Aircraft Accident/Incident Report

Anchorage, Alaska 99502
Friday, December 15, 1989 11:48 AST

NTSB Narrative Summary Released at Completion of Accident

BFR TKOF, CREW OF KLM FLT 867 ADZD OF VOLCANIC ERUPTION ABT 100 MI SW OF DESTN. EN ROUTE, FLT ADZD OF ANOTHER ERUPTION. FOR ARR, FLT CLRD TO DSCND FM FL390 AT PLT'S DISCRETION; VCTR GIVEN TO AVOID LAST KNOWN AREA OF ASH CLD. DRG DSCNT THRU FL260, FLT ENCTRD ASH CLD; ASH/SMOKE ENTERED COCKPIT/CABIN. CREW DONNED O2 MASKS; USED MAX PWR TO CLB. 1 MIN LTR, ALL ENGS LOST PWR (TO 28%-30% RPM); THERE WAS ELEC PWR INTRPN, LOSS OF AIRSPD INDCN, FIRE WARNING ALARM FOR FWD CARGO AREA. AFTER 8-9 ATMTS & DSCNT TO 13,300', ALL ENGS RESTARTED & FLT CONTD TO SAFE LDNG. DMG FND ON EXTERNAL SFCS OF ACFT & IN HI PRES TURBINES OF ALL ENGS. BOEING OMB #747-B2-4, ADZD TO AVOID VOLCANIC ACTIVITY; BUT IF ENCTRD, RETARDING THRUST TO IDLE WLD RDC BLDUP IN ENG & IMPROVE STALL MARGIN. ATC RADAR COULD ONLY DETECT VOLCANIC ASH FOR 5-10 MIN AFTER ERUPTION; ACFT RADAR NOT DESIGNED TO DETECT ASH. ASH CLD FCST TO MOV NNE AT 60 KTS; REVIEW OF SATELLITE DATA SHOWED IT ACTUALLY MOVED AT ABT 120 KTS. KLM HAD NO PROC FOR 747 ENCTR WITH ASH CLD & NO ADNL INSTRNS WERE GIVEN TO KLM CREWS.

NTSB Probable Cause Narrative

INADVERTENT ENCOUNTER WITH VOLCANIC ASH CLOUD, WHICH RESULTED IN DAMAGE FROM FOREIGN MATERIAL (FOREIGN OBJECT) AND SUBSEQUENT COMPRESSOR STALLING OF ALL ENGINES. A FACTOR RELATED TO THE ACCIDENT WAS: THE LACK OF AVAILABLE INFORMATION ABOUT THE ASH CLOUD TO ALL PERSONNEL INVOLVED.

Event Information

Type of Event Accident
Event Date 12/15/1989
Event Day of the Week Friday
Time of Event 1148
Event Time Zone Atlantic Standard Time
Event City ANCHORAGE
Event State ALASKA
Event Country --
Zipcode of the event site 99502
Event Date Year 1989
Event Date Month 12
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude
Event Location Longitude
Event Location Airport
Event Location Nearest Airport ID NONE
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 Full
Investigator's weather source Weather Observation Facility
Time of the weather observation 1150 Atlantic Standard Time
Direction of event from weather observation facility (degrees) 225
Weather Observation Facility ID TKA
Elevation of weather observation facility 358
Distance of event from weather observation facility (units?) 25
Time Zone of the weather observation AST
Lighting Conditions Day
Lowest Ceiling Height 8000
Lowest Non-Ceiling Height 6000
Sky/Lowest/Cloud Conditions Scattered
Sky Condition for Lowest Ceiling Overcast
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) 0
Dew Point at event time (in degress fahrenheit) -4
Wind Direction (degrees magnetic) 50
Variable Wind Indicator Unknown
Wind Speed (knots) 7
Wind Velocity Indicator Unknown
Wind Gust Indicator Not Gusting
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 245
Injury Total Serious --
Injury Total All --
Investigating Agency NTSB
NTSB Docket Number (internal use) 6012
NTSB Notification Source --
NTSB Notification Date Dec 15 1989 12:00AM
NTSB Notification Time 1155
Fiche Number and/or location -used to find docket information 41866
Date of most recent change to record Dec 13 2000 1:15PM
User who most recently changed record dbo
Basic weather conditions Instrument Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number PHBFC
NTSB Number ANC90FA020
Missing Aircraft Indicator N
Federal Aviation Reg. Part Part 129: Foreign
Type of Flight Plan filed IFR
Flight plan Was Activated? --
Damage Substantial
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name BOEING
Aircraft Model 747-400
Aircraft Series Identifier 747-400
Aircraft Serial Number 23982
Certified Max Gross Weight 792000
Aircraft Category Airplane
Aircraft Registration Class Foreign Registered/U.S. Soil
Aircraft is a homebuilt? No
Flight Crew Seats --
Cabin Crew Seats --
Passenger Seats --
Total number of seats on the aircraft 293
Number of Engines 4
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection Continuous Airworthiness
Date of Last Inspection Nov 24 1989 12:00AM
Airframe hours since last inspection 227
Airframe Hours 7050
ELT Installed No
ELT Activated Unknown
ELT Aided Location of Event Site Unknown
ELT Type --
Aircraft Owner Name KLM ROYAL DUTCH AIRLINES
Aircraft Owner Street Address POB 7700 1117 ZL SCHIPHOL ARPT
Aircraft Owner City THE NETHERLANDS
Aircraft Owner State OF
Aircraft Owner Country
Aircraft Owner Zipcode
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 KRDF
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 No
Departure Airport Code EHAM
Departure City AMSTERDAM
Departure State OF
Departure Country
Departure Time 337
Departure Time Zone AST
Destination Same as Local Flt crash at destination city
Destination Airport Code ANC
Destination City ANCHORAGE
Destination State AK
Destination Country
Specific Phase of Flight Descent
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 --