Aircraft Accident/Incident Report

Cripple Creek, Colorado 80020
Thursday, January 25, 2007 16:47 MST

NTSB Narrative Summary Released at Completion of Accident

While climbing through FL 240, the No. 1 engine experienced a fan disk separation, which resulted in the separation of the inlet, fan rotor assembly, the fan containment case, and portions of the thrust reverser. The airplane reversed course and landed without further incident. Postincident examination revealed minor damage to the aft portion of the fuselage and empennage. An examination of the remaining airplane systems revealed no anomalies. Portions of the fan disk were recovered and examination of the fan disk revealed fatigue striations emanating from the aft bore corner of the fan disk. The striations came from an area that exhibited characteristics consistent with arc-out damage, which was the result of improper assembly and marking procedures during the electrochemical etching process. This damage was not detected during the manufacturer's quality assurance process used by the manufacturer. Further, the operator did not detect this damage while conducting the inspections prescribed through required airworthiness directives because the inspection procedures required were not detailed enough to detect the arc-out damage and the maintenance personnel did not receive appropriate training. Following the incident, the manufacturer issued alert service bulletins and the FAA issued an airworthiness directive to resolve these issues.

NTSB Probable Cause Narrative

A fatigue fracture, which resulted in the separation of the No.1 engine fan disk. Contributing factors in the accident were the operators' maintenance personnel lack of training to be able to detect arc-out damage on the fan disk, and the fan disk manufacturer's inadequate electro-chemical etch match marking process of the fan disk to forward fan shaft that allowed for the initiation of a fatigue point that was undetected at the time of original manufacture.

Event Information

Type of Event Incident
Event Date 1/25/2007
Event Day of the Week Thursday
Time of Event 1647
Event Time Zone Mountain Standard Time
Event City Cripple Creek
Event State COLORADO
Event Country --
Zipcode of the event site 80020
Event Date Year 2007
Event Date Month 1
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 384423N
Event Location Longitude 1051775W
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 --
Investigator's weather source Weather Observation Facility
Time of the weather observation 1654 Mountain Standard Time
Direction of event from weather observation facility (degrees) --
Weather Observation Facility ID KCOS
Elevation of weather observation facility 6187
Distance of event from weather observation facility (units?) --
Time Zone of the weather observation MST
Lighting Conditions Day
Lowest Ceiling Height --
Lowest Non-Ceiling Height --
Sky/Lowest/Cloud Conditions Clear
Sky Condition for Lowest Ceiling None
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 10
Air Temperature at event time (in degrees celsius) 5
Dew Point at event time (in degress fahrenheit) -4
Wind Direction (degrees magnetic) 140
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 9
Wind Velocity Indicator --
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 30.18
Density Altitude (feet) --
Intensity of Precipitation --
METAR weather report --
Event Highest Injury None
On Ground, Fatal Injuries --
On Ground, Minor Injuries --
On Ground, Serious Injuries --
Injury Total Fatal --
Injury Total Minor --
Injury Total None 54
Injury Total Serious --
Injury Total All --
Investigating Agency NTSB
NTSB Docket Number (internal use) 22977
NTSB Notification Source FAA-Northwest Mountain Region
NTSB Notification Date Jan 25 2007 12:00AM
NTSB Notification Time --
Fiche Number and/or location -used to find docket information DMS
Date of most recent change to record Jan 30 2008 4:08PM
User who most recently changed record NTSB\johb
Basic weather conditions Visual Meteorological Cond
FAA District Office Denver

Aircraft Involved

Aircraft #1

Aircraft Registration Number N17337
NTSB Number DEN07IA055
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 121: Air Carrier
Type of Flight Plan filed IFR
Flight plan Was Activated? Yes
Damage Minor
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name Bombardier, Inc.
Aircraft Model CL-600-2B19
Aircraft Series Identifier --
Aircraft Serial Number 7337
Certified Max Gross Weight 53250
Aircraft Category Airplane
Aircraft Registration Class --
Aircraft is a homebuilt? No
Flight Crew Seats --
Cabin Crew Seats --
Passenger Seats --
Total number of seats on the aircraft 55
Number of Engines 2
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection Continuous Airworthiness
Date of Last Inspection Jan 1 2007 12:00AM
Airframe hours since last inspection 13
Airframe Hours 19629
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name Wells Fargo Bank Northwest NA Trustee
Aircraft Owner Street Address 299 S Main St # U1228-120
Aircraft Owner City Salt Lake City
Aircraft Owner State UT
Aircraft Owner Country USA
Aircraft Owner Zipcode 84111
Operator is an individual? No
Operator Name MESA AIRLINES INC
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? No
Operator Street Address 3919 East Airplane
Operator City Phoenix
Operator State AZ
Operator Country USA
Operator Zip code 85034
Operator Code MASA
Owner has at least one certificate --
Other Operator of large aircraft? --
Certified for Part 133 or 137 Operation --
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) --
Second Pilot on Board Yes
Departure Point Same as Event No
Departure Airport Code KDEN
Departure City Denver
Departure State CO
Departure Country USA
Departure Time 1629
Departure Time Zone MST
Destination Same as Local Flt --
Destination Airport Code KPHX
Destination City Phoenix
Destination State AZ
Destination Country USA
Specific Phase of Flight Cruise
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Jan 15 2008 4:12PM
User who most recently changed record BOWL
Since inspection or accident Time of Accident
Event Location Runway Number and Location NA
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --