Stapleton Intl Airport
Aircraft Accident/Incident Report

Denver, Colorado 80204
Wednesday, September 19, 1990 11:00 MDT

NTSB Narrative Summary Released at Completion of Accident

SHORTLY AFTER PUSHBACK IT WAS NOTICED THAT THE #2 ENG DOOR 2 RIGHT HANDLE WAS NOT FLUSH. THE ENG WAS SHUT DOWN AND GROUND MAINT PERSONNEL CLOSED THE DOOR FROM THE OUTSIDE. THE CABIN THEN BEGAN TO FILL WITH DENSE SMOKE. THE CAPTAIN, USING RADIO AND AN OPEN WINDOW, WAS UNSUCCESSFUL IN GETTING A JETWAY TO THE AIRPLANE, AND THE CREW AND PAX EXITED USING SLIDES. IT WAS LATER DETERMINED THAT THE BATTERY BUSS RELAY (R1) AND BATTERY TRANSFER RELAY (R2) HAD FAILED. THE AIRPLANE HAD BEEN PUSHED BACK AT GATE B-8, AND HAD RECEIVED CLEARANCE TO GATE B-20 FOR THE EVACUATION. THERE WAS NO JETWAY OPERATOR PRESENT, AND GROUND PERSONNEL ARE NOT CROSS-TRAINED TO OPERATE A JETWAY. WHEN THE #2 ENG WAS SHUT DOWN, THE ELECTRICAL TRANSFER SYSTEM PICKED UP THE LOAD. THE FLIGHTCREW DID NOT POWER THE RIGHT BUS FROM THE APU.

NTSB Probable Cause Narrative

THE FAILURE OF THE FLIGHT CREW TO FOLLOW EMERGENCY PROCEDURES/DIRECTIVES. FACTORS WERE THE FAILURE OF THE AIRCRAFT ELECTRICAL SYSTEM (RELAYS) AND THE FAILURE OF THE COMPANY TO PROVIDE A JETWAY OPERATOR.

Event Information

Type of Event Incident
Event Date 9/19/1990
Event Day of the Week Wednesday
Time of Event 1100
Event Time Zone Mountain Daylight Time
Event City DENVER
Event State COLORADO
Event Country --
Zipcode of the event site 80204
Event Date Year 1990
Event Date Month 9
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude
Event Location Longitude
Event Location Airport STAPLETON INTL
Event Location Nearest Airport ID DEN
Indicates whether the acc/inc occurred off or on an airport On Airport
Distance from airport in statute miles 0
Degrees magnetic from airport 0
Airport Elevation 0
Weather Briefing Completeness Full
Investigator's weather source Pilot
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 Day
Lowest Ceiling Height 0
Lowest Non-Ceiling Height 0
Sky/Lowest/Cloud Conditions Clear
Sky Condition for Lowest Ceiling None
Visibility Runway Visual Range (Feet) 0
Visibility Runway Visual Value (Statute Miles) 0
Visibility (Statute Miles) 7
Air Temperature at event time (in degrees celsius) 24
Dew Point at event time (in degress fahrenheit) -18
Wind Direction (degrees magnetic) 30
Variable Wind Indicator Unknown
Wind Speed (knots) 5
Wind Velocity Indicator Unknown
Wind Gust Indicator Unknown
Wind Gust (knots) 0
Altimeter Setting at event time (in. Hg) --
Density Altitude (feet) 0
Intensity of Precipitation Unknown
METAR weather report --
Event Highest Injury Minor
On Ground, Fatal Injuries 0
On Ground, Minor Injuries 0
On Ground, Serious Injuries 0
Injury Total Fatal --
Injury Total Minor 2
Injury Total None 94
Injury Total Serious --
Injury Total All 2
Investigating Agency NTSB
NTSB Docket Number (internal use) 5044
NTSB Notification Source --
NTSB Notification Date Sep 19 1990 12:00AM
NTSB Notification Time 1215
Fiche Number and/or location -used to find docket information 43591
Date of most recent change to record Dec 18 2002 11:28AM
User who most recently changed record NTSB\GIUV
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N9044U
NTSB Number DEN90IA189
Missing Aircraft Indicator N
Federal Aviation Reg. Part Part 121: Air Carrier
Type of Flight Plan filed IFR
Flight plan Was Activated? --
Damage None
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name BOEING
Aircraft Model 737-222
Aircraft Series Identifier 737-222
Aircraft Serial Number 19550
Certified Max Gross Weight 110000
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 113
Number of Engines 2
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection Unknown
Date of Last Inspection --
Airframe hours since last inspection 0
Airframe Hours --
ELT Installed No
ELT Activated No
ELT Aided Location of Event Site Unknown
ELT Type --
Aircraft Owner Name
Aircraft Owner Street Address
Aircraft Owner City
Aircraft Owner State
Aircraft Owner Country
Aircraft Owner Zipcode
Operator is an individual? --
Operator Name UNITED AIRLINES
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? No
Operator Street Address PO BOX 60100
Operator City CHICAGO
Operator State IL
Operator Country
Operator Zip code 60666
Operator Code UALA
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 1038
Departure Time Zone MDT
Destination Same as Local Flt --
Destination Airport Code ICT
Destination City WICHITA
Destination State KS
Destination Country
Specific Phase of Flight Taxi
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Jan 2 2001 10:30AM
User who most recently changed record dbo
Since inspection or accident --
Event Location Runway Number and Location 0
Runway Length 0
Runway Width 0
Sight Seeing flight No
Air Medical Flight No
Medical Flight --