LAX87FA128

NTSB accident investigation · British Aerospace BA146-200A · Fresno, CA · February 28, 1987

Accident · No injuriesField investigationFinal report
Date
February 27, 1987, 20:00 local (Feb 28, 1987, 04:00 UTC)
Place
Fresno, CA
Injuries
87 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N356PSBritish Aerospace BA146-200A
Weather
Visual (VMC) · Night/bright
Status
Completed · report November 15, 1989
Report
Approved by Office Director
FAA report
19870227008069A
Case key
25384

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

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Probable cause

Failure of company maintenance personnel to adequately examine the engine lubrication system when contamination was detected.

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
Turboshaft engine,free(power) turbine
Lubricating system,oil magnetic plug - contamination
Lubricating system - contaminationCause
Fluid,oil - contaminationCause
Maintenance - inadequateCompany maintenance personnelCause
Turbine assembly,shaft bearing - failure,totalCause
Turbine assembly,turbine blade - failure,total
Airframe/component/system failure/malfunctionCruise - normal
Fuselage,fairing - penetrated
Fuselage,skin - penetrated

Analysis

The flight was uneventful during takeoff and climb to an assigned cruise altitude of FL260. Approximately 40 minutes after takeoff the number 3 engine experienced an uncontained failure of the turbine blades on the number 4 power turbine wheel. Although debris from the engine penetrated the pressure vessel, the pilot made an unscheduled landing at an airport without further incident. Examination of the engine revealed that ferrous chips were contaminating, and oil was bypassing the engine oil filter for at least 40 days. However, no corrective action was taken by company maintenance personnel. The oil and filter were changed three times in the three months previous to the accident. The exam revealed that the contaminated oil contributed to the failure of the number four turbine bearing subsequently leading to overheating and damage to the overspeed sensors. The turbine oversped and the turbine blades departed the turbine disc.

Aircraft

Registration
N356PS
Reported as
British Aerospace BA146-200A
Category
Airplane
Serial number
E2039
Airframe hours
4,662
Engine
Lycoming ALF502R-5, 6,970 lbs thrust, turbo fan
Damage
Substantial damage
Flight
Part 121
Operator
Pacific Southwest Airlines
Registered owner
Connecticut Nat'L Bank
Airworthiness certificate
Standard, Transport
Last inspection
Continuous airworthiness · February 21, 1987
Departed
LAX · Los Angeles, CA
Destination
RNO · Reno, NV
Flight plan
IFR
Airport
FAT · Fresno Air Terminal, runway 11L, 9,218 × 150 ft, concrete

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
42
Certificates
Commercial, Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
19,592 total · 1,579 in this make and model · 18,000 as pilot in command · 128 in the last 90 days

Weather

Conditions
Visual (VMC) · Night/bright
Wind
10° at 5 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
52 °F, dew point 34 °F
Altimeter
30.00 inHg
Observed at
FAT, 50 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.