ValuJet Flight 592

From Wikipedia, the free encyclopedia
Jump to: navigation, search
ValuJet Airlines Flight 592

A ValuJet McDonnell Douglas DC-9-32, similar to the one involved
Accident summary
Date May 11, 1996
Summary In-flight fire
Site Everglades, Miami-Dade County, Florida, United States
25°54′47″N 80°34′41″W / 25.91306°N 80.57806°W / 25.91306; -80.57806Coordinates: 25°54′47″N 80°34′41″W / 25.91306°N 80.57806°W / 25.91306; -80.57806
Passengers 105
Crew 5
Fatalities 110 (all)
Aircraft type McDonnell Douglas DC-9-32
Operator ValuJet Airlines
Registration N904VJ
Flight origin Miami International Airport
Miami, Florida,
Destination William B. Hartsfield Atlanta Int'l Airport, Atlanta, Georgia,

ValuJet Flight 592 was a domestic passenger flight between Miami International Airport, Miami, Florida, and William B. Hartsfield Atlanta International Airport, Atlanta, Georgia that crashed into the Everglades on May 11, 1996 as a result of a fire in the cargo compartment caused by improperly stored cargo, killing all 110 people on board.[1]

Background[edit]

In 1996, an American Trans Air McDonnell-Douglas DC-10 being serviced at Chicago's O'Hare International Airport was destroyed by a fire caused by an oxygen generator.[citation needed] In 1988, American Airlines Flight 132 (a McDonnell-Douglas MD-80, the successor airplane to the DC-9) had a similar accident. A fire began in the cargo hold, caused by hazardous materials (primarily hydrogen peroxide), but the crew landed the aircraft safely. After this incident, the NTSB recommended to the FAA that all class D cargo holds have smoke detectors and/or fire suppression systems.[2]

Aircraft & Crew[edit]

The aircraft that crashed, a DC-9 [3] was 27 years old and had been previously owned by Delta Air Lines. Its first flight was April 18, 1969. The delivery date was May 27, 1969.

The aircraft had suffered a series of incidents in the two years prior to the crash, including rejected takeoffs and emergency landings.[4][clarification needed]

In the cockpit were two experienced pilots: Captain Candalyn Kubeck (35) and First Officer Richard Hazen (52). The captain had accumulated more than 8,900 hours throughout her career and the first officer had more than 11,800 total flight hours.[5]

Accident[edit]

On the afternoon of May 11, 1996, Flight 592 pushed back from gate G2 in Miami after a delay of 1 hour and 4 minutes due to mechanical problems.[1] There were 105 passengers, mainly from Florida and Georgia, on board, as well as a crew of two pilots and three flight attendants, bringing the total number of people on board to 110. At 2:04 pm, 10 minutes before the disaster, the DC-9 took off from runway 9L and began a normal climb.

At 2:10 pm, the pilots heard a loud bang in their headphones and noticed the plane was losing electrical power. The spike in electrical power and the bang were eventually determined to be the result of a tire in the cargo hold exploding. Seconds later, flight attendant Mandy Summers entered the cockpit and advised the flight crew of a fire in the passenger cabin. Passengers' shouts of "fire, fire, fire" were recorded on the cockpit voice recorder when the cockpit door was opened. Though the ValuJet flight attendant manual stated that the cockpit door should not be opened when smoke or other harmful gases might be present in the cabin, the intercom was disabled and there was no other way to inform the pilots of what was happening. The CDR indicated a progressive failure of the DC-9's electrical and flight control systems due to the spreading fire.

Kubeck and Hazen immediately asked air traffic control for a return to Miami due to smoke in the cockpit and cabin, and were given instructions for a return to the airport. One minute later, Hazen requested the nearest available airport. Kubeck began to turn the plane left in preparation for the return to Miami.

