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Stamper RV-10 accident Preliminary Report
Door came open. Check out this prelim report:
http://www.ntsb.gov/_layouts/ntsb.av...05X23019&key=1 Have you RV-10 folks - and others with pop-up canopies - really developed a detailed step-by-step checklist for what you're going to do if something comes open? |
Man, I really hate to see that. That's the one reservation I have about building a 10 for my growing family, is the door latch design.
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Very sad. Fly the Airplane!
I recently posted about my flight instructor many years ago who would purposefully open doors, grab the yoke, open a window, close the throttle or mixture,... basically purposefully distract you until you no longer panicked. It was also noted that in todays training environment, that instructor might have lost his job for this. Too bad. This was an avoidable accident. Bottom line, Fly the Airplane. Thanks for posting this as a lesson to us all. |
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N7ZK?s doors have primary and backup locking devices, and the SkyView alarms if all four primary locking pins are not in place. The doors will last a lifetime if you don?t violate the rules: 1. Doors shut and locked before engine start. 2. Assume your passenger did not lock his/her door ? verify before engine start. 3. After engine start verify all four door pins in by observing the Green door indication on the SkyView EMS display. 4. Doors shut and locked anytime the engine is running ? no matter how tempting to do the hot passenger pickup/drop off. 5. If parked anywhere but in a hangar, doors shut and locked unless you are standing next to the door. So for all fueling, moving to park, etc. doors shut and locked. In other words, unless you are getting in or out of the plane, doors shut and locked. Carl |
Hey guys, there is already a thread on this here.
I'll defer to a another moderator or Doug himself if these should be merged or one deleted. |
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1. Fly the Plane 2. Land Immediately. Notice there are no steps about the door itself. I will make no attempts to save the door--period. If I've got pax and they have the wherewithal to do try something then they can, but I will only focus on putting the plane safely on the ground. YMMV.... |
I wonder if it is out of the question to think about moving the hinge points of the door to be along the front edge or angled so the door won't suck open? Like a Cirrus. (I admit I'm making an assumption here; I don't know for sure that Cirrus doors don't suck open).
There are plenty of flight-critical things that we as pilots must get right, or cope with the error while continuing to fly the airplane. And yes, I'm usually an advocate of the idea that it is OK to rely on the pilot to be sure to get it right. But if a fairly uncomplicated engineering solution can save lives, why not? Are there any reasons why it would be very difficult or impossible to relocate the door hinge points? |
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Even a different opening action of the door doesn't always protect from accidents caused by a pilot allowing him/her self to become distracted. The NTSB files are full of them. Here is a high profile one that I am personally familiar with from when I lived in PHX....... https://aviation-safety.net/wikibase/wiki.php?id=37373 And yes I think it would be fairly complicated to move the hinge points. The fwd "A" pillars are considered rollover structure. Not that it couldn't be done, but there are numerous issues that would have to be dealt with. |
So not to make assumptions, but based off the report, could it be that the door was never closed in the first place? I'm wondering if the annunciation system had a fault so he didn't realize it wasn't fully latched?
Either way, it's something we can all learn from wether it was a human or mechanical failure. Very sad that we lost a member of our flying family. |
another thought--
NOT wanting to hijack the thread, or go off on a rabbit trail, but learn something from my friend Bruce's passing.
BUT---I am interested in the cause of the fire. I have some obvious concerns here, but quite possibly one glaring detail that most of us dont think about. After the impact, was the fuel system intact, or was the mechanical pump or hoses damaged by the impact? My question my sound crazy, but if the boost pump was running, and the FWF hoses or pump were in fact damaged so fuel could escape, then the boost pump was dumping fuel that could have contributed to the post impact fire. I dont know if any of that is fact, and certainly dont want to speculate. But, is this is the case, we need to address this. Bruce---we wil miss you my friend, and perhaps we can learn something from this, to prevent is from happening again. Tom |
Very sorry for your friend and the loss in general.
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So Very sad
It is good to know these things and try to imagine ourselves in this predicament and i visualize myself ignoring the blast of air, the anguish over loosing the door and other things that would surely fill my mind.
This helps to prepare and prepare some more for those unexpected things that will happen up there. So very sorry to loose a fellow pilot and will do some more inner visuals as a result of these events. Hopefully when the day comes it will help. |
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I've had a door pop open just after takeoff (not in an RV) and it was very hard to resist the temptation to focus on the door. I was able to climb to pattern altitude and close it, but retrospectively it would have been much smarter to land and deal with it. I was a student pilot at the time and lucky. Agree with the need for ongoing training for unexpected events in critical phases of flight. |
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, On the RV-10, the doors are large, with the potential to impart a big twisting moment, so I think you'd want widely spaced hinges. There is one likely hard point at the bottom front corner of the door where you could tie a hinge into a longeron, but there is no obvious point for a second hinge without structural changes. Glassing a hinge to the A-pillar *might* work, but I don't know enough about glass structures to envision that solution. If you'd like pictures and/or measurements of the doors and structure around the doors, send me a PM with your e-mail. |
Nope
I've had my -10 for 7 years now, without any backup latches of any kind...not even Van's. If you carefully check the doors for security and both pins inserted, the doors will not open.
