Accident Details
Probable Cause and Findings
The PW4056 engine experienced an in-flight loss of power because of damage to the low-pressure turbine (LPT) because of the inadequate overhaul inspection and repair instructions that existed at the time of the LPT module's last overhaul. A vane hook in the LPT case wore to the point to allow a 3rd stage turbine vane cluster to disengage and eventually fall into the path of the 3rd stage turbine blades causing extensive downstream damage to the LPT module.
Aircraft Information
Registered Owner (Historical)
Analysis
HISTORY OF FLIGHTOn October 2, 2015, at about 0510 UTC, a Boeing 747-451 airplane, N662US, operated by Delta Air Lines as flight 158, experienced a loss of power from the No. 3 engine, a Pratt & Whitney (P&W) PW4056, while in cruise flight at FL330. About 3:40 hours after taking off from Incheon International Airport (ICN), Seoul, Korea, while operating in Russian airspace on the B241 airway near the GITRU navigation fix, the pilots reported hearing a loud bang that was followed by the No. 3 engine's N1 rpm decreasing while the exhaust gas temperature (EGT) increased. The pilots shutdown the No. 3 engine and declared an emergency with Russian air traffic control in addition to requesting a descent to FL290. The pilots contacted the dispatcher at Atlanta and discussed options for diverting. The pilots considered diverting to Seattle, but the weather for their expected arrival time was forecast to be 800 foot overcast and 2 miles visibility. The weather forecast for Tokyo, Japan was scattered clouds and 25 miles visibility. The airplane diverted to Tokyo-Narita International Airport (NRT), where it made a 3-engine landing without further incident. The airplane was operating on an instrument flight rules flight plan under the provisions of 14 Code of Federal Regulations Part 121 as an international passenger flight from ICN to Detroit Metropolitan Wayne County Airport (DTW), Detroit, Michigan. PERSONNEL INFORMATIONThe captain, age 59, held at Air Transport Pilot certificate with airplane single-engine land, multi-engine land, and airplane instrument ratings. The captain was type rated in the Boeing 747-400 as well as the Boeing 727, 737, 757, and 767 airplanes. The captain held a Federal Aviation Administration (FAA) first class medical certificate that was dated September 2, 2015, with no reported limitations. The captain's most recent proficiency check was dated March 21, 2015, and was accomplished in a Boeing 747-400 airplane. The captain's reported flight time was 10,617 hours with 4,449 hours being in the Boeing 747-400 airplane and 154 hours in the previous 90 days. The captain occupied the left seat and was the pilot monitoring.
The first officer (FO), age 58, held an Air Transport Pilot certificate with airplane single-engine land, multi-engine land, and airplane instrument ratings. The FO was type-rated in the Boeing 747-400 airplane. The FO held an FAA first class medical certificate that was dated July 20, 2015, with no reported limitations. The FO's most recent proficiency check was dated May 14, 2015, and was accomplished in a Boeing 747-400 airplane. The FO's reported flight time was 9,683 hours with 5,628 hours being in the Boeing 747-400 airplane and 257 hours in the previous 90 days. The FO occupied the right seat and was the pilot flying.
Airplane Information
The airplane was a Boeing 747-451, serial number (SN) 23720, registered as N662US, and operated by Delta Air Lines. The Boeing 747-451 airplane is a four-engine transport category airplane. The airplane has a maximum takeoff gross weight of 873,000 pounds and the airplane's takeoff weight from ICN was 837,600 pounds. The airplane was loaded with 49,120 gallons of fuel. The airplane was manufactured in 1988 and was originally delivered to Northwest Airlines. Delta Air Lines acquired the airplane in the merger with Northwest Airlines. According to Delta Air Lines' records, at the time of the incident, the airplane had accumulated 109,167 hours of flying time.
The No. 3 engine was a PW4056, SN P717530. The PW4056 is a dual-spool, axial-flow, high-bypass turbofan engine that features a 1-stage 94-inch diameter fan, a 4-stage low-pressure compressor (LPC), an 11-stage high-pressure compressor (HPC), annular combustor, a 2-stage high-pressure turbine (HPT) that drives the HPC, and a 4-stage LPT that drives the fan and LPC. The PW4056 engine has a takeoff thrust rating of 56,750 pounds, flat-rated to 92°F (33°C). When the PW4056 engine is installed on a Boeing 747 airplane, it has a maximum continuous thrust rating of 47,970 pounds, flat-rated to 86°F (30°C). The PW4056 engine can also be installed on a Boeing 767 airplane where it has a maximum continuous thrust rating of 49.530 pounds, flat-rated to 77°F (25°C). According to Delta Air Lines' maintenance records, engine SN 717530 had accumulated 94,778 hours and 11,814 cycles since new, 35,545 hours and 4,362 cycles since the last heavy maintenance, and 29,194 hours and 3,532 cycles since the last shop visit. The last heavy maintenance on the engine was accomplished in 2005 at P&W's Cheshire Engine Center, Cheshire, Connecticut. P&W's Cheshire Engine Center was an FAA-certificated repair station that ceased operations in 2011.
