On 13 Dec 1994, two massive detonations leveled portions of an ammonium nitrate plant near Sioux City, IA. The primary explosion allegedly occurred in defectively-designed titanium sparger piping inside the neutralizer vessel. Investigation however, revealed the explosion occurred because of unsafe plant operations and poor maintenance procedures. Specifically, the ammonium nitrate within the 18,000 gal capacity neutralizer vessel had become contaminated and made highly acidic. The operators then injected superheated steam directly into the ammonium nitrate in the neutralizer vessel.

A steam turbine developed excessive noise and vibration during routine operation. It was found that the nut that locked the turbine disk In place had worked its way out from the threads and the disk had come of the shaft. Examination of the locking mechanism indicated that its design was responsible for the loosening of the nut. It was recommended that the locking mechanism be redesigned and changed in all existing turbines.

A stainless steel flexible connector failed after a short period of service. Visual examination of the failed part revealed that a fracture had occurred in the thin-walled stainless steel bellows brazed into the flanges at each end. Surface examination by SEM fractography showed that failure of the bellows occurred via fatigue. The crack in the bellows had widened considerably after the fracture, and the bellows had been severely compressed on the fracture side prior to failure. Based on these observations, it was concluded that bellows had been damaged prior to installation. The damage resulted in high mean tensile stresses upon which were superimposed cyclic stresses, with fatigue failure the final result.

Two 25 x 40 mm (1 x 1.5 in.) AISI 4150 hot-rolled steel bars that cracked during heat treatment were examined to determine whether the heat treating procedure had contributed to the failure. Metallographic examination of a cross section taken through the fracture revealed an oxide coating on both sides of the fracture surface. The oxide was also found on the top and bottom sides of the sample. Sawcut sides of the bar did not exhibit the oxide layer The presence of the oxide in the fracture, combined with its absence on all exterior surfaces, indicated that the fracture occurred as a result of an oxide seam in the original material rather than from oxide from heat treating. Nondestructive testing prior to machining and heat treatment was recommended.

A cracked 356 mm (14 in.) diam slip-on flange (Ni-Cr-Mo-V steel) was submitted for failure analysis. Reported results and observations indicated that the flange was not an integral forging or a casting, as specified. It had been fabricated by welding and machining a ring insert within a flange with a larger internal diameter. The flange cracked because the welds between the flange and the insert were inadequate to withstand the bolting pressures. A warning was issued to end users of the flanges, which are being inspected nondestructively for conformance to specifications.

A type 430Ti stainless steel flue gas expansion joint cracked because of caustic-induced stress-corrosion cracking. Energy-dispersive X-ray spectroscope analysis of the fracture surface deposits revealed the presence of sodium and potassium—caustics in hydroxide form. Primary fracture surfaces were all similar in appearance, and a primary crack origin could not be identified. A secondary crack brought to fracture in the laboratory showed brittle, cleavage features rather than classic, tensile overload features. This suggested that the material was embrittled.

Compound bow handle risers that had failed in service and during assembly along with an unassembled riser were submitted for analysis. The risers were die cast from magnesium-base alloy AM60A. Inspection of the failed risers and metallurgical investigations conducted on the stock riser revealed the presence of cold shuts at the same site in all specimens. It was recommended that all risers be thoroughly inspected and that the bow company work with their die casting shop to design a mold with acceptable filling characteristics.

During routine quality control testing, small circuit breakers exhibited high contact resistance and, in some cases, insulation of the contacts by a surface film. The contacts were made of silver-refractory (tungsten or molybdenum) alloys. Infrared analysis revealed the film to be a corrosion layer that resulted from exposure to ammonia in a humid atmosphere. Simulation tests confirmed that ammonia was the corrodent. The ammonia originated from the phenolic molding area of the plant. It was recommended that fumes from molding areas be vented outside the plant and that assembly, storage, and calibration areas be isolated from molding areas.

A sprinkler head unit that was installed in a smoking lounge of a multi story office building in 1975 failed, causing substantial water damage. There was no fire in the building. A set of four sprinkler heads -- three that had been installed in 1975 (the failed unit, an unfailed unit from the same room, and an unfailed unit from another room) and an unused 1991 unit -- were examined. casting revealed no material defects or mechanical damage. Because of several environmental factors, it was suspected that the failed unit was exposed to temperatures much above the normal office environment. On this basis, it was concluded that creep of the solder alloy was the most probable cause of failure.

