Engine flame-out following fuel flow regulator failure resulted in longer exposure to one engine inoperative flight risks

 

Key points:

  • Engine flamed out shortly after departure from Geraldton
  • Fuel flow regulator had seized due to internal gearing wear, despite being maintained within the recommended service life limits
  • Crew decided to continue flight to Perth resulting in a longer exposure to one engine inoperative flight risks compared to returning to the nearest suitable airport (Geraldton). 

 

A Fokker 100 airliner’s engine flame-out during climb from Geraldton during a 9 July 2019 flight to Perth highlights the range of considerations for flight crews when managing power loss in complex aircraft.

The Virgin Australia Regional Airlines-operated Fokker 100 with two flight crew, two cabin crew and 24 passengers on board was climbing through 13,000 feet when the aircraft’s left Rolls-Royce Tay engine flamed out, which an ATSB investigation subsequently determined was due to the failure of the engine’s fuel flow regulator due to component wear.

After the flame-out the flight crew elected to maintain their airspeed of 250 knots and to continue to Perth. In addition, due to a desire not to ‘strain’ the right engine, the pilot flying elected not to increase thrust from climb to maximum continuous, and/or reduce the aircraft’s speed towards the recommended single-engine climb speed of 155–170 knots. Consequently, the crew adopted a cruise level about 6,500 ft below the maximum engine-out altitude.

“Following the engine failure, the crew’s decision to continue to Perth, where the aircraft landed without further incident, resulted in a longer exposure to one engine inoperative flight risks, compared to a diversion to the nearest suitable airport, which in this case was Geraldton,” said ATSB acting Director Transport Safety Kerri Hughes.

At the time of the engine failure, the aircraft was about 41 km south‑east of Geraldton.

The investigation report notes that the crew probably assessed that the likelihood of a second engine failure was remote, but may not have fully contemplated the operational risks associated with continued single-engine flight at the lower altitude of 14,000 feet. Consequently, opportunities were missed to further mitigate operational risk via repositioning the aircraft into controlled airspace, more direct tracking to Perth and the optimisation of their glide range.

“By electing not to increase thrust on the right engine or adopt the aircraft’s recommended single-engine climb speed reduced the available climb performance of the aircraft resulting in a lower cruise altitude than the maximum available,” said Ms Hughes

“This, coupled with the decision to continue to Perth on the original indirect track, increased the duration of flight and the time that the aircraft was outside the glide range of emergency airports and controlled airspace, in the unlikely event that the second engine failed.”

The investigation found the fuel flow regulator seized due to internal gearing wear, despite being maintained within the recommended service life limits of the Rolls-Royce Tay 650-15 engine management programme.

The ATSB also identified that the failure of the fuel flow regulator resulted in engine 1 thrust variation for about 45 seconds prior to the engine flameout. That went undetected by the crew due to the effects of automation, focused attention on other cockpit tasks, and the absence of any alert prior to the engine failure.

Following this incident and a review of the global failure rate specific to the fuel flow regulator unit utilised by the Virgin Australia Fokker 100 fleet, Rolls-Royce amended the applicable component management plan revising the recommended full-life maximum overhaul interval for the fuel flow regulator down from 16,000 to 10,000 hours.

“This incident highlights that the initial indications of component failures and malfunctions may be subtle. Automation can obscure significant changes in aircraft system status, including engine health,” said Ms Hughes.

“The incident also illustrates the numerous factors to be considered when managing the initial and subsequent aspects of power loss in a complex aircraft.”

Read the report AO-2019-033: Engine failure involving Fokker 100 VH-FWI 41 km south east of Geraldton, Western Australia, 9 July 2019

Last update 04 February 2021

Final report

Engine failure involving, Fokker 100, VH-FWI, 41 km south-east of Geraldton Airport, Western Australia on 9 July 2019