SEA96LA073

NTSB accident investigation · Cessna 500 · Salt Lake City, UT · April 1, 1996

Accident · No injuriesLimited investigationFinal report
Date
March 31, 1996, 17:30 local (Apr 1, 1996, 00:30 UTC)
Place
Salt Lake City, UT
Injuries
7 uninjured
Damage
Substantial damage
Phase of flight
Takeoff
Aircraft
N727TKCessna 500
Weather
Visual (VMC) · Day
Status
Completed · report August 21, 1997
Report
Approved by Office Director
FAA report
19960331007529A
Case key
42349

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

fatigue failure of the engine compressor impeller. Inadequate quality control by the manufacturer was a related factor.

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/malfTakeoff
Compressor assembly,impeller - fatigueCause
Inadequate quality controlManufacturerFactor

Analysis

The pilot reported that during the takeoff ground roll, a loud 'boom' was heard, and the right engine lost power. The pilot aborted the takeoff and immediately brought the thrust lever to idle power. He stated that as the airplane was turning off of the runway onto a taxiway, the right engine 'blew.' The pilot continued to taxi the airplane back to the fixed base operator. After the airplane was secured, the pilot inspected the right engine and found evidence of an uncontained engine failure. Debris from the right engine had punctured the side of the pressure vessel and damaged the wing. Further inspection revealed the engine impeller had broken into two large pieces. A metallurgical examination of the impeller determined that a fatigue crack had originated from the aft face in the area containing a circumferential groove mark that was produced during machining of the aft face prior to blue etch anodizing.

Factual narrative

On March 31, 1996, approximately 1730 mountain standard time, a Cessna 500, N727TK, registered to and operated by TKA Express as a 14 CFR Part 91 business flight, experienced an uncontained engine failure during the take off ground roll at the Salt Lake City International Airport, Salt Lake City, Utah. Visual meteorological conditions prevailed at the time and an instrument flight rules flight plan was filed. The airplane was substantially damaged, and the private and commercial pilots, and their five passengers were not injured. The flight was destined for Visalia, California.

In written statements prepared by both pilots, they reported that the engine start and all pre-take off checks were completed with no abnormalities noted. The airplane was taxied to runway 35 and held for approximately ten minutes before the tower controller cleared the flight for take off. The first pilot reported that he advanced the thrust levers through 80-81%, when a loud "boom" was heard and the airplane began to shake. The second pilot stated that he looked out the right side window and noticed that the main fan from the right engine had come free and was flying through the air. The second pilot then looked at the right engine gages and noticed that there were no indications. The first pilot reported that he immediately brought the thrust lever for the right engine to idle power. When he was making the turn onto the taxiway to clear the runway, the right engine "blew." The first pilot continued to taxi back to the fixed base operator (FBO) as the second pilot notified the control tower of the situation.

After the engines were shut down and the passengers were deplaned, both pilots inspected the right engine and found that it was smoldering. It was noted that debris from the engine had punctured the side of the pressure vessel and damaged the wing.

Inspection of the engine by a Federal Aviation Administration inspector from the Salt Lake City Flight Standards District Office discovered that the impeller had broken into two large pieces. The impeller was removed from the engine and sent to the National Transportation Safety Board Metallurgical Lab for inspection. During the inspection the metallurgist reported that "a fatigue crack emanated from multiple origins on the aft surface..." The metallurgist further stated that "...this fracture revealed that the immediate fatigue origin area contained mechanical damage that obliterated the original fracture features. However, just off but near the origin the fracture was undamaged and displayed clear evidence of fatigue striations..." Calculations made by the metallurgist to determine the number of striations, indicates that the fatigue crack propagated a total of 8,066 cycles from the origin to the terminus. The impeller has a limited life of 8,400 flight cycles, after which it must be replaced.

A representative from Pratt & Whitney Canada reported that the impeller is forged, then machined to final shape. After machining, the impeller is blue etch anodized to determine if the surfaces "contain metallurgical anomalies." Examination of the impeller indicated that the exposed surfaces did exhibit a blue tint, which is indicative of blue etch anodizing. Further examination revealed that the reduced balance tab area and the holes located on the flange were a gray color typical of the base metal without the blue etch anodizing. The metallurgist reported that "SEM examination of the blue tint surfaces revealed minute pin-hole-like features, whereas, the surface of the reduced balance tab area and holes on the flange contained features typical of a machined surface with no pin-hole-like features."

The Pratt & Whitney representative reported that this impeller was forged in 1975, and machined in 1976. The impeller was installed in the accident engine when the engine was manufactured. The aircraft flight log indicates, as of 3/29/96, total engine cycles of 5,134.

Maintenance records indicate that the aircraft has operated in both the United States and for several years in Mexico. The aircraft was returned to U.S. registry in 1995. The records available to determine the entire history of maintenance performed and the total number of cycles on this engine are incomplete. It was determined that at the time of the accident, the engine had accumulated approximately 3,400 hours since the last overhaul dated in 1980.

Aircraft

Registration
N727TK
Reported as
Cessna 500
Category
Airplane
Serial number
500-0141
Airframe hours
6,714
Engine
P&W JT15D-1A, 2,200 lbs thrust, turbo fan
Damage
Substantial damage
Flight
Business · Part 91
Registered owner
Tka Express
Airworthiness certificate
Standard, Normal
Last inspection
AAIP · February 12, 1996 · 18 hours before
Departed
SLC
Destination
VIS · Visalia, CA
Flight plan
IFR
Airport
SLC · Salt Lake City Intl, runway 35, 9,596 × 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
53
Certificate
Private
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
3,800 total · 700 in this make and model · 3,700 as pilot in command · 30 in the last 90 days · 10 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Visibility
50 statute miles
Lowest ceiling
None
Temperature
50 °F

Docket · 5

The files NTSB released with the investigation on April 29, 1997, on NTSB’s docket system: statements, records, photos and specialists’ reports. 2.3 MB in all.

FAA reports on this event · 1

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