Aviation safety investigations & reports

Air/pressurisation involving a The Boeing Company 747-438, VH-OJD, 100km SE Heathrow, UK on 28 November 1998

Investigation number:
199805392
Status: Completed
Investigation completed

Summary

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As the aircraft approached the top of climb the crew received a warning indicating a failure of the equipment cooling system. Ground engineering were contacted and the failure was confirmed. After dumping fuel, the aircraft returned to London and landed without further incident. A post-flight inspection revealed broken wiring within the electrical loom to the equipment cooling valve. The wires had arced and there was evidence of charring to the cargo hold insulation blanket in that area. Because the aircraft had returned to London, the incident was investigated by the UK Air Accidents Investigation Branch. They reported that the broken wiring was difficult to locate as it had been incorrectly routed beneath the thermal insulation blanket in the forward cargo hold. It was evident that a small fire had occurred to the outer film of the blanket and that this was associated with the broken wiring. The fire had affected an area of about 40 X 15 cm. Water, resulting from condensation, was present in the bilge and it was considered possible that this may have limited the extent of the fire. As the integrity of the blanket had not been compromised, it was not replaced. The blanket had recently been changed for a lighter weight blanket manufactured in-house by the operator and met the flammability requirements. The wiring was repaired by in-line splicing and the aircraft returned to service. The report added that the maintenance crew considered that the wires may have been inadvertently damaged when they were stepped on whilst hidden from view, possibly when the blanket was replaced. The maintenance personnel reported that it was not uncommon to lose balance whilst working within the cargo bays.
Download Final Report
[Download  PDF: 13KB]
 
 
 
General details
Date: 28 November 1998   Investigation status: Completed  
Time: 13:00 UTC    
State: International   Occurrence type: Air/pressurisation  
Release date: 11 August 1999   Occurrence category: Incident  
Report status: Final    

Aircraft details

Aircraft details
Aircraft manufacturer The Boeing Company  
Aircraft model 747-438  
Aircraft registration VH-OJD  
Sector Jet  
Damage to aircraft Minor  
Departure point London United Kingdom  
Destination Bangkok Thailand