Individually Owned: 150,657
Corporate Owned: 137,281
Aircraft Accident/Incident Report
Los Angeles, California 90045
Friday, January 5, 1996 12:30 PST
NTSB Narrative Summary Released at Completion of Accident
As the aircraft climbed through 11,500 feet msl the number 2 engine sustained an uncontained failure of the low pressure turbine section. Following engine shutdown, the crew dumped 147,000 pounds of fuel and returned to Los Angeles, for an uneventful landing. Postaccident inspection of the aircraft revealed a 2-foot hole in the number 2 engine cowl turbine area at the 9 o'clock position. Minor dents were noted on the number 1 engine cowl, pylon, and the underside of the left wing. Several fan blades from the number 1 engine were found with nicks and leading edge damage. Disassembly of the engine revealed that the oil pressure line to the number 4 bearing had fractured, with evidence of oil spray and fire signatures on the 6th stage low pressure turbine disk. Measurements of the 6th stage disk disclosed disk growth about 1.06 inches over blueprint maximum, which liberated all 6th stage blades from the disk. Metallurgical examination of the tube fracture revealed a fatigue crack through about 25 percent of the tube circumference, with origins at spiral scratches found on the inside diameter of the tube. Periodically the tube must be cleaned of coke build-up. Northwest Airlines and Pratt & Whitney maintenance/overhaul documents relating to the overhaul and cleaning of the number 4 bearing internal pressure tube assembly specify a an oven baking procedure. Cautionary notes state that wire brushes or reamers are not to be used for internal cleaning of the tubes.
NTSB Probable Cause Narrative
The fatigue fracture of the number 4 bearing oil pressure tube due to an improper maintenance cleaning procedure by company maintenance personnel.
Event Information
| Type of Event | Incident |
| Event Date | 1/5/1996 |
| Event Day of the Week | Friday |
| Time of Event | 1230 |
| Event Time Zone | Pacific Standard Time |
| Event City | LOS ANGELES |
| Event State | CALIFORNIA |
| Event Country | -- |
| Zipcode of the event site | 90045 |
| Event Date Year | 1996 |
| 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 | Off Airport/Airstrip |
| Distance from airport in statute miles | -- |
| Degrees magnetic from airport | -- |
| Airport Elevation | -- |
| Weather Briefing Completeness | Not pertinent |
| Investigator's weather source | Pilot |
| 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 | Day |
| Lowest Ceiling Height | 0 |
| Lowest Non-Ceiling Height | 0 |
| Sky/Lowest/Cloud Conditions | Clear |
| Sky Condition for Lowest Ceiling | None |
| Visibility Runway Visual Range (Feet) | 0 |
| Visibility Runway Visual Value (Statute Miles) | 0 |
| Visibility (Statute Miles) | 100 |
| 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 | Not Gusting |
| 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 | 385 |
| Injury Total Serious | -- |
| Injury Total All | -- |
| Investigating Agency | NTSB |
| NTSB Docket Number (internal use) | 5008 |
| NTSB Notification Source | -- |
| NTSB Notification Date | Jan 5 1996 12:00AM |
| NTSB Notification Time | 1450 |
| Fiche Number and/or location -used to find docket information | IMAGE |
| Date of most recent change to record | Dec 8 2000 9:46AM |
| User who most recently changed record | dbo |
| Basic weather conditions | Visual Meteorological Cond |
| FAA District Office | -- |
Aircraft Involved |
|
|---|---|
Aircraft #1 |
|
| Aircraft Registration Number | N628US |
| NTSB Number | LAX96IA087 |
| Missing Aircraft Indicator | N |
| Federal Aviation Reg. Part | Part 121: Air Carrier |
| Type of Flight Plan filed | IFR |
| Flight plan Was Activated? | -- |
| Damage | Minor |
| Aircraft Fire | None |
| Aircraft Explosion | None |
| Aircraft Manufacturer's Full Name | Boeing |
| Aircraft Model | 747-251B |
| Aircraft Series Identifier | 747-251B |
| Aircraft Serial Number | 22389 |
| Certified Max Gross Weight | 833000 |
| 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 | 373 |
| Number of Engines | 4 |
| Fixed gear or retractable gear | Retractable |
| Aircraft, Type of Last Inspection | Continuous Airworthiness |
| Date of Last Inspection | -- |
| Airframe hours since last inspection | -- |
| Airframe Hours | -- |
| ELT Installed | Yes |
| ELT Activated | Unknown |
| ELT Aided Location of Event Site | Unknown |
| ELT Type | -- |
| Aircraft Owner Name | NORTHWEST AIRLINES, INC. |
| Aircraft Owner Street Address | 5101 NORTHWEST DRIVE |
| Aircraft Owner City | ST PAUL |
| Aircraft Owner State | MN |
| Aircraft Owner Country | |
| Aircraft Owner Zipcode | 55111 |
| 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 | NWAA |
| 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 | International |
| Operator carrying Pax/Cargo/Mail | Passenger Only |
| Type of Flying (Per_Bus / Primary) | Unknown |
| Second Pilot on Board | Yes |
| Departure Point Same as Event | Yes |
| Departure Airport Code | LAX |
| Departure City | |
| Departure State | |
| Departure Country | |
| Departure Time | 1145 |
| Departure Time Zone | PST |
| Destination Same as Local Flt | -- |
| Destination Airport Code | RJAA |
| Destination City | TOKYO |
| Destination State | OF |
| Destination Country | |
| Specific Phase of Flight | Climb |
| 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 | -- |