Expired Fire Extinguisher Cartridges Found in ATR 72-200 Fleet

Casualties unknown • EPWA, PL

An inspection of warehouse components revealed that fire extinguisher cartridges had been improperly extended beyond their service life via unauthorized functional testing.

What happened

During a routine warehouse inspection of spare parts, an operator discovered that the EASA FORM 1 certificates accompanying certain fire extinguisher cartridge assemblies (PN 472001-01) contained inaccurate expiration dates. The certificates incorrectly indicated that the components were still within their service life.

Upon discovering this discrepancy, the operator ordered the immediate removal of the affected parts from the serviceable inventory and initiated a check of components installed on aircraft currently undergoing maintenance. The inspection revealed that the cartridges installed in the right engine of an ATR 7/2-200 had reached their expiration limit. While the components were manufactured in April 1997, the manufacturer-mandated service life of 10 years could not be extended.

Further investigation showed that functional tests had been performed on July 31, 2007, in an attempt to extend the component's usability. However, according to the Component Maintenance Manual (CMM) 26-21-34, such tests are only permitted when a malfunction is suspected and are not authorized for the purpose of life extension. Following this discovery, the operator audited the entire fleet and warehouse stock, identifying six additional expired cartridges. On one aircraft, all four installed cartridges were found to be past their service life. All expired elements were subsequently replaced.

The investigation

The investigation focused on how the inaccurate certification dates were generated and why the expired components remained in service. The investigators examined the maintenance records, the manufacturer's CMM, and the data management practices between the operator and the maintenance organization. The inquiry established that the error stemmed from performing unauthorized functional tests to bypass expiration limits and that both the operator and the maintenance organization were utilizing the same computer system to track component life cycles, which facilitated the oversight.

Probable cause

The primary cause was the unauthorized extension of a component's service life in violation of manufacturer documentation. Contributing factors included the shared use of a single computer tracking system by both the operator and the maintenance organization, and the technical possibility of performing functional tests that could be misused to improperly extend the life of similar components within a PART 145 organization.

Frequently asked questions

What happened in the 2011-09-11 ATR-72-200 accident near EPWA, PL?

An inspection of warehouse components revealed that fire extinguisher cartridges had been improperly extended beyond their service life via unauthorized functional testing.

What aircraft was involved and where did it happen?

The accident on 2011-09-11 involved a ATR-72-200, at EPWA, PL.

What was the probable cause of the accident?

The primary cause was the unauthorized extension of a component's service life in violation of manufacturer documentation. Contributing factors included the shared use of a single computer tracking system by both the operator and the maintenance organization, and the technical possibility of performing functional…

Investigation report by the Polish State Commission on Aircraft Accidents Investigation (PKBWL). Original record: https://pkbwl.gov.pl/raporty/2011-1200/. This page is a structured re-presentation; facts and quotes are in the Panstwowa Komisja Badania Wypadkow Lotniczych (PKBWL), Poland.

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