4146
1988-JAN-18 · Longfengxinmin Village, near Chongqing, China

China Southwest Airlines — Flight 4146

China Southwest Airlines Flight 4146 crashed during its approach to Chongqing after an in-flight fire led to the separation of the number four engine. The fire was triggered by a mechanical failure in the engine's starter-generator, which overheated and severed a high-pressure oil line during a feathering attempt. The resulting conflagration weakened the engine mount until the engine fell from the wing, causing a total loss of control. Investigators attributed the disaster to systemic poor maintenance practices within the airline.

Aircraft
Ilyushin Il-18D
Registration
B-222
Phase
Approach
Cause
Human Factors (Maintenance)
Souls on Board
108
Fatalities
108
Origin → Dest
Beijing Capital International Airport (PEK) → Chongqing Baishiyi Airport
Report
Final Report

Investigation Summary

The sequence of failure began with an oil leak in the number four engine, which caused severe vibrations and prompted the crew to initiate a shutdown. However, the engine's starter-generator had already overheated significantly due to a lack of proper maintenance. This heat was intense enough to burn through the high-pressure oil tube used for the propeller feathering mechanism. When the crew attempted to feather the propeller to reduce drag, the pressurized oil escaped from the damaged tube and ignited upon contact with the hot engine components. The fire became uncontrollable, eventually burning through the engine's structural mounts. As the aircraft neared Chongqing, the entire engine assembly detached from the right wing. The sudden change in aerodynamics and structural integrity made the aircraft impossible to fly, leading to its impact with power lines and farmhouses.

Final Conclusions

The investigation concluded that the primary cause was poor maintenance. The overheating of the starter-generator and the subsequent failure of the oil lines were preventable through standard inspection and servicing protocols. The crash highlighted significant safety deficiencies in the Chinese civil aviation sector during its rapid expansion in the 1980s, leading to the immediate grounding of 17 other aircraft for safety inspections.

Video Analysis

No video analysis linked for this case file yet.

Systems & Failure Modes

i

Starter-Generator

The component that overheated due to poor maintenance, providing the ignition source and damaging nearby lines.

i

Propeller Feathering System

The system used to turn propeller blades parallel to the airflow; its high-pressure oil line was compromised by heat.

i

Engine Mounts

The structural assembly that failed due to fire damage, leading to the loss of the number four engine.

Interesting Facts

  • 01The aircraft was an Ilyushin Il-18D, a Soviet-designed four-engine turboprop.
  • 02All 108 people on board, including 98 passengers and 10 crew members, were killed.
  • 03The passenger manifest included 94 Chinese citizens, three Japanese nationals, and one British national; all 10 crew members were Chinese.
  • 04The crash site was located approximately 5 kilometers northwest of Chongqing Baishiyi Airport.
  • 05The fire was so intense that it caused the engine to physically detach from the wing before the crash.

Safety Actions & Advisories

Fleet Grounding and Inspections

Following the accident, the Civil Aviation Administration of China (CAAC) ordered immediate safety checks, resulting in the grounding of at least 17 aircraft for mechanical issues.

Location

Longfengxinmin Village, near Chongqing, China · 29.5583, 106.5667

Case File History

  1. New evidenceUpdated findings.

Related Cases

Case ID · china-southwest-4146-1988Last updated · Filed

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