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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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NTSB Report

March 17, 1989 · Boeing 737-300 · N12318

Oakland, CA

Overview

Report Status
Probable Cause
Event Type
Accident
Date
March 17, 1989
Injury Outcomes
No injuries (69 uninjured)
Location
Oakland, CA
Aircraft
Boeing 737-300
Tail Number
N12318
Injuries
None
Aircraft Damage
Substantial
NTSB Number
DCA89MA034

THE CREW WAS NOT AWARE AN APU FIRE HAD OCCURRED AT THE GATE PRIOR TO STARTING THE MAIN ENGINES. AFTER DEPARTURE THE AIRPLANE EXPERIENCED SEVERE VIBRATIONS; AN EMERGENCY WAS DECLARED, AND THE FLIGHT LANDED WITHOUT INCIDENT. ABOUT 1/2 OF THE UNDERSIDE OF THE ELEVATOR & TRIM TAB WERE SEVERELY FIRE DAMAGED. THE TAIL CONE WAS CHARRED & BLISTERED OVER A 3 FT BY 3 FT AREA. FOUR GROUND SERVICE PERSONNEL HANDLED THE AIRCRAFT DURING PUSHBACK. THE APU COMBUSTOR CAP DRAIN LINE WAS FOUND CLOGGED WITH SEVERAL PIECES OF ROOM TEMPERATURE VULCANIZING (RTV) MATERIAL (POTTING COMPOUND) USED IN THE APU BUILDUP PROCESS. THE APU MANUFACTURER'S OVERHAUL MANUAL CAUTIONS OPERATORS TO USE RTV SPARINGLY, AND TO REMOVE ANY EXCESS PRIOR TO INSTALLING EXHAUST PIPE SHIMS TO PREVENT PLUGGED FUEL DRAIN FITTINGS AND TORCHING STARTS. IN ADDITION, THE ATOMIZER ASSEMBLY SHOWED STREAKING IN THE PRIMARY ORIFICES, AND EXAMINATION OF THE OIL PUMP REVEALED SLOW SEQUENCING (IGNITION AND FUEL INITIATION).

NTSB Probable Cause

IGNITION OF PUDDLED FUEL FROM A BLOCKED COMBUSTOR DRAIN LINE, AND A SLOW START DURING WHICH FUEL WAS MISTED AND BLOWN OUT THE TAIL PIPE. AN EXISTING TAILWIND AT THE GATE ALLOWED THE FUEL TO WET THE TAIL SURFACES AND BE IGNITED DURING THE APU START. THE OPERATOR CONFIRMED USING RTV MATERIAL IN THE APU BUILDUP PROCESS AT THEIR FACILITY.

Full Narrative

THE CREW WAS NOT AWARE AN APU FIRE HAD OCCURRED AT THE GATE PRIOR TO STARTING THE MAIN ENGINES. AFTER DEPARTURE THE AIRPLANE EXPERIENCED SEVERE VIBRATIONS; AN EMERGENCY WAS DECLARED, AND THE FLIGHT LANDED WITHOUT INCIDENT. ABOUT 1/2 OF THE UNDERSIDE OF THE ELEVATOR & TRIM TAB WERE SEVERELY FIRE DAMAGED. THE TAIL CONE WAS CHARRED & BLISTERED OVER A 3 FT BY 3 FT AREA. FOUR GROUND SERVICE PERSONNEL HANDLED THE AIRCRAFT DURING PUSHBACK. THE APU COMBUSTOR CAP DRAIN LINE WAS FOUND CLOGGED WITH SEVERAL PIECES OF ROOM TEMPERATURE VULCANIZING (RTV) MATERIAL (POTTING COMPOUND) USED IN THE APU BUILDUP PROCESS. THE APU MANUFACTURER'S OVERHAUL MANUAL CAUTIONS OPERATORS TO USE RTV SPARINGLY, AND TO REMOVE ANY EXCESS PRIOR TO INSTALLING EXHAUST PIPE SHIMS TO PREVENT PLUGGED FUEL DRAIN FITTINGS AND TORCHING STARTS. IN ADDITION, THE ATOMIZER ASSEMBLY SHOWED STREAKING IN THE PRIMARY ORIFICES, AND EXAMINATION OF THE OIL PUMP REVEALED SLOW SEQUENCING (IGNITION AND FUEL INITIATION).

Flight

Event TypeAccident
Event Time12:00 PST
Nearest AirportOakland Intl (0nm N)
Runway0
Flight Plan FiledIFR
Aircraft FireGrd
Aircraft ExplosionNo

Aircraft

AircraftBoeing 737-300
Tail NumberN12318
Aircraft CategoryAir
DamageSubstantial
Operating RulePart 121
Engines2
Engine TypeTurbofan
Engine DetailsGe · CFM-56-3 · Turbofan
Seats149

People & Injuries

Injury SummaryNo injuries (69 uninjured)
Fatal0
Serious0
Minor0
Uninjured69
Total69
Crew 1Age 42 · First Class

Conditions

ConditionsVMC
LightDaylight
Wind160° @ 7 kt
Visibility20 sm
CeilingBroken clouds 20000 ft
Temperature / Dew Point57 / 43 C
Altimeter0
Observation Time19:45
Weather SourceWFAC

Appendix: Source Data