CHI90FA278

NTSB accident investigation · Boeing 727-251 · Detroit, MI · September 29, 1990

Accident · Serious injuriesField investigationFinal report
Date
September 28, 1990, 18:00 local (Sep 29, 1990, 00:00 UTC)
Place
Detroit, MI
Injuries
2 serious, 2 minor, 128 uninjured
Damage
Minor damage
Phase of flight
Taxi
Aircraft
N278USBoeing 727-251
Weather
Visual (VMC) · Day
Status
Completed · report March 12, 1993
Report
Approved by Office Director
FAA report
19900928065649A
Case key
14555

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

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Probable cause

The intentional activation of the auxillary power unit by the flight engineer, and the improper evacuation procedures by the pilot in command. An associated factor in the accident was the APU circuit breakers were not pulled by company maintenance personnel.

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.

Fire/explosionTaxi - from landing
Apu - improper use ofFlight engineerCause
Evacuation - improperPilot in command
Procedures/directives - not followedPilot in command
Maintenance,adjustment - improperCompany maintenance personnel

Analysis

Four passengers were injured during the emergency evacuation following an APU fire. The crew reported the APU fire bell while taxiing. The capt. elected to evacuate, but did not indicate the nature of the problem to either the cabin attendants or passengers. Several passengers used the overwing exits on the same side as the fire and were injured jumping off the wing. One said that the wing flaps were not lowered during the evacuation. The APU had been placarded inoperative prior to the flight. Crew advised in writing. The cockpit voice recorder tape was erased in the cockpit after the accident, so the flight crew's activities were not able to be reviewed. Post accident examination of the APU revealed that the fire started because of an attempted start of the defective unit. Prior to the flight, nwa maintenance attempted to make the APU inoperable from the cockpit by opening circuit breakers. The wrong circuit breaker was fulled, leaving the APU operable.

Aircraft

Registration
N278US
Reported as
Boeing 727-251
Category
Airplane
Serial number
2215F
Airframe hours
37,173
Engine
P&W JT8D-15A, 15,500 lbs thrust, turbo fan
Damage
Minor damage
Fire
On-Ground
Flight
Part 121
Operator
Northwest Airlines, Inc.
Airworthiness certificate
Standard, Transport
Last inspection
Continuous airworthiness · September 27, 1990 · 6 hours before
Departed
YUL · Montreal
Flight plan
IFR
Airport
DTW · Detroit Metropolitan

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
47
Certificate
Airline transport
Airplane ratings
Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Flight hours
13,500 total · 9,650 in this make and model · 5,000 as pilot in command

Weather

Conditions
Visual (VMC) · Day
Wind
170° at 6 knots
Visibility
6 statute miles
Lowest ceiling
15,000 ft broken
Temperature
73 °F, dew point 61 °F
Observed at
DTW

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 N278US · 1

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