37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 89103 |
Time | |
Date | 198806 |
Day | Fri |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | airport : tri |
State Reference | IN |
Altitude | agl bound lower : 0 agl bound upper : 1600 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tower : tri |
Operator | common carrier : air carrier |
Make Model Name | Light Transport, Low Wing, 2 Turboprop Eng |
Flight Phase | climbout : takeoff climbout : intermediate altitude ground : preflight |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 280 flight time total : 3800 |
ASRS Report | 89103 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : instrument pilot : commercial |
Events | |
Anomaly | aircraft equipment problem : critical |
Independent Detector | aircraft equipment other aircraft equipment : unspecified |
Resolutory Action | none taken : unable other |
Consequence | Other |
Supplementary | |
Primary Problem | Airport |
Air Traffic Incident | other |
Narrative:
On takeoff, just after liftoff (and well after V1), as the cabin began to pressurize, the cabin door warning light illuminated. The first officer (PNF) turned back to check the door handle, it had moved about 3' toward the open position. We depressurized the cabin and the first officer attempted to resecure the door from his seat. He was unable. We notified ATC, made left traffic and landed uneventfully on our departure runway. The cabin door warning system had been deferred, stating that the door unsafe indication would illuminate at 6.0 psi differential. The system has no indication of the position of the locking mechanism which locks the handle, and subsequently the latches in place, only if the latches are extended. In accordance with the MEL, the latches were visually inspected by the first officer before starting engines, and the door warning light had gone out. After our unscheduled landing, ramp personnel noticed the door handle was in the unsafe position as we taxied in. The young lady who closed the door before takeoff (who is trained in aircraft ramp operations and procedures on securing the door) could not 'get enough strength to fully close the handle' and left it 1/8-1/4' from being flush. Than handle must be flush for the locking pin to engage. Her heighth may have prevented her from properly closing the door. This aircraft is not to be towed west/O the door closed and latched--much less flown. A note of interest--the maintenance clipboard has a note on the front in dymo-tape: 'have ramp personnel close door from outside.' I guess we can't close it then in flight. Remedy--a device to indicate if the locking pin is engaged, more training for ramp personnel, and don't abuse the MEL. Also, fix the door--no notes on the clipboard.
Original NASA ASRS Text
Title: COMMUTER LTT RETURN LAND WHEN CABIN DOOR WARNING LIGHT CAME ON JUST AFTER TKOF.
Narrative: ON TKOF, JUST AFTER LIFTOFF (AND WELL AFTER V1), AS THE CABIN BEGAN TO PRESSURIZE, THE CABIN DOOR WARNING LIGHT ILLUMINATED. THE F/O (PNF) TURNED BACK TO CHK THE DOOR HANDLE, IT HAD MOVED ABOUT 3' TOWARD THE OPEN POS. WE DEPRESSURIZED THE CABIN AND THE F/O ATTEMPTED TO RESECURE THE DOOR FROM HIS SEAT. HE WAS UNABLE. WE NOTIFIED ATC, MADE LEFT TFC AND LANDED UNEVENTFULLY ON OUR DEP RWY. THE CABIN DOOR WARNING SYS HAD BEEN DEFERRED, STATING THAT THE DOOR UNSAFE INDICATION WOULD ILLUMINATE AT 6.0 PSI DIFFERENTIAL. THE SYS HAS NO INDICATION OF THE POS OF THE LOCKING MECHANISM WHICH LOCKS THE HANDLE, AND SUBSEQUENTLY THE LATCHES IN PLACE, ONLY IF THE LATCHES ARE EXTENDED. IN ACCORDANCE WITH THE MEL, THE LATCHES WERE VISUALLY INSPECTED BY THE F/O BEFORE STARTING ENGS, AND THE DOOR WARNING LIGHT HAD GONE OUT. AFTER OUR UNSCHEDULED LNDG, RAMP PERSONNEL NOTICED THE DOOR HANDLE WAS IN THE UNSAFE POS AS WE TAXIED IN. THE YOUNG LADY WHO CLOSED THE DOOR BEFORE TKOF (WHO IS TRAINED IN ACFT RAMP OPS AND PROCS ON SECURING THE DOOR) COULD NOT 'GET ENOUGH STRENGTH TO FULLY CLOSE THE HANDLE' AND LEFT IT 1/8-1/4' FROM BEING FLUSH. THAN HANDLE MUST BE FLUSH FOR THE LOCKING PIN TO ENGAGE. HER HEIGHTH MAY HAVE PREVENTED HER FROM PROPERLY CLOSING THE DOOR. THIS ACFT IS NOT TO BE TOWED W/O THE DOOR CLOSED AND LATCHED--MUCH LESS FLOWN. A NOTE OF INTEREST--THE MAINT CLIPBOARD HAS A NOTE ON THE FRONT IN DYMO-TAPE: 'HAVE RAMP PERSONNEL CLOSE DOOR FROM OUTSIDE.' I GUESS WE CAN'T CLOSE IT THEN IN FLT. REMEDY--A DEVICE TO INDICATE IF THE LOCKING PIN IS ENGAGED, MORE TRNING FOR RAMP PERSONNEL, AND DON'T ABUSE THE MEL. ALSO, FIX THE DOOR--NO NOTES ON THE CLIPBOARD.
Data retrieved from NASA's ASRS site as of August 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.