Casualties unknown

2007-12-17: Beech 1900 (N111AX) — Aniak, AK

Aniak, AK, US

On December 17, 2007, a Beech 1900 (registration N111AX) was involved in an aviation accident near Aniak, AK. Investigators recorded the probable cause as: A hazardous leak from carbon dioxide cylinders due to the failure of the flight crew to properly load and secure the cylinders, resulting in crew incapacitation. This summary draws on records from the U.S. National Transportation Safety Board (NTSB) historical archive; 8 related events involving the same aircraft type or operator are linked below.

Sourcesthe U.S. National Transportation Safety Board (NTSB) historical archivePrimary reportUpdated 1781061362Data APIEditorial standards

A cargo airplane crew aborted takeoff due to a hissing sound. After taxiing back, they lost consciousness from a gas leak. A freight agent rescued them. Inspection revealed missing safety caps and an open valve on carbon dioxide cylinders.

Incident Overview

A cargo airplane, which had previously loaded a shipment of carbon dioxide cylinders, made an intermediate stop at an airport to refuel. The cylinders were equipped with screw-type valves and threaded metal safety caps to protect the valves. During the takeoff run after refueling, the flight crew heard a "hissing" sound emanating from the cargo area and aborted the takeoff. They subsequently taxied the airplane back to the airport ramp.

Loss of Consciousness and Rescue

After arriving on the ramp, the captain shut off the engines. However, before the crew could exit the airplane, both lost consciousness. Because the crew had filed an IFR flight plan that was not activated, air traffic control contacted the freight office to inquire about the airplane's status. A freight agent noticed the airplane sitting on the ramp and opened the door. Inside, he found the first officer unconscious near the door and the captain unconscious at the controls. The agent pulled both crewmembers out of the airplane and went for help. The flight crew regained consciousness while lying on the ramp and walked to the freight building. They were treated at a hospital and released the following day.

Crew and Cargo Details

The first officer reported that as the captain taxied back to the ramp, he felt the effects of the gas release. Both crewmembers opened the cockpit windows. Once stopped, the first officer stood up to open the forward door but collapsed at the door. The crew did not use their oxygen masks, and the crew oxygen supply tank was found full.

FAA Inspection Findings

An FAA inspector examined the airplane. The cargo compartment contained two tank racks, each holding five bottles, standing vertically along each side of the airplane. In the left side rack, two cylinders had no safety caps installed. In the right side rack, three cylinders also lacked safety caps; the caps were found on the floor. The inspector discovered that the middle tank of the three in the right side rack had a partially open valve—approximately 1/2 turn open—which was positioned against the interior side-wall of the cargo compartment. Additionally, nine carbon dioxide tanks were lying on the floor of the cargo area, braced by chocks but not strapped down.

Hazardous Material Considerations

An FAA Hazardous Materials Division inspector stated that cylinders of carbon dioxide are considered hazardous material because they are pressurized in excess of 40 psi. The inspector noted that the shipper had a responsibility to properly identify and declare hazardous materials being shipped, the carrier had a responsibility to properly train airplane crewmembers to identify and accept hazardous materials, and the flight crew had a responsibility to properly secure hazardous materials during transport.

Investigation report by the U.S. National Transportation Safety Board (NTSB) historical archive. Original record: https://carol.ntsb.gov/event/20080116X00059. This page is a structured re-presentation; facts and quotes are in the National Transportation Safety Board (NTSB), United States.