# NTSB MIA92IA065: Boeing 757-23APF, N572CA, Miami, FL, January 23, 1992

- Type: NTSB incident investigation
- Classification: Incident · No injuries · Incident investigation · Final report
- Date: January 23, 1992, 12:34 local (17:34 UTC)
- Place: Miami, FL
- Location: 25.7743° N, 80.1937° W: Placed by OpenAirDocs: center of Miami, FL, within about 6 miles (OpenAirDocs)
- Nearby events: https://openairdocs.org/map.md?lat=25.7743&lon=-80.1937&mi=10
- Phase of flight: [Enroute](https://openairdocs.org/ntsb-phases/400) (OpenAirDocs' grouping)
- Highest injury: No injuries
- Injuries: 3 uninjured
- Status: Completed, report September 14, 1993
- Report: Approved by Office Director
- NTSB case key (mKey): 33003
- NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=MIA92IA065
- NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/33003/pdf
- Page: https://openairdocs.org/ntsb/MIA92IA065

## Probable cause

THE PILOT-IN-COMMAND'S IMPROPER SUPERVISION OF THE CO-PILOT/FIRST OFFICER. THIS RESULTED IN A TOTAL LOSS OF ENGINE POWER ON BOTH ENGINES WHILE AT LOW POWER SETTINGS IN KNOWN ICING CONDITIONS FOR FAILURE TO FOLLOW CHECKLIST PROCEDURES.

## Sequence of events

In NTSB's coding before 2008 (https://www.ntsb.gov/GILS/Documents/codman.pdf).

- Loss of engine power(total) - nonmechanical, descent - normal
  - all engines
  - powerplant - ice (cause)
  - checklist - not followed, copilot/second pilot (cause)
  - supervision - improper, pilot in command (cause)
  - remedial action - performed, pilot in command

## Analysis

THE COPILOT WAS DESCENDING TO THE LOW ALTITUDE AIRWAY STRUCTURE IN PREPARATION FOR LANDING AT THE MIAMI INTERNATIONAL AIRPORT, WHEN THE BOEING 757-23APF EXPERIENCED A DUAL ENGINE FLAMEOUT. THE AIRPLANE PENETRATED LEVEL 3 WEATHER CONTAINING THUNDERSTORMS, MODERATE ICING, AND MODERATE TO HEAVY RAIN SHOWERS. THE FLIGHTCREW STATED ENGINE ANTI-ICE WAS NOT IN USE AS REQUIRED BY THE AIRCRAFT OPERATING MANUAL. AN EMERGENCY WAS DECLARED WITH MIAMI APPROACH CONTROL FOR A STATED LOSS OF ELECTRICAL POWER. A DUAL ENGINE RESTART WAS ACCOMPLISHED AFTER TWO ATTEMPTS ON EACH ENGINE. THE AIRPLANE WAS LANDED WITHOUT FURTHER INCIDENT. THE AIRLINE TRANSPORT PILOT-IN-COMMAND, FIRST OFFICER AND ADDITIONAL CREWMEMBER WERE NOT INJURED.

## Aircraft

- Registration: N572CA (not matched to a registry record)
- Reported make and model: BOEING 757-23APF
- Category: Airplane
- Serial number: 24868
- Airframe hours: 57141
- Engines: Rolls-Royce RB211-535E4 12000 lbs thrust turbo fan
- Damage: No damage
- Flight: Part 121
- Operator: Challenge Air Cargo, Inc.
- Registered owner: Wilmington Trust Co. Trustee
- Airworthiness certificate: Standard, Transport
- Last inspection: Continuous airworthiness, April 5, 1991, 2,306 hours before
- Departed: SEQU, QUITO, OF
- Destination: MIA, MIAMI, FL
- Flight plan: IFR

## Flight crew

As NTSB recorded them. NTSB leaves out names.

- Pilot; age 50; airline transport; airplane ratings: multi-engine land; instrument ratings: airplane; medical: class 1, valid medical--w/ waivers/lim; seat: left; flight hours: 23,000 total, 2,000 in this make and model, 17,000 as pilot in command, 201 in the last 90 days, 75 in the last 30 days

## Weather

- Conditions: Instrument (IMC), Day
- Wind: 180° at 16 knots
- Visibility: 7 statute miles
- Lowest ceiling: 8,000 ft overcast
- Temperature: 75 °F, dew point 73 °F
- Altimeter: 29.00 inHg
- Observed at: MIA, 28 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 (OpenAirDocs).

- [Incident 19920123012139I](https://openairdocs.org/incident/19920123012139I), Jan 23, 1992: Boeing 75723APF, Miami, FL. Multiple engine flameout after passing through thunderstorm. Restarted. Landed safely. Engine anti-ice off at time.

From the NTSB's public API. Aircraft are matched to registry aircraft by N-number and event date, checked against the reported serial number, make and model; the registry's history has gaps, so older matches can be wrong. Compare the reported make and model.

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