- Date
- April 29, 2019, 14:01 local (21:01 UTC)
- Place
- Porterville, CA
- Injuries
- 2 uninjured
- Damage
- Substantial damage
- Phase of flight
- Maneuvering
- Aircraft
- N189JCCessna T206
- Defining event
- Maneuvering: Miscellaneous/other
- Weather
- Visual (VMC) · Day
- Status
- Completed · report March 20, 2020
- Report
- Approved by Office Director
- NTSB office
- General Aviation Accidents
- Parties
- FAA
- FAA report
- 20190429010969A
- Case key
- 99708
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 verify that the rear cargo portion of the right cabin door was adequately secured before flight, which resulted in both portions of the door opening in flight and substantial damage to the fuselage.
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
The pilot reported that, during the preflight inspection and after a passenger had entered the airplane, he ensured that the rear cargo portion of the right cabin door, which also had a forward passenger portion adjacent to the second row of passenger seats, was secure. After completing the preflight inspection, the pilot entered the airplane and saw the passenger close and latch the forward portion of the right door. He then saw the passenger, who was seated in the right, rear passenger seat, struggling with the seatbelt, which passed between the seat and the right cargo door. The pilot suggested that the passenger switch seats, and the passenger moved to the left, rear passenger seat and fastened his seatbelt. The pilot reported that, during the flight, while maneuvering and descending to 1,600 ft mean sea level, he banked left and then heard a "brief whistle," followed by a "loud boom." He looked behind him and saw that both portions of the right cabin door were open. He returned to the departure airport without further incident. The airplane sustained substantial damage to the fuselage. Postaccident examination of the airplane revealed red paint transfer marks on the forward portion of the door from the rear portion door latch, and both door sections could be opened if the latch for the rear door was open. The pilot reported that he believed that the right, rear passenger seatbelt "must have pulled on the [rear] door latch enough to dislodge it." He added that the red paint transfer mark was not there before the flight. The pilot provided a postaccident examination video, which showed that he was able to use the larger airbag section of the seatbelt to wedge open the rear cargo door latch. The pilot reported that there were no preaccident mechanical failures or malfunctions with the airplane that would have precluded normal operation.
Factual narrative
The pilot reported that, during preflight inspection, after a passenger had entered the airplane, he ensured that the right-rear cargo portion of the right cabin door was secure. The right side cabin door was a two-piece forward passenger door and rearward cargo door combination, and was adjacent to the second row of passenger seats. He did not close the right-front portion of the door because the passenger had secured that door multiple times before. After completing the preflight inspection, he entered the airplane and observed the passenger close and latch the forward portion of the right door. He then saw the passenger, who was seated in the right rear passenger seat struggling with the seatbelt which passed between the seat and the cargo door on the right. The pilot suggested the passenger switch seats, and the passenger moved to the left rear passenger seat and fastened his seat belt. The pilot reported that, during the flight, while maneuvering and descending to 1,600 ft mean sea level, he banked to the left and heard a "brief whistle", followed by a "loud boom sound." He looked behind him and saw both portions of the right cabin door open. He returned to the departure airport without further incident. The airplane sustained substantial damage to the fuselage. Postaccident examination revealed red paint transfer on the forward portion of the door from the rear portion door latch and that both door sections could be opened if the latch for the rear door was open. The pilot reported that he believed that the right rear passenger seat belt "must have pulled on the [rear] door latch enough to dislodge it." He added that the red paint transfer was not there before the flight. The pilot provided a postaccident examination video, which showed that he was able to use the larger airbag section of the seatbelt to wedge open the rear cargo door latch. The pilot reported that there were no preaccident mechanical failures or malfunctions with the airplane that would have precluded normal operation. The "Rear Cargo Door Emergency Exit" placard in the airplane stated: 1. Open front cargo door as far as it will go. 2. Push rear door handle forward and force door open.
Aircraft
- Registration
- N189JC
- Reported as
- Cessna T206 (H)
- Category
- Airplane
- Serial number
- T20609510
- Built
- 2017
- Airframe hours
- 741.3
- Engine
- Lycoming TIO-540-AJ1A, 310 horsepower, reciprocating
- Damage
- Substantial damage
- Flight
- Public aircraft - local · Public use
- Operator
- Tulare County Sheriff
- Registered owner
- Tulare County Sheriff
- Airworthiness certificate
- Standard, Normal
- Last inspection
- Annual · April 8, 2019
- Departed
- PTV · Porterville, CA
- Destination
- PTV · Porterville, CA
- Equipment
- Onboard weather, Data recorder, Auto-pilot, ADS-B, Stall warning system
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
- 32
- Injuries
- None
- Certificates
- Commercial, Private
- Airplane ratings
- Single-engine land
- Instrument ratings
- Airplane
- Medical
- Class 2, With waivers/limitations
- Last flight review
- June 29, 2017
- Seat
- Left
- Restraint
- 3-point
- Flight hours
- 1,246 total · 402 in this make and model · 1,128 as pilot in command · 150 in the last 90 days · 39 in the last 30 days · 6 in the last 24 hours
Weather
- Conditions
- Visual (VMC) · Day
- Wind
- 260° at 7 knots
- Visibility
- 10 statute miles
- Lowest ceiling
- 4,900 ft broken
- Temperature
- 77 °F, dew point 52 °F
- Altimeter
- 29.77 inHg
- Observed at
- KPTV, 12 nm away
Docket · 4
The files NTSB released with the investigation on August 9, 2019, on NTSB’s docket system: statements, records, photos and specialists’ reports. 4.3 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.