Casualties unknown

1991-11-13: Douglas DC-8-63 (N794AL) — Flagship Express — Toledo, OH

Toledo, OH, US

On November 13, 1991, a Douglas DC-8-63 (registration N794AL) operated by Flagship Express was involved in an aviation accident near Toledo, OH. Investigators recorded the probable cause as: 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. This summary draws on records from the U.S. National Transportation Safety Board (NTSB) historical archive.

Sourcesthe U.S. National Transportation Safety Board (NTSB) historical archivePrimary reportUpdated 1781061362Data APIEditorial standards
Aircraft registered N794AL
Aircraft registered N794AL. Photo: Andrew Thomas from Shrewsbury, UK / CC BY-SA 2.0, via Wikimedia Commons

A cargo door opened during flight, prompting a return and normal landing. Investigators found one required circuit breaker still engaged and multiple nonconformities in the door installation, including substandard locks and a flawed warning light system.

Incident Overview

During a flight, the main cargo door opened, and the crew returned the aircraft for a normal landing. No further details about the aircraft or operator were provided in the investigation.

Circuit Breaker Findings

Two circuit breakers were required to be pulled prior to takeoff. After the incident, one of these circuit breakers was found still engaged.

Conformity Inspection

A conformity inspection of the cargo door installation identified several areas of nonconformity. The door locks were found to have strength below the required specifications. Additionally, the door locks lacked paint, which is used for visual identification. A bundle of wires was found damaged; these wires were part of the system that indicates door closing and locking.

Warning Light System

The investigation revealed that it was possible for the cargo door to be not completely closed while the door warning light indicated that it was fully locked. This discrepancy could lead to an incorrect indication of door security.

Conclusion

The incident involved an in-flight opening of the main cargo door, with the aircraft landing normally. The investigation identified a circuit breaker issue, nonconformities in door lock strength and visual identification, damaged wiring, and a potential failure of the warning light system to accurately reflect the door's locked status.

Investigation report by the U.S. National Transportation Safety Board (NTSB) historical archive. Original record: https://carol.ntsb.gov/event/20001212X18509. This page is a structured re-presentation; facts and quotes are in the National Transportation Safety Board (NTSB), United States.