As a result of this investigation the following interim
recommendations were issued.
IR19990112
The Bureau of Air Safety Investigation recommends that the engine
manufacturer, AlliedSignal, audit the process employed to
manufacture TPE 331 turbine wheel knife-edged seals should be
audited to determine those factors that may lead to excessive
variations in slot corner radii.
IR19990113
The Bureau of Air Safety Investigation recommends that the engine
manufacturer, AlliedSignal, determine the sensitivity of turbine
wheel seals to the initiation of fatigue cracks from slot corners,
as a function of slot corner radii.
IR19990114
The Bureau of Air Safety Investigation recommends that the engine
manufacturer, AlliedSignal, consider, during engine design and the
formulation of continuing airworthiness instructions, the
possibility that turbine wheel seal fatigue failure may result in
hazardous modes of engine failure.
IR19990115
The Bureau of Air Safety Investigation recommends that the Civil
Aviation Safety Authority Australia conduct an audit of that part
of the aviation safety system that establishes the operational
history of life-limited components, to establish why the
operational history of second-stage turbine wheel, p/n 868272-1,
s/n P03214C, could not be determined with certainty.
IR19990116
The US Federal Aviation Administration should note the safety
deficiency identified in this document and take appropriate action
as considered necessary.