Accident de Havilland Canada DHC-8-102 N822PH,
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ASN Wikibase Occurrence # 386157
 
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Date:Tuesday 6 March 2001
Time:08:40 LT
Type:Silhouette image of generic DH8A model; specific model in this crash may look slightly different    
de Havilland Canada DHC-8-102
Owner/operator:Horizon Air
Registration: N822PH
MSN: 106
Year of manufacture:1988
Total airframe hrs:31435 hours
Engine model:P&W Canada PW120A
Fatalities:Fatalities: 0 / Occupants: 33
Aircraft damage: Substantial
Category:Accident
Location:Portland, OR -   United States of America
Phase: Approach
Nature:Passenger - Scheduled
Departure airport:Seattle/Tacoma International Airport, WA (SEA/KSEA)
Destination airport:Portland International Airport, OR (PDX/KPDX)
Investigating agency: NTSB
Confidence Rating: Accident investigation report completed and information captured
Narrative:
Horizon Air flight 2325, a de Havilland DHC-8-102, on a scheduled 14CFR121 flight sustained an engine fire in a Pratt & Whitney (P&W) PW120A engine while on approach to Portland International airport, Portland, Oregon. An engine examination and teardown determined that the #5 bearing assembly had failed. Additional examination ascertained that the P2.5/P3 switching valve to rear inlet case sealing air tube had become disconnected, and the NL probe port sealing tube had melted, allowing an oil fed fire outside of the engine casing and into the engine compartment. Investigation determined that the engine had not been placed on oil consumption and daily chip detector examination by company maintenance as required by the engine maintenance manual following a loss of oil event approximately 180 hours previous to the fire. Additionally, the mandatory implementation of P&W service bulletin 20914, which addressed the P2.5/P3 switching valve to rear inlet case sealing air tube and NL probe port sealing tube was not carried out by the company, nor was it required, as the FAA airworthiness directive making the service bulletin mandatory did not include the PW120A engine. The investigation also revealed that the company mandated implementation of P&W service bulletin 21446R3, was not carried out during an earlier hot section inspection and immediately preceding the earlier oil loss event.

Probable Cause: The failure of the number 5 engine bearing assembly followed by the disconnection of the P2.5/P3 switching valve to rear inlet case sealing air tube and the melting of the NL probe port (sealing tube) which allowed an oil fed fire beyond the constraints of the engine casing and into the engine nacelle. A contributing factor was the company's failure to follow several maintenance procedures within the maintenance manual after a previous oil loss event. A second factor was the omission of the PW120A engine from the airworthiness directive issued by the FAA which mandated the completion of Pratt & Whitney service bulletin 20914. The lack of inclusion of the PW120A engine in the AD resulted in the company's correct interpretation that the service bulletin was not mandatory.

Accident investigation:
cover
  
Investigating agency: NTSB
Report number: SEA01FA059
Status: Investigation completed
Duration: 1 year and 8 months
Download report: Final report

Sources:

NTSB SEA01FA059

Location

Revision history:

Date/timeContributorUpdates
05-Apr-2024 11:45 ASN Update Bot Added

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