Aviation Accident Summaries

Aviation Accident Summary ENG20LA016

Sacramento, CA, USA

Aircraft #1

N521NK

Airbus A319

Analysis

This incident occurred when a Spirit Airlines Airbus A319 experienced a fault with both engine integrated drive generators (IDG) while on approach to the Sacramento International Airport (SMF), Sacramento, California. These faults resulted in the loss of electrical power supplied to both electrical networks (AC BUS 1 and AC BUS 2) leading to the loss of several flight deck displays and systems. Upon the dual loss of power, the ram air turbine (RAT) automatically extended and began driving the emergency generator to provide electrical power to vital services. The airplane landed without further incident, was towed to the gate and passengers deplaned normally. A review of the airplane’s maintenance records found that the airplane had experienced a similar dual loss of power event during an approach into the Hartsfield-Jackson Atlanta airport (KALT), Atlanta, Georgia on the previous day. The airplane had also experienced a similar loss of power on three different occasions on ground while performing single engine taxi after landing in January 2020. Each engine’s IDG was controlled by an independent digital computer called a generator control unit (GCU). One of its functions was to protect the IDG and its associated electrical network by monitoring and controlling the frequency and voltage output of its respected IDG. When the GCU detects a fault, it will isolate the IDG from the electrical network, and store the system fault data in its non-volatile memory (NVM). An amber fault message will also illuminate on the respective generator control push button switch indicating the channel is offline. Post incident analysis of information from the airplane’s GCU revealed that during the incident flight and during the dual loss of power event that occurred on the previous day, both GCU’s recorded fault code 145. This information indicates that the frequency output for both the left and the right engine IDGs were outside of their specified design limits during the incident flight and on the previous day. Analysis of the data also revealed a similar out of limit frequency output from the left engine IDG when the airplane experienced the three loss of power events in January. Examination and testing of the left engine IDG revealed that an internal component, a fixed cylinder block, was significantly worn beyond its design limits. Wear was observed in the gold-colored liners assembled inside of the bores of the cylinder block. The wear was uneven around the circumference and occurred close to either end of the bores, with the heaviest wear extending up from the bottom of the bores. The gold-colored liners were worn through in some areas in several bores, and silver-colored base metal was visible. The fixed cylinder block and pistons within IDG1 were replaced with serviceable original equipment manufacturer (OEM) parts and the IDG was re-tested. The IDG passed its tests indicating that the wear on the fixed cylinder block and pistons was the reason for the IDG failure during the event flight. Examination of IDG2 revealed that only one of the cylinder bores of the fixed cylinder block was worn through in a similar fashion to the cylinder block from IDG1. Although testing of this IDG found that it exhibited a significant frequency modulation on its electrical output, the output was not outside of its specified design limit and therefore would not have triggered a fault code 145 to be recorded on the GCU. Nevertheless, several tests showed that the fault code 145 was almost triggered under the following test conditions: 1) A constant speed (or a slow sweep profile) between 6,100 RPM and 6,150 RPM, 2) A high IDG load that seems to increase slightly with the modulation amplitude. Although Spirit Airlines maintenance had performed troubleshooting on the airplane after each of the previous loss of electrical power events, they were unable to determine any faults with the electrical system, including the IDGs. A review of their maintenance records found that the testing included a run-up of the engines to check electrical loads per their aircraft maintenance manual (AMM), and operational testing of the IDGs. According to Airbus, the introduction section of their A318/A319/A320/A321 troubleshooting manual (TSM) indicated that if an operator cannot find a fault symptom and/or fault isolation procedure necessary to ensure the continued airworthiness of the aircraft they should contact Airbus. Airbus indicated that they were not contacted by Spirit Airlines for assistance on these loss of electrical power events. It is likely that if Spirt Airlines maintenance had contacted Airbus for these loss of electrical power events, they may have identified fault code 145 on the Number 1 GCU and replaced its respective IDG prior to the February 15th event. As a result of this incident, Airbus has improved their TSM by incorporating steps to direct maintenance towards a direct extraction of the post flight report (PFR) and troubleshooting data (TSD) from the GCUs.

