Safety

ATSB Releases Final Report on Saab 340 in-flight Loss of a Propeller

Regional Express Saab 340 ATSB
Regional Express Saab 340 VH-NRX | ATSB

On 17 March 2017, a Saab 340B aircraft, registered VH-NRX, was operated by Regional Express as flight RXA768 on a routine passenger flight from Albury to Sydney.

On board the aircraft were 16 passengers and three crew.

About 102 km (55 NM) south-west of Sydney Airport, the crew noticed uncommanded engine indications and began the necessary checklists. While undertaking the checklist items, the crew experienced minor vibrations from the right engine. These vibrations worsened as the checklist progressed and became visually evident to the first officer.

As a result, the crew commenced the engine shutdown procedure. During the procedure, the propeller separated from the aircraft. The crew made a PAN PAN call to air traffic control, and completed the engine shutdown procedure. The aircraft landed without incident at Sydney Airport.

On 21 March 2017, the NSW Police Aviation Support Branch located the propeller in an area under dense forest about 19 km (10 NM) south-west of Sydney Airport.

Regional Express Saab 340 ATSB

NSW Police Aviation Support Branch located the propeller | ATSB

An inspection of the aircraft by the ATSB at Sydney Airport identified that the propeller gearbox (PGB) propeller shaft had fractured, leading to the separation of the propeller. Subsequent laboratory analysis of the propeller shaft revealed that the failure occurred as a result of a fatigue crack that had initiated from the PGB propeller shaft flange dowel pin hole.

The ATSB found that the manufacturer’s maintenance documentation did not include specific inspection procedures to detect fatigue cracking of the propeller shaft. In addition, the operator’s inspection worksheets did not provide for the recording of inspection findings as defined within documented procedures. Consequently, this may not have provided for the best opportunity to ensure potential defects were identified, recorded and monitored.

Following the occurrence, the engine manufacturer (General Electric) released a number of service bulletins (SB 72-0530 and SB 72-0531) requiring immediate inspection of the PGB propeller shaft. Changes were also made to the engine maintenance manuals to include more ongoing detailed inspections of this area. Additionally, the United States Federal Aviation Administration, issued airworthiness directive AD 2018-03-13, on 14 February 2018, which required initial and repetitive visual inspection and fluorescent-penetrant inspection (FPI) of the main propeller shaft for affected engines.

This occurrence highlighted how non-life-limited components such as a propeller shaft may still develop defects and fail in-flight. Appropriate training, the use of checklists and effective crew interaction, provide the best opportunity for a positive outcome in the event of such a failure affecting flight safety. Additionally, operators are reminded of the importance of having worksheets that accurately reflect the requirements and intentions of associated maintenance documentation.

Regional Express welcomed the release today of the final report from the Australian Transport Safety Bureau.

The airline’s Chief Operating Officer, Mr. Neville Howell said:

“The ATSB final report is very comprehensive and we find it completely factual and balanced. I would like to commend the ATSB’s investigation team for its professionalism and meticulous approach.”

“We are proud of our crew who managed to land the aircraft normally and safely after the incident and we are pleased to note that the ATSB report has also commended their actions.”

Click here to read the full report


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