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Pilot’s attempt to fix window contributes to accident

By NTSB · December 10, 2018 ·

Passengers reported that, during a winter flight, cold air was entering the Beech A36 from the left side of the passenger cabin. Afterward, the pilot examined the area and discovered there was a small gap under the emergency exit window that was allowing air to enter the cabin from outside the airplane.

He opened the window and examined the rubber seal, which was intact. However, he could not tell if it was compressed or thinner than normal. He then closed and latched the window and inspected the latch with a flashlight to make sure it was latched.

Because he was going to fly back to his home airport in similar winter conditions on the next flight, he took several rolled-up paper towels and placed them between the trim and the window to try and keep the cold air out and placed a strip of blue painter’s tape on the outside of the lower portion of the window to further reduce the entry of cold air.

He decided to fly the airplane once around the traffic pattern before fueling up for his return flight. After takeoff and while on the downwind leg of the traffic pattern at 800′, he suddenly heard a “whoosh” behind his seat. Instead of landing and checking to see what happened, he checked for other traffic, turned on the autopilot, in heading and altitude mode, then reached around behind him to shut and latch the window, which had opened two to three inches.

Seconds later, after turning back around to his normal seated position, he heard a loud “pop” and turned around and saw that the window had opened completely. Given that he was afraid it would come off the airplane and strike the tail, he reached back again and pulled the window down.

The pilot reported that he must have “bumped” the autopilot off while he was doing this, because when he looked forward to check for traffic, he noticed that the airplane was approaching the ground. He then banked left and right to determine his location and spot any obstacles, raised the nose, and added power to climb.

He then noticed that there were power lines slightly higher than his altitude directly in front of him, and rather than risk a possible stall close to the ground by pulling back suddenly, he lowered the nose and “put” the airplane on the ground near New Smyrna Beach, Florida.

The airplane hit trees, and a fire ensued, which resulted in substantial damage to the airframe.

Examination of the emergency exit window by an FAA inspector revealed that the paper towels the pilot inserted in the gap between the window and the airframe were interfering with the window’s latching mechanism.

Probable cause: The pilot’s inappropriate response to an emergency exit window opening in flight, which resulted in a loss of control, precautionary off-airport landing, and subsequent impact with trees. Contributing to the accident was the pilot’s improper repair of the emergency exit window before the flight.

NTSB Identification: ERA17CA068

This December 2016 accident report is provided by the National Transportation Safety Board. Published as an educational tool, it is intended to help pilots learn from the misfortunes of others.

About NTSB

The National Transportation Safety Board is an independent federal agency charged by Congress with investigating every civil aviation accident in the United States and significant events in the other modes of transportation, including railroad, transit, highway, marine, pipeline, and commercial space. It determines the probable causes of accidents and issues safety recommendations aimed at preventing future occurrences.

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Comments

  1. Wylbur Wrong says

    December 11, 2018 at 10:30 am

    You can be a test pilot. You can be a mechanic. You can’t do both duties simultaneously.

    You have to fly the plane and land it. The auto-pilot does not have the ability to see and avoid traffic. So no safety pilot, no get out of seat to do mechanical work.

    You take mechanic with you and let them deal with things while you fly the plane. That is the right stuff.

  2. Eury says

    December 11, 2018 at 9:51 am

    This is why the first step in any abnormal is to fly the plane, kids.

  3. gbigs says

    December 11, 2018 at 5:00 am

    Clown moves like this are why insurance rates are high.

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