DCA88MZ002

NTSB incident investigation · Mcdonnell Douglas DC-9-83 · Nashville, TN · February 3, 1988

Incident · Minor injuriesFinal report
Date
February 3, 1988, 16:14 local (22:14 UTC)
Place
Nashville, TN
Injuries
18 minor, 113 uninjured; on the ground: 5 minor
Damage
Minor damage
Phase of flight
Approach
Aircraft
N569AAMcdonnell Douglas DC-9-83
Weather
Visual (VMC) · Day
Status
Completed · report April 15, 1991
Report
Approved by Office Director
NTSB office
Major Investigations Division
Safety recommendations
Yes
FAA report
19880203010419I
Case key
15901

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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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/explosionApproach
Procedures/directives - not understoodOther personCause
Procedure inadequateCause
Fuselage,cargo compartment
Hazardous material - leakCause
Fire warning system,cargo - not installedFactor
Fire extinguisher,cargo - not installedFactor
Fuselage,cargo compartment
Acft/equip,inadequate designFactor

Analysis

American flt 132 was loaded with undeclared & improperly marked haz mtrl (hm) packed in a fiber drum. It contained 5 galof 50% hydrogen peroxide solution (oxidizer) & 25 lbs of textreat s-w (corrosive agent; sodium orthosilicate-based mix),shipped by textile treatments intl. The drum was loaded on its side in the midcargo (class-d) comprt. Hm leaked drg flt,causing heat. Just bfr lndg, smoke entered pax cabin. The capt (aware of rprtd APU fumes on a prev flt) was skeptical of rprtd smoke. After lndg, he notified ATC of psbl cargo comprt fire & requested CFR. Acft was evacuated on twy; 4 f/a,9 pax, 2 CFR & 3 gnd psnl suffered smoke inhalation, eye irritation or minor injury. Inv revealed shipper lacked know- ledge abt restrns & rqrments of shipping hm; proc inadqt for detecting undeclared hm shipments. Lack of heat/smoke de- tection equip & insufficient flt crew comm resulted in delay of detecting in-flt fire & declaration of emergency. Inadqtdesign of cargo compart & its lack of fire ext rdcd the ability to stop or prevent spread of fire. (See: NTSB/HZM-88/02)

Aircraft

Registration
N569AA
Reported as
Mcdonnell Douglas DC-9-83
Category
Airplane
Serial number
49351
Airframe hours
2,001
Engine
P&W JT8D-219, 21,700 lbs thrust, turbo fan
Damage
Minor damage
Fire
In-Flight
Flight
Part 121
Operator
American Airlines
Registered owner
Wilmington Trust Co.
Airworthiness certificate
Standard, Transport
Last inspection
Continuous airworthiness · February 2, 1988 · 6 hours before
Departed
DFW · Dallas/Ft Worth, TX
Destination
BNA · Nashville, TN
Flight plan
IFR
Airport
BNA · Nashville Metro, runway 2L, 7,702 × 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
38
Certificates
Airline transport, Flight engineer
Airplane ratings
Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
7,700 total · 400 in this make and model · 177 in the last 90 days · 3 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
10° at 4 knots
Visibility
4 statute miles
Lowest ceiling
1,000 ft overcast
Temperature
54 °F, dew point 50 °F
Altimeter
30.00 inHg
Observed at
BNA

FAA reports on this event · 1

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