# NTSB CEN12IA592: British Aerospace BAE Jetstream 3101, N695MA, Kansas City, MO, August 29, 2012 - Type: NTSB incident investigation - Classification: Incident · No injuries · Incident investigation · Final report - Date: August 29, 2012, 17:30 local (22:30 UTC) - Place: Kansas City, MO - Coordinates: 39.122776, -94.592781 (estimated) - Nearby events: https://openairdocs.org/map.md?lat=39.1228&lon=-94.5928&mi=10 - Phase of flight: [Initial climb](https://openairdocs.org/ntsb-phases/350) (OpenAirDocs' grouping) - Defining event: [Initial climb: Part(s) separation from AC](https://openairdocs.org/ntsb-events/338) - Highest injury: No injuries - Injuries: 2 uninjured - Status: Completed, report June 4, 2013 - Report: Approved by Office Director - NTSB office: Central Region - Parties: Federal Aviation Administration - NTSB case key (mKey): 84858 - NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=CEN12IA592 - NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/84858/pdf - NTSB docket: https://data.ntsb.gov/Docket?ProjectID=84858 - Page: https://openairdocs.org/ntsb/CEN12IA592 ## Probable cause The flight crew’s failure to ensure that the cargo door was properly fastened before departure. ## Findings NTSB's coded findings; those marked are part of the probable cause. - [Action: forgotten action/omission](https://openairdocs.org/ntsb-findings/02041035): Personnel issues › Action/decision · Flight crew (probable cause); cases with it: [British Aerospace BAE JETSTREAM 3101, 1 case](https://openairdocs.org/ntsb-findings/02041035/cases.md?model=1500216), [All aircraft, 440 cases](https://openairdocs.org/ntsb-findings/02041035/cases.md) - [Doors: cargo/baggage doors](https://openairdocs.org/ntsb-findings/01035230): Aircraft › Aircraft structures · Incorrect use/operation (probable cause); cases with it: [British Aerospace BAE JETSTREAM 3101, 1 case](https://openairdocs.org/ntsb-findings/01035230/cases.md?model=1500216), [All aircraft, 9 cases](https://openairdocs.org/ntsb-findings/01035230/cases.md) ## Sequence of events The events NTSB coded, in order, by phase of flight. The defining event best describes what happened. - [Prior to flight: Preflight or dispatch event](https://openairdocs.org/ntsb-events/030); cases with it: [British Aerospace BAE JETSTREAM 3101, 1 case](https://openairdocs.org/ntsb-events/030/sequence.md?model=1500216), [All aircraft, 355 cases](https://openairdocs.org/ntsb-events/030/sequence.md) - [Initial climb: Part(s) separation from AC](https://openairdocs.org/ntsb-events/338) (defining event); cases with it: [British Aerospace BAE JETSTREAM 3101, 1 case](https://openairdocs.org/ntsb-events/338/sequence.md?model=1500216), [All aircraft, 563 cases](https://openairdocs.org/ntsb-events/338/sequence.md) ## 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](https://openairdocs.org/deregistered/N695MA-2022-11-29), registration cancelled 2022-11-29, S/N 695 (OpenAirDocs) - Reported make and model: BRITISH AEROSPACE BAE JETSTREAM 3101 - Registry model: [British Aerospace BAE JETSTREAM 3101](https://openairdocs.org/model/british-aerospace-bae-jetstream-3101) (registry code 1500216) (OpenAirDocs) - Registry engine: [Amateur-built UNKNOWN ENG](https://openairdocs.org/engine/amateur-built-unknown-eng) (registry code 99999) (OpenAirDocs) - Category: Airplane - Serial number: 695 - Engines: Honeywell TPE331 900 horsepower turbo prop; TPE331 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 ## Flight crew As NTSB recorded them. NTSB leaves out names. - Pilot; age 59; injuries: none; 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 - Co-pilot; injuries: none; 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 ## FAA reports on this event (1) The FAA's own accident and incident reports, matched to the aircraft by N-number and date (OpenAirDocs). - [Incident 20120829019629I](https://openairdocs.org/incident/20120829019629I), Aug 29, 2012: British Aerospace BAE JETSTREAM 3101, Kansas City, MO, No damage. During climbout from Kansas City international airport (mci), the aft portion of the cargo door departed the aircraft. The pilot elected to land at Charles b.… ## Docket (4 files) The files NTSB released with the investigation on May 10, 2013, on NTSB's docket system: https://data.ntsb.gov/Docket?ProjectID=84858. 1.9 MB in all. - Pilot/Operator Aircraft Accident Report, NTSB Form 6120.1 (item 1, .PDF, 1.7 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40386623&FileExtension=.PDF&FileName=Pilot%2FOperator%20Aircraft%20Accident%20Report,%20NTSB%20Form%206120.1-Redacted.PDF - Witness Statement E-Mail (item 2, .PDF, 97 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40389032&FileExtension=.PDF&FileName=Witness%20Statement%20E-Mail-Redacted.PDF - Miscellaneous - Communication Summary (item 3, .PDF, 58 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40389039&FileExtension=.PDF&FileName=Miscellaneous%20-%20Communication%20Summary-Master.PDF - Miscellaneous - Supplemental Type Certificate SA02621CH (item 4, .PDF, 60 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40389042&FileExtension=.PDF&FileName=Miscellaneous%20-%20Supplemental%20Type%20Certificate%20SA02621CH-Redacted.PDF From the NTSB's public API. Aircraft are matched to registry aircraft by N-number and event date, checked against the reported serial number, make and model; the registry's history has gaps, so older matches can be wrong. Compare the reported make and model. --- OpenAirDocs.org is an independent research project of [Contrail Labs](https://contraillabs.com/). It is not affiliated with the FAA or the NTSB. Source documents are U.S. government works in the public domain.