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Training
1
Course objectives
2
Introductions
Course format/methodology
Questions / Participation
3
Module 1 - Introduction
4
EASA Agency Decisions
2007/001R
2007/002R
2007/003R
5
The Agency Decisions are the outcome of the most
extensive aviation safety investigation in the history
of aviation
7
TWA Flight 800crashed at 20.30 on July 1996
8
9
The Agency Decisions are the outcome of the most
extensive aviation safety investigation in the history
of aviation
10
The EASA decisions relate to
Design and Production standards
Continuing Airworthiness Management
Operating procedures and limitations
Part 145 organisations and maintenance of aircraft
Licensing standards for aircraft for maintenance
engineers
11
The investigations surrounding the accident led to
many basic design and certification assumptions
about installed fuel tank system safety to be
substantially revised.
12
The purpose of this training is to explain in more detail
what effect the design and certification assumptions
have on in-service continuing airworthiness
13
All of the continuing airworthiness processes
could be affected !
14
AD Maintenance Programme
Flight Manual Maintenance Standards
Modifications Reliability Programme
Repairs Certification
MMEL MaintenanceRequirements
Life Limits Weight & Balance
Airworthiness Limitations
C of A
Records
15
As you can see, these processes are those associated
with the operation, continuing airworthiness and
maintenance of aircraft.
16
We all accept that aviation fuel is dangerous when
handling the fuel: but it has mostly been safe inside
aircraft installations.
17
Or has it been safe?
18
Or has it been safe?
19
Aircraft Fuel Tank System Safety
Module 1
Or has it been safe?
20
Or has it been safe?
21
8 December 1963 Pan Am B707
9 May 1976 Iranian Air Force B747
22 August 1985 BA Air Tours B737
11 May 1990 Philippine Air Lines B737
17 July 1996 TWA 800 B747
3 March 2001 Thai Airways B737
5 September 2001 BA B777
20 August 2007 China Air B737
22
7 Hull losses and 1 ground fire that all resulted in
fatalities
23
Not all of the aircraft losses arose from the
same failure causes but there are
characteristics that require further study
24
In order to better understand it was necessary to :-
Assess the TWA accident causes
Compare with other accident data to seek common
cause failure characteristics
Review Design assumptions
Review development of scheduled maintenance
requirements and inspection/maintenance standards
25
The assessment led to the discovery of 3
similar failures:-
26
Aviation Fuel System Safety
Module 1
27
Aviation Fuel System Safety
Module 1
In order to learn from these accidents we are
going to have to go back to basics!
28
Aviation Fuel System Safety
Module 1
29
Fuel System Safety
Module 2:-
30
July 1996 TWA 800 accident
31
32
1990 B-737-300 Manila , Philippine
- Almost new airplane
- Air Conditioning Packs running during Ground
Operations
- Empty CWT explosion during pushback from gate
- CWT pumps operating at time of explosion
- 8 fatalities
- Jet-A fuel, approx.95 degree F ambiet temp.
- NO IGNITION SOURCE IDENTIFIED
33
1996 - B-747, TWA 800, JFK
-25 year old airplane
- Air Conditioning Packs running during Ground
Operations
- Empty CWT explosion during climb
- 230 fatalities
- Jet-A fuel, approx. 120 degree F tank temp.
- NO IGNITION SOURCE IDENTIFIED
34
TWA 800 accident
35
2001 B-737-400 Bangkok Thailand
36
2001 B-737-400 Bangkok Thailand
- 10 year old airplane
- Air Conditioning Packs running during Ground Operations
- Empty CWT explosion minutes after refueling
- CWT pumps operating at time of explosion
- 1 fatality
- Jet-A1 fuel, approx. 97 degree F ambient temp.
- NO IGNITION SOURCE IDENTIFIED
37
3 Centre Wing Tank explosions
38
Heating of the centre wing tank to temperatures that
were higher than anticipated during design were
apparent at an early stage
39
A series of trial flights flown to replicate the TWA 800
final hours establishes CWT intenal temperatures as
high as 145f.
40
Heat transfer into the Centre Wing Tank (CWT)
is possible from the ACS what about the
Exposure on all fleets aroud the world?
41
Fuel Tank Flammability Exposure Worldwide Fleet Average
42
Fuel Tank Flammability Exposure Worldwide Fleet Average
43
Prevent fuel system
accidents through ignition
source elimination and
flammability reduction
44
The explosive condition required oxygen, fuel and an
ignition source
46
There is now a probable scenario which expalins the
fuel tank explosions that have been happeninig:
what is the condition of the rest of the world fleet,
are there latent threats out there?
