19990912041969A

Accident · Substantial damage

FAA accident report · Boeing 7373T0 · West Palm Beach, FL · September 12, 1999

Date
September 12, 1999 · 07:11 local
Place
West Palm Beach, FL
Airport
Palm Beach International
Phase of flight
Climb
Operating rules
Air carrier (Part 121)
Operator
CALA
Damage
Substantial damage
Aircraft
N17356
NTSB investigation
NTSBMIA99FA252
Reported as
Boeing 7373T0
Reported engine
GE CFM563B1
People aboard
89
Fatal injuries
0
Pilot’s flight hours
10,500 total6,500 in this make and model149 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.

(-23) #1 Engine sustained an un-contained failure due to 7th stage turbine disk air seal (high pressure) that is attached to 7th stage disk. Shaft sheared and dispersed engine fragments 8X3 over city block, NTSB had engine removed and sent to houston for further investigation. (.4)during climb after takeoff, the flight had an uncontained failure of the no. 1 engine. The flight returned to the departure airport and landed without further incident. Examination of the airplane showed there was damage to the left wing high lift devices, fuselage, vertical and horizontal stabilizers, rudder, and tail cone. The no. 1 engine left thrust reverser had separated. Debris from the no.1 engine was located over an eight block long by three block wide city block area. Examination of the no. 1 engine revealed that it had a 360 degree separation in plane with the high pressure turbine (hpt) rotor and that the hpt shaft and the hpt forward rotating air seal had exited the engine. The hpt rotating air seal was recovered in the debris field. Metallurgical examination showed the rotating air seal had two radial fractures that passed through the bore and the hpt front shaft-to-hpt disk attachment bolt holes. Fatigue cracking was identified in one attachment bolt hole which initiated from a heat affected layer. The heat affected layer was caused by abusive machining during the manufacturing process due to loss of coolant during the drilling process. Based on striation count, the fatigue crack was at detectable length during two in-service inspections, but was not detected.

As the FAA filed it

(-23) #1 ENGINE SUSTAINED AN UN-CONTAINED FAILURE DUE TO 7TH STAGE TURBINE DISK AIR SEAL (HIGH PRESSURE) THAT IS ATTACHED TO 7TH STAGE DISK. SHAFT SHEARED AND DISPERSED ENGINE FRAGMENTS 8X3 OVER CITY BLOCK, NTSB HAD ENGINE REMOVED AND SENT TO HOUSTON FOR FURTHER INVESTIGATION. (.4)DURING CLIMB AFTER TAKEOFF, THE FLIGHT HAD AN UNCONTAINED FAILURE OF THE NO. 1 ENGINE. THE FLIGHT RETURNED TO THE DEPARTURE AIRPORT AND LANDED WITHOUT FURTHER INCIDENT. EXAMINATION OF THE AIRPLANE SHOWED THERE WAS DAMAGE TO THE LEFT WING HIGH LIFT DEVICES, FUSELAGE, VERTICAL AND HORIZONTAL STABILIZERS, RUDDER, AND TAIL CONE. THE NO. 1 ENGINE LEFT THRUST REVERSER HAD SEPARATED. DEBRIS FROM THE NO.1 ENGINE WAS LOCATED OVER AN EIGHT BLOCK LONG BY THREE BLOCK WIDE CITY BLOCK AREA. EXAMINATION OF THE NO. 1 ENGINE REVEALED THAT IT HAD A 360 DEGREE SEPARATION IN PLANE WITH THE HIGH PRESSURE TURBINE (HPT) ROTOR AND THAT THE HPT SHAFT AND THE HPT FORWARD ROTATING AIR SEAL HAD EXITED THE ENGINE. THE HPT ROTATING AIR SEAL WAS RECOVERED IN THE DEBRIS FIELD. METALLURGICAL EXAMINATION SHOWED THE ROTATING AIR SEAL HAD TWO RADIAL FRACTURES THAT PASSED THROUGH THE BORE AND THE HPT FRONT SHAFT-TO-HPT DISK ATTACHMENT BOLT HOLES. FATIGUE CRACKING WAS IDENTIFIED IN ONE ATTACHMENT BOLT HOLE WHICH INITIATED FROM A HEAT AFFECTED LAYER. THE HEAT AFFECTED LAYER WAS CAUSED BY ABUSIVE MACHINING DURING THE MANUFACTURING PROCESS DUE TO LOSS OF COOLANT DURING THE DRILLING PROCESS. BASED ON STRIATION COUNT, THE FATIGUE CRACK WAS AT DETECTABLE LENGTH DURING TWO IN-SERVICE INSPECTIONS, BUT WAS NOT DETECTED.

NTSB investigation

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

Other reports on N17356 · 1

Matched to the same aircraft by N-number and date.