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December 17, 2004 · Aircraft Mfg & Dev Co Amd CH-2000 · N285AM

Jean, NV

Overview

Report Status
Final with probable cause
Event Type
Accident
Date
December 17, 2004
Injury Outcomes
1 injury (1 serious injury), 1 uninjured
Location
Jean, NV
Aircraft
Aircraft Mfg & Dev Co Amd CH-2000
Tail Number
N285AM
Operator
American Aviation
Injuries
Serious
Aircraft Damage
Minor
NTSB Number
LAX05LA083

The airplane's clamshell canopy door departed the airframe and struck the pilot's shoulder, while in a banking maneuver. As the pilot initiated a 30-degree turn to the left, the airplane's left canopy door suddenly became ajar, and he experienced difficulty flying the airplane. He attempted to regain control of the airplane, and about 2 to 3 seconds later, the door canopy separated completely from the airframe. After detaching, it struck the pilot's left shoulder, and then impacted the side of the fuselage; he landed at the airport without further incident. After egressing the cockpit, both pilots noted that the canopy latching mechanism was still in the locked position, affixed to the airframe. After several doctor's visits, the pilot was determined to have suffered tendon damage to his left shoulder. Technical examination of the airplane disclosed that the upper aft hinge of the canopy door failed first, followed by the forward hinge and a bolt attaching the bottom latch to the frame. The hinge had apparently undergone stress from the door remaining open during windy conditions or while the propeller was under power over an undetermined number of prior flights. The airplane's flight manual indicates in several locations that the door is to remain closed during such conditions.

NTSB Probable Cause

an in-flight separation of the left cockpit door due to the failure of the hinges from repeated exposure to wind or propeller slip stream forces while in the open position. The hinge failures were the ultimate result of the failure of persons unknown to follow the procedures/directives in the airplane flight manual.

Full Narrative

On December 17, 2004, about 1030 Pacific standard time, an Aircraft Manufacturer and Development Co. Alarus CH-2000, N285AM, was damaged when the door departed the airframe and struck the pilot's shoulder, while maneuvering near Jean, Nevada. American Aviation was operating the airplane under the provisions of 14 CFR Part 91. The certified flight instructor (CFI) was not injured and the private pilot sustained serious injuries; the airplane sustained minor damage. Visual meteorological conditions prevailed, and a flight plan had not been filed. The local check-out flight originated from Jean Airport about 1000. In a written statement, the private pilot reported that after departing the airport, he maneuvered the airplane into a climb until reaching 5,000 feet mean sea level (msl), where he configured the airplane in a level attitude. With the intention of performing a series of maneuvers for practice flight, he initiated a 30-degree turn to the left. While in the bank, the airplane's left canopy door suddenly became ajar, and he experienced difficulty flying the airplane. He attempted to regain control of the airplane, and about 2 to 3 seconds later, the door canopy separated completely from the airframe. After detaching, it struck the pilot's left shoulder, and then impacted the side of the fuselage. The pilot further stated that the separation of the left canopy door resulted in a rapid loss of airspeed and his ability to maintain control of the airplane, requiring an emergency decent and landing. He landed the airplane at Jean without further incident. After egressing the cockpit, both pilots noted that the canopy latching mechanism was still in the locked position, affixed to the airframe. After several doctor's visits, the pilot was determined to have suffered tendon damage to his left shoulder. A Federal Aviation Administration (FAA) inspector examined the airplane and interviewed the pilots after the accident occurred. He reported that the private pilot was undergoing a demonstration flight with the CFI, and remained pilot-in-command of the airplane throughout the flight. With the airplane cruising about 75 knots indicated airspeed, the pilot initiated a 30-degree bank, and upon entering the turn, the left canopy door separated from the airframe. While departing the airplane, the door struck the private pilot's left shoulder, ripped the nylon retaining strap from the composite fiber cockpit frame, and proceeded to slide along the left side of the fuselage, scratching the surface; no damage was found to the flight control surfaces. The canopy's lock/latch mechanism remained latched down in the "closed" position within the doorframe; the door was not located. During a telephone conversation with a National Transporation Safety Board investigator, a representative from Aircraft Manufacturer & Development Co. stated that after examining the hinges and pictures of the doorframe, they determined that the upper aft hinge of the canopy door failed first, followed by the forward hinge and a bolt attaching the bottom latch to the frame. The representative reported that the hinge had apparently undergone stress from the door remaining open during windy conditions or while the propeller was under power. The airplane's flight manual indicates in several locations that the door is to remained closed during such conditions. The representative added that the airplane is controllable with a door absent. The airplane is designed with both a left and right side door, both of which open upward, akin to a clamshell configuration. The canopy door is attached to the airframe via two congruent hinges oriented on the top of the airplane, and parallel the longitudinal axis. The pilot secures the door in the closed position via a handle, which manipulates the latch, locking the door to the doorframe.

Flight

Event TypeAccident
Event Time10:30 PST
Nearest AirportJean Airport (5nm S)
Flight Plan FiledNone
Flight Plan ActivatedNo
Aircraft FireNo
Aircraft ExplosionNo

Aircraft

AircraftAircraft Mfg & Dev Co Amd CH-2000
Tail NumberN285AM
Aircraft CategoryAir
DamageMinor
OperatorAmerican Aviation
Operating RulePart 91
Engines1
Engine TypeReciprocating
Engine DetailsLycoming · O-235 · Reciprocating · 116
Seats2

People & Injuries

Injury Summary1 injury (1 serious injury), 1 uninjured
Fatal0
Serious1
Minor0
Uninjured1
Total2
Crew 1Age 76 · Second Class · None
Crew 2Age 39 · Third Class · Serious

Conditions

ConditionsVMC
LightDaylight
Wind90° @ 4 kt
Visibility10 sm
CeilingNone
Temperature / Dew Point54 / 21 C
Altimeter30.50 inHg
Observation Time18:56
Weather SourceWFAC

Appendix: Source Data