ANC92IA147

NTSB incident investigation · Short Brothers SH-7 · Sheldon Point, AK · August 30, 1992

Incident · No injuriesIncident investigationFinal report
Date
August 29, 1992, 20:26 local (Aug 30, 1992, 04:26 UTC)
Place
Sheldon Point, AK
Injuries
3 uninjured
Damage
Minor damage
Phase of flight
Initial climb
Aircraft
N53NSShort Brothers SH-7
Weather
Visual (VMC) · Dusk
Status
Completed · report June 21, 1993
Report
Approved by Office Director
NTSB office
Alaska Regional Office
FAA report
19920829043799I
Case key
5661

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the incident.

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Probable cause

The NTSB’s determination of the probable cause, and any contributing factors.

The unlatching of the left crew entrance door by means undetermined and the lack of adherence to door check items by the pilot in command on the requisite checklists. A factor relating to the incident was the separation of the door from the frame when opened into the slipstream.

Analysis

The left cockpit door behind pilot the position opened into airstream at 50 ft AGL on initial climbout. The door deparated and damaged left propeller and fuselage skin. The pilot completed single engine procedures and proceded IMC to alternate and completed IFR approach and landing without further incident. The door was not found. It was undetermined if the door latch malfunctioned for personnel failed to close the latch. Cockpit lighting does not illuminate as a function of the door latch. Thee is no warning light to warn of an unlatched door. The door hinges are mounted on the aft frame of the door opening, thus swinging rearward in front of propeller.

Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

Airframe/component/system failure/malfunctionTakeoff - initial climb
Door,exterior crew - unlatchedCause
Checklist - not followedPilot in commandCause
Acft/equip,inadequate cockpit/workplace,lightingManufacturer
Door,exterior crew - separationFactor
Loss of engine power(partial) - mech failure/malfClimb

Aircraft

Registration
N53NS
Reported as
Short Brothers SH-7
Category
Airplane
Serial number
1920
Airframe hours
5,837
Engine
Garrett TPE331-2-201A, 715 horsepower, turbo prop
Damage
Minor damage
Flight
Other work use · Part 91
Operator
Camai Air, doing business as Village Aviation
Registered owner
North Star Air Cargo
Airworthiness certificate
Standard, Normal
Last inspection
AAIP · August 26, 1992 · 6 hours before
Departed
SXP
Destination
KSM · St Marys, AK
Flight plan
VFR
Airport
SXP · Sheldons Point, runway 2, 2,200 × 50 ft, dirt

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
32
Certificates
Airline transport, Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
6,500 total · 3,200 in this make and model · 6,000 as pilot in command · 150 in the last 90 days · 60 in the last 30 days

Weather

Conditions
Visual (VMC) · Dusk
Wind
140° at 20 knots, gusting 30
Visibility
3 statute miles
Lowest ceiling
1,100 ft overcast
Temperature
45 °F, dew point 39 °F
Altimeter
29.00 inHg

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.