DEN04IA063

NTSB incident investigation · Canadair CL-600-2B19 · Colorado Spring, CO · April 17, 2004

Incident · No injuriesIncident investigationFinal report
Date
April 17, 2004, 14:55 local (20:55 UTC)
Place
Colorado Spring, CO
Injuries
53 uninjured
Damage
Minor damage
Phase of flight
Taxi
Aircraft
N17231Canadair CL-600-2B19
Weather
Visual (VMC) · Day
Status
Completed · report September 1, 2004
Report
Approved by Office Director
Parties
Federal Aviation Administration
FAA report
20040417009129I
Case key
59082

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 failed air conditioning fan by-pass check valve and the subsequent overtemperature of the air conditioning pack.

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/malfunctionTaxi - from landing
Air cond/heating/pressurization,safety valve - failure,totalCause
Air cond/heating/pressurization - overtemperatureCause
Air cond/heating/pressurization - smoke
Evacuation - performed

Analysis

The captain said that while taxiing to the gate after landing, the flight attendant reported that there was smoke in the cabin. The captain said he called the flight attendant back to get more details. The flight attendant told him the cabin was full of smoke. The captain stopped the airplane, set the parking brake, and ordered the airplane evacuated. The passengers and crew evacuated the airplane. The flight attendant described the smoke as blue in color and smelling like burning oil. An examination of the airplane showed that a fan by-pass check valve in the right air conditioning pact failed causing the air conditioning pack to overheat.

Factual narrative

On April 17, 2004, at 1455 mountain daylight time, a Canadair CL-600-2B19, N17231, operated by Mesa Airlines, Incorporated, and doing business as America West Express Flight 412, experienced smoke in the passenger cabin while taxiing to parking at the Colorado Springs Municipal Airport (COS), Colorado Springs, Colorado. The flight crew stopped and shut down the airplane, and initiated an evacuation of the crew and passengers onto the taxiway. The captain, first officer, flight attendant, and 50 passengers on board reported no injuries. The scheduled domestic passenger flight from Phoenix, Arizona (PHX) to COS was being conducted on an instrument flight rules flight plan under the provisions of Title 14 CFR Part 121. Visual meteorological conditions prevailed at the time of the incident. The flight originated at 1240.

In his written statement, the captain said that while taxiing to the gate, the flight attendant called and said there was smoke in the cabin. He said he called the flight attendant back to get more details. The flight attendant told him the cabin was full of smoke. The captain said he stopped the airplane, set the parking brake and ordered the airplane evacuation. The passengers exited the airplane and fire/rescue arrived. After verifying that all the passengers were off the airplane, the captain and the first officer deplaned.

The flight attendant reported that while taxiing to the gate he noticed smoke coming from the bottom vents. He said he notified the captain, got out of his seat and went to the back of the airplane, looked around, grabbed the fire extinguisher and ran back to the front of the airplane. The flight attendant said the captain called him and told him that they were going to evacuate. The flight attendant said that when the airplane stopped he opened the door and evacuated everyone out of the airplane and onto a grassy area off the taxiway. The flight attendant described the smoke as blue in color and smelling like burning oil.

A Federal Aviation Administration inspector examined the airplane at COS. He noted oil coming from a vent on the bottom aft fuselage. Oil was observed covering the bottom of the aft fuselage and tail cone. An examination of the aft equipment bay showed oil covering several components including the air conditioning packs, the cockpit voice recorder, and the flight data recorder.

Company maintenance personnel determined that the right air conditioning pack had overheated. The pack was deferred in accordance with the airplane's minimum equipment list. The airplane was subsequently serviced, ground checked, cleaned up, and flown back to PHX for further examination. Further examination revealed that the fan by-pass check valve had failed causing the air conditioning pack to overheat.

Aircraft

Registration
N17231
Reported as
Canadair CL-600-2B19
Category
Airplane
Serial number
7231
Airframe hours
15,338
Engines
General Electric CF34-3B1, 8,729 lbs thrust, turbo fanGeneral Electric CF34-3B1, 8,729 lbs thrust, turbo fan
Damage
Minor damage
Flight
Part 121
Operator
Mesa Airlines, Inc., doing business as America West Express
Registered owner
Wells Fargo Bank Northwest NA Trust
Airworthiness certificate
Standard, Transport
Last inspection
Continuous airworthiness · April 30, 2004
Departed
PHX · Phoenix, AZ
Destination
COS · Colorado Spring, CO
Flight plan
IFR
Airport
COS · Colorado Springs Municipal, runway 17L, 13,500 × 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 · 2

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
39
Injuries
None
Certificate
Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--w/ waivers/lim
Last flight review
October 11, 2003
Seat
Left
Flight hours
5,409 total · 2,782 in this make and model
Role
Co-pilot
Age
24
Injuries
None
Certificates
Flight instructor, Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1
Last flight review
February 1, 2004
Seat
Right
Flight hours
2,200 total · 70 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
230° at 25 knots, gusting 34
Visibility
10 statute miles
Lowest ceiling
None
Temperature
75 °F, dew point 19 °F
Altimeter
29.86 inHg
Observed at
COS, 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.