Individually Owned: 150,657
Corporate Owned: 137,281
Aircraft Accident/Incident Report
Toledo, Ohio 43558
Wednesday, November 13, 1991 4:45 EST
NTSB Narrative Summary Released at Completion of Accident
THE MAIN CARGO DOOR OPENED IN FLIGHT AND THE AIRPLANE RETURNED FOR A NORMAL LANDING. OF THE TWO CIRCUIT BREAKERS REQUIRED TO BE PULLED PRIOR TO TAKEOFF, ONE WAS FOUND STILL ENGAGED. A CONFORMITY INSPECTION ON THE CARGO DOOR INSTALLATION REVEALED SEVERAL AREAS OF NONCONFORMITY INCLUDING DOOR LOCKS OF LESS THAN REQUIRED STRENGTH, LACK OF PAINT ON DOOR LOCKS WHICH IS USED FOR VISUAL IDENTIFICATION, AND DAMAGED WIRES IN A BUNDLE. THE WIRES WERE PART OF THE DOOR CLOSING, DOOR LOCKED INDICATING SYSTEM. THE INVESTIGATION REVEALED IT WAS POSSIBLE FOR THE DOOR TO BE NOT COMPLETELY CLOSED AND HAVE THE DOOR WARNING LIGHT GO OUT, INDICATING IT WAS FULLY LOCKED.
NTSB Probable Cause Narrative
THE FAILURE OF THE FLIGHT ENGINEER TO CONDUCT A PROPER PREFLIGHT INSPECTION AND ENSURE THE MAIN CARGO DOOR WAS FULLY CLOSED AND LOCKED. FACTORS RELATED TO THE ACCIDENT WERE THE DAMAGED WIRES IN THE BUNDLE, AND THE IMPROPER MAIN CARGO DOOR INSTALLATION.
Event Information
| Type of Event | Incident |
| Event Date | 11/13/1991 |
| Event Day of the Week | Wednesday |
| Time of Event | 445 |
| Event Time Zone | Eastern Standard Time |
| Event City | TOLEDO |
| Event State | OHIO |
| Event Country | -- |
| Zipcode of the event site | 43558 |
| Event Date Year | 1991 |
| Event Date Month | 11 |
| MidAir Collision Indicator | No |
| On Ground Collision occurred ? | No |
| Event Location Latitude | |
| Event Location Longitude | |
| Event Location Airport | |
| Event Location Nearest Airport ID | |
| Indicates whether the acc/inc occurred off or on an airport | Off Airport/Airstrip |
| Distance from airport in statute miles | 0 |
| Degrees magnetic from airport | 0 |
| Airport Elevation | -- |
| Weather Briefing Completeness | Not pertinent |
| Investigator's weather source | Pilot |
| Time of the weather observation | 0 |
| Direction of event from weather observation facility (degrees) | 0 |
| Weather Observation Facility ID | |
| Elevation of weather observation facility | 0 |
| Distance of event from weather observation facility (units?) | 0 |
| Time Zone of the weather observation | |
| Lighting Conditions | Night/Dark |
| Lowest Ceiling Height | 0 |
| Lowest Non-Ceiling Height | 0 |
| Sky/Lowest/Cloud Conditions | Unknown |
| Sky Condition for Lowest Ceiling | Unknown |
| Visibility Runway Visual Range (Feet) | 0 |
| Visibility Runway Visual Value (Statute Miles) | 0 |
| Visibility (Statute Miles) | 0 |
| Air Temperature at event time (in degrees celsius) | -- |
| Dew Point at event time (in degress fahrenheit) | -- |
| Wind Direction (degrees magnetic) | 0 |
| Variable Wind Indicator | Unknown |
| Wind Speed (knots) | 0 |
| Wind Velocity Indicator | Unknown |
| Wind Gust Indicator | Unknown |
| Wind Gust (knots) | 0 |
| Altimeter Setting at event time (in. Hg) | -- |
| Density Altitude (feet) | -- |
| Intensity of Precipitation | Unknown |
| METAR weather report | -- |
| Event Highest Injury | None |
| On Ground, Fatal Injuries | 0 |
| On Ground, Minor Injuries | 0 |
| On Ground, Serious Injuries | 0 |
| Injury Total Fatal | -- |
| Injury Total Minor | -- |
| Injury Total None | 3 |
| Injury Total Serious | -- |
| Injury Total All | -- |
| Investigating Agency | NTSB |
| NTSB Docket Number (internal use) | 5044 |
