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Old 19th Dec 2019, 03:25
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wheels_down
 
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AirAsia Engine Failure Mess

Internal operator investigation said they followed procedures. ATSB says otherwise. Essentially they did everything wrong.

Thats a loooooong way on one engine. Total disregard for Amber LAND ASAP. If they lost the other one, I don’t have much faith that it would have been a survivable forced landing going of their performance.

https://www.atsb.gov.au/media/577717...nal-report.pdf

Contributing factors
• In response to an engine oil low pressure (ENG OIL LO PR) ECAM, resulting from a fractured shaft within the oil pressure pump, the flight crew continued to monitor the engine parameters instead of shutting the engine down. Due to a mistaken understanding that the alert was a false indication, the flight crew subsequently increased thrust.
• The Airbus A330 engine oil low pressure (ENG OIL LO PR) abnormal procedure included the conditional instruction 'if the condition persists'. This may be interpreted as either requiring the flight crew wait a certain period of time to determine the continuation of the condition, as apparently interpreted by the flight crew, or, as intended by Airbus, that the condition has not changed as a result of the previous procedural step.
• Contrary to operating procedures, the flight crew made two attempts to relight the failed engine.
• The crew diverted to Melbourne instead of the nearest suitable aerodrome. This increased the time that the flight was exposed to the higher risk environment of single engine operations.
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