The LPT module was SN D17579. According to Delta Air Lines' maintenance records, LPT module SN D17579 had accumulated 95,180 hours and 11,623 cycles since new and 52,986 hours and 11,623 cycles since the last heavy maintenance, which had been accomplished at the Cheshire Engine Center in 2005. Engine 717530 had been received at Cheshire with LPT module SN D17531 installed. The records show that Cheshire swapped out LPT module D17531 for D17579 from Northwest Airlines PW4056 engine P717684 to expedite the engine build. The records further show that at the time LPT module D17579 was installed in engine P717530, it had already accumulated 59,635 hours and 7,261 cycles since new and 17,441 hours and 2,184 cycles since the last heavy maintenance. INJURIES TO PERSONSThere were no reported injuries to the 4 pilots, 13 flight attendants, and 341 passengers on board.
Damage to Airplane
The airplane sustained minor damage in the forms of nicks and dents to the underside of the right wing and inboard aileron as well as to the leading edge of the right horizontal stabilizer.
There was no damage to the inside of the No. 3 engine's nacelle. OTHER DAMAGEThere was no other damage reported. FLIGHT RECORDERSThe airplane was equipped with a cockpit voice recorder (CVR) and a digital flight data recorder(DFDR), which was returned to the NTSB's Recorder Laboratory for readout. The CVR was not removed from the airplane for readout because of the elapsed time from when the event occurred to when the airplane landed at NRT would have resulted in the event being overwritten.
The DFDR recorded data for the incident flight as well as five previous flights. The DFDR data for the incident flight shows the No. 3 engine was started around subframe reference number (SRN, each subframe is equal to 1 second) that was followed 2 seconds later by the No. 4 engine being started. At around SRN 157079, both the No. 3 and 4 engines stabilized at idle power. Around 157080 and 157090, the Nos. 2 and 1 engines, respectively, were started with the No. 1 engine stabilizing at idle around SRN 157184 and the No. 2 engine stabilized at idle around SRN 157195. The DFDR recorded the following engine performance parameters: engine pressure ratio (EPR), which is a measure of engine power based on ratio of pressure of the exhaust gas in the tailpipe in comparison to the pressure of the air entering the inlet; high pressure rotor speed (N2) in percent; EGT in degrees Celsius (°C), and fuel flow (Wf) in pounds per hour (pph)/
After the engines had started and were stabilized at idle power, the engine's performance parameters were:
Engine power, stabilized idle power after start
No. 1: EPR – 1.014, N2 - 66 %, EGT - 350°C, Wf - 1,696 pph
No. 2: EPR – 1.023, N2 – 66 %, EGT - 343°C, Wf – 1,664 pph
No. 3: EPR – 1.016, N2 – 66 %, EGT – 368°C, Wf – 1,952 pph
No. 4: EPR – 1.016, N2 – 66 %, EGT – 346°C, Wf – 1,824 pph
Between about SRN 157184 and 157672, the Nos. 1 and 4 engine performance parameters: EPR, N2, EGT, and fuel flow intermittently increased and decreased consistent with the airplane taxiing from the ramp out to the runway. Around SRN 157673, the engines' performance parameters began to increase with the No. 3 engine's parameters lagging those of the other three engines by about 2 percent N2. At around SRN 157683, the engines stabilized at takeoff power and the airplane had begun to accelerate. The airplane lifted off at around SRN 157726 at an airspeed of around 184 knots.
During takeoff, the engines' performance parameters were:
Engine power at takeoff
No. 1: EPR – 1.498, N2 - 98 %, EGT - 562°C, Wf – 21,856 pph
No. 2: EPR – 1.498, N2 – 98 %, EGT - 556°C, Wf – 21,248 pph
No. 3: EPR – 1.500, N2 – 97 %, EGT – 595°C, Wf – 22,048 pph
No. 4: EPR – 1,500, N2 – 98 %, EGT –464°C, Wf – 21,281 pph
At around SRN 158451, the airplane climbed through FL 180 and all four engines were at an EPR of 1.408. The engines' performance parameters in the climb through FL180 were:
Engine power at FL 180
No. 1: EPR – 1.408, N2 - 96 %, EGT - 506°C, Wf – 13,344 pph
No. 2: EPR – 1.408, N2 – 95 %, EGT - 492°C, Wf – 12,800 pph
No. 3: EPR – 1.408, N2 –95 %, EGT – 542°C, Wf – 13,888 pph
No. 4: EPR – 1.408, N2 – 95 %, EGT – 505°C, Wf – 13,280 pph
The airplane leveled off at FL 330 at around SRN 159399. Around SRN 159699, about 5 minutes after the airplane had leveled off at FL 330, all four engines were at an EPR of 1.363. The engines' performance parameters at FL330 were:
Engine power at FL 330
No. 1: EPR – 1.363, N2 - 94 %, EGT - 459°C, Wf – 7,488 pph
No. 2: EPR – 1.363, N2 – 93 %, EGT - 449°C, Wf – 7,206 pph
No. 3: EPR – 1.363, N2 – 92 %, EGT – 491°C, Wf – 7,964 pph
No. 4: EPR – 1.363, N2 – 93 %, EGT – 461°C, Wf – 7,552 pph
Between about SRN 159699 and 170166 while the airplane continued to maintain FL 330, the engines' EPRs and N2 speeds varied in unison between 1.273 and 1.359 and 91 and 93 percent, respectively. The engines' EGT and Wf also varied in unison with the EPR and N2 speed.
At around SRN 170166, the No.3 engine's performance indications were: EPR 1.281, N2 91 percent, EGT 458°C, and Wf 7,022...
Data Source
Data provided by the National Transportation Safety Board (NTSB). For more information on this event, visit the NTSB Records Search website. NTSB# ENG16IA001