CHI00IA087

NTSB incident investigation · McDonnell Douglas DC9-32 · Milwaukee, WI · January 31, 2000

Incident · No injuriesIncident investigationFinal report
Date
January 31, 2000, 16:45 local (22:45 UTC)
Place
Milwaukee, WI
Injuries
91 uninjured
Damage
Minor damage
Phase of flight
Standing
Aircraft
N203MEMcDonnell Douglas DC9-32
Weather
Not reported
Status
Completed · report July 2, 2001
Report
Approved by Office Director
FAA report
20000131003209I
Case key
48722

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 chafing of the internal water heater wire. A factor was the missing ground strap.

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/malfunctionStanding
Electrical system,electric wiring - chafedCause
Electrical system,electric wiring - not installedFactor

Analysis

During passenger boarding the flight crew was advised of smoke coming from the passenger lavatory. The flight crew instructed the flight attendants to evacuate the aircraft. All passengers and crew members exited normally. Inspection of the aircraft following the incident revealed that wiring internal to the water heater was discolored and melted adjacent to a terminal within the unit. The wire exhibited evidence of chaffing in the area next to the terminal screw. Additionally, it was found that the water heater installation was missing a grounding strap. The Federal Aviation Administration Inspector in conjunction with Midwest Express personnel determined that the missing grounding strap prevented the circuit breaker for the water heater from tripping. Subsequent to the incident, Midwest Express Airlines has inspected their DC9 aircraft to insure that the ground strap is present.

Factual narrative

On January 31, 2000, at 1645 central standard time, a McDonnell Douglas DC9-32, N203ME, operated by Midwest Express Airlines as flight 107, received minor damage during passenger boarding at the General Mitchell International Airport, Milwaukee, Wisconsin. The flight was being conducted under the provisions of 14 CFR Part 121. No injuries were reported. It is not known how many passengers had boarded the aircraft at the time of the incident. The intended destination was the Atlanta Hartsfield Airport, Atlanta, Georgia.

During passenger boarding the flight crew was advised of smoke coming from the passenger lavatory. The flight crew instructed the flight attendants to evacuate the aircraft. All passengers and crew members exited normally.

Inspection of the aircraft following the incident revealed that wiring internal to the water heater was discolored and melted adjacent to a terminal within the unit. The wire exhibited evidence of chafing in the area next to the terminal screw. Additionally, it was found that the water heater installation was missing a grounding strap. The Federal Aviation Administration Inspector in conjunction with Midwest Express personnel determined that the missing grounding strap prevented the circuit breaker for the water heater from tripping. Subsequent to the incident, Midwest Express Airlines has inspected their DC9 aircraft to insure that the ground strap is present.

Aircraft

Registration
N203ME
Reported as
McDonnell Douglas DC9-32
Category
Airplane
Serial number
47673
Airframe hours
60,977
Engine
P&W JT8D-9A, 14,500 lbs thrust, turbo fan
Damage
Minor damage
Flight
Part 121
Registered owner
Midwest Express Airlines
Airworthiness certificate
Standard, Transport
Last inspection
Continuous airworthiness · December 14, 1999 · 77 hours before
Departed
MKE
Flight plan
Unknown
Airport
MKE · General Mitchell Intl Apt

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
Certificate
Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
14,932 total · 9,830 in this make and model · 10,734 as pilot in command · 180 in the last 90 days · 60 in the last 30 days

Weather

Conditions
Not reported

FAA reports on this event · 1

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