1985 Manchester Airport disaster


The 1985 Manchester Airport disaster occurred when British Airtours Flight 28M, an international passenger flight, was en route from Manchester Airport to Corfu International Airport. It caught fire on takeoff on 22 August 1985, resulting in 55 fatalities.
The aircraft, a Boeing 737-236, named River Orrin, was flown by British Airtours, a wholly owned subsidiary of British Airways. It had 131 passengers and 6 crew on the manifest. During the takeoff roll, a loud thump was heard, and takeoff was aborted. An engine failure had generated a fire and the captain ordered evacuation. The engine failure was later traced to an incorrectly repaired combustor can, causing it to rupture and its dome to puncture the left wing fuel tank. Most of the deaths were due to smoke inhalation, not burns; 82 people survived.
The accident was described as "a defining moment in the history of civil aviation safety." It brought about industry-wide changes to the seating layout near emergency exits, fire-resistant seat covers, floor lighting, fire-resistant wall and ceiling panels, more fire extinguishers and clearer evacuation rules.

Aircraft

The aircraft involved was a Boeing 737-236, registered as G-BGJL with serial number 743. It was manufactured by Boeing Commercial Airplanes in April 1981 and was powered by two Pratt & Whitney JT8D-15A engines. It had logged 12977 airframe hours in 5907 takeoff and landing cycles.

Accident

Attempted takeoff

The flight crew, Captain Peter Terrington, and First Officer Brian Love, were seasoned pilots with 8,441 and 12,277 flight hours, respectively. At 07:13 BST, on runway 24 at Manchester Airport during the takeoff phase, the pilots heard a loud thump coming from underneath the plane. Thinking a tyre had burst, the captain ordered an abandoned takeoff and then activated the thrust reversers. The first officer, who was in control of the aircraft at the time, applied "harsh" braking for about five seconds. The captain, concerned about the possible burst tyre, instructed the first officer to use less wheel braking, which was done. Fire warnings sounded in the flight deck nine seconds after the thump was heard. Ten seconds later, the tower controller confirmed, "right, there's a lot of fire." Twenty-five seconds after the thud was heard, the tower controller suggested evacuating passengers to the right side. The tower controller activated the airport's fire-alarm siren the moment he first saw smoke coming from the aircraft, but firefighters working for the airport's fire service had heard a "bang" and seen the smoke and fire for themselves, and had already initiated a response on their own.

Forward evacuation

The aircraft turned off the runway onto a short taxiway called link "D" and came to a full stop facing northwest. Evacuation efforts began immediately, but several difficulties were encountered. Arthur Bradbury, the purser and the crew's senior flight attendant, tried to open the right front exit door about 10 seconds before the aircraft stopped, but it jammed due to a design fault in the emergency slide system and he abandoned attempts to open it. After about 25 seconds, Bradbury opened the left front door and successfully deployed the escape slide. At this time, the first two fire engines arrived. One began showering the fuselage and the open door with foam to prevent the fire from spreading to the door and the slide as passengers were evacuating, and to provide cooling to protect the passengers still inside.
When the second fire engine arrived, the first fire engine concentrated on the burning jet fuel and the left engine. The second sprayed foam over the fuselage and the open door. During this time, the "No. 4 stewardess", Joanna Toff, had kept passengers out of the forward galley area to allow the purser time to open a door. When the left side door was opened, exiting passengers jammed themselves in the narrow passageway between the two forward galley bulkheads. Toff bodily pulled the passengers out one at a time until she cleared the jam. Meanwhile, the purser had resumed working on the right front door, and he successfully opened the door fully and deployed the escape slide about one minute after the plane had stopped. Sixteen passengers and Toff escaped through the left front door, one of whom was dragged out by Toff while unconscious. The purser and 34 passengers made their escape through the right front door.

Overwing evacuation

More difficulties were encountered at the overwing exits. The left overwing exit was blocked by smoke and flames. The passenger seated at the right overwing exit had difficulty understanding how to operate the hatch. At that time, no requirement existed that exit-row passengers receive a briefing on how and when to open the hatch. Once the hatch was released, it fell inward onto the passenger seated next to it, trapping her. Two passengers lifted the hatch and put it on a seat in the next row back, making the exit available for use 45 seconds after the aircraft had stopped. Once the hatch had been removed, passengers still encountered difficulties in getting to and using this exit. The exit-row seats allowed only to pass through, the armrests between those seats remained down, and the exit was directly over a seat, requiring passengers to manoeuvre awkwardly to escape. Passengers in the rear of the aircraft were panicking as smoke, and eventually flames, filled the hot cabin at about the same time the right overwing exit was opened. Passengers crawled over seat backs to get to the right overwing exit as well as the two front exits; some survivors told investigators that the aisle had become blocked with bodies.
This caused jamming at all exits, and the seat over which the overwing exit was located failed in such a way that the seat back collapsed forward, causing a further obstruction. A man who had been seated in 16C was found dead lying across this exit, and investigators were unsure whether the seat back collapse had trapped him. A 14-year-old boy was found lying across the top of the man from seat 16C by firefighters 5 minutes after the aircraft had stopped. He was alive, suffering only superficial burns to his hands. He was the last of 27 survivors to escape through that exit, and the last evacuee to survive the accident. Most of the 38 bodies were found clustered around the overwing exit. This exit was the first exit available to the 76 passengers seated behind it or even with it, and the nearest exit for 100 passengers.

Fire and loss of aft exits

Fuel had been spilling from the left wing from the moment the first loud noise was heard. That fuel had ignited on contact with flames from the hole in the engine combustion chamber as the aircraft began to decelerate on the runway. When the aircraft stopped, fuel was still leaking from a opening at a rate of per minute, feeding a growing fire. By about this time, the fire had already penetrated the aluminium alloy skin of the aircraft below the level of the floor in the passenger compartment. The AAIB estimated that between fiveseconds before and 13seconds after the aircraft stopped were needed for fire to penetrate the fuselage skin. Passengers seated on the left side of the aisle and toward the rear felt intense radiant heat from the fire, and were very impatient to escape, many of them standing and crowding into the aisles while the aircraft was in motion.
As the aircraft began its right turn off the runway, around tenseconds before it stopped, one of the two flight attendants in the rear of the aircraft, probably the No 3 stewardess, opened the right rear door and deployed the emergency chute, but no one escaped through this door because it was blocked by smoke and flames. When the aircraft came to a stop, it was facing the northwest, and a light wind of was blowing from the west, carrying dense smoke, and occasionally flames, in through that door. When the door was first opened, the aircraft had been facing into the wind, and the exit had been clear. When the left front door was opened, this created an airflow from the front of the aircraft to the rear, and out through the right rear door, which likely contained the smoke to the rear of the aircraft. When the right overwing exit and the right front exit were opened, this flow was lost, and the entire cabin rapidly filled with smoke. The left rear exit remained closed.
Fire penetrated into the rear portion of the passenger cabin through the floor and along the left wall within oneminute of the aircraft stopping. Accident investigators said that this quick penetration of fire into the cabin appeared "to conflict markedly with the air transport industry's expectations" for this type of fire, which at that time expected one to threeminutes would be available for evacuation before the fire would be "in a position to directly threaten the occupants".
When firefighters determined that no more passengers would leave the aircraft unassisted, they entered the passenger cabin with fire hoses and attempted to extinguish the blaze inside the aircraft, but fighting the fire inside the aircraft had become futile and unsafe. One firefighter was slightly injured when an explosion threw him out of the door and down to the tarmac. The cause of the explosion was not determined, but heat-induced overpressure and rupture of an aerosol spray can or therapeutic oxygen cylinder are suspected.