Qantas Airbus A380 engine failure in 2010 (2023)

(admiralcloudberg.medium.com)

59 points | by gumby 3 hours ago

14 comments

  • exceptione 41 minutes ago

      > The detailed software allowed them to enter various parameters including the weather, runway condition, and any systems failures, and then calculate whether it was possible to land. But when everything had been entered, the program spit out an unhelpful answer: “no result.”
    
     > When calculating the landing distance, the software applied a generic “operational coefficient” to account conservatively for variations in pilot techniques that could result in less efficient deceleration. The problem, as investigators would later discover, was that the software applied the coefficient again whenever another system failure was added. With so many system failures on the aircraft, the coefficient was applied a total of 9 times, resulting in a calculated landing distance considerably greater than the length of the available runway. However, Check Captain Evans was able to fix the problem by manually entering their actual landing weight, overriding the program’s assumption of a maximum landing weight. By specifying a landing weight in excess of the maximum, the system logic changed to apply the operational coefficient only once — for unrelated and obscure reasons — and lo and behold, when he ran the numbers this time, the computer said they could just barely land on any of the 4,000-meter runways at Singapore Changi Airport, with only 100 meters to spare.
    
    This reeks so much of if-then-else programming as opposed to making a well-typed conceptual model computable.
  • u1hcw9nx 2 hours ago
    Turbine disk failure is one thing that can down a plane, and you can only reduce the probability so much.

    Fan blades and turbine blades can be contained by containment cases if they break off, but turbine disks can't. When a disk breaks, it's an uncontained engine failure. A 20 kg disk fragment flying at Mach 1 goes through everything.

    Airframes are have a 30-degree fragment spread cone around every disk stage. Airframes are designed so that no single fragment can destroy all redundant systems at once in this zone (flight controls, fuel lines, and hydraulic systems). Jet fuel cannot be stored in the wings in this zone.

    • chasil 1 hour ago
      I admit that I glossed over the section on the machining of the oil pipe, but the facility appears to bear most of the blame.

      These were pulled and scrapped from the whole A380 fleet.

      "Investigators also criticized the culture within the Hucknall facility that manufactured the HP/IP bearing hubs, identifying signs of complacency and widespread procedural non-compliance. A paperwork review showed that the required signatures were missing from 131 out of 138 retrospective concessions issued between 2009 and 2011, and a large number of minor non-conformances had not been properly handled through the normal chain of command."

      • jacquesm 1 hour ago
        That's an oversight failure as much as a failure of that plant.
    • amelius 40 minutes ago
      But it seems to me that the whole failure could have been prevented with a bunch of temperature sensors spread throughout the engine, and a good anomaly detection system.
    • usefulcat 38 minutes ago
      > Jet fuel cannot be stored in the wings in this zone.

      TFA describes a fuel leak resulting from a piece of the turbine disk passing through a fuel tank located within the wing:

      "When the fragments of the IP turbine disk passed through the wing and belly of the A380, they caused considerable secondary damage along the way, not only to the №2 engine but also to the left wing fuel tank, which sprang a leak"

      It also includes a photo of the inside of the damaged wing tank.

      Was the requirement you describe added after this incident?

      • ahartmetz 23 minutes ago
        Seems close to impossible for existing designs. The wings are commonly almost entirely full of fuel at max fuel, and I doubt that taking the capacity hit is an option even in newly designed planes.
    • polishdude20 1 hour ago
      What's a turbine disc?
      • gumby 1 hour ago
        It’s explained in the article
  • realo 1 hour ago
    Catastrophic failure? Check

    Plane landed without casualties? Check

    Plane design so good it helped avoid casualties? Check

    Hum... Ah! Not an american Boeing but a french Airbus. Of course.

    The article mentions this story should make everyone a little less afraid of flying.

    Sure, as long as its not on a Boeing plane.

    • sam1714 1 hour ago
      Like Boeing, there was organizational dysfunction leading to a direct safety issue.

      During the development of the A380, the German and French sides were using different versions of the CATIA PLM software (i.e. CAD), which prevented people from looking at a single unified model of the plane. One concrete problem it caused was major problems with the wiring harnesses, which led to a 2 year delay in the program, and 3 early A380's which couldn't be sold. (Airbus kept one for test, the other two got sent to museums)

      That manifested in this accident because the wing wiring was routed through the engine disk burst axes (a hazard which is explicitly accounted for) with insufficient redundancy. That created the dangerous situation where they couldn't turn off the engine after landing.

      • jacquesm 1 hour ago
        > That created the dangerous situation where they couldn't turn off the engine after landing.

        Which is vastly preferable compared to all of the dangerous situations just prior to that landing.

        • sam1714 42 minutes ago
          The vastly preferable situation was to have redundant wiring that properly complied with regulations, which was retrofitted in an airworthiness directive (safety recall) after the accident.

          They also required engine software that detected the sudden increase in speed associated with a shaft break and automatically cut fuel.

    • renox 43 minutes ago
      Read about the AF447 Rio-Paris crash. Input stick averaging?? That's a huge design mistake which contributed to the crash and AFAIK is still here..
    • jryle70 42 minutes ago
      An aviation thread with two utterly ignorant posts - [0]. Is that the aviation knowledge level of HN?

      [0] - this one and https://news.ycombinator.com/item?id=49541946

    • ginko 1 hour ago
      Airbus is French, German and British. Not just French.
    • seizethecheese 49 minutes ago
      I thought this was a strange insertion of geopolitics into the conversation so I checked out your comment history. Your most recent comments in order:

      > [something about london taxi drivers, admittedly unrelated]

      > I totally get you and in theory you are right. And yet, in the USA you have gerrymandering and apparently _wanted_ Trump. Twice. Something has to be very wrong somewhere.

