19990205010899A

Accident · Minor damage

FAA accident report · Piper PA-42-1000 · Lexington, KY · February 5, 1999

Date
February 5, 1999 · 10:00 local
Place
Lexington, KY
Airport
Blue Grass
Phase of flight
Descent
Operating rules
General operating rules (Part 91)
Damage
Minor damage
Aircraft
N37KW
NTSB investigation
NTSBNYC99IA056
Reported as
Piper PA421000
Reported engine
Garrett TPE33110
People aboard
2
Fatal injuries
0
Pilot’s flight hours
5,900 total750 in this make and model95 in the last 90 days

From the FAA’s Accident/Incident Data System (AIDS), through its Aviation Safety Information Portal, as reported. The NTSB investigates accidents separately, and its record of an accident is the fuller one. The aircraft is matched to the registry by N-number and event date, checked against the reported make and model; the registry’s history has gaps, so older matches can be wrong. Compare the reported make and model.

What happened

The FAA’s narrative, in sentence case. The FAA writes it in capitals and removes private details.

While at 19,000 ft AGL in cruise flight the pilot noticed a small "blip" in the right engine torque gauge. A few moments later he noticed another torque gauge "blip" and a rise in the EGT, he then encountered an explosion andobserved fire coming out of the right engine cowling. He immediately shut down the right engine and the fire went out. The pilot notified the Lexington ATC and declared an emergency. The pilotlanded the aircraft safely at bluegrass airfield in legington, KY. A post flight inspection of the right engine revealed a 12" by 24" hole burnt through the upper cowling, a 3" by 10" burn hole in the upper portion of the combustion housing, a 1" by 3" hole in the engine gear reduction housing (intake) and 2 of the 1st stage compressor blades were damaged. The engine is being sent to airsearch (Garrett) facilities in phoenix, AZ. For tear down analysis. (.4) on February 5, 1999, about 1000 eastern standard time, a Piper, PA42-1000, N37KW, experienced an uncontained failure of the right engine during a descent for landing at the Blue Grass Airport (lex), Lexington, Kentucky. The certificated airline transport pilot and passenger were not injured. Visual meteorological cond itions prevailed and an instrument flight rules flight plan had been filed for the flight that originated at the new castle county airport, wilmington, Delaware, about 0800, destined for lex. The personal flight was conducted under 14 CFR part 91. In a telephone interview, the pilot stated the airplane was descending through 19,000 feet, when he experienced a momentary fluctuation in engine torque for the right engine. Shortly thereafter, he heard a "loud explosion," and observed flames emanating from the airplane's right engine cowling. He then secured the engine which extinguished the fire, and declared an emergency. The airplane landed at lex without further incident. Examination of the airplane by a federal aviation administration inspector, revealed extensive fire damage forward of the right engine firewall. A 12 inch, by 24 inch hole was found burned through the upper engine cowling. A 3 inch, by 10 inch hole was found in the upper engine case near the combustion section and a 1 inch, by 3 inch hole was found in the intake housing of the engine reduction gear box. Additionally, damage was observed at the first stage compressor blades. The engine was retained for furth er examination. The engine was disassembled at allied signal, phoenix, Arizona, under the supervision of a safety board investigator. The disassembly revealed that the gearcase was ruptured in the 1st bull gear's plane of rotation. Additionally, the 1st bull gear had a 90 degree arc of the rim, and gear teeth separated. The combustor plenum was also ruptured; however, the turbine disks, which were located underneath the combustor, were all intact. According to the safety board's metallurgist factual report, the examination of the 1st bull gear revealed a fatigue fracture that originated in the gear's bore splines. The fatigue originated in an area where the spline thickness was significantly reduced by indentations on the pressure surface of the splines. Review of the engine maintenance records revealed that at the time of the incident, the engine had 3,535.1 hours time since new, and 768.1 hours since the last overhaul, which was performed by allied signal. Addtionally, the gearcase was disassembled, and reassembled during repairs, which were performed by allied signal on November 19, 1996. Review of the engine's overhaul manual revealed a tie-rod was used to provide a cla mping force between the spur gear and 1st bull gear. The assembly procedures required that the tie-rod be stretched with a load of 22,000 pounds and then secured with a nut that was hand-tightened. During disassembly of the gearcase, it was not possible to determine the amount of stretch on the tie-rod, or the breakaway torque on the retaining nut. As a result of the investigation, allied signal advised that it would be revising the TPE331 engine manuals and assembly procedures to require a measurement of stretch on the tie-rod before and after the nut is installed and requiree that the retaining nut be torqued to some value greater than hand-tight.

