FTW96IA024

NTSB incident investigation · Aerospatiale ATR-72-212 · Dfw Airport, TX · October 24, 1995

Incident · No injuriesIncident investigationFinal report
Date
October 24, 1995, 15:24 local (20:24 UTC)
Place
Dfw Airport, TX
Injuries
68 uninjured
Damage
Minor damage
Phase of flight
Enroute
Aircraft
N263ATAerospatiale ATR-72-212
Weather
Visual (VMC) · Day
Status
Completed · report July 3, 1996
Report
Approved by Office Director
FAA report
19951024041719I
Case key
19666

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.

'O' ring failure in the fuel line to the left engine nozzle assemblies, which resulted in a fuel line leak and a left engine compartment fire.

Analysis

During normal cruise, the left engine experienced a 20% loss of torque. The crew was informed by company maintenance personnel that they might be experiencing a possible fuel nozzle leak on that engine. The #1 engine fire warning light illuminated, and the fire horn activated. The captain secured the engine and discharged the #1 fire suppression agent. Immediately following the discharge, the associated warning lights on the fire handle and condition lever extinguished. An uneventful single engine landing was completed and the passengers deplaned without further incident. Evidence of thermal damage was found in the aft section of the engine in the area of the lower turbine support case. Examination of the system revealed that 3 of the 144 'O' rings associated with the 14-nozzle fuel system were deteriorated or damaged. Also, during the investigation, testing at the engine manufacturer's facility revealed that the inside diameter of the copper gasket used at the fuel drain nipple was 30 to 40% larger than required. This resulted in misalignment and a leak at the fitting.

Factual narrative

The factual narrative565 words

On October 24, 1995, at 1524 central daylight time, an Aerospatiale ATR 72-212, N263AT, registered to AMR Corporation, and operated by Simmons Airlines as flight 3588, on a Title 14 CFR Part 121 scheduled domestic flight, experienced an inflight fire on the #1 engine while on approach to the Dallas/Ft.Worth International Airport, Texas. The airplane sustained minor damage and there were no injuries to the 4 crewmembers or 64 passengers aboard the airplane. The flight originated in Oklahoma City, Oklahoma, at 1459. Visual meteorological conditions prevailed and an IFR flight plan was filed.

According to the operator, approximately 30 minutes short of the destination, the left engine experienced a 20% loss of torque. The flight crew contacted their maintenance operations center (MOC) and informed them of the cockpit indications they were experiencing. Company MOC informed the crew that they might be experiencing a possible fuel nozzle leak on that engine.

As the captain was discussing the possibility of an engine shut down with the first officer, the #1 fire warning light illuminated and the fire horn was activated. The captain secured the engine, and discharged the #1 fire agent. Immediately following the discharge of the fire suppression agent, the associated warning light in the fire handle and condition lever were extinguished.

At 1554 the airplane landed on Runway 13R at DFW Airport, with emergency equipment standing by. After clearing the runway, and stopping on the high speed taxiway to confirm that there was no engine fire, the airplane taxied to the ramp where the passengers deplaned without further incident.

An inspection of the #1 engine at the ramp did not reveal any thermal damage to the exterior; however, cowling removal revealed physical evidence of thermal damage in the aft section of the engine in the area of the lower turbine support case.

Two flexible fuel drain lines were found fire damaged and replaced. The 14 fuel nozzle assemblies, and the associated 144 "O" rings (Part number ST3367-009) were replaced. One "O" ring on the #3 fuel nozzle was found separated, and two "O" rings on the #12 nozzle were deteriorated. The system was leak tested following reinstallation and no fuel leaks were noted.

Testing at the engine manufacturer facility revealed that the inside diameter of the copper gasket used at the fuel drain nipple (Part Number 3023431) was found to be 30 to 40 percent larger than required. This oversize resulted in misalignment when the fitting is tightened, resulting in leaks.

The engine manufacturer issued service bulletin P&WC S.B. No. 21416 to replace the oversize gasket with one with a smaller inner diameter made of corrugated stainless steel (Part Number 3122594-01). The operator issued a Fleet Campaign Directive (FCD) to modify the affected airplanes.

The engine manufacturer is currently developing a redesigned fuel nozzle/manifold system for all the PW100 series of engines. A copy of their proposed system is enclosed.

According to the operator's maintenance records, the fuel nozzles were last replaced on July 3, 1995, at 6,855 hours. The upper flex line at the overboard drain mast had been previously inspected (boroscope) for blockage/clogging on September 27, 1995, at 7,343 hours, as per the operator's FCD # E2-71-001R2.

A review of the operator's maintenance practices, as well as the installation and inspection procedures involving the fuel distribution system for the PW127 engines were reviewed Federal Aviation Administration inspectors. No anomalies or deviations were found.

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.

Airframe/component/system failure/malfunctionCruise - normal
Fuel system,drain - improper
Fuel system,line fitting - failureCause
Fuel system,line - leakCause
FireCruise - normal
Engine compartment - fireCause
Fire extinguishing equipment - selectedPilot in command
Engine shutdown - performedPilot in command

Aircraft

Registration
N263AT
Reported as
Aerospatiale ATR-72-212 (ATR 72-212)
Category
Airplane
Serial number
263
Airframe hours
7,498
Engine
P&W PW127-TM, 2,750 horsepower, turbo prop
Damage
Minor damage
Fire
In-Flight
Flight
Part 121
Operator
Simmons Airlines, doing business as American Eagle
Registered owner
Amr Leasing Corporation
Airworthiness certificate
Standard, Transport
Last inspection
Continuous airworthiness · October 23, 1995 · 2 hours before
Departed
OKC · Oklahoma City, OK
Destination
DFW · Dallas/Ft Worth, TX
Flight plan
IFR

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
49
Certificates
Commercial, Airline transport
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
19,000 total · 270 in the last 90 days · 3 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
140° at 10 knots
Visibility
30 statute miles
Lowest ceiling
None
Temperature
72 °F, dew point 36 °F

FAA reports on this event · 1

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