DEN90IA189

NTSB incident investigation · Boeing 737-222 · Denver, CO · September 19, 1990

Incident · Minor injuriesIncident investigationFinal report
Date
September 19, 1990, 11:00 local (17:00 UTC)
Place
Denver, CO
Injuries
2 minor, 94 uninjured
Damage
No damage
Phase of flight
Taxi
Aircraft
N9044UBoeing 737-222
Weather
Visual (VMC) · Day
Status
Completed · report May 10, 1993
Report
Approved by Office Director
FAA report
19900919041989I
Case key
17853

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

On this page

Probable cause

The failure of the flight crew to follow emergency procedures/directives. Factors were the failure of the aircraft electrical system (relays) and the failure of the company to provide a jetway operator.

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 - to takeoff
Door,inspection - openFactor
Procedures/directives - improperPilot in commandCause
Electrical system,electric relay - failure,totalFactor
Evacuation - performedPilot in command
Evacuation - unavailableCompany/operator managementFactor

Analysis

Shortly after pushback it was noticed that the #2 eng door 2 right handle was not flush. The eng was shut down and ground maint personnel closed the door from the outside. The cabin then began to fill with dense smoke. The captain, using radio and an open window, was unsuccessful in getting a jetway to the airplane, and the crew and pax exited using slides. It was later determined that the battery buss relay (R1) and battery transfer relay (R2) had failed. The airplane had been pushed back at gate B-8, and had received clearance to gate B-20 for the evacuation. There was no jetway operator present, and ground personnel are not cross-trained to operate a jetway. When the #2 eng was shut down, the electrical transfer system picked up the load. The flightcrew did not power the right bus from the APU.

Aircraft

Registration
N9044U
Reported as
Boeing 737-222
Category
Airplane
Serial number
19550
Engine
P&W, 14,000 lbs thrust, turbo jet
Damage
No damage
Flight
Part 121
Operator
United Airlines
Destination
ICT · Wichita, KS
Flight plan
IFR
Airport
DEN · Stapleton Intl

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
51
Certificate
Airline transport
Airplane ratings
Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--w/ waivers/lim
Flight hours
17,500 total · 1,119 in this make and model · 10,000 as pilot in command · 123 in the last 90 days · 13 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
30° at 5 knots
Visibility
7 statute miles
Lowest ceiling
None
Temperature
75 °F, dew point -0 °F

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 N9044U · 1

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