D2/2011L/S2 Amendation of the Airbus OEB

Investigation branch: Aviation L Recommendation ID: D2/2011L/S2 Issue date: 17.1.2013 End implementer of the recommendation: European Aviation Safety Agency (EASA) Implementation status: Implemented Investigation: D2/2011L Airliner Engine Bleed Air System Failure: Serious Incident on a Scheduled Flight on 5 March 2011 Type of accident: Air Transport

Justification of the recommendation

The aircraft manufacturer's Operations Engineering Bulletin (OEB) contains flight crew procedures for a bleed air system fault if one or both systems fail. It contains the instructions for reducing stress to the single operative system by means of actions prior to the departure as well as those for the procedure during an in-flight failure.

Recommendation

The Safety Investigation Authority, Finland recommends that the EASA oblige Airbus S.A.S. to amend the OEB in a manner that clearly segregates the procedures for prior to the flight and during the flight. Additionally Airbus S.A.S. needs to assure that all the appropriate actions included in the OEB are in line with QRH.

Specification of recommendation

---

Reiterated in investigation: ---

Actions / explanations

---

Updated 1.4.2020