JetBlue nosegear investigation complete
#1
JetBlue nosegear investigation complete
The NTSB has completed their investigation:
NTSB Identification: LAX05IA312
Scheduled 14 CFR Part 121: Air Carrier operation of Jet Blue Airways, Inc.
Incident occurred Wednesday, September 21, 2005 in Los Angeles, CA
Probable Cause Approval Date: 11/25/2008
Aircraft: Airbus Industrie A320, registration: N536JB
Injuries: 146 Uninjured.
Shortly after the landing gear handle was positioned to the up position in the initial climb, the flight crew noted an error message on the Electric Centralized Aircraft Monitoring (ECAM) system listing a fault (L/G SHOCK ABSORBER FAULT) message for the nose landing gear (NLG) shock absorber. The gear handle was then moved to the down position and the crew received an error message of a fault for the nose wheel steering (WHEEL N/W STRG FAULT). After determining that the nose landing gear was cocked 90 degrees, the crew landed at an alternate airport, and the NLG tires and both wheels were worn down into the axle. Post incident examination of the nose gear assembly found that two of the four anti-rotation lugs on the NLG upper support assembly fractured and separated due to induced fatigue from the stearing system's programed pre-landing dynamic steering tests that repeatedly cycles pressure to the stearing cylinders. The failed lugs allowed the NLG to deviate from its 0-degree position in the landing gear bay upon gear retraction on takeoff. This resulted in the L/G SHOCK ABSORBER FAULT error message on the ECAM system. When the pilots extended the incident airplane's landing gear, the nose gear achieved the down and locked position 1.5 seconds before the main gear and/or all of the landing gear doors closed. The nose wheel assembly was not centered at this time. The Brake Steering Control Unit (BSCU) detected this off center condition of the NLG and attempted to re-center the nose wheel; however, due to the sequencing of the nose and main landing gear and their respective doors, hydraulic pressure was shut off to the NLG steering valve. This lack of hydraulic power to the servo valve resulted in a lack of position feedback to the BSCU. After a 0.5-second monitoring time period, the BSCU detected this as a fault and deactivated the steering system so that the BSCU could not return the nose wheels to center. Failure of the nosewheels to center initiated a WHEEL N/W STRG FAULT caution message on the ECAM. There were no approved procedures that allowed the flight crew to attempt to reset the BSCU system, which would have re-enabled the hydraulic system and could have resulted in the system recentering the nose wheels.
The National Transportation Safety Board determines the probable cause(s) of this incident as follows:
The fatigue failure of two anti-rotation lugs due to repeated cyclic pre-landing tests, which allowed the nosewheels to deviate from the 0-degree position on landing gear retraction. A contributing factor was the design of the Brake Steering Control Unit (BSCU) system logic, which prevented the nosewheels from centering. Also contributing was the lack of a procedure to attempt to reset the BSCU system under these conditions.
Full narrative available here.
NTSB Identification: LAX05IA312
Scheduled 14 CFR Part 121: Air Carrier operation of Jet Blue Airways, Inc.
Incident occurred Wednesday, September 21, 2005 in Los Angeles, CA
Probable Cause Approval Date: 11/25/2008
Aircraft: Airbus Industrie A320, registration: N536JB
Injuries: 146 Uninjured.
Shortly after the landing gear handle was positioned to the up position in the initial climb, the flight crew noted an error message on the Electric Centralized Aircraft Monitoring (ECAM) system listing a fault (L/G SHOCK ABSORBER FAULT) message for the nose landing gear (NLG) shock absorber. The gear handle was then moved to the down position and the crew received an error message of a fault for the nose wheel steering (WHEEL N/W STRG FAULT). After determining that the nose landing gear was cocked 90 degrees, the crew landed at an alternate airport, and the NLG tires and both wheels were worn down into the axle. Post incident examination of the nose gear assembly found that two of the four anti-rotation lugs on the NLG upper support assembly fractured and separated due to induced fatigue from the stearing system's programed pre-landing dynamic steering tests that repeatedly cycles pressure to the stearing cylinders. The failed lugs allowed the NLG to deviate from its 0-degree position in the landing gear bay upon gear retraction on takeoff. This resulted in the L/G SHOCK ABSORBER FAULT error message on the ECAM system. When the pilots extended the incident airplane's landing gear, the nose gear achieved the down and locked position 1.5 seconds before the main gear and/or all of the landing gear doors closed. The nose wheel assembly was not centered at this time. The Brake Steering Control Unit (BSCU) detected this off center condition of the NLG and attempted to re-center the nose wheel; however, due to the sequencing of the nose and main landing gear and their respective doors, hydraulic pressure was shut off to the NLG steering valve. This lack of hydraulic power to the servo valve resulted in a lack of position feedback to the BSCU. After a 0.5-second monitoring time period, the BSCU detected this as a fault and deactivated the steering system so that the BSCU could not return the nose wheels to center. Failure of the nosewheels to center initiated a WHEEL N/W STRG FAULT caution message on the ECAM. There were no approved procedures that allowed the flight crew to attempt to reset the BSCU system, which would have re-enabled the hydraulic system and could have resulted in the system recentering the nose wheels.
The National Transportation Safety Board determines the probable cause(s) of this incident as follows:
The fatigue failure of two anti-rotation lugs due to repeated cyclic pre-landing tests, which allowed the nosewheels to deviate from the 0-degree position on landing gear retraction. A contributing factor was the design of the Brake Steering Control Unit (BSCU) system logic, which prevented the nosewheels from centering. Also contributing was the lack of a procedure to attempt to reset the BSCU system under these conditions.
Full narrative available here.
#4
Even the ones that have pure mechanical failures often have some sort of human factor still associated. Either in the maintenance/inspection realm or in the continuing actions (what the pilot/crew does AFTER the initial malfunction). In this case it seems that everything (except the mechanical malfunction) went according to plan and then end result was a damaged airplane and nothing else. Well done!
USMCFLYR
USMCFLYR
#6
Here's an idea for an AD...force Airbus to use proper design logic, and not whatever twisted logic they normally use.
#7
They engineered their way into this, more engineering could lead to who knows what . The solution will be another page in the book with "a procedure to attempt to reset the BSCU system under these conditions"...and every bus they sell from here on in will be priced one euro higher (photocopy costs)
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