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Aviation safety reports, made easier to study

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NTSB Report

July 21, 1993 · British Aerospace 146-300A · N611AW

Chicago, IL

Overview

Report Status
Final with probable cause
Event Type
Incident
Date
July 21, 1993
Injury Outcomes
No injuries (8 uninjured)
Location
Chicago, IL
Aircraft
British Aerospace 146-300A
Tail Number
N611AW
Operator
Air Wisconsin
Injuries
None
Aircraft Damage
Minor
NTSB Number
CHI93IA312

DURING THE INITIAL CLIMBOUT THE FLIGHT ATTENDANT OBSERVED THE TAILCONE OF THE AIRPLANE'S NUMBER FOUR ENGINE GLOWING. AS THE POWER WAS REDUCED THE GLOW CEASED. THE AIRPLANE RETURNED TO THE DEPARTURE AIRPORT. THE ENGINE WAS INSPECTED AND ITS FUEL MANIFOLD WAS FOUND CRACKED AT THE SCALLOP RADIUS. THE MANUFACTURER MODIFIED THE FUEL MANIFOLD SO THAT ITS WALL WOULD BE THICKER AT THE RADIUS. THE MODIFIED MANIFOLD WAS NOT INSTALLED ON THE INCIDENT AIRPLANE.

NTSB Probable Cause

was a crack in the fuel system fuel flow distribution manifold which resulted from an inadequate design by the manufacturer.

Full Narrative

On July 19, 1993, at 2242 central daylight time (cdt), a British Aerospace 146-300A, N611AW, operated by Air Wisconsin, Incorporated, of Appleton, Wisconsin, as flight number 5140, and piloted by an airline transport certificated crew, experienced a fire on the number four engine during initial climb following takeoff from O'Hare International Airport, Chicago, Illinois. Visual meteorological conditions prevailed at the time of the incident. The 14 CFR Part 121 air carrier flight was operating on an IFR flight plan. The pilots, two flight attendants, and 4 passengers reported no injuries. The flight originated from Chicago, Illinois, at 2239 cdt. The captain said that during initial climb following takeoff a flight attendant observed a glow near the end of number four engine jet pipe. He stated that a fire warning light was not observed in the cockpit when the glow was observed by the flight attendant. The glow was no longer observed when the takeoff power setting was reduced to the climb power setting. He stated the difference between takeoff power and climb power settings is a two percent rollback. The airplane continued to its destination. The jet pipe area is not part of the fire/overheat detection and warning system. The detection and warning system is associated with the engine's fan casing bay and core engine assembly. An examination of the number four engine revealed a crack in the right-hand fuel manifold assembly (manifold) and a small hole burned through the engine fairing reinforcement ribs. Damage, similar to flame damage, was observed on the engine fairing skin next to the jet pipe. The manifold has cutouts (scallops) between its mounting bolt holes. The crack was located next to the number nine fuel nozzle, on the radius of the scallop. The metal thickness between the inner wall of the manifold's fuel channel and scallop surface was .042 inch. Company maintenance records showed the manifold had a total time of 7,581 hours and 11,185 cycles on it. The last inspection on the manifold was conducted 1,742 hours and 2,597 cycles before the failure. The engine manufacturer redesigned the manifold with an approximate .085 inch thickness about one year before this incident. Installation of the revised manifold was optional. According to the engine's manufacturer, the fuel manifold was an older design that had thinner metal near the crack.

Flight

Event TypeIncident
Event Time19:54 CDT
Nearest Airport0nm
Runway0
Flight Plan FiledIFR
Aircraft FireIflt
Aircraft ExplosionNo

Aircraft

AircraftBritish Aerospace 146-300A
Tail NumberN611AW
Aircraft CategoryAir
DamageMinor
OperatorAir Wisconsin
Operating RulePart 121
Engines4
Engine TypeTurbofan
Engine DetailsLycoming · ALF 502R · Turbofan · 6970
Seats100

People & Injuries

Injury SummaryNo injuries (8 uninjured)
Fatal0
Serious0
Minor0
Uninjured8
Total8
Crew 1Unknown

Conditions

ConditionsVMC
LightDusk
WindCalm
CeilingNone
Temperature / Dew Point0 C / 0 C
Altimeter0
Weather SourceWIT

Appendix: Source Data