As the FAA filed it

WHILE AT 19,000 FT AGL IN CRUISE FLIGHT THE PILOT NOTICED A SMALL "BLIP" IN THE RIGHT ENGINE TORQUE GAUGE. A FEW MOMENTS LATER HE NOTICED ANOTHER TORQUE GAUGE "BLIP" AND A RISE IN THE EGT, HE THEN ENCOUNTERED AN EXPLOSION ANDOBSERVED FIRE COMING OUT OF THE RIGHT ENGINE COWLING. HE IMMEDIATELY SHUT DOWN THE RIGHT ENGINE AND THE FIRE WENT OUT.THE PILOT NOTIFIED THE LEXINGTON ATC AND DECLARED AN EMERGENCY. THE PILOTLANDED THE AIRCRAFT SAFELY AT BLUEGRASS AIRFIELD IN LEGINGTON, KY. A POST FLIGHT INSPECTION OF THE RIGHT ENGINE REVEALED A 12" BY 24" HOLE BURNT THROUGH THE UPPER COWLING, A 3" BY 10" BURN HOLE IN THE UPPER PORTION OF THE COMBUSTION HOUSING, A 1" BY 3" HOLE IN THE ENGINE GEAR REDUCTION HOUSING (INTAKE) AND 2 OF THE 1ST STAGE COMPRESSOR BLADES WERE DAMAGED. THE ENGINE IS BEING SENT TO AIRSEARCH (GARRETT) FACILITIES IN PHOENIX, AZ. FOR TEAR DOWN ANALYSIS. (.4) ON FEBRUARY 5, 1999, ABOUT 1000 EASTERN STANDARD TIME, A PIPER, PA42-1000, N37KW, EXPERIENCED AN UNCONTAINED FAILURE OF THE RIGHT ENGINE DURING A DESCENT FOR LANDING AT THE BLUE GRASS AIRPORT (LEX), LEXINGTON, KENTUCKY. THE CERTIFICATED AIRLINE TRANSPORT PILOT AND PASSENGER WERE NOT INJURED. VISUAL METEOROLOGICAL COND ITIONS PREVAILED AND AN INSTRUMENT FLIGHT RULES FLIGHT PLAN HAD BEEN FILED FOR THE FLIGHT THAT ORIGINATED AT THE NEW CASTLE COUNTY AIRPORT, WILMINGTON, DELAWARE, ABOUT 0800, DESTINED FOR LEX. THE PERSONAL FLIGHT WAS CONDUCTED UNDER 14 CFR PART 91. IN A TELEPHONE INTERVIEW, THE PILOT STATED THE AIRPLANE WAS DESCENDING THROUGH 19,000 FEET, WHEN HE EXPERIENCED A MOMENTARY FLUCTUATION IN ENGINE TORQUE FOR THE RIGHT ENGINE. SHORTLY THEREAFTER, HE HEARD A "LOUD EXPLOSION," AND OBSERVED FLAMES EMANATING FROM THE AIRPLANE'S RIGHT ENGINE COWLING. HE THEN SECURED THE ENGINE WHICH EXTINGUISHED THE FIRE, AND DECLARED AN EMERGENCY. THE AIRPLANE LANDED AT LEX WITHOUT FURTHER INCIDENT. EXAMINATION OF THE AIRPLANE BY A FEDERAL AVIATION ADMINISTRATION INSPECTOR, REVEALED EXTENSIVE FIRE DAMAGE FORWARD OF THE RIGHT ENGINE FIREWALL. A 12 INCH, BY 24 INCH HOLE WAS FOUND BURNED THROUGH THE UPPER ENGINE COWLING. A 3 INCH, BY 10 INCH HOLE WAS FOUND IN THE UPPER ENGINE CASE NEAR THE COMBUSTION