47
Industry Fuel System Safety Programme Survey was not
conclusive but there were finding
Bonding provisions missing
Swarf and contamination in tanks
Damaged components
Evidence of overheated pumps
Wiring problems
Vent systems incorrectly assembled
48
49
Industry were carrying out an Industy Fuel System
Safety Programme what about Regulatory rules and
National Transportation Safety Board (NTSB)
initiatives?
50
NTSB concluded that tank flammability is the main
culprit the most likely ignition source was a wiring
defect, possibly related to the Fuel Quantity
Indicating System (FQIS)
51
FAA nad Regulators from JAA initially then Canada
and Brazil worked towards a common harmonised
set of requirements to reduce the likelihood of an
unsafe condition arising in fuel tanks
Wing tanks assumed to be safe from effects of
heating
Flammability target level is wing tank level or better
52
Flammability at first, the most difficult problem to solve
53
Regulatory effort co-ordinated by FAA.FAA rulemaking
initiatives to be developed in harmony with Europe,
Canada and Brazil
54
2 ARAC activities commence in parallel:-
55
Flammability Reduction ARAC:-
Nitrogen Gas inerting on board and pre-flight
Foam Filled tanks
Tank Membranes
Nitrogen Gas inerting benefits inconclusive when weighed
against cost and operator hazard issues
ARAC (1) concludes that with current technology, benefits of
airborne system not cost effective and unsubstantiated
Rulemaking effort requiring future aircraft to be designed
without heated tanks
56
Ignition Source Reduction studies uncover
failure modes that could lead to ignition
sources:-
Mechanical failures pumps friction
Electrical faults in tank systems electrical arcs
Cross-coupling effects on in tank systems from
external faults including hot surface effects
Bonding system faults internal and external
Lightning protection
57
Airplane surveys and comparison of
previous requirements against TWA 800
scenario leads to need to carry out safety
assessment of all designs TC and STC
58
Design safety assessment to address flammability vs
ignition sources for fuel tank system
59
Guidance material initially developed in the form of
FAA AC by ARAC and Fuel System Safety Team as an
Internationally harmonised guidance document
AC 25.981-1B Fuel Tank Ignition Source Prevention
Guidelines
AC 25.981-2 Fuel Tank Flammability Minimization
Guidelines
JAA issues eqivalent guidance document
JAA TGL 47
60
FAA AC and TGL 47 (Appendix B) define the process for
determining the action required in the design review
Apply unsafe condition criteria to design
List unsafe conditions
Provide proposals to address unsafe condition
If no unsafe condition review ICAW for best
practise
61
In order to initiate review of in-service airplanes and
initiate changes necessary in TC standards for future
airplanes Regulation required:-
62
October 1999- FAA Issued Notice of Proposed
Rulemaking (NPRM)
May 2001 Final Rule issued SFAR-88
SFAR 88 is suite of rule amendments- SFAR 88
codified as FAR 21 plus FARs 25 , 91 ,121 & 125
JAA issue INT/POL/25/12
JAA INT/POL/25/12 is purely a policy statement
there is no JAA equivalent to FAA SFAR process
63
September 2002 -Spot Amendment issued that changed
FAR 21 to allow Equivalent Safety Provisions for Fuel Tank
System Fault Tolerance Evaluations
Transport Airplane Fuel System Design Review, Ignition Source
and Flammability Reduction, and Maintenance and Inspection
Requirements.
Effective 6 June 2001, Design Review to commence 18
months to complete.(i.e. 6 December 2002)
Applicability All Turbine Powered Aircraft with 30 seats or
more, or max payload of 7,500lbs, Type Certificated after 1
January 1958.
64
Design review to be carried out on fuel tank system
required of TC and STC Holders
Operators required to survey aircraft and advise
TC/STC Holders of configuration in order that
review can be conducted
65
JAA do not issue equivalent safety policy but
implement design review
Transport Airplane Fuel System Design Review,
Ignition Source nad Flammability Reduction, and
Maintenance and Inspection Requirements.
Effective March 2002, Design Review to commence
18 months to complete
Applicability All Turbine Powered Aircraft with 30
seats or more, or max payload of 7,500lbs, Type
Certificated after 1 January 1958.
66
Part 21 TC and STC Holders to conduct a design
review more than a 25.1309 SAA taking into
account the new 25.981(b) changes.
67
This review task was completed in USA and
(probably) in the JAA Member States at the time
JAA Member States were required to issue individual
requirement for operators to inspect fleet
No guarantee what the position is/was for the rest
of the world fleet
68
Significant differences between Boeing and Airbus fuel
tanks system design features
69
Occurrence on B737 when pax notices fluid pumping
out of wing leading edge after engine start
Arc through in conduit allows fuel in wing tank to
leak out through hole in conduit
Campaign on Boeing fleet to address problem
Pump power supplies to be protected inside conduit
by teflon wrap
70
FAA Spot Amendment takes into account development
of a Flammability Reduction System(FRS) or
Nitrogen Gas System (NGS) in USA resulting from
research part sponsored by FAA Tech.Centre.
71
FAA press for harmonised requirement to
retospectively fit FRS as well as for new types
72
March 2007- EASA Agency Decisions
2007/01R,2007/02R and 2007/03R issued on Fuel
system safety
Part 145 organisations component and airplane
level
Part M airworthiness Management organisations
Part 66 Licensing
73
Regulations awaiting implementation
74
Where are now?
TC Holder manuals now include fuel tank system
safety provisions
ADs issued for same actions
Full implementation including design rule changes
awaiting EASA/FAA
EASA implements changes to Parts M, 145,66
75
Part M requires that vertification procedures are put in
place after working in an area.
76
ARAC
Flammability SFAR 88
Reduction SFAR Assessment
Study NPRM SFAR 88
Manila Bangkok Implementation
New York
1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004
77
In summary:-
78
Fuel System
Safety
Module 3:-
Developments in
Fuel Tank
System
Design
Requirements
79
An overview of fuel tank system safety related
developing design requirements.
80
Design Requirements form the basis for Continuing
Airworthiness management processes.
81
Design Requirements form the basis for Continuing
Airworthiness management processes.
82
Developments in Fuel System Safety Design
requirements:-
Special Federal Aviation Regulation (SFAR) 88
FAA AC 25.981-1-Fuel Tank Ignition Source Prevention
Guidelines
FAA AC 25.981(b)-2 Fuel Tank Flammability Minimization
JAA INT/POL/25/12
JAA TGL 47
Flammability Reduction System requirements
83
SFAR 88
FAA Rulemaking enables FAA to enact several rulemakings
simultaneously as well as retrospectively.
Changes to Parts 21, 25, 91, 121, 129
Introduces new design/build requirements and implementing
rules for operators
Design/build requirements initially harmonised with JAA
(EASA)
Introduces 3 element analysis tool and Monte Carlo analysis
methodology to determine flammability
Goes further than 25.1309 in system safety assessment
84
SFAR 88
Spot Amendment introduces provision for equivalent safety
by flammability reduction system in flight or on the ground
Flammability reduction intended to be retrospective to
existing fleet EASA position still unclear: Regulatory Impact
Assessment carried out shows cost/safety benefit to be
unproven.
85
JAA TGL 47 and INT/POL/25/12-1
JAA ( part) equivalent to SFAR 88 and AC 981-1(b)
Cannot be used to implement
Note: EASA implementation of complete rulemaking not yet
clear awaiting decision on flammability reduction systems
JAA TGL 47 adopted by EASA as the current standars
TGL 47 contains Interpretative Material to INT/POL/25/12
3 element design appraisal tool
Listing of failure modes to be considered during design
86
JAA TGL 47 and INT/POL/25/12 continued 2
87
JAA TGL 47 and INT/POL/25/12 continued 3
Ignition sources
Electrical arcs and sparks wiring and component failures,
lightning, HIRF\EMI, static
Friction sparks metallic surfaces rubbing debris in
pump impeller or interference between impeller and case
Hot surface ignition
88
JAA TGL 47 and INT/POL/25/12 continued - 4
89
JAA TGL 47 and INT/POL/25/12 continued 5
Pump problems
90
JAA TGL 47 and INT/POL/25/12 continued 6
91
JAA TGL 47 and INT/POL/25/12 continued 7
92
JAA TGL 47 and INT/POL/25/12 continued 8
FQIS system
93
JAA TGL 47 and INT/POL/25/12 continued 9
FQIS system problems
94
JAA TGL 47 and INT/POL/25/12 continued - 10
Bonding straps
95
JAA TGL 47 and INT/POL/25/12 continued - 11
Bonding straps in tanks
Straps missing, broken, loose
Straps frayed/worn as a result of wing movement
96
JAA TGL 47 and INT/POL/25/12 continued - 12
Foregoing lists of design related failure modes form the basis for
Inspection standards
Maintenance procedures
97
JAA TGL 47 and INT/POL/25/12 continued 13
98
JAA TGL 47 and INT/POL/25/12 continued 14
Once the TC/STC Holder has reviewed the design and identified
potential un-safe conditions, then the conditions must be
mitigated
Design changes
Operational Procedure changes
Maintenance Programme changes
Airworthiness management procedure changes
Training
Not all of these are the responsibility ot the TC/STC Holder
99
JAA TGL 47 and INT/POL/25/12 continued 15
100
JAA TGL 47 and INT/POL/25/12 continued 16
No!
Critical Design Configuration Control Limitations
Fuel System Airworthiness Limitations
MSG Analysis Significant Item development
These are also covereds by the TGL!
