Pilot Debrief

CESSNA 208B near Molokai, HI — 2009-10-15

Final reportWPR10LA022
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Date
2009-10-15
Location
Molokai, HI, USA
Airport
PHMK
Aircraft
CESSNA 208B
Registration
N861MA
Category
Airplane
Highest injury
None
Fatalities
0
Phase of flight
Ground

Probable cause

The failure of the ramp agent to use a tail stand.

NTSB narrative

The director of operations reported that after the passengers were boarded, the flight crew noted a discrepancy in the load manifest and the pilot-in-command (PIC) exited the airplane. The PIC reported that the ramp agent was instructed to put the tail stand in place; however, the agent ignored the instructions and entered the airplane via the aft door with the passengers still on board. The airplane subsequently tilted downward and sustained a tail strike, which resulted in structural damage to a fuselage bulkhead.

Analysis

Primary failure mode
Human factors
First missed decision gate
SIC should have ensured tail stand was in place before boarding.

NTSB coding

Evidence available

  • Photos
  • 6 docket documents
View NTSB final reportView NTSB docket

Docket documents6

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