Evacuation following engine shutdown and smoke in cabin

Casualties unknown • Denver, CO, US

An aircraft evacuation occurred at an airport after a non-flush engine door led to an engine shutdown and subsequent smoke in the cabin.

What happened

Shortly after pushback from gate B-8, it was observed that the handle for the #2 engine door 2 right was not flush. In response to this finding, the #2 engine was shut down. During the process, ground maintenance personnel closed the door from the outside.

Following the engine shutdown, the aircraft cabin began to fill with dense smoke. The captain attempted to request a jetway via radio and through an open window, but no jetway operator was available to assist the aircraft. The aircraft had received clearance to move to gate B-20 for the evacuation. Because a jetway could not be provided, the crew and passengers performed an evacuation using emergency slides.

The investigation

An investigation into the smoke and electrical behavior determined that both the battery buss relay (R1) and the battery transfer relay (R2) had failed. When the #2 engine was shut down, the electrical transfer system took over the load. It was also noted that the flightcrew did not power the right bus from the APU. Additionally, it was found that ground personnel were not cross-trained to operate a jetway, which contributed to the inability to connect a jetway to the aircraft during the incident.

Probable cause

The failure of the battery buss relay (R1) and the battery transfer relay (R2), combined with the flightcrew's failure to power the right bus from the APU, led to the electrical issues following the engine shutdown.

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Frequently asked questions

What happened in the 1990-09-19 Boeing 737-222 accident near Denver, CO?

An aircraft evacuation occurred at an airport after a non-flush engine door led to an engine shutdown and subsequent smoke in the cabin.

What aircraft was involved and where did it happen?

The accident on 1990-09-19 involved a Boeing 737-222, registration N9044U, operated by United Airlines, at Denver, CO.

What was the probable cause of the accident?

The failure of the battery buss relay (R1) and the battery transfer relay (R2), combined with the flightcrew's failure to power the right bus from the APU, led to the electrical issues following the engine shutdown.

Investigation report by the U.S. National Transportation Safety Board (NTSB) historical archive. Original record: https://carol.ntsb.gov/event/20001212X24243. This page is a structured re-presentation; facts and quotes are in the National Transportation Safety Board (NTSB), United States.

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