LAX98IA158

NTSB incident investigation · North American NA265-65 · Palm Springs, CA · May 10, 1998

Incident · No injuriesIncident investigationFinal report
Date
May 10, 1998, 12:20 local (19:20 UTC)
Place
Palm Springs, CA
Injuries
8 uninjured
Damage
Minor damage
Phase of flight
Takeoff
Aircraft
N651MKNorth American NA265-65
Weather
Visual (VMC) · Day
Status
Completed · report November 29, 2000
Report
Approved by Office Director
FAA report
19980510013139I
Case key
29968

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

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Probable cause

the fatigue failure and uncontained separation of the high pressure impeller in the No. 2 engine during the takeoff roll. While the impeller showed evidence of a subsurface fatigue origin, the percipient cause of the separation was not definitively determined.

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(partial) - mech failure/malfTakeoff - roll/run
1 engine
Compressor assembly,impeller - fatigueCause
Reason for occurrence undeterminedCause

Analysis

An uncontained engine failure occurred during the takeoff roll. The high pressure centrifugal impeller disk had burst, with one chunk exiting through the engine cowling. The melt and forging records for the disk were reviewed and met the required specifications, including alloy chemistry. Metallurgical examination of the disk revealed subsurface primary and secondary fatigue cracks near an area that had been reworked to remove LCF stresses in accordance with a Service Bulletin. The cracks were located opposite of each other in the seal relief undercut area. The primary fatigue origin was below the shot-peened surface near a high stress area and the secondary fatigue origin remained subsurface, with the propagation of both cracks running parallel to the surface until overload separation. The primary fracture surface could not be definitively analyzed due to plasticity and the presence of an oxide layer. No melt, forging-related or heat-treating defects were found in the vicinity of the fatigue origins; however, subsurface LCF was present. No significant hardness difference was found either in or away from the fatigue origins. There was no evidence of a subsurface occlusion. A physical resemblance between the fatigue origin and the zones of crystallographically aligned phase (texture zones) was observed in the microstructure. The shape and orientation of the origin macrostructure and/or texture may have been a contributing factor to crack initiation; however, no precipitating event or cause for the fatigue initiation was identified. Analysis reverified the Service Bulletin rework specifications, confirming that residual stress was negligible at the depth of crack initiation.

Factual narrative

On May 10, 1998, at 1220 hours Pacific daylight time, a Rockwell International Sabreliner NA265-65, N651MK, experienced an uncontained engine failure during takeoff roll at Palm Springs, California. The aircraft sustained minor damage; however, neither the pilot, copilot, nor any of the six passengers on board were injured. The aircraft was being operated as a corporate transportation flight by the Mallinckrodt Group, Inc., under 14 CFR Part 91 at the time of the incident. The flight was originating from the Palm Springs Regional Airport at the time with a destination of St. Louis, Missouri. Visual meteorological conditions prevailed at the time and an IFR flight plan had been filed.

The aircraft was accelerating through 70 knots on runway 31L during the takeoff roll when a loud bang was heard and the aircraft lost power. The pilot immediately performed a rejected takeoff and brought the aircraft to a stop on the runway.

A postaccident inspection conducted by Federal Aviation Administration airworthiness inspectors revealed evidence of an uncontained failure of the No. 2 engine. The high-pressure centrifugal impeller disk (P/N 307 3394-1) (S/N 7-23365-1482) had burst, with a chunk exiting through the engine cowling at the 1:30 away from fuselage (ALF) position. Evidence of flying debris was also visible on the aft fuselage and the horizontal stabilizer.

The disk had fractured into three pieces with one piece (3.4 pounds) being thrown from the aircraft. This piece was recovered during a runway sweep conducted by the engine manufacturer on May 16, 1998. The remaining two pieces (7.2 and 5.7 pounds) were found in the engine. The engine and all three pieces were shipped by certified carrier to the manufacturer's facility in Phoenix, Arizona, for examination under the supervision of the Safety Board investigator.

During the investigation, manufacturing records from the firms involved in processing the impeller were examined. The 8-inch diameter forging stock from which the impeller came was produced by Timet in Henderson, Nevada, in December 1977. The double (VAR) melt process was used and identified as heat code P2842. The impeller was then forged by Wyman Gordon in Harvey, Massachusetts, in December 1977 (forging S/N 7-23365-1482). It was 1 of 46 pieces from the forging lot (heat code P2842). A type II stringer (an aluminum Alpha defect) was found in the top of the billet, and the top 24 inches was removed. The forging chemistry met the titanium (Ti-6242) alloy specification requirements.

