Takeoff & Initial Climb · NTSB ERA24FA154

MOONEY M20K — St. Augustine, FL

2 fatal
DateMarch 25, 2024
LocationSt. Augustine, FL
AircraftMOONEY M20K
Purpose of flightPersonal
ConditionsDay · Visual Meteorological Cond
Phase / occurrenceInitial climb Miscellaneous/other
Pilot age68
Pilot total time764 hrs · Building experience
Time in typeUnknown
Fatalities2

Probable cause

The pilot’s failure to maintain adequate airspeed of the airplane while in the traffic pattern, which resulted in an aerodynamic stall/spin. Contributing was the pilot’s distraction due to the in-flight opening of the main cabin door, which resulted from the incorrect closure of the door before takeoff.

NTSB findings

  • Aircraft-Aircraft structures-Doors-Passenger/crew doors-Incorrect use/operation
  • Personnel issues-Task performance-Use of equip/info-Aircraft control-Pilot
  • Personnel issues-Psychological-Attention/monitoring-Attention-Pilot
  • Aircraft-Aircraft oper/perf/capability-Performance/control parameters-Airspeed-Not attained/maintained
  • Aircraft-Aircraft oper/perf/capability-Performance/control parameters-Angle of attack-Not attained/maintained
  • Personnel issues-Experience/knowledge-Experience/qualifications-Recent experience-Pilot

What happened

Shortly after takeoff, the pilot reported to the air traffic controller that he had a door that had “popped open,” and the controller cleared the flight to return for landing. A review of ADS-B data and surveillance video revealed that, while the airplane was on the base leg for the approach back to the departure airport, it entered a steep, nose-down descent while rolling to the right, consistent with an aerodynamic stall/spin. Postaccident examination of the airplane revealed that both of the airplane’s doors (the rear baggage door and the main cabin door) remained attached to the airframe. Examination of the rear baggage door revealed damage consistent with it having been closed and latched at the time of impact; this included damage on the door latch pins (which were found extended) and striker plates indicating that the rear baggage door latch pins had been forced past the striker plates during the impact sequence.

Examination of the main cabin door upper and aft center latch components revealed no damage to the latch pins and striker plates, indicating that the door was likely not closed and latched at the time of impact. Because the examination of the door lock and latching mechanisms did not reveal any mechanical failure or malfunction that would have precluded normal operation, the door was likely not closed properly before takeoff. The examination of the remainder of the airframe and the engine did not reveal any mechanical malfunction or failure that would have precluded normal operation.

According to the airplane’s Pilot’s Operating Handbook (POH), if the main cabin door is not properly closed, it may come unlatched in flight but will not affect the airplane’s flight characteristics. The POH prescribed either returning to the field and landing normally or climbing the airplane to a safe altitude to perform the procedures for shutting and latching the door.

The airplane was equipped with an engine data monitor that recorded various engine data parameters for the entire accident flight. A review of the engine data revealed that, at the time that the monitor stopped recording, all readings were consistent with normal engine operation and a high power setting. Based on these data, it is likely that, during the aerodynamic stall/spin, the pilot added full power to the engine in an attempt to recover from the aerodynamic stall/spin. According to the POH, to recover from a spin, it is necessary to bring the engine back to idle; however, the POH also stated that stalls at low altitude are extremely critical and that up to 2,000 ft of altitude may be lost during a one-turn spin and recovery. Thus, due to the airplane being below traffic pattern altitude when it entered the aerodynamic stall/spin, it is unlikely that the pilot could have recovered even if he had properly conducted the spin recovery items.

An editorial "what led to it / how to avoid it" analysis for this accident is generated separately and will appear here.

View the official NTSB docket →