CHI00LA312

NTSB accident investigation · Cessna 208B · Belleville, MI · September 15, 2000

Accident · No injuriesLimited investigationFinal report
Date
September 14, 2000, 22:15 local (Sep 15, 2000, 02:15 UTC)
Place
Belleville, MI
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Takeoff
Aircraft
N806BFCessna 208B
Weather
Visual (VMC) · Night
Status
Completed · report April 23, 2003
Report
Approved by Office Director
Parties
FAA
FAA report
20000914015109A
Case key
50676

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 pilot's improper securing of the cargo that led up to the cargo shift during takeoff roll. A factor was the cargo restraint failure.

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.

Cargo shiftTakeoff - roll/run
Security of cargo - improperPilot in commandCause
Cargo/baggage - shiftedCause
Misc eqpt/furnishings,cargo restraints - failureFactor
On ground/water encounter with terrain/waterStanding
Terrain condition - ground

Analysis

The airplane sustained substantial tail section damage on contact with the ramp surface while standing on the ramp. The flight encountered a shift in cargo on takeoff roll, aborted its takeoff, and taxied back to the ramp where its tail contacted the ramp on engine shutdown. The pilot was uninjured. A FAA inspector's record of interview stated, "According to [the pilot], prior to this incident only three to four straps were used. ... [The pilot] went on to explain that the cargo shifted upon the takeoff roll. ... Upon returning to the ramp he shut down the engine and that's when the aircraft fell on its tail. ... He also said that he was glad that it didn't happen after he had rotated because he was sure that he would have been a fatal accident." A FAA inspector's record of interview stated, "[The witness] stated that when the aircraft sat on its tail, [the Fixed Base Operator (FBO) there] was asked to unload the cargo, which only had one strap holding it down, the 'D' ring had come loose from the floor attachment, and that the cargo was still on rollers under the skid. [The witness] stated that they initially loaded the cargo on the aircraft only, and that the pilot was the one that secured the cargo prior to the incident. After the incident [the FBO] un-loaded the cargo on request of the pilot ... and then was asked to reload the cargo by [the pilot] because the pilot stated something about a hernia. [The witness] stated that the only way they would load the cargo on the airplane again was if they loaded and secured the cargo per their procedures because when [the pilot] secured the cargo he only used one strap and left the load on the rollers. ... [The witness] stated that the plane departed the airport with the cargo about 45 minutes after the accident." The NTSB Materials Laboratory Factual Report number 01-069 stated, "Examination of the plunger revealed that there were portions of the pin in each end of the pin hole. The portion that would have retained the plunger over the body was missing. ... The distance from the lowest point on the plunger pin ... to the underside of the plunger ... was measured and found to be 0.684 inches. The fracture face, [of one of the roll pins], displayed a shiny granular appearance typical of a brittle fracture. ... The side view ... illustrates the plunger in its lowest position with the pin contacting the bottom of the stud body hole.... In this position there is a gap of 0.09 inches between the bottom of the plunger ... and the bottom of the stud body...."

Factual narrative

The parties to the investigation included the FAA and Telair International.

The aircraft's tie down ring was returned to Thunder Aviation. The airplane was a Cessna 208B, serial number 208B-0806. The last AAIP inspection was performed on August 29, 2000. The airplane had accumulated 29.2 hours time since its last inspection. On September 14, 2000, about 2215 eastern daylight time, a Cessna 208B, N806BF, piloted by an airline transport pilot, sustained substantial damage to its tail section on contact with the ramp surface while standing on the ramp. The flight encountered a shift in cargo on takeoff roll, aborted its takeoff, and taxied back to the ramp at Willow Run Airport (YIP), near Belleville, Michigan, where it's tail section came to rest on the ramp following engine shutdown. The non-scheduled domestic cargo flight was operating under 14 CFR Part 135. Visual meteorological conditions prevailed at the time of the accident. The pilot was uninjured. The flight was originating at the time of the accident and was destined for Virgil I. Grissom Municipal Airport, near Bedford, Indiana.

An Air Traffic Control Tower specialist stated:

On or about September 14, 2000, I cleared a Cessna Caravan (C208) for

takeoff and, while on the roll, the Caravan aborted stating that his load

had shifted. (I don't recall if the aircraft needed to return to the

ramp, or fixed his load on the runway). The aircraft later departed

without incident.

