Aircraft Accident/Incident Report

Denver, Colorado 80249
Friday, April 9, 2004 10:00 MDT

NTSB Narrative Summary Released at Completion of Accident

The captain reported that he had placed the windshield heat to the "normal" position and then called for the climb checklist. The captain said they were operating in and out of IMC conditions. As they were leveling off at 11,000 feet mean sea level (msl), the captain said, " ... we experienced a popping sound as the result of the first officer's windshield beginning to crack. There were 4 or 5 cracks that started from the bottom left hand corner of the windshield and reached the halfway point of the windshield. At that time and almost instantly we heard another pop and those same cracks continued up the entire length of the windshield." The captain said that after the window had cracked completely, he heard the first officer say, "it's burning." The captain said he asked him what was burning and he replied, "the windshield." The captain said he turned off the heat on his side of the windshield and removed his approach plates from the glare shield. He said he looked over to see what was going on, but did not see any smoke or fire. The captain said he called for the "cracked or shattered windshield checklist." They completed the checklist and landed the airplane uneventfully. The first officer said he noticed a constant spark at the bottom left corner of his windshield and brought it to the captain's attention. The first officer said they turned off the windshield anti-ice switch for his side and the spark stopped. "A few seconds later, my side of the windshield cracked in different places." An examination of the windshield showed six cracks in the outer pane originating at a location 6 inches inboard of the center post along the anti-ice terminal strip. Further examination of the windshield showed that the glass exhibited thermal damage and sooting between the glass layers at the origination point of the cracks, along the lower edge of the heating element. An examination of the hub seal, around the outer edge of the glass and aluminum frame showed evidence of deterioration. There was evidence of water intrusion between the glass plies. The intrusion damage extended along much of the lower edge of the windshield. The windshield heating element was corroded in the areas where water intrusion was observed. The airplane maintenance manual states that the primary cause of moisture ingress is a deteriorated seal. Moisture ingress eventually leads to one or all of the following: delamination between the glass and interlayer, corrosion of the buss bar-heating wire junctions, failure of the electric heating system, and fracture of the outer glass ply. Inspection of the seal is called for during each of six 200-hour Detail Inspections.

NTSB Probable Cause Narrative

arcing of the windshield deicing system. Factors contributing to the incident were the improper inspection of the windshield's exterior seal, deterioration of the windshield seal, and water penetration through the deteriorated seal.

Event Information

Type of Event Incident
Event Date 4/9/2004
Event Day of the Week Friday
Time of Event 1000
Event Time Zone Mountain Daylight Time
Event City Denver
Event State COLORADO
Event Country --
Zipcode of the event site 80249
Event Date Year 2004
Event Date Month 4
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 395131N
Event Location Longitude 1044001W
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 --
Degrees magnetic from airport --
Airport Elevation --
Weather Briefing Completeness Not pertinent
Investigator's weather source Weather Observation Facility
Time of the weather observation 1028 Mountain Daylight Time
Direction of event from weather observation facility (degrees) 360
Weather Observation Facility ID DEN
Elevation of weather observation facility 5431
Distance of event from weather observation facility (units?) 55
Time Zone of the weather observation MDT
Lighting Conditions Day
Lowest Ceiling Height 300
Lowest Non-Ceiling Height --
Sky/Lowest/Cloud Conditions Unknown
Sky Condition for Lowest Ceiling Overcast
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 2.5
Air Temperature at event time (in degrees celsius) 2
Dew Point at event time (in degress fahrenheit) 2
Wind Direction (degrees magnetic) 360
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 9
Wind Velocity Indicator --
Wind Gust Indicator Gusting
Wind Gust (knots) 0
Altimeter Setting at event time (in. Hg) 29.96
Density Altitude (feet) 5129
Intensity of Precipitation Light
METAR weather report --
Event Highest Injury None
On Ground, Fatal Injuries --
On Ground, Minor Injuries --
On Ground, Serious Injuries --
Injury Total Fatal --
Injury Total Minor --
Injury Total None 2
Injury Total Serious --
Injury Total All --
Investigating Agency NTSB
NTSB Docket Number (internal use) 16697
NTSB Notification Source Raytheon Aircraft Company
NTSB Notification Date Apr 9 2004 12:00AM
NTSB Notification Time 1030
Fiche Number and/or location -used to find docket information DMS
Date of most recent change to record Dec 3 2004 9:35AM
User who most recently changed record NTSB\MONR
Basic weather conditions Instrument Meteorological Cond
FAA District Office Denver, Colorado FSDO

Aircraft Involved

Aircraft #1

Aircraft Registration Number N210GL
NTSB Number DEN04IA059
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed IFR
Flight plan Was Activated? Yes
Damage None
Aircraft Fire In-flight
Aircraft Explosion None
Aircraft Manufacturer's Full Name Beech
Aircraft Model 1900D
Aircraft Series Identifier --
Aircraft Serial Number UE-210
Certified Max Gross Weight 17120
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 21
Number of Engines 2
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection Continuous Airworthiness
Date of Last Inspection Apr 4 2004 12:00AM
Airframe hours since last inspection 17366
Airframe Hours 17384.2
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name Great Lakes Aviation, Inc
Aircraft Owner Street Address 1022 Airport Parkway
Aircraft Owner City Cheyenne
Aircraft Owner State WY
Aircraft Owner Country USA
Aircraft Owner Zipcode 82001
Operator is an individual? No
Operator Name GREAT LAKES AVIATION LTD
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? No
Operator Street Address --
Operator City --
Operator State WY
Operator Country USA
Operator Zip code --
Operator Code GLBA
Owner has at least one certificate None
Other Operator of large aircraft? --
Certified for Part 133 or 137 Operation --
Operator Certificate Number GLBA031A
Indicates whether an air carrier operation was scheduled or not --
Indicates Domestic or International Flight --
Operator carrying Pax/Cargo/Mail --
Type of Flying (Per_Bus / Primary) Positioning
Second Pilot on Board Yes
Departure Point Same as Event No
Departure Airport Code PUB
Departure City Pueblo
Departure State CO
Departure Country USA
Departure Time 930
Departure Time Zone MDT
Destination Same as Local Flt crash at destination city
Destination Airport Code DEN
Destination City Denver
Destination State CO
Destination Country USA
Specific Phase of Flight Cruise
Report sent to ICAO? Yes
Evacuation occurred No
Date of most recent change to record Apr 25 2014 10:13AM
User who most recently changed record broda
Since inspection or accident Time of Accident
Event Location Runway Number and Location N/A
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --