Pilot Debrief

BRITISH AEROSPACE BAE JETSTREAM 3101 near Kansas City, MO — 2012-08-29

Final reportCEN12IA592
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Date
2012-08-29
Location
Kansas City, MO, USA
Airport
MKC
Aircraft
BRITISH AEROSPACE BAE JETSTREAM 3101
Registration
N695MA
Category
Airplane
Highest injury
None
Fatalities
0
Phase of flight
Initial climb

Probable cause

The flight crew’s failure to ensure that the cargo door was properly fastened before departure.

NTSB narrative

The flight crew reported that they heard a “bang” followed by a caution light for the cargo door. The flight crew diverted the airplane and performed a precautionary landing without incident. Upon landing, it was determined that a section of the cargo door was missing. The pilot subsequently reported that the door latch was not properly fastened. The pilot indicated that there were no mechanical malfunctions and that the door, which was not fastened, came off after takeoff. The missing section was not located.

Analysis

Primary failure mode
Human factors
First missed decision gate
Ensuring cargo door was properly fastened before takeoff.

NTSB coding

  • Part(s) separation from AC · Initial climb

Evidence available

  • 4 docket documents
View NTSB final reportView NTSB docket

Docket documents4

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