Serious incident Beechcraft 1900C N154GA,
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ASN Wikibase Occurrence # 370564
 
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Date:Friday 19 May 2000
Time:15:54 LT
Type:Silhouette image of generic B190 model; specific model in this crash may look slightly different    
Beechcraft 1900C
Owner/operator:Gulfstream International
Registration: N154GA
MSN: UB25
Year of manufacture:1984
Total airframe hrs:29037 hours
Engine model:P&W PT6A-65B
Fatalities:Fatalities: 0 / Occupants: 22
Aircraft damage: Minor
Category:Serious incident
Location:FORT LAUDERDALE, FL -   United States of America
Phase: En route
Nature:Unknown
Departure airport:(KFLL)
Destination airport:FREEPORT, OF (MYGF)
Investigating agency: NTSB
Confidence Rating: Accident investigation report completed and information captured
Narrative:
The 'fwd cabin door' annunciator light was inoperative and MEL'd; it was scheduled to be examined later that evening. Six discrepancies in the previous year pertaining to the forward airstair door annunciator were recorded; the latest discrepancy was 2 days earlier. The captain briefed the MEL item with the first officer (F/O), who reported closing and locking the forward airstair door, and verifying such. The F/O reported only verbally briefing the passenger adjacent to the door about the door opening procedures but did not demonstrate. After takeoff at 800 feet 800 feet msl, the forward airstair door opened. An emergency was declared, the flight returned and landed uneventfully. The propeller blades and aft cables of the forward airstair door were damaged; the door latching mechanism operated normally. The company F/O's are taught to verbally discuss with passengers the door opening procedure without demonstrating. Several of the company F/O's reported partially opening the forward airstair door to demonstrate the procedure to the passenger; accomplishing this after closing and locking the door. Post incident, the F/O was vague about how to verify that the forward airstair door is locked. The results of drug screening of the captain and FO were negative.

Probable Cause: The failure of the first officer to comply with procedures and directives for his failure to assure that the forward airstair door was closed and locked. A contributing factor in the incident was the inoperative annunciation system of the forward airstair door.

Accident investigation:
cover
  
Investigating agency: NTSB
Report number: MIA00IA164
Status: Investigation completed
Duration: 11 months
Download report: Final report

Sources:

NTSB MIA00IA164

Location

Revision history:

Date/timeContributorUpdates
25-Mar-2024 12:04 ASN Update Bot Added

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