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|
Attributes | |
ACN | 441653 |
Time | |
Date | 199906 |
Day | Fri |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : bno.airport |
State Reference | OR |
Altitude | msl single value : 6500 |
Environment | |
Flight Conditions | VMC |
Weather Elements | Turbulence |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : zse.artcc |
Operator | common carrier : air taxi |
Make Model Name | Cessna 402/402C/B379 Businessliner/Utiliner |
Operating Under FAR Part | Part 135 |
Flight Phase | cruise : level |
Route In Use | enroute airway : v269.airway |
Flight Plan | None |
Person 1 | |
Affiliation | company : air taxi |
Function | flight crew : single pilot |
Qualification | pilot : instrument pilot : commercial pilot : cfi pilot : multi engine |
Experience | flight time last 90 days : 150 flight time total : 1750 flight time type : 100 |
ASRS Report | 441653 |
Person 2 | |
Affiliation | government : faa |
Function | controller : radar |
Qualification | controller : radar |
Events | |
Anomaly | cabin event other |
Independent Detector | other flight crewa |
Resolutory Action | none taken : anomaly accepted |
Consequence | other |
Supplementary | |
Problem Areas | Aircraft Flight Crew Human Performance |
Primary Problem | Flight Crew Human Performance |
Narrative:
I was flying a CE402B. After a series of turbulence, the door warning light came on. I disregarded it because that airplane has a history of false warnings (due to sticky microswitches on crew and cargo doors). That problem was reported to maintenance several times, but was never really corrected. After a more severe jolt of turbulence, the back side of the crew door cracked open. With the turbulence and the door vibrations, I decided to try to close it, as I was fearing to loosen the door completely (there is no checklist or procedures to follow in that case in 402 flight manual, however, in the cessna supplement it is stated that a pilot may decide to reclose a door it if opens in-flight). I barely touched the handle to try to latch the back side of the door back in, that the door flew off. After landing, I discovered that the door was still attached to the airplane, but severely damaged. I was unable to see the investigation report from my company's maintenance personnel, but I was informed that the back latch was defective. I also found out that the handle that controls both front and back latches for that door is spring loaded to open. The crew door is hinged to the airplane at the top, which makes it impossible to reclose in-flight once opened. During training, that situation was never addressed, even though it happened to other pilots in the past. Also the cessna safety supplement, found with the airplane manual, that states that a pilot can try to reclose the door if opened in-flight, is general and not specific to that model. I learned a valuable lesson from that: if a door open in-flight there is only 2 things you can do: 1) tighten up your seatbelt and shoulder harness. 2) land as soon as practical, then deal with the door.
Original NASA ASRS Text
Title: A CE402B COMMERCIAL RATED PLT TRIED TO SECURE THE CREW DOOR INFLT AFTER OBSERVING THE DOOR ANNUNCIATOR ILLUMINATED. THIS DOOR SUBSEQUENTLY OPENED AFTER THE PLT MADE AN ATTEMPT TO SECURE IT CLOSED.
Narrative: I WAS FLYING A CE402B. AFTER A SERIES OF TURB, THE DOOR WARNING LIGHT CAME ON. I DISREGARDED IT BECAUSE THAT AIRPLANE HAS A HISTORY OF FALSE WARNINGS (DUE TO STICKY MICROSWITCHES ON CREW AND CARGO DOORS). THAT PROB WAS RPTED TO MAINT SEVERAL TIMES, BUT WAS NEVER REALLY CORRECTED. AFTER A MORE SEVERE JOLT OF TURB, THE BACK SIDE OF THE CREW DOOR CRACKED OPEN. WITH THE TURB AND THE DOOR VIBRATIONS, I DECIDED TO TRY TO CLOSE IT, AS I WAS FEARING TO LOOSEN THE DOOR COMPLETELY (THERE IS NO CHKLIST OR PROCS TO FOLLOW IN THAT CASE IN 402 FLT MANUAL, HOWEVER, IN THE CESSNA SUPPLEMENT IT IS STATED THAT A PLT MAY DECIDE TO RECLOSE A DOOR IT IF OPENS INFLT). I BARELY TOUCHED THE HANDLE TO TRY TO LATCH THE BACK SIDE OF THE DOOR BACK IN, THAT THE DOOR FLEW OFF. AFTER LNDG, I DISCOVERED THAT THE DOOR WAS STILL ATTACHED TO THE AIRPLANE, BUT SEVERELY DAMAGED. I WAS UNABLE TO SEE THE INVESTIGATION RPT FROM MY COMPANY'S MAINT PERSONNEL, BUT I WAS INFORMED THAT THE BACK LATCH WAS DEFECTIVE. I ALSO FOUND OUT THAT THE HANDLE THAT CTLS BOTH FRONT AND BACK LATCHES FOR THAT DOOR IS SPRING LOADED TO OPEN. THE CREW DOOR IS HINGED TO THE AIRPLANE AT THE TOP, WHICH MAKES IT IMPOSSIBLE TO RECLOSE INFLT ONCE OPENED. DURING TRAINING, THAT SIT WAS NEVER ADDRESSED, EVEN THOUGH IT HAPPENED TO OTHER PLTS IN THE PAST. ALSO THE CESSNA SAFETY SUPPLEMENT, FOUND WITH THE AIRPLANE MANUAL, THAT STATES THAT A PLT CAN TRY TO RECLOSE THE DOOR IF OPENED INFLT, IS GENERAL AND NOT SPECIFIC TO THAT MODEL. I LEARNED A VALUABLE LESSON FROM THAT: IF A DOOR OPEN INFLT THERE IS ONLY 2 THINGS YOU CAN DO: 1) TIGHTEN UP YOUR SEATBELT AND SHOULDER HARNESS. 2) LAND AS SOON AS PRACTICAL, THEN DEAL WITH THE DOOR.
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.