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|
Attributes | |
ACN | 234385 |
Time | |
Date | 199302 |
Day | Fri |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | airport : msn |
State Reference | WI |
Altitude | agl bound lower : 0 agl bound upper : 100 |
Environment | |
Flight Conditions | VMC |
Light | Night |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | Small Transport, Low Wing, 2 Turboprop Eng |
Flight Phase | climbout : takeoff |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp pilot : commercial |
Experience | flight time last 90 days : 210 flight time total : 4300 flight time type : 1000 |
ASRS Report | 234385 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : atp pilot : instrument pilot : cfi |
Experience | flight time last 90 days : 250 flight time total : 1750 flight time type : 500 |
ASRS Report | 234145 |
Events | |
Anomaly | non adherence : far other anomaly other |
Independent Detector | other flight crewa |
Resolutory Action | other |
Consequence | Other |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
Aft door came open upon takeoff. We then made an uneventful return for landing at madison. Other than a draft through the cabin, it was not a serious situation. Another airline has started working our passenger and baggage. They are not familiar with our operations, and double checks are overlooked since we are usually late. If we incorporated a full walk-around after all compartments were closed, it would have been noticed before taxi. The crew can do a hundred preflight checks, but if someone else opens a door and does not properly latch it, the crew has no control on a door we can't get to. These small but overlooked procedures seem to be a 'norm' at commuter airlines (at least ours). Supplemental information from acn 234145: contributing factors - - failure of first officer to assure complete latching of the door since there is no annunciator light to indicate an open door on the small transport.
Original NASA ASRS Text
Title: COMMUTER HAS DOOR COME UNLATCHED AFTER TKOF. RETURN LAND.
Narrative: AFT DOOR CAME OPEN UPON TKOF. WE THEN MADE AN UNEVENTFUL RETURN FOR LNDG AT MADISON. OTHER THAN A DRAFT THROUGH THE CABIN, IT WAS NOT A SERIOUS SIT. ANOTHER AIRLINE HAS STARTED WORKING OUR PAX AND BAGGAGE. THEY ARE NOT FAMILIAR WITH OUR OPS, AND DOUBLE CHKS ARE OVERLOOKED SINCE WE ARE USUALLY LATE. IF WE INCORPORATED A FULL WALK-AROUND AFTER ALL COMPARTMENTS WERE CLOSED, IT WOULD HAVE BEEN NOTICED BEFORE TAXI. THE CREW CAN DO A HUNDRED PREFLT CHKS, BUT IF SOMEONE ELSE OPENS A DOOR AND DOES NOT PROPERLY LATCH IT, THE CREW HAS NO CTL ON A DOOR WE CAN'T GET TO. THESE SMALL BUT OVERLOOKED PROCS SEEM TO BE A 'NORM' AT COMMUTER AIRLINES (AT LEAST OURS). SUPPLEMENTAL INFO FROM ACN 234145: CONTRIBUTING FACTORS - - FAILURE OF FO TO ASSURE COMPLETE LATCHING OF THE DOOR SINCE THERE IS NO ANNUNCIATOR LIGHT TO INDICATE AN OPEN DOOR ON THE SMT.
Data retrieved from NASA's ASRS site as of July 2007 and automatically converted to unabbreviated mixed upper/lowercase text. This report is for informational purposes with no guarantee of accuracy. See NASA's ASRS site for official report.