ATL89IA099

NTSB incident investigation · Boeing 737-201 · Dayton, OH · March 9, 1989

Incident · No injuriesIncident investigationFinal report
Date
March 9, 1989, 17:13 local (22:13 UTC)
Place
Dayton, OH
Injuries
82 uninjured
Damage
No damage
Phase of flight
Enroute
Aircraft
N217USBoeing 737-201
Weather
Day
Status
Completed · report August 26, 1992
Report
Approved by Office Director
FAA report
19890309003999I
Case key
7928

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the incident.

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Probable cause

An excessively worn outflow valve in the cabin evironmental/pressurization system that resulted in a rapid cabin depressurization.

Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

DecompressionCruise - normal
Air cond/heating/pressurization,outflow valve - dumpedCause

Analysis

A passenger died after a rapid decompression and emergency descent. There was no damage to the airplane or injury to the remaining occupants of the airplane. An investigation revealed that an uncontrollable outflow valve resulted in a rapid decompression at FL 310. The oxygen masks deployed & the cpt made an emergency descent to 10,000 ft, then continued to Dayton, landing at 1740. The passenger was taken to a Dayton hospital and died at about 6 hours and 50 minutes later. The montgomery county coroner ruled that death was due to natural causes.

Aircraft

Registration
N217US
Reported as
Boeing 737-201
Category
Airplane
Serial number
20215
Airframe hours
49,548
Engine
P&W JT8D-9A, 20,500 lbs thrust, turbo fan
Damage
No damage
Flight
Part 121
Registered owner
Piedmont Aviation
Airworthiness certificate
Standard, Transport
Departed
TPA · Tampa, FL
Flight plan
IFR

Matched to the registry by N-number and the event date; the registry’s history has gaps, so older matches can be wrong. Compare the reported make and model.

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
39
Certificate
Airline transport
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
12,800 total · 2,500 in this make and model

Weather

Conditions
Day

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.

Other investigations on N217US · 1

Matched to the same aircraft by N-number and date.