The Australian Transport Safety Bureau (formerly the Bureau of
Air Safety Investigation) recommends that the engine manufacturer
General Electric identify the source of the casting defect of the
failed HPT blade.
As a result of investigation into this occurrence, the Bureau
simultaneously issues the following recommendation and safety
advisory notice:
R20000026
The Australian Transport Safety Bureau (formerly the Bureau of Air
Safety Investigation) recommends that the engine manufacturer
General Electric review the adequacy of turbine blade manufacturing
process controls to reduce the likelihood of blades containing
casting defects being released into service.
SAN20000027
The Federal Aviation Administration should note the safety
deficiency identified in this document and take appropriate
action.