In-flight decompression and pilot incapacitation following improper emergency exit closure

Casualties unknown • Covington, KY, US

A flight crew experienced an inability to pressurize the aircraft during climbout, leading to captain incapacitation and an emergency landing in Covington, Kentucky.

What happened

During an en route stop, company maintenance personnel opened the forward overwing emergency exit to access a navigation light requiring repair. While the flight engineer noted that the emergency exit appeared to be in place during the preflight inspection, he did not perform a physical examination of the exits or the latches.

During the climbout phase of the flight, the crew discovered they were unable to pressurize the aircraft. Despite objections from other crew members, the captain decided to proceed with the flight. The crew donned oxygen masks and continued the climb to a cruise altitude of FL330. Shortly after reaching level flight, the captain became incapacitated due to decompression sickness. The first officer assumed command of the aircraft and diverted the flight for an emergency landing at Covington, KY. No injuries were reported.

The investigation

Following the flight, the forward overwing emergency exit door was discovered lying inside the aircraft. An inspection revealed that the exit door would not fit properly within the frame. Furthermore, the door latches failed to engage the latch plates on the frame, even when the handle was moved into the locked position.

Probable cause

The failure of the emergency exit door latches to properly engage the latch plates, following maintenance actions that left the door improperly secured.

Frequently asked questions

What happened in the 1994-03-15 Douglas DC-8-61 accident near Covington, KY?

A flight crew experienced an inability to pressurize the aircraft during climbout, leading to captain incapacitation and an emergency landing in Covington, Kentucky.

What aircraft was involved and where did it happen?

The accident on 1994-03-15 involved a Douglas DC-8-61, registration N817CK, at Covington, KY.

What was the probable cause of the accident?

The failure of the emergency exit door latches to properly engage the latch plates, following maintenance actions that left the door improperly secured.

Investigation report by the U.S. National Transportation Safety Board (NTSB) historical archive. Original record: https://carol.ntsb.gov/event/20001206X00986. This page is a structured re-presentation; facts and quotes are in the National Transportation Safety Board (NTSB), United States.

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