MIA91IA091

NTSB incident investigation · British Aerospace BAE-146-200 · Jacksonville, FL · March 2, 1991

Incident · No injuriesIncident investigationFinal report
Date
March 2, 1991, 14:45 local (19:45 UTC)
Place
Jacksonville, FL
Injuries
5 uninjured
Damage
Minor damage
Phase of flight
Enroute
Aircraft
CGRNUBritish Aerospace BAE-146-200
Weather
Instrument (IMC) · Day
Status
Completed · report March 31, 1993
Report
Approved by Office Director
Case key
32772

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

Inadequate engine performance in the designed airplane flight envelopes.

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) - nonmechanicalCruise - normal
2 engines
Bleed air system - inadequateCause
Acft/equip,inadequate designManufacturerCause
Precautionary landing - performedPilot in command

Analysis

The flight crew experienced the partial power loss of three of four engines while in cruise flight. The airplane was operating in icing conditions with all airplane anti ice systems on. The flight passed through an area of rapidly warming air and the engine bleed bands were open and could not be closed with throttle movement. The crew shut down two engines to prevent overtemp conditions and reduced one to idle. They declared an emergency and diverted to an airport nearby. Subsequent testing of a like airplane revealed that the engine design was such that when operating at high altitude with all anti ice systems 'on' the bleed air valves could not be closed with normal procedures. The manufacturer subsequently developed a modified checklist to correct for this situation.

Aircraft

Registration
CGRNU
Reported as
British Aerospace BAE-146-200 (BAE-146-20)
Category
Airplane
Serial number
205
Engine
Lycoming ALF-502-R, turbo fan
Damage
Minor damage
Flight
Part 129
Operator
Air Nova
Airworthiness certificate
Standard, Transport
Departed
KMIA · Miami, FL
Destination
LYHZ · Halifax, OF
Flight plan
IFR

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
30
Certificate
Airline transport
Airplane ratings
Multi-engine land
Instrument ratings
Airplane
Medical
Unknown, Unknown

Weather

Conditions
Instrument (IMC) · Day
Wind
130° at 4 knots
Visibility
2 statute miles
Lowest ceiling
3,000 ft overcast
Temperature
57 °F, dew point 57 °F
Altimeter
29.00 inHg
Observed at
JAX, 15 nm away