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Atlas / NTSB / MIA92IA020

NTSB CAROL · Event

Event MIA92IA020

1991-11-02 GULF OF MEXICO None 1 aircraft Status: Completed

Aircraft involved

Probable cause & findings

THE OVERFILLING OF THE FORWARD LAVATORY DURING SERVICING AND THE FAILURE TO REPLACE THE FILL/RINSE LINE CAP AFTER SERVICING BY THE GROUND SERVICE PERSONNEL WHICH RESULTED IN THE LAVATORY VENTING FLUID THROUGH THE FILL/RINSE LINE DURING FLIGHT AND THE SUBSEQUENT ICE FORMATION AND INGESTION OF ICE INTO NUMBER THREE ENGINE.

Factual narrative

GROUND PERSONNEL SERVICED FORWARD LAVATORY JUST BEFORE FLIGHT. FLIGHT ATTENDANT STATED FLUID WAS VISIBLE IN UPPER TOILET AREA OF FORWARD LAVATORY AFTER SERVICING INDICATING IT HAD BEEN OVERFILLED. ENROUTE NUMBER 3 ENGINE FAILED AND WAS SHUTDOWN. FLIGHT DIVERTED TO MIAMI. ON ARRIVAL A BLUE STREAK WAS FOUND ON THE RIGHT SIDE OF THE AIRCRAFT BEGINNING AT THE FORWARD LAVATORY SERVICE DOOR AND ENDING AT THE INLET TO NUMBER 3 ENGINE. THE FORWARD LAVATORY SERVICE DOOR WAS FOUND CLOSED AND THE FILL/RINSE LINE CAP WAS MISSING WHEN THE DOOR WAS OPENED. THE FILL/RINSE LINE CHECK VALVE WAS FOUND STUCK OPEN. WHEN A CAP WAS INSTALLED ON THE LINE NO LEAKAGE OCCURRED. THE LAVATORY DRAIN LINE DID NOT LEAK. NUMBER 3 ENGINE HAD SUSTAINED FAN DAMAGE DUE TO INGESTION OF SOFT MATTER. Source: NTSB Aviation Accident Database (Pre-2008 Archive) Retrieved: 2026-02-12

Verbatim from NTSB's published report. Source file NTSB_1991_MIA92IA020.txt. Findings + structured fields enriched from FAA avall.mdb. Full investigation docket on data.ntsb.gov ↗.

Related research

What the literature says.

Academic papers and agency reports matching this event's aircraft type or causal vocabulary (icing, stall). Sourced from NASA NTRS, NTSB Safety Studies, FAA CAMI, AOPA Air Safety Institute, Embry-Riddle Scholarly Commons, arXiv, and the Semantic Scholar academic graph.

Browse the full corpus — academia portal ↗