Lessons Learned: Uncommanded Flap Movement, D-AAAY, Farnborough
A Bombardier CL-600 2B16, D-AAAY had a serious incident in its climb from Farnborough.
This Lesson Learned is from the AAIB (Air Accidents Investigation Branch) final report regarding a serious incident involving a Bombardier CL-600 2B16 (604 variant), D-AAAY, in its climb from Farnborough Airport, Hampshire, on August 10, 2022.
In the climb, after departing Farnborough Airport, D-AAAY had an uncommanded flap movement above the maximum flap extension speed during which the flaps moved to their fully extended position.
The aircraft returned to Farnborough with the flaps extended where it landed without further incident.
An uncommanded and unarrested flap movement requires the flaps to move without movement of the flap lever and then for a failure in the flap arrest system to stop this movement. The flap surfaces are moved by two drive motors that are commanded by the sequencing of four extend and retract relays. These four relays also form part of the system to arrest an uncommanded flap movement.
The reason for the uncommanded movement of the flaps during the flight, and later during fault finding on the ground, could not be determined.
It was established that there had been a latent failure in the No 1 flap retract relay for at least the previous 64 flights, which caused the flaps to retract at half their normal retraction speed and prevent the arrest of an uncommanded flap movement. The failure of the relay resulted from damage to the D contacts which provide electrical power to the flap Brake Detector Units. This damage was caused by electrical arcing resulting from an unsuppressed back-EMF generated when the Brake Detector Units were de-energised to apply the flap brakes when the flaps reached their selected position.
The AAIB published two Special Bulletins in which four Safety Recommendations were made: S2/2022 on September 22, 2022, and S1/2023 on March 2, 2023. A number of Safety Actions have been taken by Transport Canada and Bombardier Aviation, and additional action is planned in response to the recommendations.
You may read the full AAIB report here.
Content source/credit: AAIB, “AAIB investigation to Bombardier CL-600-2B16 (604 Variant), D-AAAY,” published January 18, 2024.
Sign up for a TapRooT® Root Cause Analysis Training Course — TapRooT® courses fill up quickly!
Circumstances can crop up anywhere at any time if proper and safe sequence and procedures are not planned and followed. We encourage you to learn and use the TapRooT® System to find and fix problems.
TapRooT® has a team of investigators and instructors with years of extensive training ready to offer assistance worldwide. We also offer ongoing support to our clients through free newsletters and Root cause tip videoS, the root cause analysis blog, and our annual Global TapRooT® Summit.
Register for one of our courses. We offer a basic 2-Day course and an advanced 5-Day course. Contact us or call 865.539.2139 about having a course at your site or for further root cause analysis opportunities. We’re here to find solutions for you.