Smoke emergency and evacuation on ground, Airbus A300B4-605R, February 20, 1996

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Transcription:

Smoke emergency and evacuation on ground, Airbus A3B4-65R, February 2, 996 Micro-summary: This Airbus A3B4-65R experienced a smoke emergency while taxiing, prompting an evacuation. Event Date: 996-2-2 at 7 EST Investigative Body: (NTSB), USA Investigative Body's Web Site: http://www.ntsb.gov/ Cautions:. Accident reports can be and sometimes are revised. Be sure to consult the investigative agency for the latest version before basing anything significant on content (e.g., thesis, research, etc). 2. Readers are advised that each report is a glimpse of events at specific points in time. While broad themes permeate the causal events leading up to crashes, and we can learn from those, the specific regulatory and technological environments can and do change. Your company's flight operations manual is the final authority as to the safe operation of your aircraft! 3. Reports may or may not represent reality. Many many non-scientific factors go into an investigation, including the magnitude of the event, the experience of the investigator, the political climate, relationship with the regulatory authority, technological and recovery capabilities, etc. It is recommended that the reader review all reports analytically. Even a "bad" report can be a very useful launching point for learning. 4. Contact us before reproducing or redistributing a report from this anthology. Individual countries have very differing views on copyright! We can advise you on the steps to follow. Aircraft Accident Reports on DVD, Copyright 26 by Flight Simulation Systems, LLC All rights reserved. www.fss.aero

NTSB ID: NYC96LA63 Aircraft Registration Number: N6 Occurrence Date: Occurrence Type: 2/2/996 Accident Most Critical Injury: Serious Investigated By: NTSB Location/Time Nearest City/Place JAMAICA Zip Code Local Time Time Zone NY 43 7 EST Airport Proximity: On Airport Aircraft Information Summary Aircraft Manufacturer Airbus Industrie Distance From Landing Facility: Model/Series A-3B4-65R Direction From Airport: Type of Aircraft Sightseeing Flight: No Narrative Brief narrative statement of facts, conditions and circumstances pertinent to the accident/incident: Air Medical Transport Flight: On February 2, 996, at 7 eastern standard time, an Airbus Industries A3B4-65R, N6, operated by American Airlines as Flight 587, conducted an emergency evacuation at John F. Kennedy Airport, Jamaica, New York. The airplane was not damaged. Two passengers received serious injuries, and 32 passengers received minor injuries. The remaining 53 passengers, cockpit crew of 2, and 8 flight attendants were not injured. Visual meteorological conditions with rain prevailed. An instrument flight rules (IFR) flight plan had been filed, but not activated for the flight which was conducted under 4 CFR Part 2, and was destined for Santo Domingo, Dominican Republic. Prior to engine start, cabin air was being supplied through the air cycle machines which were using bleed air from the APU. After the airplane was pushed back onto the ramp, and the engines were started, the bleed air source was changed from the APU, to the engines. Smoke was then observed in both the cockpit and cabin. In addition, the flight crew received a smoke warning on the ECAM, and a aural warning tone. The captain then commanded an evacuation. The slide at door 3R failed to inflate either automatically, or manually, after the door was opened. In addition, the flight attendants at doors, L, R, 4L, and 4R, reported that the power assist on their doors did not operate as they had been trained. the flight attendants at doors 2 L/R reported no problems with slide inflation, and that their doors operated the same as the door simulators they had been trained on. Examination of the airplane revealed that a hydraulic fluid check valve on the left engine had failed. Hydraulic fluid was found in the left engine pneumatic duct and left side air cycle machine. The slide at door position 3R was examined at the overhaul facility, and the examination was inconclusive as to why it failed to inflate. Two inflation tests were accomplished on the R door. On both tests, there was a momentary pause after the door cleared the latches, and the girth reached full extension. After about 3 to 5 seconds, the door then continued to full open position, followed by slide inflation. A review was made of the video tapes of certification deployment test of Air Cruiser slides/rafts positioned at doors L and R from the initial certification of the A3-6. Three doors paused during opening while others opened with no hesitation. All doors, including the doors that paused, opened within the time limits specified for certification. The slides at doors L/R, 2 L/R, and 4 L/R were dual lane slide/rafts, and used the same size packboard, and decorative covers. The slides at doors 2 L/R were 5 feet shorter, and compressed into a smaller pack size. No - Page

NTSB ID: NYC96LA63 Occurrence Date: 2/2/996 Narrative (Continued) Examination of the American Airlines A3 flight attendant handbook disclosed that the flight attendants were instructed to push on the door in the event of a "power assist" failure; however, there was no information on how to determine if the door is pausing momentarily, or there has been a power assist failure. Additionally, according to American Airlines flight attendants, the A3 door simulator at the American Airlines flight attendant training center did not pause on opening, once it has cleared the latches. - Page a