A crane long-travel worm drive shaft was found to be chipped during unpacking after delivery. Chemical analysis showed that the steel (EN36A with a case depth of 1 mm, or 0.04 inch did not meet specifications. Magnetic particle inspection revealed a crack on the side of the shaft opposite the chip. Metallographic examination indicated that the case depth was approximately 2 mm (0.08 in.) and that a repair weld of an earlier chip had been made in the cracked area. The chipping was attributed to excessive case depth and rough handling. It was recommended that the shaft be returned to the manufacturer and a replacement requested.

Two hot water reheat coil valves from a heating/ventilating/air-conditioning system failed in service. The values, a 353 copper alloy 19 mm (3/4 in.) valve and a 360 copper alloy 13 mm (1/2 in.) valve, had been failing at an increasing rate. The failures were confined to the stems and seats. Visual examination revealed severe localized metal loss in the form of deep grooves with smooth and wavy surfaces. Metallographic analysis of the grooved areas revealed uniform metal loss. No evidence of intergranular or selective attack indicating erosion-corrosion was observed, Recommendations included use of a higher-copper brass, cupronickel, or Monel for the valve seats and stems and operation of the valves in either the fully opened or closed position.

Failure occurred in a type 304 stainless steel leaf spring attached to the undercarriage assembly of an airport shuttle train. Failure analysis showed that the fracture was caused by low-cycle, reversed bending fatigue. The stresses leading to failure were imposed by poor alignment. It was recommended that improved assembly procedures be used and that, if another failure occurred, a steel of higher fatigue strength be used.

A white cast iron water-line plug in a fire sprinkler systems split during leak repair. Examination revealed no material flaws, fatigue, or excessive corrosion. The plug head exhibited signs of excessive loads used in attempts to force the plug farther into the pipe. The evidence obtained indicated that the failure resulted from human error.

A 17-4 PH steering actuator rod end body broke during normal take-off. Results of failure analysis revealed that the wall thickness of the race was much below the design limits, thus causing the race to rest on the body's swaged edges rather than on the load carrying centerline of the body. This assembly condition generated abnormal high loads on the swaged edges, ultimately resulting in fatigue failure. To prevent a recurrence of similar failure in the future, the dimensions of the race in the spherical bearing were changed, no further failure occurred.

A section of type 304 stainless steel pipe from a stand by system used for emergency injection of cooling water to a nuclear reactor failed during precommissioning. Leaking occurred in only one spot. Liquid penetrant testing revealed a narrow circumferential crack. Metallographic examination of the cracked area indicated stress-corrosion cracking, which had originated at rusted areas that had formed on longitudinal scratch marks on the outer surface of the pipe. The material was free from sensitization, and there was no significant amount of cold work. It was recommended that the stainless steel be kept rust free.

AM350 stainless steel bellows used in the control rod drive mechanism of a fast breeder reactor failed after 1000 h of service in sodium at 550 deg C (1020 deg F). Helium leak testing indicated that leaks had occurred at various regions of the welded joints between the convolutes in the bellows. The weld failure was attributed to poor quality assurance during fabrication, which resulted in cracklike openings at the fusion zone. The openings extended during tensile loading. Use of proper welding procedures and quality control measures were recommended to prevent future failures.

A helicopter main rotor bolt failed in the black-coated region between the threads and the taper section of the shank during assembly. The torque applied was approximately 100 N·m (900 in.·lbf) when the bolt sheared. No other bolts were reported to have failed. The failed bolt material conformed to AISI E4340 steel, as specified. The microstructure was tempered martensite, with hardness ranging from 41 to 45 HRC. Failure was in the shear ductile mode. The crack initiated in the area of slag inclusions. Inspection of other bolts from the same shipment was recommended.

The draw-in bolt and collet from a vertical-spindle milling machine broke during routine cutting of blind recesses after a relatively long service life. The collet ejected at a high rotational speed due to loss of its vertical support and shattered one of its arms upon impact with the work table. SEM fractography and metallographic examinations conducted on the bolt revealed hairline indications along grain facets on the fracture surface and stepwise cracking in the material, both indicating failure by hydrogen embrittlement. Similar draw-in bolts were discarded and replaced with bolts manufactured using controlled processes.