# NTSB LAX94IA018: Airbus Industrie A-300-605R, N41063, Los Angeles, CA, October 19, 1993 - Type: NTSB incident investigation - Classification: Incident · No injuries · Incident investigation · Final report - Date: October 19, 1993, 10:01 local (17:01 UTC) - Place: Los Angeles, CA - Location: 33.8412° N, 118.4756° W: Placed by OpenAirDocs from NTSB’s distance and direction from LOS ANGELES INTL (LAX), within about 2 miles (OpenAirDocs) - Nearby events: https://openairdocs.org/map.md?lat=33.8412&lon=-118.4756&mi=10 - Phase of flight: [Enroute](https://openairdocs.org/ntsb-phases/400) (OpenAirDocs' grouping) - Highest injury: No injuries - Injuries: 86 uninjured - Status: Completed, report September 26, 1994 - Report: Approved by Office Director - NTSB case key (mKey): 28557 - NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=LAX94IA018 - NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/28557/pdf - Page: https://openairdocs.org/ntsb/LAX94IA018 ## Probable cause a separation of the number 6 stage high pressure compressor disk for an undetermined reason. ## Sequence of events In NTSB's coding before 2008 (https://www.ntsb.gov/GILS/Documents/codman.pdf). - Loss of engine power(total) - mech failure/malf, climb - 1 engine - compressor assembly,rotor disc - separation (cause) - reason for occurrence undetermined ## Analysis FOLLOWING TAKEOFF, THE AIRPLANE WAS CLIMBING THROUGH 6,200 FEET MSL OVER THE OCEAN WHEN THE CREW HEARD A LOUD BANG AND THE NUMBER ONE ENGINE FIRE ANNUNCIATOR LIGHT ILLUMINATED. THE ENGINE POWER DECREASED TO ZERO. THE ENGINE WAS SECURED AND THE FLIGHT LANDED WITHOUT FURTHER PROBLEM AT THE DEPARTURE AIRPORT. THERE WAS NO FIRE AND THE PASSENGERS DISEMBARKED AT THE TERMINAL GATE. EXAMINATION REVEALED THAT THE ENGINE HAD SUSTAINED AN UNCONTAINED FAILURE OF THE HIGH PRESSURE COMPRESSOR. THE 6TH STAGE DISK OF THE 3-TO-9 COMPRESSOR SPOOL WAS MISSING COMPLETELY FROM THE ENGINE. THE AIRPLANE RECEIVED MINOR DAMAGE. SIMILAR DISK FAILURES HAVE BEEN ATTRIBUTED TO A PHENOMENON KNOWN AS DWELL TIME FATIGUE. THIS MAY OCCUR WHEN TITANIUM CRYSTALS FORM INTO MICROSTRUCTURE COLONIES DURING THE FORGING AND MANUFACTURING PROCESS. THE DISK HAS NOT BEEN RECOVERED AND THE EXACT FAILURE MODE HAS NOT BEEN DETERMINED. ## Factual narrative History of the Flight On October 19, 1993, at 1001 hours Pacific daylight time, an Airbus A-300-605R, N41063, experienced an uncontained engine failure during climb-out from Los Angeles International Airport, Los Angeles, California. The airplane was being operated as a scheduled domestic passenger flight to Miami, Florida, under Title 14 CFR Part 121, when the incident occurred. The airplane, operated by American Airlines as flight number 915, received minor damage to the fuselage. Two flight crew members, both certificated airline transport pilots, 8 cabin crew members, and 76 passengers were not injured. Visual meteorological conditions prevailed. The flight departed Los Angeles at 0959 hours. The pilot reported that after departure from runway 25R, about 6,000 feet mean sea level (msl), a loud bang was heard followed by "engine fire" and "reverser unlocked" annunciator lights in the number one engine. The number one engine instruments decreased to zero. The pilot discharged the number one engine fire extinguisher and declared an emergency. The first officer, who was flying the airplane at the time, proceeded to return and land on runway 25R at Los Angeles. There was no evidence of fire. The passengers disembarked the airplane at the terminal gate. Aircraft Information The airplane had accumulated a total time in service of 13,905.07 flight hours and 5,515 cycles since being delivered on February 2, 1989. The most recent inspection, a phase B check, was accomplished on September 24, 1993, 175 flight hours and 72 cycles before the incident. The number one engine had accrued 1,328 hours and 520 cycles since April 30, 1993, when the engine was installed on the airplane. The most recent engine inspection was accomplished during the latest phase B check listed above for the airplane. The engine's 3-to-9 compressor spool had accrued 11,094 hours and 4,404 cycles since new. Compressor rotor blades (airfoils) are attached to the compressor spool in stages (rows) that rotate between alternating stages of fixed (stator) vanes. Air, taken into the engine through the fan section, passes through successive stages of compressor rotor blades and compressor stator vanes, being