ASN Wikibase Occurrence # 248036
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Narrative:Longtail Aviation flight LGT5504, a Boeing 747-412 (BCF), suffered a contained engine failure of the no.1 PW4056 engine. Blade fragments were ejected from the engine, coming down in the village of Meerssen, 2 km past the end of the runway. The engine parts injured two people and damaged property such as houses and cars
|Date:||Saturday 20 February 2021|
Boeing 747-412 (BCF)
|Fatalities:||Fatalities: 0 / Occupants: 3|
|Aircraft damage:|| Minor|
|Location:||over Meerssen, Limburg -
|Phase:|| Initial climb|
|Departure airport:||Maastricht/Aachen Airport (MST/EHBK)|
|Destination airport:||New York-John F. Kennedy International Airport, NY (JFK/KJFK)|
|Investigating agency: ||Dutch Safety Board|
|Confidence Rating:|| Accident investigation report completed and information captured|
The flight crew initially declared a Mayday and subsequently requested vectors for a holding pattern at FL100 to dump fuel.
The flight then diverted to Liège Airport, Belgium, as this airport had a longer runway. A safe landing was made at 17:10 local time, one hour after takeoff from Maastricht Airport.
The investigation into this contained engine failure with the departing engine debris, revealed that the turbine of the number one engine of the aeroplane had failed. This engine –turbine- failure was caused by elevated gas temperatures that existed for an extended period of time in the turbine of the engine causing wear and deformation of outer tranition duct panels. This resulted in one outer transition duct panel coming loose and one being fractured, which subsequently caused severe damage to the turbine. Consequently, engine debris -turbine parts- exited the tail pipe of the engine and came down in the village of Meerssen.
The manufacturer of the engine was aware of the problem with the outer transition ducts coming loose since the nineteen-eighties. To prevent the failure of the outer transition ducts and turbine section, several service bulletins were issued since 1993. Also airworthiness directives were issued to improve the reliability of the outer transition ducts and the safe working of the engine. These improvements concerned among others additional cooling features for the high pressure turbine and the installation of new outer transition duct panels. The investigation revealed that the engine was equipped with those new panels; however, the engine was not modified with the additional cooling features. The lacking additional cooling features were supposed to prevent a too high level of gas temperature. The installation of these cooling features, as adviced by a service bulletin, was not mandatory.
The operator, who had been using the aeroplane in its fleet for three months at the time of the incident, was not responsible for decisions not to embody Service Bulletin 72-462 at the shop visits in 1999 and 2009. Despite this, the operator was not able to present the documented reasoning regarding the non-incorporation of this service bulletin.
Having an adequate record keeping of maintenance documentation enables the operator and its maintenance organisation to make sound risk management decisions about the continuing airworthiness of their aeroplanes. This is crucial for the safe operation throughout the operating life of, in this case, the engine.
https://www.flightradar24.com/data/flights/6t5504/#26debe99 https://flightaware.com/live/flight/LGT5504/history/20210220/1525Z/EHBK/EBLG/tracklog https://www.telegraaf.nl/nieuws/1566523397/vliegtuig-verliest-motoronderdelen-bij-maastricht-aachen-airport https://www.onderzoeksraad.nl/en/page/18344/engine-failure-boeing-747-412bcf-meerssen https://youtu.be/ADQbwVW4Wuo
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|Investigating agency: ||Dutch Safety Board |
|Report number: || |
|Status: ||Investigation completed|
|Duration: ||2 years and 2 months|
|Download report: || Final report|
Photo: Onderzoeksraad voor Veiligheid
||Updated [Time, Departure airport, Destination airport]|
||Updated [Location, Embed code]|
||Updated [Aircraft type, Embed code, Narrative]|
||Updated [Source, Narrative, Category, Photo]|
||Updated [Location, Narrative]|
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