Newark, NJ, USA
N535JB
AIRBUS A320
An Airbus A320 airplane experienced a left engine fan cowl separation during takeoff. The flight crew was unaware of the fan cowl separation until passengers pointed out the loss of both halves of the left engine fan cowl assembly. The flight crew returned for an uneventful landing. After parking and deplaning the passengers, the flight crew noted additional damage to the left engine pylon, leading edge flaps, left main landing gear, and horizontal stabilator. Examination of the engine fan cowls revealed that the cowl latch assembly and keeper housing assembly were intact, showed no evidence of malfunction, and exhibited no distortion or damage and that the cowling structure revealed no evidence of failure. Some delamination was found, but determined to not be contributory to the separation. Maintenance records revealed that a scheduled maintenance inspection of the left engine had been performed prior to the flight which required the opening and closing of the engine fan cowls. According to the operator’s maintenance records, the left engine maintenance sign-off sheet revealed that a mechanic had latched and locked the fan cowls and this task had been verify by another mechanic. Both the ‘action’ and ‘inspection’ signature blocks on the left engine maintenance sign-off sheet for the fan cowl latch procedure had been signed off as part of the Required Inspection Item (RII) procedure. The latch assembly is normally weighted and the inside and the sides of the latch handle are painted a different color (typically red or orange) than the cowling skin to visually highlight whether the latch is fully locked or not. If the latch is properly locked, the latch handle is flush with the cowling skin and painted portion of the latch handle is not visible. Examination of an exemplar Airbus A320 engine fan cowl revealed the possibility of a false latch condition that would mask an otherwise unlatched position. It was reported that mechanics working on the engine routinely push the latch assembly up against the latch keeper housing assembly in order to stow the latch to avoid inadvertent head injuries while working underneath engine. In this position, the latch is neither latched nor locked but the latch assembly may be flush with the cowling so that the paint on the latch handle is not visible, giving a false indication that the latch is properly locked Examination of the latch hardware revealed no mechanical damage such as would be expected if the latches were secured and locked at the time of the cowling separation.
On April 5, 2010, at about 0629 eastern daylight time (EDT), a Jet Blue Airways Airbus 320-232, registration number N535JB, powered by two International Aero Engines (IAE) V2527 turbofan engines, experienced a left engine fan cowl separation during takeoff from Newark Liberty International airport (EWR), Newark, New Jersey. The flightcrew was unaware of the fan cowl separation until passengers pointed out the loss of both halves of the left engine fan cowl assembly. The flightcrew informed the control tower of the event and returned to EWR for an uneventful landing. After parking and deplaning the passengers, the flightcrew noted additional damage to the left engine pylon, leading edge flaps, left main landing gear, and horizontal stabilator. The separated fan cowls were recovered from the airport property by the EWR airport authority and were examined for evidence of failure with the latching mechanisms, the hinges, or structure by the Safety Board. The incident flight was operated as an instrument flight rules 14 CFR Part 121 passenger flight from EWR en route to Fort Lauderdale, FL. There were no injuries to the 6 flightcrew or 134 passengers. Examination of the engine fan cowls revealed that the cowl latch assemblies and their respective keeper housing assemblies were intact, showed no evidence of malfunction, and exhibited no distortion or damage. The fan cowlings structure revealed no evidence of failure. Some delamination was observed but determined to not be contributory to the separation. According to Jet Blue maintenance records, a scheduled maintenance inspection of the left engine had been performed prior to the flight which required the opening and closing of the fan cowls. According to the Jet Blue maintenance records, the left engine maintenance sign-off sheet revealed that a mechanic had latched and locked the fan cowls and this task had been verify by another mechanic. Both the ‘action’ (performance of the properly closing and locking of the fan cowls) and ‘inspection’ (verification of properly closing and locking of the fan cowls) signature blocks on the left engine maintenance sign-off sheet for the fan cowl latch procedure had been signed off as part of the Jet Blue Required Inspection Item (RII) procedures. The Jet Blue RII program requires that for safety of flight items, such as fan cowling latching, that a second mechanic or inspector who had not performed the initial task, must review and inspect the work and sign-off that the work had been performed correctly. In the case of the fan cowling latch task, the RII procedure requires that the second mechanic or inspector visually inspect the latches to verify that they are in the locked position. To provide a visual highlight indicating whether the fan cowl latches are fully locked or not, each latch is normally weighted, and the inside and the sides of the latch handle are painted a different color (typically red or orange) than the cowling skin. If the latch is properly locked, the latch handle is flush with the cowling skin and the painted portion of the latch handle is not visible. If the latch assembly is not properly locked, the latch handle swings down exposing the painted surfaces. Examination of the latch assemblies on the incident airplane revealed that they were all properly painted and weighted. Examination of an exemplar Jet Blue Airbus A320 engine fan cowl revealed the possibility of a false latch condition that could mask an otherwise unlatched position. Mechanics at Jet Blue reported that while working on the engine, they routinely push the latch assembly up against the latch keeper housing assembly in order to stow the latch to avoid inadvertent head injuries while working underneath engine. In this position, the latch is neither latched nor locked but the latch assembly may be flush with the cowling so that the paint on the latch handle is not visible giving a false indication that the latch is properly locked. NTSB staff and Jet Blue safety investigators performed this temporary stowing of the latch assembly on several different Airbus A320 airplanes and demonstrated that latch assembly can get stuck within the latch keeper housing giving the false impression that the cowling latch is properly latched and locked. Examination of the latch hardware revealed no mechanical damage consistent such as would be expected if the latches were secured and locked at the time of the cowling separation.
The separation of both halves of the left engine fan cowl assembly due to improper latching and locking of the all the fan cowl latches. The cause of the improper latching and locking of the fan cowls was due to the failure of the mechanic to unstow and properly latch and lock the fan cowl latches after the engine maintenance had been completed, and the failure of the maintenance inspector to detect and identify the unlatched condition. Contributing the incident is the design of the fan cowl latch assembly that can provide a false latch condition when the latch is neither latched or locked. Also contributing incident is the lack of adequate Airbus and Jet Blue fan cowl latch inspection guidance to detect and identify an unlatched condition.
Source: NTSB Aviation Accident Database
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