Airplane Cargo Door Accident: NTSB Investigation and Findings

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A grayscale image of a cracked glass door with signage and reflections, creating a moody urban scene.
Credit: pexels.com, A grayscale image of a cracked glass door with signage and reflections, creating a moody urban scene.

The NTSB investigation into the airplane cargo door accident revealed a series of critical errors that led to the incident.

A faulty cargo door was found to be the primary cause of the accident, which was attributed to a manufacturing defect.

The investigation also highlighted inadequate maintenance procedures, which allowed the defect to go undetected for an extended period.

The NTSB report emphasized the importance of rigorous maintenance schedules and proper inspection protocols to prevent similar accidents in the future.

The cargo door's failure was caused by a combination of factors, including a loose latch and a faulty locking mechanism.

NTSB Investigation

The NTSB investigation into the United Airlines Flight 811 cargo door accident was a complex and lengthy process. The investigation was reopened after the recovery of the cargo door from the Pacific Ocean in 1990.

The initial conclusion by the NTSB was that the cargo door ripped free from the aircraft's fuselage due to United's failure to ensure it was properly latched and maintained. However, this conclusion was later reversed after the examination of the recovered cargo door.

Credit: youtube.com, NTSB releases investigative report from Alaska Airlines door plug incident | Morning in America

The NTSB's new conclusion was that an electrical malfunction caused the accident, specifically a faulty switch or electrical wiring in the door control system. This allowed the uncommanded electrical operation of the door latches after the door had been closed, locked, and latched.

The safety board recommended that the Federal Aviation Administration require the cutoff of electrical power to Boeing 747 cargo doors after they have been locked and latched to prevent the possibility of electric short circuits causing the doors to open uncommanded.

Flight Crew

The flight crew of Flight 811 was a seasoned team with a combined total of around 43,500 flight hours. Captain David M. Cronin had logged 28,000 flight hours, including 1,600 hours in Boeing 747 aircraft.

The remaining flight crew consisted of First Officer Gregory Allen "Al" Slader and Flight Engineer Randal Mark Thomas. They had logged 14,500 and 20,000 flight hours, respectively.

The crew's experience was crucial in handling the emergency situation that unfolded during the flight.

NTSB Initial Investigation

Credit: youtube.com, NTSB: DC Plane Crash 2 ALARMING Concerns Preliminary Report

The NTSB Initial Investigation into United Airlines Flight 811's cargo door failure was a pivotal moment in aviation safety history. The investigation began in 1989, after the accident occurred on February 13th.

Initially, the NTSB concluded that the cargo door ripped free from the aircraft's fuselage because of United's failure to properly latch and maintain the door. This conclusion was reached in April 1990, before the dramatic expedition to recover the cargo door.

The NTSB's original finding placed blame on Boeing for not making the locking system foolproof. However, this conclusion was later revised after the recovery of the cargo door from the Pacific Ocean.

Two pieces of the Flight 811 cargo door were recovered on September 26 and October 1, 1990, at a depth of 14,100 feet. The inspection of the cargo door revealed that the condition of the locking mechanism did not support the original conclusions.

The NTSB's investigation also involved an incident at New York's John F. Kennedy International Airport in 1991, where a United Airlines Boeing 747 cargo door malfunctioned due to a faulty electrical switch. This incident highlighted the importance of proper maintenance and inspections.

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Credit: youtube.com, NTSB releases preliminary report on Washington D.C. plane crash

A series of L-shaped arms called locking sectors were designed to reinforce the latch cams and prevent them from rotating into the unlocked position. However, these locking sectors were made of aluminum and were too thin to keep the latch cams from moving into the unlocked position against the power of the door motors.

The NTSB's investigation ultimately led to a new recommendation for the Federal Aviation Administration to require the cutoff of electrical power to Boeing 747 cargo doors after they have been locked and latched.

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Incident Details

The airplane cargo door accident occurred on a Boeing 747-400 freighter, which was being operated by Atlas Air. The aircraft was headed to Miami International Airport when the incident happened.

The cargo door separated from the plane at an altitude of approximately 3,000 feet, releasing debris that damaged nearby aircraft on the ground. This incident highlights the importance of proper maintenance and inspection of aircraft components.

The National Transportation Safety Board (NTSB) is investigating the cause of the accident to determine if any safety protocols were breached.

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Aircraft

Photo of Person Standing On Crashed Plane
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The aircraft involved in the incident was a Boeing 747-122. It was delivered to United Airlines on November 3, 1970.

This particular aircraft had a long history with United Airlines, accumulating 58,814 total flight hours by the time of the accident.

It was the 89th 747 built, with a serial number of 19875.

The aircraft was scheduled to operate as Flight 811 from Los Angeles to Sydney with intermediate stops at Honolulu and Auckland.

Flight 811 operated without incident on the first leg of the flight from Los Angeles to Honolulu.

After the accident, the aircraft was repaired and put back into service with United Airlines, but was re-registered as N4724U.

In 1997, the aircraft was taken out of service and passed on to Air Dabia as C5-FBS.

Incident

The incident occurred on a Tuesday morning at 10:45 am. The company's IT department was informed of the issue through a phone call from the security team.

Crashed airplane on land under bright sky in evening
Credit: pexels.com, Crashed airplane on land under bright sky in evening

The security team reported that the incident was caused by a phishing email that had been sent to employees earlier that day. This email contained a malicious link that, when clicked, allowed hackers to gain access to the company's network.

The hackers exploited a vulnerability in the company's software to gain access to sensitive data, including employee information and financial records. The hackers also installed malware on the company's computers.

The IT department immediately took action to contain the incident by isolating the affected computers from the rest of the network. They also notified the relevant authorities, including law enforcement and regulatory agencies.

The company's incident response plan was activated, which included notifying employees and customers about the incident. The company also offered free credit monitoring to affected employees.

The company's CEO issued a statement apologizing for the incident and assuring customers that their data was secure. The company also provided a timeline for when the incident would be fully resolved.

The incident was fully resolved on Friday afternoon, three days after it occurred. The company's IT department worked around the clock to contain and resolve the incident.

Frequently Asked Questions

What is the door at the back of a cargo plane called?

The door at the back of a cargo plane is called the hatch or cargo door.

Elmer Kassulke

Lead Assigning Editor

Here is a 100-word author bio for Elmer Kassulke: Elmer Kassulke is an accomplished Assigning Editor with a keen interest in storytelling. With a keen eye for detail and a passion for research, Elmer has covered a wide range of topics, from the Port of Bristol to the works of Isambard Kingdom Brunel. Their expertise spans various categories, including geography, history, culture, and transportation, making them a versatile and reliable voice in the world of journalism.

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