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-   -   787 engine failure in Charleston, SC (https://www.pprune.org/tech-log/491797-787-engine-failure-charleston-sc.html)

DozyWannabe 19th Sep 2012 23:34

This is not a conspiracy to undermine safety. It's the fact that the overriding concern is to master new techniques to keep weight down. All the companies involved have modelled everything to the Nth degree before a single piece of metal is struck, but it's impossible to get right first time.

Turbine D 20th Sep 2012 02:28

Lyman,
Are you a metallurgist by background? The problem is complex. There are many processing steps from the time the alloy produced until the final part arrives at engine assembly. Each step must be accomplished within the defined parameters. You make it seem like it is simplistic, it is not. I did post graduate metallurgical failure work on the sudden failures of huge oil storage tanks which turned out to be hydrogen embrittlement, not what was expected at the time. I know how complex these thing can be. Don't lecture me on being in the dark or in the shadows... Good failure analysis and failure problem solutions depends on good first hand data, not on outsider speculation or imagination...

TD

Lyman 20th Sep 2012 13:00

The last thing I want is to take this discussion into the adversarial. 'Complex' is a highly subjective term; there is an element of 'proprietary' all too often in the realm of investigation which does not serve the public.

People do not fly on 'secrecy' or should not. I should simply have asked where to find more detailed evidence. I will try to be less sensitive to the process of failure analysis as it is practiced.

barit1 21st Sep 2012 01:25

I would suspect that there is very little "proprietary" in the whole issue, given that the root cause (suspect hydrogen embrittlement) is a well-recognized and long-standing metallurgical phenomenon.

Factors unique to the GEnx (geometry, alloy, design unit stress ...) are the unknowns you and I can only ponder. The exact manufacturing process for this set of factors can only be guessed at by us, even though we probably know the basics.

I for one am content for GE and their FAA colleagues to ferret out the problem (without our help), and complete required inspections on-wing and off-wing. And if outside help is needed, there is a long tradition of consultancy between competing OEM's - to maintain the industry's safety reputation. (I am reminded of Douglas & Boeing helping audit the Lockheed L188 design during its whirl-mode problems fifty years ago).

Lyman 21st Sep 2012 15:51

I flew on a Holiday Airline Electra into South Lake Tahoe years ago.

The approach was a long straight in, of course, and the turbulence in the basin was extreme. Power was all over the map, and on one sink, the Captain firewalled all four. I was sitting F1' just ahead of the left wing.

I don't know from whirl mode, but One and Two were describing circles in the air two feet in diameter at the spinners. I was convinced both would come off the wing. The extension forward of engine and prop on this aircraft is remarkable, and made for some exciting wobble.

Lost at the casinos, naturally.

Lyman 21st Sep 2012 21:54

Hi barit1

By proprietary I do mean 'ownership', but not of processes or formulas.

I address ownership of the investigation. It should be the property, in its entirety, of the people, all of them, who have an interest in commercial flight.

Not the owners of the equipment, or the operators, or even the regulatory entity. Everybody.

You are comfortable with GE and FAA. OK by me. Those of us who remember pencil whipped inspections 737 skin, avoidance of AD 447 pitot, and other forms of deceit, what do we do? Were the Thales AA even certified properly?

Some one should care...

DozyWannabe 21st Sep 2012 22:01

The final reports of incidents and accidents in the West *are* published by independent government agencies. The presence of the manufacturers is simply to take advantage of their expertise - contrary to popular opinion they have no say in the output. And at least since the '80s, whenever a manufacturer tried to, they were told in no uncertain terms it wasn't going to happen.

Lyman 21st Sep 2012 22:25

DozyWannabe "...published by independent government agencies. Manufacturers have no say in the output."

What is an "independent government agency"?

Manufacturers and their reps are frequently given draft product to edit.

DozyWannabe 21st Sep 2012 22:33

But they don't have final say on the end product.

An independent agency is just that - separate from the regulator and restricted to publishing proven facts. The industry has experienced two major catastrophes when aircraft were prematurely given the go-ahead to return to service and neither De Havilland nor McDonnell-Douglas exist as separate entities anymore. The lesson taken from those cases is that trying to sweep things under the carpet is more trouble than it's worth.

Turbine D 22nd Sep 2012 20:38

Lyman,

Were the Thales AA even certified properly?
They were according to the requirements that existed at the time.


Manufacturers and their reps are frequently given draft product to edit.
Wrong! They are often given draft proposals to comment on, not edit. When all the responses are received, the Agency publishes a complete listing of proposed changes or objections received and then either agrees to or denies each change or objection, giving the reason/reasons why or why not...

TD

infrequentflyer789 22nd Sep 2012 21:45


Originally Posted by Turbine D (Post 7428179)
When all the responses are received, the Agency publishes a complete listing of proposed changes or objections received and then either agrees to or denies each change or objection, giving the reason/reasons why or why not...

TD

Usually, yes. BEA does not appear to do so in 447 report at least (and I cannot believe neither mfr or airline commented). Unless someone can point me at the comments I've missed ?

