Hartsfield Atlanta Int'l Airport
Aircraft Accident/Incident Report

Atlanta, Georgia 30320
Sunday, November 8, 1998 21:00 EST

NTSB Narrative Summary Released at Completion of Accident

During the trip check, airport customer service personnel informed a mechanic that one of the center cargo bay longitudinal spring-lift power drive unit (PDU) powered rollers was inoperative and in the 'up' position. A mechanic, removed the powered rollers from the cargo compartment and did not have the McDonnell Douglas MD-11 Maintenance Manual in his possession at the time. The mechanic, did not open the circuit breaker for the cargo control unit (CCU) that controls the operation of the powered rollers, nor did he tag the system out of service as stipulated in the McDonnell Douglas MD-11 Maintenance Manual. While the mechanic was away from the airplane obtaining a new powered roller, the airport customer service had a crew change. The new crew, unaware that the powered roller cannon plug had been left on the floor of the cargo compartment, began loading cargo bins. The cannon plug was run over and its connecting wires cut by the cargo bins. A Delta technician started the airplane's auxiliary power unit (APU) to provide electrical power to the airplane. Other Delta technicians who were servicing the cabin observed smoke and 4 to 6 inch flames behind a floor vent of the main passenger cabin at row 12. The fire was subsequently extinguished.

NTSB Probable Cause Narrative

Failure of the Company's maintenance personnel to follow the aircraft's maintenance manual which resulted in a cargo bin fire. Contributing to the severity of the incident was the failure of the mechanic to safety the circuit breaker, and the cut/severed electrical wiring.

Event Information

Type of Event Incident
Event Date 11/8/1998
Event Day of the Week Sunday
Time of Event 2100
Event Time Zone Eastern Standard Time
Event City ATLANTA
Event State GEORGIA
Event Country --
Zipcode of the event site 30320
Event Date Year 1998
Event Date Month 11
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude
Event Location Longitude
Event Location Airport HARTSFIELD ATLANTA INT'L
Event Location Nearest Airport ID ATL
Indicates whether the acc/inc occurred off or on an airport On Airport
Distance from airport in statute miles --
Degrees magnetic from airport --
Airport Elevation --
Weather Briefing Completeness Unknown
Investigator's weather source Unknown
Time of the weather observation 0
Direction of event from weather observation facility (degrees) 0
Weather Observation Facility ID
Elevation of weather observation facility 0
Distance of event from weather observation facility (units?) 0
Time Zone of the weather observation
Lighting Conditions Not Reported
Lowest Ceiling Height 0
Lowest Non-Ceiling Height 0
Sky/Lowest/Cloud Conditions Unknown
Sky Condition for Lowest Ceiling Unknown
Visibility Runway Visual Range (Feet) 0
Visibility Runway Visual Value (Statute Miles) 0
Visibility (Statute Miles) 0
Air Temperature at event time (in degrees celsius) --
Dew Point at event time (in degress fahrenheit) --
Wind Direction (degrees magnetic) 0
Variable Wind Indicator Unknown
Wind Speed (knots) 0
Wind Velocity Indicator Unknown
Wind Gust Indicator Unknown
Wind Gust (knots) 0
Altimeter Setting at event time (in. Hg) --
Density Altitude (feet) --
Intensity of Precipitation Unknown
METAR weather report --
Event Highest Injury None
On Ground, Fatal Injuries 0
On Ground, Minor Injuries 0
On Ground, Serious Injuries 0
Injury Total Fatal --
Injury Total Minor --
Injury Total None 4
Injury Total Serious --
Injury Total All --
Investigating Agency NTSB
NTSB Docket Number (internal use) 5032
NTSB Notification Source --
NTSB Notification Date Nov 10 1998 12:00AM
NTSB Notification Time 900
Fiche Number and/or location -used to find docket information IMAGE
Date of most recent change to record Aug 14 2001 3:37PM
User who most recently changed record MONR
Basic weather conditions Unknown
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N811DE
NTSB Number ATL99IA015
Missing Aircraft Indicator N
Federal Aviation Reg. Part Part 121: Air Carrier
Type of Flight Plan filed Unknown
Flight plan Was Activated? --
Damage Minor
Aircraft Fire Ground
Aircraft Explosion None
Aircraft Manufacturer's Full Name McDonnell Douglas
Aircraft Model MD-11
Aircraft Series Identifier MD-11
Aircraft Serial Number 48566
Certified Max Gross Weight 625500
Aircraft Category Airplane
Aircraft Registration Class U.S. Registered/U.S. Soil
Aircraft is a homebuilt? No
Flight Crew Seats --
Cabin Crew Seats --
Passenger Seats --
Total number of seats on the aircraft 262
Number of Engines 3
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection Continuous Airworthiness
Date of Last Inspection Nov 8 1998 12:00AM
Airframe hours since last inspection 0
Airframe Hours 23781
ELT Installed No
ELT Activated Unknown
ELT Aided Location of Event Site Unknown
ELT Type --
Aircraft Owner Name WILMINGTON TRUST CO.
Aircraft Owner Street Address 1100 N MARKET ST RODNEY SQ
Aircraft Owner City WILMINGTON
Aircraft Owner State DE
Aircraft Owner Country
Aircraft Owner Zipcode 19890
Operator is an individual? --
Operator Name DELTA AIR LINES INC.
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? No
Operator Street Address HARTSFIELD ATLANTA INTL APT
Operator City ATLANTA
Operator State GA
Operator Country
Operator Zip code 30320
Operator Code DALA
Owner has at least one certificate Yes - certificate holder
Other Operator of large aircraft? No
Certified for Part 133 or 137 Operation Unknown
Operator Certificate Number --
Indicates whether an air carrier operation was scheduled or not Scheduled
Indicates Domestic or International Flight International
Operator carrying Pax/Cargo/Mail Passenger Only
Type of Flying (Per_Bus / Primary) Unknown
Second Pilot on Board Unknown
Departure Point Same as Event No
Departure Airport Code
Departure City
Departure State
Departure Country
Departure Time 0
Departure Time Zone
Destination Same as Local Flt dest & departure same, accident can occur anywhere
Destination Airport Code
Destination City
Destination State
Destination Country
Specific Phase of Flight Standing
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Feb 10 2001 2:20PM
User who most recently changed record dbo
Since inspection or accident --
Event Location Runway Number and Location 0
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --