Baltimore-Washington Intl Airport
Aircraft Accident/Incident Report

Baltimore, Maryland 21240
Sunday, January 12, 1992 14:18 EST

NTSB Narrative Summary Released at Completion of Accident

AS THE GEAR & FLAPS WERE RETRACTED AFTER TAKEOFF, THE #1 ENGINE LOW FUEL PRESSURE WARNING LIGHT ILLUMINATED. AT ABOUT 400' AGL, A "LOUD BANG" WAS HEARD FOLLOWED BY A #1 ENGINE FIRE WARNING INDICATION. THE ENGINE WAS SHUT DOWN & BOTH FIRE EXTINGUISHING BOTTLES WERE DISCHARGED. THE FLIGHTCREW EXTENDED THE LANDING GEAR BY USING THE ALTERNATE SYSTEM & MADE A NO-FLAP EMERGENCY LANDING. THEY USED EMERGENCY BRAKES, BUT DIRECTIONAL CONTROL WAS LOST & THE AIRCRAFT EXITED THE SIDE OF THE RUNWAY & STOPPED WITH THE FIRE EXTINGUISHED. AN EXAM OF THE #1 ENGINE AREA REVEALED A FAILED LOW FUEL PRESSURE WARNING SWITCH SNUBBER & FIRE DAMAGE TO THE ENGINE, NACELLE & WHEELWELL. THERE WAS EVIDENCE THAT DURING INSTALLATION, THE LOW FUEL PRESSURE WARNING SWITCH SNUBBER WAS TORSIONALLY DEFORMED, THEN FATIGUE & SUBSEQUENT FAILURE OCCURRED. GAPS IN THE FIREWALL ALLOWED LEAKING FUEL (SPRAY) TO ENTER THE HOT SECTION & IGNITE. THIS RESULTED IN AN EXPLOSION & FIRE. FIRE PROPAGATION RESULTED IN BURNED WIRES TO THE #1 STANDBY HYDRAULIC PUMP & A RUPTERED #2 SYSTEM HYDRAULIC LINE.

NTSB Probable Cause Narrative

IMPROPER INSTALLATION OF THE LOW FUEL PRESSURE WARNING SWITCH SNUBBER ON THE #1 ENGINE, RESULTING IN FATIGUE FAILURE OF THE SNUBBER, A FUEL LEAK (SPRAY), AND SUBSEQUENT EXPLOSION/FIRE DAMAGE. A FACTOR RELATED TO THE INCIDENT WAS: INADEQUATE DESIGN OF THE FIREWALL, WHICH ALLOWED FUEL VAPORS TO MIGRATE TO THE HOT SECTION OF THE ENGINE.

Event Information

Type of Event Incident
Event Date 1/12/1992
Event Day of the Week Sunday
Time of Event 1418
Event Time Zone Eastern Standard Time
Event City BALTIMORE
Event State MARYLAND
Event Country --
Zipcode of the event site 21240
Event Date Year 1992
Event Date Month 1
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude --
Event Location Longitude --
Event Location Airport BALTIMORE-WASHINGTON INTL
Event Location Nearest Airport ID BWI
Indicates whether the acc/inc occurred off or on an airport Off Airport/Airstrip
Distance from airport in statute miles --
Degrees magnetic from airport --
Airport Elevation 146
Weather Briefing Completeness Not pertinent
Investigator's weather source Weather Observation Facility
Time of the weather observation 1420 Eastern Standard Time
Direction of event from weather observation facility (degrees) 120
Weather Observation Facility ID BWI
Elevation of weather observation facility 146
Distance of event from weather observation facility (units?) 1
Time Zone of the weather observation EST
Lighting Conditions Day
Lowest Ceiling Height 0
Lowest Non-Ceiling Height 25000
Sky/Lowest/Cloud Conditions Scattered
Sky Condition for Lowest Ceiling None
Visibility Runway Visual Range (Feet) 0
Visibility Runway Visual Value (Statute Miles) 0
Visibility (Statute Miles) 15
Air Temperature at event time (in degrees celsius) 50
Dew Point at event time (in degress fahrenheit) 29
Wind Direction (degrees magnetic) 150
Variable Wind Indicator Unknown
Wind Speed (knots) 9
Wind Velocity Indicator Unknown
Wind Gust Indicator Unknown
Wind Gust (knots) 0
Altimeter Setting at event time (in. Hg) 30
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 33
Injury Total Serious --
Injury Total All --
Investigating Agency NTSB
NTSB Docket Number (internal use) 5055
NTSB Notification Source --
NTSB Notification Date --
NTSB Notification Time 0
Fiche Number and/or location -used to find docket information 52722
Date of most recent change to record Aug 10 2001 4:45AM
User who most recently changed record dbo
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N923HA
NTSB Number BFO92IA017
Missing Aircraft Indicator N
Federal Aviation Reg. Part Part 121: Air Carrier
Type of Flight Plan filed IFR
Flight plan Was Activated? --
Damage Minor
Aircraft Fire In-flight
Aircraft Explosion In-flight
Aircraft Manufacturer's Full Name de Havilland
Aircraft Model DHC-8-102
Aircraft Series Identifier DHC-8-102
Aircraft Serial Number 99
Certified Max Gross Weight 34500
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 39
Number of Engines 2
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection Continuous Airworthiness
Date of Last Inspection Jan 9 1992 12:00AM
Airframe hours since last inspection 96
Airframe Hours 9965
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name WESTINGHOUSE CREDIT CORP
Aircraft Owner Street Address 1 OXFORD CENTER
Aircraft Owner City PITTSBURGH
Aircraft Owner State PA
Aircraft Owner Country
Aircraft Owner Zipcode 15219
Operator is an individual? --
Operator Name USAIR EXPRESS
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? No
Operator Street Address SALISBURY/WICIMO CO AIRPORT
Operator City SALISBURY
Operator State MD
Operator Country
Operator Zip code 21801
Operator Code HNAA
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 Domestic
Operator carrying Pax/Cargo/Mail Passenger Only
Type of Flying (Per_Bus / Primary) Unknown
Second Pilot on Board Yes
Departure Point Same as Event Yes
Departure Airport Code
Departure City
Departure State
Departure Country
Departure Time 1405
Departure Time Zone EST
Destination Same as Local Flt --
Destination Airport Code CHO
Destination City CHARLOTTESVILLE
Destination State VA
Destination Country
Specific Phase of Flight Takeoff
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Aug 10 2001 4:00AM
User who most recently changed record dbo
Since inspection or accident --
Event Location Runway Number and Location 22
Runway Length 6005
Runway Width 150
Sight Seeing flight No
Air Medical Flight No
Medical Flight --