Aviation Insights by AEROTHRIVE的动态

Crash Due To Asymmetric Fuel: Airwork Flight 23, On May 3, 2005, Airwork Flight 23, a Fairchild SA227-AC Metro III operating a cargo service for New Zealand Post, was involved in a fatal accident near Stratford, New Zealand. The incident resulted in the loss of both crew members after the aircraft disintegrated during flight, following a spiral descent from which recovery was not possible. The flight was manned by a seasoned captain with 6,500 flight hours, half of which were on the Metroliner, and a first officer with 2,300 hours, but only 70 hours on the Metroliner. The flight experienced a delay on the ground, during which the crew requested an additional 570 liters of fuel to be loaded entirely into the left wing tank, deviating from standard procedure which called for balanced fuel loading between tanks. After takeoff, the aircraft climbed to its assigned cruising altitude of 22,000 feet under autopilot control. To compensate for lost time, the flight was conducted at full power for the first 15 minutes. Upon reducing to cruise power, the captain noticed a fuel imbalance and initiated cross-flow procedures to rectify the situation. However, this action led to the aircraft being flown at a large sideslip angle, controlled via the rudder trim while still under autopilot control. Approximately 47 seconds after opening the cross flow, the autopilot disengaged, likely due to a servo reaching its torque limit, and the aircraft entered a roll. Despite the crew's attempts to regain control, the aircraft began a steep descent, ultimately disintegrating at an altitude of approximately 19,900 feet. Contributing factors included the autopilot disengagement, which left no compensation for the rudder trim input, and the poor visibility in nighttime cloud cover, which hindered the crew’s situational awareness. The investigation by the NZ TAIC concluded that the primary cause of the accident was the improper management of the fuel imbalance and the resultant aerodynamic side slip, exacerbated by the autopilot disengagement. In response to the findings, the operator introduced several procedural amendments to mitigate similar risks in the future. These included revised refueling procedures to ensure balanced fuel loads, updated checklists to include specific reminders about the cross flow process, and enhanced training regarding the use of autopilot during in-flight fuel balancing. Additionally, regulatory changes were recommended to include cautions in the AFM regarding the use of autopilot and yaw damper during fuel balancing procedures, ensuring greater awareness among pilots of the potential risks associated with such operations. Subscribe to our Aviation Safety Newsletter NOW and get the hot stuff free and without delay: https://lnkd.in/eGZqhPHR! My accident reviews are short summaries of publicly available accident reviews and reports and do not constitute any interpretation nor express my opinion or the opinion of any organization.

  • 该图片无替代文字
  • 该图片无替代文字
  • 该图片无替代文字
  • 该图片无替代文字
  • 该图片无替代文字

Las condolencias para quienes en 2005 perdieron a un ser querido en ese accidente

回复

要查看或添加评论,请登录