CHI04LA213

NTSB accident investigation · Cessna 208B · Big Rapids, MI · August 4, 2004

Accident · No injuriesLimited investigationFinal report
Date
August 4, 2004, 08:05 local (12:05 UTC)
Place
Big Rapids, MI
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N1037NCessna 208B
Weather
Visual (VMC) · Day
Status
Completed · report January 24, 2005
Report
Approved by Office Director
Parties
FAA -- Grand Rapids FSDO
FAA report
20040804018689A
Case key
60034

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 verify that the cargo door was latched properly prior to flight and the subsequent in-flight opening of the door. A contributing factor was the box which departed the cargo compartment and struck the horizontal stabilizer.

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.

Airframe/component/system failure/malfunctionCruise
Aircraft preflight - inadequatePilot in commandCause
Door,cargo/baggage - not securedCause
Door,cargo/baggage - openCause
Miscellaneous/otherCruise
Horizontal stabilizer - foreign object damage
Object - otherFactor

Analysis

The airplane was substantially damaged when the cargo door inadvertently opened in-flight and a box departed the aircraft, striking the horizontal stabilizer. The pilot reported that after loading the cargo, he and the loaders had to "muscle the cargo door closed due to a large volume of freight." The taxi and takeoff were normal, but a few minutes after leveling at cruising altitude the door ajar light illuminated. The pilot stated that "shortly after this illumination, there was a loud thud and [he] figured that a box had departed the aircraft and struck the tail." The pilot reported that aircraft control was normal after the accident. He stated that he employed the door ajar checklist, diverted to an intermediate airport, and landed uneventfully. When he exited the aircraft, the pilot saw the damage to the left horizontal stabilizer. An inspection of the cargo door installation on the accident aircraft revealed the door structure and locking mechanism were intact and appeared undamaged. The door closed and latched properly. The cargo door had a window installed. The inspection noted that with this design the door had enough flexibility to allow the forward frame of the door to be seated in the door jamb and latched, while the aft frame was outside the jamb and unlatched. The micro-switch for the DOOR WARNING annunciator light was located on the forward jamb. Therefore, it was possible in that configuration for the aft cargo door latch not to be engaged without the annunciator light being illuminated.

Factual narrative

On August 4, 2004, about 0805 eastern daylight time, a Cessna 208B, N1037N, operated by Superior Aviation, Inc. and piloted by a commercial pilot, was substantially damaged when the cargo door opened during cruise flight and a box departed the aircraft impacting the horizontal stabilizer. The pilot diverted to Roben-Hood Airport (RQB), Big Rapids, Michigan, and landed safely. The flight was operating under 14 CFR Part 135 on an instrument flight rules flight plan. Visual meteorological conditions prevailed. The pilot reported no injuries. The flight departed Gerald R. Ford International Airport (GRR), Grand Rapids, Michigan, approximately 0750, with an intended destination of Cherry Capital Airport (TVC), Traverse City, Michigan.

The pilot reported that after loading the cargo, he and the loaders had to "muscle the cargo door closed due to a large volume of freight." He noted that taxi and takeoff were normal, but that a few minutes after leveling at cruising altitude the door ajar light illuminated. The pilot stated that "shortly after this illumination, there was a loud thud and [he] figured that a box had departed the aircraft and struck the tail."

The pilot reported that aircraft control was normal after the accident. He stated that he employed the door ajar checklist and diverted to RBQ. He noted that he landed uneventfully. When he exited the aircraft, the pilot saw the damage to the left horizontal stabilizer.

A Federal Aviation Administration inspector examined the cargo door installation on the accident aircraft. He reported the door structure and locking mechanism were intact and appeared undamaged. The door closed and latched properly.

The inspector noted that the door had a window installed. He stated that with this design the door had enough flexibility to allow the forward frame of the door to be seated in the door jamb and latched, while the aft frame was outside the jamb and unlatched. He reported the micro switch for the DOOR WARNING annunciator light was located on the forward jamb. Therefore, it was possible in that configuration for the aft cargo door latch not to be engaged without the annunciator light being illuminated.

Aircraft

Registration
N1037N
Reported as
Cessna 208B
Category
Airplane
Serial number
208B0334
Airframe hours
5,403
Engine
Pratt & Whitney Canada PT6A-114A, 675 horsepower, turbo prop
Damage
Substantial damage
Flight
Part 135
Registered owner
Superior Aviation Inc.
Airworthiness certificate
Standard, Normal
Last inspection
Continuous airworthiness · July 19, 2004 · 18 hours before
Departed
GRR · Grand Rapids, MI
Destination
TVC · Traverse City, MI
Flight plan
IFR
Airport
RBQ · Roben-Hood

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
23
Injuries
None
Certificate
Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--w/ waivers/lim
Last flight review
April 23, 2004
Seat
Left
Flight hours
1,530 total · 275 in this make and model · 1,483 as pilot in command · 209 in the last 90 days · 45 in the last 30 days · 0 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
360° at 3 knots
Visibility
10 statute miles
Lowest ceiling
11,000 ft broken
Temperature
63 °F, dew point 55 °F
Altimeter
29.87 inHg
Observed at
RQB, 10 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.