Metropolitian Oakland Intl Airport
Aircraft Accident/Incident Report

Oakland, California 94614
Thursday, April 10, 2003 13:50 PDT

NTSB Narrative Summary Released at Completion of Accident

During climb out, the fight crew declared an emergency due to smoke in the cockpit and returned to the departure airport for a normal landing, after which the emergency evacuation slides failed to inflate. The flight crew said that they smelled an acrid smoke followed immediately by the illumination of the MAIN DECK CARGO FIRE light and the audio tone (bell). They conducted the emergency procedures, declared an emergency, and turned back for landing. On the downwind leg the MAIN DECK CARGO FIRE light went out; however, on final approach, the MID 2 LOOPS A and B illuminated. After landing the flight crew attempted to evacuate via the 1R emergency slide; however, it did not inflate. The first officer said that he was able to open the door, and that they made several unsuccessful attempts to manually inflate the slide without success. Post incident examination found that the slides' inflation bottle was fully pressurized. Two maintenance personnel noted that the transport-locking pin was with the slide when it was removed from the airplane. The slide was disassembled for inspection at the manufacturer's facility. No discrepancies were found that would have prevented the slide from inflating. Damage was found to the slide's girt bar in the area of the manual inflation handle that was consistent with the transport-locking pin being installed in the inflation bottle's regulator at the time of the slide's deployment. The cause of the smoke was determined to be oil or other fluid contamination of the air-condition packs.

NTSB Probable Cause Narrative

the failure of the 1R evacuation slide to inflate because the transport-locking pin had not been removed from the regulator during the slide's installation on the 1R door. The cause of the cabin/cockpit smoke was contamination of the air conditioning packs.

Event Information

Type of Event Incident
Event Date 4/10/2003
Event Day of the Week Thursday
Time of Event 1350
Event Time Zone Pacific Daylight Time
Event City Oakland
Event State CALIFORNIA
Event Country --
Zipcode of the event site 94614
Event Date Year 2003
Event Date Month 4
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 374328N
Event Location Longitude 1221324W
Event Location Airport Metropolitian Oakland INTL
Event Location Nearest Airport ID OAK
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 6
Weather Briefing Completeness Full
Investigator's weather source Weather Observation Facility
Time of the weather observation 1253 Pacific Daylight Time
Direction of event from weather observation facility (degrees) 0
Weather Observation Facility ID OAK
Elevation of weather observation facility 6
Distance of event from weather observation facility (units?) 0
Time Zone of the weather observation PDT
Lighting Conditions Day
Lowest Ceiling Height 5500
Lowest Non-Ceiling Height 2800
Sky/Lowest/Cloud Conditions Few
Sky Condition for Lowest Ceiling Overcast
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 10
Air Temperature at event time (in degrees celsius) 17
Dew Point at event time (in degress fahrenheit) 9
Wind Direction (degrees magnetic) 270
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 15
Wind Velocity Indicator --
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 30.06
Density Altitude (feet) --
Intensity of Precipitation --
METAR weather report --
Event Highest Injury None
On Ground, Fatal Injuries --
On Ground, Minor Injuries --
On Ground, Serious Injuries --
Injury Total Fatal --
Injury Total Minor --
Injury Total None 2
Injury Total Serious --
Injury Total All --
Investigating Agency NTSB
NTSB Docket Number (internal use) 16886
NTSB Notification Source FAA
NTSB Notification Date Apr 10 2003 12:00AM
NTSB Notification Time 1515
Fiche Number and/or location -used to find docket information DMS
Date of most recent change to record Dec 28 2004 12:45PM
User who most recently changed record NTSB\JOHB
Basic weather conditions Visual Meteorological Cond
FAA District Office WP-OAK-FSDO

Aircraft Involved

Aircraft #1

Aircraft Registration Number N676FE
NTSB Number LAX03IA137
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 121: Air Carrier
Type of Flight Plan filed IFR
Flight plan Was Activated? Yes
Damage None
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name Airbus Industrie
Aircraft Model A300F4-605R
Aircraft Series Identifier --
Aircraft Serial Number 790
Certified Max Gross Weight 375880
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 6
Number of Engines 2
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection Continuous Airworthiness
Date of Last Inspection Apr 10 2003 12:00AM
Airframe hours since last inspection 7267
Airframe Hours 5
ELT Installed No
ELT Activated No
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name State Street Bank and Trust Co. of CT TSTE
Aircraft Owner Street Address 2 International PL. FL 4
Aircraft Owner City Boston
Aircraft Owner State MA
Aircraft Owner Country USA
Aircraft Owner Zipcode 02110
Operator is an individual? No
Operator Name Federal Express Corporation
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? No
Operator Street Address --
Operator City Memphis
Operator State TN
Operator Country USA
Operator Zip code 37501
Operator Code FDEA
Owner has at least one certificate --
Other Operator of large aircraft? --
Certified for Part 133 or 137 Operation --
Operator Certificate Number --
Indicates whether an air carrier operation was scheduled or not Non-scheduled
Indicates Domestic or International Flight Domestic
Operator carrying Pax/Cargo/Mail Cargo
Type of Flying (Per_Bus / Primary) --
Second Pilot on Board Yes
Departure Point Same as Event Yes
Departure Airport Code OAK
Departure City Oakland
Departure State CA
Departure Country USA
Departure Time 1330
Departure Time Zone PDT
Destination Same as Local Flt --
Destination Airport Code DEN
Destination City Denver
Destination State CO
Destination Country USA
Specific Phase of Flight Cruise
Report sent to ICAO? No
Evacuation occurred Yes
Date of most recent change to record Nov 8 2004 4:01PM
User who most recently changed record RICJ
Since inspection or accident Last Inspection
Event Location Runway Number and Location 29
Runway Length 10000
Runway Width 150
Sight Seeing flight No
Air Medical Flight No
Medical Flight --