SEA96LA062

NTSB accident investigation · Boeing 767-332 · Portland, OR · February 20, 1996

Accident · Serious injuriesLimited investigationFinal report
Date
February 20, 1996, 07:15 local (15:15 UTC)
Place
Portland, OR
Injuries
1 serious, 3 minor, 139 uninjured
Damage
No damage
Phase of flight
Taxi
Aircraft
N125DLBoeing 767-332
Weather
Visual (VMC) · Day
Status
Completed · report April 3, 1997
Report
Approved by Office Director
FAA report
19960220045989A
Case key
42339

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 passenger's unsuccessful (improper) evacuation of the aircraft. The malfunctioning APU was a related factor in that it torched and produced smoke, due to a faulty fuel control unit and/or gearbox shutoff valve, thereby prompting an emergency evacuation of the aircraft.

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/malfunctionTaxi
Auxiliary power unit - malfunctionFactor
Auxiliary power unit - smokeFactor
Miscellaneous/otherStanding - engine(s) not operating
Evacuation - improperPassengerCause

Analysis

While the Boeing 767 was taxiing for departure, the crew of another aircraft reported that there was smoke and flames coming from the Boeing 767 APU exhaust. The crew of the Boeing 767 shut down the APU and began coordinating with dispatch for a return to the gate. The crew was then directed by the tower to hold their position and to shut down their engines. Soon thereafter, the tower advised the crew that the Fire Marshall had called for the aircraft to be evacuated because there was still smoke coming from the APU exhaust. The aircraft was evacuated using the evacuation slides at the door exits. One passenger received serious injuries during the evacuation. An inspection of the APU showed that the fuel control unit and the gearbox shutoff valve needed to be replaced. Once those units were replaced, the APU was test run with no further discrepancies noted.

Factual narrative

On February 20, 1996, approximately 0715 Pacific standard time (PST), a Boeing 767-332, N125DL, experienced an APU exhaust fire at Portland International Airport, Portland, Oregon. None of the flight or cabin crew were injured, but three of the 135 passengers received minor injuries, and one sustained a serious injury. The scheduled Part 121 domestic passenger flight had come to a stop while taxiing for takeoff in VFR conditions. The intended destination was Los Angeles International Airport.

According to Delta Air Lines, the crew of another aircraft reported flames and smoke coming from the APU exhaust of the 767 while it was taxiing for takeoff. The 767 crew shut the APU down, and began coordination with their dispatch for returning to the gate. They were then directed by Portland Tower to hold position and shut down the aircraft's engines. Soon thereafter, Portland Tower advised the crew that the Fire Marshall had said to evacuate the aircraft because there was still smoke coming out of the exhaust. The flight crew then activated the APU fire bottle and initiated the evacuation, which was carried out via the evacuation slides at the door exits. According to the cabin crew, although some passengers were hesitant about jumping onto the slides, the evacuation proceeded in a calm and orderly manner. One passenger sustained an ankle fracture during the evacuation process.

After the accident, the aircraft was inspected for smoke and/or fire damage to the structure, and none was found. The aircraft was then ferried to Los Angeles International Airport, where the APU was removed and sent to Delta's APU shop in Atlanta for inspection. As a result of that inspection, during which the engine "...torched on start," it was determined that both the fuel control unit and the gearbox shutoff valve needed to be replaced. Once those units had been replaced, the APU was test run with no further discrepancies.

Aircraft

Registration
N125DL
Reported as
Boeing 767-332
Category
Airplane
Serial number
24075
Airframe hours
26,272
Engine
GE CF6-80A2, 56,000 lbs thrust, turbo fan
Damage
No damage
Fire
On-Ground
Flight
Part 121
Operator
Delta Air Lines
Registered owner
Wilmington Trust Company
Airworthiness certificate
Standard, Transport
Last inspection
Continuous airworthiness · February 16, 1996 · 32 hours before
Departed
PDX
Destination
LAX · Los Angeles, CA
Flight plan
IFR
Airport
PDX · Portland International

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

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
59
Certificate
Airline transport
Airplane ratings
Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
21,000 total · 4,101 in this make and model · 223 in the last 90 days · 11 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
180° at 16 knots
Visibility
7 statute miles
Lowest ceiling
4,200 ft broken
Temperature
46 °F, dew point 39 °F
Altimeter
29.00 inHg
Observed at
PDX, 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.