E195, en-route, Irish Sea UK, 2008

E195, en-route, Irish Sea UK, 2008

Summary

On 1 August 2008, an en-route Embraer 195 despatched with one air conditioning pack inoperative lost all air conditioning and pressurisation when the other pack’s Air Cycle Machine (ACM) failed, releasing smoke and fumes into the aircraft. A MAYDAY diversion was made to the Isle of Man without further event. The Investigation found that the ACM failed due to rotor seizure caused by turbine blade root fatigue, the same failure which had led the other air conditioning system to fail failure four days earlier. It was understood that a modified ACM turbine housing was being developed to address the problem.

Description

On 1 August 2008, an Embraer 195 being operated by Flybe on a scheduled passenger service from Manchester to Belfast City with the No 2 air conditioning pack inoperative in accordance with the Minimum Equipment List (MEL) was passing FL 156 in the climb in day Instrument Meteorological Conditions (IMC) approximately 40 nm northwest of Liverpool when the No 1 Air Cycle Machine (ACM) failed, releasing smoke and fumes into the aircraft. A MAYDAY was declared to ATC and a diversion to the Isle of Man was carried out. After donning oxygen masks the pilots had great difficulty communicating with each other, ATC and cabin crew, because of technical problems with the masks. During the subsequent emergency evacuation ordered by the aircraft commander, the right over-wing emergency exit door became jammed and unusable and five of the 94 occupants sustained minor injuries when using the main exit slides.

Investigation

An Investigation was carried out by the UK AAIB. The aircraft was fitted with two DVDRs from relevant data were downloaded. It was noted that the Captain, who had been PF for the flight, had a total 6500 flying hours which included 410 hours on type. In addition to the failure of the only serviceable ACM, this examined crew and RTF communications difficulties whilst the pilots wore oxygen masks and difficulties which became apparent during the emergency evacuation.

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