HOT START WITH TAILPIPE FIRE WHEN USING GND AIR BOTTLE TO START SECOND ENGINE. ACFT EVACUATED.

Date: 1988-04 · Aircraft: Medium Large Transport; Low Wing; 2 Turbojet Eng · Phase: ground

Anomalies: aircraft-equipment-problem-critical

Synopsis

HOT START WITH TAILPIPE FIRE WHEN USING GND AIR BOTTLE TO START SECOND ENGINE. ACFT EVACUATED.

Narrative

ACFT AT THE GATE WAS FACING 070 DEGS WITH ATIS WINDS 220/17G30 (TAILWIND). TEMP 88 DEGS F. APU INOP; THUS FORCING ENG START AT THE GATE VIA START BOTTLE ASSIST. #1 ENG START NORMAL; BUT SLIGHTLY SLOW TO SPOOL. #2 ENG START WAS ABORTED WHEN IT APPEARED OF A POSSIBILITY OF A HOT START. ENG MOTORED; BUT EGT CONTINUED TO CLB SLOWLY; EVENTUALLY OVERTEMPING THE ENG. GND CREW OBSERVED AN ENG FIRE AND RPTED IT TO COCKPIT CREW. COCKPIT CREW (ME) HAD NO INDICATION OF A FIRE; BUT WENT AHEAD AND PULLED THE FIRE WARNING SWITCH AND ROTATED IT TO DISCHARGE EXTINGUISHING AGENT INTO THE ENG. AT THIS TIME; CAPT INITIATED GND EVAC AND I INITIATED EVAC FLOWS AND CHKLIST; CALLING LAS GND CTL FOR FIRE TRUCK ASSISTANCE. ALL 110 PAX EVACUATED IN LESS THAN 2 MINS AS THE FIRE WAS PUT OUT (EGT DECREASING). FOUR MINOR INJURIES WERE RPTED TO THE LAS STATION. ALL PAX EVACUATED LEFT SIDE OF ACFT (AWAY FROM THE FIRE). AIRLINES'S PROCS WERE FOLLOWED AND EXECUTED. THE CAPT AND I WERE AWARE OF THE TAILWIND CONDITIONS AND THE PRESSURE OF THE START BOTTLE. WE WERE PREPARED FOR A POSSIBLE ENG PROB AT START. DESPITE THIS CARE; A NEAR DISASTROUS SITUATION DEVELOPED. WITH THE ONSET OF NEW ADVANCED TECHNOLOGY JET (FAN) ENGS; AIRCREWS NEED TO BE FULLY INFORMED OF SPECIFIC CHARACTERISTICS AND HAVE ADEQUATE PROCS TO ENSURE A SAFE OPERATION; I.E.; IN THIS CASE; THE POTENTIAL CRITICAL NATURE OF STARTING A JET FAN ENG WITH A TAILWIND CONDITION; AND THAT IT MAY BE POSSIBLE TO HAVE AN ENG FIRE CONDITION; BUT NOT HAVE AN INDICATION IN THE COCKPIT OF AN OVERHEAT OR FIRE. SUPPLEMENTAL INFO FROM ACN 85355: I HAD NO FIRE INDICATION IN THE COCKPIT; BUT I PULLED #2 FIRE HANDLE AND FIRED THE BOTTLE ANYWAY. 10-15 SECS LATER WE STILL HAD FIRE IN #2 ENG; SO I CALLED FOR AN EVAC OF THE ACFT ON THE LEFT SIDE. THE CREW WAS POSSIBLY IN ERROR IN THEIR ENG START ABORT PROCS AS WE FEEL WE MAY HAVE CUT OFF THE AIR SUPPLY TO THE ENG AND HENCE NO MOTORING FOR COOL DOWN. CALLBACK CONVERSATION WITH RPTR REVEALED THE FOLLOWING: CAPT HAD REQUESTED THE GND CREW IF THE AIR BOTTLE PRESSURE WENT BELOW 200 PSI. FLT OPERATIONS MANUAL HAS NO RESTRICTION REF TO TAILWIND DURING AIR BOTTLE START. COMPANY IS IN THE PROCESS OF CHANGING THE PROC FOR THIS TYPE START AND EXPECTS TO SEE A RESTRICTION TO START 1 ENG ONLY. DURING THE INVESTIGATION IT WAS DETERMINED THE PARTICULAR ENG HAD A HISTORY OF START PROBS; HUNG AND HOT START. ONLY MINOR INJURIES TO PAX.

Source: NASA Aviation Safety Reporting System (public domain). Reports are voluntary submissions and are not verified by NASA.