Best, |
Does anyone know if there are any controllability issues with the 10 with a door open? I would not expect there to be, but aerodynamics are often unpredictable.
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I'm a possible future rv10 owner and It seems if the door swings open during flight that it is highly likely to depart the aircraft, and if that door were to hit the tail surfaces, well..... I know it doesn't look like that happen in Mr Stampers case but knowing if the door opens and will likely depart in flight the appeal to try and close it is a valid one. Perhaps the best form of action during a open door in flight with no runway left would be climb at VX until 2000ft and then attempt to close the door. Thoughts? |
While this event is horrible reminder to us all to keep flying the airplane, this problem is not unique to the -10. Cirrus has had numerous accidents after the door popped open in flight.
Even in my early training in a Cessna 152 the door popped open during take off (50 ft off ground). At the time, I'll admit that I did the exact same thing as Stamper. I was lucky and it scared me enough to change my reactions in the future. We can engineer the airplane into a tank that eliminates all risk mechanically, or we can understand the risks and what behaviors we would implement under emergency situations. Even with the best latch, and extensive checklist procedures - we all need to be prepared for the what if. |
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So I would guess that a missing door does not cause any controlability problems. |
Would it be impolitic
to ask how many doors have departed or tried to depart RV-10 airframes? Starting to sound like a sobering percentage of the fleet has been involved at one time or another. Rest assured I am absorbing all appropriate lessons from this experience for a few years down the road.
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Fearmongering
While a few doors have departed the aircraft I cannot think of any instances where a properly latched door has opened in flight.
Also considering the number of 10s flying it is a very low percentage. If a pilot did not latch the door and ignored the warning lights and a door departs it should never cause a crash. We have met the enemy and they are us Gary Specketer |
My jodel has the same kind of door. I look at the latches just before advancing the throttle on each flight - I was taught to double check the stuff that will kill you and on that airplane that really is the only thing - the fuel valve has only 1 position so you won't make it to the runway if it is off and there is no primer to lock. But if I screw up one day because someone is talking to me or there is lots of ground traffic etc it will pop open and depart the plane almost certainly - the air is accelerating over the cockpit generating lots of lift. That is a risk I understand and I take it. Everyone has their own threshold of acceptable risk. I plan to do the same on the RV4 - develop a habit/procedure and stick to it. Not 100% foolproof but what is? Others might decide having a safety light is necessary and I totally get that.
I found a youtube video last night of some LSA type airplane in the UK landing after the canopy popped open. It was a tip-up. The guy hit the crops just short of the runway (like 5 ft) and the airplane landed on its nose, NG collapsed, prop hit the grass and it slid along the grass for 50 ft. I suspect he had increased drag and lots of distraction and messed up the landing. The video was from a go-pro of an airplane holding short to takeoff and you could hear the guys cringing as they watched the thing drag its nose down the grass runway. No injuries. So these types of things are not that rare. It comes down to being able to fly and manage the issue at the same time, which evidently is not easy. |
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I'd like to add a line item to Todd's checklist: slow the aircraft to approach speed. It might make the difference between losing/not losing the door. And apart from not wanting to lose the door itself, I really don't want to risk it flying back and hitting the tail. But don't slow down so much you get yourself into other kinds of trouble. |
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Condolences to friends and family of the pilot. |
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This is such a sad and avoidable accident. In Phase 1 there are so many things to think about and new procedures to process. It is easy to see how things get overlooked. -Make sure door lights/sensors are installed on your planes. Maybe we need a screaming buzzer that goes off if doors are open and engine is above 1800 RPM. -Have your checklist with you at all times. I have never taken off without going through my list. I always close the doors and check. -Practice, practice, practice. What if...engine quits, bird strike, door comes off, window blows out, electrical fire/failure, tire blows, passenger throws up, alternator fails...... -Before first flight, pay the money for RV-10 transition training even if you have RV time. I flew with Mike Seager for 4 hours and learned so much I went back a second time before my first flight. I did my first flight knowing with a high level of confidence I could land the plane on a 4000 ft runway from pattern altitude with no power. Phase 1 is scary and dangerous without proper training, practice, thoughtful procedures and help from experienced people. It should be almost routine with them but should still be scary to keep us ready if something goes wrong, but should never be dangerous. I am always available to help if you have any concerns as many of us on this forum are. Please call (801-718-1277) or come fly with me in my plane if you have any reason to think you need some help. I am not a CFI, or an expert test pilot but I have 1250 hours in the RV-10 and have learned a lot along the way. Still learning every day......The best thing to do is to fly with a transition trainer like Alex and Mike (I am sure there are others), they will increase your skill at the fastest rate. The goal is 0 fatalities. |
5
IIRC correctly, this makes number 5 to lose a door.
