DFW05IA222

NTSB incident investigation · Air Tractor AT-401 · Winnie, TX · August 19, 2005

Incident · No injuriesIncident investigationFinal report
Date
August 19, 2005, 11:00 local (16:00 UTC)
Place
Winnie, TX
Injuries
1 uninjured
Damage
Minor damage
Phase of flight
Initial climb
Aircraft
N4545WAir Tractor AT-401
Weather
Visual (VMC) · Day
Status
Completed · report July 31, 2006
Report
Approved by Office Director
Parties
FAA/FSDO
FAA report
20050819020459I
Case key
62319

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 loss of engine power due to the failure of the second-stage turbine wheel as a result of low cycle fatigue.

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/malfTakeoff - initial climb
Maintenance,recordkeeping - information insufficient
Turbine assembly,turbine wheel - separationCause
Turbine assembly,turbine wheel - fatigueCause
Forced landingEmergency descent/landing
On ground/water encounter with terrain/waterEmergency landing
Terrain condition - ground

Analysis

The 18,950-hour commercial pilot reported that that shortly after departure the "engine blew" and he executed a forced landing to a field, and the airplane received minor damage. Examination of the turbine engine revealed that it had experienced an uncontained separation of the second-stage turbine disk as a result of low cycle fatigue. No evidence of deep scratches or gouges were observed on the bore surface or on the forward and aft face of the disk. A review of maintenance records revealed that the engine had been previously installed on an aircraft that was registered in a foreign country, and the maintenance records were not complete. When the operator purchased this engine, he informed the facility that performed his engine maintenance that the second-stage turbine rotor was installed on the engine in 1992 with a total of 730 cycles. The maintenance facility then produced a new life-limit card for the second stage turbine disk. Based on this data, the disk had accrued a total of approximately 1,738 cycles at the time it failed. The rotor had an FAA approved life-limit of 5,400 cycles. However, according to the production records from the manufacturer of the engine, the second-stage turbine rotor had originally been shipped with zero hours and cycles in another, new production engine on January 24, 1973, making the part 33 years old.

Factual narrative

On August 19, 2005, approximately 1100 central daylight time, a single-engine Air Tractor AT-401 agricultural airplane, N4545W, sustained minor damage during a forced landing to a field shortly after take off from the Chambers County-Winnie Stowall Airport (T90), near Winnie, Texas. The commercial pilot, sole occupant of the airplane, was not injured. The airplane was registered to and operated by Twin County Air Ag Incorporated, of Winnie, Texas. No flight plan was filed for the flight destined for the Wharton Regional Airport (ARM), near Wharton, Texas. Visual meteorological conditions prevailed for the positioning flight conducted under 14 Code of Federal Regulations Part 91.

In a written statement, the 18,950-hour pilot stated that he departed Runway 17 and initiated a climbing turn to the southwest. When the airplane reached an altitude of 150 to 200 feet above the ground, he reduced power and the "engine blew." The pilot executed a forced landing to an open field adjacent to the airport.

The Honeywell TPE-331-2-201 turbine engine (serial number P-90315) was examined at the manufacturer's Investigation Laboratory, near Phoenix, Arizona, on October 13, 2005, under the supervision of a representative of the Federal Aviation Administration (FAA). Examination of the engine revealed an uncontained separation of the second-stage turbine disk. Three sections of the disk and four separated blades were submitted for material analysis. According to Honeywell's report, the fractured surfaces were examined optically and in a scanning electron microscope (SEM). Fracture features typical of low cycle fatigue were found emanating from the bore of the second-stage turbine disk and extended radially up to 0.82-inches into the disk. Low cycle fatigue also emanated from rotor rivet holes; however, the fatigue features in the rivet holes extended only 0.07-inches radially into the disk and were not considered primary to the disk separation. No evidence of deep scratches or gouges were observed on the bore surface or on the forward and aft face of the disk. A Senior Metallurgist from the National Transportation Safety Board reviewed Honeywell's report and concurred with their findings.

An FAA inspector, who reviewed the engine's maintenance records, reported that the engine had been previously installed on an aircraft that was registered in a foreign country. The maintenance records were not complete. When the operator purchased the engine, he informed the facility that performed his engine maintenance that the second-stage turbine rotor was installed on the engine in 1992 and had accrued a total of 730 cycles. The maintenance facility then produced a new life-limit card for the second stage turbine wheel. Based on this data, the wheel had accrued a total of approximately 1,738 cycles at the time it failed. However, according to Honeywell production records, the second-stage turbine rotor had originally been shipped with zero cycles in another, new production engine on January 24, 1973. The rotor had an FAA approved life-limit of 5,400 cycles.

Aircraft

Registration
N4545W
Reported as
Air Tractor AT-401
Category
Airplane
Serial number
401-0790
Engine
Garrett TPE-331-2-201, 715 horsepower, turbo prop
Damage
Minor damage
Flight
Positioning · Part 91
Registered owner
Twin County Air Ag, Incorporated
Airworthiness certificate
Special, Restricted (Special)
Last inspection
Annual · April 1, 2005
Departed
T90 · Winnie, TX
Destination
ARM · Wharton, TX
Airport
T90 · Winnie/Stowell Airport

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
52
Injuries
None
Certificate
Commercial
Airplane ratings
Single-engine land
Medical
Class 2, With waivers/limitations
Last flight review
January 1, 2004
Seat
Front
Flight hours
18,950 total

Weather

Conditions
Visual (VMC) · Day
Wind
220° at 6 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
91 °F, dew point 75 °F
Altimeter
30.04 inHg
Observed at
BOT, 23 nm away

FAA reports on this event · 1

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