SECTION AND A 1 INCH, BY 3 INCH HOLE WAS FOUND IN THE INTAKE HOUSING OF THE ENGINE REDUCTION GEAR BOX. ADDITIONALLY, DAMAGE WAS OBSERVED AT THE FIRST STAGE COMPRESSOR BLADES. THE ENGINE WAS RETAINED FOR FURTH ER EXAMINATION. THE ENGINE WAS DISASSEMBLED AT ALLIED SIGNAL, PHOENIX, ARIZONA, UNDER THE SUPERVISION OF A SAFETY BOARD INVESTIGATOR. THE DISASSEMBLY REVEALED THAT THE GEARCASE WAS RUPTURED IN THE 1ST BULL GEAR'S PLANE OF ROTATION. ADDITIONALLY, THE 1ST BULL GEAR HAD A 90 DEGREE ARC OF THE RIM, AND GEAR TEETH SEPARATED. THE COMBUSTOR PLENUM WAS ALSO RUPTURED; HOWEVER, THE TURBINE DISKS, WHICH WERE LOCATED UNDERNEATH THE COMBUSTOR, WERE ALL INTACT. ACCORDING TO THE SAFETY BOARD'S METALLURGIST FACTUAL REPORT, THE EXAMINATION OF THE 1ST BULL GEAR REVEALED A FATIGUE FRACTURE THAT ORIGINATED IN THE GEAR'S BORE SPLINES. THE FATIGUE ORIGINATED IN AN AREA WHERE THE SPLINE THICKNESS WAS SIGNIFICANTLY REDUCED BY INDENTATIONS ON THE PRESSURE SURFACE OF THE SPLINES. REVIEW OF THE ENGINE MAINTENANCE RECORDS REVEALED THAT AT THE TIME OF THE INCIDENT, THE ENGINE HAD 3,535.1 HOURS TIME SINCE NEW, AND 768.1 HOURS SINCE THE LAST OVERHAUL, WHICH WAS PERFORMED BY ALLIED SIGNAL. ADDTIONALLY, THE GEARCASE WAS DISASSEMBLED, AND REASSEMBLED DURING REPAIRS, WHICH WERE PERFORMED BY ALLIED SIGNAL ON NOVEMBER 19, 1996. REVIEW OF THE ENGINE'S OVERHAUL MANUAL REVEALED A TIE-ROD WAS USED TO PROVIDE A CLA MPING FORCE BETWEEN THE SPUR GEAR AND 1ST BULL GEAR. THE ASSEMBLY PROCEDURES REQUIRED THAT THE TIE-ROD BE STRETCHED WITH A LOAD OF 22,000 POUNDS AND THEN SECURED WITH A NUT THAT WAS HAND-TIGHTENED. DURING DISASSEMBLY OF THE GEARCASE, IT WAS NOT POSSIBLE TO DETERMINE THE AMOUNT OF STRETCH ON THE TIE-ROD, OR THE BREAKAWAY TORQUE ON THE RETAINING NUT. AS A RESULT OF THE INVESTIGATION, ALLIED SIGNAL ADVISED THAT IT WOULD BE REVISING THE TPE331 ENGINE MANUALS AND ASSEMBLY PROCEDURES TO REQUIRE A MEASUREMENT OF STRETCH ON THE TIE-ROD BEFORE AND AFTER THE NUT IS INSTALLED AND REQUIREE THAT THE RETAINING NUT BE TORQUED TO SOME VALUE GREATER THAN HAND-TIGHT.

NTSB investigation

The NTSB’s investigation of this event, with its probable cause and findings. Matched to this report by N-number and date.