compressed as it passes from stage to stage through 14 stages of blades. The 3-to-9 compressor spool is a one piece forging that was originally produced from a 13-inch billet of titanium. Flight Recorders The airplane's digital flight data recorder (DFDR) provides aircraft and engine parameters that are recorded by sample numbers within the recorder. The DFDR sample number 90793 at 1001:50 hours indicated that the airplane was climbing through 6,203 feet msl, at 241 knots, on a 197 degree magnetic heading. Beginning at sample number 90794, also recorded at 1001:50 hours, the number one engine fan speed (N-1) suddenly decreased to flight idle and the engine parameters decreased to near zero within 10 seconds. The engine event occurred over the Pacific Ocean about 8 miles west of the Los Angeles airport. During the initial readout of the DFDR data, performed by the operator, it was noted that the recorder lost data synchronization at or near the time of the number one engine failure, and some data was not recovered. The DFDR tape was sent to the National Transportation Safety Board's recorder laboratory where additional, but not all, data was recovered. An examination of the DFDR tape was then conducted at the Transportation Safety Board of Canada (TSB) where the remaining data was recovered. Wreckage and Impact Information Safety Board investigators examined the airplane at the operators maintenance facility on October 19 and 20, 1993. The airplane received damage to the left side of the aircraft. A large quantity of nicks and gouges were visible along the inboard leading edge slat, underside of the inboard section of the left wing, and along the left side of the fuselage from the wing root aft to about the lower navigation light. The 8th stage check valve and a small portion of compressor section airfoil from the number one engine were found embedded in the left side of the ram air turbine fairing. The wing and fuselage were not punctured by any debris. Examination of the number one engine revealed that the right side of the engine's high pressure compressor case was ruptured in an outward direction. An 8-inch wide hole was oriented circumferentially from about an 11 o'clock position around the right side to about a 3 o'clock position. Engine ducting, tubing, and hardware were separated or bent outward in areas adjacent to the compressor case opening. The lower right side of the compressor case exhibited an outward bulge. Examination of the compressor section revealed that the 6th stage segment of the 3-to-9 stage compressor spool was missing entirely from the engine. The engine pylon was not damaged. No metal splattering was visible in the tailpipe. The fan disk and low pressure turbine turned freely. The aft portion of the compressor rotor and the high pressure turbine turned freely. The forward portion of the compressor could not be rotated. There was no evidence of foreign object damage (FOD). The right fan duct inner flow path exhibited about a 12-inch wide hole adjacent to the compressor case rupture. A 34-inch wide section of the right side thrust reverser cowl, oriented circumferentially from about a 12 o'clock position to about a 5 o'clock position, separated from the engine and was not located. The upper thrust reverser cascade segment, oriented on the right side of the engine, was bent upward. The center cascade segment was separated from the cowl and not located. The lower cascade segments were still attached. The lower latches holding the thrust reverse halfs together were found still latched. Beginning on October 26, 1993, Safety Board investigators conducted an engine examination at the engine manufacturers maintenance facility in Ontario, California. The compressor/stator module was separated from the other engine modules. The upper case half of the high-pressure compressor was removed and revealed that the entire 6th stage disk of the compressor rotor (3.329 inches wide) separated at the spacer lands between stage 5 and 6, and at the spacer lands between stage 6 and 7. Compressor rotor blades attached to stage 1 through stage 4 exhibited leading edge damage, trailing edge damage, and blade bending. Stage 5 rotor blades were broken off entirely. Compressor rotor blades in stage 7 and aft received extensive damage including numerous missing blade pieces. The compressor stator inlet guide vanes were bent in a clockwise direction. The inner shrouds of the vanes exhibited rotational