DEN91IA026

NTSB incident investigation · British Aerospace BAE 146-200 · Denver, CO · December 15, 1990

Incident · No injuriesIncident investigationFinal report
Date
December 14, 1990, 21:10 local (Dec 15, 1990, 04:10 UTC)
Place
Denver, CO
Injuries
57 uninjured
Damage
Minor damage
Phase of flight
Enroute
Aircraft
N609AWBritish Aerospace BAE 146-200
Weather
Visual (VMC) · Night/dark
Status
Completed · report December 30, 1992
Report
Approved by Office Director
FAA report
19901214064279I
Case key
18039

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

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Probable cause

The NTSB’s determination of the probable cause, and any contributing factors.

The catastrophic failure of the no.12 blade on the 4th stage turbine wheel, and failure of company maintenance personnel to identify the preexisting crack during maintenance inspection.

Analysis

As the flight was climbing through FL210, the crew heard an explosion and flames were seen coming from the tailpipe of no.3 engine. The engine was secured and the airplane landed uneventfully. Examination revealed an uncontained failure. A preexisting crack was found in the no.12 blade on the 4th stage turbine wheeel. Maintenance records disclosed the wheel had recently undergone a dye penetrant inspection. No cracks were noted. The engine had accrued 99 cycles and 66 hours over a period of 13 days from the time of the last inspection and the time of the engine failure.

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.

Loss of engine power(total) - mech failure/malfClimb - to cruise
Turbine assembly,turbine blade - cracked
Maintenance,aaip/progressive program - not identifiedCompany maintenance personnelCause
Turbine assembly,turbine blade - failure,totalCause

Aircraft

Registration
N609AW
Reported as
British Aerospace BAE 146-200 (BAE 146-20)
Category
Airplane
Serial number
E2070
Engine
Lycoming ALF-502-R-5, 7,000 lbs thrust, turbo fan
Damage
Minor damage
Flight
Part 121
Operator
Air Wisconsin, Inc.
Destination
ASE · Aspen, CO
Flight plan
IFR

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

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
36
Certificates
Flight instructor, Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Flight hours
15,000 total · 2,000 in this make and model · 12,000 as pilot in command · 225 in the last 90 days · 75 in the last 30 days · 5 in the last 24 hours

Weather

Conditions
Visual (VMC) · Night/dark
Wind
Calm
Visibility
20 statute miles
Lowest ceiling
None
Temperature
-0 °F, dew point -0 °F
Observed at
DEN

FAA reports on this event · 1

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

Other investigations on N609AW · 1

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