Aviation Accident Summaries

Aviation Accident Summary ANC90FA020

ANCHORAGE, AK, USA

Aircraft #1

PHBFC

BOEING 747-400

Analysis

BFR TKOF, CREW OF KLM FLT 867 ADZD OF VOLCANIC ERUPTION ABT 100 MI SW OF DESTN. EN ROUTE, FLT ADZD OF ANOTHER ERUPTION. FOR ARR, FLT CLRD TO DSCND FM FL390 AT PLT'S DISCRETION; VCTR GIVEN TO AVOID LAST KNOWN AREA OF ASH CLD. DRG DSCNT THRU FL260, FLT ENCTRD ASH CLD; ASH/SMOKE ENTERED COCKPIT/CABIN. CREW DONNED O2 MASKS; USED MAX PWR TO CLB. 1 MIN LTR, ALL ENGS LOST PWR (TO 28%-30% RPM); THERE WAS ELEC PWR INTRPN, LOSS OF AIRSPD INDCN, FIRE WARNING ALARM FOR FWD CARGO AREA. AFTER 8-9 ATMTS & DSCNT TO 13,300', ALL ENGS RESTARTED & FLT CONTD TO SAFE LDNG. DMG FND ON EXTERNAL SFCS OF ACFT & IN HI PRES TURBINES OF ALL ENGS. BOEING OMB #747-B2-4, ADZD TO AVOID VOLCANIC ACTIVITY; BUT IF ENCTRD, RETARDING THRUST TO IDLE WLD RDC BLDUP IN ENG & IMPROVE STALL MARGIN. ATC RADAR COULD ONLY DETECT VOLCANIC ASH FOR 5-10 MIN AFTER ERUPTION; ACFT RADAR NOT DESIGNED TO DETECT ASH. ASH CLD FCST TO MOV NNE AT 60 KTS; REVIEW OF SATELLITE DATA SHOWED IT ACTUALLY MOVED AT ABT 120 KTS. KLM HAD NO PROC FOR 747 ENCTR WITH ASH CLD & NO ADNL INSTRNS WERE GIVEN TO KLM CREWS.

Probable Cause and Findings

INADVERTENT ENCOUNTER WITH VOLCANIC ASH CLOUD, WHICH RESULTED IN DAMAGE FROM FOREIGN MATERIAL (FOREIGN OBJECT) AND SUBSEQUENT COMPRESSOR STALLING OF ALL ENGINES. A FACTOR RELATED TO THE ACCIDENT WAS: THE LACK OF AVAILABLE INFORMATION ABOUT THE ASH CLOUD TO ALL PERSONNEL INVOLVED.

 

Source: NTSB Aviation Accident Database

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