Factual Information

HISTORY OF FLIGHTOn February 15, 2020, at about 7:42 AM pacific standard time (PST), Spirit Airlines Flight 1818, an Airbus A319-132, N521NK, experienced a fault with both engine integrated drive generators (IDG) while on approach to the Sacramento International Airport (SMF), Sacramento, California. According to the flight crew, while the airplane was descending from 4,000 feet to 2,000 feet during their approach into SMF, they heard a “clicking noise” behind the captain’s seat that sounded like an electrical component or contactor opening or closing. They also observed the “ELEC GEN 2 FAULT” message on the lower Electronic Centralized Aircraft Monitor (ECAM) and a FAULT caption illuminate on the overhead panel. Within about 11 seconds, they heard another “clicking noise” and observed the “ELEC GEN 1 FAULT” message appear on the lower ECAM. These faults resulted in the loss of electrical power supplied to both electrical networks (AC BUS 1 and AC BUS 2) leading to the loss of several flight deck displays and systems. Upon the dual loss of power, the ram air turbine (RAT) automatically extended and began driving the emergency generator to provide electrical power to vital services. Due to the nature of the emergency and the phase of flight, the flight crew declared an emergency and asked for an immediate visual approach to runway 34L. The aircraft landed without incident, was met by fire trucks, and safely towed to the gate where the passengers were deplaned normally. None of the 117 occupants aboard the airplane were injured. The regularly scheduled passenger flight was operating under the provisions of Title 14 Code of Federal Regulations Part 121 from the McCarran International Airport (LAS), Las Vegas, Nevada to SMF. AIRCRAFT INFORMATIONThe Airbus A319, in common with other Airbus aircraft, is equipped with an electronic instrument system (EIS). This system consists of six liquid crystal cockpit display units (DU), two displays in front of each pilot and two central displays. The upper display is the Engine and Warning Display (E/WD), the lower display is the Systems display. The pilot displays are part of the electronic flight instrument system (EFIS) and provide primary flight instrumentation information on the primary flight display (PFD) and the navigation display (ND). The PFDs present information on aircraft attitude, performance, flight path and autopilot modes and the NDs provide navigation, weather radar and Traffic alert and Collision Avoidance System (TCAS) information. The System Display (SD) has the capability to display 13 different system pages, the cruise page or the status page. The display has two areas: the upper section of the screen provides information based on the selection of the display, and the lower section contains permanent data that is always present regardless of the page selection. This permanent data contains information on the total and static outside air temperatures, the time, the aircraft’s gross weight and its center of gravity. In flight, the ‘default’ cruise page is generally displayed. This page shows additional engine parameters, such as fuel burn, oil quantity and vibration levels, as well as cabin air and pressurization parameters. The lower ECAM display unit normally provides the “System Display”, which presents synoptic diagrams showing the status of various aircraft systems. The ECAM display is controlled through the ECAM Control Panel (ECP), located on the center pedestal directly below the ECAM displays. A specific system page such as the “ELEC System” may be called up manually, by selection of the appropriate button on ECP; a page will appear automatically following an aircraft system failure. For both the synoptic diagrams and the control panel captions, normal system conditions are displayed in green or white and abnormal conditions in amber. A number of fault conditions also cause the red Master Warning or amber Master Caution caption lights on the flight deck to illuminate and a continuous or single chime to sound. The electrical power system (EPS) on this aircraft consists of a three-phase 115/200 V 400 Hz constant-frequency AC system and a 28 V DC system. The EPS comprises two electrical networks, a left and a right, denoted AC BUS 1 and AC BUS 2. There is also a third network, called the “AC Essential” Bus, which is supplied by either AC BUS 1 or AC BUS 2; this BUS supplies power to most of the critical aircraft systems. AC BUS 1 and AC BUS 2 networks are normally independent of one another, so that the failure of one network should not affect the operation of the other. The power supplies for flight critical systems are for the most part segregated, so that the loss of a single power source should not cause concurrent failures of systems necessary for continued safe flight. Two enginedriven AC generators (GEN 1 & GEN 2), one mounted on each engine, normally power the EPS system. Each generator is driven from the engine high-pressure spool via an engine accessory gearbox and an integrated hydro-mechanical speed regulator. The regulator transforms variable engine rotational speed into a constant-speed drive for the generator. The constant-speed drive and the generator together form an assembly known as an Integrated Drive Generator (IDG). According to Spirit Airlines records, the Number 1 IDG (IDG1) was installed on the aircraft on November 12, 2017, in Philadelphia, PA. It had been installed for approximately 827 days and accumulated 8,582 hours and 3,693 cycles prior to its removal. The Number 2 