Serious incident Boeing 747-132 (SF) N481EV,
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ASN Wikibase Occurrence # 351882
 
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Date:Tuesday 19 January 1999
Time:04:26 LT
Type:Silhouette image of generic B741 model; specific model in this crash may look slightly different    
Boeing 747-132 (SF)
Owner/operator:Evergreen International Airlines
Registration: N481EV
MSN: 19896/72
Year of manufacture:1970
Total airframe hrs:26359 hours
Engine model:P&W JT9D-7A
Fatalities:Fatalities: 0 / Occupants: 4
Aircraft damage: Minor
Category:Serious incident
Location:Fairbanks International Airport, AK (FAI) -   United States of America
Phase: Landing
Nature:Cargo
Departure airport:Sapporo-New Chitose Airport (RJCC)
Destination airport:Fairbanks International Airport, AK (FAI)
Investigating agency: NTSB
Confidence Rating: Accident investigation report completed and information captured
Narrative:
After landing, the number four engine thrust reverser remained deployed. A tailpipe fire occurred, with no reported cockpit indications of either the fire or the extended reverser. Ground personnel notified the crew of the fire, and the engine was shut down. A teardown inspection revealed that the thrust reverser pneumatic drive unit (PDU) had been incorrectly assembled at the previous overhaul, 113 hours and 26 cycles prior to failure. The required stroke of the PDU interlock mechanism is 1.318 to 1.326 inches. At disassembly, the stroke was measured to be 1.230 inches. This stroke is required to allow the gear change mechanism to fully shift (from extend, to retract). The PDU retract pawl fracture surfaces were indicative of overstress. The lowest ambient surface temperature the airplane had been exposed to at the various airports during the 26 landing cycles had been -13 degrees Fahrenheit. The surface temperature during the failure of the PDU was -27 degrees Fahrenheit.

Probable Cause: The improper overhaul of the thrust reverser pneumatic drive unit, and the subsequent failure of the thrust reverser actuator. Factors associated with the incident were the inadequate quality assurance procedures by the overhaul company.

Accident investigation:
cover
  
Investigating agency: NTSB
Report number: ANC99IA025
Status: Investigation completed
Duration: 1 year and 5 months
Download report: Final report

Sources:

NTSB ANC99IA025

Location

Revision history:

Date/timeContributorUpdates
21-Feb-2024 20:50 ASN Update Bot Added
21-Feb-2024 20:58 ASN Updated [Aircraft type, Operator, Location, Phase, Nature, Departure airport, Destination airport, Narrative]

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