CHI93IA060

NTSB incident investigation · Beech B90 · Sioux Falls, SD · December 29, 1992

Incident · No injuriesIncident investigationFinal report
Date
December 29, 1992, 03:50 local (09:50 UTC)
Place
Sioux Falls, SD
Injuries
3 uninjured
Damage
Minor damage
Phase of flight
Standing
Aircraft
N31SVBeech B90
Weather
Instrument (IMC) · Night/dark
Status
Completed · report September 28, 1993
Report
Approved by Office Director
FAA report
19921229054899I
Case key
15591

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 pilot-in-command's inadequate preflight.

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/malfunctionStanding - pre-flight
Annunciator panel light(s) - failure,partialFactor
Door,entrance stair - unlatchedFactor
Aircraft preflight - inadequatePilot in commandCause
Airframe/component/system failure/malfunctionCruise - normal
Door,entrance stair - separation

Analysis

The night positioning flight was in cruise flight at 14,000 feet when the main cabin door separated from the airplane. An examination of the door revealed that the door latch mechanism was capable of proper operation when secured properly. An examination of the annunciator door warning light system revealed that when the dimming rheostat was full dim, the 'door open' light went out. One of the two bulbs was burnt out.

Aircraft

Registration
N31SV
Reported as
Beech B90
Category
Airplane
Serial number
LJ362
Airframe hours
8,098
Engine
P&W PT6-20, 550 horsepower, turbo prop
Damage
Minor damage
Flight
Positioning · Part 91
Operator
Sioux Valley Hospital Assn.
Registered owner
Sioux Valley Hospital Assn.
Airworthiness certificate
Standard, Normal
Last inspection
AAIP · June 9, 1992 · 63 hours before
Destination
0V6 · Mission, SD
Flight plan
IFR

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
34
Certificates
Flight instructor, Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
3,135 total · 835 in this make and model · 2,625 as pilot in command · 195 in the last 90 days · 52 in the last 30 days · 5 in the last 24 hours

Weather

Conditions
Instrument (IMC) · Night/dark
Wind
360° at 12 knots
Visibility
1 statute miles
Lowest ceiling
1,000 ft overcast
Temperature
1 °F, dew point -0 °F
Altimeter
30.00 inHg
Observed at
FSD, 40 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.