ENG14IA011

NTSB incident investigation · Raytheon 400A · Rochester, NY · March 13, 2014

Incident · No injuriesIncident investigationFinal report
Date
March 13, 2014, 10:20 local (15:20 UTC)
Place
Rochester, NY
Injuries
7 uninjured
Damage
Minor damage
Phase of flight
Initial climb
Aircraft
N193BJRaytheon 400A
Defining event
Initial climb: Powerplant sys/comp malf/fail
Weather
Visual (VMC) · Day
Status
Completed · report March 27, 2017
Report
Approved by Office Director
NTSB office
Aviation Engineering Division
FAA report
20140313004209A
Case key
89169

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 probable cause of the uncontained No. 2 engine failure on the Raytheon Beechjet 400A was a herring gull birdstrike that resulted in fan blade contact with the inlet case and rub induced excitation of a previously unidentified natural frequency (resonance) within the engine operating range.

Findings · 1

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings.

Analysis

The No. 2 engine sustained a herring gull bird strike during takeoff climb from Rochester International Airport- Rochester, NY. The impact from the birdstrike resulted in contact between the fan and inlet case that separated eleven (11) of the nineteen (19) fan blades and subsequently led to the failure of the No. 1 bearing housing, and a midshaft fracture of the low pressure turbine shaft. Materials analysis on recovered fan blade fragments determined that all separated blades failed due to overload and no evidence of fatigue was identified. A series of modal tests including: tap hammer, high energy shaker, and computer model simulation were conducted at the system and component level. The tests identified a four nodal diameter coincidence at about 72% N1 speed. When sufficient energy is imparted to the engine fan during a foreign object ingestion event like a birdstrike, it may result in a rub induced excitation and subsequent fan blade separation and catastrophic engine failure.

Factual narrative

The factual narrative902 words

HISTORY OF FLIGHT On March 13, 2014, at about 1020 eastern daylight time, a Raytheon Beechjet 400A, N193BJ, equipped with two Pratt & Whitney Canada (PWC) JT15D-5 engines, experienced a No. 2 (right) engine bird strike shortly after takeoff from Greater Rochester International Airport (ROC), Rochester, New York. The crew declared an emergency, returned to the airport, and made an uneventful landing at ROC. During an inspection of the airplane, extensive damage to the No. 2 engine fan and inlet cowl were observed. The compressor cowl had multiple holes and the right wing had an impact mark forward of the engine inlet case. Several weeks after the event, a blade fragment was found lodged in the roof of a building below the flight path. The airplane was registered to Guardian Pharmacy LLC and was being operated as a 14 Code of Federal Regulations Part 91 flight. INJURIES No injuries were reported to passengers or crew. DAMAGE TO AIRPLANE An on scene examination of the airplane and No. 2 engine cowling were conducted after the incident by the Federal Aviation Administration (FAA) Rochester Flight Standards District Office (FSDO). Minor impact damage was observed on the right wing, forward of the engine inlet. The impacts did not penetrate the outer panel or affect the underlying structure. The No. 2 engine core cowl upper inboard and outboard halves were separated along the forward flange and partially separated along the aft flange. The core cowl flange separations allowed the cowl to bend aft and in the outboard direction. The cowling was pulled away from the engine strut but the engine to strut attachment remained intact. Several cowl breaches were observed around the engine, concentrated along the upper half. The inner barrel of the inlet cowl had 360 degree circumferential tearing around the engine, in line with the fan plane of rotation that was completely detached from the inlet case. The external inlet cowl attachment flange was intact. The fuselage had organic debris splatter forward of the No. 2 engine inlet that was consistent with bird remains. TEST AND RESEARCH Engine Disassembly The engine was shipped to the PWC facility in Bridgeport, WV for examination and disassembly. Eleven (11) of the 19 fan blades were found fractured near the blade root. The engine inlet case was separated from the intermediate case where the attachment flange studs were sheared and/or ripped out. A single flange stud and attaching nut was holding the two cases together at the 5 o'clock position. A chunk of the intermediate case was fractured and missing from the 11 to 2 o'clock positions along the inlet case mating flange. Impact damage was observed throughout the low pressure compressor and booster sections of the engine including a fragmented No. 1 bearing housing. The low pressure turbine (LPT) shaft was fractured aft of the high pressure turbine coupling and the LPT fuel shutoff valve was tripped, indicating the LPT was axially displaced in the aftdirection. Metallurgy All nineteen (19) fan blades were shipped to the PWC Materials Lab in Longueuil, Quebec, Canada for examination. Eleven (11) of the 19 blades had transverse fractures near the blade platform. The fracture surfaces of all eleven blades exhibited features consistent with ductile overload with no evidence of fatigue. It could not be determined which blade fractured first. The eight (8) blade airfoils that remained intact all exhibited substantial impact deformation. A band of localized plastic deformation along the same spanwise position, located at approximately the mid-chord and extending over one-third of the chord length on both the suction and pressure sides was also present on all blades. Within the deformation band, surfaces cracks were observed on several blades and it was determined that the damage was consistent with overload. Microstructure examination verified that the material met drawing requirements. Scanning electron microscope (SEM)/energy dispersive x-ray spectroscopy (EDS) analysis of the fan blade material revealed that the major alloying elements were in the correct proportion according to drawing specification. Bird Species Identification Multiple samples of bird feathers and remains (snarge) were sent to the Smithsonian Institute in Washington, DC by the FAA Rochester Flight Standards Division Office, the pilot of the airplane, and the NTSB for species identification. The remains were positively identified to be a herring gull. The average mass of this species is 1085g (2.39lbs). The analysis could not determine if more than one bird was ingested. Modal Testing PWC completed a series of tests to determine the root cause of the dynamic response between the fan and inlet case following the birdstrike event. Modal testing was done at both the component and engine level with tap hammers and high energy shakers. Tests were also conducted to measure the sensitivity of the engine to varying levels of stiffness at the engine to inlet case attachment. Finally, tap hammer testing was performed on a JT15D-5 engine installed on a Beechjet 400A representative of the incident airplane. The testing identified a four nodal diameter coincidence between the fan and inlet case at an N1 speed of about 72%. When energy is imparted to the fan by an event like a birdstrike, it can result in a rub induced excitation and catastrophic engine failure. ADDITIONAL INFORMATION Corrective Actions In response to these findings, PWC is evaluating inlet case damping options to attenuate the identified natural frequency and plans to complete the design change and introduce the modification to the fleet in 2017.

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident.

Aircraft

Registration
N193BJ
Reported as
Raytheon 400A (A)
Category
Airplane
Serial number
RK-193
Built
1998
Engines
P&W Canada JT15D-5, 2,900 lbs thrust, turbo fanP&W Canada JT15D-5, 2,900 lbs thrust, turbo fan
Damage
Minor damage
Flight
Executive/Corporate · Part 91
Operator
Guardian Pharmacy LLC
Registered owner
Guardian Pharmacy LLC
Airworthiness certificate
Standard, Normal
Departed
ROC · Rochester, NY
Airport
ROC · Greater Rochester Intl

Weather

Conditions
Visual (VMC) · Day
Wind
310° at 17 knots, gusting 25
Visibility
9 statute miles
Lowest ceiling
2,400 ft broken
Temperature
12 °F, dew point 1 °F
Altimeter
29.32 inHg
Icing
Unknown
Turbulence
Unknown
Observed at
ROC

Docket · 5

The files NTSB released with the investigation on March 16, 2017, on NTSB’s docket system: statements, records, photos and specialists’ reports. 9.6 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.