DCA88IA044

NTSB incident investigation · Mcdonnell Douglas DC-10-40 · Boston, MA · March 30, 1988

Incident · No injuriesIncident investigationFinal report
Date
March 30, 1988, 18:30 local (23:30 UTC)
Place
Boston, MA
Injuries
86 uninjured
Damage
Minor damage
Phase of flight
Taxi
Aircraft
N154USMcdonnell Douglas DC-10-40
Weather
Visual (VMC) · Dusk
Status
Completed · report January 31, 1990
Report
Approved by Office Director
NTSB office
Major Investigations Division
FAA report
19880330010239I
Case key
15888

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 improper installation of the battery ground connection that resulted in premature loosening of the connection and electrical arc ignition of pooled fuel in the cac bilge. The fuel was not drained overboard due to inoperative cac bilge area drain valves. Contributing to the incident was northwest's non-compliance with a service bulletin to modify the ground cable attachment bracket to prevent loosening of the connection.

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.

FireTaxi - from landing
Fuel system,tank - leakFactor
Hydraulic system - leak
Electrical system,battery
Electrical system,electric wiring - looseCause
Maintenance,installation - improperCompany maintenance personnelCause
Electrical system,electric wiring - arcingCause
Maintenance,service bulletin/letter - not followedCompany maintenance personnelFactor
Fuselage - fire
Fire warning system,airframe - inadequate

Analysis

Drg taxi to gate after ldg, crew started APU normally. While taxiing nr 3 pneumatic duct fail lt illuminated. Later, the center accessory compt (cac) door warning lt illuminated and gnd pers saw smoke emanating fm the fuselage outflow valves. After eng shutdown, smoke entered the cabin and the APU tripped off. Fire dept pers fnd cac outside door hot, then, using cabin floor hatch, obsrved 1-2 ft high flames in cac. Fire was extinguished with dmg limited to cac. Invest revealed improper/loose battery gnd connection. Normal cable movement would loosen connection drg batt disconnect. Burned insulation blankets met spec but were coated with synthetic hyd fluid (slat actuator lkg) and jet fuel. Fire pattern suggested fuel seepage along bulkhead fastener line. Batt gnd last installed nov,87. Batt last chdg 2 wks before incident. Service bulletin pertaining to batt gnd not complied. Inoperative cac drain valves allowed fuel to pool in cac bilge. No cac fire warning or extinguisher system was installed.

Aircraft

Registration
N154US
Reported as
Mcdonnell Douglas DC-10-40
Category
Airplane
Serial number
46763
Airframe hours
33,818
Engine
P&W JT9D-20, 49,400 lbs thrust, turbo fan
Damage
Minor damage
Fire
On-Ground
Flight
Part 121
Registered owner
Northwest Airlines, Inc.
Airworthiness certificate
Standard, Transport
Last inspection
Continuous airworthiness · March 21, 1988 · 61 hours before
Departed
JFK · New York, NY
Destination
BOS
Flight plan
IFR
Airport
BOS · Logan Int'L, runway 4R, 10,005 × 150 ft, asphalt

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--w/ waivers/lim
Seat
Left
Flight hours
14,156 total · 4,464 in this make and model

Weather

Conditions
Visual (VMC) · Dusk
Wind
150° at 4 knots
Visibility
15 statute miles
Lowest ceiling
None
Temperature
43 °F
Altimeter
30.00 inHg
Observed at
BOS

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 N154US · 1

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