DCA08IA033

NTSB incident investigation · Airbus A320 · Newark, NJ · January 25, 2008

Incident · No injuriesIncident investigationFinal report
Date
January 25, 2008, 09:45 local (14:45 UTC)
Place
Newark, NJ
Injuries
107 uninjured
Damage
No damage
Phase of flight
Initial climb
Aircraft
N462UAAirbus A320
Defining event
Initial climb: Electrical system malf/failure
Weather
Visual (VMC) · Day
Status
Completed · report March 13, 2020
Report
Approved by Office Director
NTSB office
Major Investigations Division
Safety recommendations
Yes
FAA report
20080125011129I
Case key
67436

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

On this page

Probable cause

a fault in the airplane's AC 1 electrical bus that caused a number of other electrical busses on the aircraft to lose power.

Findings · 1

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Analysis

This incident occurred when United Airlines flight 731 experienced a fault in the airplane's AC 1 electrical bus, one of the two primary electrical distribution systems for the airplane, which in turn caused a number of other electrical busses on the aircraft to lose power. The loss of this electrical power led to the loss of a number of aircraft displays and systems. During the flights return to the airport, multiple messages on the electronic centralized aircraft monitoring (ECAM) system, which provides information to the crew regarding failures that have occurred on the aircraft along with recommended corrective actions, were being displayed then removed by the ECAM system, making it difficult for the flight crew to interpret and address the error messages. There were no faults found in the airplane wiring and the testing and teardown found don faults in the #1 integrated drive generator (IDG), bus tie contactor (BTC), and generator control unit (GCU).

Factual narrative

History of flight

On January 25, 2008, about 0945, an Airbus A320, N462UA, operated by United Airlines as flight 731, returned to Newark Liberty International Airport (EWR), Newark, New Jersey, shortly after departure from runway 22R because three of the six electronic displays providing information to the flight crew went blank and several aircraft systems became inoperative. The flight crew landed the airplane without further incident, and no injuries were reported for anyone on board the flight. Visual meteorological conditions (VMC) prevailed at the time of the incident for the 14 Code of Federal Regulations Part 121 scheduled domestic flight, which was operating on an instrument flight rules flight plan.

According to the flight crew, shortly after takeoff, the captain's primary flight display (PFD) and navigational display (ND), along with the upper electronic centralized aircraft monitoring (ECAM) display, went blank. The ND for the first officer remained functional, as did the lower ECAM display; however, the first officer reported that the attitude information on his PFD was initially not usable but that the information appeared to be reliable later in the flight. In addition, although the handle that controls the landing gear had been moved to the retract position after takeoff, the landing gear did not retract. According to the crew, all radios were inoperative and the overhead panel was blank. The pilots leveled the aircraft at their first assigned altitude of 2,500 feet, elected to return to the field, and landed at EWR with several aircraft systems inoperative, including the airplane's transponder, the traffic alert and collision avoidance system, and the standby attitude indicator. The crew later reported that the indicator (which, according to Airbus, is designed to function for about 5 minutes after it loses power) stopped functioning while the aircraft was on the downwind leg of the approach for landing.

After landing, the flight crewmembers observed that the "AC ESS FEED" pushbutton on the overhead panel had an illuminated fault indication for the AC 1 electrical bus. Both crewmembers stated that this fault indication was not illuminated in flight. They then manually selected the AC essential electrical bus feed to "alternate," which reconfigured the power supply. After this selection, the captain's instruments, as well as most of the failed aircraft systems resumed functioning.

Personnel information

The captain was 54 years old and held an airline transport pilot certificate with an Airbus A320 type rating. He held a first-class medical certificate dated December 12, 2007, with no limitations. Records indicated he had about 14,500 hours total time with about 4,950 hours in the A320.

The first officer was 40 years old and held an airline transport pilot certificate with an Airbus A320 type rating (second in command). He held a first-class medical certificate dated March 10, 2007, with no limitations. Records indicated he had about 5,000 hours total time with about 2,290 hours in the A320.

Aircraft information

The flight instruments in an Airbus A320 include the captain's primary flight display (PFD) and navigational display (ND), the first officer's PFD and ND, and the upper and lower electronic centralized aircraft monitoring (ECAM) displays. The ECAM system automatically displays messages and system diagrams to pilots. It provides operational assistance for both normal and abnormal airplane operational situations.

The primary sources of electrical power for the A320, AC 1 and AC 2 use several electrical busses to distribute power throughout the airplane. In its normal configuration, the AC 1 electrical bus provides power to the AC essential bus, the DC essential bus, and DC 1 bus (power is provided to the DC electrical busses after first passing through a transformer-rectifier unit.) The auxiliary power unit and air driven emergency generator can also provide limited aircraft electrical power under some conditions. When a fault is detected in the AC 1 electrical bus (or it stops providing power), the other busses can be powered by an alternate configuration, which entails selecting the AC 2 electrical bus to provide power. The alternate reconfiguration of the electrical system must be performed manually by the flight crew and is accomplished by activating a pushbutton switch located on the overhead panel.

