Aircraft Accident/Incident Report

San Francisco, California 94128
Wednesday, September 23, 1992 9:22 PDT

NTSB Narrative Summary Released at Completion of Accident

A MCDONNELL DOUGLAS AIRCRAFT COMPANY DC 10 SERIES 10 AIRCRAFT EXPERIENCED AN UNCONTAINED FAILURE OF THE NUMBER 1 ENGINE WHILE IN THE CRUISE CLIMB. THE ENGINE HAD SUSTAINED AN UNCONTAINED FAILURE OF THE 14TH THROUGH 16TH STAGE COMPRESSOR SPOOL. ABOUT 11 YEARS BEFORE THE INCIDENT, THE SPOOL WAS DAMAGED BEYOND MAINTENANCE MANUAL LIMITS. THE DAMAGE CONSISTED OF A 360 DEGREE RUB ON THE AFT RIM SURFACE (SURFACE Q) OF THE 16TH STAGE COMPRESSOR. THE SPOOL WAS PLACED IN STORAGE FOR FIVE YEARS AND THEN RETURNED TO SERVICE AFTER BEING REPAIRED. FLIGHT PROFILE STRESSES WERE ANALYZED BY ENGINE MANUFACTURER. ACCORDING TO THE ENGINE MANUFACTURER, PEAK STRESSES IN THE AFT RIM REGION OR SURFACE Q OCCUR AT THE SAME TIME IN THE FLIGHT PROFILE AS THE UNCONTAINED FAILURE.

NTSB Probable Cause Narrative

A FRACTURED COMPRESSOR ASSEMBLY.

Event Information

Type of Event Incident
Event Date 9/23/1992
Event Day of the Week Wednesday
Time of Event 922
Event Time Zone Pacific Daylight Time
Event City SAN FRANCISCO
Event State CALIFORNIA
Event Country --
Zipcode of the event site 94128
Event Date Year 1992
Event Date Month 9
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 0
Degrees magnetic from airport 0
Airport Elevation --
Weather Briefing Completeness Not pertinent
Investigator's weather source Weather Observation Facility
Time of the weather observation 936 Pacific Daylight Time
Direction of event from weather observation facility (degrees) 270
Weather Observation Facility ID SFO
Elevation of weather observation facility 11
Distance of event from weather observation facility (units?) 20
Time Zone of the weather observation PDT
Lighting Conditions Day
Lowest Ceiling Height 0
Lowest Non-Ceiling Height 300
Sky/Lowest/Cloud Conditions Scattered
Sky Condition for Lowest Ceiling None
Visibility Runway Visual Range (Feet) 0
Visibility Runway Visual Value (Statute Miles) 0
Visibility (Statute Miles) 3
Air Temperature at event time (in degrees celsius) 16
Dew Point at event time (in degress fahrenheit) 14
Wind Direction (degrees magnetic) 310
Variable Wind Indicator Unknown
Wind Speed (knots) 8
Wind Velocity Indicator Unknown
Wind Gust Indicator Unknown
Wind Gust (knots) 0
Altimeter Setting at event time (in. Hg) 30
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 235
Injury Total Serious --
Injury Total All --
Investigating Agency NTSB
NTSB Docket Number (internal use) 5054
NTSB Notification Source --
NTSB Notification Date Sep 23 1992 12:00AM
NTSB Notification Time 944
Fiche Number and/or location -used to find docket information 48059
Date of most recent change to record Dec 11 2000 3:18PM
User who most recently changed record dbo
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N1845U
NTSB Number LAX92IA397
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 In-flight
Aircraft Explosion None
Aircraft Manufacturer's Full Name MCDONNELL DOUGLAS
Aircraft Model DC 10-10
Aircraft Series Identifier DC 10-10
Aircraft Serial Number 48261
Certified Max Gross Weight 430000
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 287
Number of Engines 3
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection AAIP
Date of Last Inspection Aug 5 1992 12:00AM
Airframe hours since last inspection 490
Airframe Hours 36958
ELT Installed Yes
ELT Activated Unknown
ELT Aided Location of Event Site Unknown
ELT Type --
Aircraft Owner Name SECURITY PACIFIC NATIONAL BANK
Aircraft Owner Street Address FOUR EMBRARCADERO CENTER
Aircraft Owner City SAN FRANCISCO
Aircraft Owner State CA
Aircraft Owner Country
Aircraft Owner Zipcode 94111
Operator is an individual? --
Operator Name UNITED AIRLINES
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? No
Operator Street Address P.O. BOX 66100
Operator City CHICAGO
Operator State IL
Operator Country
Operator Zip code 60666
Operator Code UALA
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/Cargo
Type of Flying (Per_Bus / Primary) Unknown
Second Pilot on Board Yes
Departure Point Same as Event Yes
Departure Airport Code
Departure City
Departure State
Departure Country
Departure Time 918
Departure Time Zone PDT
Destination Same as Local Flt --
Destination Airport Code KOA
Destination City KONA
Destination State HI
Destination Country
Specific Phase of Flight Climb
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Dec 20 2002 12:42PM
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 --