IDG (IDG2) was installed on the incident aircraft on March 29, 2017, in Orlando, FL. It had been installed for approximately 1,055 days and accumulated 10,584 hours and 4,581 cycles prior to its removal. The output frequency and voltage of each IDG is controlled by its respective generator control units (GCU); the Number 1 GCU controls the IDG1 and the Number 2 GCU controls the IDG2. The GCUs also protect the network by controlling the associated generator line contactor (GLC). The EPS also comprises a third generator (APU GEN) that is driven directly by the Auxiliary Power Unit; it produces the same electrical output as each of the main engine generators. Additionally, a ground power connector near the nosewheel allows ground power to be supplied to all busbars. A Ground and Auxiliary Power Control Unit (GAPCU) regulates the frequency and voltage of the APU generator; it also protects the network by controlling the external power contactor and the APU generator line contactor. In the event there is a loss of both the AC BUS 1 and AC BUS 2 busbars in flight, vital aircraft electrical services can be supplied by an Emergency Generator which is driven by the ram air turbine (RAT). The RAT deploys either automatically, usually because of loss of both main AC busbars, or on manual selection. RAT deployment is indicated by a green icon on the ECAM hydraulic system page. The electrical system is controlled via the electrical panel located on the overhead console in the cockpit. This panel provides for annunciation of the status of the electrical system and fault conditions. The generator control switches are identified as GEN 1, GEN 2 and APU GEN for the left, right and APU generators. If a fault occurs with a generator, an amber fault message will illuminate on the respective generator control push button (PB) switch indicating the channel is offline. For a generator fault, pressing the PB once turns the generator to OFF. Pressing the PB a second time is required to reset the generator back to ON. A review of maintenance records found that N521NK had experienced a loss of power supplied from IDG1 and IDG2 prior to the February 15th, 2020, flight to SMF. The following paragraphs describe the four previous events. According to Airbus, the introduction section of their troubleshooting manual (TSM) indicates that if the operator cannot find a fault symptom and/or fault isolation procedure necessary to ensure the continued airworthiness of the aircraft, or if the operator thinks that the information given is not complete, they should contact Airbus. On January 19, 2020, N521NK, operating as Spirit Airlines Flight NK1848, experienced a loss of all electrical power and the loss of nose wheel steering about 3 minutes after shutting down the Number 1 engine while taxing after landing at the Orlando International Airport (MCO), Orlando, Florida. Spirit Airlines Maintenance performed a run-up of the Number 1 engine per the procedures contained in aircraft maintenance manual (AMM) 71-00-00. The full electrical load was supported by IDG1, and no faults were noted. The aircraft was determined to be ok for continued service and no additional troubleshooting was accomplished. According to Airbus, they were not contacted regarding this event. On January 23, 2020, N521NK, operating as Spirit Airlines Flight NK1445, experienced a loss of IDG1, nose wheel steering and all electrical power during a single engine taxi after landing at MCO. The flight crew observed the ‘ELEC GEN 1 FAULT’ message on the lower ECAM display. Spirit Airlines Maintenance performed an operational test of IDG1 per AMM 24-22-00. No faults were noted. According to Airbus, Using the Airbus AirnavX Troubleshooting tool, TSM task 24-00, “GEN 1 FAULT Warning” could have been used. This task requires the operator to perform an engine run and verify the GEN1 parameters. If the fault is confirmed (i.e. GEN1 parameters are not correct), then the troubleshooting data (TSD) from the GCUs shall be extracted. If the fault cannot be confirmed, Airbus can be contacted. According to the NVM download from GCU Number 1, N521NK experienced a loss of IDG1 while performing a single engine taxi after landing on January 29, 2020. No maintenance information was available from Spirit regarding this event. On February 14, 2020, N521NK, operating as Spirit Airlines Flight NK806, experienced a loss of all electronics (dual generator failure) while on approach to the Hartsfield-Jackson Atlanta airport (KALT), Atlanta, Georgia. Spirit Airlines Maintenance performed a check of the oil levels on the Number 1 and 2 engine IDG and found the levels good per aircraft maintenance manual (AMM) 12-13-24. Maintenance also ran both engines per AMM 71-00-00 and found that they both checked good. The aircraft was determined to be ok for continued service. According to Airbus, the Airbus AirnavX Troubleshooting tool, TSM task 24-21-51, “IDG1” and “IDG2” could have been used. These TSM procedures require checking the wiring of the IDG servo-valve, and then changing the GCU if the wiring is correct, and ultimately replacing the IDG if the fault continues. Collins Aerospace performed a download of the non-volatile memory (NVM) from the Number 1 and Number 2 GCU’s and the GAPCU at their facility located in Rockford Illinois. The data revealed that during the February 14 and 15th flights in which there was a dual loss of electrical power, both GCU’s recorded fault code 145. According to Collins, GCU’s provide electrical system monitoring and protection and will automatically turn