22-23 July, the prob- found the failure was caused by a “cold Equipment List (MEL) despite the devia-
lem resurfaced and the same mechanic, solder” joint on the inductor between tion reported in the fuel processor.
Conrad Yaremko, investigated, unaware one coil wire and its terminal post. While Because of the unreliable electronic
it was the same aircraft. He discovered a the terminal post was pretinned and had fuel monitoring system, when the air-
malfunction in the digital fuel gauge enough solder sticking to it, the coil wire craft reached Dorval Airport in
processor but was told no replacement end was not pretinned and had poor Montreal, maintenance worker Jean
processors were available. adhesion. Ouellet was assigned to conduct a manu-
The processor was a dual-channel sys- Still, the failure of one inductor coil al drip check of the aircraft’s fuel levels
tem that provided fuel quantity meas- should not have disabled the fuel gauges. before its dispatch to Edmonton. He was
urement, calculation and indication, and Another inductor coil in the second intrigued by the problem with the fuel
was located under the aircraft’s floor, processor should have taken over if the processor and despite not having the
behind the cockpit. It was considered the processor had performed according to its authority or training, took it upon him-
“heart” of the fuel quantity indication specifications. Investigations revealed a self to tinker with the electronics while
system on the Boeing 767 and was built design error was to blame. The processor waiting for the fuel truck. As he later told
by Honeywell to Boeing specifications. failed to switch from the defective chan- investigators: “I thought I would do a
Its benefits included an ability to operate nel to a working channel because there BITE [built-in test equipment] test on
on a second channel if one failed, and a had been a drop in the power supply. the processor, so I pushed in the breaker
in the cockpit that was deactivated.” This nance workers performed a drip test and ing truck to tell when they had reached the
made the fuel gauges blank again. estimated that 7,682 litres of fuel remained right number of litres to make up 22,300kg.
The fuel truck arrived and Ouellet left in the tanks. The flight from Montreal to But the 767 was the first aircraft in Air
the aircraft without deactivating the Edmonton, including a brief stop in Canada’s fleet to use metric units (kilo-
faulty circuit breaker. As the investigation Ottawa, required 22,300kg of fuel, an grams) rather than imperial (pounds).
later reported, “the well-intentioned but amount expressed as mass because of the Metric units were being phased in across
misguided curiosity of Mr Ouellet result- importance of knowing an aircraft’s weight. Canada, and the conversions were still
ed in blank fuel gauges in the cockpit, The mechanics needed to work out how causing confusion.
and contributed significantly to the sub- many litres made up 22,300kg. They could With the help of First Officer Quintal,
sequent accident.” then subtract the 7,682 litres already in the the ground crew used the correct proce-
With the fuel gauges inoperative, mainte- tanks, and use the fuel gauge on the refuel- dure to calculate the weight in kilos.
engine aeroplane, you’re trained ad nauseum to 174: you can see him holding a clipboard when
fly on one and on a four-engine aeroplane you’re the pilots come out of the simulator.
trained to land on two. But at Air Canada, we had However, he was unimpressed by the movie’s
no training on what to do if both engines fail.” accuracy and was frustrated to see mistakes in
Pearson sees this as a failing in pilot training. aviation terminology. He preferred the book
“Year after year, pilots attend training and learn Freefall, by Marilyn and William Hoffer.
the same stuff. My feeling is that pilots should Pearson now travels extensively as a public
get more of these unusual situations. If we had speaker, and is in high demand as an expert
practised in the simulator, even once, it prob- Bob Pearson at the time of the Gimli accident aviation witness in legal proceedings.
However, they had not been trained in cor- would give them the correct volume in Using a computer to calculate fuel also
rect conversion, so the figure of 1.76 pro- litres. Through this calculation, the crew caused confusion over responsibilities. In
vided by the refueling company on their determined that 4,916 litres needed to be the past, when fuel was calculated manu-
refueling document, was taken to be the added from the fuel truck. The problem ally, a flight engineer’s duties included
required multiplier. It was typical of the was that 1.77 is the multiplier that con- checking the fuel load. Flight engineers
numbers seen on previous slips and they verts litres into pounds, not kilograms: to were a thing of the past on this 767, as a
assumed that the numbers provided over convert litres into kilograms you need to Presidential task force, under Ronald
the previous few months had indicated multiply by 0.8. Flight 143 did not have Reagan, had determined that aircraft
specific gravity in the new metric system. 22,300kg on board, it had about could be built to be operated by two
They decided to multiply 7,682 by 10,000kg, less than half the amount of A- pilots instead of three, if the tasks previ-
1.76. This would mean 13,597kg 1 kerosene jet fuel needed to get the air- ously given to the second officer (flight
remained in the tanks, requiring an infu- craft to Edmonton. The refueller didn't engineer) were either fully automated or
sion of 8,703kg to bring the fuel level up know where the flight was headed, so no handled by ground staff. Responsibility
to 22,300kg. They then divided 8,703kg alarm bells rang for him as he poured for ensuring adequate fuelling had
by 1.76, assuming that this conversion fuel into the tanks. passed to the maintenance branch. But
characteristics of the 767. They did not had become such a fluid document, the
appear to have sufficient background perception grew that maintenance per-
knowledge of these aspects of the air- sonnel, rather than the MEL, should have
craft. They did not appear to have the final word on the aircraft’s airworthi-
received sufficient training about some ness. And maintenance control cleared
of the critical aircraft systems, in particu- Flight 143 for flight.
lar, the fueling system.” The decision was further clouded by the
The investigation also revealed an number of people who crowded into the
organisational shortcoming at the Air cockpit just before departure. Pearson,
Canada maintenance base. The crew held Quintal and flight attendant Anne Swift
morning meetings at which senior techni- later testified that between six and eight
cal experts gathered to discuss the major people visited the front of the aircraft after
maintenance issues for each aircraft in the the flight crew had boarded. They includ-
fleet. However, the meetings took place ed maintenance personnel, the fueller, an
only five mornings a week: from Monday Air Canada pilot travelling as a passenger,
to Friday. July 23, 1983 was a Saturday. and flight attendants. The TSB report
Despite being unaware of the inade- concluded that these people could have
quate fuel load, Pearson took the absence distracted the flight crew at a crucial time
of computerised fuel monitoring seri- in their departure preparations.
ously and carefully consulted the 767 Pearson then made the fateful decision
minimum equipment list (MEL). The to allow the flight to proceed. He took off
MEL stated that one main fuel tank
PHOTO: COURTESY ARCHIVES OF MANITOBA