Tests and research

Following the incident, maintenance personnel examined the #1 integrated drive generator (IDG) pylon connector for signs of arcing and #1 engine feeder cables. No defects were noted. The #1 IDG, bus tie contactor (BTC), and generator control unit (GCU) were removed for testing and examination.

The IDG and GCU were examined at the Hamilton Sundstrand facilities in Rockford, Illinois. Both units were placed on the systems test bench and subjected to loading conditions representative of the conditions that existed at the time of the incident. Both units completed the test series with no faults found. In addition, a production acceptance test procedure was conducted on the IDG with no faults found. Finally, the IDG was partially disassembled for a detailed examination and no problems with the unit were noted.

The BTC was tested and examined at a United Airlines maintenance facility and was found to be in good physical condition. The BTC was then tested per OEM procedures and passed all requirements. The unit was then partially disassembled and inspected with no defects noted.

Previous incidents

On October 22, 2005, a British Airways A319 flight from London Heathrow Airport to Budapest, Hungary, had a similar event occur. As the airplane climbed through 20,000 feet in night VMC with the autopilot and autothrust engaged, an electrical failure occurred, which resulted in five out of the six flight displays going blank. In addition, the autopilot and autothrust systems disconnected, the VHF radio and intercom became inoperative, and most of the cockpit lighting went off. After troubleshooting the problem, the flight crew was able to restore power to the displays and most of the affected systems by manually selecting the AC essential electrical bus feed to "alternate," which reconfigured the electrical system to provide power from the AC 2 electrical bus. The United Kingdom Air Accidents Investigation Branch (AAIB) investigated this incident. No definitive cause for the AC 1 bus fault could be determined.

According to Airbus, as of May 2007, 49 events similar to the United Airlines flight 731 and UK events had occurred in which the failure of electrical busses resulted in the loss of flight displays and various aircraft systems. Of these 49 events, roughly 37 were due to failures of the AC 1 bus.

Safety actions taken

In response to the previous incidents, Airbus issued two service bulletins:

• Service Bulletin SB A320-24-1120 was issued on May 31, 2007. This service bulletin provided for the automatic reconfiguration of the AC essential bus power supply in the event that the AC 1 electrical bus fails. Along with this service bulletin, Airbus released a Retrofit Information Letter (SEOT2/916.0083/08, revision 1, dated 28 January 2008). This letter stated that the modification kits required to accomplish SB A320-23-1120 were available from Airbus free of charge.

• Service Bulletin SB A320-33-1057 was issued on May 11, 2007. This service bulletin provided for the modification of the supply logic for the standby horizon and the cockpit floodlight located under the glareshield so that they are supplied by the hot electrical bus. This is designed to ensure that the standby horizon remains powered and illuminated in the event that the AC 1 electrical bus fails.

In response to the circumstances of this incident, on July 22, 2008, the National Transportation Safety Board issued Safety Recommendations A-08-53 through -55 t

Aircraft

Registration
N462UA
Reported as
Airbus A320 (232)
Category
Airplane
Serial number
1272
Built
2000
Airframe hours
27,021
Engines
Iae V2500SERIES, 9,895 horsepower, turbo fanIae V2500SERIES, 9,895 horsepower, turbo fan
Damage
No damage
Flight
Part 121
Operator
United Airlines Inc
Registered owner
United Airlines Inc
Airworthiness certificate
Standard, Transport
Departed
EWR · Newark, NJ
Destination
DEN · Denver, CO
Flight plan
IFR
Airport
EWR · Newark Liberty Intl

Matched to the registry by N-number and the event date; the registry’s history has gaps, so older matches can be wrong. Compare the reported make and model.

Flight crew · 2

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
54
Injuries
None
Certificates
Flight instructor, Airline transport, Flight engineer
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Last flight review
August 28, 2007
Seat
Left
Flight hours
14,500 total · 4,950 in this make and model
Role
Co-pilot
Age
40
Injuries
None
Certificates
Commercial, Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Seat
Right
Flight hours
5,000 total · 2,290 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
310° at 14 knots, gusting 16
Visibility
10 statute miles
Lowest ceiling
5,500 ft overcast
Temperature
27 °F, dew point 12 °F
Altimeter
30.04 inHg

Docket · 4

The files NTSB released with the investigation on May 3, 2011, on NTSB’s docket system: statements, records, photos and specialists’ reports. 4.3 MB in all.

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.