INFLT ENG SHUTDOWN PERFORMED AFTER ENG FAILURE ON TKOF. RETURN LAND MANDATED.

Date: 1992-12 · Aircraft: Large Transport; Low Wing; 3 Turbojet Eng

Anomalies: aircraft-equipment-problem-critical|deviation-discrepancy-procedural-published-material-policy

Synopsis

INFLT ENG SHUTDOWN PERFORMED AFTER ENG FAILURE ON TKOF. RETURN LAND MANDATED.

Narrative

ON DEC/XX/92 AT APPROX PM15L ACFT; AN LGT; EXPERIENCED AN ENG FAILURE SHORTLY AFTER TKOF FROM TKK; FEDERATED STATES OF MICRONESIA. AN UNEVENTFUL 1 ENG OUT APCH AND LNDG WAS ACCOMPLISHED AT TKK. THE FLT WAS AN ADD ON CARGO SECTION ORIGINATING ON GUAM. ACFT IS A 2P PLUS 78 CONFIGURED LGT SERIES. THE ACFT WAS LOADED WITH 2 CARGO PALLETS FORWARD AND OTHER FREIGHT LOADED IN THE PAX CABIN IAW APPROPRIATE COMPANY AND FAA DIRECTIVES. BECAUSE THERE WERE NO REVENUE PAX ON BOARD THERE WAS NOT A REQUIREMENT FOR FLT ATTENDANTS AND NONE WERE PRESENT. THERE WERE HOWEVER 4 NON REVENUE PAX (A COMPANY EMPLOYEE AND HIS FAMILY) ON BOARD. THE PAX WERE BRIEFED ON EMER EVAC AND THE GALLEY DOOR SLIDE AT MID CABIN WAS ARMED. UPON OUR ARR AT TKK THE ACFT CABIN AREA WAS UNLOADED. MID SECTION CARGO WAS UNLOADED THROUGH THE GALLEY DOOR WHICH HAD BEEN OPENED BY GND PERSONNEL. AFTER UNLOADING THE ACFT; DOOR WAS SECURED; CHKLISTS ACCOMPLISHED AND ENG START AND TAXI PERFORMED. THE ENG FAILURE OCCURRED SHORTLY AFTER TKOF. APPARENTLY; THE GALLEY DOOR WAS OPENED WITHOUT SOMEONE FIRST ENSURING THAT THE SLIDE HAD BEEN DE-ARMED. WHEN THE DOOR WAS OPENED THE EVAC SLIDE APPARENTLY DROPPED OUT OF ITS HOUSING AND DANGLED FROM THE SIDE OF THE ACFT; ATTACHED BY THE GIRT BAR. BECAUSE OF ITS TYPE (MANUAL INFLATION) IT DID NOT AUTOMATICALLY INFLATE. UNLOADING THROUGH THE GALLEY DOOR WAS COMPLETED AND THE GALLEY DOOR CLOSED AND SECURED WITH THE EVAC SLIDE STILL DANGLING OUTSIDE THE ACFT. THE ACFT TAXIED FOR TKOF WITH NO GND PERSONNEL NOTICING THE SLIDE HANGING DOWN. (THE RAMP AREA AT TKK IS SPARSELY LIGHTED AND BECAUSE OF THE WAY WE PARK ON THE RAMP; THE R SIDE OF THE ACFT IS UNLIGHTED.) AFTER THE RETURN TO TKK INITIAL INVESTIGATION REVEALED THAT THE EMER EVAC SLIDE FROM THE GALLEY DOOR HAD SEPARATED FROM THE ACFT AND PORTIONS OF IT WERE APPARENTLY INGESTED INTO THE #3 ENG RESULTING IN THE ENG FAILURE. SUPPLEMENTAL INFO FROM ACN 229565: PRIOR TO THE FLT THE INFLT MECH HAD ARMED THE GALLEY DOOR EVAC SLIDE; BUT FAILED TO POS THE WARNING STREAMER TO THE ARMED POS. GND PERSONNEL; FAILING TO OBSERVE THE ARMED SLIDE; OPENED THE DOOR TO FACILITATE REMOVAL OF CARGO; AT WHICH TIME THE SLIDE DEPLOYED PARTIALLY. GND PERSONNEL; UNAWARE OF THE DEPLOYED SLIDE; CLOSED THE GALLEY DOOR. THE EXTERIOR WALK AROUND PERFORMED BY THE MECH HAD BEEN COMPLETED PRIOR TO THE DOOR BEING OPENED. THE PARTIALLY DEPLOYED SLIDE WAS UNDETECTED BY THE CREW DURING A CABIN INSPECTION; AS THE DOOR APPEARED TO BE CLOSED; THE SLIDE HOUSING WAS INTACT; AND THE WARNING STREAMER WAS IN THE UNARMED POS. RAMP PERSONNEL FAILED TO OBSERVE THE SLIDE AS THE R SIDE OF THE ACFT WAS NOT ILLUMINATED BY ARPT LIGHTING; AND MOVEMENT OF THE ACFT TO THE R OBSCURED THE MARSHALLER'S VIEW. SUPPLEMENTAL INFO FROM ACN 230391: THE SLIDE HAD NOT DEPLOYED; BUT APPARENTLY HUNG JUST OUTSIDE THE DOOR WHEN THE DOOR WAS SHOT BY THE INEXPERIENCED GND CREW (BAGGAGE HANDLERS). THE GALLEY SVC DOOR WAS APPARENTLY NOT CHKED FOR SECURITY FOLLOWING ITS USE BY THE GND CREW.

Source: NASA Aviation Safety Reporting System (public domain). Reports are voluntary submissions and are not verified by NASA.