NTSB ID: NYC96LA63 Occurrence Date: 2/2/996 Landing Facility/Approach Information Airport Name Airport ID: Airport Elevation Runway Used Runway Length Runway Width JOHN F KENNEDY JFK Ft. MSL Runway Surface Type: Runway Surface Condition: Type Instrument Approach: NONE VFR Approach/Landing: Aircraft Information Aircraft Manufacturer Airbus Industrie Model/Series A-3B4-65R Serial Number 47 Airworthiness Certificate(s): Transport Landing Gear Type: Retractable - Tricycle Homebuilt Aircraft? No Number of Seats: 28 Engine Type: Turbo Fan - Aircraft Inspection Information Type of Last Inspection Continuous Airworthiness - Emergency Locator Transmitter (ELT) Information Certified Max Gross Wt. Engine Manufacturer: GE Date of Last Inspection 3778 LBS Number of Engines: 2 Model/Series: Rated Power: CF6-8-C2A5 65 LBS Time Since Last Inspection Hours Airframe Total Time Hours ELT Installed? No ELT Operated? ELT Aided in Locating Accident Site? Owner/Operator Information Registered Aircraft Owner AMERICAN AIRLINES Operator of Aircraft Same as Reg'd Aircraft Owner Street Address P.O. BOX 6966 City DFW AIRPORT Street Address Same as Reg'd Aircraft Owner City TX Zip Code 7526 Zip Code Operator Does Business As: - Type of U.S. Certificate(s) Held: Air Carrier Operating Certificate(s): Flag Carrier/Domestic Operator Designator Code: AALA Operating Certificate: Operator Certificate: Regulation Flight Conducted Under: Part 2: Air Carrier Type of Flight Operation Conducted: Scheduled; International; Passenger/Cargo - Page 2

First Pilot Information Name NTSB ID: NYC96LA63 Occurrence Date: 2/2/996 City Date of Birth Age 59 Sex: M Seat Occupied: Left Principal Profession: Civilian Pilot Certificate Number: Certificate(s): Airline Transport; Flight Engineer Rating(s): Multi-engine Land; Single-engine Land Rotorcraft/Glider/LTA: Instrument Rating(s): Instructor Rating(s): Type Rating/Endorsement for Accident/Incident Aircraft? Yes Current Biennial Flight Review? Medical Cert.: Class Medical Cert. Status: Valid Medical--w/ waivers/lim. Date of Last Medical Exam: /995 - Flight Time Matrix All A/C This Make and Model Single Engine Mult-Engine Night Actual Instrument Simulated Rotorcraft Glider Lighter Than Air Total Time 48 333 Pilot In Command(PIC) 25 Instructor Last 9 Days Last 3 Days Last 24 Hours Seatbelt Used? Yes Shoulder Harness Used? Yes Toxicology Performed? No Second Pilot? Yes Flight Plan/Itinerary Type of Flight Plan Filed: IFR Departure Point Airport Identifier Departure Time Time Zone Same as Accident/Incident Location JFK Destination Airport Identifier SANTO DOMINGO OF SDQ Type of Clearance: Type of Airspace: Weather Information Source of Briefing: Company Method of Briefing: - Page 3

NTSB ID: NYC96LA63 Occurrence Date: 2/2/996 Weather Information WOF ID Observation Time Time Zone WOF Elevation WOF Distance From Accident Site Direction From Accident Site JFK 78 EST 3 Ft. MSL NM Deg. Mag. Sky/Lowest Cloud Condition: Scattered 3 Ft. AGL Condition of Light: Day Lowest Ceiling: Broken 5 Ft. AGL Visibility: 4 SM Altimeter: 3. "Hg Temperature: 5 C Dew Point: 5 C Wind Direction: 2 Density Altitude: Ft. Wind Speed: 7 Gusts: Weather Condtions at Accident Site: Visual Conditions Visibility (RVR): Ft. Visibility (RVV) SM Intensity of Precipitation: Moderate Restrictions to Visibility: Fog Type of Precipitation: Rain Accident Information Aircraft Damage: Minor Aircraft Fire: Aircraft Explosion Classification: U.S. Registered/U.S. Soil - Injury Summary Matrix First Pilot Second Pilot Student Pilot Flight Instructor Check Pilot Flight Engineer Cabin Attendants Other Crew Fatal Serious Minor TOTAL 8 8 Passengers 2 32 53 87 - TOTAL ABOARD - 2 32 63 97 Other Ground - GRAND TOTAL - 2 32 63 97 - Page 4

NTSB ID: NYC96LA63 Occurrence Date: 2/2/996 Administrative Information Investigator-In-Charge (IIC) ROBERT L. HANCOCK Additional Persons Participating in This Accident/Incident Investigation: STANLEY BATOR FAA FSDO GARDEN CITY, NY NORA MARSHALL NTSB - SURVIVAL FACTORS WASHINGTON, DC CHRIS MORAN AMERICAN AIRLINES DFW AIRPORT, TX - Page 5