Flight 592 disappeared from radar at 2:13:42 pm. Eyewitnesses nearby watched as the plane rolled onto its side and nosedived into the Francis S. Taylor Wildlife Management Area in the Everglades, a few miles west of Miami, at a speed in excess of 507 miles per hour (816 km/h). Control of the plane was completely lost less than 10 seconds prior to impact and examination of debris suggested that the fire burned through the floorboards in the cockpit, resulting in structural failure and damage to cables underneath the instrument panels. However, it was also just as likely that the crew had become incapacitated by smoke and fumes. As power had been lost to the cockpit voice recorder nearly a minute prior to impact, it was impossible to determine with certainty.[1]

Kubeck, Hazen, the three flight attendants, and all 105 passengers aboard were killed. Recovery of the aircraft and victims was made extremely difficult by the location of the crash. The nearest road of any kind was more than a quarter mile (400 m) away from the crash scene, and the location of the crash itself was a deep-water swamp with a floor made out of solid limestone. The DC-9 was utterly destroyed on impact, with no large pieces of the fuselage remaining. Sawgrass, alligators, and risk of bacterial infection from cuts plagued searchers involved in the recovery effort.

A group of fishermen witnessed the crash and reported that "The plane was flying in a steep right bank, after which it turned so that the nose was facing downward in a nearly vertical angle. It plummeted into the swamp followed by an explosion, shock wave, and a massive geyser of water." They reported seeing no external damage to the DC-9 or any sign of fire or smoke other than the engine exhaust. A group of sightseers in a small private plane also witnessed the crash and provided a nearly identical account, stating that Flight 592 seemed to "disappear" after impacting the swamp and they could see nothing but scattered small debris and part of an engine near the crash site.

Victims[edit]

Residences of passengers:[6] Passengers Crew Total
 Bahamas 2 0 2
 United Kingdom 2 0 2
 United States 99 5 104
Unspecified 2 0 2
Total 105 5 110

Notable passengers killed on the flight included:[6]

The oldest person aboard the jet was 84-year old Conway Hamilton of Miami, and the youngest was 4 year-old Daniel Darbor of Atlanta.

The majority of the passengers were from Georgia and Florida; there were also passengers from Virginia, North Carolina, Maryland, Indiana, and Tennessee on the flight. There was also a woman bound for Massachusetts and two passengers from Texas on Flight 592. Recovery of the passengers and crew took several weeks and little in the way of intact human remains were found due to the sheer violent force of impact, immersion in swamp water, and scavenging wildlife. Approximately 68 of the 110 persons aboard the plane were identified, in some cases from examining jawbones and at least one individual from a single tooth. A piece of torn flesh was proven to belong to Flight Engineer Hazen, but Captain Kubeck's remains were never found. Due to the above-mentioned factors, it was no longer possible to perform toxicology tests on the passengers' and crew's remains to determine how much exposure they would have had to fumes and smoke from the in-flight fire.

Investigation[edit]

The NTSB investigation[1] eventually determined that the fire that downed Flight 592 began in a cargo compartment below the passenger cabin. The cargo compartment was of a Class D design, in which fire suppression is accomplished by sealing off the hold from outside air. Any fire in such an airtight compartment will in theory quickly exhaust all available oxygen and then burn itself out. As the fire suppression is accomplished without any intervention by the crew, such holds are not equipped with smoke detectors. However, the NTSB determined that just before takeoff, expired chemical oxygen generators were placed in the cargo compartment in five boxes marked COMAT (Company-Owned MATerial) by ValuJet's maintenance contractor, SabreTech, in contravention of FAA regulations forbidding the transport of hazardous materials in aircraft cargo holds. Failure to cover the firing pins for the generators with the prescribed plastic caps made an accidental activation much more likely. Rather than covering the firing pins, the SabreTech workers simply duct taped the cords around the cans, or cut them, and used tape to stick the ends down. It is also possible that the cylindrical, tennis ball can-sized generators were loaded on board in the mistaken belief that they were just empty canisters, thus being certified as safe to transport in an aircraft cargo compartment. SabreTech employees indicated on the cargo manifest that the "oxy canisters" were "empty" instead of being expired oxygen generators. ValuJet employees interpreted this to mean that they were empty oxygen canisters, when in fact they were neither simple oxygen canisters, nor empty.[10]

