Avro 146-RJ100, G-CFAE, 11 January 2006

Avro 146-RJ100, G-CFAE

Summary:

Prior to starting the second engine on an aircraft with an unserviceable Auxiliary Power Unit (APU), the engine rpm was not increased on the operating engine, as required. Once the start was initiated, the increased load on the operating generator resulted in the operating engine going into a sub-idle condition. 皇冠体育app engine was then over-fuelled and the result was a jet-pipe fire, which was reported to the flight crew by a ground handler. 皇冠体育app operating generator also went off-line, leaving the battery as the sole source of electrical power for the aircraft. 皇冠体育app cabin crew could not establish communications with the flight crew, who were completing the engine fire drill, and were unable to open the locked cockpit door. With visual indications of an engine fire, the cabin crew initiated an emergency evacuation of the passengers. 皇冠体育app incident was initiated when the procedure for engine start, with the APU not available, was not followed. 皇冠体育app investigation revealed a lack of knowledge of the communications system under degraded electrical power. 皇冠体育app locked cockpit door contributed to a lack of effective liaison between the flight and cabin crew. Shortly after the incident, the operating company reviewed the procedure for starting the engines stand whenever the APU or its generator was unserviceable. 皇冠体育app company also conducted a review of the communications information within the company manuals and the information provided during training. 皇冠体育app investigation also highlighted the importance of critically reviewing the effects of security requirements on aircraft safety.

Download report:

(400.61 kb)

Updates to this page

Published 10 December 2014