fredag 29. november 2019

Alvorlig luftfartshendelse - Uncontained Engine Failure Tokyo - GE90 denne gang - Curt Lewis video

Incident: JAL B773 at Tokyo on Sep 5th 2017, engine shut down in flight following uncontained failure

A JAL Japan Airlines Boeing 777-300, registration JA743J performing flight JL-6 from Tokyo Haneda (Japan) to New York JFK,NY (USA) with 233 passengers and 18 crew, was in the initial climb out of Haneda's runway 34R when the left hand engine (GE90) emitted a series of 5 bangs and streaks of flame. Tower informed the crew about seeing flames out of the engine. The crew receiving abnormal indications for engine #1 stopped the climb at 6000 feet, shut the engine down, dumped fuel and returned to Haneda for a safe landing on runway 34L about one hour after departure.
 
Metal debris was found on the departure runway.
 
A replacement Boeing 777-300 registration JA741J is estimated to reach New York with a delay of 6.5 hours.
 
The airline initially suspected a bird strike but later reported that no bird remains were found. The cause of the engine failure is under investigation.
 
Japan's Ministry of Transport reported the grass left of the departure runway caught fire when the engine distributed debris onto the runway. An inspection of the engine did not reveal any bird remains. A number of blades of the low pressure turbine were missing.
 
On Sep 7th 2017 Japan's TSB rated the accident type as: "Things similar to 'breakage of the engine (only when the debris penetrates the case of the engine)'" effectively describing the engine failure was uncontained. The JTSB have opened an investigation.
 
On Nov 29th 2019 the JTSB released their final report concluding the probable causes of the serious incident were:
 
It is highly probable that the serious incident was caused by collisions of some of fragments with turbine rear frame (TRF), which led to generating the hole due to damage to multiple stages of stator vanes and turbine blades of low pressure turbine (LPT) of No. 1 (left side) engine immediately after take-off.
 
It is highly probable that damage to multiple stages of stator vanes and turbine blades of low pressure turbine was contributed by the fracture of one of LPT fifth stage stator vanes.
 
It is highly probable that the fracture of one of LPT fifth stage stator vanes was contributed by the crack generated by stress concentration caused by arch-binding, which progressed to the fracture by repetitive stress associated with engine operation.
 
The JTSB reported immediately after becoming airborne noise was generated by the #1 engine, the engine rpms decreased and a caution message "ENG THRUST L" was displayed on the EICAS. Tower observed flames from behind the engine. The crew proceeded to shut the engine down, declared emergency, dumped fuel and returned to Tokyo for a safe landing. Engine fragments were recovered from the departure runway and its surroundings, a grass area near the departure runway was burned, the grass fire needed to be extinguished by emergency services.
 
The JTSB analysed the engine damage:
 
(1) Damage on LPT
 
(i) It is highly probable that damages on fifth and sixth stage turbine blades which were downstream from LPT fifth stage stator vanes were triggered by fracture of one stator vane of the fifth stage stator vanes segment, then collisions of fragments with fifth stage turbine blades led to further damage, and continuous collisions of those fragments with other sections resulted in the secondary damage.
 
(ii) Fracture of LPT fifth stage stator vane
 
It is highly probable that the fractured fifth stage stator vane was impelled to be supported only by the inner side of engine due to the crack which reached from the trailing edge side to the leading edge side caused by repetitive stress associated with operations of engine, followed by another crack generating and progressing on inner side of engine, which finally resulted in fracture, because many striations indicating fatigue fracture were confirmed on the fractured surface of the outer side of engine of LPT fifth stage stator vane segment.
 
It is probable that the crack of LPT fifth stage stator vane was caused by increased stress on the trailing edge side of LPT fifth stage stator vane caused by arch-binding, because wearing, which was a trace of arch-binding, was confirmed on the slash-face of LPT fifth stage stator vane segment on the inner side of engine and arrest lines were periodically confirmed through fracture analysis.
 
(2) The Hole of TRF
 
It is highly probable that the hole of TRF was caused by collisions of fragments generated by the damaged LPT.
 
It is probable that fragments did not penetrate the hole, because analytical results by NIMS and engine cowl did not show damage.
 
(3) Flame Outbreak at Engine Aft
 
It is highly probable that the flame that occurred at the engine aft became incomplete combustion by the change in mixing rate in air flow amount and fuel flow amount after the engine rpm had deviated from normal operating condition due to the damage occurred in LPT, and then, the after fire occurred due to the mixed gas including the fuel was exhausted to the engine aft and was rapidly burned by the supply of oxygen in the atmosphere along with the heat of exhaust duct, because evidence of abnormal combustion inside the engine was not confirmed.
 
(4) Burned Grass Area along the Side of Runway
 
It is probable that burned grass area was caused by high temperature fragments exhausted from the engine aft due to damage of LPT and fell on the grass area on the side of runway near the taking off area of the Aircraft.
 
(5) Safety Actions to Avoid Similar Cases
 
Inspection conducted by the Operator and the engine manufacturer after the serious incident confirmed that cracks and wearing caused by arch-binding occurred in multiple segments of LPT fifth stage stator vanes.
 
In the serious incident, there occurred the ground damage of burning grass area caused by many fragments of damaged multiple stages of LPT stator vanes and turbine blades, which fell on runway and its surroundings. From this, it is probable that taking safety actions as described below is meaningful to prevent similar engine failure cases and falling objects on the ground in the future:
 
(i) Widening space between adjacent segments of LPT fifth stage stator vanes Cracks and wearing caused by arch-binding were confirmed to have occurred on multiple segments of LPT fifth stage stator vanes since the serious incident.
 
It is probable that widening space between adjacent segments of LPT fifth stage stator vanes, which has not changed design in accordance with the service bulletin (SB72-0637), reduces stress increase to the outer side of engine of LPT fifth stage stator vanes caused by arch-binding and contributes to prevent occurrence of cracks in fifth stage stator vanes. It is probably meaningful to widen space between adjacent segments by use of LPT fifth stage stator vanes in accordance with the service bulletin (SB72-0637) or by modification of segments to which the service bulletin (SB72-0637) has not been applied in order to avoid recurrence of similar cases.
 
(ii) Inspection of LPT fifth stage stator vanes segments
 
It is probable that BSI is effective for early detection of similar engine failure, because the cracks were confirmed on LPT fifth stage stator vanes of multiple engines by one time BSI on each engine at the engine maintenance facility after the serious incident, and furthermore, the cracks were confirmed on LPT fifth stage stator vanes of multiple engines by the BSI which the Operator has been conducting every 250 flight cycles on the same type engines under operation. Accordingly, it is desirable that the engine manufacturer notify the users of the same type engine of the method of BSI and an appropriate interval to repeat BSI for the segments of LPT fifth stage stator vanes, which have not taken countermeasure to widen space between adjacent segments of LPT fifth stage stator vanes on engines under operation by service bulletin (SB).


Japan Airlines - Emergency Landing
Japan Airlines - Emergency Landing

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