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Fine Air Services Flight 363

20 Nov 1997 · Miami, FL, United States

Douglas DC-8F-55 · Incident: airframe, component or system failure while standing

From Miami International Airport (MIA) to SEQU · Quito

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Event

NTSB case
MIA98IA035
Event typeAccident: someone killed or seriously injured, or the aircraft substantially damaged (NTSB definition). Incident: an occurrence that affected or could have affected safety, short of that. Glossary
Incident
InvestigationHow far the investigation had got when the record was published: preliminary, ongoing, final or completed. Unknown where the source does not say. Glossary
Completed
API-reported fatalities
0 · all aircraft and ground
Ground fatalities
0
OperationWhat kind of flying it was, grouped by the rules it flew under: airline (US Part 121), air taxi and commuter (Part 135), general aviation (Part 91 and similar), military or government. Glossary
Airline
WeatherVisual meteorological conditions (VMC): good enough to fly by looking outside. Instrument conditions (IMC): cloud or low visibility, flying by instruments. Glossary
Visual Meteorological Cond

Douglas DC-8F-55

Aircraft type
Douglas DC-8
Category
Airplane
RegistrationThe aircraft's tail number, such as N12345 or G-ABCD. Registrations are reissued, so the same one years apart can be a different aircraft. Glossary
N55FB
Onboard fatalities
Unknown
Route
From Miami International Airport (MIA)To SEQU · Quito
Aircraft age
Not recorded
Flight rulesThe regulations the flight operated under: in the US, Part 91 (general aviation), Part 121 (airlines), Part 135 (air taxi and commuter) and others; for flights abroad, the NTSB's coarser commercial or non-commercial code. Glossary
Part 121: Air Carrier
Phase of flightThe stage of the flight when things started to go wrong: standing, taxi, takeoff, initial climb, en route, maneuvering, approach or landing. Glossary
Standing · engine(s) operating
First occurrenceThe single coded event the NTSB judges best describes what happened (records from 2008 on). Older records name the first occurrence in the sequence instead. Glossary
Airframe, component or system failure
DamageDestroyed: beyond practical repair. Substantial: damage that affects the structure, performance or handling and normally needs major repair. Minor: less than that. Glossary
Minor

Cause areas

  • Bleed air system, valve › Open
  • Engine accessories, engine starter › Disintegrated
  • Other maintenance personnel › Maintenance, overhaul, improper

Approximate · Coordinates as recorded by the NTSB; no uncertainty radius is established.

NTSB narrative

The flight engineer stated that, after No. 4 engine start, the start valve closed as indicated by an increase in pressure in the manifold. Wile climbing through 13,500 feet, the fire warning light and bell illuminated and sounded for the No. 4 engine. Both fire bottles were discharged which extinguished the light and the flight returned landing uneventfully. While taxiing off the runway, the fire warning indication occurred again. The crew evacuated the airplane and the fire was extinguished. Examination of the No. 4 engine revealed that the start valve was 'fully' open and the pneumatic starter had disintegrated. Dents were noted on the interior surface of the starter housing. Disassembly of the non-heat damaged start valve revealed a discrepancy which would prevent the valve from fully closing. Examination of the pneumatic piston assembly and actuator from the valve revealed that the dimension of the inside diameter of the lower portion of the actuator body was less than what was specified. Heat damage to the retained components was noted. The start valve was overhauled September 1994, and had accumulated 1,857 cycles since. The maintenance records indicated that 3 starters were damaged in the 1 year period before the incident; all associated with the No. 4 engine. The total cycles at the time of failure of the first starter was not determined. The second and third starters had accumulated 155 and 478 cycles since installation at the time of failure.

Probable cause

The inadequate overhaul of the No. 4 engine start valve resulting in the valve remaining open after engine start; and the subsequent free run state of the starter resulting in a starter overheat, disintegration and fire.

Verbatim NTSB analysis and probable cause from the NTSB dataset

Sources

NTSB record MIA98IA035
Event ID
20001208X09216
Case number
MIA98IA035
Dataset
historical-pre2008
Source SHA-256
89e2df6d848e7ab3b42e7d7c7a03ff403303057a26ca04c95b3ea67201c3ce74
Source notes (4)
  • Unreviewed is an editorial label, not an investigation status. API-sourced is not report-checked or human-reviewed. Explicit event totals are used without summing aircraft injury tables; onboard allocation is withheld. Unknown values remain unknown. The operation category is mapped from the NTSB-reported FAR part and has not been reviewed.
  • Filled from the NTSB case API where the bulk record had no value: investigation status. Values present in the bulk record are kept.
  • The date is the local date, which is the same as the UTC date the NTSB stores.
  • API snapshot SHA-256: e4d2bdaf40db278b3284cda681650adaae6d33f46417cd1489baab6a4420b3a5; retrieved 2026-09-18T17:18:03.078Z.