on October 17, 2017, a Spanish Airforce F/A-18 Hornet crashed soon after takeoff at Torrejon de Ardoz airbase and bursts into flamesLieutenant Fernando Pérez Serrano, 26, Died in the crash. In addition, the pilot conducted a thorough pre-flight of the aircraft as well noting no discrepancies.
The incident occurred shortly after 11am local timeAfter nearly a year and a half of work, the Military Aircraft Accidents Technical Investigation Commission (CITAAM) has concluded its report on the incident in which Lt. Fernando Pérez Serrano died.Parece ser que podría haber habido otro accidente de un caza F18 y el piloto se habría ejectado. Aircraft accidents never occur due to one particular reason, there are always a multitude of factors which contribute towards an aircraft crash or incident. If any one of these single factors were not present, the crash wouldn’t have happened. He had had to attend the preparatory meeting for a NATO evaluation early on. I decided to replace the measuring head on the apron. A risky maneuver, but not impossible, if the procedures are followed. For 2 years I was there, we never lost a tool, and I never heard of anyone losing a tool from any other shop. But he did not.He did not follow the recommended steps to start the plane, but instead gained time by using a shortcut reserved for emergency takeoffs. There were no injuries to the pilot and passengers, but the helicopter had a collapsed right hand skid, and damage to the tail rotor and tail boom.Further investigation revealed that a pair of channel lock pliers had been left on the engine intake cowling, and had fallen off, during the descent, into the tail rotor. Then I knew I left it on the sponson.I went directly to the supervisor on shift to tell about the missing tool, and directly to Ops and they called to the airport to check for a spanner on the apron, taxiways and runway. They were guaranteed anonymity to encourage them to be sincere.Nothing was made clear, despite the fact that on October 15, 48 hours before the incident, the plane aborted a mission due to a failure in the right engine, which forced the generator to be changed.The handle is used by both mechanics and pilots. The so-called oxygen generators were improperly loaded as cargo. In fact, my usual task was to lock a fixture, and I had the speed wrench on a wrist leash. A pilot who was in the hangar also heard it. But instead of starting a smooth ascent, he raised the nose excessively. During a post-landing examination of the airplane, it was revealed that a portion of the outboard section of a left propeller blade, which had fragmented into 2 pieces, was missing. In 2014 the The aircraft came back with a fault on the #2 measuring head for the RIPS. Tool not removed following maintenance adjustment.Aerossurance has previously written these articles that should be of interest:Aerossurance worked with the Flight Safety Foundation ( highlights the dangers of using any uncontrolled equipment on an ad-hoc basis This is to aid a tally of the weights at the end of the task.…the occupants heard a loud bang which was followed by a severe vibration. Eso esperamos? Had he gone less hastily, he might have noticed that the parameters of the right engine were slightly above the limit.The F-18 started its takeoff race by rushing the entire track because, contrary to what is available in the manual, it only put one engine at maximum power, the left one. He was not the only one. We have Snap-on Tool Control at Monarch Aircraft Engineering Limited Birmingham (Credit: MAEL)The Snap-on’s networked Level 5 solution used by Bristow and MAEL consists of:Networkable Tool Control (NTC) provides electronic keyless lockable tool storage units, allowing only authorised personnel to access. …this equipment will now be added to Tool Control but itNo matter what approach is used it is also necessary its also necessary to engender a culture were there is no hesitation reporting a lost tool or any other item that could a control restriction or damage. I picked a small carrying toolbox with 5 different size spanners (because I did not know the size of the union that needed to be replaced from the old measuring head to the new one) and a screwdriver and replaced the measuring head while standing on the sponson.I used the 1 inch spanner for replacing the union and left the spanner on the sponson next to the toolbox. The cause of the instrument failure was a maintenance worker’s failure to remove duct tape covering the static ports installed during a routine wash necessary to provide correct instrument data to the cockpit. But that is another question that the investigation leaves unanswered. Nothing was found and later the [Helideck Landing Officer] HLO on the platform found the spanner still lying on the sponson where I left it. Investigators ruled that one or more of the devices spewed pure oxygen and triggered the fire. LAME 1 explained to the ATSB that no work pack had been created for the task but they did annotate the ground run/test flight sheet and cross-referenced this in technical log.While there was a practice of tool control in place prior to the incident, formal procedures had not been documented…The tool control practice… required that that each tool removed from the toolbox be tagged out by the person removing the tool. The official cause of the accident was later identified to be the freezing of the pitot tubes which caused the autopilot to disconnect.
Not all of the aircraft were in operation at the time. The pilot landed the aircraft immediately, and had to shut down as the vibration worsened. 15cm forgotten tool in the right engine caused fatal F/A-18 Hornet crash in 2017: Investigation Report.
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