101
JAA TGL 47 and INT/POL/25/12 continued 17
102
JAA TGL 47 and INT/POL/25/12 continued 18
( ):
A fuel system feature the design integrity of which must
be maintained to ensure that an unsafe condition
does not develop. Features in an aircraft system or
componenet. May exist in fuel system but may also
be features in systems or assemblies that interact or
cross-couple with fuel systems
103
JAA TGL 47 and INT/POL/25/12 continued 19
Examples of CDCCL:-
Bonding feature attaching to component and tank
Separation of fuel gauge wiring from other high
power wiring
Fuel pump configuration
Wire support for high power wiring near to tank
We will later look at some characteristic CDCCL
from TC Holders
104
Power cables riding
on structure can
cause damage to the
power cables
105
JAA TGL 47 and INT/POL/25/12 continued 21
For the identification and management of CDCCL
Related tasks highlighted by TCH in AMM/CMM
Airworthiness management procedures put in place
Ensure features are protected during repair/changes
Ensure maintenance organisation is aware
Implement traninig programmes
Remember, the feature itself may not be directly related to the
fuel system and also may be at component level e.g. fuel
pump
106
JAA TGL 47 and INT/POL/25/12 continued 22
For the identification and management of CDCCL
107
JAA TGL 47 and INT/POL/25/12 continued 22
For the identification and management of CDCCL
108
JAA TGL 47 and INT/POL/25/12 continued 22
For the identification and management of CDCCL
Fuel Pump CDCCL management:-
This will be a challenge for the operators
EASA Part 145 From 1 , FAA 8130-3
Contracts will need to specify CDCCL managed and complied
with during MRO activity box 13?
CAME procedure in place
Maintenance procedure for MRO
109
JAA TGL 47 and INT/POL/25/12 continued 23
For the identification and management of CDCCL WIRING
Wire repair and inspection practises training
required to
Ensure acceptable wiring standard practises splicing,
support routing
Provide comprehensive knowledge of CDCCL for type
110
111
TGL 47 and INT/POL/25/12 cont. 25
Fuel Tank System Airworthiness Limitation Items (ALI)
Fuel System Mandatory Instructions can include
Design changes
Maintenance
Inspections
Procedures
112
TGL 47 and INT/POL/25/12 cont. 25
Fuel Tank System Airworthiness Limitation Items (ALI)
Those items necessary to ensure that
Unsafe conditions do not arise in the fuel system
throughout the service life of the airplane
ALI to be mandated by AD and included in the
Airworthiness Limitation Section of ICAW
113
TGL 47 and INT/POL/25/12 cont. 25
114
TGL 47 and INT/POL/25/12 cont. 25
Could a CDCCL be an ALI?
No, A CDCCL does not fall within the definition
of an ALI
An ALI requires some positive action to be taken
modify/change, inspect etc.
A CDCCL is a design feature
115
TGL 47 and INT/POL/25/12 cont. 25
Another form of an ALI could be a
modification/change:-
EASA AD 2006-0191
A330-200, A340-200/300 aircraft
Air Conditioning prevention against fuel explosion
risks installation of heat shields in belly faring
116
TGL 47 and INT/POL/25/12 cont. 25
Fuel Tank System Airworthiness Limitation Items (ALI)
117
AIRBUS Fuel Tank System ALI Maintenance and
Ispection tasks
Mandatory accomplishment no change or deletion
Can be escalated in accordance with approved
escalation practises based on data collection and
analytical techniques CAME procedure
Aligned with ZIP
Dedicated tank entry to be avoided maintenance
error
118
AIRBUS Fuel Tank System ALI Maintenance and
Ispection tasks continued
Exceptional short term externsions permitted (CAME
procedures)
10% or 500FH FH
5% or 250FC FC/LDGs
Calendar limits extensions
RI <12m 10% or 1 month
RI> 12m>3y 2 months
RI>3y 3 months
119
AIRBUS Fuel Tank System ALI Maintenance and
Ispection tasks continued
A 330 Fuel Airworthiness Limitation (FAL)
120
AIRBUS Fuel Tank System ALI CDCCL
It is important to remember that these CDCCL are
design features that require management in
Scheduled maintenance
Repair
Change/modification
122
AIRBUS Fuel Tank System ALI CDCCL
123
AIRBUS Fuel Tank System ALI CDCCL
124
What about other TC Holders?
