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Aviation safety reports, made easier to study

NTSB Reports is an independent research and search tool for public aviation accident and incident records. It brings NTSB aviation reports, structured fields, docket files, extracted figures, photos, videos, and update history into one searchable interface.

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March 9, 1989 · Boeing 737-201 · N217US

Dayton, OH

Overview

Report Status
Probable Cause
Event Type
Incident
Date
March 9, 1989
Injury Outcomes
No injuries (82 uninjured)
Location
Dayton, OH
Aircraft
Boeing 737-201
Tail Number
N217US
Injuries
None
NTSB Number
ATL89IA099

A PASSENGER DIED AFTER A RAPID DECOMPRESSION AND EMERGENCY DESCENT. THERE WAS NO DAMAGE TO THE AIRPLANE OR INJURY TO THE REMAINING OCCUPANTS OF THE AIRPLANE. AN INVESTIGATION REVEALED THAT AN UNCONTROLLABLE OUTFLOW VALVE RESULTED IN A RAPID DECOMPRESSION AT FL 310. THE OXYGEN MASKS DEPLOYED & THE CPT MADE AN EMERGENCY DESCENT TO 10,000 FT, THEN CONTINUED TO DAYTON, LANDING AT 1740. THE PASSENGER WAS TAKEN TO A DAYTON HOSPITAL AND DIED AT ABOUT 6 HOURS AND 50 MINUTES LATER. THE MONTGOMERY COUNTY CORONER RULED THAT DEATH WAS DUE TO NATURAL CAUSES.

NTSB Probable Cause

AN EXCESSIVELY WORN OUTFLOW VALVE IN THE CABIN EVIRONMENTAL/PRESSURIZATION SYSTEM THAT RESULTED IN A RAPID CABIN DEPRESSURIZATION.

Full Narrative

A PASSENGER DIED AFTER A RAPID DECOMPRESSION AND EMERGENCY DESCENT. THERE WAS NO DAMAGE TO THE AIRPLANE OR INJURY TO THE REMAINING OCCUPANTS OF THE AIRPLANE. AN INVESTIGATION REVEALED THAT AN UNCONTROLLABLE OUTFLOW VALVE RESULTED IN A RAPID DECOMPRESSION AT FL 310. THE OXYGEN MASKS DEPLOYED & THE CPT MADE AN EMERGENCY DESCENT TO 10,000 FT, THEN CONTINUED TO DAYTON, LANDING AT 1740. THE PASSENGER WAS TAKEN TO A DAYTON HOSPITAL AND DIED AT ABOUT 6 HOURS AND 50 MINUTES LATER. THE MONTGOMERY COUNTY CORONER RULED THAT DEATH WAS DUE TO NATURAL CAUSES.

Flight

Event TypeIncident
Event Time17:13 EST
Nearest Airport0nm N
Runway0
Runway Length0
Runway Width0
Flight Plan FiledIFR
Aircraft FireNo
Aircraft ExplosionNo

Aircraft

AircraftBoeing 737-201
Tail NumberN217US
Aircraft CategoryAir
Operating RulePart 121
Engines2
Engine TypeTurbofan
Engine DetailsP&W · JT8D-9A · Turbofan · 20500
Seats110

People & Injuries

Injury SummaryNo injuries (82 uninjured)
Fatal0
Serious0
Minor0
Uninjured82
Total82
Crew 1Age 39 · First Class

Conditions

ConditionsUnknown
LightDaylight
WindCalm
CeilingNone
Temperature / Dew Point0 C / 0 C
Altimeter0

Appendix: Source Data