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Atlas / NTSB / GAA19CA372

NTSB CAROL · Event

Event GAA19CA372

2019-04-29 Porterville, California, United States None 1 aircraft Status: Completed

Registry · N189JC

FAA Aircraft Registry record.

Make / Model

CESSNA T206H

Year of manufacture

2017 · 2 years old at event

Engine

LYCOMING TIO-540-AJ1A (310 hp)

Seats / Engines

6 seats · 1 engine

Last airworthiness date

20170626

ADS-B equipped

Yes — Mode-S A162E6

Registrant of record

TULARE COUNTY SHERIFF

Source: FAA Aircraft Registry (releasable master file).

Aircraft involved

Probable cause & findings

The pilot's failure to verify that the rear cargo portion of the right cabin door was adequately secured before flight, which resulted in both portions of the door opening in flight and substantial damage to the fuselage.

Factual narrative

The pilot reported that, during preflight inspection, after a passenger had entered the airplane, he ensured that the right-rear cargo portion of the right cabin door was secure. The right side cabin door was a two-piece forward passenger door and rearward cargo door combination, and was adjacent to the second row of passenger seats. He did not close the right-front portion of the door because the passenger had secured that door multiple times before. After completing the preflight inspection, he entered the airplane and observed the passenger close and latch the forward portion of the right door. He then saw the passenger, who was seated in the right rear passenger seat struggling with the seatbelt which passed between the seat and the cargo door on the right. The pilot suggested the passenger switch seats, and the passenger moved to the left rear passenger seat and fastened his seat belt. The pilot reported that, during the flight, while maneuvering and descending to 1,600 ft mean sea level, he banked to the left and heard a "brief whistle", followed by a "loud boom sound." He looked behind him and saw both portions of the right cabin door open. He returned to the departure airport without further incident. The airplane sustained substantial damage to the fuselage. Postaccident examination revealed red paint transfer on the forward portion of the door from the rear portion door latch and that both door sections could be opened if the latch for the rear door was open. The pilot reported that he believed that the right rear passenger seat belt "must have pulled on the [rear] door latch enough to dislodge it." He added that the red paint transfer was not there before the flight. The pilot provided a postaccident examination video, which showed that he was able to use the larger airbag section of the seatbelt to wedge open the rear cargo door latch. The pilot reported that there were no preaccident mechanical failures or malfunctions with the airplane that would have precluded normal operation. The "Rear Cargo Door Emergency Exit" placard in the airplane stated: 1. Open front cargo door as far as it will go. 2. Push rear door handle forward and force door open. The pilot reported that, during the preflight inspection and after a passenger had entered the airplane, he ensured that the rear cargo portion of the right cabin door, which also had a forward passenger portion adjacent to the second row of passenger seats, was secure. After completing the preflight inspection, the pilot entered the airplane and saw the passenger close and latch the forward portion of the right door. He then saw the passenger, who was seated in the right, rear passenger seat, struggling with the seatbelt, which passed between the seat and the right cargo door. The pilot suggested that the passenger switch seats, and the passenger moved to the left, rear passenger seat and fastened his seatbelt. The pilot reported that, during the flight, while maneuvering and descending to 1,600 ft mean sea level, he banked left and then heard a "brief whistle," followed by a "loud boom." He looked behind him and saw that both portions of the right cabin door were open. He returned to the departure airport without further incident. The airplane sustained substantial damage to the fuselage. Postaccident examination of the airplane revealed red paint transfer marks on the forward portion of the door from the rear portion door latch, and both door sections could be opened if the latch for the rear door was open. The pilot reported that he believed that the right, rear passenger seatbelt "must have pulled on the [rear] door latch enough to dislodge it." He added that the red paint transfer mark was not there before the flight. The pilot provided a postaccident examination video, which showed that he was able to use the larger airbag section of the seatbelt to wedge open the rear cargo door latch. The pilot reported that there were no preaccident mechanical failures or malfunctions with the airplane that would have precluded normal operation. Source: NTSB Aviation Accident Database Retrieved: 2026-02-12

NTSB Findings

Hierarchical cause / factor breakdown from the FAA bulk avdata database. Each finding tagged C (Cause) or F (Factor).

  • C Aircraft-Aircraft structures-Doors-Passenger/crew doors-Inadequate inspection - C
  • C Personnel issues-Task performance-Inspection-Preflight inspection-Pilot - C

Verbatim from NTSB's published report. Source file NTSB_2019_GAA19CA372.txt. Findings + structured fields enriched from FAA avall.mdb. Full investigation docket on data.ntsb.gov ↗.