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The pilot reported that the Beech 200 King Air was passing through FL230, on descent from FL270, when he heard a loud bang. He advised ATC that both he and the sole passenger had donned oxygen masks as a result of a sudden loss of cabin pressurisation. A post flight inspection of the aircraft found that the rear entrance upper latch hook had failed, permitting a loss of cabin pressurisation. The hook is an item with a replacement life of 12,000 flight hours. The failed door latch hook was reported to have completed 4704.5 hours, and 4295 pressurisation cycles, since new. Failure analysis of the door latch hook found that the failure was caused by the growth of fatigue cracking, initiating from the inner radius of the hook. Subsequent crack extension was by a stress corrosion mechanism. Several factors were considered to have contributed to the failure of the hook well before the expiry of its designated safe life, including: - a surface irregularity created during machining of the hook; - fatigue crack initiation from that machining irregularity; - lack of corrosion protection of the door latch hook; and - stress corrosion from prolonged exposure to a corrosive environment. SAFETY ACTION The Bureau of Air Safety Investigation issued Safety Advisory Notice 970071 which drew the attention of the Civil Aviation Safety Authority to the fatigue failure of the hook.
Download Final Report
[ Download PDF: 15KB]
 
 
 
 
General details
Date: 10 November 1996 Investigation status: Completed 
Time: 17:00 ESuT Investigation type: Occurrence Investigation 
 Occurrence class: Operational 
Release date: 30 June 1997 Occurrence category: Incident 
Report status: Final  
 
Aircraft details
Aircraft manufacturer: Beech Aircraft Corp 
Aircraft model: 200 
Aircraft registration: VH-YNE 
Sector: Turboprop 
Damage to aircraft: Nil 
Departure point:Adelaide SA
Destination:Canberra ACT
 
 
 
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Last update 28 October 2014