CEN11LA120

NTSB accident investigation · Beech 300 · Minneapolis, MN · December 10, 2010

Accident · No injuriesLimited investigationFinal report
Date
December 10, 2010, 17:20 local (23:20 UTC)
Place
Minneapolis, MN
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N206KBeech 300
Defining event
Enroute-climb to cruise: Part(s) separation from AC
Weather
Visual (VMC) · Dusk
Status
Completed · report June 20, 2011
Report
Approved by Office Director
NTSB office
Central Region
Parties
Federal Aviation Administration
FAA report
20101210054909A
Case key
78036

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

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Probable cause

The pilot's failure to follow the aircraft checklist in locking the cabin door prior to departure which resulted in its in-flight separation.

Findings · 3

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.

Use of equip/info: use of checklistPersonnel issues › Task performance · PilotBeech 300: 1 caseAll aircraft: 336 casesProbable cause
Action: incomplete actionPersonnel issues › Action/decision · PilotBeech 300: 1 caseAll aircraft: 105 casesProbable cause
Doors: passenger/crew doorsAircraft › Aircraft structures · Incorrect use/operationBeech 300: 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 cabin entry door separated from the airplane during climb and was found about 6 miles from the departure airport. The airplane returned to the departure airport and landed without further incident. The door handle was found to be in the latch position and not in the lock position. Postaccident examination of the airplane revealed no anomalies that would have precluded normal operation of the door system.

Factual narrative

On December 10, 2010, about 1720 central standard time, a Beech 300, N206K, received substantial damage during an in-flight door separation after departure from Minneapolis-St Paul International/Wold-Chamberlain Airport (MSP), Minneapolis, Minnesota. The airplane returned and landed at MSP without further incident. Visual meteorological conditions prevailed at the time accident. The airline transport pilot and one passenger were uninjured. The 14 Code of Federal Regulations Part 91 flight was operating on an instrument rules flight plan. The flight originated from MSP about 1718 and was en route to Joe Foss Field Airport (FSD), Sioux Falls, South Dakota. According to the Federal Aviation Administration (FAA), the airplane was climbing through 7,000 feet when the pilot reported to Minneapolis Air Traffic Control that the airplane had a pressurization problem. He did not report that the cabin entry door had separated from the airplane. Examination of the airplane by the FAA revealed an estimated 4-inch hole in the rear fuselage and no damage to the fuselage cabin entry door pin holes. Electrical continuity of the door wiring was confirmed, and the door open annunciator light was functional. On January 26, 2011, the door was located about 6 miles west of MSP. The door handle was in the latch position and not in the lock position. No mechanical anomalies were noted with the door.

Aircraft

Registration
N206K
Reported as
Beech 300
Category
Airplane
Serial number
FA-36
Airframe hours
11,248
Engine
Pratt & Whitney PT6A-60A, 1,050 lbs thrust, turbo prop
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Diamond 1A LLC
Registered owner
Diamond 1A LLC
Airworthiness certificate
Standard, Normal
Last inspection
June 23, 2010
Departed
MSP · Minneapolis, MN
Destination
FSD · Sioux Falls, SD
Flight plan
IFR
Airport
MSP · Minneapolis-St Paul Internatio

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

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
60
Injuries
None
Certificates
Flight instructor, Airline transport, Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Last flight review
April 7, 2010
Seat
Left
Flight hours
11,533 total · 11,149 as pilot in command · 86 in the last 90 days · 30 in the last 30 days · 3 in the last 24 hours

Weather

Conditions
Visual (VMC) · Dusk
Wind
50° at 6 knots
Visibility
8 statute miles
Lowest ceiling
11,000 ft overcast
Temperature
25 °F, dew point 12 °F
Altimeter
29.92 inHg
Observed at
MSP, 6 nm away

Docket · 4

The files NTSB released with the investigation on May 9, 2011, on NTSB’s docket system: statements, records, photos and specialists’ reports. 1.3 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.