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ASN Wikibase Occurrence # 222373
Last updated: 28 February 2021
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Date:28-FEB-2019
Time:08:45 LT
Type:Silhouette image of generic E190 model; specific model in this crash may look slightly different
Embraer ERJ-195LR
Owner/operator:Flybe
Registration: G-FBEJ
C/n / msn: 19000155
Fatalities:Fatalities: 0 / Occupants: 105
Other fatalities:0
Aircraft damage: None
Category:Accident
Location:Exeter Airport (EXT/EGTE), Devon -   United Kingdom
Phase: Take off
Nature:Passenger - Scheduled
Departure airport:Exeter Airport (EXT/EGTE)
Destination airport:Alicante Airport (ALC/LEAL)
Investigating agency: AAIB
Narrative:
The Embraer ERJ-195LR aircraft was operating the first sector of the day and was scheduled to fly from Exeter Airport, UK to Alicante Airport, Spain as BE4321. While the aircraft was being prepared for flight, both pilots reported being aware of a sweet-smelling odour after the APU and APU bleed had been turned on to heat the cabin. They described the smell as being like caramel but considered that such odours were not unusual after the APU is started and the air conditioning is switched on at the beginning of the day.

Following completion of passenger boarding, the aircraft pushed back and taxied before being cleared to enter Runway 26, back-track and line up for take-off. It was daylight, the visibility was in excess of 10 km and the wind was from 210° at 5 knots.

The APU was shut down as the aircraft entered the runway and the air conditioning packs remained on with air supplied from the engines. A few seconds later, while back-tracking, both pilots became aware of fumes in the flight deck with a different odour, which the co‑pilot described as being like paint or white spirit. The wind was behind the aircraft at this point, so they initially thought the fumes were due to exhaust gas ingestion. Upon lining up at the runway threshold the flight crew had a brief discussion about whether the fumes were decreasing and decided that they were.

Upon receiving take-off clearance, the co-pilot advanced the thrust levers to 40% while holding the aircraft on the brakes and checked the engine indications, which were all normal. He then slowly advanced the thrust levers towards the take-off setting, while still holding the aircraft on the brakes. As the engines reached approximately 55% power, he saw something out of the corner of his eye which he believed to have been a puff of smoke coming from an air conditioning vent. He immediately stated that he was not happy with the situation and retarded the thrust levers to idle. By then the smell of fumes had grown worse and smoke was visibly entering the flight deck.

The commander set the park brake and asked the co-pilot to turn the engine bleeds and air conditioning packs to off and the flight deck windows were opened to ventilate the flight deck. There were no EICAS messages or warnings.

The commander established contact with the senior cabin crew member (SCCM), who had simultaneously been trying to contact the flight deck. The SCCM reported that there was smoke and fumes in the cabin, but that the cabin crew could not identify the source.

The commander decided to evacuate the aircraft. The co-pilot immediately selected flap 5, notified ATC of the intention to evacuate and requested assistance. Both pilots then carried out the Emergency Evacuation ‘vital actions’.
During the evacuation, passengers who evacuated via the over-wing exits reported being unsure of how to get down from the wing to the ground and several re-entered the cabin and exited via one of the escape slides.

The smoke and fumes were subsequently attributed to an incorrectly performed engine compressor wash procedure, which was carried out by maintenance personnel the night before the occurrence flight.

As a result of the findings of this investigation, the European Union Aviation Safety Agency (EASA) has undertaken two safety actions relating to the certification requirements for over-wing emergency exits. The operator has also undertaken several safety actions relating to passenger safety briefings, processes for maintenance planning, engineer training, competency and welfare and monitoring of ground equipment. Four Safety Recommendations are made relating to the certification requirements for over-wing exit markings and the height requirement for over-wing exits to be equipped with an assisted means of escape.

Sources:

1. AAIB Final Report: https://assets.publishing.service.gov.uk/media/5f5a01b18fa8f5106c6c425d/ERJ_190-200_LR_G-FBEJ_10-20.pdf
2. http://www.goklerdeyiz.net/kabin-dumanla-doldu-ucak-acil-tahliye-edildi/
3. https://www.itv.com/news/westcountry/2019-02-28/flybe-plane-evacuated-at-exeter-airport/
4. https://www.dailymail.co.uk/news/article-6755367/Flybe-plane-evacuated-runway-Exeter-Airport.html
5. https://www.devonlive.com/news/devon-news/live-flybe-exeter-airport-evacuation-2592792
6. https://www.planespotters.net/airframe/embraer-erj-195-g-fbej-falko-regional-aircraft/r6vzqk
7. https://www.aerotime.aero/pijus/25931-passengers-leave-re-enter-flybe-embraer-e195-during-evacuation
8. http://aerossurance.com/safety-management/flybe-fumes-maintenance-hf/

Accident investigation:
cover
  
Investigating agency: AAIB
Status: Investigation completed
Duration:
Download report: Final report

Media:

G-FBEJ - Embraer ERJ 195 (LR) - Flybe - with "Welcome To Yorkshire" sponsors livery, at Paris 13 May 2019:G-FBEJ - Embraer ERJ 195 (LR) - Flybe (32897007237)

Images:

Photo of G-FBEJ courtesy AirHistory.net


Bournemouth - International (EGHH / BOH)
13 January 2020; (c) Howard J Curtis

Revision history:

Date/timeContributorUpdates
28-Feb-2019 15:19 Goklerdeyiz.net Added
28-Feb-2019 15:57 harro Updated [Country]
28-Feb-2019 16:41 Anon. Updated [Location, Country, Phase]
28-Feb-2019 16:43 harro Updated [Cn, Other fatalities, Departure airport, Destination airport, Narrative]
28-Feb-2019 16:46 harro Updated [Total occupants, Location, Source, Embed code]
28-Feb-2019 16:46 harro Updated [Departure airport, Embed code]
28-Feb-2019 17:44 Anon. Updated [Source]
01-Mar-2019 09:00 Chieftain Updated [Time]
04-Mar-2019 23:42 Dr. John Smith Updated [Location, Departure airport, Source, Embed code, Narrative]
08-Mar-2019 18:15 harro Updated [Time, Source, Embed code, Narrative]
17-Sep-2020 09:22 harro Updated [Time, Phase, Narrative, Accident report, ]
15-Oct-2020 22:53 Dr. John Smith Updated [Source, Embed code, Narrative, Accident report]
15-Oct-2020 22:55 Dr. John Smith Updated [Embed code, Narrative]
16-Feb-2021 19:56 Aerossurance Updated [Source, Accident report]
28-Feb-2021 09:03 Aerossurance Updated [Location, Embed code]

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