Incident Overview

Date: Monday 9 March 1992
Aircraft Type: Lockheed L-1011-385-3 TriStar 500
Owner/operator: BWIA International
Registration Number: 9Y-TGJ
Location: near KIRN VOR – ÿ Germany
Phase of Flight: En route
Status: Substantial, repaired
Casualties: Fatalities: 0 / Occupants: 186
Component Affected: The left horizontal stabilizer of the first engine thrust reverser.The left horizontal stabilizer of the first engine thrust reverser.
Investigating Agency: AAIBAAIB
Category: Accident
A Boeing 777 aircraft experienced a near-miss incident during takeoff from Frankfurt Airport. A translating cowl detached from the left horizontal stabilizer of the first engine, striking the leading edge. The commander immediately shut down the engine and diverted to London Heathrow Airport, resulting in an uneventful landing. The aircraft had previously experienced two engine thrust reverser system malfunctions.A Boeing 777 aircraft experienced a near-miss incident during takeoff from Frankfurt Airport. A translating cowl detached from the left horizontal stabilizer of the first engine, striking the leading edge. The commander immediately shut down the engine and diverted to London Heathrow Airport, resulting in an uneventful landing. The aircraft had previously experienced two engine thrust reverser system malfunctions.

Description

Fifteen minutes after takeoff from Frankfurt Airport, while climbing through FL100 the translating cowl of the no. 1 engine thrust reverser became detached, struck the leading edge of the left horizontal stabiliser and fell to the ground. The commander subsequently shut down the engine and diverted to London Heathrow Airport where an uneventful overweight landing was made. The aircraft had had two previous malfunctions of the No 1 engine thrust reverser system. CAUSES: (1) The ground engineer took actions which were not supported by his knowledge of the aircraft and, unrealised by him, were not mandated by the Master Minimum Equipment List.; (2) The ground engineer’s supervisors failed to identify that an incorrect procedure had been followed although he had communicated his actions clearly to them.; (3) Damage became evident which was probably an indication of progressive cowl failure but it was not recognised as such.”

Primary Cause

Unsupported actions by the ground engineer regarding aircraft procedures and equipment limitations.Unsupported actions by the ground engineer regarding aircraft procedures and equipment limitations.

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