Investigation number
200105937
Occurrence date
Location
Perth, Aero.
Report release date
Report status
Final
Investigation type
Occurrence Investigation
Investigation status
Completed
Occurrence category
Incident
Highest injury level
None
Local safety actions
As a result of the incidents, the operator implemented a program
to replace the transient suppression devices fitted to all its B747
aircraft. The operator implemented the following safety actions to
minimise the likelihood of fuel spills until all the B747 aircraft
were fitted with the upgraded transient suppression device:
- Use of fuel tank quantities for fuelling operations that were
less than the certificated maximum figures to ensure the tanks were
not filled to maximum capacity; - Pressurisation of the fuel manifold prior to commencing the
fuelling operation in order to verify that no defects existed prior
to opening any refuel valves; - Manual closure of the refuel valves when a fuel tank was
full; - Cessation of the practice whereby circuit breakers were
manually pulled to override the overfill protection system; - Reducing refuelling pressure on reaching the required tank
quantities; - An increase from 60 minutes to 90 minutes in the period
allocated for refuelling of aircraft to facilitate the manual
operation of the refuelling system and to drain the surge tanks if
required; and - An audit during February 2002 of the refuelling operations at
Perth by the operator's quality assurance and industrial safety
staff.
Aircraft Details
Manufacturer
The Boeing Company
Model
747
Registration
ZS-SAJ
Serial number
23027
Operation type
Air Transport High Capacity
Departure point
Perth, WA
Departure time
1202 hours WST
Destination
Johannesburg, South Africa
Damage
Nil