- Date
- March 6, 2001, 01:00 local (06:00 UTC)
- Place
- Boston, MA
- Injuries
- 4 uninjured
- Damage
- Minor damage
- Phase of flight
- Initial climb
- Aircraft
- N375FEMcDonnell Douglas DC-10
- Weather
- Instrument (IMC) · Night/dark
- Status
- Completed · report August 26, 2003
- Report
- Approved by Office Director
- Parties
- Federal Aviation Administration, Federal Express Corporation, Boeing, General Electric Aircraft Engines
- Case key
- 51870
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 de-ice and preflight inspection procedure of the #2 engine inlet and bellmouth area by company maintenance personnel that resulted in ice ingestion and foreign object damage of the #2 engine.
Analysis
The three-engine jet was parked outside in snowy weather all day. During the 2 hours prior to departure, the airplane was treated three times with de-ice and anti-ice fluid. At takeoff, sparks were observed coming from the #2 (center), tail-mounted engine. No abnormal indications were observed on the engine instruments in the cockpit, but a slight vibration was felt, and the flight crew elected to return to the departure airport. At touchdown, reverse thrust was selected on all three engines and a fire erupted from the #2 engine. Both the flight crew in the airplane, and crash/fire/rescue personnel on the ground responded to the fire, and no one was injured. An FAA airworthiness directive mandated that a thorough preflight inspection of the #2 engine inlet and bellmouth area be conducted in icing conditions. The maintenance personnel that performed the de-ice procedure and the preflight inspection, said that a puddle of de-ice fluid was visible in the #2 engine bellmouth area. Post-accident examination of the #2 engine revealed "soft body" damage, consistent with the ingestion of ice, and "hard body" damage, consistent with the ingestion of ice-damaged engine parts. Examination of the airplane revealed that the heated bellmouth drain-line modification that was noted in the logbook, had not been completed.
Factual narrative
The factual narrative1,279 words
History of flight
On March 6, 2001, about 0100 eastern standard time, a McDonnell-Douglas DC-10, N375FE, operated as Federal Express flight 1610, experienced an uncontained (#2) engine failure during takeoff from Boston/Logan International Airport (BOS), Boston, Massachusetts. The three flight crewmembers and one jumpseat passenger were not injured. Instrument meteorological conditions prevailed and an instrument flight rules flight plan was filed for the cargo flight conducted under 14 CFR Part 121.
The Captain prepared a statement that was signed by all three crewmembers. According to the statement:
"After the runway was opened, we had the aircraft anti-iced and taxied to Runway 4R. We accomplished final aircraft configuration approaching the runway and were cleared for takeoff with engine and wing anti-ice on and continuous ignition on. This was the Captain's takeoff. During takeoff roll we felt some vibrations but with cold tires, snow, and runway clutter, we did not feel that was abnormal. There were no abnormal cockpit indications. As we broke ground, tower called that they may have seen "sparks" coming from the number 2 engine. After tower called, we checked again but all cockpit indications were still normal, although we had vibrations from somewhere. The Captain pulled back the number 2 throttle and felt vibrations decrease in intensity. He then felt the start levers but no vibrations were sensed and all engine indications remained normal."
"We elected to declare an emergency and return to BOS. The F/O [First Officer] assumed flying responsibilities while the Captain and Engineer ran the 'One engine inoperative approach and landing checklist' as a precaution. Because there were still no definitive indications of the source of the vibration, we left the number 2 engine at idle and prepared for a CAT II monitored approach to runway 4R."
"On base leg, the Captain noted number 2 engine hydraulic pressure low lights on. We accomplished the phase one action items for 'Hydraulic quantity leak or loss of hyd sys 3 elev off light on'.
"The F/O flew the monitored CAT II to runway 04R and Captain took the aircraft approaching minimums. Winds were approximately 050/22 kts. A normal landing was accomplished."
"The Captain applied brakes and initiated reverse thrust. Simultaneously, the tower and fire trucks said the number 2 engine was on fire. The F/O shut down the number 2 start lever, pulled the number 2 fire handle and discharged one fire bottle while the Captain was stopping the aircraft. The fire department notified us that the fire was still burning, so all fire handles were pulled, all fire bottles were discharged, and the Captain directed an emergency evacuation."
"The Engineer opened the main cabin door and deployed the slide. The winds blew the slide up against the side of the aircraft so the firefighters had to hold it down in order for the crew to evacuate. All four crewmembers (3 operating crew and 1 jumpseater) were unhurt and waited in the fire truck until the emergency was terminated by the fire department."
The accident occurred during the hours of darkness at 42 degrees, 22 minutes north latitude, and 071 degrees, 00 minutes west longitude.
Personnel information
The captain held an airline transport pilot certificate with ratings for airplane multi-engine land. He reported 5,716 hours of total flight experience, 98 hours of which were in the 90 days prior to the accident. The captain stated he had 2,124 hours of flight experience in the DC-10.
The first officer held an airline transport pilot certificate with a rating for airplane multi-engine land. He reported 2,442 hours of flight experience, 134 hours of which were in the 90 days prior to the accident. The first officer stated he had 461 hours of experience in the DC-10.
Aircraft information
The airplane was a 1972 McDonnell Douglas DC 10-10, and it was owned and operated by the Federal Express Corporation. The previous owner/operator was United Airlines. The airplane had 72,372 hours of flight time and 28,470 cycles accrued. The engine installed in the No. 2 (center) position was a General Electric CF6-6D.
