DFW08TA224

NTSB accident investigation · Air Tractor AT-802A · Meeker, CO · August 27, 2008

Accident · Minor injuriesFinal report
Date
August 27, 2008, 15:01 local (21:01 UTC)
Place
Meeker, CO
Injuries
1 minor
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N189LAAir Tractor AT-802A
Defining event
Maneuvering-low-alt flying: Loss of control in flight
Weather
Visual (VMC) · Day
Status
Completed · report May 12, 2009
Report
Approved by Office Director
Parties
Federal Aviation Administration
FAA report
20080827845029A
Case key
68869

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 improper decision to continue an aerial application following an uncommanded opening of the cabin door in flight, and his subsequent failure to maintain control of the airplane.

Findings · 4

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.

Doors: passenger/crew doorsAircraft › Aircraft structures · Not specifiedAir Tractor AT-802A: 1 caseAll aircraft: 86 casesProbable cause
Performance/control parametersAircraft › Aircraft oper/perf/capability · Not attained/maintainedAir Tractor AT-802A: 2 casesAll aircraft: 1,269 casesProbable cause
Use of equip/info: aircraft controlPersonnel issues › Task performance · PilotAir Tractor AT-802A: 17 casesAll aircraft: 9,295 casesProbable cause

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

While making a pass to drop fire retardant, the airplane's left cockpit access door opened when the airplane experienced an area of turbulence. Although the pilot was unable to close the door, he elected to attempt another pass to jettison his remaining retardant before returning back to the airport. During the pass the airplane departed controlled flight and impacted the ground in a right wing low attitude. The airplane came to a rest in an upright position and the pilot was able to exit the airplane unassisted. An examination of the airplane's door latch revealed no pre-impact anomalies.

Factual narrative

On August 27, 2008, about 1501 mountain daylight time, a single turbo-prop powered Air Tractor AT-802A airplane, N189LA, was substantially damaged during impact with terrain following a loss of control near Meeker, Colorado. The commercial pilot, sole occupant, received minor injuries. The airplane was registered to Minuteman Aerial Application Inc., of Missoula, Montana, and operated by the Bureau of Land Management (BLM), United States Department of the Interior, under an exclusive public-use firefighting contract. Visual meteorological conditions prevailed and a company flight plan was filed for the fire suppression flight. The local flight originated from the Craig-Moffat Airport (CAG), Craig, Colorado at 1429. According to the pilot, while making a pass to drop fire retardant, the airplane's left cockpit access door opened when the airplane experienced an area of turbulence. Following a "sequence of aerodynamic evaluations...including banks, slips and skids," the pilot configured the airplane for an "approach to landing stall." Once the airplane was in an "incipient stall" he attempted to close the door to no avail. The pilot elected to attempt another pass to jettison his remaining retardant before returning back to the airport. During the pass the airplane departed controlled flight and impacted the ground in a right wing low attitude. Flying debris impacted and damaged a fire engine while missing five fire fighters by approximately 152-feet. The airplane came to a rest in an upright position and the pilot was able to exit the airplane unassisted. An examination of the airplane's door latch revealed no pre-impact anomalies. Photographs provided to the NTSB investigator-in-charge (IIC) revealed that the airplane's wings, engine, and left horizontal stabilizer were separated from the fuselage during the accident. At 1453, the weather observing system at Meeker Colorado, located 21 nautical miles northwest from the site of the accident, reported wind from 300 degrees at 13 knots gusting to 26 knots, 10 statute miles visibility, clear of clouds, temperature 84 degrees, dew point 30 degrees, and a barometric pressure setting of 30.06 inches of Mercury.

Aircraft

Registration
N189LA
Reported as
Air Tractor AT-802A
Category
Airplane
Serial number
802A-0189
Airframe hours
550
Engine
Pratt & Whitney PT6A-67AG, 1,350 horsepower, turbo prop
Damage
Substantial damage
Flight
Aerial application · Public use
Operator
Minuteman Aerial Application Inc
Registered owner
Minuteman Aerial Application Inc
Airworthiness certificate
Special, Restricted (Special)
Last inspection
Annual · April 1, 2008
Departed
CAG · Craig, CO
Flight plan
Company VFR

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
45
Injuries
Minor
Certificates
Flight instructor, Airline transport, Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, Without waivers/limitations
Last flight review
December 1, 2007
Seat
Single
Flight hours
3,222 total · 753 in this make and model · 3,156 as pilot in command · 92 in the last 90 days · 43 in the last 30 days · 6 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
300° at 13 knots, gusting 26
Visibility
10 statute miles
Lowest ceiling
None
Temperature
84 °F, dew point 30 °F
Altimeter
30.05 inHg
Observed at
EEO, 21 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.