- Date
- March 24, 2019, 11:01 local (15:01 UTC)
- Place
- Fort Lauderdale, FL
- Injuries
- 3 uninjured
- Damage
- Substantial damage
- Phase of flight
- Enroute
- Aircraft
- N944BTPilatus PC12
- Defining event
- Enroute-climb to cruise: Aircraft structural failure
- Weather
- Visual (VMC) · Day
- Status
- Completed
- Report
- Approved by Office Director
- Investigation class
- Class 3
- NTSB office
- Eastern Region Aviation
- Parties
- FAA, PPG
- FAA report
- 20190324001959A
- Case key
- 99173
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
Improper maintenance of the windshield, which resulted in delamination and in-flight depressurization.
Findings · 2
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
During the climb to cruise altitude on a cross-country flight, the pilot heard a loud bang and the pilot's side windshield shattered and the cabin began depressurizing. The pilot returned to the departure airport and landed uneventfully, where he noticed that the seal was extruded in two places around the outer pane. The windshield was sent to the manufacturer for a detailed examination, which revealed that 80% of the fiberglass straps were missing, and they were likely removed by maintenance personnel. A combination of missing straps and heavy delamination caused the outboard ply to become detached from the edge attachment. Moisture ingress at the bottom aft edge caused delamination and arcing. There was no record in the airframe logbook of the straps’ removal.
Factual narrative
On March 24, 2019, about 1101 eastern daylight time, a Pilatus PC-12/45, N944BT, was substantially damaged when the pilot's windshield shattered while flying near Fort Lauderdale, Florida. The commercial pilot and two passengers were not injured. Visual meteorological conditions prevailed, and an instrument flight plan was filed for the flight that originated from the Fort Lauderdale Executive Airport (FXE), Fort Lauderdale, Florida, and was destined for Moore-Murrell Airport (MOR), Morristown, Tennessee. The personal flight was conducted under the provisions of Title 14 Code of Federal Regulations Part 91. According to the pilot, he was climbing through 20,000 ft when he heard a loud bang and the pilot-side windshield shattered. He immediately notified air traffic control that he was returning to FXE and needed to descend. After landing uneventfully, he examined the windshield and noticed that the seal was extruded in two places around the outer pane. Examination of the airplane by a Federal Aviation Administration (FAA) inspector revealed that the pilot-side windshield was shattered but was still attached to the airplane. The bottom left corner and upper corner of the windshield were pushed outward, and the seal around the windshield was torn. The lower left heating element was burnt. The windshield was sent to the manufacturer for further examination. The examination revealed that about 80% of the fiberglass straps were missing and had been removed by maintenance personnel. The missing straps caused the outboard ply to become detached from the edge attachment. Moisture was then able to ingress the bottom aft edge causing delamination and then allowing arcing to occur. Investigators were unable to determine when these straps were removed, as there was no record of this maintenance in the airframe logbooks. The Pilatus Windows Inspection Check referred to the PPG service information letter which states specifically the straps should not be removed, rather repaired following their prescribed maintenance plan. The pilot held a commercial pilot certificate with ratings for airplane single-engine land, single-engine sea, and multi-engine land. His most recent FAA third-class medical certificate was issued on November 15, 2017. He reported 9,000 total hours of flight experience, of which 2,600 hours were in the PC-12. The airplane was manufactured in 2002. It was powered by a Pratt and Whitney PT6A-67, 1,250-horsepower engine, equipped with a four-bladed Hartzell propeller. Its most recent annual inspection was completed on January 15, 2019.
Aircraft
- Registration
- N944BT
- Reported as
- Pilatus PC12 (45)
- Category
- Airplane
- Serial number
- 468
- Built
- 2002
- Airframe hours
- 2,558
- Engine
- Pratt & Whitney Canada PT6A-67B, 1,250 horsepower, turbo prop
- Damage
- Substantial damage
- Flight
- Personal · Part 91
- Airworthiness certificate
- Standard, Normal
- Last inspection
- Annual · January 15, 2019 · 10 hours before
- Departed
- FXE · Fort Lauderdale, FL
- Destination
- KMOR · Morristown, TN
- Flight plan
- IFR
- Equipment
- Onboard weather, Stall warning system, ADS-B, Angle of attack indicator, Electronic multifunction display, Electronic primary flight display
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
- 73
- Injuries
- None
- Certificates
- Commercial, Flight instructor
- Airplane ratings
- Single-engine sea, Multi-engine land, Single-engine land
- Instrument ratings
- Airplane
- Medical
- Class 3, Without waivers/limitations
- Last flight review
- May 23, 2018
- Seat
- Left
- Restraint
- 3-point
- Flight hours
- 9,000 total · 2,600 in this make and model · 9,000 as pilot in command · 30 in the last 90 days · 30 in the last 30 days
Weather
- Conditions
- Visual (VMC) · Day
- Wind
- Calm
- Visibility
- 10 statute miles
- Temperature
- 75 °F, dew point 61 °F
- Altimeter
- 30.10 inHg
- Observed at
- FXE, 8 nm away
Docket · 8
The files NTSB released with the investigation on October 15, 2019, on NTSB’s docket system: statements, records, photos and specialists’ reports. 6.6 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.