 |
37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
LJ25 crew reported the entrance door came open after takeoff.
| Attributes | |
| ACN | 514573 |
| Time | |
| Date | 200106 |
| Day | Sat |
| Local Time Of Day | 1801 To 2400 |
| Place | |
| Locale Reference | airport : rdd.airport |
| State Reference | CA |
| Altitude | agl bound lower : 0 agl bound upper : 50 |
| Environment | |
| Flight Conditions | VMC |
| Light | Night |
| Aircraft 1 | |
| Controlling Facilities | tower : cak.tower |
| Operator | common carrier : charter |
| Make Model Name | Learjet 25 |
| Operating Under FAR Part | Part 135 |
| Flight Phase | climbout : initial climbout : takeoff |
| Flight Plan | IFR |
| Person 1 | |
| Affiliation | company : charter |
| Function | flight crew : captain oversight : pic |
| Qualification | pilot : multi engine pilot : atp pilot : cfi |
| Experience | flight time last 90 days : 45 flight time total : 15000 flight time type : 13000 |
| ASRS Report | 514573 |
| Person 2 | |
| Affiliation | company : charter |
| Function | flight crew : first officer |
| Events | |
| Anomaly | aircraft equipment problem : critical maintenance problem : non compliance with mel non adherence : company policies non adherence : published procedure non adherence : far other anomaly other |
| Resolutory Action | controller : provided flight assist controller : issued new clearance flight crew : landed in emergency condition flight crew : diverted to another airport none taken : detected after the fact none taken : anomaly accepted other |
| Consequence | other |
| Supplementary | |
| Problem Areas | Flight Crew Human Performance Aircraft Company |
| Primary Problem | Flight Crew Human Performance |
Narrative:
Jun/xa/01 at XA00. I was assigned a new copilot and briefed him on his duties and what I wanted. I closed the cabin door and made the statement '2 handles forward.' I told the first officer his response was to be 'door light out.' the door light was on. I visually checked the door pins were in place -- must be a bad switch -- and proceeded to taxi. While taxiing, the door light went out 'must be a bad switch.' XA20 at hmr the first officer closed the door and reported '2 handles forward.' I replied 'door light on, are you sure 2 forward?' his response, 'yes, 2 forward.' as we taxied for about 1 mi, the door light went out. 'Must be a bad switch.' XA15, rdd, the copilot was busy with the 2 passenger as I was getting ready to start #2. He closed the door and reported '2 handles forward.' my response, 'damn door light still on.' taxied to runway 16 and waited for door light to go out. 'I guess the switch finally took a dump, are you sure both handles forward?' his reply, 'both forward.' takeoff was normal until just after rotation and gear was coming up, the outflow valve closed and the cabin started to pressurize. The top door opened and remained open. Turned down wind, slowed aircraft as much as possible, landed, inspected door, closed door, made sure handles forward, door pins checked and then returned to vny. Cause: first officer was distraction by passenger and did not properly close door, even though he did use the electric closing motor, did not put top handle forward. Captain was lulled into believing door was locked by the 2 preceding 'door light on and going off during taxi.' corrective actions; captain ensures that door is properly closed, even if it delays flight for 60 seconds. Flight duties come first, passenger comfort later.
Original NASA ASRS Text
Title: LJ25 CREW REPORTED THE ENTRANCE DOOR CAME OPEN AFTER TKOF.
Narrative: JUN/XA/01 AT XA00. I WAS ASSIGNED A NEW COPLT AND BRIEFED HIM ON HIS DUTIES AND WHAT I WANTED. I CLOSED THE CABIN DOOR AND MADE THE STATEMENT '2 HANDLES FORWARD.' I TOLD THE FO HIS RESPONSE WAS TO BE 'DOOR LIGHT OUT.' THE DOOR LIGHT WAS ON. I VISUALLY CHKED THE DOOR PINS WERE IN PLACE -- MUST BE A BAD SWITCH -- AND PROCEEDED TO TAXI. WHILE TAXIING, THE DOOR LIGHT WENT OUT 'MUST BE A BAD SWITCH.' XA20 AT HMR THE FO CLOSED THE DOOR AND RPTED '2 HANDLES FORWARD.' I REPLIED 'DOOR LIGHT ON, ARE YOU SURE 2 FORWARD?' HIS RESPONSE, 'YES, 2 FORWARD.' AS WE TAXIED FOR ABOUT 1 MI, THE DOOR LIGHT WENT OUT. 'MUST BE A BAD SWITCH.' XA15, RDD, THE COPLT WAS BUSY WITH THE 2 PAX AS I WAS GETTING READY TO START #2. HE CLOSED THE DOOR AND RPTED '2 HANDLES FORWARD.' MY RESPONSE, 'DAMN DOOR LIGHT STILL ON.' TAXIED TO RWY 16 AND WAITED FOR DOOR LIGHT TO GO OUT. 'I GUESS THE SWITCH FINALLY TOOK A DUMP, ARE YOU SURE BOTH HANDLES FORWARD?' HIS REPLY, 'BOTH FORWARD.' TKOF WAS NORMAL UNTIL JUST AFTER ROTATION AND GEAR WAS COMING UP, THE OUTFLOW VALVE CLOSED AND THE CABIN STARTED TO PRESSURIZE. THE TOP DOOR OPENED AND REMAINED OPEN. TURNED DOWN WIND, SLOWED ACFT AS MUCH AS POSSIBLE, LANDED, INSPECTED DOOR, CLOSED DOOR, MADE SURE HANDLES FORWARD, DOOR PINS CHKED AND THEN RETURNED TO VNY. CAUSE: FO WAS DISTR BY PAX AND DID NOT PROPERLY CLOSE DOOR, EVEN THOUGH HE DID USE THE ELECTRIC CLOSING MOTOR, DID NOT PUT TOP HANDLE FORWARD. CAPT WAS LULLED INTO BELIEVING DOOR WAS LOCKED BY THE 2 PRECEDING 'DOOR LIGHT ON AND GOING OFF DURING TAXI.' CORRECTIVE ACTIONS; CAPT ENSURES THAT DOOR IS PROPERLY CLOSED, EVEN IF IT DELAYS FLT FOR 60 SECONDS. FLT DUTIES COME FIRST, PAX COMFORT LATER.
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.