37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 389515 |
Time | |
Date | 199712 |
Day | Mon |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | atc facility : okv |
State Reference | VA |
Altitude | msl bound lower : 7000 msl bound upper : 7000 |
Environment | |
Flight Conditions | IMC |
Light | Night |
Aircraft 1 | |
Controlling Facilities | tracon : iad |
Operator | general aviation : corporate |
Make Model Name | Baron 55/Cochise |
Operating Under FAR Part | Part 91 |
Flight Phase | cruise other |
Route In Use | enroute : on vectors |
Flight Plan | IFR |
Person 1 | |
Affiliation | Other |
Function | flight crew : single pilot |
Qualification | pilot : commercial pilot : instrument |
Experience | flight time last 90 days : 60 flight time total : 1400 flight time type : 600 |
ASRS Report | 389515 |
Person 2 | |
Affiliation | Other |
Function | observation : passenger |
Qualification | other other : other |
Events | |
Anomaly | aircraft equipment problem : critical other anomaly other |
Independent Detector | other flight crewa |
Resolutory Action | flight crew : declared emergency other |
Consequence | Other |
Supplementary | |
Primary Problem | Aircraft |
Narrative:
On the beech baron you must carefully monitor closing and securing the door. This includes checking the pin in the top of the door frame. My passenger closed and latched the door as I watched. I reached over, took the handle and turned it counter clockwise against the pin stop. It normally will rotate freely through about 20 degrees. I did not however turn it counter clockwise to make sure that the locking system went 'over square' into the locked position. I checked the top pin twice, and the top of the door was very secure. After leveloff at 7000 ft I heard a wind noise and felt the wind lacing around the door. The door was ajar but not open. I called approach, said I had a problem, and would proceed to lancaster, PA (100 mi, 25 mins away as it had the best WX, night marginal VFR). They asked if I wanted to go to winchester and I declined (300 ft ceiling). Moderate turbulence was forecast for the trip and moments (2-5 mins later) we hit it. As soon as we hit the turbulence the door popped open. The suction and wind were unbelievable. The headset was ripped off the passenger's head. Every chart and piece of paper not nailed down went out the door. Immediately I declared an emergency and approach gave me several options. The best was the ILS at hagerstown, md. The controller gave me a vector, read me the approach, and we landed uneventfully. This could have been a tragedy. The wind and noise were awesome. The WX lousy. It was nighttime. The airplane flew strangely. My mistake as a pilot was allowing anyone other than myself to take any part in securing the door of the airplane. From now on, only my hands touch the door. Also there is an airworthiness directive on this door, that was complied with. This door should have an annunciator or warning light if not closed properly.
Original NASA ASRS Text
Title: PLT OF BE55 BARON HAS DOOR POP OPEN INFLT WHEN ENCOUNTERING TURB. EMER DECLARED. VECTORED TO NEARBY ARPT.
Narrative: ON THE BEECH BARON YOU MUST CAREFULLY MONITOR CLOSING AND SECURING THE DOOR. THIS INCLUDES CHKING THE PIN IN THE TOP OF THE DOOR FRAME. MY PAX CLOSED AND LATCHED THE DOOR AS I WATCHED. I REACHED OVER, TOOK THE HANDLE AND TURNED IT COUNTER CLOCKWISE AGAINST THE PIN STOP. IT NORMALLY WILL ROTATE FREELY THROUGH ABOUT 20 DEGS. I DID NOT HOWEVER TURN IT COUNTER CLOCKWISE TO MAKE SURE THAT THE LOCKING SYS WENT 'OVER SQUARE' INTO THE LOCKED POS. I CHKED THE TOP PIN TWICE, AND THE TOP OF THE DOOR WAS VERY SECURE. AFTER LEVELOFF AT 7000 FT I HEARD A WIND NOISE AND FELT THE WIND LACING AROUND THE DOOR. THE DOOR WAS AJAR BUT NOT OPEN. I CALLED APCH, SAID I HAD A PROB, AND WOULD PROCEED TO LANCASTER, PA (100 MI, 25 MINS AWAY AS IT HAD THE BEST WX, NIGHT MARGINAL VFR). THEY ASKED IF I WANTED TO GO TO WINCHESTER AND I DECLINED (300 FT CEILING). MODERATE TURB WAS FORECAST FOR THE TRIP AND MOMENTS (2-5 MINS LATER) WE HIT IT. AS SOON AS WE HIT THE TURB THE DOOR POPPED OPEN. THE SUCTION AND WIND WERE UNBELIEVABLE. THE HEADSET WAS RIPPED OFF THE PAX'S HEAD. EVERY CHART AND PIECE OF PAPER NOT NAILED DOWN WENT OUT THE DOOR. IMMEDIATELY I DECLARED AN EMER AND APCH GAVE ME SEVERAL OPTIONS. THE BEST WAS THE ILS AT HAGERSTOWN, MD. THE CTLR GAVE ME A VECTOR, READ ME THE APCH, AND WE LANDED UNEVENTFULLY. THIS COULD HAVE BEEN A TRAGEDY. THE WIND AND NOISE WERE AWESOME. THE WX LOUSY. IT WAS NIGHTTIME. THE AIRPLANE FLEW STRANGELY. MY MISTAKE AS A PLT WAS ALLOWING ANYONE OTHER THAN MYSELF TO TAKE ANY PART IN SECURING THE DOOR OF THE AIRPLANE. FROM NOW ON, ONLY MY HANDS TOUCH THE DOOR. ALSO THERE IS AN AIRWORTHINESS DIRECTIVE ON THIS DOOR, THAT WAS COMPLIED WITH. THIS DOOR SHOULD HAVE AN ANNUNCIATOR OR WARNING LIGHT IF NOT CLOSED PROPERLY.
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.