MIA01IA051

NTSB incident investigation · Canadair CL-600-2B19 · Hebron, KY · December 26, 2000

Incident · No injuriesIncident investigationFinal report
Date
December 26, 2000, 17:29 local (22:29 UTC)
Place
Hebron, KY
Injuries
53 uninjured
Damage
No damage
Phase of flight
Enroute
Aircraft
N729CACanadair CL-600-2B19
Weather
Visual (VMC) · Not reported
Status
Completed · report May 28, 2002
Report
Approved by Office Director
Parties
Bombardier Aerospace, FAA; AAI-100, PPG Industries, Inc., Comair, ALPA
FAA report
20001226041509I
Case key
50855

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the incident.

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Probable cause

The inadequate design of the flight compartment windshield by the windshield manufacturer resulting in cracking of the center ply.

Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

Airframe/component/system failure/malfunctionClimb - to cruise
Window,flight compartment window/windshield - cracked
Acft/equip,inadequate designManufacturerCause

Analysis

While climbing through 20,000 feet in visual meteorological conditions, the captain's windshield "shattered." The captain did not declare an emergency; the flight returned to the departure airport and landed uneventfully. The damaged windshield (PPG part number NP 139321-5, S/N 99018H7134) was removed from the airplane and initial examination revealed that the center ply was failed. The window was further examined in the presence of representatives of the NTSB, FAA, Bombardier, and PPG, at one PPG's facilities. A report of the damaged windshield prepared by PPG indicates, "The fracture originated 0.20 inch from the bottom edge and 3.8 inches from the center of the forward corner. The origin of the fracture was a peel chip that developed on the outboard surface in the bottom forward corner area. The initiation point of the peel chip damage was located 0.115 inch from the inner edge of the Teflon tape and 0.325 inch from the glass edge." The report also indicates that examination of the peel chip using a microscope, "...did not reveal any surface damage at the peel chip initiation point, nor was there any indication of manufacturing defects." No discrepancies were noted with the anti-ice heating system and sensing elements. Optical distortion check of the damaged window was performed which revealed, "There was no slope-line distortion apparent in the critical vision area. However, facilities were not available to perform a quantitative distortion evaluation." Residual visibility examination could not be performed due to the absence of a standard and prescribed method of evaluation. Manufacturing of windshield S/N 99018H7134 was completed on January 18, 1999; the window was installed in the incident airplane by Comair maintenance personnel on March 27, 1999, to replace the previous window which "shattered while sitting at gate power off." The incident window had accumulated a reported 4,422.8 hours and 4,526 cycles at the time of failure.

Factual narrative

On December 26, 2000, about 1729 eastern standard time, a Bombardier CL-600-2B19, N729CA, registered to First Union National Bank, operated by Comair, Inc., as flight 5751, experienced cracking of the captain's windshield while climbing to cruise after takeoff from the Cincinnati/Northern Kentucky International Airport, Hebron, Kentucky. Visual meteorological conditions prevailed at the time and an instrument flight rules (IFR) flight plan was filed for the 14 CFR Part 121, scheduled, domestic, passenger flight. The airplane was not damaged and there were no injuries to the airline transport-rated captain, commercial-rated first officer, flight attendant, or 50 passengers. The flight originated at 1719.

According to the airline safety manager, while climbing through 20,000 feet in visual meteorological conditions, the captain's windshield "shattered." The captain did not declare an emergency; the flight returned to the departure airport and landed uneventfully.

The damaged windshield (PPG part number NP 139321-5, S/N 99018H7134) was removed from the airplane and initial examination revealed that the center ply was failed. The window was further examined in the presence of representatives of the NTSB, FAA, Bombardier, and PPG, at one PPG's facilities.

A report of the damaged windshield prepared by PPG indicates, "The fracture originated 0.20 inch from the bottom edge and 3.8 inches from the center of the forward corner. The origin of the fracture was a peel chip that developed on the outboard surface in the bottom forward corner area. The initiation point of the peel chip damage was located 0.115 inch from the inner edge of the Teflon tape and 0.325 inch from the glass edge." The report also indicates that examination of the peel chip using a microscope, "...did not reveal any surface damage at the peel chip initiation point, nor was there any indication of manufacturing defects." No discrepancies were noted with the anti-ice heating system and sensing elements. Optical distortion check of the damaged window was performed which revealed, "There was no slope-line distortion apparent in the critical vision area. However, facilities were not available to perform a quantitative distortion evaluation." Residual visibility examination could not be performed due to the absence of a standard and prescribed method of evaluation (a copy of the report is an attachment to this report).

Manufacturing of windshield S/N 99018H7134 was completed on January 18, 1999; the window was installed in the incident airplane by Comair maintenance personnel on March 27, 1999, to replace the previous window which "shattered while sitting at gate power off." The incident window had accumulated a reported 4,422.8 hours and 4,526 cycles at the time of failure.

The airplane minus the retained captains windshield was released to Michael L. Mizell, compliance analyst for Comair, on January 17, 2001. The retained windshield was authorized by Michael L. Mizell, compliance analyst for Comair, to be disposed of (a copy of his letter authorizing such is an attachment to this report).

Aircraft

Registration
N729CA
Reported as
Canadair CL-600-2B19
Category
Airplane
Serial number
7265
Engine
GE CF-34, turbo fan
Damage
No damage
Flight
Part 121
Operator
Comair Inc, doing business as Delta Connection
Registered owner
First Union National Bank
Airworthiness certificate
Standard, Transport
Departed
KCVG · Hebron, KY
Destination
KGSP · Greer, SC
Flight plan
IFR

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
58
Injuries
None
Certificates
Airline transport, Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
15,734 total
Role
Co-pilot
Age
33
Injuries
None
Certificates
Commercial, Flight instructor
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Seat
Right
Flight hours
1,500 total

Weather

Conditions
Visual (VMC) · Not reported
Wind
Calm
Visibility
2.5 statute miles
Lowest ceiling
2,000 ft overcast
Temperature
21 °F, dew point 12 °F
Altimeter
30.42 inHg
Observed at
KCVG

FAA reports on this event · 1

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