125
Most other states appear to be following FAA
policy
127
FAA policy appears to require inspections to ensure
initial configuration this is not yet required in
Europe
128
Boeing Airplane MPD already published with
ALI/CDDCCL
e.g. B767 MPD
AWL No. 28-AWL-01: Task ALI detailed inspection of
wire bundles over CWT 12y/3600H
AWL No. 28-AWL-02: CDCCL External Wires over CWT
maintain existing wire bundle routing and clamping
129
Boeing Airplane MPD already published with ALI/CDDCCL
e.g. B767 MPD
AWL No. 28-AWL-03: CDCCL Lightning protection Engine
fuel feed line verify electrical fay surface bond from
bulkhead fitting to structure 0,5 milliohms or less
AWL No. 28-AWL-04: CDCCL Lightning protection
Hydraulic line fuel tank penetration bond checks on
heat exchanger and lines to structure and in-line
connectors
130
Boeing Airplane MPD already published with ALI/CDCCL
e.g. B767 MPD
AWL No. 28-AWL-06: AC and DC Pump
Maintenance repair and overhaul of fuel pumps must
be IAW with CMM
131
Boeing Airplane MPD already published with ALI/CDCCL
e.g. B767 MPD
AWL No. 28AWL-07: CDCCL AC fuel Pump Fault
Current bonding path installation of bonding
straps pump housing to structure bond 0.2
m.ohm pump to housing bond 0.3 m.ohm
132
Boeing Airplane MPD already published with
ALI/CDCCL
e.g. B767 MPD
AWL No. 28-AWL-14: CDCCL tank access door
configuration verify seal position apply grease
both sides of knitted aluminium mesh gasket
133
Boeing Airplane MPD already published with
ALI/CDCCL
e.g. B767 MPD
AWL No.28-AWL-17: CDCCL resetting tripped
fuel pumb CB must trouble shoot faul at
component level before resetting CB
134
Boeing Airplane MPD already published with
ALI/CDCCL
e.g. B767 MPD
AWL No.28-AWL-17: CDCCL resetting tripped
fuel pumb CB must trouble shoot faul at
component level before resetting CB How
will operators manage this?
135
Boeing Airplane MPD already published with ALI/CDCCL
Managing the B767 Fuel Tank System ALI will be
more problematical than the Airbus A330 (6 ALI no
measuring) vs B767 (17 ALI 11 measurement items)
136
If FAA mandate configuration threshold inspection
using the OPS Rule e.g. Part 121 this would not be
automatically applicable in Europe.
137
Boeing issue spread sheets of ALI/CDCCL for each type
138
Note the requirement for the installation of Ground
Fault Interrupters (GFI)
115v AC supplies for many tank mountes pumps on
Boeing aircraft are routed through conduits inside
the tank from front spar to rear spar.
Failres have occurred when wires arc through to the
conduit metal sleeve. Trickle earth faults sometimes
do not trip the airplane CB quickly enough. GFI will
do this.
139
We have covered design requirements with regard to
ignition source suppression, with the exception of
the maintenance requirements what about
flammability reduction?
140
For flammability Supperession see next
module module 4!
141
Fuel System Safety
Module 4:-
Flammability
Reduction in
fuel tank
systems
142
The NTSB recommended that fuel tank flammability
was primary causal effect trying to make tanks
ignition proof was (probably) unachievable in the in-
service condition. Given that fact, then unless the
tanks were flammability reduced then the likelihood
was that there will be another incident.
143
2 ARAC`s were convened to study flammability
protection
ARAC 1 -1998 - initially finds on-board systems
difficult
ARAC 2 2001 considers FAA device based on food
processing unit to be feasible and develops basic
certification proposals
144
Various methodologies studied with mixed results
Ullage washing
Fuel scrubbing
Polyurethane foam filled tanks
Inner tank membranes
On Board Inert Gas System (OBIGS)
Remove heat from CWT
145
FAA Tech. Centre studies with a system that used
Hollow Fibe Technology to separate out oxygen
seemed promising
146
147
Air Separation Module separates out
Oxygen
Water
Carbon Dioxide
148
Fuel System Safety Module 4
Boeing test system on Boeing 747 aircraft
Note: Airbus do not agree with FAA model that shows some
variants to have similar flammability as Boeing airplanes.
149
3d Model of typical
installation
150
151
FAA propose that system
is not an MMEL candidate aircraft can `safely
operate` without system available
No flight deck effects no operating condition
monitor
Maintenance tasks:-
Change ASM Life Limit
Zonal Inspection of system installation
152
US Military experience with Nitrogen systems very
obscure
Nitrogen enriched atmosphere will suffocate
Difficult to purge tanks
Loss of life of mechanics
153
FAA policy to require installation of some form of
Flammability Reduction (FRS) either fitted to aircraft
or through groud based inerting to
All existing high flammability aircraft 10 year
compliance time-frame
All new designs
154
Regulatory Impact Assessment carried out by JAA Fuel
System Safety team
No proof that retrospective implementation would
be cost effective
More emphasis on removing heat sources from all
new designs
Current initiatives to suppress ignition sources would
provide a reasonable defence for existing fleet
155
EASA now carrying out another RIA
Results awaited!
