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October 3, 1993 · Mcdonnell Douglas MD-83 · 9YTHR

Miami, FL

Overview

Report Status
Final with probable cause
Event Type
Accident
Date
October 3, 1993
Injury Outcomes
2 injuries (1 serious injury, 1 minor injury), 80 uninjured
Location
Miami, FL
Aircraft
Mcdonnell Douglas MD-83
Tail Number
9YTHR
Operator
British West Indies
Injuries
Serious
Aircraft Damage
Substantial
NTSB Number
MIA94FA001

THE WATER HEATER IN THE FORWARD GALLEY EXPLODED. EXAMINATION REVEALED THAT THE CONTACTS OF THE WATER HEATER RELAY, WHICH, WHEN ENERGIZED, PROVIDES ELECTRICAL POWER TO THE 3 HEATER ELEMENTS, WERE ROUGH, RAGGED, DISCOLORED, AND SHOWED EXCESSIVE EROSION. ACCORDING TO THE MANUFACTURER, WHEN A RELAY EXCEEDS ITS LIFETIME, IT IS POSSIBLE FOR EROSION AND WEAR ON THE SURFACE TO CAUSE THE CONTACTS TO STICK IN THE CLOSED POSITION. IN ADDITION, THE PRESSURE RELIEF VALVE, WHICH IS DESIGNED TO CRACK AT 65 PSI, WAS TESTED TO 300 PSI WITHOUT CRACKING. UPON DISASSEMBLY, THE O-RING WAS FOUND TO HAVE MIGRATED FROM ITS NORMAL LOCATION INTO THE LOWER VALVE BODY WHERE IT LODGED BETWEEN THE INSIDE DIAMETER AND THE HEAD OF THE POPPET. IN THIS CONDITION, THE O-RING PRESENTED A COMPLETED FLOW BLOCKAGE AND PREVENTED THE PRESSURE RELIEF VALVE FROM OPENING.

NTSB Probable Cause

THE FAILURE OF THE WATER HEATER RELAY AND THE OVERPRESSURE RELIEF VALVE TO OPERATE PROPERLY. IN ADDITION, THE DESIGN OF THE RELIEF VALVE WAS INADEQUATE IN THAT IT ALLOWED THE O-RING TO MIGRATE FROM ITS NORMAL POSITION PREVENTING THE VALVE FROM OPENING.

Full Narrative

HISTORY OF FLIGHT On October 3, 1993, about 1555 eastern daylight time, 9Y-THR, a McDonnell Douglas MD-83, experienced an explosion in the forward galley during climb to cruise altitude. The airplane was registered to and operating as British West Indies Airlines [BWIA] flight No. 431, scheduled, international, passenger service from Miami, Florida, to Barbados. The airplane was substantially damaged, 1 flight attendant received serious injuries, 1 flight attendant received minor injuries, 82 persons were not injured. Visual meteorological conditions prevailed at the time and an IFR flight plan was filed. The flight had originated from Miami, Florida, about 1525 and landed back at Miami, Florida, around 1625 the same day. Examination of the airplane revealed that a water heater, Nordskog model, had over pressurized and exploded. The entire forward galley and the cabin wall to the cockpit was destroyed. The water heater was removed and examined at the NTSB laboratory. All failures noted were consistent with overload. The over pressure valve was examined and the "O" ring had migrated blocking the valve "Pop Off" function. The electrical contacts to the heater element were found failed in a way that allowed constant power to the element. Details of these examinations are included in this report as attachments.

Flight

Event TypeAccident
Event Time15:55 EDT
Nearest Airport0nm
Runway0
Flight Plan FiledIFR
Aircraft FireNo
Aircraft ExplosionIflt

Aircraft

AircraftMcdonnell Douglas MD-83
Tail Number9YTHR
Aircraft CategoryAir
DamageSubstantial
OperatorBritish West Indies
Operating RulePart 129
Engines2
Engine TypeTurbojet
Engine DetailsP&W · JT8D-219 · Turbojet · 20000
Seats138

People & Injuries

Injury Summary2 injuries (1 serious injury, 1 minor injury), 80 uninjured
Fatal0
Serious1
Minor1
Uninjured80
Total82
Crew 1Age 39 · First Class

Conditions

ConditionsVMC
LightDaylight
Wind330° @ 5 kt
Visibility7 sm
CeilingOvercast 14000 ft
Altimeter30.00 inHg
Observation Time19:50
Weather SourceWFAC

Appendix: Source Data