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A BE1900C on initial climb at 800 ft AGL declared an emergency and diverted due to the forward entrance door blowing open.
| Attributes | |
| ACN | 473521 |
| Time | |
| Date | 200005 |
| Day | Fri |
| Local Time Of Day | 1201 To 1800 |
| Place | |
| Locale Reference | airport : fll.airport |
| State Reference | FL |
| Altitude | agl single value : 800 |
| Environment | |
| Flight Conditions | VMC |
| Light | Daylight |
| Aircraft 1 | |
| Controlling Facilities | artcc : zma.artcc |
| Operator | common carrier : air carrier |
| Make Model Name | Beech 1900 |
| Operating Under FAR Part | Part 135 |
| Flight Phase | climbout : initial |
| Route In Use | departure : other published ifr departure |
| Flight Plan | IFR |
| Person 1 | |
| Affiliation | company : air carrier |
| Function | flight crew : first officer |
| Qualification | pilot : multi engine pilot : commercial pilot : instrument |
| Experience | flight time last 90 days : 50 flight time total : 500 flight time type : 50 |
| ASRS Report | 473521 |
| Person 2 | |
| Affiliation | company : air carrier |
| Function | flight crew : captain oversight : pic |
| Qualification | pilot : atp |
| Events | |
| Anomaly | aircraft equipment problem : critical maintenance problem : non compliance with mel non adherence : published procedure |
| Independent Detector | other flight crewa other flight crewb |
| Resolutory Action | flight crew : declared emergency |
| Consequence | faa : investigated other |
| Factors | |
| Maintenance | performance deficiency : repair performance deficiency : inspection performance deficiency : fault isolation performance deficiency : non compliance with legal requirements |
| Supplementary | |
| Problem Areas | Flight Crew Human Performance Maintenance Human Performance Chart Or Publication Aircraft |
| Primary Problem | Flight Crew Human Performance |
Narrative:
On may/xa/00 I was the first officer on flight abc, fll to XXX. After our 5TH leg in aircraft wxz-a, we had a change of aircraft to xyz. Our new aircraft had 3 MEL's including: flaps, left fuel quantity, and the cabin door warning light. We performed all the normal preflight checks. We departed from the gate at XA38. We were cleared for takeoff at XA50 on runway 9L. At around 800 ft I heard a slight explosion (decompression) and found the cabin door had been blown open. The WX was VFR and we immediately declared an emergency and proceeded back to runway 9L and landed safety. No one was hurt. We taxied back to the ramp area at fll. Callback conversation with reporter revealed the following information: the reporter stated the aircraft was a beech 1900C and had 3 deferred items listed. The reporter said 1 deferred item was the forward cabin door warning light which required checking prior to departure for being closed and locked. The reporter said, 'as the first officer it was my duty to accomplish this check.' the reporter stated, 'the flight operations manual has pictures of what a locked door should look like but were very poor at best and the detail poor.' the reporter said, 'the FAA gave me a letter stating the door was not correctly checked for being closed and locked.'
Original NASA ASRS Text
Title: A BE1900C ON INITIAL CLB AT 800 FT AGL DECLARED AN EMER AND DIVERTED DUE TO THE FORWARD ENTRANCE DOOR BLOWING OPEN.
Narrative: ON MAY/XA/00 I WAS THE FO ON FLT ABC, FLL TO XXX. AFTER OUR 5TH LEG IN ACFT WXZ-A, WE HAD A CHANGE OF ACFT TO XYZ. OUR NEW ACFT HAD 3 MEL'S INCLUDING: FLAPS, L FUEL QUANTITY, AND THE CABIN DOOR WARNING LIGHT. WE PERFORMED ALL THE NORMAL PREFLT CHKS. WE DEPARTED FROM THE GATE AT XA38. WE WERE CLRED FOR TKOF AT XA50 ON RWY 9L. AT AROUND 800 FT I HEARD A SLIGHT EXPLOSION (DECOMPRESSION) AND FOUND THE CABIN DOOR HAD BEEN BLOWN OPEN. THE WX WAS VFR AND WE IMMEDIATELY DECLARED AN EMER AND PROCEEDED BACK TO RWY 9L AND LANDED SAFETY. NO ONE WAS HURT. WE TAXIED BACK TO THE RAMP AREA AT FLL. CALLBACK CONVERSATION WITH RPTR REVEALED THE FOLLOWING INFO: THE RPTR STATED THE ACFT WAS A BEECH 1900C AND HAD 3 DEFERRED ITEMS LISTED. THE RPTR SAID 1 DEFERRED ITEM WAS THE FORWARD CABIN DOOR WARNING LIGHT WHICH REQUIRED CHKING PRIOR TO DEP FOR BEING CLOSED AND LOCKED. THE RPTR SAID, 'AS THE FO IT WAS MY DUTY TO ACCOMPLISH THIS CHK.' THE RPTR STATED, 'THE FLT OPS MANUAL HAS PICTURES OF WHAT A LOCKED DOOR SHOULD LOOK LIKE BUT WERE VERY POOR AT BEST AND THE DETAIL POOR.' THE RPTR SAID, 'THE FAA GAVE ME A LETTER STATING THE DOOR WAS NOT CORRECTLY CHKED FOR BEING CLOSED AND LOCKED.'
Data retrieved from NASA's ASRS site as of July 2007 and automatically converted to unabbreviated mixed upper/lowercase text. This report is for informational purposes with no guarantee of accuracy. See NASA's ASRS site for official report.