| NTSB Notification Source | -- |
| NTSB Notification Date | -- |
| NTSB Notification Time | 0 |
| Fiche Number and/or location -used to find docket information | 46470 |
| Date of most recent change to record | Dec 12 2000 10:51AM |
| User who most recently changed record | dbo |
| Basic weather conditions | Visual Meteorological Cond |
| FAA District Office | -- |
Aircraft Involved |
|
|---|---|
Aircraft #1 |
|
| Aircraft Registration Number | N794AL |
| NTSB Number | NYC92IA030 |
| Missing Aircraft Indicator | N |
| Federal Aviation Reg. Part | Part 121: Air Carrier |
| Type of Flight Plan filed | IFR |
| Flight plan Was Activated? | -- |
| Damage | Minor |
| Aircraft Fire | None |
| Aircraft Explosion | None |
| Aircraft Manufacturer's Full Name | DOUGLAS |
| Aircraft Model | DC-8-63 |
| Aircraft Series Identifier | DC-8-63 |
| Aircraft Serial Number | 45923 |
| Certified Max Gross Weight | 355000 |
| Aircraft Category | Airplane |
| Aircraft Registration Class | U.S. Registered/U.S. Soil |
| Aircraft is a homebuilt? | No |
| Flight Crew Seats | -- |
| Cabin Crew Seats | -- |
| Passenger Seats | -- |
| Total number of seats on the aircraft | -- |
| Number of Engines | 4 |
| Fixed gear or retractable gear | Retractable |
| Aircraft, Type of Last Inspection | Continuous Airworthiness |
| Date of Last Inspection | Jan 2 2000 12:00AM |
| Airframe hours since last inspection | -- |
| Airframe Hours | -- |
| ELT Installed | Unknown |
| ELT Activated | Unknown |
| ELT Aided Location of Event Site | Unknown |
| ELT Type | -- |
| Aircraft Owner Name | AERO LEASE FINANCIAL GROUP INC |
| Aircraft Owner Street Address | 6101 BLUE LAGOON DR, SUITE 455 |
| Aircraft Owner City | MIAMI |
| Aircraft Owner State | FL |
| Aircraft Owner Country | |
| Aircraft Owner Zipcode | 33126 |
| Operator is an individual? | -- |
| Operator Name | FLAGSHIP EXPRESS |
| Operator Same as Owner? | No |
| Operator Is Doing Business As | -- |
| Operator Address Same as Owner? | No |
| Operator Street Address | 834 WILLOW RUN |
| Operator City | YIPSILANTI |
| Operator State | MI |
| Operator Country | |
| Operator Zip code | 48198 |
| Operator Code | RAXA |
| Owner has at least one certificate | Yes - certificate holder |
| Other Operator of large aircraft? | No |
| Certified for Part 133 or 137 Operation | Unknown |
| Operator Certificate Number | -- |
| Indicates whether an air carrier operation was scheduled or not | Non-scheduled |
| Indicates Domestic or International Flight | Domestic |
| Operator carrying Pax/Cargo/Mail | Cargo |
| Type of Flying (Per_Bus / Primary) | Unknown |
| Second Pilot on Board | Yes |
| Departure Point Same as Event | Yes |
| Departure Airport Code | |
| Departure City | |
| Departure State | |
| Departure Country | |
| Departure Time | 455 |
| Departure Time Zone | EST |
| Destination Same as Local Flt | -- |
| Destination Airport Code | LAX |
| Destination City | LOS ANGELES |
| Destination State | CA |
| Destination Country | |
| Specific Phase of Flight | Climb |
| Report sent to ICAO? | -- |
| Evacuation occurred | -- |
| Date of most recent change to record | Jan 2 2001 10:30AM |
| User who most recently changed record | dbo |
| Since inspection or accident | -- |
| Event Location Runway Number and Location | 0 |
| Runway Length | -- |
| Runway Width | -- |
| Sight Seeing flight | No |
| Air Medical Flight | No |
| Medical Flight | -- |