DFW05LA047

NTSB accident investigation · Bombardier CL-600-2C10 · Austin, TX · December 29, 2004

Accident · Serious injuriesLimited investigationFinal report
Date
December 29, 2004, 13:30 local (19:30 UTC)
Place
Austin, TX
Injuries
1 serious, 59 uninjured
Damage
No damage
Phase of flight
Other
Aircraft
N506MJBombardier CL-600-2C10
Weather
Visual (VMC) · Day
Status
Completed · report June 8, 2005
Report
Approved by Office Director
Parties
San Antonio FSDO
FAA report
20041229033409A
Case key
60783

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 NTSB’s determination of the probable cause, and any contributing factors.

The failure of an air conditioning pack, which resulted in a haze filling the cabin. A contributing factor was the failure of the passenger to follow evacuation instructions.

Analysis

During the takeoff roll, both flight attendants observed a haze in the cabin. As the airplane rotated and began to climb, the haze thickened. At approximately 500 feet above ground level (agl), the smoke detector in the rear lavatory sounded, the "smoke toilet" message was displayed in the cockpit, and a strong odor of smoke was present. The captain declared an emergency and returned to the airport. According to a statement provided by the flight attendants, after a safe and uneventful landing, the captain ordered an emergency evacuation utilizing the airplane's four exits. A passenger exited the airplane through a window exit and fractured a bone in her right foot. Company maintenance personnel examined the airplane and "found that an air conditioning pack that had failed," which would have resulted in a haze in the cabin.

Factual narrative

On December 29, 2004, about 1330 central standard time, a Bombardier CL-600-2C10 twin turbo-jet airplane, N506MJ, operated as United Express Flight 7210, by Mesa Airlines, Inc., of Phoenix, Arizona, performed an emergency evacuation after landing at the Austin-Bergstrom International Airport (AUS), near Austin, Texas. The two airline transport rated pilots, two flight attendants, and 55 passengers were not injured. One passenger sustained a serious injury. The airplane was not damaged. Visual meteorological conditions prevailed and an instrument flight rules flight plan had been filed for the scheduled passenger flight conducted under 14 Code of Federal Regulations Part 121. The flight, which was destined for the Washington Dulles International Airport (IAD), had departed AUS approximately ten minutes earlier.

According to written statements provided by the flight crew and flight attendants, during the takeoff roll, both flight attendants observed a haze in the cabin. As the airplane rotated and began to climb, the haze thickened. At approximately 500 feet above ground level (agl), the smoke detector in the rear lavatory sounded, the "smoke toilet" message was displayed in the cockpit, and a strong odor of smoke was present. The captain declared an emergency and returned to Austin-Bergstrom International Airport.

According to a statement provided by the flight attendants, after a safe and uneventful landing, the captain ordered an emergency evacuation utilizing the airplane's four exits. The flight attendants then assisted the passengers in the emergency evacuation. One Spanish speaking passenger remained, and a flight attendant instructed her to "exit her way." Instead, the passenger exited the airplane through a window exit and fractured a bone in her right foot.

Company maintenance personnel examined the airplane and "found that an air conditioning pack that had failed," which would have resulted in smoke filling the cabin. The Liebherr Air Cycle Machine, part number GG670-95009-1 was replaced, and a maintenance operational check was performed by maintenance technicians. No further evidence of smoke was observed in the cabin.

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.

Miscellaneous/otherOther
Air cond/heating/pressurization,freon system - failureCause
Evacuation - not complied withPassengerFactor

Aircraft

Registration
N506MJ
Reported as
Bombardier CL-600-2C10
Category
Airplane
Serial number
10073
Engines
General Electric CF34-8C1, 12,670 lbs thrust, turbo fanGeneral Electric CF34-8C1, 12,670 lbs thrust, turbo fan
Damage
No damage
Flight
Part 121
Operator
Mesa Airlines, Inc.
Registered owner
Wells Fargo Bank NW
Airworthiness certificate
Standard, Transport
Departed
AUS · Austin, TX
Destination
IAD · Washington, DC
Flight plan
IFR
Airport
AUS · Austin-Bergstrom International, runway 17L, 9,000 × 150 ft, asphalt

Flight crew · 2

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
49
Injuries
None
Certificate
Airline transport
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--w/ waivers/lim
Last flight review
October 1, 2004
Seat
Left
Flight hours
5,000 total · 2,000 in this make and model · 100 in the last 90 days
Role
Co-pilot
Age
34
Injuries
None
Certificate
Airline transport
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Helicopter
Medical
Class 1, Valid Medical--no waivers/lim.
Last flight review
August 1, 2004
Seat
Right
Flight hours
2,100 total · 160 in this make and model · 160 in the last 90 days

Weather

Conditions
Visual (VMC) · Day
Wind
180° at 5 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
55 °F, dew point 45 °F
Altimeter
30.26 inHg
Observed at
AUS

FAA reports on this event · 1

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