CEN11LA077

NTSB accident investigation · Halbrook Rans S-6S · St. Cloud, MN · November 17, 2010

Accident · No injuriesLimited investigationFinal report
Date
November 17, 2010, 16:30 local (22:30 UTC)
Place
St. Cloud, MN
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N280JHHalbrook Rans S-6S
Defining event
Approach-VFR pattern final: Part(s) separation from AC
Weather
Visual (VMC) · Day
Status
Completed · report December 27, 2011
Report
Approved by Office Director
NTSB office
Central Region
Parties
Federal Aviation Administration - Minneapolis FSDO
FAA report
20101117052529A
Case key
77838

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

On this page

Probable cause

The airplane kit manufacturer’s recommended use of an improper nut type for securing the door hinge.

Findings · 1

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

Doors: passenger/crew doorsAircraft › Aircraft structures · MalfunctionHalbrook Jim RANS S6S: 1 caseAll aircraft: 86 casesProbable cause

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Analysis

The pilot reported that while practicing touch-and-go landings he noticed that the nut from the forward door hinge of the left cabin door was missing. He decided to make a full stop landing to inspect further. During final approach, the door separated from the fuselage; the pilot was able to complete the landing without further incident. A postaccident examination confirmed that the forward door hinge bolt/nut assembly had backed-off during flight, which precipitated the door separating from the airplane. The airplane kit manufacturer guidance indicated that a shear stop nut was to be used in the gull-wing (upward opening) door hinge assemblies. However, the Federal Aviation Administration (FAA) advises (in Advisory Circular 43.13-1B) that self-locking nuts, such as the type used on the accident airplane door, are not recommended for use on parts subject to rotation. The FAA further advises that the use of self-locking castellated nuts with cotter pins or lockwire is a more suitable method to secure rotating parts. According to the kit manufacturer, the accident flight was the first documented instance where a door separated during flight.

Factual narrative

On November 17, 2010, about 1630 central standard time, an experimental amateur-built Halbrook Rans S-6S airplane, N280JH, was substantially damaged when the left cabin door separated from the fuselage while on final approach to runway 31 at the St. Cloud Regional Airport (KSTC), near St. Cloud, Minnesota. The pilot and his flight instructor were not injured. The airplane was registered to Airflight LLC, and operated by a commercial pilot under the provisions of 14 Code of Federal Regulations Part 91. Day visual meteorological conditions prevailed for the flight, which was operated without a flight plan. The local flight departed KSTC at 1530. The pilot reported that while practicing touch-and-go landings he noticed that the nut from the forward door hinge of the left cabin door was missing. He decided to make a full stop landing to inspect further. While established on final approach, about 1/2 mile from the runway threshold, the door separated from the fuselage. The pilot was able to complete the landing without further incident. A postaccident investigation revealed that the door had impacted the left wing, aft fuselage, left elevator, and the left side of the rudder resulting in substantial damage. Further inspection confirmed that the forward door hinge bolt/nut assembly had backed-off during flight, which precipitated the door separating from the airplane. The airplane’s last condition inspection was completed on April 23, 2010. The airplane had accumulated 219 hours since new at the time of the accident. The builder guidance provided by the kit manufacturer (Rans Aircraft), including the parts listing for the airplane, indicated that a 3/16-inch shear stop nut (AN3641032A) was used in the door hinge assemblies. The gull-wing (upward opening) doors are designed to be easily removed from the fuselage for open-cockpit flight. The same door and hinge design was also incorporated in other Rans models. According to the kit manufacturer, the accident flight was the first documented instance where a door has separated during flight. According to Federal Aviation Administration Advisory Circular 43.13-1B (Acceptable Methods, Techniques, and Practices - Aircraft Inspection and Repair), the use of self-locking nuts, such as the type used on the accident airplane door, is not recommended for parts subject to rotation. Alternatively, the use of self-locking castellated nuts with cotter pins or lockwire is listed as a suitable method to secure rotating parts.

Aircraft

Registration
N280JH
Reported as
Halbrook Rans S-6S
Category
Airplane, amateur-built
Serial number
12051716
Airframe hours
219
Engine
Rotax 912 ULS, 100 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Operator
Airflight, LLC.
Registered owner
Airflight, LLC.
Airworthiness certificate
Special, Experimental (Special)
Last inspection
Condition · April 23, 2010
Departed
KSTC · St. Cloud, MN
Destination
KSTC · St. Cloud, MN
Airport
KSTC · St. Cloud Regional Airport, runway 31, 7,000 × 150 ft, concrete

Matched to the registry by N-number and the event date; the registry’s history has gaps, so older matches can be wrong. Compare the reported make and model.

Flight crew · 2

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
23
Injuries
None
Certificate
Commercial
Airplane ratings
Single-engine sea, Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, With waivers/limitations
Last flight review
June 24, 2009
Seat
Left
Flight hours
399 total · 163 in this make and model · 379 as pilot in command · 76 in the last 90 days · 18 in the last 30 days · 1 in the last 24 hours
Role
Flight instructor
Age
24
Injuries
None
Certificates
Commercial, Flight instructor
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Last flight review
March 2, 2009
Seat
Right
Flight hours
1,024 total · 3 in this make and model · 921 as pilot in command · 45 in the last 90 days · 22 in the last 30 days · 0 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
320° at 9 knots
Visibility
10 statute miles
Lowest ceiling
2,600 ft overcast
Temperature
32 °F, dew point 23 °F
Altimeter
30.22 inHg
Observed at
KSTC, 1 nm away

Docket · 5

The files NTSB released with the investigation on November 18, 2011, on NTSB’s docket system: statements, records, photos and specialists’ reports. 2.1 MB in all.

FAA reports on this event · 1

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