CHI04LA053

NTSB accident investigation · Beech E-90 · Galesburg, IL · January 8, 2004

Accident · No injuriesLimited investigationFinal report
Date
January 8, 2004, 14:30 local (20:30 UTC)
Place
Galesburg, IL
Injuries
7 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N48TABeech E-90
Weather
Visual (VMC) · Day
Status
Completed · report July 29, 2004
Report
Approved by Office Director
Parties
Raytheon Aircraft Company, Federal Aviation Administration
FAA report
20040108000159A
Case key
58606

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 inadequate preflight by not complying with the airplane's before takeoff checklist to verify that the cabin door was secured leading to its in-flight separation from the airplane. A factor was that the door was not secured.

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.

Miscellaneous/otherClimb
Checklist - not complied withPilot in commandCause
Door - not securedFactor
Preflight planning/preparation - inadequatePilot in commandCause

Analysis

The airplane sustained substantial damage when its cabin door opened in-flight, separated from the airplane, and impacted the empennage during climb out. A passenger closed the cabin door. The report, signed by the pilot, stated, "The door was not verified to be closed properly by the PIC." That report listed no mechanical malfunctions in reference to the flight.

Factual narrative

On January 8, 2004, about 1430 central standard time, a Beech E-90, N48TA, operated by Tidewater Aero, sustained substantial damage when the cabin door opened in-flight and impacted the empennage during climb out near Galesburg, Illinois. The non-scheduled domestic passenger flight was operating under 14 CFR Part 135. Visual metrological conditions prevailed at the time of the accident. An instrument flight rules (IFR) flight plan was on file. The airline transport pilot and his six passengers reported no injuries. The flight originated at the Galesburg Municipal Airport (GBG), near Galesburg, Illinois, about 1425, and was destined for Mountain Empire Airport, near Marion, Virginia.

The accident report, signed by the pilot, stated:

At 1415 CST N48TA was loaded with one pilot, [pilot's name],

PIC [pilot-in-command], for Tidewater Aero, two Virginia Beach

(VA BCH) police officers, and [four] prisoners, being returned

to VA BCH. The PIC was among the first aboard. A VA BCH

police officer closed the aircraft door, while the PIC was in the

cockpit. The door was not verified to be closed properly by

the PIC. At 1425 CST, the aircraft departed [runway] 21 at GBG

and started a climbing left turn. At approximately 2000 [feet]

MSL, the "Cabin Door" annunciator light came on. At that point

the PIC turned the aircraft further left to return to GBG for landing.

Power was reduced, and the climb stopped. At [approximately]

1430 CST, 2 [miles southeast] of GBG, the door separated from

the aircraft. ... Witness sitting at the side facing seat-opposite from

the door said he could hear loud "air" noise coming from the door

before it separated. Aircraft was in a left turn when the door

separated. Upon returning to GBG, ground crew brought a ladder

to unload passengers without incident.

That report stated that "no one on board or on the ground was injured" and it listed no mechanical malfunctions in reference to the flight.

Aircraft

Registration
N48TA
Reported as
Beech E-90
Category
Airplane
Serial number
LW-283
Airframe hours
8,590.9
Engines
Pratt & Whitney PT-6A-28, 550 horsepower, turbo propPratt & Whitney PT6A-28, 550 horsepower, turbo prop
Damage
Substantial damage
Flight
Part 135
Registered owner
Tidewater Aero L L C
Airworthiness certificate
Standard, Normal
Last inspection
AAIP · October 17, 2003
Departed
GBG · Galesburg, IL
Destination
MKJ · Marion/Wythevil, VA
Flight plan
IFR
Airport
GBG · Galesburg Muni

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
37
Injuries
None
Certificate
Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
6,500 total · 3,500 in this make and model · 4,500 as pilot in command · 130 in the last 90 days · 45 in the last 30 days · 4 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
30° at 5 knots
Visibility
10 statute miles
Lowest ceiling
7,500 ft overcast
Temperature
34 °F, dew point 19 °F
Altimeter
30.14 inHg
Observed at
GBG, 2 nm away

FAA reports on this event · 1

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

Other investigations on N48TA · 1

Matched to the same aircraft by N-number and date.