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Old 21st Jan 2014, 09:58
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Nige321
 
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From the Lincolnshire Echo

The inquest into the death of Red Arrows pilot Sean Cunningham heard that life critical safety warnings about ejection seat maintenance were first issued to foreign air forces more than 20 years ago, but not the Ministry of Defence.

Seat manufacturer Martin-Baker Aircraft Co. Ltd advised the Pakistan Air Force in 1990 not to over-tighten a key nut and bolt in the seat mechanism.

Over-tightening can cause pinch and lead to the parachute failing.

The instruction was to ensure some free play in components and have one to one-and-a-half threads showing through the nut.

Similar advice to other air forces including India, Italy and Finland followed.

Richard Seabrook counsel for the Coroner, put questions to Michael Cameron, Martin-Baker’s senior after sales executive, who was the company’s chief technical instructor from 1999 to 2008.

Mr Seabrook asked him: “You cannot explain why advice particularly relevant to the MoD was not communicated to the MoD at or about the same time [as foreign air forces]?”

Mr Cameron replied: “I cannot explain this but it was nine years before I got there.”

Mr Cameron said that until Flt Lt Cunningham’s death he was unaware of the risk of the mechanism pinching if over-tightened.

Bernard Thorogood, for the Health and Safety Executive, said the concern about over-tightening was a “risk to life” issue.

Mr Thorogood asked Mr Cameron: “There was concern in 1990 about the thorny issue at the heart of this inquest.

“This should have been passed onto customers?”

Mr Cameron replied: “Yes.”

Mr Thorogood then put to him: “This should have been dealt with in a way that left customers in no doubt?”

Mr Cameron replied: “Yes, but I was not there at the time.”

The court heard that after the accident it was discovered the key bolt in the mechanism in Flt Lt Cunningham’s ejection seat appeared to have bent in operation.

Asked what conclusion he drew from this, retired Martin-Baker engineer Neil Mackie, who worked in its quality assurance department, replied: “Vastly over-tightened.”

Flt Lt Cunningham died after his ejection seat fired from his aircraft while it was on the ground at RAF Scampton on November 8, 2011. His main parachute failed.

The inquest continues.

Read more: Sean Cunningham inquest: foreign air forces were given ejection seat safety warnings more than 20 years ago, but not the RAF | Lincolnshire Echo


The inquest heard of the ongoing work to improve ejection seat safety.

Martin Lowe, the Ministry of Defence head of engineering, for aircraft escape systems and a former RAF chief technician, said that there is a proposal from ejection seat manufacturer Martin-Baker, at his request, involving a re-designed drogue shackle nut and bolt within the seat mechanism.

Mr Lowe said this is effectively a shoulder bolt, beyond which the nut cannot go.

This would make over-tightening impossible and therefore avoid the risk of the parachute not come out.

It is anticipated that the new nut and bolt and a special tool will be introduced by May or June of this year.

Mr Lowe also said a small metal plate is being developed to help prevent pilots inadvertently activating the ejection seat firing handle.

He said the plate has five benefits.

It prevents the safety pin being inserted while the seat firing handle is in the unsafe position and there is a groove to help guide pilots with insertion.

The plate also stops the handle being pushed forward to complete the ejection.

Inadvertent insertion of the safety pin between the handle and the housing is averted and harness straps should not snag on the handle.

This measure is due to be in place by the end of this year and will apply to Hawk T1, T2 and Tornado jets and the Tucano trainer.

Read more: Sean Cunningham inquest hears of ongoing work to improve ejection seat safety | Lincolnshire Echo
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