Dual Bleed Air Leak Detection Triggers Emergency Descent in Bombardier CL-600-2C10

Casualties unknown • At an altitude about 38,500ft about 33nm north-northwest of Hiroshima Airport, JP

A flight operated by IBEX Airlines was forced into an emergency descent after simultaneous bleed air leaks were detected in both the left and right systems.

What happened

On April 17, 2016, an IBEX Airlines Bombardier CL-600-2C10, registration JA06RJ, was operating flight 084 from Fukuoka to Komatsu. Due to inclement weather at the destination, the flight crew decided to return to Fukuoka.

While cruising at 40,000 feet, the crew received a left bleed duct leak warning accompanied by an aural alert. Following standard operating procedures, the crew began the necessary checklists. However, four minutes later, a right bleed duct leak warning was also triggered. This second failure caused the supply of bleed air from both systems to cease entirely.

In response to the loss of both systems, the crew declared an emergency and initiated an emergency descent. As the aircraft descended through 17,000 feet, a cabin altitude warning indicated that the cabin altitude had exceeded 10,000 feet. The crew donned oxygen masks and continued the descent. The aircraft eventually stabilized at approximately 10,000 feet and landed safely at Fukuoka Airport without any injuries or damage to the aircraft.

The investigation

The Japan Transport Safety Board (JTSB) examined the flight data recorder, cockpit voice recorder, and maintenance diagnostic computer records. Investigators also analyzed the Anti-Ice and Leak Detection Controller (AILC) and the sensing elements retrieved from the aircraft.

Testing of the AILC by the manufacturer, in the presence of the BEA, revealed no functional defects or memory errors. Similarly, ground tests on the aircraft failed to reproduce the reported leaks. Inspections of the sensing elements showed no structural abnormalities, though some oil and fat residue were noted on two of the elements. The investigation also noted that the aircraft had experienced previous 'DUCT MON FAULT' messages related to the left bleed system in the months preceding the incident.

Probable cause

The simultaneous cessation of bleed air supply from both the left and right systems, which led to the rise in cabin altitude, was caused by the AILC detecting air leaks in both systems. The underlying reason for these detections—whether due to actual leaks, AILC malfunction, or sensing element failure—could not be determined.

Frequently asked questions

What happened in the 2016-04-17 Bombardier CL-600-2C10 accident near At an altitude about 38,500ft about 33nm north-northwest of Hiroshima Airport, JP?

A flight operated by IBEX Airlines was forced into an emergency descent after simultaneous bleed air leaks were detected in both the left and right systems.

What aircraft was involved and where did it happen?

The accident on 2016-04-17 involved a Bombardier CL-600-2C10, registration JA06RJ, operated by IBEX Airlines Co., Ltd., at At an altitude about 38,500ft about 33nm north-northwest of Hiroshima Airport, JP.

What was the probable cause of the accident?

The simultaneous cessation of bleed air supply from both the left and right systems, which led to the rise in cabin altitude, was caused by the AILC detecting air leaks in both systems. The underlying reason for these detections—whether due to actual leaks, AILC malfunction, or sensing element failure—could not be…

Investigation report by the Japan Transport Safety Board (JTSB). Original record: https://jtsb.mlit.go.jp/eng-air_report/JA06RJ.pdf. This page is a structured re-presentation; facts and quotes are in the Japan Transport Safety Board (JTSB) - Ministry of Land, Infrastructure, Transport and Tourism.

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