Chemical oxygen generators, when activated, produce oxygen. As a byproduct of the exothermic chemical reaction, they also produce a great quantity of heat. These two together were sufficient not only to start an accidental fire, but also to produce enough oxygen to keep the fire burning. The fire risk was made much worse by the presence of combustible aircraft wheels in the hold. Two main tires and wheels and a nose tire and wheel were also included in the COMAT. NTSB investigators theorized that when the plane experienced a slight jolt while taxiing on the runway, an oxygen generator activated, producing oxygen and heat. Laboratory testing showed that canisters of the same type could heat nearby materials up to 500 °F (260 °C), enough to ignite a smouldering fire. The oxygen from the generators fed the resulting fire in the cargo hold without any need for outside air, defeating the airtight fire suppression design. A pop and jolt heard on the cockpit voice recording and correlated with a brief and dramatic spike in the altimeter reading in the flight data recording were attributed to the sudden cabin pressure change caused by a semi-inflated aircraft wheel in the cargo hold getting so hot that it exploded.[10]

Smoke detectors in the cargo holds can alert the flight crew of a fire long before the problem becomes apparent in the cabin, and a fire suppression system buys valuable time to land the plane safely. In February 1998, the FAA issued revised standards requiring all Class D cargo holds to be converted by early 2001 to Class C or E; these types of holds have additional fire detection and suppression equipment.[10][11]

Culpability[edit]

The NTSB report placed responsibility for the accident on three parties:

  • SabreTech, for improperly packaging and storing hazardous materials,
  • ValuJet, for not supervising SabreTech, and
  • the FAA, for not mandating smoke detection and fire suppression systems in cargo holds.

In 1997, a federal grand jury indicted SabreTech for mishandling hazardous materials, failing to train its employees in proper handling of hazardous materials, conspiracy, and making false statements. SabreTech's maintenance supervisor, Daniel Gonzalez, and two mechanics who worked on the plane, Eugene Florence and Mauro Valenzuela, were charged with conspiracy and making false statements. Two years later, having been found guilty on the mishandling hazardous materials and improper training charges, SabreTech was fined $2 million and ordered to pay $9 million in restitution. Gonzalez and Florence were acquitted on all charges, while Valenzuela failed to appear and was indicted in absentia for contempt of court.[12] Valenzuela is still a fugitive; he was specifically highlighted in the EPA's announcement of a Website to search for "environmental fugitives."[13]

In 2001, the United States 11th Circuit Court of Appeals reversed the SabreTech guilty verdict in part. In so doing, the panel concluded that federal law at the time of the crash could not support a conviction for mishandling hazardous materials and that the government did not prove that SabreTech intended to cause harm. The panel did, however, uphold the conviction for improper training, and on remand, the District Court sentenced SabreTech to a $500,000 fine, three years' probation, and no restitution.

Just before the federal trial, a Florida grand jury indicted SabreTech on 110 counts of manslaughter and 110 counts of third-degree murder: one for each person who died in the crash. SabreTech settled the state charges by agreeing to plead no contest to a state charge of mishandling hazardous waste and to donate $500,000 to an aviation safety group and a Miami-Dade County charity.

SabreTech was the first American aviation company to be criminally prosecuted for its role in an American airline crash. The company, a subsidiary of St. Louis-based Sabreliner Corporation, went out of business in 1999, but Saberliner Corporation is still operating.

ValuJet was grounded by the FAA on June 16, 1996. It was allowed to resume flying again on September 30, but never recovered from the crash. In 1997, the company merged with AirTran Airways. Although ValuJet was the nominal survivor, the ValuJet name was so tarnished by this time that it was scrapped in favor of the AirTran name. In 2006, AirTran did not make any major announcements on the crash's 10th anniversary out of respect for the victims' families.[14]

Many families of the Flight 592 victims were outraged that ValuJet was not prosecuted, given the airline's poor safety record. ValuJet's accident rate was not only one of the highest in the low-fare sector, but 14 times higher than those of the major airlines. In the aftermath of the accident, an internal FAA memo surfaced questioning whether ValuJet should have been allowed to stay in the air.[4] The victims' families also point to statements made by ValuJet officials immediately after the crash that appeared to indicate the company knew the generators were on the plane, and in fact had ordered them returned to Atlanta rather than properly disposed of in Miami.[15]

Legacy[edit]

Everglades memorial

On the third anniversary of the accident in 1999, a memorial was dedicated to the victims in the Everglades. The memorial, consisting of 110 concrete pillars, is located just north of Tamiami Trail at 25°45′42.61″N 80°40′19.30″W / 25.7618361°N 80.6720278°W / 25.7618361; -80.6720278 about 11.9 miles west of Krome Avenue in Miami-Dade County and points to the location of the crash site eight miles to the north. The 110 pillars represent the lives of those who perished in the crash.

In a June 4, 2013 Miami Herald article, a local resident stated that while slogging through the sawgrass several months earlier he found a partially melted gold pendant in the same area, and is thought possibly to be from either the ValuJet crash or the 1972 Eastern Airlines Flight 401 accident that occurred about 2 miles (3.2 km) from the ValuJet crash site.[16]

In popular culture[edit]

  • COPS happened to be taping with the Miami-Dade Police Department when the accident occurred. As a result, episode 12 of season 9 aired featuring some of the first 911 calls and the initial investigations into the accident. Three National Geographic shows, Why Planes Crash (Fire In The Sky), Seconds From Disaster "Florida Air Swamp Crash", and Mayday "Fire in the Hold",[10] covered the crash. The four-part Travel Channel series Probable Cause: Air Crash Investigations featured the crash in the fourth episode entitled "Acceptable Risk".

See also[edit]

References[edit]

  1. ^ a b c d "NTSB Report AAR97-06"
  2. ^ Incident description for AA 132 at the Aviation Safety Network
  3. ^ N904VJ
  4. ^ a b Lawrence, Neal (Autumn 1998). "Danger in the Skies". Midwest Today. Retrieved June 2013. 
  5. ^ http://www.ntsb.gov/doclib/reports/1997/aar9706.pdf
  6. ^ a b c "Complete list of passengers and crew." CNN. Retrieved on December 23, 2008.
  7. ^ "Murderer died in Valujet crash". Reuters, February 27, 1997, St. Petersburg Times, page 5A, Column 1. . Retrieved December 10, 2008.
  8. ^ "Atlanta News, Sports, Atlanta Weather, Business News | ajc.com". Nl.newsbank.com. 1 March 1997. Retrieved 2010-02-10. 
  9. ^ "Police Believe Killer Died in ValuJet Crash". Los Angeles Times, March 2, 1997, Los Angeles Times, LA Times On-line Collections. . Retrieved March 20, 2013.
  10. ^ a b c d Mayday, "Fire in the Hold", season 12 episode 2
  11. ^ "Revised Standards for Cargo or Baggage Compartments in Transport Category Airplanes". Federal Register. 17 February 1998. Retrieved 2008-10-23. 
  12. ^ "Mechanic in SabreTech Case Indicted for Contempt of Court". USDOT. October 13, 1999. Archived from the original on September 17, 2008. Retrieved June 2013. 
  13. ^ "12/10/2008: Wanted: Environmental Fugitives/ Federal government launches first-ever environmental crimes fugitive web site". Environmental Protection Agency. Retrieved 2010-02-10. 
  14. ^ Huettel, Steve (May 11, 2006). "10 years after tragedy, AirTran flies on". St. Petersburg Times. Archived from the original on October 12, 2012. Retrieved June 2013. 
  15. ^ "US Attorneys' Office Ignores Critical Evidence in the Valujet Crash: Valujet admitted oxygen generators were to be returned". flight592.com. July 12, 1999. Archived from the original on November 31, 2007. 
  16. ^ Herrera, Chabeli (2013-06-04). "Gold pendant found at site of Everglades plane crashes". Miami Herald. Retrieved 2013-10-01. 

External links[edit]