Status: | Accident investigation report completed and information captured |
Date: | Friday 24 May 2013 |
Time: | 08:16 |
Type: |  Airbus A319-131 |
Operator: | British Airways |
Registration: | G-EUOE |
MSN: | 1574 |
First flight: | 2001-08-10 (11 years 10 months) |
Total airframe hrs: | 28362 |
Engines: | 2 IAE V2522-A5 |
Crew: | Fatalities: 0 / Occupants: 5 |
Passengers: | Fatalities: 0 / Occupants: 75 |
Total: | Fatalities: 0 / Occupants: 80 |
Aircraft damage: | Substantial |
Aircraft fate: | Repaired |
Location: | London-Heathrow Airport (LHR) ( United Kingdom)
|
Phase: | Takeoff (TOF) |
Nature: | International Scheduled Passenger |
Departure airport: | London-Heathrow Airport (LHR/EGLL), United Kingdom |
Destination airport: | Oslo-Gardermoen Airport (OSL/ENGM), Norway |
Flightnumber: | BA762 |
Narrative:An Airbus A319-131, G-EUOE, was damaged in an accident at London-Heathrow Airport (LHR), U.K. None of the 75 passengers and five crew members were injured.
British Airways flight BA762 departed runway 27L on a scheduled service to Oslo, Norway. At that moment, the fan cowl doors from both engines detached, puncturing a fuel pipe on the right engine and damaging the airframe.
The symptoms seen by the flight crew included: engine thrust control degradation, the loss of the yellow hydraulic system, and a significant fuel leak. After the loss of the yellow hydraulic system the crew declared a PAN, with the intention of returning to Heathrow once they had fully assessed the situation. ATC provided radar vectors for the ILS to runway 27R.
During the approach to land, an external fire developed on the right engine. An engine fire warning on the flight deck prompted the crew to declare a MAYDAY.
Although both engine fire extinguisher bottles were discharged and the right engine was shut down, the fire was not completely extinguished. The left engine continued to perform normally throughout the flight.
The aircraft landed safely and was brought to a stop on runway 27R at Heathrow. The airport fire service attended and quickly extinguished a small fire on the right engine. The passengers and crew evacuated via the escape slides on the left side of the aircraft, without injury.
Probable Cause:
Causal factors
The investigation identified the following causal factors:
1. The technicians responsible for servicing the aircrafts IDGs did not comply with the applicable AMM procedures, with the result that the fan cowl doors were left in an unlatched and unsafe condition following overnight maintenance.
2. The pre-departure walk-around inspections by both the pushback tug driver and the co-pilot did not identify that the fan cowl doors on both engines were unlatched.
Contributory factors
The investigation identified the following contributory factors:
1. The design of the fan cowl door latching system, in which the latches are positioned at the bottom of the engine nacelle in close proximity to the ground, increased the probability that unfastened latches would not be seen during the pre-departure inspections.
2. The lack of the majority of the high-visibility paint finish on the latch handles reduced the conspicuity of the unfastened latches.
3. The decision by the technicians to engage the latch handle hooks prevented the latch handles from hanging down beneath the fan cowl doors as intended, further reducing the conspicuity of the unfastened latches.
Accident investigation:
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Investigating agency: | AAIB  |
Status: | Investigation completed |
Duration: | 2 years and 2 months | Accident number: | AAIB AAR 1/2015 | Download report: | Final report
|
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Classification:
Loss/opening of engine cowling
Forced landing on runway
Follow-up / safety actions
AAIB issued 6 Safety Recommendations
EASA issued 4 Airworthiness Directives
Issued: 31-MAY-2013 | To: Airbus | 2013-011 |
It is recommended that Airbus formally notifies operators of A320-family aircraft of the fan cowl door loss event on A319 G-EUOE on 24 May 2013, and reiterates the importance of verifying that the fan cowl doors are latched prior to flight by visually checking the position of the latches. (Adequate - Closed) |
Issued: 14-JUL-2015 | To: EASA | 2015-001 |
It is recommended that the European Aviation Safety Agency publishes amended Acceptable Means of Compliance and Guidance Material in Part 145.A.47(b) of European Commission Regulation (EC) No 2042/2003, containing requirements for the implementation of an effective fatigue risk management system within approved maintenance organisations. (Partially Adequate - Open) |
Issued: 14-JUL-2015 | To: EASA | 2015-002 |
It is recommended that the European Aviation Safety Agency requires Airbus to modify A320-family aircraft to incorporate a reliable means of warning when the fan cowl doors are unlatched. (Partially Adequate - Closed) |
Issued: 14-JUL-2015 | To: EASA | 2015-003 |
It is recommended that the European Aviation Safety Agency amends Certification Specification 25.901(c), Acceptable Means of Compliance (AMC) 25.901(c) and AMC 25.1193, to include fan cowl doors in the System Safety Assessment for the engine installation and requires compliance with these amended requirements during the certification of modifications to existing products and the initial certification of new designs. (Partially Adequate - Open) |
Issued: 14-JUL-2015 | To: British Airways | 2015-004 |
It is recommended that British Airways Plc reviews, and amends as appropriate, its pilot and cabin crew training, policies and procedures regarding in-flight damage assessments and reporting by cabin crew in light of the lessons learned from the G-EUOE fan cowl door loss event. (Adequate - Closed) |
Issued: 14-JUL-2015 | To: British Airways | 2015-005 |
It is recommended that British Airways Plc reviews its evacuation procedures and training to take account of the potential risks of leaving engines running during on-ground emergencies. (Partially Adequate - Open) |
Issued: 31-AUG-2015 | To: manufacturers | SIB No.: 2015-15 |
In addition, EASA recommends design approval holders to consider amending the existing fan cowl door opening and closing procedures in the applicable aircraft maintenance manual (AMM) to make a record in the aircraft logbook each time these procedures have been applied and to communicate to operators to emphasize that applying these procedures is essential to avoid further events. |
Issued: 31-AUG-2015 | To: operators | SIB No.: 2015-15 |
EASA recommends owners and operators to amend their pre-take-off procedures to ensure that all maintenance actions involving the opening/closing, removal and re-installation, or replacement of an fan cowl door is brought to the attention of the flight crew of the affected aeroplane before the next flight of that aeroplane. |
Issued: 11-APR-2016 | To: Airbus | AD 2016-0069 |
Installation of Fan Cowl Door modifications with new cowl door front latch and keeper assembly, having a specific key necessary to un-latch the FCD. This key cannot be removed unless the FCD front latch is safely closed. The key, after removal, must be stowed in the flight deck at a specific location, as instructed in the applicable Aircraft Maintenance Manual. |
Issued: 16-DEC-2016 | To: Airbus | AD 2016-0257 |
Supersedes EASA 2016-0069, expanding the list of affected FCD P/N. |
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Photos

accident date:
24-05-2013type: Airbus A319-131
registration: G-EUOE

accident date:
24-05-2013type: Airbus A319-131
registration: G-EUOE
Video, social media
Map
This map shows the airport of departure and the intended destination of the flight. The line between the airports does
not display the exact flight path.
Distance from London-Heathrow Airport to Oslo-Gardermoen Airport as the crow flies is 1196 km (748 miles).
This information is not presented as the Flight Safety Foundation or the Aviation Safety Network’s opinion as to the cause of the accident. It is preliminary and is based on the facts as they are known at this time.