CHI90FA278
1990-09-28 · DETROIT, Michigan, United States · Serious · 1 aircraft · Status: Completed
Airport DTW
Aircraft involved
Probable cause & findings
THE INTENTIONAL ACTIVATION OF THE AUXILLARY POWER UNIT BY THE FLIGHT ENGINEER, AND THE IMPROPER EVACUATION PROCEDURES BY THE PILOT IN COMMAND. AN ASSOCIATED FACTOR IN THE ACCIDENT WAS THE APU CIRCUIT BREAKERS WERE NOT PULLED BY COMPANY MAINTENANCE PERSONNEL.
Factual narrative
FOUR PASSENGERS WERE INJURED DURING THE EMERGENCY EVACUATION FOLLOWING AN APU FIRE. THE CREW REPORTED THE APU FIRE BELL WHILE TAXIING. THE CAPT. ELECTED TO EVACUATE, BUT DID NOT INDICATE THE NATURE OF THE PROBLEM TO EITHER THE CABIN ATTENDANTS OR PASSENGERS. SEVERAL PASSENGERS USED THE OVERWING EXITS ON THE SAME SIDE AS THE FIRE AND WERE INJURED JUMPING OFF THE WING. ONE SAID THAT THE WING FLAPS WERE NOT LOWERED DURING THE EVACUATION. THE APU HAD BEEN PLACARDED INOPERATIVE PRIOR TO THE FLIGHT. CREW ADVISED IN WRITING. THE COCKPIT VOICE RECORDER TAPE WAS ERASED IN THE COCKPIT AFTER THE ACCIDENT, SO THE FLIGHT CREW'S ACTIVITIES WERE NOT ABLE TO BE REVIEWED. POST ACCIDENT EXAMINATION OF THE APU REVEALED THAT THE FIRE STARTED BECAUSE OF AN ATTEMPTED START OF THE DEFECTIVE UNIT. PRIOR TO THE FLIGHT, NWA MAINTENANCE ATTEMPTED TO MAKE THE APU INOPERABLE FROM THE COCKPIT BY OPENING CIRCUIT BREAKERS. THE WRONG CIRCUIT BREAKER WAS FULLED, LEAVING THE APU OPERABLE. Source: NTSB Aviation Accident Database (Pre-2008 Archive) Retrieved: 2026-02-12
Verbatim from NTSB's published report. Source file
NTSB_1990_CHI90FA278.txt.
Findings + structured fields enriched from FAA avall.mdb.
Full investigation docket on
data.ntsb.gov ↗.
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Related research
Matched on aircraft type or causal vocabulary (maintenance). All research papers
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