Incident Overview

Date: Friday 27 January 1984
Aircraft Type: Lockheed P-3B Orion
Owner/operator: Royal Australian Air Force – RAAF
Registration Number: A9-300
Location: Edinburgh RAAF Station, SA – ÿ Australia
Phase of Flight: Standing
Status: Destroyed, written off
Casualties: Fatalities: 0 / Occupants: 0
Component Affected: Orion aircraft oxygen system, specifically the oxygen cylinder and regulator.Orion aircraft oxygen system, specifically the oxygen cylinder and regulator.
Category: Other
During maintenance at RAAF Edinburgh, a filled oxygen cylinder was accidentally disconnected. A fitter attempted to refit the regulator, resulting in excessive pressure, which ignited a fire within the oxygen system. The fire subsequently consumed the interior. Seven personnel were affected, with two suffering flash burns. The incident highlights deficiencies in the oxygen system’s pressure control and potential for metal-catalyzed ignition.During maintenance at RAAF Edinburgh, a filled oxygen cylinder was accidentally disconnected. A fitter attempted to refit the regulator, resulting in excessive pressure, which ignited a fire within the oxygen system. The fire subsequently consumed the interior. Seven personnel were affected, with two suffering flash burns. The incident highlights deficiencies in the oxygen system’s pressure control and potential for metal-catalyzed ignition.

Description

During maintenance at RAAF Edinburgh a filled oxygen cylinder was accidently disconnected. The fitter attempted to refit the regulator but the pressure was too great and a fire had started by then. The oxygen fed the fire which then gutted the interior. Seven people were working in the area and two suffered flash burns. CONCLUSIONS The high pressure oxygen supply system for Orion aircraft, both on board and off, contained a range of deficiencies. It was only a question of time before a catastrophic event such as the fire in A9-300 occurred. The most probable cause of ignition for the fire in A9-300 was a thermite reaction involving aluminium, with or without, either (or both) iron oxide and copper oxide. Energy for the initiation of the reaction probably came from metal particle impact associated with high gas velocities present in the oxygen system at the time (due to a defective poppet valve). That the metal fire started at the time when an attempt was made to close the venting line to the No.2 Oxygen cylinder may not have been coincidental. The role of oxides other than ferric oxide (in the form of rust) and other metals in the ignition of aluminium metal in the presence of oxygen is poorly understood. The dearth of information on the ignition of metals in the presence of contaminants draws attention to the need for fundamental research in this area. The goal of such research should be to: (a) provide a rational basis for oxygen system cleaning and maintenance procedures; and (b) improve the safety characteristics of the oxygen equipment.

Source of Information

http://www.adastron.com/lockheed/http://www.adastron.com/lockheed/

Primary Cause

Metal particle impact from high gas velocities in the oxygen system, combined with the presence of aluminum, likely initiated the fire. The defective popet valve may have been the trigger.Metal particle impact from high gas velocities in the oxygen system, combined with the presence of aluminum, likely initiated the fire. The defective popet valve may have been the trigger.

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