Best, |
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Bruce was my friend and just a really great man. But from this tragic incident, we need to look at how we can enhance our safety of flying by developing actions and skill sets to address emergencies. From an open door to loss of engine power. You cannot wait until "it happens" before you have a plan. What would you do, whats your procedures. An emergency check list is necessary, but it is subject to time restraints, a crew vs a single pilot operation, altitude, type of emergency, etc. Put your emergency procedures and "what ifs" to memory. Sit in your airplane every so often and practice every emergency procedure possible until you have it to muscle memory. What would you do with a door. Fly the airplane, Reduce speed, deploy partial flaps, slow flight, side slip away from the open door, turns away from the open door, direct to airport, declare an emergency. What ever you decide for procedures, practice them.
Such a sad and preventable loss of life. |
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Well, my estimate would be 15 - 20.
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First I would like to say I'm sadden by the lost of anyone perusing our shared passion of aviation, He seems to have given so much to his community.
I've monitored these boards for a long time so forgive an outsider butting in. I'm not going to second guess what happened and decisions made. I understand why everyone is saying that you can't design an airplane where nothing could go wrong, so as pilots we must practice and make it second nature to fly the plane first and foremost. I'm right at 100hrs of PIC and even in that short time I've had a flat tire, luckily while taxing, seems the mechanic pinched the tube when putting it on. I've had the window pop open on the 172 during take off. I actually said to myself out loud ignore the window and fly the plane more than once until I was at a safe altitude to deal with it. However a 172's window can be opened below a certain speed with no damage, so I kept the plane below that speed but well above where I would be concerned about stalling at the angle I was climbing out at. Though I'm a low time pilot, I do have a strong engineering background. The door design on the RV-10 is my hesitation on ordering the kit, I've bought all the tools and set up my shop. Sure one would expect damage and or separation if you open it at 160kts on a gullwing door. However at Vx or Vy or any other reasonable speed during take off and climb out the door shouldn't separate by any Engineering standard I can think of. We owe it to people on the ground we fly over if not ourselves to think long and hard; is the door design acceptable. Part of the reason someone would try to close it in a critical stage of flight is knowing the door will separate and could hit the plane or someone on the ground. As builders we are the ones responsible if someone files a lawsuit, so if you sell your plane how confident are you on that door? Trying to design warning systems and adding extra latches is approaching the the problem from the wrong direction. You don't fix an safety problem by making it more complicated you fix it by making it simpler. The simplest solution would be one that made the door opening below maneuvering speed an non-event. IMHO, Either the door needs to be designed like the cirrus hinged in the front so that if the door latch is released the door opens slightly but isn't pulled fully open and stays in the the boundary layer so that you have a higher speed in which the door would be damaged. Or the hinges and mounting points need to be beefed up so that there is a reasonable maximum speed in which the door could be opened and not damaged. One other thought is to keep the hinges at the top but change it so the hinge line runs about 45 degrees from where it is now so that at least 50% of the force applied to the door would be in the normal mode of the hinges and a closing force. The only other rework that I can think of is possibly split the door at about the line where the aluminum/fiberglass meet. and have a bottom door and a top door, so that there is less material in the fiberglass part to cause drag and rip off... though again this is a more complicated operation and goes against my adage of making it simpler. Now from the latch design itself, it is very similar to the latch on the T-Top of the third generation F-Body (1989 Firebird as an example). The F-Body had a hard plastic guide in which steel pins are extended into. In the late 80s GM decided to change the heavy glass out for Lexan. These were latter recalled due to crazing but there was another issue they flexed. I know a few people that didn't opt to trade them in for the Glass version and out of those I know two people that have had one fly off. Now with the T-top latch you can lock it (with the key) closed which rules out the handle getting opened accidentally or by some mechanical cause. Also there is no way you can close the latch without the pins engaging the body. Of the two that I know flew off one was locked, the pins were extended, and the guides were in good shape. Why am I bring up what most consider a bad car anyways? Because due to some level of body flex, pin length and the more flexible lexan panel even a properly secured and locked T-Top can come loose using the same basic design at highway speeds. Please forgive the newbie posting a very long post. |
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Really? Redesign??? I don't mean to sound cold here, as I knew Bruce and feel terrible for him and his family, so my comments are no reflection on Bruce. Please read that part again. The RV-10 fleet is quite large now, and the track record is there that IF you close the doors properly they stay attached. I personally have over 2000 hours of RV-10 time, and others may have many more. We ALWAYS call "doors closed and locked" prior to entering the runway. I even have the door light system installed with an interlock on the throttle so I don't get used to 2 glowing red lights when the doors are open in the summer. If you forget to close the doors, they will come open. Probably at the worst time. If you forget to put fuel in the tanks, the engine will quit. We could go on and on about the impact of forgetting to do things prior to takeoff. Use a checklist, and go over it twice during the testing phase. It is a new airplane, habits aren't built yet, and each airplane is different and will have it's own nuances. Part of Phase I is to build a checklist appropriate to your aircraft, in the order that makes sense. Vic |
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