DCA18CA056

NTSB accident investigation · Mcdonnell Douglas DC 9 33F · Bethel, AK · December 23, 2017

Accident · No injuriesData collectionFinal report
Date
December 23, 2017, 21:21 UTC
Place
Bethel, AK
Injuries
3 uninjured
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N935CEMcdonnell Douglas DC 9 33F
Defining event
Initial climb: Sys/Comp malf/fail (non-power)
Weather
Visual (VMC) · Day
Status
Completed · report August 23, 2019
Report
Approved by Office Director
NTSB office
Major Investigations Division
FAA report
20171223024249A
Case key
96537

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

failure of a cargo tie-down fastener, resulting in unsecured cargo striking the pressure bulkhead.

Findings · 1

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Analysis

On December 23, 2017 at 1221 Alaska Standard Time (AkST) a Boeing/McDonnell-Douglas DC-9, registration N935CE, experienced a depressurization on initial climb from the Bethel, Alaska, airport (PABE.) The flight crew returned to Bethel and landed with no further incident. There were no injuries to the two flight crew and one cargo handler on board. The depressurization resulted from a pallet jack in the cargo compartment impacting the rear pressure bulkhead, resulting in substantial damage to the airplane. Inspection revealed a tie-down fastener for the pallet jack had pulled out.

Factual narrative

On December 23, 2017 at 1221 Alaska Standard Time (AST), a Boeing/McDonnell-Douglas DC-9, N935CE, experienced a depressurization on initial climb from the Bethel, Alaska, airport (PABE.) The flight crew returned to Bethel and landed with no further incident. There were no injuries to the two flight crew members or one cargo handler on board. The depressurization resulted from a pallet jack in the cargo compartment impacting the rear pressure bulkhead, resulting in substantial damage to the airplane. Inspection revealed a tie-down fastener for the pallet jack had pulled out.

Aircraft

Registration
N935CE
Reported as
Mcdonnell Douglas DC 9 33F (33F)
Category
Airplane
Serial number
47413
Built
1969
Damage
Substantial damage
Flight
Part 121
Operator
Everts Air
Registered owner
Tatonduk Outfitters Limited
Airworthiness certificate
Standard, Transport
Departed
PABE · Bethel, AK
Destination
PANC · Anchorage, AK
Flight plan
IFR
Airport
PABE · Bethel, runway 19R, 6,400 × 150 ft, concrete
Equipment
Electronic flight bag or handheld device, Data recorder

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 · 2

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
51
Injuries
None
Certificates
Commercial, Airline transport
Airplane ratings
Single-engine land, Multi-engine land, Single-engine sea
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Last flight review
August 15, 2017
Seat
Left
Restraint
5-point
Flight hours
8,000 total · 2,000 in this make and model · 3,000 as pilot in command · 180 in the last 90 days · 80 in the last 30 days
Role
Co-pilot
Age
31
Injuries
None
Certificates
Flight instructor, Commercial, Airline transport
Airplane ratings
Single-engine land, Single-engine sea
Medical
Class 1, Without waivers/limitations
Last flight review
June 6, 2017
Seat
Right
Restraint
5-point
Flight hours
5,250 total · 450 in this make and model · 3,400 as pilot in command · 170 in the last 90 days · 50 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
90° at 15 knots, gusting 23
Lowest ceiling
12,000 ft broken
Temperature
39 °F, dew point 28 °F
Altimeter
29.57 inHg
Observed at
PABE

Docket · 8

The files NTSB released with the investigation on September 12, 2019, on NTSB’s docket system: statements, records, photos and specialists’ reports. 3.2 MB in all.

FAA reports on this event · 1

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