Serious incident Boeing 737-7H4 (WL) N248WN,
ASN logo
ASN Wikibase Occurrence # 314551
 
This information is added by users of ASN. Neither ASN nor the Flight Safety Foundation are responsible for the completeness or correctness of this information. If you feel this information is incomplete or incorrect, you can submit corrected information.

Date:Friday 24 December 2010
Time:20:20 LT
Type:Silhouette image of generic B737 model; specific model in this crash may look slightly different    
Boeing 737-7H4 (WL)
Owner/operator:Southwest Airlines
Registration: N248WN
MSN: 32509/2000
Year of manufacture:2006
Engine model:CFM CFM56 7B22
Fatalities:Fatalities: 0 / Occupants: 122
Aircraft damage: None
Category:Serious incident
Location:San Francisco, California -   United States of America
Phase: En route
Nature:Passenger - Scheduled
Departure airport:San Francisco International Airport, CA (SFO/KSFO)
Destination airport:
Investigating agency: NTSB
Confidence Rating: Accident investigation report completed and information captured
Narrative:
The CFM56-7B24 turbofan engine experienced an inflight fire after departure. The flight crew reported an engine fire warning, discharged a fire suppression bottle and diverted where a successful single engine landing was performed. The airplane taxied to the gate where all the passengers deplaned. There were no reported injuries. Preliminary examination of the engine revealed sooting on the engine cases from the compressor aft flange to approximately six inches beyond the turbine rear frame aft flange, but no significant thermal damage. Detailed examination of the engine revealed that the lower, most forward of the four bolts that secure the fuel manifold cover to the fuel manifold was missing while the other three had low torque values. Due to the missing attachment bolt and low torque on the three remaining bolts a gap between the two surfaces occurred that allowed fuel to leak. A review of photographs taken before the engine was released from the Celma overhaul shop reveals that all four bolts were present at that time, but based on the torque values during the investigation, they were likely not properly torqued at overhaul. These original low torque values allowed the bolts to back out over time until one eventually fell out. Pressurized fuel within the cavity was then able to pry the loose-fitting fuel manifold cover open at the location of the missing bolt and leak past its integral packing, creating the leak and subsequent in-flight fire. Examination of other 737 airplanes with CFM56-7B24 engines revealed no broader field problem.

Probable Cause: The probable cause of the undercowl in-flight engine fire was the insufficient installation torque of the bolts that secure the fuel manifold cover to the fuel manifold. Engine vibrations and fuel pressure cycles caused the bolts to gradually loosen further until one bolt lost all its tightening torque and fell out. The internal fuel pressure then forced open the fuel manifold cover at the location of the missing bolt, causing a gap between the two mating surfaces which allowed fuel to push past the integral packing, resulting in a fuel leak onto the hot engine cases where it ignited resulting in a fire.

Accident investigation:
cover
  
Investigating agency: NTSB
Report number: ENG11IA011
Status: Investigation completed
Duration: 2 years and 7 months
Download report: Final report

Sources:

NTSB ENG11IA011

Location

Revision history:

Date/timeContributorUpdates
02-Jun-2023 18:35 ASN Update Bot Added

Corrections or additions? ... Edit this accident description

The Aviation Safety Network is an exclusive service provided by:
Quick Links:

CONNECT WITH US: FSF on social media FSF Facebook FSF Twitter FSF Youtube FSF LinkedIn FSF Instagram

©2024 Flight Safety Foundation

1920 Ballenger Av, 4th Fl.
Alexandria, Virginia 22314
www.FlightSafety.org