CEN12IA592

NTSB incident investigation · British Aerospace BAE Jetstream 3101 · Kansas City, MO · August 29, 2012

Incident · No injuriesIncident investigationFinal report
Date
August 29, 2012, 17:30 local (22:30 UTC)
Place
Kansas City, MO
Injuries
2 uninjured
Damage
Minor damage
Phase of flight
Initial climb
Aircraft
N695MABritish Aerospace BAE Jetstream 3101
Defining event
Initial climb: Part(s) separation from AC
Weather
Visual (VMC) · Day
Status
Completed · report June 4, 2013
Report
Approved by Office Director
NTSB office
Central Region
Parties
Federal Aviation Administration
FAA report
20120829019629I
Case key
84858

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 flight crew’s failure to ensure that the cargo door was properly fastened before departure.

Findings · 2

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: cargo/baggage doorsAircraft › Aircraft structures · Incorrect use/operationBritish Aerospace BAE JETSTREAM 3101: 1 caseAll aircraft: 9 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 flight crew reported that they heard a “bang” followed by a caution light for the cargo door. The flight crew diverted the airplane and performed a precautionary landing without incident. Upon landing, it was determined that a section of the cargo door was missing. The pilot subsequently reported that the door latch was not properly fastened. The pilot indicated that there were no mechanical malfunctions and that the door, which was not fastened, came off after takeoff. The missing section was not located.

Factual narrative

On August 29, 2012, about 1730 central daylight time, a British Aerospace, BAE Jetstream 3101 airplane, N695MA, had a section of its cargo door separate from the airplane during initial climb from the Kansas City International Airport (MCI), near Kansas City, Missouri. The captain and first officer, who were the only occupants, sustained no injuries. The airplane sustained minor damage during the door separation. The airplane was registered to and operated by M2 Aircraft Management LLC under the provisions of 14 Code of Federal Regulations Part 135 as an on-demand, domestic, cargo flight. Visual flight rules conditions prevailed for the flight, which operated on an activated instrument flight rules flight plan. The flight was originating from MCI and was destined for the Willow Run Airport, near Detroit, Michigan. According to reports from the Federal Aviation Administration (FAA), the flight crew reported, when the airplane was about 1,500 feet above mean sea level, that they heard a bang sound followed by a caution light for the door. The flight crew diverted the airplane and performed a precautionary landing at the Charles B. Wheeler Downtown Airport, near Kansas City, Missouri, without incident. The cargo door area was observed to have a door section missing. The missing section has not been located. According to FAA supplemental type certificate (STC) records, STC number SA02621CH was issued, which allows the installation of a cargo door on the incident type airplane. The pilot reported, “This is an incident only ... the door latch was not properly fastened.” The pilot indicated that there were no mechanical malfunctions and that door, which was not fastened, came off after takeoff.

Aircraft

Registration
N695MA
Reported as
British Aerospace BAE Jetstream 3101
Category
Airplane
Serial number
695
Engines
Honeywell TPE331, 900 horsepower, turbo propTPE331, 900 horsepower, turbo prop
Damage
Minor damage
Flight
Part 135
Operator
M2 Aircraft Management LLC
Registered owner
M2 Aircraft Management LLC
Airworthiness certificate
Special, Special flight (Special)
Last inspection
AAIP · August 24, 2012
Departed
MCI · Kansas City, MO
Destination
YIP · Ypsilanti, MI
Flight plan
IFR
Airport
MKC · Charles B. Wheeler Downtown Ai

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
59
Injuries
None
Certificates
Commercial, Airline transport
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Unknown
Seat
Left
Flight hours
15,000 total · 110 in this make and model · 12,000 as pilot in command · 90 in the last 90 days · 30 in the last 30 days · 0 in the last 24 hours
Role
Co-pilot
Injuries
None
Certificates
Flight instructor, Commercial
Airplane ratings
Single-engine land, Multi-engine land
Medical
Class 2, Unknown
Seat
Right

Weather

Conditions
Visual (VMC) · Day
Wind
160° at 5 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
93 °F, dew point 55 °F
Altimeter
29.92 inHg
Observed at
MCI

Docket · 4

The files NTSB released with the investigation on May 10, 2013, on NTSB’s docket system: statements, records, photos and specialists’ reports. 1.9 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.