NYC04IA116

NTSB incident investigation · Dornier DO-328-100 · Allentown, PA · May 3, 2004

Incident · No injuriesIncident investigationFinal report
Date
May 3, 2004, 12:30 local (16:30 UTC)
Place
Allentown, PA
Injuries
30 uninjured
Damage
No damage
Phase of flight
Initial climb
Aircraft
N441JSDornier DO-328-100
Weather
Visual (VMC) · Day
Status
Completed · report July 7, 2005
Report
Approved by Office Director
Parties
FAA/FSDO
FAA report
20040503019809I
Case key
59160

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 opening of the main cabin door after takeoff, for undetermined reasons.

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.

Miscellaneous/otherTakeoff - initial climb
Reason for occurrence undeterminedCause
Door,passenger - openCause

Analysis

As the landing gear was retracted during takeoff, the flightcrew heard a "loud boom," and received an "unsafe door condition" warning. They confirmed that the main cabin door had opened, declared an emergency, and returned to land uneventfully. The flight attendant was seated adjacent to the door handle during the takeoff; however, she could not recall if she may have inadvertently rested her arm on the door handle while seated. Examination of the door and its locking mechanisms revealed no mechanical deficiencies. Data downloaded from the airplane's flight data recorder (FDR) revealed the "Doors" parameter indicated "Open" approximately 1.7 seconds after the Air/Ground parameter indicated "Air". No additional anomalies were noted.

Factual narrative

On May 3, 2004, at 1230 eastern daylight time, a Dornier DO-328-100, N441JS, operated by PSA Airlines, as US Airways Express flight 2447, was not damaged when the main cabin door blew open after takeoff from the Lehigh Valley International Airport (ABE), Allentown, Pennsylvania. The two certificated airline transport pilots, a flight attendant, and 27 passengers were not injured. An instrument flight rules flight plan was filed for the flight which was destined for Philadelphia International Airport (PHL), Philadelphia, Pennsylvania. Instrument meteorological conditions prevailed for the passenger flight conducted under 14 CFR Part 121.

According to the flightcrew, as the landing gear was retracted during takeoff, they heard a "loud boom," followed by a rush of air. The red warning panel, master warning and triple-chime alerted them to an "unsafe door condition." They confirmed through the Doors System Page, that the main cabin door had opened. The crew then declared an emergency and initiated a left turn to land on runway 6. A landing was performed without incident and the passengers were deplaned normally at the gate.

Examination of the airplane by a Federal Aviation Administration (FAA) inspector, revealed no mechanical deficiencies with the door or its locking mechanisms. Additionally, the design of the "unsafe door condition" warning system consisted of an EICAS warning if the door was not closed prior to takeoff, and the contact of three microswitches in the door to cancel the warning.

According to the FAA inspector, the flight attendant had no memory of the flight after the takeoff roll. She could not recall whether or not she may have inadvertently rested her arm on the door handle while seated in the jumpseat. The handle of the door was located approximately one foot from the shoulder position of the flight attendant's jumpseat.

Additionally, the incident flight was the flight attendant's third flight after completing her initial training with the airline.

The airplane's flight data recorder (FDR) was sent to the National Transportation Safety Board's Vehicle Recorder Laboratory for readout. According to the FDR Group Chairman's Factual Report, the downloaded data revealed the "Doors" parameter indicated "Open" approximately 1.7 seconds after the Air/Ground parameter indicated "Air," and the MFD_Sys Page Selected F/O parameter indicated "Doors" approximately 36.6 seconds after the Doors parameter indicated "Open." No additional anomalies were noted.

Aircraft

Registration
N441JS
Reported as
Dornier DO-328-100
Category
Airplane
Serial number
3059
Airframe hours
22,127
Engine
Pratt & Whitney 119B, turbo prop
Damage
No damage
Flight
Part 121
Operator
Psa Airlines Inc
Registered owner
Wells Fargo Bank Northwest
Airworthiness certificate
Standard, Transport
Last inspection
Continuous airworthiness · March 26, 2004 · 254 hours before
Departed
ABE · Allentown, PA
Destination
PHL · Philadelphia, PA
Flight plan
IFR
Airport
ABE · Lehigh Valley International, runway 6, 7,600 × 150 ft, asphalt

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
27
Injuries
None
Certificates
Commercial, Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--w/ waivers/lim
Last flight review
November 15, 2003
Seat
Left
Flight hours
3,700 total · 2,799 in this make and model
Role
Co-pilot
Age
39
Injuries
None
Certificates
Flight engineer, Airline transport, Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Last flight review
July 31, 2003
Seat
Right
Flight hours
10,400 total · 527 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
360° at 7 knots
Visibility
4 statute miles
Lowest ceiling
2,700 ft broken
Temperature
48 °F, dew point 45 °F
Altimeter
29.95 inHg
Observed at
ABE

FAA reports on this event · 1

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