156
Fuel System Safety
Module 5:-
Developments in Fuel
Tank System
Maintenanace
requirements
157
JAA TGL 47 Appendix B requires that maintenance
Steering Group (MSG) methodology takes into
account the safety features inherent in Fuel Tank
System and components design
MSG analysis previously only takes into account the
intended airplane system function e.g. `supply low
pressure fuel`
158
MSG 3 analysis also provides a Zonal Inspection
Programme (ZIP)
MSG 2 analysis does not provide a ZIP
159
Findings from the fleet survey carried out by the
Industry AFSSP and in-service experience reviews
(SB, AD, MOR) gave evidence that the ZIP was not
providing the necessary preventative maintenance
required to ensure continuing airworhiness
160
Findings from the fleet survey carried out by the
Industry AFSSP and in-service experience reviews
(SB, AD, MOR) gave evidence that the
161
If these shortcomings led to an unsafe condition , then
surely they should have led to mandatory AD
action?
162
All unsafe conditions must be subjected to AD
action.
Some conditions were not unsafe according to
the various definitions
But they are undesirable and cauld lead to
unsafe conditions developing under certain
failure conditions.
163
For example, leaving lockwire in a fuel tank is not of
itself an unsafe condition but it could lead to one if it
Bridged an FQIS probe
Lodged in a pump inlet and led to impeller rubbing or
pump bearing failure
164
TGL 47 requires Fuel Tank System to be reanalysed
using new MSG criteria
Enhanced Zonal Analysis Procedure (EZAP)
System installation and component safety features to
be addressed when assessing fault conditions
165
What does this all mean?
EZAP?
166
MSG 3 analysis only addresses the fault condition
associated with function of the system e.g. supply
low pressure fuel to the engine fuel system
The safety features e.g. bonding of pipes for safety in a
lightning event are not specifically addressed
167
Enhanced Zonal Analysis Procedures (EZAP) were
developed by the Ageing Transport Systems
Regulatory Advisory Committee (ATSRAC) to address
wiring fault conditions
168
At this stage in order to understand more fully, we
need to go back to MSG analysis and Zonal
Inspection Programme development!
169
A review of MSG 3 methodology for fuel tank
system safety
170
Refer to MSG handout
171
Level 1 Consequences of Failure
Evident or Hidden
Function Failure
172
Level 2 Applicable and Effective Maintenance Tasks
173
Selection begins at the highest manageable level.
Maintenance significant items (MSIs)
Systems and assemblies
Identified by manufacturer as items whose failure:
Could affect safety (on ground or in flight).
and/ or
Could be undetectable or, are not likely to be detected during
operations.
and/ or
Could have significant operational economic impact.
and/ or
Could have significant economic impact.
174
Provide clear MSI definition
IDENTIFY EACH
MSI Function
Functional Failure
LIST Failure Effect
Failure Cause
Additional Data
APPLY LOGIC
For each MSIs functional failure and failure
cause
DETERMINE IF Applicable and effective task
TASK IS NECESSARY
175
Logic Diagram
176
Evident Safety (FEC 5)
Evident Operating capability (FEC 6)
Evident Economic non capability effects (FEC 7)
Hidden Safety Effects (FEC 8 )
Hiden Non-Safety (FEC 9)
177
Second level maintenance task analysis.
178
Consequences of Failure
Evaluation (Level1)
IS THE OCCURRENCE OF A FUNCTIONAL FAILURE
Significant Item Evaluation EVIDENT TO THE OPERATING CREW DURING THE
PERFORMANCE OF NORMAL DUTIE?
179
Hidden / Evident Functional Failure (Question No 1)
This question asks if the operating crew will be aware of loss (failure) of the
function during performance of their normal operating duties. Question 1
must be asked for each functional failure of the item being analysed. The
intent is to segrerate the evident and hidden functional failures.
180
Hidden / Evident Functional Failure (Question No 1)
181
Function does not include safety
182
Function does not include safety
183
A Yes answer indicates the functional failure is
evident: proceed to Question 2
A No answer indicates the functional failure is hidden
: proceed to Question 3.
184
Direct Adverse Effect on Safety
(Question No 2)
For a" Yes answer the functional failure must have a directive adverse effect on
operating safety.
185
A Yes answer indicates that this functional failure is
safety related and task(s) must be developed in
safety effects, Category 5.
186
Operational Effect (Question No 4)
DOES THE FUNCTIONAL FAILURE HAVE A DIRECT
ADVERSE EFFECT ON OPERATIONG
CAPABILITY?
If the answer to this question is "Yes, the effect of the functional failure
has an adverse effect on operating capability, and task selecion will be
handled in operational effects, Category 6.
187
Hidden Functional Failure Safety Effect
(Question No 3)
This question is asked of each hidden functional failure which has been
identified in Question 1.
