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Date: | Monday 27 June 2005 |
Time: | 18:18 LT |
Type: | Boeing 727-230 |
Owner/operator: | Capital Cargo International |
Registration: | N357KP |
MSN: | 20675/924 |
Year of manufacture: | 1973 |
Total airframe hrs: | 65697 hours |
Engine model: | Pratt & Whitney JT8D-15 |
Fatalities: | Fatalities: 0 / Occupants: 3 |
Aircraft damage: | Substantial |
Category: | Accident |
Location: | San Diego International Airport, CA (SAN/KSAN) -
United States of America
|
Phase: | Standing |
Nature: | Unknown |
Departure airport: | San Diego International Airport, CA (SAN/KSAN) |
Destination airport: | Denver International Airport, CO (DEN/KDEN) |
Investigating agency: | NTSB |
Confidence Rating: | Accident investigation report completed and information captured |
Narrative:The airplane surged forward and impacted a tug when the number 2 engine went to full power during engine start. According to the flight crew's written statements, the captain had written up the number 2 thrust reverser following the previous flight because it required extra effort and movement to reach normal reverse thrust. Maintenance personnel adjusted the rigging and released the aircraft for service. The flight crew informed maintenance that they would verify the rigging after engine start. The airplane was pushed back and the flight crew started the number 1 and 2 engines with no anomalies noted. They were in the process of starting the number 3 engine, when they heard a loud roar of an engine and felt the airplane lunge forward. The flight engineer announced the number 2 throttle was open and pulled the throttle lever to idle. The captain applied brake pressure and called for engine shutdown. According to the captain, he did not notice the number 2 throttle move forward because he was looking at the ground crew for a brake signal. The copilot did not observe the number 2 throttle move forward because he was concentrating on starting the number 3 engine and examining the oil pressure gauges for the number 1 and 2 engines. The flight engineer indicated that he had not noticed the number 2 throttle movement because he was looking at his panel to confirm that the number 2 start valve had closed and the number 3 start valve had opened. He then monitored the oil pressure when he heard the engine spooling up to high power followed by the movement of the airplane. A cockpit voice recorder was installed on the accident airplane, but review of the recording revealed that the engine start and accident had been recorded over. Mechanics examined the engine and throttle control rigging after the accident under the supervision of a Federal Aviation Administration airworthiness inspector. According to the mechanics and the airworthiness inspector, no anomalies were noted with the throttle's rigging. Subsequent engine runs were unsuccessful in duplicating the engine surge. The airplane was not equipped with an autothrottle system.
Probable Cause: the inadvertent throttle movement by one of the flight crew and the captain's inadequate supervision during the engine start sequence.
Accident investigation:
|
| |
Investigating agency: | NTSB |
Report number: | LAX05LA218 |
Status: | Investigation completed |
Duration: | 1 year and 8 months |
Download report: | Final report |
|
Sources:
NTSB LAX05LA218
Revision history:
Date/time | Contributor | Updates |
10-Oct-2022 07:19 |
ASN Update Bot |
Added |
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