ATL92IA113

NTSB incident investigation · Lockheed L-1011-1 · Atlanta, GA · June 2, 1992

Incident · Minor injuriesIncident investigationFinal report
Date
June 2, 1992, 09:05 local (13:05 UTC)
Place
Atlanta, GA
Injuries
1 minor, 130 uninjured
Damage
No damage
Phase of flight
Enroute
Aircraft
N718DALockheed L-1011-1
Weather
Visual (VMC) · Day
Status
Completed · report May 26, 1993
Report
Approved by Office Director
FAA report
19920602021499I
Case key
8526

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

The overheating of the number 2 air cycle machine which resulted in an emergency evacuation via slides; the failure of the flight attendants to secure the slide girt bars.

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.

Airframe/component/system failure/malfunctionClimb - to cruise
Air cond/heating/pressurization - overtemperatureCause
Airframe/component/system failure/malfunctionStanding - engine(s) not operating
Misc eqpt/furnishings,slides - not secured
Miscellaneous equipment - not performedFlight attendantCause

Analysis

The cabin and cockpit filled with smoke during climbout. The pilot declared an emergency and landed without incident. However, during the taxi to the ramp the flight crew started the APU and smoke filled the cabin and cockpit again. The pilot stopped the airplane and ordered an evacuation via the emergency slides. The flight attendants started the evacuation and discovered that three slides would not deploy. Examination of the airplane disclosed that the number 2 air cycle machine had overheated and smoke flowed into the airplane. Additionally, the girt bars on the 3 inoperative slides were not installed in accordance with standard procedures.

Aircraft

Registration
N718DA
Reported as
Lockheed L-1011-1
Category
Airplane
Serial number
193C-1097
Airframe hours
53,937
Engine
Rolls-Royce RB211-22C-02, 42,000 lbs thrust, turbo fan
Damage
No damage
Flight
Part 121
Operator
Delta Air Lines
Registered owner
Delta Air Lines
Airworthiness certificate
Standard, Transport
Last inspection
Continuous airworthiness · January 2, 2000
Departed
ATL · Atlanta, GA
Destination
LAX · Los Angeles, CA
Flight plan
IFR
Airport
ATL · Hartsfield Intl, runway 27, 11,889 × 150 ft, concrete

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
54
Certificate
Airline transport
Airplane ratings
Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
17,500 total · 175 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
100° at 7 knots
Visibility
8 statute miles
Lowest ceiling
None
Temperature
55 °F, dew point 54 °F
Altimeter
30.00 inHg
Observed at
ATL, 1 nm away

FAA reports on this event · 1

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