off their respective electric power generating channel when design parameters are exceeded. Each IDG contains an electro-mechanical servo valve which plays a role in frequency control. GCU’s monitor servo valve frequency modulation and if it detects that the frequency is outside of specified design limits, it will trigger fault code 145. This fault is designed to stop system operation in the case of a failing servo valve. For the February 14th and 15th flights, the Number 2 GCU tripped at a normal load as fault 145 and the Number 1 GCU tripped as fault 145 after the electrical load was doubled due to the Number 2 generator dropping off-line. The NVM data also revealed that the Number 1 GCU recorded fault code 145 on January 19, 23, and 29th 2020. For these events, Collins noted that fault code 145 occurred after the airplane had landed and was performing a single-engine taxi. In this configuration, the Number 1 IDG is supplying all of the aircraft electrical load. Collins Aerospace also performed examination and testing of the Number 1 & 2 IDG’s removed from the incident airplane. Testing found that both IDGs failed their frequency control tests. The frequency test data for IDG1 showed a frequency modulation that would have triggered fault 145 on its GCU. IDG2 showed similar frequency issues. However, despite extensive testing by Collins and Airbus with varied electrical load and acceleration/decelerations profiles, it was not found that IDG2 produced the exact frequency modulation to specifically trigger fault 145. It was noted that the test setup was not identical to the on-aircraft situation. Upon disassembly of IDG1, it was observed that the fixed hydraulic cylinder blocks had been modified by a non-OEM process and were marked as PN CB-31773. Visual inspection of the fixed blocks revealed that portions of the Number 3 and 5 bronze bore lining were missing, having flaked off after wearing thin. There was approximately 1/4 to 1/3 of the bore missing in the Number 3 and Number 5. Several “flecks” of metal, copper in color were noted in the block assembly. The incident fixed cylinder block and its pistons from IDG1 were replaced by a new set for the purpose of re-testing the frequency behavior of the IDG. During the re-test, it was observed that the IDG produced the proper frequency performance and also fully passed the Acceptance Test Procedure (ATP). The teardown of IDG2 was generally unremarkable. Like IDG1, the fixed cylinder block had been modified by the same FAA-approved minor repair and marked as PN CB-31773. The fixed-block showed severe wear in several bores. Again, visual inspection revealed that portions of the bronze bore lining were missing, having flaked off after wearing thin. Because the “SV MODULATION,” fault 145 indicates a fault with the servo valve, it was removed from IDG2 for isolated testing. The servo valve passed all tests and no faults were found. After replacing only the damaged fixed-block/pistons, IDG2 passed ATP. All frequency performance anomalies noted before the repair were remedied by replacing the fixed block. For thoroughness, both IDGs were disassembled completely in order to inspect for any additional contributing factors. None were found. During the teardown of IDG1, to confirm the non-contribution of the servo valve, it also was removed for isolated testing, which it passed. The fixed cylinder blocks and mating piston assemblies from each IDG were submitted to the NTSB Materials Laboratory for examination. The fixed cylinder blocks were identified as part number 764635; the cylinder block removed from the left engine, S/N 1266, was vibro-peen marked with S/N Y10-245-19 and the cylinder block removed from the right engine, S/N 1157, was vibro-peen marked with S/N Y04-232-49. As previously noted, both fixed cylinder blocks were also vibro-peen marked with ‘CB-31773’, which was reported as the process number for rework performed on the cylinder block bore linings by an aftermarket company. The part numbers and serial numbers listed above were assigned by the original equipment manufacturer (OEM) of the fixed cylinder blocks. The fixed cylinder block S/N Y10-245-19 (left engine) and associated pistons were visually examined and photo documented. Bands of circumferential wear marks were visible on the outer diameter (OD) of the pistons. A few pistons had heavier bands of wear than others, and the bands occurred along most of the length of the pistons. Wear was observed in the gold-colored liners assembled inside the bores of the fixed cylinder block. The wear was uneven around the circumference and occurred close to either end of the bores, with the heaviest wear extending up from the bottom of the bores. The gold-colored liners were worn through in some areas in several bores, and silver-colored base metal was visible. Areas on bores 3, 5, and 6 were missing segments of gold-colored liner; the areas with missing liner ranged in size from very small to almost half the liner length

Probable Cause and Findings

A worn component within each engine integrated drive generator (IDG) resulted in the loss of electrical power supplied to several flight deck displays and systems while on approach to landing. The component, a fixed cylinder block, had significant wearing of its reworked brass liners resulting in the IDGs producing a frequency output outside of their specified design limit.

 

Source: NTSB Aviation Accident Database

Get all the details on your iPhone or iPad with:

Aviation Accidents App

In-Depth Access to Aviation Accident Reports