MIA97IA151

NTSB incident investigation · Beech 100 · Kenly, NC · April 5, 1997

Incident · No injuriesIncident investigationFinal report
Date
April 5, 1997, 10:30 local (15:30 UTC)
Place
Kenly, NC
Injuries
1 uninjured
Damage
Minor damage
Phase of flight
Enroute
Aircraft
N402GBeech 100
Weather
Visual (VMC) · Day
Status
Completed · report February 29, 2000
Report
Approved by Office Director
FAA report
19970405014689I
Case key
38161

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

Inadequate inspection procedures by the airframe manufacturer for failure to require removal of the metal retaining ring to inspect the entire area of the window for cracks.

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 - failure,total
Condition(s)/step(s) not listedManufacturerCause
Window,flight compartment window/windshield - cracked

Analysis

About 15 minutes after departure while climbing through 12,000 to 12,500 feet, at a cabin differential pressure of 4.3 psi, the pilot's flight compartment side 'D' window separated with a resulting rapid decompression. The pilot diverted to the destination airport and landed uneventfully. Post incident examination of the failed window revealed evidence of preexisting cracks that originated at the external surface of the window at the transition radius between the window flange and the center portion of the window. The failed window had accumulated 4,008 hours since replacement at failure and was the latest design. Review of the inspection requirements for the window which is scheduled to occur every 600 hours revealed that the metal retaining ring is not required to be removed for inspection.

Factual narrative

On April 5, 1997, about 1030 eastern standard time, a Beech 100, N402G, registered to and operated by ISO Aero Service, Inc., experienced failure of the pilot's "D" oversize window while climbing to cruise near Kenly, North Carolina. Visual meteorological conditions prevailed at the time and no flight plan was filed for the 14 CFR Part 91 positioning flight. The airplane sustained minor damage and the airline transport-rated pilot, the sole occupant, was not injured. The flight originated about 15 minutes earlier from the Kinston Regional Jetport at Stallings Field, Kinston, North Carolina.

The pilot stated that while climbing through 12,000 for 12,500 feet, at a cabin differential pressure of 4.3 psi, the pilot's flight compartment side "D" window separated. He diverted to his departure airport and landed uneventfully. At the time of the window separation the cabin altitude was about 2,000 feet.

The remaining portion of the failed window was sent to the NTSB Materials Laboratory in Washington, D.C. Examination of the window revealed evidence of preexisting cracks that originated at the external surface of the window at the transition radius between the window flange and the center portion of the window.

Review of the maintenance records for the airplane revealed that the failed window was installed on February 13, 1986, in accordance with an Airworthiness Directive. At the time of failure, the airplane had accumulated 4,008 hours since the window installation. Further review of the maintenance records revealed that it was last inspected on October 10, 1996. The airplane had accumulated about 240 hours since that inspection at the time of failure. The airframe manufacturer inspection requirements for the failed window does not require the removal of the metal retaining ring to examine the entire area of the window for cracks if none are visually observed on the outer surface of the window during the initial inspection. Additionally, a detailed inspection of the failed window is required by the manufacturer to be accomplished only every 600 hours.

Aircraft

Registration
N402G
Reported as
Beech 100
Category
Airplane
Serial number
B-14
Airframe hours
9,758
Engine
P&W PT6-28, 680 horsepower, turbo prop
Damage
Minor damage
Flight
Positioning · Part 91
Registered owner
Iso Aero Service, Inc.
Airworthiness certificate
Standard, Normal
Last inspection
Continuous airworthiness · January 9, 1997 · 76 hours before
Departed
ISO · Kinston, NC
Destination
GSO · Greensboro, NC

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
42
Certificate
Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
10,000 total · 3,000 in this make and model · 9,000 as pilot in command · 75 in the last 90 days · 15 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
200° at 5 knots
Visibility
20 statute miles
Lowest ceiling
None
Temperature
79 °F, dew point 50 °F
Altimeter
30.00 inHg
Observed at
ISO

FAA reports on this event · 1

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