Norman Y. Mineta San Jose Int Airport
Aircraft Accident/Incident Report

Danville, California 94526
Tuesady, March 5, 2013 11:20 PST

NTSB Narrative Summary Released at Completion of Accident

The flight was climbing through flight level 200 when the flight crew received a No. 2 engine audible fire warning, which was accompanied by a bang sound. The crew subsequently shut the No. 2 engine down and discharged both of the engine’s fire extinguishing bottles. The cabin crew reported no visible fire, but the flight crew continued to receive a fire indication. The captain then declared an emergency, began a descent to the departure airport, and landed about 9 minutes after the event. After the airplane was stopped on the runway and the No. 1 (left) engine was shut down, an emergency evacuation was conducted using the main cabin door. An initial assessment by company personnel indicated that the fire damage to the airplane was limited to what was visible on the aircraft’s exterior. A visual postincident examination of the engine revealed that sooting was present on external case surfaces, which were concentrated on the aft half of the No. 2 engine. A disassembly of the engine confirmed that about half of the SED outer dome within the combustion section had separated and was subsequently ingested into the gas path. To determine the reason for the separation, three locations on the outer dome were sectioned and examined. All three locations exhibited insufficient weld penetration so that the welds remained totally contained within the SED outer dome and did not penetrate through to the inner duct as required by the manufacturing specifications.

NTSB Probable Cause Narrative

The failure and separation of a section of the No. 2 engine's combustion chamber's small exit duct (SED), which created an airflow disruption that led to an engine surge and subsequent fire. Contributing to the accident was the insufficient weld penetration that remained totally contained within the SED outer dome and did not penetrate through to the inner duct as required by the manufacturing specifications.

Event Information

Type of Event Incident
Event Date 3/5/2013
Event Day of the Week Tuesday
Time of Event 1120
Event Time Zone Pacific Standard Time
Event City Danville
Event State CALIFORNIA
Event Country --
Zipcode of the event site 94526
Event Date Year 2013
Event Date Month 3
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 375022N
Event Location Longitude 1220012W
Event Location Airport Norman Y. Mineta San Jose Int
Event Location Nearest Airport ID SJC
Indicates whether the acc/inc occurred off or on an airport Off Airport/Airstrip
Distance from airport in statute miles 30
Degrees magnetic from airport 45
Airport Elevation 62
Weather Briefing Completeness --
Investigator's weather source Weather Observation Facility
Time of the weather observation 1053 Pacific Standard Time
Direction of event from weather observation facility (degrees) 20
Weather Observation Facility ID CCR
Elevation of weather observation facility 26
Distance of event from weather observation facility (units?) 10
Time Zone of the weather observation PST
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) 13
Dew Point at event time (in degress fahrenheit) 4
Wind Direction (degrees magnetic) 190
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 13
Wind Velocity Indicator --
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 30.03
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 51
Injury Total Serious --
Injury Total All --
Investigating Agency NTSB
NTSB Docket Number (internal use) 33126
NTSB Notification Source FAA Regional Operations Center
NTSB Notification Date --
NTSB Notification Time --
Fiche Number and/or location -used to find docket information --
Date of most recent change to record Jul 3 2014 5:54AM
User who most recently changed record litt
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N417QX
NTSB Number WPR13IA144
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 In-flight
Aircraft Explosion None
Aircraft Manufacturer's Full Name BOMBARDIER
Aircraft Model DHC-8-402
Aircraft Series Identifier --
Aircraft Serial Number 4086
Certified Max Gross Weight 40112
Aircraft Category Airplane
Aircraft Registration Class --
Aircraft is a homebuilt? No
Flight Crew Seats 2
Cabin Crew Seats 3
Passenger Seats 76
Total number of seats on the aircraft 81
Number of Engines 2
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection Continuous Airworthiness
Date of Last Inspection Mar 2 2013 12:00AM
Airframe hours since last inspection 49
Airframe Hours 22123
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site Unknown
ELT Type C126
Aircraft Owner Name Horizon Air Industries Inc.
Aircraft Owner Street Address --
Aircraft Owner City SEATAC
Aircraft Owner State WA
Aircraft Owner Country USA
Aircraft Owner Zipcode 98188
Operator is an individual? No
Operator Name Horizon Air
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? No
Operator Street Address --
Operator City Portland
Operator State OR
Operator Country USA
Operator Zip code 97218
Operator Code QXEA
Owner has at least one certificate Yes - certificate holder
Other Operator of large aircraft? --
Certified for Part 133 or 137 Operation --
Operator Certificate Number QXEA002A
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 SJC
Departure City San Jose
Departure State CA
Departure Country USA
Departure Time 1108
Departure Time Zone PST
Destination Same as Local Flt --
Destination Airport Code BOI
Destination City Boise
Destination State ID
Destination Country USA
Specific Phase of Flight --
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Sep 5 2014 12:06PM
User who most recently changed record stam
Since inspection or accident Last Inspection
Event Location Runway Number and Location 12L
Runway Length 11000
Runway Width 150
Sight Seeing flight No
Air Medical Flight No
Medical Flight --