Serious incident British Aerospace ATP N854AW,
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ASN Wikibase Occurrence # 360804
 
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Date:Saturday 26 February 1994
Time:00:23 LT
Type:Silhouette image of generic ATP model; specific model in this crash may look slightly different    
British Aerospace ATP
Owner/operator:United Feeder Service
Registration: N854AW
MSN: 2028
Year of manufacture:1990
Engine model:P&W PW126A
Fatalities:Fatalities: 0 / Occupants: 18
Aircraft damage: Minor
Category:Serious incident
Location:Mosinee, WI -   United States of America
Phase: Unknown
Nature:Unknown
Departure airport:Chicago, IL (KORD)
Destination airport:
Investigating agency: NTSB
Confidence Rating: Accident investigation report completed and information captured
Narrative:
THE FLIGHT CREW SAW SMOKE IN THE COCKPIT WHILE DESCENDING FROM CRUISE AND DECLARED AN EMERGENCY. THE COPILOT DISCOVERED THE SOURCE OF THE SMOKE TO BE A RED-HOT PUSH BUTTON SELECTOR INDICATOR (PBSI) SWITCH FOR THE FLIGHT IDLE BAULK TEST. HE DISCHARGED A PORTABLE FIRE EXTINGUISHER ON THE SWITCH AND THE SMOKE STOPPED. THE SWITCH WAS SUBSEQUENTLY REMOVED BY MAINTENANCE PERSONNEL AND FOUND TO SCORCHED AND MELTED. ADJACENT WIRING WAS ALSO HEAT DAMAGED. THE MANUFACTURER HAD PREVIOUSLY ISSUED TWO SERVICE BULLETINS WHICH DEALT WITH PBSI SWITCH MALFUNCTIONS ASSOCIATED WITH WATER INGRESS TO THE COCKPIT IN THE VICINITY OF THE SWITCHES. THE OPERATOR HAD NOT COMPLIED WITH THE VOLUNTARY SERVICE BULLETINS AT THE TIME OF THE INCIDENT.

Probable Cause: the inadequate design of the PBSI electrical switch(es), and the operator's failure to expeditiously implement corrective Service Bulletins.

Accident investigation:
cover
  
Investigating agency: NTSB
Report number: CHI94IA095
Status: Investigation completed
Duration: 11 months
Download report: Final report

Sources:

NTSB CHI94IA095

Location

Revision history:

Date/timeContributorUpdates
16-Mar-2024 11:18 ASN Update Bot Added

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