Incident Boeing 747-122 N4716U, Tuesday 17 April 1984
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Date:Tuesday 17 April 1984
Time:11:05
Type:Silhouette image of generic B741 model; specific model in this crash may look slightly different    
Boeing 747-122
Owner/operator:United Airlines
Registration: N4716U
MSN: 19877/99
Year of manufacture:1970
Fatalities:Fatalities: 0 / Occupants: 285
Other fatalities:0
Aircraft damage: Substantial, repaired
Location:Hurst, Near Reading -   United Kingdom
Phase: Initial climb
Nature:Passenger - Scheduled
Departure airport:London-Heathrow Airport (LHR/EGLL)
Destination airport:Washington-Dulles International Airport, DC (IAD/KIAD)
Investigating agency: AIB
Confidence Rating: Accident investigation report completed and information captured
Narrative:
The aircraft took off from Heathrow at 1059 hrs on a scheduled flight to Washington. During the initial climb after take-off, the commander heard a thump that sounded to him like an engine stall. No other crew member noticed this thump and, a s all engine and other indications were normal, no reason was found for the noise. At about this time large pieces of engine cowling fell from the aircraft at a point some 12 miles west of Heathrow. At about 15000 feet in the climb, the flight engineer noted that the No 1 hydraulic system contents gauge showed a loss of fluid. Shortly afterwards, he saw that the No 1 engine breather temperature gauge was reading full scale.
He carried out certain checks and, in the absence of any other abnormal indications, concluded that the excessive temperature indication appeared to be an indicator or sensor fault. After following the appropriate procedures in the operating manual and discussing the condition of the aircraft by radio with the company maintenance base at Heathrow, the commander decided to continue the flight with the No 1 hydraulic system shut down. At this stage the flight engineer went aft to inspect the No 1 engine visually. He discovered that a large part of the cowling of the main body of the engine behind the fan was missing. The commander then decided to return to Heathrow. By this time, the aircraft was level at FL310 and in the Shannon FIR. At 1134 hrs, the aircraft was given air traffic clearance for the return route and turned back to Heathrow. The No 1 engine appeared to be operating normally so the commander decided to keep it running but he did not dump fuel because he considered that there
might be some risk of fire from the un-cowled engine. The return flight was uneventful until just after touchdown at 1217 hrs. When the nose-wheel was lowered at 75kt, very severe vibration occurred, which caused extensive minor damage to the cabin furnishings. The commander quickly brought the aircraft to rest and shut down the engines. The crew of an airfield fire service vehicle, who had following the aircraft during its landing roll, reported to the commander that they had seen the
nose-wheel shimmy violently on contact with the runway but that there were no exterior signs of fire. Accordingly, the commander decided not to order an emergency evacuation of the aircraft, which was then towed to the departure gate where the passengers disembarked normally. In the 20 minutes or so between the loss of part of the cowling and the flight engineer's visual inspection of the engine, no passenger brought the damage to the notice of the cabin staff and, as far as can be ascertained, the
damage was not noticed by any passenger until it was discovered by the flight engineer. The Boeing 747 engine aft cowls have a split line running fore and aft along bottom dead centre. This permits the
cowls to be opened, hinging about the engine to pylon joint lines. The two cowls are held together when closed by six latches spaced along the split line, the front two being close together at the forward corners. LOL run On examination of the aircraft only a small section of each aft cowl of the No 1 engine had stayed attached along the hinge lines. The remains of both cowls were collected from around the village of Hurst, where they had fallen as numerous pieces damaging a house and a car. Close examination of the cowls revealed this damage to be consistent with the forward pair of latches opening in flight, allowing air loads to progressively rip off sections whilst failing the remaining four latches. Detailed examination of the forward two latches revealed evidence of a lack of correct engagement over some period of time. The cowlings had not been opened nor the latches undone during the London turn round. The No 1 engine was removed from the aircraft and it was noted that a connection to the No 1 hydraulic pump had fractured and some of the breather pipes had been distorted as a result of the cowl failures, explaining the loss of No 1 hydraulic system fluid and the excessive engine breather temperature. Subsequent ground running of the engine failed to identify any faults and it was returned to service. A failure of the nose wheel steering metering valve, which would remain dormant in the presence of No 1 hydraulic system pressure, was discovered. In the absence of No 1 hydraulic system pressure this failure would have resulted in a loss of nose wheel shimmy damping, leading to the violent vibration experienced on nose wheel touchdown.

Accident investigation:
cover
  
Investigating agency: AIB
Report number: 
Status: Investigation completed
Duration:
Download report: Final report

Sources:

https://assets.publishing.service.gov.uk/media/5422fb4f40f0b613460008b7/Boeing_747-123_N741_10-84.pdf

https://www.jetphotos.com/photo/45912 (Photo)

Revision history:

Date/timeContributorUpdates
24-Mar-2025 07:54 Justanormalperson Added
24-Mar-2025 07:56 ASN Updated [Accident report, ]

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