LAX01IA073

NTSB incident investigation · Boeing 747-200F · Honolulu, HI · January 6, 2001

Incident · No injuriesIncident investigationFinal report
Date
January 5, 2001, 14:10 local (Jan 6, 2001, 00:10 UTC)
Place
Honolulu, HI
Injuries
3 uninjured
Damage
No damage
Phase of flight
Enroute
Aircraft
N470EVBoeing 747-200F
Weather
Visual (VMC) · Night
Status
Completed · report March 30, 2004
Report
Approved by Office Director
Parties
Federal Aviation Administration
Case key
53344

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 failure of the lighting dimmer switch or circuit components for undetermined reasons, which resulted in smoke in the cockpit.

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/malfunctionCruise - normal
Electrical system,electric wiring - burned
Electrical system,electric switch - overtemperature

Analysis

The transport category airplane developed an electrical burning odor about 1 hour after departure while at an altitude of 34,000 feet msl. The flight engineer noted smoke emanating from the center console. Following an uneventful landing, mechanics and FAA inspectors found a hot lower incandescent lamp dimmer, which burned the mechanic nearly 2 hours after electrical power was removed from the component. The dimmer and its corresponding circuit breakers were removed and examined. Scorching was noted around the dimmer LV1 lead and on the lower side of both circuit breaker covers. The switch and related circuit breakers were sent to the National Transportation Safety Board Materials Laboratory for examination, but were lost in transit.

Factual narrative

On January 5, 2001, approximately 1410 Hawaiian standard time, a Boeing 747-200F transport category airplane, N470EV, experienced smoke in the cockpit en route from Honolulu, Hawaii, to Pago Pago, American Samoa. The pilot declared an emergency and landed uneventfully in Honolulu. The airplane was not damaged and there were no injuries to the airline transport rated pilot, co-pilot, and flight engineer. The airplane was operated by Evergreen International Airlines, Inc., McMinnville, Oregon, as a regularly scheduled cargo flight under the provisions of 14 CFR Part 121. An instrument flight plan was filed for the flight.

According to the operator, the flight was approximately 1 hour out of Honolulu at a flight level of 34,000 feet msl, when the flight crew detected the odor of burning insulation. The flight engineer examined the main cargo deck and aft upper deck and found no anomalies. Upon his return to the cockpit, the flight engineer noticed smoke coming from the aft right corner of the center pedestal. The flight crew performed the electrical fire/smoke checklist and the smoke dissipated.

After the airplane returned to Honolulu (at 1512), maintenance personnel and Federal Aviation Administration (FAA) inspectors examined the center console area. While troubleshooting the wiring in the center console, one of the mechanics burned himself on the lower incandescent lamp dimmer (Boeing part number 60B40024-3). The FAA inspectors reported the case was still hot after having power removed for over 2 hours. Neither circuit breaker attached to the dimmer had opened. When the mechanic manually opened the circuit breakers, they were so hot the mechanic burned his fingers again. Examination of the dimmer and attached circuit breakers after their removal revealed scorching around the LV1 lead and scorching on the lower side of both circuit breaker covers.

The dimmer component for an incandescent lamp displayed a manufacturer part number of 2-459 and a serial number of 1175. It was manufactured in July 1970. According to the FAA inspectors, the part appeared to be manufactured by EDC, Lynnwood, Washington. A label, located on the base of the component, indicated it was bench checked on January 20, 1995, by Astro-Aire Enterprises, Oakland, California.

No additional anomalies were noted and a new dimmer component was inserted. No anomalies were reported after the dimmer replacement.

A search of the FAA's Service Difficulty Report Database revealed seven reported incidents involving overheating/burning dimmer control sharing the same part numbers.

The switch and related circuit breakers were sent to the National Transportation Safety Board Materials Laboratory for examination, but were lost in transit.

Aircraft

Registration
N470EV
Reported as
Boeing 747-200F
Category
Airplane
Serial number
20653
Engine
Pratt & Whitney JT9D-3 SER, turbo fan
Damage
No damage
Fire
In-Flight
Flight
Part 121
Operator
Evergreen International Airlines, Inc.
Registered owner
Wells Fargo Bank Northwest NA
Airworthiness certificate
Standard, Normal
Departed
HNL · Honolulu, HI
Destination
PPG · Pago Pago, PO
Flight plan
IFR

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 · 3

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Injuries
None
Certificates
Flight engineer, Commercial, Flight instructor, Airline transport
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Unknown
Seat
Left
Role
Co-pilot
Injuries
None
Role
Flight engineer
Injuries
None

Weather

Conditions
Visual (VMC) · Night

Other investigations on N470EV · 1

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