20180920016379A

Accident · Substantial damage

FAA accident report · Embraer EMB-120ER · Houston, TX · September 20, 2018

Date
September 20, 2018 · 12:00 local
Place
Houston, TX
Phase of flight
Cruise/Level Flight
Operating rules
Air taxi and commuter (Part 135)
Operator
HKGA
Damage
Substantial damage
Aircraft
N233SW
NTSB investigation
NTSBDCA18CA303
Reported as
Embraer EMB-120ER
Reported engine
Pratt & Whitney Canada PW118
People aboard
2
Fatal injuries
0
Other injuries
0
Pilot’s certificate
Commercial pilot
Pilot’s flight hours
2,627 total1,974 in this make and model206 in the last 90 days

From the FAA’s Accident/Incident Data System (AIDS), through its Aviation Safety Information Portal, as reported. The NTSB investigates accidents separately, and its record of an accident is the fuller one. The aircraft is matched to the registry by N-number and event date, checked against the reported make and model; the registry’s history has gaps, so older matches can be wrong. Compare the reported make and model.

What happened

The FAA’s narrative, in sentence case. The FAA writes it in capitals and removes private details.

Aircraft with four containers of cargo departed Houston airport (kshv) enroute to Mexico airport (mmqt).

Just outside of Houston, Texas the aircraft encountered a storm cell along with a brief moment of turbulance. The turbulance caused cargo stored in the #3 compartment of the aircraft to slam into the crown area of the fuselage damaging interior panels. After flying two additional sorties, the aircraft landed back at its home base san marcos, Texas. It was then discovered by maintenance crew at berry aviation there had been structural damage to four interior fuselage ribs.

Further investigation revealed two causal factors in the aircraft flying with structual damage. First, the crew

Failed to secure the cargo in the aircraft. No straps or netting were used to tie down the cargo, instead the crew relied only on compartment side netting. Second, despite reporting the visable damage to company maintenance control, the crew failed to document the visable damage to the aircraft upon completion of the sortie in which the aircraft was damaged. Instead the crew waited until landing the next day after two sorties were flown.

Other issues noted were the crew failed to file an incident and hazard deficiency report documenting the interior damage sustained to the aircraft. Investigation shows the crew failed to follow company procedures as outlined in the company general operating manual. It is the recommendation of the iic that the crew be administered remedial training to include areas in cargo restraint policies and procedures as well as maintenance reporting requirements.

As the FAA filed it

AIRCRAFT WITH FOUR CONTAINERS OF CARGO DEPARTED HOUSTON AIRPORT (KSHV) ENROUTE TO MEXICO AIRPORT (MMQT).

JUST OUTSIDE OF HOUSTON, TEXAS THE AIRCRAFT ENCOUNTERED A STORM CELL ALONG WITH A BRIEF MOMENT OF TURBULANCE. THE TURBULANCE CAUSED CARGO STORED IN THE #3 COMPARTMENT OF THE AIRCRAFT TO SLAM INTO THE CROWN AREA OF THE FUSELAGE DAMAGING INTERIOR PANELS. AFTER FLYING TWO ADDITIONAL SORTIES, THE AIRCRAFT LANDED BACK AT ITS HOME BASE SAN MARCOS, TEXAS. IT WAS THEN DISCOVERED BY MAINTENANCE CREW AT BERRY AVIATION THERE HAD BEEN STRUCTURAL DAMAGE TO FOUR INTERIOR FUSELAGE RIBS.

FURTHER INVESTIGATION REVEALED TWO CAUSAL FACTORS IN THE AIRCRAFT FLYING WITH STRUCTUAL DAMAGE. FIRST, THE CREW

FAILED TO SECURE THE CARGO IN THE AIRCRAFT. NO STRAPS OR NETTING WERE USED TO TIE DOWN THE CARGO, INSTEAD THE CREW RELIED ONLY ON COMPARTMENT SIDE NETTING. SECOND, DESPITE REPORTING THE VISABLE DAMAGE TO COMPANY MAINTENANCE CONTROL, THE CREW FAILED TO DOCUMENT THE VISABLE DAMAGE TO THE AIRCRAFT UPON COMPLETION OF THE SORTIE IN WHICH THE AIRCRAFT WAS DAMAGED. INSTEAD THE CREW WAITED UNTIL LANDING THE NEXT DAY AFTER TWO SORTIES WERE FLOWN.

OTHER ISSUES NOTED WERE THE CREW FAILED TO FILE AN INCIDENT AND HAZARD DEFICIENCY REPORT DOCUMENTING THE INTERIOR DAMAGE SUSTAINED TO THE AIRCRAFT. INVESTIGATION SHOWS THE CREW FAILED TO FOLLOW COMPANY PROCEDURES AS OUTLINED IN THE COMPANY GENERAL OPERATING MANUAL. IT IS THE RECOMMENDATION OF THE IIC THAT THE CREW BE ADMINISTERED REMEDIAL TRAINING TO INCLUDE AREAS IN CARGO RESTRAINT POLICIES AND PROCEDURES AS WELL AS MAINTENANCE REPORTING REQUIREMENTS.

NTSB investigation

The NTSB’s investigation of this event, with its probable cause and findings. Matched to this report by N-number and date.

Other reports on N233SW · 2

Matched to the same aircraft by N-number and date.