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Engine In-Flight Shutdown Traced to Cleaning Process

Chemical residue from a cleaning procedure led to corrosion, blade failure.

by FSF Editorial Staff | October 18, 2018

Qantas A380

Australian investigators have traced the in-flight shutdown of a Qantas Airbus A380’s engine in May 2017 to corrosion caused by chemical residue associated with a cleaning procedure used during the powerplant’s overhaul nearly two years before the incident.

According to the Australian Transport Safety Bureau’s (ATSB’s) final report on the in-flight shutdown incident, released Thursday, internal corrosion of low-pressure turbine stage 2 (LPT2) blades resulted in fatigue failure and separation of blade debris and significant downstream damage through the Rolls-Royce Trent 900 engine. “The blade corrosion resulted from chemical residue associated with the cleaning procedure used during the last engine service,” ATSB said.

Qantas Flight QF94 was about two hours into a scheduled flight from Los Angeles International Airport (LAX) to Melbourne, Australia, and the flight crew had just increased thrust on all four engines to climb to a higher flight level when they heard a loud bang and “felt a sudden and unusual vibration of the aircraft.” Various cabin crewmembers throughout the aircraft also reported on the interphone hearing a bang and feeling vibrations. In addition, a passenger report to the flight crew, relayed by the cabin crew, described seeing flames and sparks coming from the right outboard (No. 4) engine.

After performing various checklists and communicating with the carrier’s maintenance watch and integrated operations center, the flight crew decided to return to LAX, where the airplane was landed safely. None of the passengers and crew were injured. The aircraft suffered minor damage to the right flap and flap fairing from debris exiting the rear of the engine, the ATSB report said.

Rolls-Royce did a teardown of the incident engine and found internally corroded LPT2 blades and determined that the corrosion resulted from chemical residue in the hollow blades from cleaning operations when the engine was overhauled in July 2015. As a result, the manufacturer conducted an audit of its cleaning operations and took additional safety action, including modifying cleaning operation instructions to incorporate best practices related to removal of process solutions and chemical residues, ATSB said.

Twelve other engines with blades potentially affected by the cleaning process were identified for removal from service under a Rolls non-modification service bulletin (NMSB).

In addition, the European Aviation Safety Agency issued Airworthiness Directive 2018-0121 in June mandating the replacement of the affected blades in accordance with the Rolls NMSB.

Photo source: Qantas

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