Ft Lauderdale-Hollywood Intl Airport
Aircraft Accident/Incident Report

Hallandale, Florida 33009
Wednesday, May 23, 2012 15:47 EDT

NTSB Narrative Summary Released at Completion of Accident

About 3 minutes into the positioning flight, at 3,000 feet, the flight crew heard a "loud bang" and became aware that the main passenger door had separated from the airplane. The pilot declared an emergency, diverted to a nearby airport, and landed without further incident. The separated passenger door was subsequently found on a nearby golf course. The co-pilot reported in a written statement that he closed the main passenger door and checked for a green light to ensure that it was secure. In a subsequent interview, he reported that he "believed" that the door warning lights were working, but he could not positively recall seeing the "Door Safe" light illuminated after closing the door. He also did not remember activating the "Recall" switch before takeoff. Ramp security video showed that the main passenger door appeared to close; it then re-opened momentarily and closed again before the airplane taxied out of the ramp area. The co-pilot reported that he re-closed the door because it did not secure on the first attempt. An examination of the recovered door and the door frame did not reveal evidence of a pre-existing mechanical malfunction or failure that would have precluded normal operation. The top half of the door was crushed from the impact with the ground, which prevented establishing the condition of door rigging before the accident. An examination of the fuselage revealed a skin puncture that matched the location of the door pull-out handle and is consistent with the door being in the open position when the puncture occurred. Although the door's external handle was found in the closed position, smudging on the fuselage was consistent with the handle's movement from the open to the closed position during impact with the fuselage. Although it is apparent from the cockpit voice recording that the flight crew referenced the pilot checklist at some stages during ground operations, crew challenge and response items were sporadically mentioned. After the sound of the passenger door closing, neither crewmember mentioned the door warning lights. At no point during ground operations through the takeoff sequence were the doors, door warning lights, or master caution system mentioned. The co-pilot mentioned the "Annunciator" check in the Before Takeoff checklist; however, no "Recall" response was noted on the recording. Activating the recall switch would have alerted the flight crew to an unsecured door before takeoff.

NTSB Probable Cause Narrative

The failure of the co-pilot to properly close and latch the passenger door before departure, and the flight crew's failure to ensure that the door was secure by using the door warning system. Contributing to the accident was the flight crew's inadequate use of checklists.

Event Information

Type of Event Accident
Event Date 5/23/2012
Event Day of the Week Wednesday
Time of Event 1547
Event Time Zone Eastern Daylight Time
Event City Hallandale
Event State FLORIDA
Event Country --
Zipcode of the event site 33009
Event Date Year 2012
Event Date Month 5
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 255919N
Event Location Longitude 0800752W
Event Location Airport Ft Lauderdale-Hollywood Intl
Event Location Nearest Airport ID FLL
Indicates whether the acc/inc occurred off or on an airport Off Airport/Airstrip
Distance from airport in statute miles 5
Degrees magnetic from airport 170
Airport Elevation 9
Weather Briefing Completeness --
Investigator's weather source Weather Observation Facility
Time of the weather observation 1550 Eastern Daylight Time
Direction of event from weather observation facility (degrees) 350
Weather Observation Facility ID FLL
Elevation of weather observation facility 9
Distance of event from weather observation facility (units?) 5
Time Zone of the weather observation EDT
Lighting Conditions Day
Lowest Ceiling Height --
Lowest Non-Ceiling Height 2000
Sky/Lowest/Cloud Conditions Few
Sky Condition for Lowest Ceiling None
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 10
Air Temperature at event time (in degrees celsius) 28
Dew Point at event time (in degress fahrenheit) 22
Wind Direction (degrees magnetic) 110
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 10
Wind Velocity Indicator --
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 29.87
Density Altitude (feet) --
Intensity of Precipitation --
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) 31877
NTSB Notification Source FAA Southern ROC
NTSB Notification Date --
NTSB Notification Time --
Fiche Number and/or location -used to find docket information --
Date of most recent change to record Sep 26 2013 4:17PM
User who most recently changed record kenj
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N207JB
NTSB Number ERA12LA356
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed IFR
Flight plan Was Activated? Yes
Damage Substantial
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name CANADAIR LTD
Aircraft Model CL-600-2B16
Aircraft Series Identifier --
Aircraft Serial Number 5194
Certified Max Gross Weight 45100
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 11
Number of Engines --
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection Continuous Airworthiness
Date of Last Inspection Mar 1 2012 12:00AM
Airframe hours since last inspection --
Airframe Hours 4966
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site Unknown
ELT Type Unknown
Aircraft Owner Name MEDCP Aviation LLC
Aircraft Owner Street Address 2665 S Bayshore Dr Suite 1200
Aircraft Owner City Coconut Grove
Aircraft Owner State FL
Aircraft Owner Country USA
Aircraft Owner Zipcode 33133
Operator is an individual? No
Operator Name Majestic Jet Inc.
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? No
Operator Street Address 1401 NE 10th St
Operator City Pompano Beach
Operator State FL
Operator Country USA
Operator Zip code 33060
Operator Code --
Owner has at least one certificate None
Other Operator of large aircraft? --
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) Positioning
Second Pilot on Board Yes
Departure Point Same as Event No
Departure Airport Code OPF
Departure City Opa Locka
Departure State FL
Departure Country USA
Departure Time 1543
Departure Time Zone EDT
Destination Same as Local Flt --
Destination Airport Code --
Destination City Pompano Beach
Destination State FL
Destination Country USA
Specific Phase of Flight --
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Sep 26 2013 4:17PM
User who most recently changed record kenj
Since inspection or accident Time of Accident
Event Location Runway Number and Location 10L
Runway Length 9000
Runway Width 150
Sight Seeing flight No
Air Medical Flight No
Medical Flight --