ENG06IA001

NTSB incident investigation · Cessna Citation 650 · Madison, WI · October 9, 2005

Incident · No injuriesIncident investigationFinal report
Date
October 9, 2005, 16:30 local (21:30 UTC)
Place
Madison, WI
Injuries
6 uninjured
Damage
Minor damage
Phase of flight
Enroute
Aircraft
N175DPCessna Citation 650
Weather
Visual (VMC)
Status
Completed · report February 28, 2008
Report
Approved by Office Director
NTSB office
Aviation Engineering Division
Case key
62679

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

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

The inadequate design of the engine's interstage transition duct that yielded after the LPT stage 3 blades had separated and allowed the uncontained release of turbine debris. A contributing factor was the separation of a turbine blade.

Analysis

The airplane was in cruise flight when the pilots heard a bang and the left engine lost power. The flight crew made a precautionary landing without incident. An examination of the left engine revealed a hole in the bottom of the cowling, and the LPT 3rd stage blades were broken. Metallurgical examination of the broken blades identified one that had fatigue progressions. By part number, the broken blades had previously been identified as having high stresses that could lead to the separation of the blade through the airfoil section. The interstage transition duct was bulged out around the LPT 3rd stage and had an almost 180 degree split in the bulged out section at the bottom of the duct. The metallurgical examination of the case and its material revealed that it conformed to engineering drawing requirements and material specifications.

Factual narrative

The factual narrative432 words

History of flight

On October 9, 2005, about 1630 central daylight time, a Cessna Citation 650 airplane, N175DP, operated by Marshall & Ilsley Corporation, experienced a loss of power and uncontained release of turbine material from the left engine, a Honeywell TFE731-4R-2S, while the airplane was in cruise flight at FL 380. The pilots heard a loud bang followed by a loss of power from the left engine. The airplane diverted to Madison, Wisconsin and landed without further incident. After landing at Madison, a hole was noted in the bottom of the left engine's cowling and there were numerous nicks and dents to the baggage door and the left side of the rudder. Daytime visual meteorological conditions prevailed. The airplane was operating on an instrument flight rules flight plan under the provisions of 14 CFR Part 91 from Milwaukee, Wisconsin to Van Nuys, California. The two pilots and four passengers were not injured.

The disassembly of the engine revealed that most of the low pressure turbine (LPT) 3rd stage blades were broken about 2 ¾-inches above the base with a few broken about 2 ½-inches above the base. The aft portion of the interstage transition duct, which surrounds the LPT 3rd stage blades, was bulged out 360 degrees around and the bottom half of the duct had a 20-inch long circumferential split in the bulged out area.

Test and research

The metallurgical examination of the LPT 3rd stage blades, part number (PN) 3060690, revealed one blade that had faint fatigue progressions from the leading edge. On August 12, 2004, Honeywell had issued Service Bulletin (SB) TFE731-72-3691 regarding PN 3060690 LPT 3rd stage blade separations. The SB stated that there had been separations of the PN 3060690 blades due to high stress levels. The SB further stated that the blade separations had led to several in-flight shutdowns, and that the PN 306090 blades should be replaced with PN 3060788-1 LPT 3rd stage blades at the next airframe Phase 8 inspection, or the next major periodic inspection or compressor zone inspection, or the next time the LPT tierod was unstretched, whichever came first. At the time the blade separation occurred, the incident engine had not yet reached any of the milestones defined in the SB.

The metallurgical examination of the interstage transition duct revealed much of the fracture surface had been smeared, but the undamaged portions of the fracture surface were indicative of shear overload. The metallurgical examination also revealed the thickness of the duct conformed to the engineering drawing requirements and that the material composition, hardness, and grain size conformed to the specification.

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/malfCruise - normal
Turbine assembly,turbine blade - separationFactor
Acft/equip,inadequate designManufacturerCause
Turbine assembly,casing - failureCause

Aircraft

Registration
N175DP
Reported as
Cessna Citation 650
Category
Airplane
Serial number
650-7116
Engines
Honeywell TFE731-4R-2S, 4,080 lbs thrust, turbo fanHoneywell TFE731-4R-2S, 4,080 lbs thrust, turbo fan
Damage
Minor damage
Flight
Executive/Corporate · Part 91
Operator
Marshall & Ilsley Corporation, doing business as Marshall & Ilsley Bank
Registered owner
MI Lease
Airworthiness certificate
Standard, Normal
Departed
MKE · Milwaukee, WI
Destination
VNY · Van Nuys, CA
Flight plan
IFR

Flight crew · 2

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
44
Injuries
None
Certificate
Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Last flight review
March 1, 2005
Seat
Left
Flight hours
8,500 total · 4,500 in this make and model · 7,200 as pilot in command · 100 in the last 90 days · 30 in the last 30 days · 1 in the last 24 hours
Role
Co-pilot
Age
41
Injuries
None
Certificate
Airline transport
Airplane ratings
Single-engine sea, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Without waivers/limitations
Last flight review
March 1, 2005
Seat
Right
Flight hours
9,700 total · 875 in this make and model · 8,200 as pilot in command · 80 in the last 90 days · 28 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC)