How to loose your cabin door or I learned about flying from that...
Posted: Fri Aug 10, 2018 12:28 pm
I really thought about sharing this experience here in the forum, but finally decided to do so. I am always keen on learning from mistakes that others made by NTSB incident reports, from “I learned about flying from that…” or other sources. So why not sharing my “incident”, although it is a little bit embarrassing.
We were heading back in our DA42 from Oshkosh to Germany. For the first day of our trip back we planned 1.500NM with stops in Gore Bay, La Grand Riviere and Iqaluit. We were in good mood, but tired when we approached Iqaluit in the evening hours. We wanted to make an overnight stop and were happy that we got the last hotel rooms, of which Iqaluit has not many to offer.
We were approaching Iqaluit and expectedly went IMC during the approach. Unexpectedly, we found ourselves in moderate turbulence that shook us through during the approach. During turbulence the door open warning on the PFD signaled DOOR OPEN, we checked both doors visually, touched the latches, did not find anything, tightened the seat belts and finally managed to land safely.
Next day, we got up early, since we wanted to make it until Reykjavik. We did a careful outside check, put our immersion suits on and started the engines to warm up. The DOOR OPEN warning went on again, but both of us thought about yesterday and did not pay special attention. It was our 50+ flight hour on this trip within the last 7 days. We did the checklist by “standard flow” and visual check in the cabin starting with the middle console, panel from right to left and ending with the main switch.
After taxi and departure clearance we made a backtrack on RWY34 and took off. During the climb out I noticed that it was loud in the cabin and checked the power switch of my noise cancellation headphones, but found them to be switched on. I looked back over my left shoulder and realized that the cabin door was open. I told my co-pilot friend “the cabin door is open”. He looked at the latch and turned back. He is a hero in acrobatic flying in his Extra 300 and Bücker-Jungmann, has a much longer track record than me in flying, but is not very familiar with a DA42. While he was turning back, I remembered that the POH says “reland and close” in this case. So I started to tell him that, but only uttered the first few words. He started trying to close the door during flight. All of a sudden, the cabin door was torn off with a blast and it became loud and cold in the cabin. Happily the door did not hit the structure of the plane. I remembered FLY THE AIRPLANE! and was totally focused on controls, speed and attitude. We declared an emergency and landed the plane safely.
On the ground, after collecting our minds, and some phone calls, we were happy to hear that Diamond in Ontario had the right door on stock for us, ready for immediate shipping. Staff was very supportive and quick. The door arrived next day with FirstAir, we were ready to go next day and flew to Reykjavik. We also found the old one in by helicopter. It will get a special place in my garage as an expensive souvenir…
So what went wrong? I believe there is often not only one reason when things go wrong (“Swiss Cheese Model”)
Mistake no. 1 - I think is not using the Checklist (active failure)
Mistake no. 2 - not paying attention to the door open warning (latent failure).
Mistake no. 3 - not being short and precise in emergency situations “do not touch the door, we have to reland…” (active failure)
So, that was my story and I hope that others might learn from it.
We were heading back in our DA42 from Oshkosh to Germany. For the first day of our trip back we planned 1.500NM with stops in Gore Bay, La Grand Riviere and Iqaluit. We were in good mood, but tired when we approached Iqaluit in the evening hours. We wanted to make an overnight stop and were happy that we got the last hotel rooms, of which Iqaluit has not many to offer.
We were approaching Iqaluit and expectedly went IMC during the approach. Unexpectedly, we found ourselves in moderate turbulence that shook us through during the approach. During turbulence the door open warning on the PFD signaled DOOR OPEN, we checked both doors visually, touched the latches, did not find anything, tightened the seat belts and finally managed to land safely.
Next day, we got up early, since we wanted to make it until Reykjavik. We did a careful outside check, put our immersion suits on and started the engines to warm up. The DOOR OPEN warning went on again, but both of us thought about yesterday and did not pay special attention. It was our 50+ flight hour on this trip within the last 7 days. We did the checklist by “standard flow” and visual check in the cabin starting with the middle console, panel from right to left and ending with the main switch.
After taxi and departure clearance we made a backtrack on RWY34 and took off. During the climb out I noticed that it was loud in the cabin and checked the power switch of my noise cancellation headphones, but found them to be switched on. I looked back over my left shoulder and realized that the cabin door was open. I told my co-pilot friend “the cabin door is open”. He looked at the latch and turned back. He is a hero in acrobatic flying in his Extra 300 and Bücker-Jungmann, has a much longer track record than me in flying, but is not very familiar with a DA42. While he was turning back, I remembered that the POH says “reland and close” in this case. So I started to tell him that, but only uttered the first few words. He started trying to close the door during flight. All of a sudden, the cabin door was torn off with a blast and it became loud and cold in the cabin. Happily the door did not hit the structure of the plane. I remembered FLY THE AIRPLANE! and was totally focused on controls, speed and attitude. We declared an emergency and landed the plane safely.
On the ground, after collecting our minds, and some phone calls, we were happy to hear that Diamond in Ontario had the right door on stock for us, ready for immediate shipping. Staff was very supportive and quick. The door arrived next day with FirstAir, we were ready to go next day and flew to Reykjavik. We also found the old one in by helicopter. It will get a special place in my garage as an expensive souvenir…
So what went wrong? I believe there is often not only one reason when things go wrong (“Swiss Cheese Model”)
Mistake no. 1 - I think is not using the Checklist (active failure)
Mistake no. 2 - not paying attention to the door open warning (latent failure).
Mistake no. 3 - not being short and precise in emergency situations “do not touch the door, we have to reland…” (active failure)
So, that was my story and I hope that others might learn from it.