# NTSB MIA94IA043: Boeing 767-322, N648UA, Miami, FL, January 1, 1994 - Type: NTSB incident investigation - Classification: Incident · No injuries · Incident investigation · Final report - Date: January 1, 1994, 06:59 local (11:59 UTC) - Place: Miami, FL - Coordinates: 25.929855, -80.139602 (estimated) - Nearby events: https://openairdocs.org/map.md?lat=25.9299&lon=-80.1396&mi=10 - Phase of flight: [Standing](https://openairdocs.org/ntsb-phases/150) (OpenAirDocs' grouping) - Highest injury: No injuries - Injuries: 169 uninjured - Status: Completed, report February 14, 1995 - Report: Approved by Office Director - NTSB case key (mKey): 37439 - NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=MIA94IA043 - NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/37439/pdf - Page: https://openairdocs.org/ntsb/MIA94IA043 ## Probable cause EMERGENCY PROCEDURE INITIATED BY AN UNQUALIFIED PERSON. ## Sequence of events In NTSB's coding before 2008 (https://www.ntsb.gov/GILS/Documents/codman.pdf). - Miscellaneous/other, standing - engine(s) operating - emergency procedure - initiated, unqualified person (cause) ## Analysis THE AIRPLANE HAD BEEN PUSHED FROM THE GATE AND THE #1 ENGINE HAD BEEN STARTED. DURING ENGINE START OF THE #2 ENGINE, A HIGH FUEL FLOW WAS OBSERVED BY THE FLIGHT CREW AND A PASSENGER IN THE RIGHT SIDE OF THE AIRPLANE OBSERVED A FLAME AFT OF THE EXHAUST. THE PASSENGER SHOUTED 'FIRE', OPENED THE #2L DOOR AND DEPLOYED THE EMERGENCY ESCAPE SLIDE. THE PASSENGERS BEGAN AN UNCOMMANDED EVACUATION OF THE AIRPLANE. THE CAPTAIN WAS ADVISED BY A FLIGHT ATTENDANT THAT THE REMAINING PASSENGERS WANTED TO EVACUATE THE AIRPLANE AND THE CAPTAIN DIRECTED THAT THE #1L AND #1R DOORS BE OPENED AND THE EMERGENCY ESCAPE SLIDES UTILIZED. THE CAPTAIN SECURED THE ENGINES, ENTERED THE CABIN AND THEN STOPPED THE EVACUATION OF THE REMAINING 24 PEOPLE. ## Factual narrative On January 1, 1994, about 0659 eastern standard time, N648UA, a Boeing 767-322, operated by United Airlines Inc. as flight 984, scheduled, domestic, passenger service from Miami, Florida, to Chicago, Illinois, experienced a passenger initiated emergency evacuation on the ramp at the Miami International Airport. Visual meteorological conditions prevailed at the time and an IFR flight plan was filed. The airplane was not damaged and the airline transport-rated captain and first officer, 5 flight attendants, and 162 passengers were not injured. The flight was originating at the time of the incident. The airplane had been pushed away from the gate and the No/1 engine had been started. During the No/2 engine start, the fuel flow was reportedly high and a flame aft of the engine exhaust was observed by a passenger seated on the right side of the cabin. The passenger then shouted "fire", opened the No/2L door and deployed the slide. Passengers then began an uncommanded evacuation the airplane. The No/1 flight attendant advised the captain that passengers were evacuating and the remainder of the passengers wanted to evacuate the airplane. The captain directed that the No/1L and No/1R doors be opened and the emergency escape slides deployed for continued evacuation of the airplane. The captain secured the engines then entered the cabin and stopped the emergency evacuation of the remaining 24 people. ## Aircraft - Registration: [N648UA](https://openairdocs.org/aircraft/N648UA), registered now, S/N 25285, built 1992 (OpenAirDocs) - Reported make and model: BOEING 767-322 - Registry model: [Boeing 767-322](https://openairdocs.org/model/boeing-767-322) (registry code 1385200) (OpenAirDocs) - Registry engine: [Pratt & Whitney PW4060](https://openairdocs.org/engine/pratt-whitney-pw4060) (registry code 52140, turbo-fan) (OpenAirDocs) - Category: Airplane - Serial number: 25285 - Airframe hours: 5781 - Engines: P&W 4060 47000 lbs thrust turbo fan - Damage: No damage - Flight: Part 121 - Operator: United Airlines Inc. - Registered owner: Wilmington Trust Co. - Airworthiness certificate: Standard, Transport - Last inspection: Continuous airworthiness, October 25, 1993, 846 hours before - Departed: MIA - Destination: ORD, CHICAGO, IL - Flight plan: IFR - Airport: MIA, Miami International ## Flight crew As NTSB recorded them. NTSB leaves out names. - Pilot; age 51; flight engineer, airline transport; airplane ratings: single-engine sea, multi-engine land, single-engine land; instrument ratings: airplane; medical: class 1, valid medical--no waivers/lim.; seat: left; flight hours: 15,061 total, 355 in this make and model, 15,061 as pilot in command ## Weather - Conditions: Visual (VMC), Dawn - Wind: 100° at 9 knots - Visibility: 7 statute miles - Lowest ceiling: 13,000 ft broken - Temperature: 73 °F, dew point 66 °F - Altimeter: 30.00 inHg - Observed at: MIA, 1 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 19940101002249I](https://openairdocs.org/incident/19940101002249I), Jan 1, 1994: Boeing 767322, Miami, FL. Narrative: while showing videos for safety the flight attendants at united position themselves alongside the screens to get the passnegers attention. The rear… 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. --- OpenAirDocs.org is an independent research project of [Contrail Labs](https://contraillabs.com/). It is not affiliated with the FAA or the NTSB. Source documents are U.S. government works in the public domain.