Individually Owned: 150,657
Corporate Owned: 137,281
Aircraft Accident/Incident Report
Madison, Wisconsin 53704
Friday, January 27, 1995 17:23 CDT
NTSB Narrative Summary Released at Completion of Accident
While in cruise flight at 12,000 feet mean sea level, the no. 2 engine had a fire indication. The crew shut the engine down in flight and landed uneventfully. Investigation found a cracked left fuel manifold segment in the no. 2 engine. Metallurgical analysis established that the crack was characterized by fatigue striations, and that the crack occurred in a position on the manifold where there was an abrupt change in material thickness. There had been two previous occurrences of cracked manifolds reported by the operator and investigated by the NTSB. Prior to this incident, the manufacturer had taken three actions to resolve fuel manifold cracking; they were: 1.) introduce a redesign of manifold segments, 2.) agree to replace all operator manifold assemblies with the improved design, and 3.) introduce an eddy current inspection procedure for detecting manifold cracks. Following this incident, the FAA mandated more frequent inspection intervals and adoption of the new eddy-current inspection process for the unimproved manifolds.
NTSB Probable Cause Narrative
A fuel leak in the no. 2 engine left fuel manifold segment due to a design defect which led to a fatigue crack.
Event Information
| Type of Event | Incident |
| Event Date | 1/27/1995 |
| Event Day of the Week | Friday |
| Time of Event | 1723 |
| Event Time Zone | Central Daylight Time |
| Event City | MADISON |
| Event State | WISCONSIN |
| Event Country | -- |
| Zipcode of the event site | 53704 |
| Event Date Year | 1995 |
| Event Date Month | 1 |
| MidAir Collision Indicator | No |
| On Ground Collision occurred ? | No |
| Event Location Latitude | |
| Event Location Longitude | |
| Event Location Airport | |
| Event Location Nearest Airport ID | |
| Indicates whether the acc/inc occurred off or on an airport | Unknown |
| Distance from airport in statute miles | -- |
| Degrees magnetic from airport | -- |
| Airport Elevation | -- |
| Weather Briefing Completeness | Unknown |
| Investigator's weather source | Unknown |
| Time of the weather observation | 0 |
| Direction of event from weather observation facility (degrees) | 0 |
| Weather Observation Facility ID | |
| Elevation of weather observation facility | 0 |
| Distance of event from weather observation facility (units?) | 0 |
| Time Zone of the weather observation | |
| Lighting Conditions | Night/Dark |
| Lowest Ceiling Height | 0 |
| Lowest Non-Ceiling Height | 0 |
| Sky/Lowest/Cloud Conditions | Unknown |
| Sky Condition for Lowest Ceiling | Unknown |
| Visibility Runway Visual Range (Feet) | 0 |
| Visibility Runway Visual Value (Statute Miles) | 0 |
| Visibility (Statute Miles) | 0 |
| Air Temperature at event time (in degrees celsius) | -- |
| Dew Point at event time (in degress fahrenheit) | -- |
| Wind Direction (degrees magnetic) | 0 |
| Variable Wind Indicator | Unknown |
| Wind Speed (knots) | 0 |
| Wind Velocity Indicator | Unknown |
| Wind Gust Indicator | Unknown |
| Wind Gust (knots) | 0 |
| Altimeter Setting at event time (in. Hg) | -- |
| Density Altitude (feet) | -- |
| Intensity of Precipitation | Unknown |
| METAR weather report | -- |
| Event Highest Injury | None |
| On Ground, Fatal Injuries | 0 |
| On Ground, Minor Injuries | 0 |
| On Ground, Serious Injuries | 0 |
| Injury Total Fatal | -- |
| Injury Total Minor | -- |
| Injury Total None | 89 |
| Injury Total Serious | -- |
| Injury Total All | -- |
| Investigating Agency | NTSB |
| NTSB Docket Number (internal use) | 5059 |
| NTSB Notification Source | -- |
| NTSB Notification Date | -- |
| NTSB Notification Time | 0 |
| Fiche Number and/or location -used to find docket information | IMAGE |
| Date of most recent change to record | Dec 7 2000 3:59PM |
| User who most recently changed record | dbo |
| Basic weather conditions | Instrument Meteorological Cond |
| FAA District Office | -- |
Aircraft Involved |
|
|---|---|
Aircraft #1 |
|
| Aircraft Registration Number | N611AW |
| NTSB Number | CHI95IA079 |
| Missing Aircraft Indicator | N |
| Federal Aviation Reg. Part | Part 121: Air Carrier |
| Type of Flight Plan filed | IFR |
| Flight plan Was Activated? | -- |
| Damage | None |
| Aircraft Fire | In-flight |
| Aircraft Explosion | None |
| Aircraft Manufacturer's Full Name | British Aerospace |
| Aircraft Model | BAE-146-300 |
| Aircraft Series Identifier | BAE-146-30 |
| Aircraft Serial Number | E3120 |
| Certified Max Gross Weight | 93000 |
| Aircraft Category | Airplane |
| Aircraft Registration Class | U.S. Registered/U.S. Soil |
| Aircraft is a homebuilt? | No |
| Flight Crew Seats | -- |
| Cabin Crew Seats | -- |
| Passenger Seats | -- |
| Total number of seats on the aircraft | 102 |
| Number of Engines | 4 |
| Fixed gear or retractable gear | Retractable |
| Aircraft, Type of Last Inspection | Unknown |
| Date of Last Inspection | -- |
| Airframe hours since last inspection | -- |
| Airframe Hours | -- |
| ELT Installed | No |
| ELT Activated | Unknown |
| ELT Aided Location of Event Site | Unknown |
| ELT Type | -- |
| Aircraft Owner Name | AIR WISCONSIN, INC. |
| Aircraft Owner Street Address | 203 CHALLENGER DRIVE |
| Aircraft Owner City | APPLETON |
| Aircraft Owner State | WI |
| Aircraft Owner Country | |
| Aircraft Owner Zipcode | 54915 |
| Operator is an individual? | -- |
| Operator Name | |
| Operator Same as Owner? | Yes |
| Operator Is Doing Business As | -- |
| Operator Address Same as Owner? | Yes |
| Operator Street Address | |
| Operator City | |
| Operator State | |
| Operator Country | |
| Operator Zip code | |
| Operator Code | AWAA |
| Owner has at least one certificate | Yes - certificate holder |
| Other Operator of large aircraft? | No |
| Certified for Part 133 or 137 Operation | Unknown |
| Operator Certificate Number | -- |
| Indicates whether an air carrier operation was scheduled or not | Scheduled |
| Indicates Domestic or International Flight | Domestic |
| Operator carrying Pax/Cargo/Mail | Passenger Only |
| Type of Flying (Per_Bus / Primary) | Unknown |
| Second Pilot on Board | Yes |
| Departure Point Same as Event | No |
| Departure Airport Code | ORD |
| Departure City | CHICAGO |
| Departure State | IL |
| Departure Country | |
| Departure Time | 1713 |
| Departure Time Zone | CDT |
| Destination Same as Local Flt | crash at destination city |
| Destination Airport Code | MSN |
| Destination City | |
| Destination State | WI |
| Destination Country | |
| Specific Phase of Flight | Cruise |
| Report sent to ICAO? | -- |
| Evacuation occurred | -- |
| Date of most recent change to record | Jan 2 2001 10:30AM |
| User who most recently changed record | dbo |
| Since inspection or accident | -- |
| Event Location Runway Number and Location | 0 |
| Runway Length | -- |
| Runway Width | -- |
| Sight Seeing flight | No |
| Air Medical Flight | No |
| Medical Flight | -- |