Taylor Muni Airport
Aircraft Accident/Incident Report

Taylor, Texas 76574
Thursday, April 10, 2008 9:00 CDT

NTSB Narrative Summary Released at Completion of Accident

While performing a postmaintenance flight, the pilot heard a loud, high-pitched "screaming" sound emanating from behind the instrument panel. The pilot returned to the airport and radioed the mechanic regarding the loud sound. When the pilot brought the airplane to a stop, the sound diminished. With engines idling, the mechanic opened the door of the airplane to troubleshoot the malfunction. Cabin pressure existed when the mechanic attempted to open the entry door and the door "blew" outward. The door struck the mechanic's head. An examination of the airframe revealed that a vacuum line had separated from the vacuum controller at a T-fitting. The T-fitting was located in the area that the mechanic had worked in during installation of the vertical speed indicator. The disconnected line disabled the entire vacuum system and subsequently disabled the airplane's pressurization system outflow valve. Prior to the mechanic opening the door, the pilot reported turning the environmental controls off which stopped the in-flow of cabin pressure. However, because the vacuum system could not drive the safety valve open, the airplane remained pressurized. An examination of the door assembly and differential-pressure-sensitive diaphragm revealed no anomalies. Testing results conducted on the diaphragm were consistent with a new diaphragm. The door system met the certification requirements of 14 Code of Federal Regulations (CFR) Part 23. The Beech 200 has no means of alerting outside personnel that the airplane is still pressurized while on the ground other than resistance against the release-button, nor is it required to by 14 CFR Part 23. The Pilot's Operating Handbook onboard the airplane had not been updated. A current version of the checklist would have directed the pilot to verify a zero pressure differential during the after-landing checklist.

NTSB Probable Cause Narrative

The failure of the pilot and mechanic to ensure that the airplane was depressurized prior to actuating the door. Contributing to the accident was the failure of the vacuum system.

Event Information

Type of Event Accident
Event Date 4/10/2008
Event Day of the Week Thursday
Time of Event 900
Event Time Zone Central Daylight Time
Event City Taylor
Event State TEXAS
Event Country --
Zipcode of the event site 76574
Event Date Year 2008
Event Date Month 4
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 303421N
Event Location Longitude 0972635W
Event Location Airport TAYLOR MUNI
Event Location Nearest Airport ID T74
Indicates whether the acc/inc occurred off or on an airport On Airport
Distance from airport in statute miles --
Degrees magnetic from airport --
Airport Elevation --
Weather Briefing Completeness --
Investigator's weather source Weather Observation Facility
Time of the weather observation 855 Central Daylight Time
Direction of event from weather observation facility (degrees) 291
Weather Observation Facility ID GTU
Elevation of weather observation facility --
Distance of event from weather observation facility (units?) 14
Time Zone of the weather observation CDT
Lighting Conditions Day
Lowest Ceiling Height 10000
Lowest Non-Ceiling Height --
Sky/Lowest/Cloud Conditions Clear
Sky Condition for Lowest Ceiling Broken
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 10
Air Temperature at event time (in degrees celsius) 14
Dew Point at event time (in degress fahrenheit) 4
Wind Direction (degrees magnetic) 340
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 9
Wind Velocity Indicator --
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 29.98
Density Altitude (feet) --
Intensity of Precipitation --
METAR weather report --
Event Highest Injury Fatal
On Ground, Fatal Injuries 1
On Ground, Minor Injuries --
On Ground, Serious Injuries --
Injury Total Fatal 1
Injury Total Minor --
Injury Total None 1
Injury Total Serious --
Injury Total All 1
Investigating Agency NTSB
NTSB Docket Number (internal use) 25167
NTSB Notification Source Pilot
NTSB Notification Date Apr 11 2008 12:00AM
NTSB Notification Time --
Fiche Number and/or location -used to find docket information --
Date of most recent change to record Mar 9 2009 9:55AM
User who most recently changed record bowl
Basic weather conditions Visual Meteorological Cond
FAA District Office San Antonio

Aircraft Involved

Aircraft #1

Aircraft Registration Number N300FL
NTSB Number DFW08LA097
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed None
Flight plan Was Activated? No
Damage Minor
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name RAYTHEON
Aircraft Model B200
Aircraft Series Identifier --
Aircraft Serial Number BB-1629
Certified Max Gross Weight 12500
Aircraft Category Airplane
Aircraft Registration Class --
Aircraft is a homebuilt? No
Flight Crew Seats --
Cabin Crew Seats --
Passenger Seats --
Total number of seats on the aircraft 9
Number of Engines 2
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection Continuous Airworthiness
Date of Last Inspection Jan 4 2008 12:00AM
Airframe hours since last inspection --
Airframe Hours 4102.7
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site Unknown
ELT Type --
Aircraft Owner Name Alaro Inc
Aircraft Owner Street Address PO BOX 742
Aircraft Owner City Giddings
Aircraft Owner State TX
Aircraft Owner Country USA
Aircraft Owner Zipcode 78942
Operator is an individual? No
Operator Name --
Operator Same as Owner? Yes
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address --
Operator City --
Operator State --
Operator Country USA
Operator Zip code --
Operator Code --
Owner has at least one certificate None
Other Operator of large aircraft? No
Certified for Part 133 or 137 Operation --
Operator Certificate Number --
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) Personal
Second Pilot on Board No
Departure Point Same as Event No
Departure Airport Code T74
Departure City TAYLOR
Departure State TX
Departure Country USA
Departure Time --
Departure Time Zone --
Destination Same as Local Flt dest & departure same, accident can occur anywhere
Destination Airport Code --
Destination City --
Destination State --
Destination Country USA
Specific Phase of Flight Standing - engine(s) operating
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Feb 11 2009 11:31AM
User who most recently changed record aguj
Since inspection or accident Last Inspection
Event Location Runway Number and Location NA
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --