Aircraft Accident Report: Uncontained Engine Failure and Subsequent Fire American Airlines Flight 383 Boeing 767-323, N345AN, Chicago, Illinois, October 28, 2016

This report discusses the October 28, 2016, accident involving American Airlines flight 383, a Boeing 767-323, which experienced an uncontained failure of the right engine and subsequent fire during its takeoff ground roll at Chicago O’Hare International Airport, Chicago, Illinois. Of the 2 flight crewmembers, 7 flight attendants, and 161 passengers on board, 1 passenger received a serious injury and 1 flight attendant and 19 passengers received minor injuries during the emergency evacuation. The airplane was substantially damaged from the fire. Safety issues identified in this report include the lack of recent guidance comparing production inspection processes for nickel alloy engine components, the need for improved in-service inspection techniques for critical rotating parts of all engines, the lack of recent guidance about design precautions to minimize hazards resulting from uncontained engine failures, the need for separate engine fire checklist procedures for ground operations and in-flight operations, the need for improved flight attendant training regarding assessing exits for evacuations and using interphone systems during emergencies, the need for research on the effects of evacuating with carry-on baggage, and the need for improved communication between flight and cabin crews during emergency situations, including evacuations. As a result of this investigation, the National Transportation Safety Board makes seven safety recommendations to the Federal Aviation Administration and one recommendation each to Boeing and American Airlines.

• Record URL:
  • https://www.ntsb.gov/investigations/AccidentReports/Reports/AAR1801.pdf
• 
• Summary URL:
  • https://ntsb.gov/investigations/AccidentReports/Pages/AAR1801.aspx
• Corporate Authors:

  National Transportation Safety Board

  Washington, DC  United States 
• Publication Date: 2018-1-30

Language

• English

Media Info

• Media Type: Digital/other
• Features: Appendices; Figures; Photos; References; Tables;
• Pagination: 105p

Subject/Index Terms

• TRT Terms: Air transportation crashes; Aviation safety; Crash causes; Crash investigation; Engines; Evacuation; Fires; Inspection; Mechanical failure; Recommendations
• Geographic Terms: Chicago (Illinois)
• Subject Areas: Aviation; Safety and Human Factors;

Filing Info

• Accession Number: 01663129
• Record Type: Publication
• Report/Paper Numbers: NTSB/AAR-18/01, Accident ID: DCA17FA021
• Files: TRIS
• Created Date: Mar 20 2018 5:09PM