Aviation safety investigations & reports

In-Flight Engine Malfunction, 6 km SSE Sydney Airport, NSW, 25 August 2005, VH-TJX, Boeing 737-476

Investigation number:
200504188
Status: Completed
Investigation completed

Summary

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On 25 August 2005, while on a scheduled flight from Brisbane, Qld, to Sydney, NSW, a Boeing 737-476 aircraft, registration VH-TJX, experienced an in-flight engine malfunction approximately 6 km SSE of Sydney Airport.

An inspection of the left engine by the operator's engineering personnel revealed damage within the high pressure compressor (HPC). The left engine, a General Electric CFM56-3C1, was subsequently removed and disassembled at the operator's maintenance facility. The teardown revealed that a single dowel pin had come loose from its installed position within stage-three of the HPC and was ingested by the downstream rotating hardware, resulting in damage to the HPC rotor and stator components.

Further examination of the HPC stator components revealed that the dowel pin had come loose due to excessive clearance and recession of the stage-three stator shroud anti-rotation pins.

As a result of this occurrence, the engine manufacturer, General Electric, initiated a number of safety actions that included a redesign of the HPC anti-rotation pin. The manufacturer also released an alert Service Bulletin CFM56-3 S/B 72-1091 to all operators and maintainers of CFM56-3 engines that recommended the introduction of the new pin design into existing engines. Other safety actions taken included amendments to the CFM56-3 maintenance manual for HPC stator shroud component inspections.

Download Final Report
[Download  PDF: 783KB]
 
 
 
General details
Date: 25 August 2005   Investigation status: Completed  
Time: 0721 EST    
Location   (show map): 6km SSE Sydney Aerodrome    
State: New South Wales   Occurrence type: Engine failure or malfunction  
Release date: 24 January 2008   Occurrence category: Incident  
Report status: Final   Highest injury level: None  

Aircraft details

Aircraft details
Aircraft manufacturer The Boeing Company  
Aircraft model 737  
Aircraft registration VH-TJX  
Type of operation Air Transport High Capacity  
Departure point Brisbane, Qld  
Destination Sydney, NSW  
Last update 16 February 2016