Aviation Crash Map

Boeing 747 N669US

21 September 2014 · Atlanta, Georgia, United States · No injuries

Summary

On 21 September 2014 at about 18:05 local time, a Boeing 747 registered N669US, operated by Delta Air Lines, was involved in an incident near Atlanta, Georgia, United States. 333 people were on board and nobody was injured. The NTSB has published a probable cause for this accident; it is quoted in full below.

The record

Date
at 18:05
Classification
Incident
Location
Atlanta, Georgia, United States
Nearest airport
Hartsfield - Jackson Atlanta I (ATL)
Coordinates
34.6369, -84.4281
Aircraft
Boeing 747
Registration
N669US
Category
Airplane
Year built
1990
Engines
4
Operator
Delta Air Lines
Operating rule
Part 121: Air Carrier
Phase of flight
Not recorded
Route
Atlanta → Tokyo
Aircraft damage
Not recorded
Weather
VMC
Light
Day
NTSB number
ENG14IA027

People

Nobody was injured.

On board Died Serious Minor Uninjured
333 0 0 0 333

Probable cause

Turbine Overhaul Service's aggressive grit blasting and incomplete masking of the blade root neck that allowed the no grit blast area being exposed during the overhaul of the blade resulting in blasting media being embedded in the blade root from which a fatigue crack developed. The fatigue crack propagated until separation of the blade occurred that resulted in a complete loss of engine power. The fire was caused by the B-nut on the hydraulic line from the fuel pump and pulsation damper loosening from engine vibration after the compressor blade separated spraying high pressure fluid into the engine compartment that ignited on the hot engine cases.

Quoted verbatim from the NTSB record. This site does not paraphrase or interpret it.

Read the full NTSB narrative

The airplane, a Boeing 747-451, had just taken off when the No. 4 engine, a Pratt & Whitney PW4056, lost power and then caught fire.  The crew had to discharge two fire bottles into the engine's nacelle before the fire was extinguished.  The airplane returned to the airport for a three-engine landing without further incident.  The disassembly of the engine revealed one 5th stage compressor blade was fractured transversely across the blade neck.  The metallurgical examination of the blade confirmed a fatigue fracture that had originated from the aft concave side corner of the blade neck.  The metallurgical examination also revealed evidence of grit blasting with embedded aluminum oxide media on the blade neck that, per the overhaul instructions, is a no grit blast area.  Grit blasting of the blade root's contact surfaces with aluminum oxide media is a preparatory step for the application of plasma spray material, which is one of the repairs that was accomplished to the fractured blade.  The blade was overhauled by Turbine Overhaul Services (TOS), Singapore.  TOS is an FAA-certificated Part 145 repair station for the overhaul and repair of turbine engine compressor blades and vanes.  An audit of TOS's PW4000 5th stage compressor blade overhaul process showed that it conformed to the requirements except for the grit blasting operation that showed the grit blasting gun was being held to close to the blade.  In addition, the masking process that was in use could result in no grit blast areas of the blade root being exposed to grit blasting.   The fire was caused by hydraulic fluid that leaked from the pressure line to pulse damper B-nut at the pump that loosened due to vibration following the compressor blade separation.

Quoted verbatim from the NTSB record.

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