damage and removal of large slivers of shroud material. The fan mid-shaft, located through the center of the compressor rotor assembly, exhibited about a 1 and 1/2-by 3-inch circumferential gouge in the plane of the 6th stage disk. Areas of splattering of metal were visible adjacent to the gouge. The mid-shaft also exhibited a bright scoring mark adjacent to the high pressure compressor rear bumper bearing. The engine manufacturer reported that the absence of significant impact damage to the fan mid-shaft and axial cracks in the remaining pieces of the 3-to-9 spool was consistent with a separation of the stage 6 disk due to a bore to rim crack. Disk rim initiated separations have shown damage that goes beyond a single disk in which axial cracks propagate through the spacer arms to adjacent disks. This type of crack was not apparent in this incident. Tests and Research The engine manufacturer reported that the 3-to-9 high pressure compressor spool for this engine was forged from 6-2-4-2 titanium. During the production history of the spool (26 years), it has progressively been forged from one piece 16-inch billets, to one and two piece 13-inch billets, to one and two piece 9-to 10-inch billets. ## Aircraft - Registration: [N41063](https://openairdocs.org/deregistered/N41063-2018-01-19), registration cancelled 2018-01-19, S/N 506, built 1989 (OpenAirDocs) - Reported make and model: Airbus Industrie A-300-605R - Registry model: [Airbus Industrie A300 B4-605R](https://openairdocs.org/model/airbus-industrie-a300-b4-605r) (registry code 3930308) (OpenAirDocs) - Registry engine: [GE CF6-80 series](https://openairdocs.org/engine/ge-cf6-80-series) (registry code 30025, turbo-fan) (OpenAirDocs) - Category: Airplane - Serial number: 506 - Airframe hours: 13905 - Engines: GE CF6-80C2A5 61300 lbs thrust turbo fan - Damage: Minor damage - Flight: Part 121 - Operator: American Airlines - Registered owner: Wilmington Trust Co. - Airworthiness certificate: Standard, Transport - Last inspection: AAIP, September 24, 1993, 175 hours before - Destination: MIA, MIAMI, FL - Flight plan: IFR - Airport: LAX, Los Angeles International ## Flight crew As NTSB recorded them. NTSB leaves out names. - Pilot; age 55; airline transport; airplane ratings: multi-engine land; instrument ratings: airplane; medical: class 1, valid medical--no waivers/lim.; seat: left; flight hours: 20,000 total, 1,800 in this make and model, 200 in the last 90 days, 5 in the last 24 hours ## Weather - Conditions: Visual (VMC), Day - Wind: 190° at 4 knots - Visibility: 10 statute miles - Lowest ceiling: none - Temperature: 73 °F, dew point 54 °F - Altimeter: 30.00 inHg - Observed at: LAX ## FAA reports on this event (1) The FAA's own accident and incident reports, matched to the aircraft by N-number and date (OpenAirDocs). - [Incident 19931019044859I](https://openairdocs.org/incident/19931019044859I), Oct 19, 1993: Airbus A300B4605R, Los Angeles, CA, Minor damage. NR2 engine failed after takeoff. Returned. Landed safely. Found NR6 compressor disk had failed. ## Other investigations on N41063 (2) From the NTSB's public API. Aircraft are matched to registry aircraft by N-number and event date, checked against the reported serial number, make and model; the registry's history has gaps, so older matches can be wrong. Compare the reported make and model. - [NTSB DCA97LA027](https://openairdocs.org/ntsb/DCA97LA027), Feb 6, 1997: Airbus Industrie A-300-600R (N41063), St John Antigua, Antigua & Barbuda, substantial damage. Probable cause: The captain failed to establish and maintain a stabilized approach (or perform a go-around), and applied excessive pitch rotation during the subsequent recovery from a bounced landing, resulting in a… - [NTSB NYC91LA164](https://openairdocs.org/ntsb/NYC91LA164), Jul 2, 1991: Airbus Industrie A-300-605R (N41063), Newark, NJ, no damage. Probable cause: THE INADVERTENT ENCOUNTER WITH IN-FLIGHT TURBULENCE, RESULTING IN SERIOUS INJURIES TO A CREWMEMBER AND A PASSENGER. From the NTSB's public API. Aircraft are matched to registry aircraft by N-number and event date, checked against the reported serial number, make and model; the registry's history has gaps, so older matches can be wrong. Compare the reported make and model. --- OpenAirDocs.org is an independent research project of [Contrail Labs](https://contraillabs.com/). It is not affiliated with the FAA or the NTSB. Source documents are U.S. government works in the public domain.