ANC90FA020

NTSB accident investigation · Boeing 747-400 · Anchorage, AK · December 15, 1989

Accident · No injuriesField investigationFinal report
Date
December 15, 1989, 11:48 local (15:48 UTC)
Place
Anchorage, AK
Injuries
245 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
PHBFCBoeing 747-400
Weather
Instrument (IMC) · Day
Status
Completed · report June 30, 1992
Report
Approved by Office Director
NTSB office
Alaska Regional Office
Case key
5278

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

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Probable cause

Inadvertent encounter with volcanic ash cloud, which resulted in damage from foreign material (foreign object) and subsequent compressor stalling of all engines. A factor related to the accident was: the lack of available information about the ash cloud to all personnel involved.

Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

In flight encounter with weatherDescent - normal
Weather condition - clouds
Weather condition - sand/dust stormCause
In flight weather avoidance assistance - attemptedAtc personnel(artcc)
Information insufficientFactor
Loss of engine powerOther
All engines
Compressor assembly - foreign objectCause
Compressor assembly - stallCause
Airframe/component/system failure/malfunctionDescent
Fuselage - eroded
Wing - eroded
Window,cabin - eroded
Nacelle/pylon - eroded

Analysis

Bfr tkof, crew of klm flt 867 adzd of volcanic eruption abt 100 mi sw of destn. En route, flt adzd of another eruption. For arr, flt clrd to dscnd fm FL390 at plt's discretion; vctr given to avoid last known area of ash cld. Drg dscnt thru FL260, flt enctrd ash cld; ash/smoke entered cockpit/cabin. Crew donned O2 masks; used max pwr to clb. 1 min ltr, all engs lost pwr (to 28%-30% RPM); there was elec pwr intrpn, loss of airspd indcn, fire warning alarm for fwd cargo area. After 8-9 atmts & dscnt to 13,300', all engs restarted & flt contd to safe ldng. Dmg fnd on external sfcs of acft & in hi pres turbines of all engs. Boeing omb #747-B2-4, adzd to avoid volcanic activity; but if enctrd, retarding thrust to idle wld rdc bldup in eng & improve stall margin. ATC radar could only detect volcanic ash for 5-10 min after eruption; acft radar not designed to detect ash. Ash cld fcst to mov nne at 60 KTS; review of satellite data showed it actually moved at abt 120 KTS. Klm had no proc for 747 enctr with ash cld & no adnl instrns were given to klm crews.

Aircraft

Registration
PHBFC
Reported as
Boeing 747-400
Category
Airplane
Serial number
23982
Airframe hours
7,050
Engine
GE CF6-80C2, 57,180 lbs thrust, turbo fan
Damage
Substantial damage
Flight
Part 129
Registered owner
Klm Royal Dutch Airlines
Airworthiness certificate
Standard, Transport
Last inspection
Continuous airworthiness · November 24, 1989 · 227 hours before
Departed
EHAM · Amsterdam, OF
Destination
ANC · Anchorage, AK
Flight plan
IFR
Airport
NONE

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
51
Certificates
Airline transport, Foreign
Airplane ratings
Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Seat
Rear
Flight hours
13,000 total · 100 in this make and model · 100 in the last 90 days · 25 in the last 30 days · 9 in the last 24 hours

Weather

Conditions
Instrument (IMC) · Day
Wind
50° at 7 knots
Lowest ceiling
8,000 ft overcast
Temperature
32 °F, dew point 25 °F
Altimeter
30.00 inHg
Observed at
TKA, 25 nm away