MIA83AA136

NTSB incident investigation · Lockheed L-1011 · Miami, FL · May 5, 1983

Incident · No injuriesFinal report
Date
May 5, 1983, 09:15 local (13:15 UTC)
Place
Miami, FL
Injuries
172 uninjured
Damage
No damage
Phase of flight
Enroute
Aircraft
N334EALockheed L-1011
Weather
Visual (VMC) · Day
Status
Completed
Report
Board-adopted at Board Meeting
Safety recommendations
Yes
FAA report
19830505075289I
Case key
30757

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.

Loss of engine power(total) - mech failure/malfDescent - normal
Lubricating system,oil magnetic plug - incorrectCause
Procedures/directives - not followedCompany maintenance personnelCause
Maintenance,installation - improperCompany maintenance personnelCause
Supervision - inadequateCompany maintenance personnelCause
Unsafe/hazardous condition - not correctedCompany/operator managementCause
Inadequate surveillance of operationFaa(organization)Factor
Lubricating system,oil magnetic plug - leakCause
Fluid,oil - starvationCause
Accessory drive assy,extension unit - overtemperatureCause
Accessory drive assy,extension unit - failure,totalCause
Accessory drive assy,ext shaft bearing - not engagedCause
Fuel system,pump - disabledCause
Fluid,fuel - starvationCause
Aircraft performance,two or more engines - failure,totalFactor

Analysis

The Safety Board's full report on this investigation is provided as Aviation Accident Report number AAR-84/04. To obtain a copy of this report, or to view the executive summary online, please see the Web site at http://www.ntsb.gov/publictn/publictn.htm

Descending thru 15000 ft into nassau the #2 eng was shut down due to low oil press. At 16000 ft returning to Miami the #3 eng flamed out, & 3 min later the #1 eng flamed out. The acft began descending without power from 13000 ft. at about 10000 ft the flightcrew announced that ditching was imminent. The #2 eng was restarted at 4000 ft, & the acft made a one-eng landing at Miami. All o-ring seals in the master chip detector assy's in the eng lubrication system were missing causing oil leaks in all engs. Proper procedures to remove, reinstall & inspect the detectors for oil leaks wereavailable. The foreman knew that mechanics were not routinely replacing o-ring seals. Accident was 9th chip detector occurrence since procedures were revised 12/81. FAA aware of problems on eal acft but did not assign special surveillance priority to them. Attendants not aware of time available to prepare cabin for ditching. Pax had difficulty locating & donning life vests.

Aircraft

Registration
N334EA
Reported as
Lockheed L-1011
Category
Airplane
Serial number
193A-1141
Engine
Rolls-Royce RB-211-22B, 41,030 lbs thrust, turbo fan
Damage
No damage
Flight
Part 121
Registered owner
Eastern Airlines, Inc.
Airworthiness certificate
Standard, Normal
Departed
MIA
Destination
Nassau
Flight plan
IFR
Airport
MIA · Miami Intl, runway 27L, 13,002 × 150 ft, asphalt

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
58
Certificate
Airline transport
Airplane ratings
Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
12,045 total · 13 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
10° at 7 knots
Visibility
7 statute miles
Lowest ceiling
8,000 ft broken
Temperature
72 °F, dew point 57 °F
Altimeter
29.00 inHg
Observed at
MIA

FAA reports on this event · 1

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