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Old 30th Apr 2014, 12:43
  #130 (permalink)  
Jonzarno
 
Join Date: Dec 2011
Location: Cambridge
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Mary

Following on from my earlier post: one factor that seems to come up more often than it should is Maintenance Induced Failure. Coincidentally, this report on a CAPS save was released yesterday:

ERA12LA473

An extract from it:

"Examination of the engine revealed that the crankshaft was fractured and that the crankcase exhibited varying degrees of fretting and lock-slot elongation on the main bearing supports, which is consistent with the application of insufficient torque on the cylinder through-bolts by maintenance personnel. New cylinders had been installed on the engine 113 hours before the accident. Because the cylinders were loose, the oil supply at the No. 2 main journal was shut off and the crankshaft broke, which resulted in the subsequent loss of oil pressure to the engine."

The full report is well worth a read both from the point of view of the cause and from the account it gives of the pilot's decision making process.
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