Tampa International Airport
Aircraft Accident/Incident Report

Tampa, Florida 33622
Monday, June 23, 2003 7:10 EDT

NTSB Narrative Summary Released at Completion of Accident

The airplane was pushed back from the gate and the left engine was started with no discrepancies reported. During the starting of the right engine, numerous passengers saw torching aft of the tailpipe. A commotion ensued which drew the attention of the three of the four flight attendants who reported seeing an orange glow either inside or outside the airplane. The captain later reported there were no abnormal engine indications in the cockpit, but he then secured the right engine. The captain secured the left engine after simultaneously noticing passengers on the ramp and illumination of entry door lights. A flight attendant reported a male passenger (who was bigger than her) approached her at door 2L and attempted to open the door by partially rotating the 2L door handle. The door did not open completely but was 'cracked.' The flight attendant eventually opened the door fully and locked it against the fuselage. The male passenger exited immediately, followed by several other passengers. She then opened the 2R door and passengers exited it as well. Passengers also evacuated the airplane via the 3L and 3R doors, which a flight attendant opened. Readout of the flight data recorder revealed that at the time the fuel cutoff switch for the right engine was recorded to be in the "run" position, the recorded fuel flow was 1,696 PPH. Within approximately 2 seconds of the right engine fuel cutoff switch being in the "run" position, the fuel flow was recorded to be 3,136 PPH. The maximum recorded fuel flow of 6,272 PPH occurred 2 seconds before the fuel cutoff switch was recorded to be in the "cutoff" position, or 24 seconds after the fuel cutoff switch was in the "run" position. In contrast, within 4 seconds of the left engine fuel cutoff switch being in the "run" position for engine start, the recorded fuel flow was 544 PPH. Further review of the previous eight engine starts revealed the left and right fuel flows were nearly matched, with no recorded fuel flow value greater than 580 PPH within the first 4 seconds after the fuel cutoff switch was recorded to be in the "run" position. The flight crews are trained that during hot starts, the fuel flow almost immediately exceeds 700PPH. The engine start procedures checklist indicates the engine start is to be aborted if abnormally high or fluctuation fuel flow is noted.

NTSB Probable Cause Narrative

a torching of the right engine caused by an abnormally high flow fuel during engine start for undetermined reasons. The torching resulted in an unwarranted evacuation of the airplane and serious injuries to three passengers . A contributing factor in the accident was the failure of the flightcrew to abort the engine start due to abnormally high fuel flow indication during the right engine start.

Event Information

Type of Event Accident
Event Date 6/23/2003
Event Day of the Week Monday
Time of Event 710
Event Time Zone Eastern Daylight Time
Event City Tampa
Event State FLORIDA
Event Country --
Zipcode of the event site 33622
Event Date Year 2003
Event Date Month 6
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 275832N
Event Location Longitude 0823200W
Event Location Airport Tampa International Airport
Event Location Nearest Airport ID KTPA
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 26
Weather Briefing Completeness Not pertinent
Investigator's weather source Weather Observation Facility
Time of the weather observation 653 Eastern Standard Time
Direction of event from weather observation facility (degrees) --
Weather Observation Facility ID KTPA
Elevation of weather observation facility 26
Distance of event from weather observation facility (units?) --
Time Zone of the weather observation EST
Lighting Conditions Day
Lowest Ceiling Height 25000
Lowest Non-Ceiling Height 3100
Sky/Lowest/Cloud Conditions Scattered
Sky Condition for Lowest Ceiling Broken
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 10
Air Temperature at event time (in degrees celsius) 24
Dew Point at event time (in degress fahrenheit) 23
Wind Direction (degrees magnetic) --
Variable Wind Indicator --
Wind Speed (knots) --
Wind Velocity Indicator Calm
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 29.91
Density Altitude (feet) --
Intensity of Precipitation --
METAR weather report --
Event Highest Injury Serious
On Ground, Fatal Injuries --
On Ground, Minor Injuries --
On Ground, Serious Injuries --
Injury Total Fatal --
Injury Total Minor 27
Injury Total None 144
Injury Total Serious 3
Injury Total All 30
Investigating Agency NTSB
NTSB Docket Number (internal use) 18310
NTSB Notification Source FAA Comm Center
NTSB Notification Date Jun 23 2003 12:00AM
NTSB Notification Time 741
Fiche Number and/or location -used to find docket information DMS
Date of most recent change to record Sep 13 2005 12:54PM
User who most recently changed record NTSB\JOHB
Basic weather conditions Visual Meteorological Cond
FAA District Office Tampa, Florida

Aircraft Involved

Aircraft #1

Aircraft Registration Number N633DL
NTSB Number MIA03FA130
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 121: Air Carrier
Type of Flight Plan filed IFR
Flight plan Was Activated? No
Damage None
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name Boeing
Aircraft Model 757-232
Aircraft Series Identifier --
Aircraft Serial Number 23614
Certified Max Gross Weight 232000
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 191
Number of Engines 2
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection Continuous Airworthiness
Date of Last Inspection Jun 2 2003 12:00AM
Airframe hours since last inspection 22.6
Airframe Hours 52381.9
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name Wilmington Trust Company Trustee
Aircraft Owner Street Address Rodney Sq. North, ATC Corp. Trust
Aircraft Owner City Wilmington
Aircraft Owner State DE
Aircraft Owner Country USA
Aircraft Owner Zipcode 19890
Operator is an individual? No
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 1775 Aviation Blvd.
Operator City Atlanta
Operator State GA
Operator Country USA
Operator Zip code 30320
Operator Code DALA
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 Scheduled
Indicates Domestic or International Flight Domestic
Operator carrying Pax/Cargo/Mail Passenger Only
Type of Flying (Per_Bus / Primary) --
Second Pilot on Board Yes
Departure Point Same as Event Yes
Departure Airport Code KTPA
Departure City Tampa
Departure State FL
Departure Country USA
Departure Time 705
Departure Time Zone --
Destination Same as Local Flt --
Destination Airport Code KATL
Destination City Atlanta
Destination State GA
Destination Country USA
Specific Phase of Flight Standing - engine(s) operating
Report sent to ICAO? Yes
Evacuation occurred Yes
Date of most recent change to record Jun 29 2005 3:08PM
User who most recently changed record KENJ
Since inspection or accident Time of Accident
Event Location Runway Number and Location --
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --