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Aviation safety reports, made easier to study

NTSB Reports is an independent research and search tool for public aviation accident and incident records. It brings NTSB aviation reports, structured fields, docket files, extracted figures, photos, videos, and update history into one searchable interface.

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NTSB Report

June 26, 1989 · Beech A36 · N1837N

Shelby, MS

Overview

Report Status
Probable Cause
Event Type
Accident
Date
June 26, 1989
Injury Outcomes
4 injuries (1 fatality, 2 serious injuries, 1 minor injury)
Location
Shelby, MS
Aircraft
Beech A36
Tail Number
N1837N
Operator
Nesbitt Reeves
Injuries
Fatal
Aircraft Damage
Substantial
NTSB Number
MIA89FA178

THE RGT FRONT PAX RPRTD THAT JUST AFTER ROTATION FOR TAKEOFF, THE CABIN DOOR (ON THE RGT SIDE OF THE ACFT) CAME OPEN, CREATING A NOISE. HE STATED THAT HE & THE PLT WERE UNABLE TO CLOSE THE DOOR, SO THE PLT ELECTED TO LAND. RPRTDLY, THE PLT MADE A STEEP RGT TURN WHICH WAS FOLLOWED BY A STEEP LEFT TURN TO MANEUVER BACK TO THE RWY. HOWEVER, THE ACFT ENTEREDA STEEP DESCENT & CRASHED IN A NOSE DOWN, LEFT WING LOW ATTITUDE. NO PREIMPACT PART FAILURE OR MALFUNCTION OF THE ACFT WAS FOUND. THE PAX RPRTD THAT BEFORE THE FLT, HE HAD SHUT THE DOOR, BUT THE PLT DID NOT CHECK TO SEE IF IT WAS LOCKED. ACCORDING TO THE ACFT FLT MANUAL, THE PLT WAS RESPONSIBLE FOR ASSURING THE DOOR WAS CLOSED & LOCKED, AND SHOULD THE DOOR COME OPEN IN FLT, HE SHOULD LAND IN A NORMAL MANNER.

NTSB Probable Cause

FAILURE OF THE PILOT TO MAINTAIN ADEQUATE AIRSPEED WHILE MANEUVERING BACK TO THE RUNWAY WHICH RESULTED IN AN INADVERTENTSTALL. CONTRIBUTING FACTORS WERE: FAILURE OF THE PILOT TO INSURE THE CABIN DOOR (ON THE PASSENGER'S SIDE) WAS PROPERLYCLOSED AND SECURED BEFORE TAKING OFF, THE PILOT'S IMPROPER IN-FLIGHT PLANNING AND DECISION BY MAKING STEEP TURNS TO MANEUVER AND LAND, AND THE PILOT'S ATTENTION BEING DIVERTED BY NOISE FROM THE OPEN DOOR (AURAL PERCEPTION).

Full Narrative

THE RGT FRONT PAX RPRTD THAT JUST AFTER ROTATION FOR TAKEOFF, THE CABIN DOOR (ON THE RGT SIDE OF THE ACFT) CAME OPEN, CREATING A NOISE. HE STATED THAT HE & THE PLT WERE UNABLE TO CLOSE THE DOOR, SO THE PLT ELECTED TO LAND. RPRTDLY, THE PLT MADE A STEEP RGT TURN WHICH WAS FOLLOWED BY A STEEP LEFT TURN TO MANEUVER BACK TO THE RWY. HOWEVER, THE ACFT ENTEREDA STEEP DESCENT & CRASHED IN A NOSE DOWN, LEFT WING LOW ATTITUDE. NO PREIMPACT PART FAILURE OR MALFUNCTION OF THE ACFT WAS FOUND. THE PAX RPRTD THAT BEFORE THE FLT, HE HAD SHUT THE DOOR, BUT THE PLT DID NOT CHECK TO SEE IF IT WAS LOCKED. ACCORDING TO THE ACFT FLT MANUAL, THE PLT WAS RESPONSIBLE FOR ASSURING THE DOOR WAS CLOSED & LOCKED, AND SHOULD THE DOOR COME OPEN IN FLT, HE SHOULD LAND IN A NORMAL MANNER.

Flight

Event TypeAccident
Event Time09:35 CDT
Nearest AirportSHELBY (0nm N)
Runway21
Runway Length3800 ft
Runway Width100 ft
Flight Plan FiledNone
Aircraft FireNo
Aircraft ExplosionNo

Aircraft

AircraftBeech A36
Tail NumberN1837N
Aircraft CategoryAir
DamageSubstantial
OperatorNesbitt Reeves
Operating RulePart 91
Engines1
Engine TypeReciprocating
Engine DetailsContinental · IO-520-BB · Reciprocating · 285
Seats6

People & Injuries

Injury Summary4 injuries (1 fatality, 2 serious injuries, 1 minor injury)
Fatal1
Serious2
Minor1
Uninjured0
Total4
Crew 1Age 23 · Second Class

Conditions

ConditionsVMC
LightDaylight
Wind110° @ 6 kt
Visibility6 sm
CeilingBroken clouds 25000 ft
Altimeter29.00 inHg
Observation Time14:50
Weather SourceWFAC

Appendix: Source Data