188
For protective safety / emergency system or equipment
, the additional failure is the event for which the
system or equipment is designed.
189
Effect Analysis (Level 2)
Effect Categories and Maintenance Tasks
190
Maintenance Tasks for each effect category
Lubrication / Servicing
Operational / Visual Check
(for Hidden Categories only)
Inspection / Functional Check
Restoration
Discard
Combination (for Safety Categories only)
191
Is a Lubrication or Servicing Task
Lubrication/Servicing applicable & effective?
193
The analysis will result in the development of large
numbers of General Visual inspections especially in
relation to systems instalations
General Visual Inspections may be precluded by the
Zonal Inspection Programme
What does this mean?
194
We need to look at the zonal programme development
prescribed in MSG 3
195
MSG 3 analysis of an SSI or MSI may result in a task
described as General Visual Inspection or General
Surveillance Inspection
EMSG analysis produces structural Zonal Inspection
Programme
General Visual ( or surveillance) Inspection (GVI)
tasks become candidates for the Zonal Inspection
Programme
196
General Visual (GV) Inspection items within zone
All items given equal treatment no pay particular
attencion to..
Zones defined by ATA
Zoning criteria 100-200 etc
Zones further defined by subzone
197
MSG3 Definition:
General Visual Inspection:-
198
No characteristic items ( such as airframe, engine
electrics, etc)
MSI/ SSI Analysis may result in general visual
inspection ( GVI) tasks
GVI tasks are candidates for zonal inspection
programme
Zonal candidate tasks are transferred from ATA
working groups to zonal WG using transfer sheets
199
Zonal WG assesses suitability of candidate tasks
Packaged tasks become precluded by zonal
programme
Precluded MSI / SSI tasks lose individual identity
Zonal task has an allocated MRB Reference
(e.g.Z10-010)
200
Remember this zonal task may include a number of
precluded MSI/SSI items
Precluded tasks listed in Appendix to MRB
Zonal Programme validated access rules sampled
201
Manufacturer provides A/C zoning diagrams / access
panel diagrams and door diagrams
Manufacturer provides worksheets for each zone
Working group meeting to review data, discuss
service experience, assign preliminary zonal
inspection by packaging precluded tasks
202
Summarise proposed zonal inspections in
appropriate packages based on access requirements
Validate zonal inspections on aircraft
Present to ISC
203
1. Systems maintenance activity and frequency in the
zone
2. Structural inspection requirements in the area
3. Normal airline maintenance operatios within the
zone.
4. System components and structure contained in
the zone
5. The density of the zone(closely packed with
systems / structural items)
204
6. Importance of systems/ components within the zone
7. Failures have operational or safety related effects or
impact other components in close proximity
8. Environoment of the zone (exposed, pressurised, high
temperature, etc)
9. Degree of accessability of the zone
205
10. MSIs & SSIs contained in the zone
11. Operators service experience / type of
abnormalities
12. Content / format of past A/P programmes
206
Composite area what type of composite how is
damage evidenced
Inspect ability of structures items
Insulation removal required
Surface preparation / cleaning required
Corrosion task applied to the area
207
Surface to be inspection may be identified as
internal or external
Logic used to determine internal / external is not
always self evident
e.g. outside (external) surface of stab box is inside
(internal rear fuselage
Logic may vary from type yo type
208
Extent depth of the inspection usually set by access
requirement
Remove Trim
Remove Panel(s)
Remove Soundproofing
Remove Surface Preparation etc
Access requirement is circumscribed within maintenance
manual reference
For full intet of task to be met task cards require accurate
transcription
209
Care must be exercised when collating zonal findings
sine defects / failures may be recorded by ATA
Chapter (e.g. ATA 28- Airframe Fuel, ATA 29
Hydraulic Power, ATA 53- Fuselage)
Zonal programme threshold inspections are often
linked to SSI Initial Inspection Interval
Lack of findings in thershold inspections should not
provide basis for escalation of programme
210
Planners and inspectors require zonal programme
training
Development of ZIP
Access Rules
Inspection Surface Rules
Inspection Standards
Data Processing Rules
211
We now are re-familiarised with MSG 3
methodology and Zonal Inspection
Programme development
What next?
212
The Fuel System Safety Programme and the in-service
experience reviews all indicate that the Zonal
Inspection Programmes are not achieving the results
expected
213
The MSG methodology does not cover the system
plumbing very well
214
The ZIP requires GVI to be applied to a zonal volume
215
Wires improperly tied, riding on
hydraulic lines, contaminated
with caustic fluid
216
Bundle riding on structure
217
Heat Discoloration
218
Overheated wire at the splice
219
Bend radii problem
Less than 3 times the diameter
220
221
O.K so there are problems with some of the wiring
inspection standards but some of the examples
were installation standards problems nothing to
do with scheduled maintenance
222
Organisations approved in accordance with Part 145
are approved to carry out repairs and changes/
modifications
Installation inspection standards are then an issue
223
Fuel spraying and sloshing resulting from incorrectly
restored internal tank components dams,
bulkheads, pipe connections contribute to
flammability by enhancing vapour propagation.
