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February 1, 1991 · British Aerospace BAE Jetstream 3201 BAE Jetstr · N844AE
Charlotte, NC
Overview
Report Status
Probable Cause
Event Type
Incident
Date
February 1, 1991
Injury Outcomes
No injuries (5 uninjured)
Location
Charlotte, NC
Aircraft
British Aerospace BAE Jetstream 3201 BAE Jetstr
Tail Number
N844AE
Operator
Nashville Eagle
Injuries
None
Aircraft Damage
Minor
NTSB Number
ATL91IA044
AFTER THE NO. 2 ENGINE STARTED, THE FLIGHT CREW NOTICED A CABIN DOOR OPEN LIGHT. THE CAPTAIN SHUT DOWN THE NO. 1 ENGINE, AND SIGNALED TO THE GROUND CREW TO CHECK THE DOOR. THE CAPTAIN RECYCLED THE DOOR WARNING CIRCUIT BREAKER SEVERAL TIMES, AND THE LIGHT EXTINGUISHED. ON CLIMBOUT, PASSING 7,000 FEET, THE CABIN DOOR SUDDENLY SEPARATED FROM THE AIRPLANE. THE FLIGHT RETURNED TO THE DEPARTURE AIRPORT AND LANDED WITHOUT FURTHER PROBLEMS. THE INVESTIGATION REVEALED THAT THE GROUND CREW DID NOT UNDERSTAND THE CAPTAIN'S INTENTIONS, AND DID NOT CHECK THE DOOR FOR SECURITY. THE CAPTAIN DID NOT FOLLOW CHECKLIST PROCEDURES FOR DEALING WITH A DOOR LIGHT ON THE GROUND. THE RAMP AGENT, THE LAST PERSON TO CLOSE THE DOOR, HAD NOT OPERATED JETSTREAM DOORS PRIOR TO THE DAY OF THE INCIDENT. EXAMINATION OF THE AIRCRAFT AND THE RECOVERED DOOR REVEALED NO EVIDENCE OF MALFUNCTION OR FAILURE.
NTSB Probable Cause
THE FAILURE OF THE CAPTAIN TO FOLLOW CHECKLIST PROCEDURES, RESULTING IN A FLIGHT WITH THE CABIN DOOR UNSECURED, AND THE SUBSEQUENT LOSS OF THE CABIN DOOR.
Full Narrative
AFTER THE NO. 2 ENGINE STARTED, THE FLIGHT CREW NOTICED A CABIN DOOR OPEN LIGHT. THE CAPTAIN SHUT DOWN THE NO. 1 ENGINE, AND SIGNALED TO THE GROUND CREW TO CHECK THE DOOR. THE CAPTAIN RECYCLED THE DOOR WARNING CIRCUIT BREAKER SEVERAL TIMES, AND THE LIGHT EXTINGUISHED. ON CLIMBOUT, PASSING 7,000 FEET, THE CABIN DOOR SUDDENLY SEPARATED FROM THE AIRPLANE. THE FLIGHT RETURNED TO THE DEPARTURE AIRPORT AND LANDED WITHOUT FURTHER PROBLEMS. THE INVESTIGATION REVEALED THAT THE GROUND CREW DID NOT UNDERSTAND THE CAPTAIN'S INTENTIONS, AND DID NOT CHECK THE DOOR FOR SECURITY. THE CAPTAIN DID NOT FOLLOW CHECKLIST PROCEDURES FOR DEALING WITH A DOOR LIGHT ON THE GROUND. THE RAMP AGENT, THE LAST PERSON TO CLOSE THE DOOR, HAD NOT OPERATED JETSTREAM DOORS PRIOR TO THE DAY OF THE INCIDENT. EXAMINATION OF THE AIRCRAFT AND THE RECOVERED DOOR REVEALED NO EVIDENCE OF MALFUNCTION OR FAILURE.
Flight
Event TypeIncident
Event Time19:37 EST
Nearest AirportDouglas Int'L (0nm N)
Runway0
Flight Plan FiledIFR
Aircraft FireNo
Aircraft ExplosionNo
Aircraft
AircraftBritish Aerospace BAE Jetstream 3201 BAE Jetstr
Tail NumberN844AE
Aircraft CategoryAir
DamageMinor
OperatorNashville Eagle
Operating RulePart 135
Engines2
Engine TypeTurboprop
Engine DetailsGarrett · TPR331-12UAR · Turboprop · 1050
Seats21
People & Injuries
Injury SummaryNo injuries (5 uninjured)
Fatal0
Serious0
Minor0
Uninjured5
Total5
Crew 1Age 37 · First Class
Conditions
ConditionsVMC
LightDark Night
Wind320° @ 10 kt
Visibility25 sm
CeilingNone
Temperature / Dew Point45 C / 12 C
Altimeter30.00 inHg
Observation Time23:51
Weather SourceWFAC