After manufacture, the disk, P/N 3072639-1, accumulated 3,038.12 hours and 3,251 cycles prior to being reworked in 1982 due to the identification of a life limiting region in a double radius located at the No. 5 seal relief outside the diameter bore area. The work was done in accordance with Service Bulletin TFE 731-72-3239RWK that directed the rework of the seal relief surface to reduce low cycle fatigue (LCF) stresses. At that time, the disk was zero-timed (TSN=0), reidentified as P/N 3073394-1, and given a life of 10,000 cycles.

The disk was reinstalled in November 1982, and accumulated another 3,408.5 hours and 3,537 cycles before it was removed in December 1988. It was installed in the accident engine (S/N 83252) and accumulated an additional 3,294.7 hours and 2,292 cycles at the time of the failure. The time on the impeller at separation was 6,703.2 hours and 5,829 cycles. The cumulative totals on the life of the disk were 9,741.32 hours and 9,080 cycles.

The engine manufacturer estimated that about 7,310 disks have gone into service since manufacturing began in 1972. Of these disks, 3,500 are of new design and do not require rework. There are 2,010 disks that have been subject to rework since September 18, 1982, and have had their P/N's changed to 3073393 and 3073394. The remaining 1,800 disks have not been reworked. The engine manufacturer recomputed the disk design and the rework specifications and made an overlay comparison of the old design on the rework design. This was done in order to evaluate the actual amount of material removed, and to aid in confirmation of the original stress analysis. Residual stress measurements in the seal relief area indicated that the shot peening had been done properly and that residual stress was negligible at the depth of crack initiation. The manufacturer concluded that the rework dimensions were within intended limits and had not been a factor in the failure.

A metallurgical examination conducted by the engine manufacturer, and under the supervision of a Safety Board investigator, revealed subsurface primary and secondary fatigue cracks near the rework area. The cracks were located about 180 degrees in opposition to each other in the seal relief undercut area. The primary fatigue origin measured 0.020 by 0.067 inches, had propagated to the surface, and was oil soaked. The origin was about 0.025 inches below the shot-peened surface near a high stress area. The final fatigue thumbnail had propagated to 0.90 by 1.50 inches before ultimate failure. A striation count was performed which indicated a total of 3,500 resolvable striations on the fracture surface. The secondary fatigue origin measured 0.030 by 0.060 inches and was followed by an overload separation. No striations were resolvable on the secondary fracture. In both origins, crack propagation was found to run parallel to the surface.

The alloy chemistry, the hardness, and the grain structure (Alpha/Beta) were verified and no cold dwell effects (hydrogen embrittlement) basal plane texturing were observed at either fatigue origin, although minor prism texturing was present in the vicinity of the secondary fracture. The bulk of the interstitial element content was within specified limits. There was no significant difference in hardness in, or away from, the fatigue origins. The primary fracture surface could not be definitively analyzed due to plasticity and the presence of an oxide layer. There was no evidence of a subsurface occlusion.

The microstructure indicated that no melt, heat treating, or forging-related defects existed in the vicinity of the fatigue origins. There was noted a physical resemblance between the fatigue origin and the zones of crystallographically aligned phase (texture zones) in the microstructure.

After removal of the fracture surfaces, three impeller pieces were blue etch anodized and fluorescent penetrant inspected. No additional cracks or anomalies were found.

Southwest Research Institute in San Antonio, Texas, conducted scanning electronic microscope (SEM) and transmission electron microscope (TEM) examinations. The examinations revealed LCF initiating approximately 0.015 to 0.027 inches subsurface. The manufacturer stated that the shape and orientation of the origin suggest macrostructure and/or texture may have contributed to crack initiation. The appearance of the fracture was not typical of previously observed titanium fractures.

Aircraft

Registration
N651MK
Reported as
North American NA265-65
Category
Airplane
Serial number
465-73
Airframe hours
7,183
Engine
Garrett TFE 731-3R-1D, 3,700 lbs thrust, turbo fan
Damage
Minor damage
Flight
Executive/Corporate · Part 91
Registered owner
Mallinckrodt Group Inc.
Airworthiness certificate
Standard, Transport
Last inspection
Continuous airworthiness · March 29, 1998 · 68 hours before
Departed
PSP · CA
Destination
STL · St Louis, MO
Flight plan
IFR
Airport
PSP · Palm Springs Regional, runway 31L, 8,500 × 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

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
36
Certificates
Commercial, Flight instructor, 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
8,494 total · 2,316 in this make and model · 6,110 as pilot in command · 115 in the last 90 days · 75 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
320° at 13 knots, gusting 20
Visibility
10 statute miles
Lowest ceiling
None
Temperature
73 °F, dew point 43 °F
Altimeter
29.00 inHg
Observed at
PSP

FAA reports on this event · 1

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