These factors need to be taken into account as well
224
We are probably now in a better position to review the
verification procedure which we developed at the
beginning of the course!
Part M 402(f) requires that the aircraft/component is
checked for
Clear of tools and equipment
Clear of extraneous material
Panels correctly refitted
225
So, Part M requirements alone do not meet this
neeed.
We need help from the TC Holder !
226
We have dealt with scheduled maintenance
development and considered some related problems
in changes/modifications/repairs is that all?
227
No, we have to consider airworthiness management
and maintenance procedures
Task card development
Maintenance Procedures including verification tasks
tank closure
Repairs/changes
Maintenance Programme development
ARC issue
MEL management
Occurrence reporting standards
228
Task Card development Part M or Part 145
Task card development must take into account
Sufficient information with regard to inspection
standard
Highlight CDCCL
Ensure verification checks/tank closure procedures
followed
Include cleaning stage
229
Maintenance Procedures Verification Procedures Part
M 402(f)
CDCCL
Damage to components
Connections correctly re-assembled fuel and wiring
Bonding checks carried out as necessary
Panels refitted
Tools and other extraneous material
Function checks as necessary
Leaks
Attachment of components/system
Independent Inspection? best practise
230
Maintenance Procedures General Pump dry-running
is to be avoided
Most Boeing pumps do not have auto-shut off
Airbus pumps with auto-shut-off must be switched
to the auto position when maintenance task is
completed
CDDDL must be managed during maintenance and
change/repair advise MRO organisation
especially in case of nonstandard STC
231
Repair and changes/modifications
CDCCL must be managed
Refer to Boeing documentation for authorisation of
tank repairs
Avoid contamination of wiring systems
Observe wiring standard practises wire clipping,
routing, splices etc.
232
Maintenance Programme development:-
233
ARC issue:-
234
MEL Management
Fault Isolation
CB reset procedures
ALI and TC Holder recommendations in OPS Manual
235
Fuel System Safety Module 6
ATSRAC Meeting 23/24 January 2002 decided to
add new tasking:
T10WG to review far 135/FAR 25 aircraft to ascertain
applicability with ATSRAC proposed rulemaking.
Included because of on NTSB recommendation out
of the Learjet 35(Payne Stewart) accident.
236
Proposed Outputs of ATSRAC
New/dedicated Section on FAR/CS-25 - H (1700
series) addressing Electrical Wiring Interconnection
Systems (EWIS)
Plus identify:
EWIS Definition
Design mitigatios for ageing wiring
Specific Wiring System Safety Assessments 25.1705
(inline with 25.1309)
237
Fuel System Safety Module 6
CS/FAR 25.1529 Appendix H
Standard Wire Practices data, as improved under
ATSRAC TASK 7
Wire Separation Design Guidelines
Special Identification Requirements
Electrical Load Analysis
Enhanced Zonal Analysis Procedure (EZAP)
238
Fuel System Safety Module 6
MSG 3
Enhanced Zonal Analysis Procedures
Refer to handout
239
Fuel System Safety Module 6
Proposed rulemakig cont.
Retroactive application of the Enhanced
Zonal Analysis Procedure (EZAP) to all turbine
powered aircraft TC after 1 January 1958 with
30 seats or more, or greater than 7,500lbs
payload (cargo)
TC nad STCs to be reviewed and included in
the application of EZAP, as appropriate.
240
Fuel System Safety Module 6
Proposed rulemaking cont.
241
Fuel System Safety Module 6
242
Fuel System Safety Module 6
Proposed rulemaking cont.
243
Fuel System Safety Module 6
Rulemaking time frames
244
Fuel System Safety Module 6
Rulemaking time frames
245
Fuel System Safety Module 6
The End!!
246
Fuel System Safety Module 5
Occurence Reporting standards
247
Fuel System Safety Module 5
Ageing Transport
Systems Rulemaking
Advisory Committee
ATSRAC.
Aircraft Wire
Interconnect Systems
248
Fuel System Safety Module 6
249
Fuel System Safety Module 6
250
Fuel System Safety Module 6
FAA Ageing Transport
Non Structural Systems
Plan
ATSRAC
251
Fuel System Safety Module 6
Four sub working groups set up to undertake this
tasking.
252
Fuel System Safety Module 6
253
Fuel System Safety Module 6
ATSRAC
Task 7
Task 8 Task 9
Task 6 SWPM
Training Maintenance
Wire Systems HWG Standarisation
HWG HWG
WG
254