Water Ingress Triggers Flight Display Failure on Boeing 747

Casualties unknown • NZ

A Boeing 747-419 experienced a sudden loss of primary flight display information during a flight from Auckland to Los Angeles due to a hardware fault caused by moisture.

What happened

On 12 March 1997, a Boeing 747-419, registration ZK-NBU, was operating as flight NZ18 from Auckland to Los Angeles when the Captain's electronic primary flight display (PFD) suddenly went blank. While the display remained powered, it ceased to show essential flight reference data such as attitude, heading, and vertical speed, instead displaying warning flags.

This loss of information was accompanied by several alerts on the engine indication and crew alerting system (EICAS), including traffic alerts and inertial reference system (IRS) messages. The crew attempted to resolve the issue by following the Quick Reference Handbook (QRH), switching the IRS source from the left unit to the center and then to the right. However, the center unit also triggered an advisory message, and the Captain's display continued to flicker for several minutes. To stabilize the flight instruments, the crew eventually turned the affected inertial reference units off. The aircraft returned to Auckland and landed safely without any injuries to the 19 crew members or 420 passengers.

The investigation

Investigators determined that the primary cause was a failure within the brake system control unit (BSCU) triggered by water ingress. The investigation found that a cracked plastic dripsield, located in the avionics equipment bay, failed to protect the BSCU from moisture accumulating from cargo containers above. This moisture caused an internal failure in the BSCU, which then sent a voltage spike through the data bus. This spike caused the inertial reference unit (IRU) to transmit error data across all its output buses, effectively invalidating the Captain's flight display information.

Further examination revealed that a Boeing Service Bulletin had previously recommended replacing these plastic dripsields with aluminum versions to prevent such cracking, but the airline had assigned this task a low priority. Additionally, the investigation looked into why the crew's attempts to switch to alternate IRUs inadvertently connected the new units to the same faulty electrical source.

Probable cause

The primary cause was a failure in the brake system control unit caused by water entering through a cracked protective shield. This failure created a voltage spike that corrupted the data transmitted by the inertial reference units, leading to the loss of flight display information.

Frequently asked questions

What happened in the 1997-03-11 aircraft accident near NZ?

A Boeing 747-419 experienced a sudden loss of primary flight display information during a flight from Auckland to Los Angeles due to a hardware fault caused by moisture.

What aircraft was involved and where did it happen?

The accident on 1997-03-11 involved a aircraft, at NZ.

What was the probable cause of the accident?

The primary cause was a failure in the brake system control unit caused by water entering through a cracked protective shield. This failure created a voltage spike that corrupted the data transmitted by the inertial reference units, leading to the loss of flight display information.

Investigation report by the New Zealand Transport Accident Investigation Commission (TAIC). Original record: https://taic.org.nz/inquiry/ao-1997-005. This page is a structured re-presentation; facts and quotes are in the Transport Accident Investigation Commission (TAIC), New Zealand.

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