Private jet 22nd Sep 2012 22:26

Doesnt this kind of thing almost always happen with new engine types? Thats a rhetorical question... yes it does.

Lyman 22nd Sep 2012 22:27

TurbineD, But not aircraft specific, I believe. They were "sistered" onto the A330.

TurbineD "Wrong! They are often given draft proposals to comment on, not edit"

Goodness, I hope I am not WRONG. Shall we devolve into parsing words, and furnishing examples of how the Agency has been prevailed upon to erm "issue a MEMO" ? How a request to review has resulted in paragraphs omitted, and Airframers pleased with a lessening of the "Load" ?

It is a long and unproductive tit for tat, and you are at least as stubborn as I am annoying?

Turbine D 23rd Sep 2012 02:12

Lyman,
Lets be clear here:
In the instance of the EASA or the FAA initiating an AD for a problem or event such as the subject of this thread, these agencies may "consult" with the manufacturing folks involved or the airline for factual information, but decide the appropriate action to be taken independently of either party. A recommendation from the NTSB is not required for an AD to be issued, but because of the Charleston event, the NTSB initiated an investigation concerning the GEnx engine problem.

In the instance of either agency proposing changes to certification requirement, aircraft, engines, pitot tubes, avionic equipment, onboard weather radar, you name it, they issue draft proposals and ask for comments and recommendations. Then they decide on each one as I previously noted. For an example, you should read this and then Google to find the detailed response that Airbus gave...

Airbus backs overhaul of pitot icing certification standards

Private Jet,

Doesnt this kind of thing almost always happen with new engine types? Thats a rhetorical question... yes it does.
You gave the right answer to your question. Unexpected issues seem to always emerge regardless of all the testing and certification steps that are taken and all the lessons learned from previous engines. For the GEnx, it would seem to be an inadequacy of a manufacturing process or processes for the component involved, not necessarily a general design problem of this component.

TD

Turbine D 23rd Sep 2012 02:19

Infrequent,

Usually, yes. BEA does not appear to do so in 447 report
The BEA like the NTSB only recommends to EASA or FAA. It is then up to the EASA or FAA to decide to or not incorporate recommendations made. They generally do this through draft proposals and ask the parties involved for comments and recommendation before reaching a final decision.

TD

lomapaseo 23rd Sep 2012 02:47

Turbine D has it right.

It's one thing for interested parties to review a draft and comment privately. It's an entirely different view when the subsequent comments are material enough in nature to result in a disagreement that need be publisized.

Yes the investigating agency has the final say in their opinions to what gets published. However the regulatory agency has the final say in what corrective action is accepted.

Typically the designer/manufacturer/operator is the one that must propose such continued airworthiness actions. If these in themselves are not deemed adequate the regulator may alter them and modify the certificate to the point where the product can not be flown until ....

It's shame that all this what-ifs get burried in a specific incident thread, Like others have said the identification of causal factors in this case are generally agreed between parties the corrective action has been proposed by compentent people and now that the implementation is under way even then the issue remains open to any new data (like more cracks)

Fear not if this becomes a bigger issue then such modification of the certificate will be published for wider expert comment. I do say expert, because most of the coments made by non-experts are disposed in a general sense during publication. If no certificate modification is published than all the questions by those on the sidelines will likely not be furthur addressed than by News releases.

barit1 23rd Sep 2012 16:16


Doesnt this kind of thing almost always happen with new engine types? Thats a rhetorical question... yes it does.
I beg to differ.

For what it's worth: Here's an accident report with a remarkably similar root cause. It happens to be a skipped manufacturing step in a helical-splined piston, in an established propeller product (not a new design).

Turbine D 23rd Sep 2012 17:49

barit1,

I beg to differ.
I think Private Jet was referring to teething problems in general on new engines going into service, not just the GEnx. The most recent serious was the RR Trent 900, A-380 incident. But, others that come to mind include the GE90 introduction on British Airways' B-777 where gearbox bearing wear caused BA to terminate long range service for nearly a year. CFM56 introduction on the DC-8's where the starter shafts sheared due to too tight of geometric tolerances, also, HPT blades clogging with fine sand dust due (blades burned up eventually) to dust holes not being big enough, and I am sure there are P&W examples as well. Annoying but also disruptive problems to the airlines during initial introductions into service...

TD

Lyman 23rd Sep 2012 18:00

Looking for "Teething Problems" in the curriculae....

The TRENT's problem was a lack of (proper) material in the IPT shaft, it is memorialized in the AD. That is not a teething issue, that is a spec/engineering mistake/blunder.

The "misaligned Stub Pipe" likewise is a blunder in machining and QA. I will continue to consider these facts and be sceptical of marketing/promotion issues that fly in the face of quality, and attempts to downplay the seriousness of these issues.

barit1 23rd Sep 2012 19:51


The TRENT's problem was a lack of (proper) material in the IPT shaft,
Which Trent? The 972/A380? The 1000 test bench oops?

And don't forget the RB211/747 IPT @ SFO...


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