According to a McDonnell Douglas Service Bulletin dated April 18, 1976:
"Six operators have reported eight instances of foreign object damage (FOD) to engine 2. Damage occurred during operation in severe cold weather and is attributed to blockage of the inlet ring (bellmouth) drain hose by ice. Blockage of the hose prevents drainage of any accumulated water from the engine inlet ring. Subsequent freezing of the water causes formation of ice, which can be ingested into the engine during engine start, resulting in engine damage. Replacing the existing inlet drain hose with a new hose incorporating a heater will prevent blockage of the hose by ice. Installation of the new hose will assure proper drainage of the inlet ring and minimize the possibility of engine damage."
Examination of the airplane by a Federal Aviation Administration (FAA) inspector revealed that the drain line to the #2 engine inlet ring drain was installed, but the line was not equipped with the heat element. Further, the wiring for the heat element was installed, but was capped off behind the circuit breaker panel.
Examination of the maintenance records revealed that the heated drain-line modification was noted as complete, with no mention of capped electrical wiring.
According to written statements by the personnel who de-iced the airplane, the airplane was de-iced and treated with anti-ice solution three times between 21:52 and 23:48. According to the FAA inspector, a member of the de-icing crew reported that a large puddle of deicing fluid was visible in the #2 engine bellmouth.
Meteorological information
At the time of the accident, the weather reported at Boston/Logan included winds from 010 degrees at 16 knots, gusting to 24 knots. The visibility was 2 miles in fog and snow.
According to the FAA inspector, the airplane was parked outside all day in snowy weather. The snow continued off and on all day, with the airport closing runways periodically for snow removal. "Blizzard" conditions existed around the time of takeoff.
Flight recorders
The digital flight data recorder was examined, data was extracted, and a Safety Board recorder specialist prepared a report on March 13, 2001.
The cockpit voice recorder was reviewed and a Safety Board recorder specialist prepared a transcript on March 20, 2001.
Wreckage and impact information
A Safety Board Powerplants specialist examined the airplane at the scene on March 2, 2001. According to the specialist's report:
"An on-site investigation of the airplane in Boston revealed nicks, dents, and punctures in the No.2 engine inlet duct right-hand side, from the aft looking forward (ALF), forward of the front face of the engine. The bellmouth and inlet adapter ring were completely missing. The left-hand side of the fan cowl had a burn-through at the 9 o'clock position. Two stage-1 fan blades had transverse separations below the mid-span shroud.
All of the stage-1 fan blades exhibited both soft and hard body foreign object damage. The forward fan case had a tear in the plane of the stage 1 blades at the 4 o'clock position. All of the forward outer acoustic panels and stage-1 fan abradable shroud material were missing. The fan outlet guide vanes were separated from the inner acoustic panels. The No. 2 engine main fuel supply line and the No. 2 aircraft hydraulic pressure line were severed."
"The weather in Boston prior to departure was reported as rain, sleet, and snow. The aircraft was deiced at 2130 and again at 2345 hours. The delay between the two deicings was due to the runway being closed for snow removal. As required, an inlet inspection of the No. 2 engine was performed following the deicing to assure that there were no accu
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.
Aircraft
- Registration
- N375FE
- Reported as
- McDonnell Douglas DC-10
- Category
- Airplane
- Serial number
- 46613
- Airframe hours
- 72,372
- Engines
- GE CF6-6D, 40,000 lbs thrust, turbo fanGE CF6-6D, 40,000 lbs thrust, turbo fanGE CF6-6D, 40,000 lbs thrust, turbo fan
- Damage
- Minor damage
- Fire
- On-Ground
- Flight
- Part 121
- Registered owner
- Federal Express Corp
- Airworthiness certificate
- Standard, Transport
- Last inspection
- Continuous airworthiness · February 25, 2001 · 35 hours before
- Departed
- BOS · Boston, MA
- Destination
- MEM · Memphis, TN
- Flight plan
- IFR
- Airport
- BOS · Boston Logan, runway 04R, 10,005 × 150 ft, asphalt
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 · 3
As NTSB recorded them. NTSB leaves out names.
- Role
- Pilot
- Age
- 59
- Injuries
- None
- Certificate
- Airline transport
- Airplane ratings
- Multi-engine land
- Instrument ratings
- Airplane
- Medical
- Class 1, Valid Medical--no waivers/lim.
- Last flight review
- March 1, 2001
- Seat
- Left
- Flight hours
- 5,762 total · 2,124 in this make and model · 98 in the last 90 days
- Role
- Co-pilot
- Age
- 45
- Injuries
- None
- Certificate
- Airline transport
- Airplane ratings
- Multi-engine land
- Instrument ratings
- Airplane
- Medical
- Class 1, Valid Medical--no waivers/lim.
- Last flight review
- September 11, 2000
- Seat
- Right
- Flight hours
- 2,442 total · 461 in this make and model · 134 in the last 90 days · 36 in the last 30 days · 1 in the last 24 hours
- Role
- Flight engineer
- Age
- 42
- Injuries
- None
- Certificates
- Flight engineer, Airline transport
- Airplane ratings
- Single-engine land, Multi-engine land
- Instrument ratings
- Airplane
- Medical
- Class 1, Valid Medical--no waivers/lim.
- Seat
- Center
- Flight hours
- 1,434 total
Weather
- Conditions
- Instrument (IMC) · Night/dark
- Wind
- 10° at 16 knots, gusting 24
- Visibility
- 2 statute miles
- Lowest ceiling
- 1,900 ft broken
- Temperature
- 28 °F, dew point 28 °F
- Altimeter
- 29.55 inHg
- Observed at
- BOS
Other investigations on N375FE · 1
Matched to the same aircraft by N-number and date.