Following an investigation into the occurrence, and a review of
the ATSB recommendation, CASA supplied the results of that
investigation and review to the ATSB. A summary of those findings
is included below:
Interim Decision
Following the preliminary review of data available the decision
was made not to ground the Australian fleet on the following
basis:
- No Previous history of defects/incidents over a
significant time.
- The FQIS [fuel quantity indicating system] is a low power
system, current limited [0.2 amperes according to the
manufacturer, which was equal to 3.2 watts] to minimise the
possibility of a spark of sufficient energy to ignite the
fuel being allowed to form in the event of a short circuit.
- The abrasion and arcing had occurred at some time, the
evidence indicated that it occurred at very low power but
there was no indication whether it was an old event, recent or
ongoing.
- The down time for operators would be significant in that
all ten probes would have to be removed (inspection in situ
is not possible). Reinstallation would require resealing (and
associated cure time) and possible recalibration of the fuel
system. Estimated total down time would be 48 hours.
Conclusion
Considering the age of the aircraft and the uncertain
maintenance regime that existed for the majority of its operational
life causal factors that may have contributed to this defect are
numerous, as an example:
- Orientation of the probe in the fuel tank and he
subsequent susceptibility to wire deflection due to fuel
surge during refuelling or aircraft manoeuvring.
- Deflection of wiring during the aircraft incident.
- Operation of the aircraft in a high vibration condition
eg out of balance propeller, extended ground taxi.
- Resonant airframe vibration.
There is no indication as to whether this is an old defect,
recent failure or a continuing issue. No evidence exists that would
indicate a fleet trend. From the data available, I agree with the
finding of the TC [type certificate] holder in that this is an
isolated incident. Whilst the potential for fire is always
present when an ignition source and a volatile fuel are brought
together, there is minimal risk that the arcing that occurred could
cause a fire in the aircraft considering the low power and the high
flash point of the Jet A1 fuel in use.
Recommendation
An Airworthiness Bulletin is to be issued recommending greater
scrutiny of the FQIS, particularly the fuel quantity probes, during
scheduled and unscheduled maintenance. Operators will be encouraged
to report any anomalies found in an attempt to identify possible
trends. This would include verification of the FQIS reading against
physical quantity of fuel present.