I don't recall the aircraft callsign or the exact time or date, but I do

recall that it was after dark and that the Caravan initially aborted

takeoff.

A Federal Aviation Administration (FAA) inspector interviewed the pilot after the accident. The inspector's record of interview stated:

[The pilot] explained that he didn't load the aircraft that someone else

had while he watched. ... According to him, prior to this incident only

three to four straps were used. ... [The pilot] went on to explain that

the cargo shifted upon the takeoff roll. The taxi to the runway was

normal but when he began the takeoff he heard a loud noise from the rear

of the aircraft and looked to see the cargo pallet resting against the

rear wall of the cargo compartment. ... Upon returning to the ramp he

shut down the engine and that's when the aircraft fell on its tail. ...

He also said that he was glad that it didn't happen after he had rotated

because he was sure that he would have been a fatal accident.

A FAA inspector interviewed a witness. The inspector's record of interview stated:

... [The witness] stated that when the aircraft sat on its tail, [the

Fixed Base Operator (FBO) there] was asked to unload the cargo, which only

had one strap holding it down, the 'D' ring had come loose from the floor

attachment, and that the cargo was still on rollers under the skid.

[The witness] stated that they initially loaded the cargo on the aircraft

only, and that the pilot was the one that secured the cargo prior to the

incident. After the incident [the FBO] un-loaded the cargo on request of

the pilot ... and then was asked to reload the cargo by [the pilot]

because the pilot stated something about a hernia. [The witness] stated

that the only way they would load the cargo on the airplane again was if

they loaded and secured the cargo per their procedures because when [the

pilot] secured the cargo he only used one strap and left the load on the

rollers. ... [The witness] stated that the plane departed the airport

with the cargo about 45 minutes after the accident. At 2153, the YIP weather was: Wind 290 degrees at 8 knots; visibility 10 statute miles; sky condition clear; temperature 12 degrees C; dew point 12 degrees C; altimeter 29.91 inches of mercury. The pilot was an airline transport pilot. He held single, multiengine, and instrument ratings with instructor ratings in the same. He held a Second Class Medical Certificate with limitations for glasses. He reported his total flight time as 4,390 hours, total time in make and model as 75.8 hours, and 71 hours in the last 30 days. An FAA inspector acquired the double stud cargo tie down ring from the operator. The ring was sent to the National Transportation Safety Board Materials Laboratory for examination.

National Transportation Safety Board Materials Laboratory Factual Report number 01-069 stated:

Examination of the plunger revealed that there were portions of the pin in

each end of the pin hole. The portion that would have retained the plunger

over the body was missing. ...

The distance from the lowest point on the plunger pin ... to the underside

of the plunger ... was measured and found to be 0.684 inches.

The fracture face, [of one of the roll pins], displayed a shiny granular

appearance typical of a brittle fracture. ...

The side view ... illustrates the plunger in its lowest position

with the pin contacting the bottom of the stud body hole .... In this

position there is a gap of 0.09 inches between the bottom of the plunger

... and the bottom of the stud body ... . (See appended National

Transportation Safety Board Materials Laboratory Factual Report number 01-

069.)

Aircraft

Registration
N806BF
Reported as
Cessna 208B
Category
Airplane
Serial number
208B-0806
Airframe hours
125
Engine
Pratt & Whitney PT6-114A, 675 horsepower, turbo prop
Damage
Substantial damage
Flight
Part 135
Registered owner
Thunder Aviation Acquisition
Airworthiness certificate
Standard, Normal
Last inspection
AAIP · August 29, 2000 · 29 hours before
Departed
YIP · Belleville, MI
Destination
BFR · Bedford, IN
Airport
YIP · Willow Run Airport

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
49
Injuries
None
Certificates
Airline transport, Flight instructor
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Last flight review
July 10, 2000
Seat
Left
Flight hours
4,390 total · 76 in this make and model · 3,967 as pilot in command · 186 in the last 90 days · 71 in the last 30 days · 0 in the last 24 hours

Weather

Conditions
Visual (VMC) · Night
Wind
290° at 8 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
129 °F, dew point 129 °F
Altimeter
29.90 inHg
Observed at
YIP

FAA reports on this event · 1

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