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Atlantic Coast Airlines British Aerospace BAE3201 incident

23 Mar 1993 · Rochester, NY, United States

British Aerospace BAE3201 · Incident: airframe, component or system failure en route

From Buffalo Niagara International Airport (BUF) to an unrecorded destination

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Event

NTSB case
BFO93IA057
Event typeAccident: someone killed or seriously injured, or the aircraft substantially damaged (NTSB definition). Incident: an occurrence that affected or could have affected safety, short of that. Glossary
Incident
InvestigationHow far the investigation had got when the record was published: preliminary, ongoing, final or completed. Unknown where the source does not say. Glossary
Completed
API-reported fatalities
0 · all aircraft and ground
Ground fatalities
0
OperationWhat kind of flying it was, grouped by the rules it flew under: airline (US Part 121), air taxi and commuter (Part 135), general aviation (Part 91 and similar), military or government. Glossary
Charter & commuter
WeatherVisual meteorological conditions (VMC): good enough to fly by looking outside. Instrument conditions (IMC): cloud or low visibility, flying by instruments. Glossary
Visual Meteorological Cond

British Aerospace BAE3201

Category
Airplane
RegistrationThe aircraft's tail number, such as N12345 or G-ABCD. Registrations are reissued, so the same one years apart can be a different aircraft. Glossary
N496UE
Onboard fatalities
Unknown
Route
From Buffalo Niagara International Airport (BUF), Buffalo, NYTo not recorded
Aircraft age
Not recorded
Flight rulesThe regulations the flight operated under: in the US, Part 91 (general aviation), Part 121 (airlines), Part 135 (air taxi and commuter) and others; for flights abroad, the NTSB's coarser commercial or non-commercial code. Glossary
Part 135: Air Taxi & Commuter
Phase of flightThe stage of the flight when things started to go wrong: standing, taxi, takeoff, initial climb, en route, maneuvering, approach or landing. Glossary
En route · climb to cruise
First occurrenceThe single coded event the NTSB judges best describes what happened (records from 2008 on). Older records name the first occurrence in the sequence instead. Glossary
Airframe, component or system failure
DamageDestroyed: beyond practical repair. Substantial: damage that affects the structure, performance or handling and normally needs major repair. Minor: less than that. Glossary
Minor

Cause areas

  • Door › Not secured

Approximate · Coordinates as recorded by the NTSB; no uncertainty radius is established.

NTSB narrative

ACCORDING TO THE PILOT, AFTER THE MAIN CABIN DOOR WAS CLOSED BY RAMP PERSONNEL, HE HAD A DOOR AJAR WARNING LIGHT ON THE CAP PANEL. HE REPORTED HE HAD FLOWN THE SUBJECT AIRCRAFT FOR FOUR LEGS THE PREVIOUS DAY AND A SIMILAR SITUATION OCCURRED ON THREE OF THOSE LEGS, SO HE PULLED THE CIRCUIT BREAKER AND RESET IT AFTER 10 SECONDS. THE DOOR LIGHT WAS EXTINGUISHED, AND THE PILOTS PROCEEDED TO TAKEOFF. DURING THE CLIMB, WHILE PASSING THROUGH 4000 FEET ABOVE THE GROUND, A POPPING SOUND WAS HEARD FOLLOWED BY A RAPID DECOMPRESSION. THE PILOTS NOTED THAT THE MAIN CABIN DOOR WAS AJAR, BUT FOR SAFETY REASONS, THEY DID NOT GO TO INSPECT THE DOOR. THE PILOTS SLOWED THE AIRPLANE TO 130 KNOTS INDICATED AIRSPEED, AND AFTER LANDING, THEY NOTED THE DOOR HAD SEPARATED FROM THE AIRCRAFT. SEARCH EFFORTS WERE MADE AND THE DOOR WAS LOCATED IN A FIELD ALONG THE PATH OF THE FLIGHT. THE DOOR WAS FLOWN TO SCOTLAND FOR FURTHER EXAMINATION AT JETSTREAM AIRCRAFT LIMITED; HOWEVER, THE EXAMINATION DID NOT DISCLOSE EVIDENCE OF MECHANICAL MALFUNCTION.

Probable cause

FAILURE OF THE MAIN CABIN DOOR TO BE ADEQUATELY SECURED FOR FLIGHT FOR AN UNKNOWN REAS0N.

Verbatim NTSB analysis and probable cause from the NTSB dataset

Sources

NTSB record BFO93IA057
Event ID
20001211X11914
Case number
BFO93IA057
Dataset
historical-pre2008
Source SHA-256
89e2df6d848e7ab3b42e7d7c7a03ff403303057a26ca04c95b3ea67201c3ce74
Source notes (4)
  • Unreviewed is an editorial label, not an investigation status. API-sourced is not report-checked or human-reviewed. Explicit event totals are used without summing aircraft injury tables; onboard allocation is withheld. Unknown values remain unknown. The operation category is mapped from the NTSB-reported FAR part and has not been reviewed.
  • Filled from the NTSB case API where the bulk record had no value: investigation status. Values present in the bulk record are kept.
  • The date is the local date, which is the same as the UTC date the NTSB stores.
  • API snapshot SHA-256: e01b04f2eb1f1f852ab3a56563831823bedbbda0ec60028e5856a8c900504cb1; retrieved 2026-09-18T18:39:52.924Z.