      > I would suggest "lobbying" is not the correct word to describe all the corruption going on in the current USA administration cesspool.

      >I recently bought a BambuLab 3D printer. Designed and made in China. Right from the unpacking to first print the experience was top Apple-style quality. Indeed I was agreeably surprised.

      > A global non USA success? Plenty. You might want to remove your pink USA glasses and look around. Spotify good enough for you?

      > I am Canadian. Never, ever would i knowingly buy any dairy products from the USA , at any price. We have cows too, and farmers.

      > Its not that it hates its customers , as much as it it a USA-based company that is run under the rules made by the administration. Not that much different from running Red Star OS from North Korea, actually.

      > [Finally something unrelated]

      At best you have an axe to grind...

  • CursedSilicon 2 hours ago
    One of my favourite memories of flying Qantas when I was younger was the inflight entertainment.

    If memory serves, they were celebrating some sort of milestone like "60 years without a fatal accident" or similar. Quite an impressive feat!

    I'm unclear if it was directly related. But the Qantas inflight entertainment system on our flight from Sydney to Los Angeles meanwhile contained about 12 seasons of the National Geographic series "Air Crash Investigation" (Mayday: Air Disasters for Americans)

    I will admit that show made an 18 hour slog of a flight significantly more enjoyable

  • seemaze 1 hour ago
    This remarkable event, along with the an accessible history of the evolution of precision manufacturing is covered in Simon Winchester's excellent book The Perfectionists[0]. The audiobook is narrated by the author, which is quite enjoyable as well.

    [0]https://www.harpercollins.com/products/the-perfectionists-si...

  • polishdude20 50 minutes ago
    I wonder why the engineers didn't specify a tolerance for thickness of the oil stub pipe?
  • dnw 1 hour ago
    Also this documentary is very good: https://m.youtube.com/watch?v=nZS-mkygGWI
  • bookofjoe 1 hour ago
  • gnuplustoejam 2 hours ago
    Unbelievably comprehensive coverage from the Aviation Herald on this incident below, the owner of which was sued recently over a report to the point he sadly lost his home of over 40 years:

    https://avherald.com/h?article=43309c6d&opt=0

  • adaml_623 1 hour ago
    "Even the airplane itself ultimately survived: after a marathon repair that lasted 535 days and cost $139 million, the A380 Nancy-Bird Walton triumphantly returned to the skies in 2012."

    This quote amazes me. My understanding is that Airbus, Qantas, and probably Rolls Royce were willing to spend this much because it meant that the incident was not a "hull loss" and therefore not as bad a hit to reputation and safety statistics. Does anyone know if that's true?

    • ahartmetz 14 minutes ago
      A new A380 is more expensive (rule of thumb half of official list price, so about $220 million), and airlines were not talking about retiring A380s yet at the time. So it even made economic sense.
    • shawabawa3 22 minutes ago
      They paid an estimated $300M per aircraft, so even a $139M repair bill is worth it
  • ChrisArchitect 1 hour ago
    Title is: A Matter of Millimeters: The story of Qantas flight 32 (2023)

    Some discussion:

    2023 https://news.ycombinator.com/item?id=38586773

  • Alien1Being 2 hours ago
    Qantas is a troubled airline. Once a Qantas aircraft technician even told me that Singapore Airlines have a far superior maintenance schedule for their aircraft.

    This person claims that he tells his family to avoid flying on Qantas ( but flies on it himself since he gets free flights)

    These days Han airlines ( SIA, Cathay,China Eastern) and Middle Eastern airlines (Emirates,Qatar) are far better than Western Airlines ( American, British, Lufthansa, KLM,Qantas).

    • HDBaseT 6 minutes ago
      Despite this, Qantas is consistently rated one of the top 3 safest airlines in the world every year.
    • tomhow 1 hour ago
      Please don’t post off-topic hearsay like this here. This article isn’t about maintenance, it’s about a manufacturing fault and the incredible work by the pilots to avert a colossal aviation disaster. Qantas continues to have an unblemished record of safety. Running airlines cost-effectively is a continually growing challenge. There is always a place for scrutiny of airlines’ maintenance and safety practices, but introducing it out of context and basing entirely on a comment from an unidentified individual is not a helpful contribution to this discussion.
    • ginko 1 hour ago
      Ah yeah, China Eastern..

      https://en.wikipedia.org/wiki/China_Eastern_Airlines_Flight_...

      Meanwhile Lufthansa had their last fatal crash in 1993. For British it was in 1976.

  • libraryofbabel 1 hour ago
    I once heard someone describe Admiral Cloudberg's air crash investigation blog as "the best thing on the Internet" and I still think that might be true. She is a great researcher and a superb writer, which stands out all the more these days in these fallen times of load-bearing AI slop. Her blog is beloved of both aviation geeks and, for obvious reasons, SREs (and other engineers).

    She recently posted what's basically her magnum opus, on the Potomac river midair collision.[0] It's the length of a short book. I'm working my way through it; I'm taking a flight today, and I'll probably read it on the plane tonight.

    This article, on how an A380 with 469 souls aboard almost crashed, but didn't, is one of her best. I like it because it's a happy ending, and a story of the combined effects of good engineering design (the astonishing degree of redundancy built into the A380 proved just enough to prevent catastrophe), and human troubleshooting under pressure in the cockpit by some smart people with vast experience who remained calm throughout. (Another favorite article of her, on the Air France 447 crash, tells the exact opposite story: poor systems design combined with pilots basically losing the most basic ability to aviate in the heat of the moment. That one is a much darker read.[1])

    [0] https://admiralcloudberg.medium.com/reaping-the-whirlwind-in... [1] https://admiralcloudberg.medium.com/the-long-way-down-the-cr...