CHI97IA029

NTSB incident investigation · Beech 1900D · Hopkensville, KY · November 17, 1996

Incident · No injuriesIncident investigationFinal report
Date
November 17, 1996, 17:00 local (23:00 UTC)
Place
Hopkensville, KY
Injuries
16 uninjured
Damage
Minor damage
Phase of flight
Enroute
Aircraft
N841SKBeech 1900D
Weather
Instrument (IMC) · Night/dark
Status
Completed · report March 31, 1998
Report
Approved by Office Director
Case key
10451

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 materials used in the new windshield, to meet new EPA requirements, were inadequate for the design.

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
Anti-ice/deice system,windshield - arcing
Aircraft/equipment inadequateManufacturerCause

Analysis

The crew had just selected the windshield heat on, when smoke began to fill the airplane. After the windshield heat was turned off the smoke subsided. The flightcrew declared an emergency, and made an emergency evacuation of the airplane after landing. Postflight examination of the airplane revealed that electrical arcing was occurring on the copilots windshield at the low power heating element's terminal block. Additional testing revealed that the chemicals used to bond the terminal block during the windshield's manufacture had recently been changed due to EPA regulations, and were incompatible with the braided wire in the windshield.

Factual narrative

On November 17, 1996 at 1700 central standard time (cst), a Beech 1900D, N841SK, being operated as Skyway Airlines flight 1267 executed an emergency landing at Fort Campbell, Kentucky. The flight crew reported smoke in the cockpit and declared an emergency during the flight. Both flight crewmembers donned their oxygen masks during the flight. After landing, the crew and passengers executed an emergency evacuation of the airplane. The two flight crewmembers and 14 passengers were uninjured in the incident. The 14 CFR Part 121 flight originated in Milwaukee, Wisconsin, with an intended destination of Indianapolis, Indiana. The flight was operating on an IFR flight plan.

The captain of the flight stated in a written report that he had just selected the windshield heat on. After the heat was turned on the copilot was the first to notice a strange smell. Both crewmembers reported that it smelled like tuna fish, and smelled the strongest closest to the instrument panel. The crew then reported that white smoke began developing from where the windshield meets the dash on the copilot's side. The captain realized that he had just turned the windshield heat on, so he then turned the windshield heat off. After the windshield heat was turned off the crew reported that the smoke stopped developing.

Post flight examination of the airplane revealed that electrical arcing was occurring on the copilots windshield at the low power heating element's terminal block. It was determined that the failure was a discontinuity at the low power braided wire. The braided wire is installed under a terminal block during manufacture. It was also determined that arcing was occurring between this discontinuity in the braid.

When the terminal block was removed the bonding agent near the center of the block was found to be gummy, however the bond between the block and the windshield was consider to be within the specifications required by the windshield manufacture. It was unclear if the gummy bonding agent was due to the electrical arcing which had occurred during and after the flight.

Following this incident two additional incidents of a windshields causing smoke in the cockpit were reported. The first incident occurred on a Beech 1900, serial number UE-37. The second occurred on a King Air 300, serial number FA-32. The failure of both windshields was very similar to the incident aircraft's windshield failure in this report. The total time on the UE-37 aircraft's windshield at failure was reported as 248 hours, the total time on the FA-32 aircraft's windshield was approximately 400 hours.

The airplane and windshield manufacturer began testing on numerous coupon samples following the UE-37 incident. Testing of the samples included testing the braided wire, at the low power terminal block. This testing revealed that as the samples were cycled, the braided wire began to deteriorate. As the braided wire deteriorated the resistance of the braid was found to fluctuate. One test sample began to smoke following approximately 420 hours of usage.

The manufacturer of the airplane reported that the chemicals used in bonding the terminal block had been changed in July 1995, due to Environmental Protection Agency (EPA) rules regarding the previous chemicals used. These new chemicals had incompatibilities with the braided wire and would cause the braid to deteriorate during usage.

The copilot's windshield on flight 1267 had been replaced due to Airworthiness Directive Number 96-15-01. The windshield had a total time in service of 493.8 hours and had been installed on September 7, 1996.

Aircraft

Registration
N841SK
Reported as
Beech 1900D
Category
Airplane
Serial number
UE-84
Airframe hours
6,608
Engine
P&W PT6A-67D, 1,279 horsepower, turbo prop
Damage
Minor damage
Flight
Part 135
Operator
Skyway Airlines
Registered owner
Astral Aviation
Airworthiness certificate
Standard, Transport
Last inspection
Continuous airworthiness · October 28, 1996 · 122 hours before
Departed
MKE · Milwaukee, WI
Destination
IND · Indianapolis, IN
Flight plan
IFR

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
24
Certificates
Commercial, Flight instructor, Airline transport
Airplane ratings
Single-engine land, Multi-engine land, Single-engine sea
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
3,120 total · 2,295 in this make and model · 756 as pilot in command · 236 in the last 90 days · 89 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Instrument (IMC) · Night/dark
Wind
Calm
Visibility
5 statute miles
Lowest ceiling
1,000 ft overcast
Temperature
39 °F, dew point 36 °F