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|
Attributes | |
ACN | 497067 |
Time | |
Date | 200101 |
Day | Fri |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : alb.airport |
State Reference | NY |
Altitude | msl single value : 14000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : zbw.artcc |
Operator | common carrier : air carrier |
Make Model Name | Beech 1900 |
Operating Under FAR Part | Part 135 |
Navigation In Use | Other |
Flight Phase | descent : vacating altitude |
Route In Use | enroute airway : v130.airway |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : multi engine pilot : atp |
Experience | flight time last 90 days : 210 flight time total : 3000 flight time type : 1600 |
ASRS Report | 497067 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : multi engine pilot : instrument pilot : commercial |
Events | |
Anomaly | aircraft equipment problem : critical maintenance problem : improper maintenance non adherence : published procedure |
Independent Detector | other flight crewa other flight crewb |
Resolutory Action | none taken : detected after the fact |
Consequence | other other |
Factors | |
Maintenance | contributing factor : schedule pressure performance deficiency : inspection performance deficiency : installation |
Supplementary | |
Problem Areas | Flight Crew Human Performance Maintenance Human Performance Aircraft |
Primary Problem | Maintenance Human Performance |
Narrative:
While flying an air carrier BE1900D, a part of the inboard engine cowling on the left engine departed the aircraft. I was descending from 16000 ft on my way to 11000 ft, and at approximately 14000 ft, the cowling departed the aircraft. I believe that the reason why the cowling departed the aircraft was the failure of the mechanic to fasten all zeus fasteners that hold the cowling in place. If all zeus fasteners were fastened properly, I believe that the cowling would never have departed the airplane. Once inspected on the ground, the top portion of zeus fasteners were still locked in place. The bottom half were missing, along with the cowling. One possible conclusion would be that during the replacing and refastening of the cowling, only the top half of the cowling was correctly secured. The bottom half was not. During the preflight of aircraft xyz, I noticed no irregular position of any cowlings, screws or zeus fasteners. The cowling and zeus fasteners appeared to be flush with all other surfaces.
Original NASA ASRS Text
Title: A BE1900 IN DSCNT AT 14000 FT. THE L ENG INBOARD COWLING DEPARTED THE ACFT DUE TO EITHER FASTENERS NOT INSTALLED OR FASTENER FAILURE.
Narrative: WHILE FLYING AN ACR BE1900D, A PART OF THE INBOARD ENG COWLING ON THE L ENG DEPARTED THE ACFT. I WAS DSNDING FROM 16000 FT ON MY WAY TO 11000 FT, AND AT APPROX 14000 FT, THE COWLING DEPARTED THE ACFT. I BELIEVE THAT THE REASON WHY THE COWLING DEPARTED THE ACFT WAS THE FAILURE OF THE MECH TO FASTEN ALL ZEUS FASTENERS THAT HOLD THE COWLING IN PLACE. IF ALL ZEUS FASTENERS WERE FASTENED PROPERLY, I BELIEVE THAT THE COWLING WOULD NEVER HAVE DEPARTED THE AIRPLANE. ONCE INSPECTED ON THE GND, THE TOP PORTION OF ZEUS FASTENERS WERE STILL LOCKED IN PLACE. THE BOTTOM HALF WERE MISSING, ALONG WITH THE COWLING. ONE POSSIBLE CONCLUSION WOULD BE THAT DURING THE REPLACING AND REFASTENING OF THE COWLING, ONLY THE TOP HALF OF THE COWLING WAS CORRECTLY SECURED. THE BOTTOM HALF WAS NOT. DURING THE PREFLT OF ACFT XYZ, I NOTICED NO IRREGULAR POS OF ANY COWLINGS, SCREWS OR ZEUS FASTENERS. THE COWLING AND ZEUS FASTENERS APPEARED TO BE FLUSH WITH ALL OTHER SURFACES.
Data retrieved from NASA's ASRS site as of July 2007 and automatically converted to unabbreviated mixed upper/lowercase text. This report is for informational purposes with no guarantee of accuracy. See NASA's ASRS site for official report.