GAA16CA348

NTSB accident investigation · Beech B200 · Carolina, PR · January 11, 2016

Accident · No injuriesData collectionFinal report
Date
January 10, 2016, 22:00 local (Jan 11, 2016, 02:00 UTC)
Place
Carolina, PR
Injuries
5 uninjured
Damage
Substantial damage
Phase of flight
Standing
Aircraft
N87SABeech B200
Defining event
Standing-engine(s) shutdown: Ground collision
Weather
Visual (VMC) · Day
Status
Completed · report December 5, 2016
Report
Approved by Office Director
NTSB office
General Aviation Accidents
Parties
FAA
FAA report
20160110007519A
Case key
93507

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

The pilot's failure to actuate the parking brake prior to leaving his seat, resulting in substantial damage.

Findings · 3

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.

Landing gear system: brakeAircraft › Aircraft systems · Not used/operatedBeech B200: 1 caseAll aircraft: 297 casesProbable cause
Action: lack of actionPersonnel issues › Action/decision · PilotBeech B200: 1 caseAll aircraft: 792 casesProbable cause
Object/animal/substance: airport structureEnvironmental issues › Physical environment · Contributed to outcomeBeech B200: 1 caseAll aircraft: 50 cases

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.

Ground collisionStanding-engine(s) shutdownBeech B200: 2 casesAll aircraft: 618 casesDefining event

Analysis

The pilot reported that he parked the airplane and shut down the requisite systems, then proceeded to the back of the airplane to allow the passengers to disembark and set the wheel chocks. He reported that as he began to open the cabin door, he realized that the airplane was rolling backwards. The airplane rolled into the wall of the airport terminal and the left and right elevators sustained substantial damage. The pilot reported that there were no mechanical failures or anomalies with the airplane or any of its systems that would have prevented normal operation. According to the manufacturer's pilot operating handbook and the operator, the accident airplane was equipped with a parking brake. The operator reported that their maintenance department inspected the parking brake system after the accident, and in accordance with the Beech B200 service manual and found no failures or anomalies.

Factual narrative

The pilot reported that he parked the airplane and shut down the requisite systems, then proceeded to the back of the airplane to allow the passengers to disembark and set the wheel chocks. He reported that as he began to open the cabin door, he realized that the airplane was rolling backwards. The airplane rolled into the wall of the airport terminal and the left and right elevators sustained substantial damage. The pilot reported that there were no mechanical failures or anomalies with the airplane or any of its systems that would have prevented normal operation. According to the manufacturer's pilot operating handbook and the operator, the accident airplane was equipped with a parking brake. The operator reported that their maintenance department inspected the parking brake system after the accident, and in accordance with the Beech B200 service manual and found no failures or anomalies.

Aircraft

Registration
N87SA
Reported as
Beech B200 (UNDESIGNAT)
Category
Airplane
Serial number
BB-1089
Built
1982
Airframe hours
12,545.6
Engines
Pratt and Whitney PT6A-42, 850 horsepower, turbo propPratt and Whitney PT6A-42, 850 horsepower, turbo prop
Damage
Substantial damage
Flight
Part 135
Operator
Island Airlines, LLC, doing business as Island Airways
Registered owner
Liberty Air LLC
Airworthiness certificate
Standard, Normal
Last inspection
December 17, 2015
Departed
TISX · St. Croix
Destination
TJSJ · Carolina, PR
Flight plan
Company VFR
Airport
TJSJ · San Juan Luis Munoz Internatio, runway 10, 8,610 × 150 ft, asphalt
Equipment
Stall warning system, Auto-pilot, 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
45
Injuries
None
Certificate
Airline transport
Airplane ratings
Single-engine sea, Multi-engine sea
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Last flight review
October 15, 2015
Seat
Left
Restraint
None
Flight hours
9,597 total · 2,000 in this make and model · 9,597 as pilot in command · 20 in the last 90 days · 10 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
10 statute miles
Temperature
79 °F, dew point 72 °F
Altimeter
30.03 inHg
Observed at
TJSJ, 1 nm away

Docket · 4

The files NTSB released with the investigation on October 13, 2016, on NTSB’s docket system: statements, records, photos and specialists’ reports. 2.5 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.