GAA16CA348
2016-01-10 · Carolina, Puerto Rico, United States · None · 1 aircraft · Status: Completed
Airport TJSJ
Current FAA registration · N87SA
- Make / Model
- BEECH B200
- Year of manufacture
- 1982 · 34 years old at event
- Engine
- P&W PT6A SER (750 hp)
- Seats / Engines
- 11 seats · 2 engines
- Last airworthiness date
- 19950131
- ADS-B equipped
- Yes — Mode-S ABF58E
Source: FAA Aircraft Registry (releasable master file).
Aircraft involved
Probable cause & findings
The pilot's failure to actuate the parking brake prior to leaving his seat, resulting in substantial damage.
Factual narrative
The pilot reported that he parked the airplane and shut down the requisite systems, then proceeded to the back of the airplane to allow the passengers to disembark and set the wheel chocks. He reported that as he began to open the cabin door, he realized that the airplane was rolling backwards. The airplane rolled into the wall of the airport terminal and the left and right elevators sustained substantial damage. The pilot reported that there were no mechanical failures or anomalies with the airplane or any of its systems that would have prevented normal operation. According to the manufacturer's pilot operating handbook and the operator, the accident airplane was equipped with a parking brake. The operator reported that their maintenance department inspected the parking brake system after the accident, and in accordance with the Beech B200 service manual and found no failures or anomalies. The pilot reported that he parked the airplane and shut down the requisite systems, then proceeded to the back of the airplane to allow the passengers to disembark and set the wheel chocks. He reported that as he began to open the cabin door, he realized that the airplane was rolling backwards. The airplane rolled into the wall of the airport terminal and the left and right elevators sustained substantial damage. The pilot reported that there were no mechanical failures or anomalies with the airplane or any of its systems that would have prevented normal operation. According to the manufacturer's pilot operating handbook and the operator, the accident airplane was equipped with a parking brake. The operator reported that their maintenance department inspected the parking brake system after the accident, and in accordance with the Beech B200 service manual and found no failures or anomalies. Source: NTSB Aviation Accident Database Retrieved: 2026-02-12
NTSB Findings
FAA avdata. C = Cause, F = Factor.
- C Aircraft-Aircraft systems-Landing gear system-Brake-Not used/operated - C
- C Personnel issues-Action/decision-Action-Lack of action-Pilot - C
- — Environmental issues-Physical environment-Object/animal/substance-Airport structure-Contributed to outcome
Verbatim from NTSB's published report. Source file
NTSB_2016_GAA16CA348.txt.
Findings + structured fields enriched from FAA avall.mdb.
Full investigation docket on
data.ntsb.gov ↗.
Search this event elsewhere
External sources are reported, not agency: signal that something happened, not fact about what happened.
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Related research
Matched on aircraft type or causal vocabulary (maintenance). All research papers
- Embry-Riddle Scholarly Commons 2026 · Journal article (IJAAA) From Reactive to Predictive: A hybrid Trust-Mediated Adoption Framework for Data-Driven Maintenance in Distributed-Authority Aviation Environments
Modern aviation maintenance operates within increasingly data-intensive technological environments, yet the operational integration of predictive maintenance into routine decision-making remains incon…
- Semantic Scholar 2026 · Article (Reliability Engineering & System Safety) Understanding human error in military aviation maintenance: The role of Performance shaping factors, cognitive workload and error orientation
- Semantic Scholar 2025 · Article (Applied Sciences) Decision-Making Framework for Aviation Safety in Predictive Maintenance Strategies
The implementation of predictive maintenance (PM) in aviation presents unique challenges due to strict safety requirements, complex operational environments, and regulatory constraints.
- Semantic Scholar 2024 · Article (Defence Science Journal) Modelling of Human Factors in Aviation Maintenance Using HFACS ME Human Factors Analysis and Classification System Maintenance Extension and Bayesian Network
Aircraft maintenance is a complex task involving a skilled human workforce, spare parts, and various other resources. Human factors are an inherent element of the human workforce.
- Embry-Riddle Scholarly Commons 2024 · Journal article (JAAER) A New Trajectory in UAV Safety: Leveraging Reinforcement Learning for Distance Maintenance Under Wind Variations
In the field of aviation, safety is a critical cornerstone, and the operation of Unmanned Aerial Vehicle (UAV) systems is deeply connected with this principle.
- Embry-Riddle Scholarly Commons 2024 · Journal article (JAAER) Low-Resource Automatic Speech Recognition Domain Adaptation – A Case-Study in Aviation Maintenance
With timeliness and efficiency being critical in the aviation maintenance industry, the need has been growing for smart technological solutions that optimize and streamline the different underlying ta…